Primary Camp (ages 9 -11) - Individual Registration

First Name *

Last Name *

Mailing Address *

Address 2

City *

Postal Code *

Province *

Country *

Phone *

Email *

Comment

Gender *

Date of Birth *

mm/dd/yyyy

Parent/Guardian *

Have you done swimming lessons? *

Canadian Red Cross Level *

Lifesaving Society Level *

One friend I would like to share a cabin with:

we will do our best to accommodate your wishes.

Family Doctor *

Family Medical Number *

In Manitoba this is usually 6 digits. Other provinces may differ.

Individual Medical Number *

In Manitoba this is usually 9 digits. Other provinces may differ.

Medical Notes

Report any medication or treatment required while at camp, any health condition that might restrict camp activity, any food restrictions or allergies:

permission medical attention *

I give Waters Edge Bible Camp's director or nurse the right to obtain any medical attention, treatment, or medication necessary for the camper's/family's welfare.

permission *

I give my son/daughter/family permission to participate in ALL camp activities and agree NOT to hold Water Edge Bible Camp responsible for any accidents.

Photographs Permission *

I give Waters Edge Bible Camp permission to use my son/daughter's/family's name and/or picture in any advertising or promotion.

T-shirts ($15) and Hoodies ($40) need to be ordered before May 31 to be guaranteed!

T-shirt ($15)

Hoodie ($40)

Hoodie Style

Zip Up

Pull Over

Hoodie Colour

Blue

Grey

Bible($5)

SPONSORSHIP & GIFT CARD INFO (IF APPLICABLE)

If you are paying via pre-approved sponsorship, who is sponsoring you?

If you are paying with a gift card, add the gift card number here

PAYMENT SUMMARY

Amount

$

Payment Method *

Paypal Offline Payment E-Transfer finances@watersedgecamp.ca Pre-Approved Sponsorship / Gift Certificate

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Holder Name*

*Please note: If you don't receive a confirmation email within 30 minutes, please try submitting another application. Do not forget to check your spam/junk folder.”

formerly Wellman Lake Bible Camp

Camp Registration

Payment Information