Five Stones Church Summer Camp Registration Form
August, 14th-16th, 2026 Charis Camp 51935 Hack Brown Rd, Chilliwack, BC V4Z 1L1 Provide your details, family members, and preferences to register for the summer camp.
Primary Contact Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Family Members
*
Rides
*Please note we will attempt to accommodate transportation requests to and from Charis Camp. A ride is not guaranteed.
Do you need a ride or can you give a ride?
*
I need a ride*
I don't need a ride
I can give a ride
If you can give a ride, how many additional people can you take in your vehicle?
Accommodations
Due to accomodations options, rooms are based on 4 person to a maximum of 8 person (single bed) occupancy.
Please Select your occupancy type
Family with children under 18 years
Single
Couple (no children)
Accommodation Preference (List the names of the persons you'd like to share a room with).
Payment
Payment by cheque or by e-transfer: giving@fivestoneschurch.org
Did you pay a deposit?
*
Yes
No
Submit Registration
Should be Empty: