Camper name

Payment option

You can choose to pay for camp in full now or just for the registration fee now. Individuals who choose to pay just for the registration fee will be required to pay the total remaining cost before the first day of camp.

Name of camp contact from Steve's Livestock.

Male or female (camper)

Male

Female

Address

City

Province

Postal code

Phone number

Second emergency phone number

Email

Camper birthday

Camper age (at camp time)

Camper grade completed (at camp time)

Week of Camp

Cabin-mate request (up to two)

Camper agrees to abide by Eagle Lake Bible Camp rules. Camper agrees to cooperate with the Program Coordinator and other camp staff.

Camper agrees

Name of parent or guardian

Camper's Manitoba health card registration no.

Camper's Manitoba health card personal health ID no.

Camper's Ontario health card no.

Camper's family doctor

Camper family doctor clinic phone no.

Camper's date of last tetanus shot

Does the camper have any allergies?

Yes

No

Please list the camper's allergies.

Can Tylenol be administered to the camper?

Yes

No

Can Ibuprofen be administered to the camper?

Yes

No

Can Benadryl be administered to the camper?

Yes

No

Is the camper taking medication?

Yes

No

Please list the camper's medication.

List any medical conditions or anything else of significance that camp staff should be aware of (ADHD, bedwetting, etc.). Only pertinent staff will be made aware of this information.

I give my permission for any medical attention considered necessary in case of emergency.

I give permission

I acknowledge that by having my child attend Eagle Lake Bible Camp, there is a chance they may be on photos printed in camp publications or shown in camp slide shows.

I acknowledge

Camp Registration

Camp Hoodie Pre-order

Contact Info