Teen Camp

If this is your first time using our online system, please enter a user name here. If you already have a user name, click on the blue circle in the to the lower right and log-in.

Camper Information

Camper Name^*

Mailing Address

Address ^*

City/Town ^*

Province ^*

Postal Code ^*

Gender^*

Male
Female

Date of Birth^*

Age at the time of Camp^*

Going into Grade:^*

Cabin Mate Request (only 1, must be the same gender)

Parent/Guardian Names^*

Home Phone^*

Cell Phone

Work Phone

Alt Cell Phone

Email^*

Emergency Contact:^*

Relation to Camper:^*

Emergency Contact Home Phone:^*

Emergency Contact Cell Number:^*

Medical Information

Provincial Health Number^*

Additional Concerns:

Is the camper allergic or sensitive to any medications?^*

If Yes, please list:

Please list all medications the camper is allergic/sensitive to here.

Is the Camper on any medication?^*

Medication List:

Please list any/all medication the Camper is currently taking.

Authorization for Treatment

I hereby authorize the camp personnel to handle any medical problems with my child during his/her stay at camp.

In the event that the camper requires special medication, x-ray or treatment beyond that which is possible at camp, we will attempt to notify the parents as soon as possible. The parent/guardian will be responsible for any additional expenses for care or transportation.

I give permission for the following over-the-counter medications to be given:

Campership Request

As part of a complete application, we require a $50 non-refundable fee per camper.

The purpose of the Campership Fund is to provide some financial assistance to those parents and guardians who are unable to pay the total camp fee. Since these funds are limited and the numbers of applications are increasing each year, we ask that parents/guardians try to pay as much of the fee as their budgets will allow and then apply to this fund for the remainder.

If you wish to be considered for Casmpership, please fill out this form and mail it to the address shown at the top of the form.

Campership Request

Terms and Conditions

Terms and Conditions^*

Signed:

1. The Camp Director reserves the right to dismiss any camper who, in the Director’s opinion, is a hazard to the safety and rights of others, or who appears to have rejected the reasonable controls of camp and/or whose behaviour is placing unacceptable constraints upon the staff and their responsibilities toward other campers.
2. I, the parent/guardian of the camper, acknowledge and agree that all registrants enter and use the camp facilities and equipment, participate in camp activities and otherwise use, occupy and enjoy the camp grounds, waters and facilities at their own risk.
3. I, the parent/guardian of the camper, forever release Fishing Lake Bible Camp, its trustees, directors, staff and agents from any loss, personal or bodily injury, accident, actions and costs that may arise from participation, understanding that reasonable precautions shall be taken to ensure the health and safety of the camper.
4. I, the parent/guardian agree to permit videos and pictures of my camper to be used in the promotion of the camp.
5. I acknowledge that all non-emergency contact with campers is disruptive and will refrain from contact with my camper during their stay.
6. I acknowledge that FLBC is a religious organization and is governed by Biblical standards.

After you click SUBMIT, you will receive an email that your form has been received along with instructions for completing payment.

Teen Camp Registration

Camper Information

Medical Information

Authorization for Treatment

Campership Request

Terms and Conditions