LFBC Camper Registration

LFBC Camper Registration - 2024

***TAKE NOTE*** Teens week has reached capacity for both male & female campers. Registrations received that exceed our camper limits will be contacted if a cancellation occurs.
Parent or Guardian's Name*

First NameLast Name
Submitting this form on behalf of...
Camper's Name*

First NameLast Name
Biological Sex

MaleFemale
Camper's Birthday*

MonthDayYear
Date
What grade will the student have completed by this summer?
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*

Area CodePhone Number
Parent's Cell Phone

Area CodePhone Number
Parent's Email*
example@example.com
The best way to get in touch with me for camper registration updates is...

Cell/TextE-mailOther
Basic Health
Family Doctor

First NameLast Name
Family Doctor Phone Number

Area CodePhone Number
Family Health #*
Campers Personal Health #*
Emergency Contacts

Parents/Guardians
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Main Phone Number*

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Third Phone Number

Area CodePhone Number
Relationship to Camper*
Other Health
Current Medications (if none, write "none")*
Other Considerations/Needs?
Allergies (if none, write "none")*
Asthma
REGISTRATION
Which Week of Camp is this child registering for?*

Kids Week (finished grade 2-5) (July 29-August 2)Teens Week (finished grade 6-9) (August 4-9)
Are there any campers you are hoping are in your child's cabin?
Important note: we cannot guarantee that all requests are accommodated.
Choose a Size for your Camp T-shirt (no additional cost)*

Youth SmallYouth MediumYouth LargeYouth X-LargeAdult SmallAdult MediumAdult LargeAdult X-Large
Camp Information
TRANSPORTATION:

Kids Week
- Option 1: Bus will leave RFC at 8:30AM Monday, July 29th and return to the church on Friday, August 2nd at 9:00PM
- Option 2: You may choose to drop off your camper at camp.
Teens Week
- Option 1: Bus will leave RFC at 8:30AM Sunday, August 4th and return to the church on Friday, August 9th at 9:00PM
- Option 2: You may choose to drop off your camper at camp.
Please select a transportation option for your camper (note that bus transportation has an additional $30 fee)

Camper will take bus both ways (to and from camp)Camper will only take bus to camp, but be picked up at end of week (around 5-5:30pm)Camper will be dropped off at camp (around 11-11:30AM), but take bus homeCamper will NOT take the bus (drop off around 11-11:30AM, Pickup around 5-5:30PM)We are currently undecided about camper transportation. We will take responsibility to update the camp registrar by email ASAP (take note: the option for bus transportation is not guaranteed after July 7th)
COST:

Kids Week: $210/camper
Teens Week: $240/camper
PAY BY*

Online Form (Note that $5 is added to cover Credit Card Fees)ChequeEtransfer (Please use the message field to list all campers included in the payment, and if transportation charges are included)Other
Please note that your child will only be accepted into camp once full payment is received. You can expect to receive an e-mail confirming acceptance once payment has been processed

Credit Card Payment Info

Kids Week (August 8-12)Finished Gr. 2-5

$215.00CAD

Teens Week (August 14-19)Finished Gr. 6-9

$245.00CAD

Transportation (Bus)fee covers both directions. No reduced fee for only one way

$30.00CAD Quantity

Total

$0.00CAD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Send etransfer to: lfbcmail@gmail.com

Please mail cheques to:

LFBC
Box 188
R0G 1W0
Rosenort, Manitoba
The Campership Program is available to families who would benefit from financial assistance to help cover the cost of camp for their children. If you would like to apply for this program, please briefly give a reason for the request in the text box below:
I would like to apply for the campership program (optional)
Reason for applying to the campership program (optional)
If you need financial assistance or have questions about how to pay, please contact the camp, (lfbcmail@gmail.com) before sending in application.
BY SUBMITTING THIS FORM, YOU AGREE TO THE FOLLOWING:

Every precaution is taken for the safety and good health of our campers. The acceptance by the LFBC camp director of this application, and the submission of this form, shall give the camp director and/or staff the right to arrange for special services or other requirements necessary in the best interest of the applicant and shall give the camp director the right to obtain or approve any medical attention necessary to the applicant camper's welfare and good health and the parent hereby agrees to pay for all services as may be required as indicated above. LFBC, its directors, staff members, and employees are hereby released from any and all liability in the event of any accident or misfortune that may occur to the applicant camper. Pictures may be used for promotional purposes.
Should be Empty:

LFBC Camper Registration - 2024

Basic Health

Emergency Contacts

Other Health

REGISTRATION

Camp Information