2024 Young Pilgrims Bible Camp Application Form

Young Pilgrims Bible Camp Camper Application

Campers must be between the ages of 10 and 18
Dates June 30 to July 7, 2024

We are looking forward to meeting you and having fun learning together during camp!

Please make sure you have read the Camp Guidelines before completing this form: (https://docs.google.com/document/d/1kiI3nvHnRpczJfRrFk8l0PkP4sG6wo2pScqR1dcOyk4/edit?fbclid=IwAR2NEde6kwt2gkofdmtNGIk-fzBVszEDP5dprpX7Wv6xm1mWQvKhyEQRuos)
QUESTIONS?

Contact Dominique at info@youngpilgrims.ca
Would you be interested in attending a follow up week (July 7-14) partnership event with Arrow Lake Lifestyle Lodge? (Practical application of practices learned during YP Camp)*

Yes, I'm interested. Email me more information please.No, I'm not interested/unable to make the dates.
Name of Applicant*

First NameLast Name
Email*
example@example.com
Birthday*

MonthDayYear
Date
Emergency Contact Name*

First NameLast Name
Phone Number for Emergency Contact*
Please enter a valid phone number.
Emergency Contact Relation*
As the applicant, I agree to abide by all the camp codes and guidelines, and to cooperate fully with the other staff. I understand that if I fail to do so, I may be sent home at my expense. *

Clear

Do you require Gluten Free meals?*

YesNo
All meals will be made vegan, are there any other allergies you have that we should be aware of when preparing food?*

Do you have any of these medical conditions currently? Check all that apply

If applicant is 17-years-old or YOUNGER, please fill in the following information:
Parent/Guardian

First NameLast Name
Parent/Guardian Email
example@example.com
Parent/Guardian Home and Cell Phone numbers
Please enter a valid phone number.
Please enter a valid phone number.
Legal Guardian/Parental Consent: As parent and/or legal guardian of the applicant, I am in favor of the applicant attending camp and participating in all activities unless otherwise specified in writing. I hereby release the camp and its staff from liability in case of accident or illness, and I understand I am responsible for any charges incurred in treatment of my child's accident or illness. I hereby give permission to the medical personnel selected by the camp to administer natural remedies as deemed appropriate and/or to hospitalize and administer anesthesia and medications as necessary, or perform surgery on my child. I also give permission for Young Pilgrims to use videos or photos taken of my child during camp for promotional purposes. By acknowleding and signing below, I undersand I am delivering an electronic signature that will have the same effect as an original manual paper signature.

Clear

Young Pilgrims Bible Camp Camper Application