2026 Breakthrough Discipleship Application Form
  • Breakthrough Discipleship Application Form

    IMPORTANT: This year there are 2 sessions of Breakthrough. You will have a chance below to indicate with session you would like to attend below. Please read and fill out this form in its entirety. Thank you!
    Breakthrough Discipleship  Application Form
  • 1) We require a non-refundable $50.00 deposit to reserve a camper spot. Balance is due by June 30, unless alternate arrangements have been made. Registration fees (minus the non-refundable $50.00 deposit) may be returned if cancelled before June 30th.

    2) Our office will provide an acceptance package via email which will include further details such as times, a packing list, a waiver, and a medical form.
  • Session Information

  • Breakthrough Applicant Information

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  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Photography Notice: Photos and videos may be taken during camp and used for promotional purposes (such as brochures, social media, and our website). If you do not wish for your image to be used, please contact the camp office.

  • Select Payment Option:

    Please check one option only. Pay by Cheque, Credit Card or by PayPal
  • To reserve your spot a minimum deposit of $50 is required.

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  • Only select option below if paying by PayPal

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      • * Campership Aid is available. Inquire at the camp office.

        ** Discounts for parents/guardians who work in full time ministry are available. Inquire at the camp office.

        Phone: 204-246-2008  

        Email: info@pembinavalleybiblecamp.com

         

      • Breakthrough Discipleship Application

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      • About Us

        Pembina Valley Bible Camp is an interdenominational evangelical Christian camp located in Manitoba, Canada. We exist in order to “Turn lives toward Jesus, one heart at a time.” Our goal is to gain relationships with campers in a well-balanced program of recreation, camping instruction, and Bible teaching, carried out by committed Christian staff. The camp focuses on the spiritual, physical, social, and educational development of the camper through these avenues:

        – An opportunity to personally get to know Jesus Christ.
        – A place to meet God through studying His Word and experiencing His creation.
        – A time for learning, achieving, growing, and maturing through healthy activities.
        – A place to develop friendships by working, playing, and having fellowship together.
        – A fun outdoor living experience.

      • Statement of Faith & Life

        A / We believe that there is one God. He is infinite and perfect, eternally existing in three distinct persons, the Father, Son, and the Holy Spirit, each possessing the nature and perfections of deity, as well as the characteristics of personality. We believe that God is the creator of all things. We believe that God created individually the various groups of living beings, including mankind, as special acts of creation rather than through evolution.B / We believe in Jesus Christ as fully human and fully God. We believe in his virgin birth by the Holy Spirit, His sinless life, His miracles, His death on the cross bearing the sin of all mankind, His bodily resurrection from the dead, His ascension into heaven where He now is seated at the right hand of God, and His return to take the church to be with Him and to destroy the works of Satan.

        C / We believe the Holy Spirit is fully God, and that as a result of salvation, the Holy Spirit lives in us, empowers us to live the Christian life and gifts us for spiritual ministry.

        D / We believe that Satan is real, the enemy of God, the author of sin, and the seducer of mankind.

        E / We believe that the first man, Adam, was created in the image of God. Adam sinned and, though the image of God has not been lost, as a consequence, all people are now born guilty before God and with a nature in rebellion against Him.

        F / We believe that Jesus Christ by His death on the cross made a perfect atonement for sin; that salvation is found only through Him; that all who believe in Him have the forgiveness of sins through His shed blood.

        G / We believe in the verbal, plenary inspiration of the Bible, which is therefore inerrant and infallible in the original autographs. We believe in the sole authority of the Bible, and therefore reject any claim that there is authority in tradition or in any supposed further revelation.

        H / We believe in the bodily resurrection of the just and the unjust; the believers to the everlasting presence and enjoyment of God, and the unbelievers to everlasting conscious punishment.

        I / We believe that the Church, the body of Christ is comprised of believers from every tribe, kindred, and tongue and is seen organized in local churches in accordance with the scripture.

        J / In our faith walk, we aim to guard and keep high standards for our individual testimonies, lest we be hindered or distracted as we strive to live faithfully for Christ in our society.

         

      • Code of Ethics


        A / Respect the authority of the organization’s leadership staff, demonstrating a willingness to serve and be directed by others. I will respect the authority of parents in the lives of their children, as registered summer campers and rental retreaters.B / I will always avoid situations with campers / retreaters and staff which could in any way be misconstrued as inappropriate. This means that I will build my strongest relationships with campers / retreaters and staff of the same gender, avoid counseling situations with campers of the opposite gender, and will never ‘date’ or ‘go out’ with a camper. I understand that any verbal or non-verbal sexual behavior with any camper and or staff is not appropriate. I will refrain from sexual relations of any kind outside of the marriage relationship which is only between one man and one woman as described in the Holy Bible. Any and every sexual activity that contradicts the marriage relationship between one man and one woman as described in the Holy Bible will be grounds for dismissal.

        C / The laws of this country are to be honoured, understanding that government is placed in authority over me by God and appreciating that breaking the law can jeopardize the safety of myself and others as well as damage the reputation of this ministry in its community.

        D / As a Pembina Valley Bible Camp staff member, consider your individual as well as camps testimony and reputation. Total abstinence from alcohol on camp property
        is expected. Consuming alcohol, whether privately or in public off camp grounds is discouraged. The Holy Bible teaches us to be of sober mind. (Having “a drink”
        during a family celebration meal is one example of appropriateness.) Smoking is discouraged. All prescription and non-prescription drugs will be turned in to and
        administered by the camp nurse/first aid attendant. Do not use, possess or traffic illegal drugs at any time.

        E / All media such as, but not limited to: videos, magazines, movies and music on the camp property must meet with the approval of the Camp Manager and or Director.

        F / Pembina Valley Bible Camp is committed to a policy of providing and maintaining a positive work environment free of sexual and general harassment and abuse.

        G / As a staff member I agree to conduct myself at all times during my stay at camp in accordance with the Bible, Christian conviction, and standards set forth by Pembina Valley Bible Camp. Any breach of this code as interpreted by camp leadership may be grounds for dismissal.

         

         

      • Presentation


        Neatness, professionalism and respect towards campers, staff and Christ Jesus are key factors when considering what to wear as PVBC Staff Team Members as we regularly have campers and parents watching and taking cues from us.

        To help us carry out our mission well, the following is in effect for while physically on-site:

        – Clothing with symbols or words that may be offensive or viewed as dishonorable may not be worn

        – Clothing that is torn inappropriately may not be worn

        – Yoga pants. leggings or excessively tight clothing may not be worn

        – Shorts or skirts must be a minimum of 4" inseam and outseam

        – Halter-tops and spaghetti strap tops may not be worn

        – Bikinis/mens speedos or otherwise skimpy swimwear may not be worn. If that’s all you own, please bring appropriate tops/bottoms to wear over top (ie. tank tops, board shorts, etc)

        – Swimwear is only to be worn during swim time and water activities.

        – Sweatpants may only be worn when not working with a rental group or when summer camp parents are not around.

        – Undergarments, cleavage, buttocks and midriff may not be exposed.

        – Men shall wear shirts while on the grounds (no white undershirts).

        – Footwear must be worn at all times. Swim time, watergames and some sports are the exceptions.

        – Tattoos, body art, piercings; staff serving on site may be asked by leadership to either remove or appropriately cover up as deemed necessary. It is a vital consideration for our ministry to all youth/staff/volunteers/parents/caregivers, as representatives of the Pembina Valley Bible Camp staff team.

         

        This can be seen as our "uniform" for while you're at work and the leadership of Pembina Valley Bible Camp will come alongside and help bring clarity as needed.

      • Personality Profile

      • Rows
      • Your Goals

      • Christian Life

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      • References

      • Please find three references that are over the age of 21 and have known you for at least 2 years. These references should not be family members. Good ideas for references would be your Pastor, Youth Pastor, Mentor, Teacher, etc. 

        *Your references do not need to fill out a form.

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