On-line Registration Step 1 of 3 33% Camper Name* First Last Birth Date* MM slash DD slash YYYY Gender* Male Female Mailing Address* Box #/Street Address City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Please provide the correct mailing address to receive a letter from the cabin leader and other camp promotional correspondence. Parent/Guardian InformationParent/Guardian 1 Name* First Last Parent/Guardian 2 Name First Last Parent Email* Please provide an email you check regularly. Primary Phone #*Home/Cell Phone*Work PhoneMedical InformationHealth Number* Emergency Contact Name* First Last Please give a different name from Parent names. This contact will be used if we are unable to contact parents. Emergency Contact Phone*Does the camper have any food allergies or special dietary needs?* Yes No NOTE: Please contact the camp 2 weeks prior to coming to discuss dietary needs with the kitchen. (example: Gluten Free or Dairy Free)What type?*Other medical information we should be aware of?Name of a friend that I want to be cabin mates with: How did you hear about Stoney?*Choose One2023 CamperFamilyFriendsChurchSchoolTrade ShowSocial MediaOther - Crossroads CouponHow so?* Parent/Guardian Permission FormIn case of emergency, I understand every effort will be made to contact me. In the event that I cannot be reached in an emergency situation, I hereby give permission to licensed emergency and health care personnel to provide treatment, services and transport necessary to maintain the health of my child. In the event medication, medical advice, treatment and/or equipment are required, I agree to accept financial responsibility for fees in excess of provincial and or private medical insurance. I agree that the information on this form may be disclosed to such emergency and health care personnel. In the event of illness, accident, emergency, or any other circumstance requiring medical treatment, such treatment may be procured for the participant without legal or financial obligation to Stoney Lake Bible Camp and One Hope Canada. All known health issues of my child have been stated to the camp. I will notify the camp if my child is exposed to any infectious diseases prior to arriving at camp.* I agree Informed Consent and Assumption of RiskIn consideration of being permitted to participate in any way at Stoney Lake Bible Camp, (hereafter known as ministry point) operated by One Hope Canada, I acknowlege, understand and agree: 1) Participation in activities could result in possible injury. Despite precautions taken by the ministry point, accidents and injuries may occur. By signing this form, I assume all risks related to the use of any and all spaces used by the ministry point. 2) To release from responsibility, the ministry point, including all missionaries, full-time and part-time, paid or volunteer, and the facilities used from any cause of action, claims, or demands now, and in the future that might arise out of the participant's participation in activities at Stoney Lake Bible Camp or from the physical risks associated with the activities. 3) I accept all risks relating to such activities including personal injury such as: cuts, sprains, scrapes, bruises, fractures, broken bones, concussions, death, or any personal property damage/loss, which may occur on the camp premises. I understand these risks and will not hold Stoney Lake Bible Camp liable for any such injury. 4) Furthermore, I agree to obey all the ministry point rules and take full responsibility for my behavior in addition to any damage I may cause to the facilities utilized by the ministry point.* I agree I have read and understood the terms of this agreement and BY ALLOWING MY CHILD(REN) to participate in the camp, I am voluntarily agreeing to abide to these terms. I confirm that the participant [my child] is physically and mentally able to participate in all activities of the camp, unless specifically indicated otherwise in writing. This is to certify that I, as parent/guardian with legal responsibility for this participant, have read this Informed Consent and Assumption of Risk Agreement, fully understand its terms, and that I have given up substantial rights by signing it, and sign it freely and voluntarily.* I agree Photographs/Video PermissionI agree to allow photographs or video of camp activities, which may include my child, to be used in camp promotional material including without limitation brochures, DVDs, the camp website and newsletters.* I agree I disagree I agree to allow Stoney Lake Bible Camp to share my name, address & phone number with staff & churches affiliated with the camp.* I agree I disagree Contact By Social Media ConsentWe count it a privilege that you sent your son or daughter to spend the week with us at camp this summer. During a week of camp, we look forward to many great friendships being formed! We have an amazing summer staff team, and our staff loves to stay connected with their campers throughout the year to hear how they are doing and answer any questions they may have about the topics discussed during chapel session and cabin devotionals. As part of our child and youth protection policy (www.insafehands.ca) we are committed to honouring you as a parent/guardian and to asking your permission before any contact occurs between campers and our staff (Facebook, Twitter, phone calls, etc.). Our staff would be honoured to be able to continue to stay involved in your child or youth’s life after camp. Please sign below to indicate whether or not you give permission to our staff to stay in contact with your son or daughter. If you wish to discuss this further please contact the camp director by phone or email (please see camp website for contact information). If you wish to withdraw your permission, please contact the camp office immediately to notify the camp director.* I agree I disagree Camp & Payment InformationCamp Session*Choose OneJunior One - July 7-12Junior Hi One - July 14-19Junior Two - July 21-26Teen - July 28-Aug 2Squirt - Aug 6-9Junior Hi Two - Aug 11-16Junior Three - Aug 18-23Work Crew 1 - July 7-19Work Crew 2 - July 21-Aug 2Work Crew 3 - Aug 6-16Work Crew 4 - Aug 18-23First Skill Choice:*Choose OneSurpriseFishing (bring own equipment)CanoeingKayakingDramaSurvival TrainingSportsMarksmanship (Pelletry, Axe Throwing)Climbing WallMotorized Water SportsPaintball (must be 11 or older)RocketryHandcraftsArcheryPetting BarnNote: This will not necessarily be how your skills will be scheduled during your week of camp.Second Skill Choice:*Choose OneSurpriseFishing (bring own equipment)CanoeingKayakingDramaSurvival TrainingSportsMarksmanship (Pelletry, Axe Throwing)Climbing WallMotorized Water SportsPaintball (must be 11 or older)RocketryHandcraftsArcheryPetting BarnThird Skill Choice*Choose OneSurpriseFishing (bring own equipment)CanoeingKayakingDramaSurvival TrainingSportsMarksmanship (Pelletry, Axe Throwing)Climbing WallMotorized Water SportsPaintball (must be 11 or older)RocketryHandcraftsArcheryPetting BarnMerchandise OptionsCamper Discount Price: Tuck/Canteen Amount A Note About Payment Method *If sending a cheque or an e-transfer, there are full instructions on the confirmation page on where to send your payment.How will you be paying?*Choose a payment method$75 Deposit (paid either by e-transfer, cheque or call with credit card)Full payment by e-transfer (instructions on the confirmation page)Full payment by chequeCalling the camp with full payment by credit cardTotal $ 0.00 CAD HiddenPayments Δ
