MBM 2025 REGISTRATION

MBM Camp 2025 Registration
Camper Info
Campers Name*

First NameLast Name
Grade (During 2024/2025 school year)*
Birthday (Campers must be between the ages of 9-13 during their time at camp)*

MonthDayYear
Date
Gender

MaleFemalePrefer not to sayOther
Do you give permission for MBM camp to use my child's image in any photo and video obtained at camp on their social media pages, website, and promotional marketing items.*

YesNo
I give my child permission to bike to and/ or from camp. By saying "yes" you are agreeing to waive any liability to the releasee, Mountain Bike Madness Camp, for any activities that occur as a result of cycling and/or being unsupervised while traveling to or from the camp facility at Bristol Pit.

NoYes- to and from campYes- Home from camp onlyYes- to camp only
Parent/ Guardian/ Your Information
Name*

First NameLast Name
Email*
example@example.com
Cell Phone*

Area CodePhone Number
Work/ Home Phone

Area CodePhone Number
Medical Information
Medical Conditions/ Allergies / Behaviour Management Strategies
Emergency Contact*

NamePhone Number
Select your weeks!
July 7-11
July 14-18
July 21-25
July 28- August 1
August 5-8 (short 4 day week)
August 11-15
August 18-22
Please re-select and confirm the weeks you've chosen from above.
prevnext( X )
July 7-11$399.00CAD

July 14-18$399.00CAD

July 21-25$399.00CAD

July 28- August 1$399.00CAD

August 5-8 (4 day short week)$329.00CAD

August 11-15$399.00CAD

August 18-22$399.00CAD

Subtotal $0.00CADTax $0.00CADTotal $0.00CAD
Optional Info to help us get to know the kids
How many years has your child been on 2 wheels?
How did you hear about MBM camp?
For those who have participated before in the camp, what was your favourite part?
You're all done (just about)! Click 'Submit' below and you will be redirected to PayPal to securely process payment and secure your spot(s)!
July 7-11,
July 14-18,
July 21-25,
July 28-August 1,
August 5-8,
August 11-15,
August 18-22,
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

MBM Camp 2025 Registration

Camper Info

Parent/ Guardian/ Your Information

Medical Information

Select your weeks!

Optional Info to help us get to know the kids