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  • STEP 1. SELECTION OF DATES

  • Day-Pass Selection (choose one):

  • If selecting One Day Pass, choose ONE date:

  • If selecting Two Day Passes, choose TWO dates:

  • If selecting Three Day Passes:

    All dates are included automatically.

  • STEP 2: REGISTRANT INFORMATION

    Please note that a $100 deposit is required to submit this form, unless you are requesting a subsidy. Scheduled monthly payments can be made by e-transfer to accounts@pahdeafyouth.org.

  • HOUSEHOLD ADDRESS

    • REGISTRATION OF FAMILY MEMBERS 

    • 1. PARENT/LEGAL GUARDIAN INFO

    • PARENT/LEGAL GUARDIAN #1:

    • ADD ADDITIONAL ADULT?*
    • ADULT GUEST #2 

    • Adult Guest #2:

    • Parent or Legal Guardian?*

  • 2. CHILD/YOUTH INFORMATION

    • CHILD #1 
    • Birthdate
       - -
    • ADD ADDITIONAL CHILD?*
    • CHILD #2 
    • Birthdate*
       - -
    • CHILD #3 
    • Birthdate*
       - -
    • CHILD #4 
    • Birthdate*
       - -
    • CAMP REGISTRATION TOTAL FEES: 
    • Emergency Contact & Waivers 

    • STEP 3: EMERGENCY CONTACT & WAIVERS

    • 1. Emergency Contact

    • 2. Release Waiver of Claim and Assumption of Risk

    • 1a. ASSUMPTION OF RISK AND WAIVER AND RELEASE OF CLAIMS:

    • 1b. *As a representative of your Household Group, please read and sign:

    • The Household Group further acknowledges and agrees:

      A. That the Household Group will follow the Code of Conduct and all rules and regulations established by both the Green Bay Bible Camp and Pah ASL Deaf Youth Society. 

      B. There are no lifeguards on duty, except when specified during registered activities at the waterfront. All Household Group members swim at their own risk. The Household Group agrees to abide by all Waterfront rules.   

      C. That some of the aforesaid risks and hazards are foreseeable but others are not.   

      D. That the Household Group nevertheless freely and voluntarily assumes all the aforesaid risks and hazards and that use of the Campgrounds and Waterfront facilities while participating in any Activities shall be entirely at the Household Group's own risk.   

      E. That the Household Group has carefully read this COMPLETE RELEASE, WAIVER OF CLAIM AND ASSUMPTION OF RISK, and that the Household Group fully understands and is voluntarily executing the same.   

      F. That the Household Group gives the Organizational Parties the right to use photographs and videos of the Household Group involved in Activities for promotional purposes. That the Household group verifies that I/We are 19 years of age or older. (Parent or legal guardian must sign for minors).   

      G. That this COMPLETE RELEASE, WAIVER OF CLAIM AND ASSUMPTION OF RISK is binding on myself, my heirs, my executors, administrators, personal representatives, and assigns.
       
      I (Adult member of my Household Group and Guardian of any members of my Household Group who are under the age of 19) have read and consent to the Complete Release Waiver of Claim and Assumption of Risk as Outlined above.

      *IF YOU WOULD RATHER NOT HAVE YOUR FAMILY OR CHILD PHOTOGRAPHED, OR USED IN OUR MEDIA, PLEASE EMAIL US AT cniwt@pahdeafyouth.org.

      Type in Full name here:           

      Pick a Date     

    • PAYMENT OPTIONS 

    • STEP 4: PAYMENT

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    • *PLEASE TELL US HOW YOU WISH TO ARRANGE PAYMENT:

    • CHOOSE ONE PAYMENT STRATEGY:*
    • Payment in Full 
    • NUMBER OF MONTHLY PAYMENTS 

    • Multiple Payment Plan

      *Minimum initial deposit is $100.00

    • Future-dated Payments ccan be made by e-transfer to: accounts@pahdeafyouth.org

    • *Please contact accounts@pahdeafyouth.org if your payment schedule changes.

    • SUBSIDY REQUEST 

    • SUBSIDY REQUEST

      Application for subsidy support is available at: https://www.pahdeafyouth.org/sponsors

    •  

      *PLEASE ENTER THIS FINAL BALANCE IN YOUR SUBSIDY APPLICATION

       

      You may go straight to the end and "SUBMIT" this application, then go to the subsidy sponsor form link on the www.pahdeafyouth.org/sponsors page.

      Once you have completed the Subsidy application form, submit it to accounts@pahdeafyouth.org.

      If you have any questions, please contact us at cniwt@pahdeafyouth.org. 

    • PAYMENT AND CANCELLATION POLICY 

    • Payment Amount*

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      CAD

      Payment Methods

      creditcard
      After submitting the form, you will be redirected to Apple Pay to complete the payment.
      After submitting the form, you will be redirected to Google Pay to complete the payment.

    • CAMP CANCELLATION POLICY:

      *We understand that unexpected situations can arise. If you need to cancel your participation at Camp CNIWT, please email us at cniwt@pahdeafyouth.org with your cancellation request.

      Please review the following guidelines:

      1. Cancellation on or before July 27th, 2026
        • Full refund, minus $100 deposit
      2. Cancellation after July 27th, 2026 
        • Cancellations will not be refunded.
      3.        *Exceptional circumstances 
        • We will always consider medical, family emergency, or accessibility- related situations with compassion

        If a cancellation of this nature occurs, please contact us at accounts@padys@pahdeafyouth.org and we will review your request.

    • THANK YOU FOR YOUR REGISTRATION!

       Once payment has been received, you will be e-mailed an information package that will include the following:

      • Activities schedule
      • A map of Green Bay Bible Camp
      • Suggested packing list
      • A pdf from the Green bay kitchen

      Please don't hesitate to contact us if you have any questions! 

       

      *BY SUBMITTING THIS REGISTRATION I AM ACKNOWLEDGING THAT THIS ELECTRONIC SUBMISSION SERVES THE SAME PURPOSE AS A HANDWRITTEN SIGNATURE ON PAPER.

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