Register For Camp

So you want to go to Camp Evergreen? That should be no problem. All you have to do is fill out an application! You have two options to chose from.

Fill out the application form on this very page!


OR download it, print it, and mail it! Summer 2010 registration form available here!

Please note that you'll need a program called Adobe Acrobat in order to open this file. Your computer probably already has it, but if it doesn't, you can download it for free.

2010 Summer Camp Application Form

Email Address
Parent's email address (we will send receipts and letters via this address) *
Confirm email address *
Camp Selection
Camper is... * New to Camp Evergreen - Welcome!
Returning - Welcome Back!
Select the camp.

Grade the child is entering in September, 2010.

GST included in all prices.

Please note that all camps begin on SUNDAY, except for Sparks 1 & 2, Explorers 2, & PUSH 2. with registration from 3:30-4:30pm.

* An additional application form will be emailed to you for Trails Away or any of the AIM camps. That form must be submitted before your spot is confirmed.

Tuck is included in the camper fees for On Site and Roughin' It camps. Please do not send money with your child. 		* On Site Camps
Sparks 1 - July 27-30, Gr. 1-2 $275
Sparks 2 - August 3-6, Gr. 1-2 $275
Explorers 1 - July 25-30, Gr. 3-4 $325
Explorers 2 - August 3-6, Gr. 3-4 $275
Trail Blazers 1 - July 11-16, Gr. 5-6 $360
Trail Blazers 2 - August 8-13, Gr. 5-6 $360
Ignite 1 - July 18-23, Gr. 7-9 $385
Ignite 2 - August 15-20, Gr. 7-9 $385
Impact - August 22-27, Gr. 9-12 $405

Out Trip Camps
Roughin It Boys 1 - July 11-16, Gr. 5-7 $320
Roughin It Boys 2 - July 25-30, Gr. 3-5 $320
Roughin It Boys 3 - August 15-20, Gr. 4-6 $320
Roughin It Girls 1 - July 18-23, Gr. 5-6 $320
Roughin It Girls 2 - August 8-13, Gr. 6-8 $320
Adventure 1 -July 11-16, Gr. 10-12, $470
Adventure 2 - July 18-23, Gr. 8-10 $470
Adventure 3 - August 8-13, Gr. 7-9 $470
*Trails Away 1 - July 25-30, Gr. 9-11 $470
*Trails Away 2 - August 22-27, Gr. 7-9 $470

Adventures In Ministry (AIM) Camps
*PUSH 1 - July 11-23, Gr. 9-12 $99
*PUSH 2 - August 3-13, Gr. 9-12 $89
*PUSH 3 - August 15-27, Gr. 9-12 $99
*Wrangler Training Program - August 8-20, Gr. 10-12 $475
*ARISE (Cabin Leader Training) - July 11-30, Gr. 11-12 $580
Skill Options for Trail Blazers, Ignite and Impact Only. Horsemanship has limited spaces so it cannot be a guaranteed choice.
Skill Option 1
Skill Option 2
Skill Option 3
Camper Information
Last Name *
First Name *
Address *
City *
Province *
Postal Code * (i.e. T3K 5H4)
Phone * (i.e 403-123-4567)
Gender * Male Female
Date of Birth *
Grade as of Sept. 10 *
Home Church (if applicable)
How did you first hear about Camp Evergreen? * Family
Church
Another camper
Internet
School Trip
Other
Please let us know who referred you (if applicable)
Are you requesting a cabin mate? * Yes No
Name of cabin mate (only 1 please)
Emergency Contact Information
Parent/Guardian 1 *
Relationship to Camper
Phone * (i.e 403-123-4567)
Work Phone (i.e 403-123-4567)
Cell (i.e 403-123-4567)
Parent/Guardian 2
Relationship to Camper
Phone (i.e 403-123-4567)
Work Phone (i.e 403-123-4567)
Cell (i.e 403-123-4567)
Alternate Contact: (different from above) *
Relationship to Camper
Phone * (i.e 403-123-4567)
Cell (i.e 403-123-4567)
Medical Information
Provincial Health Care # * (i.e. 12345-1234)
Medical Plan Co. & # (optional)
Family Physician
Phone Number (i.e 403-123-4567)
Date of last tetanus shot (campers are expected to have had a tetanus shot in the last 10 years)
Does your child have any special physical, emotional, behavioural, learning or social needs we should be aware of? (ADD/ADHD, Diabetes, Vision Impairments, Bed Wetting, Headaches, Cramps, Ingestions, Depression, etc) * Yes No
If Yes, please explain
Any allergies? * Yes No
If Yes, please specify the allergy, & usual reaction
Any dietary concerns? * Yes No
If Yes, please explain
What medication will your child be bringing to camp? *
Any medication UNSAFE for your child? *
Any other information about your child that you think we should know?
Payment Information

Fees are to be paid in full at the time of registration to secure your camp enrolment. Refunds will be issued up to 30 days before your camp commences, less a $100 cancellation penalty.
Additional Fees/Discounts Early Bird Special - Pay by March 1, 2010 ($10 discount)
Family Discount - 1st child pays regular rate, subsequent children receive $10 discount
Camp T-shirt (additional $15)
Memory DVD (additional $10)
Are you requesting Campership Aid? (If yes, we will send you an application form for Campership Aid) * Yes No
Would You Like to Make a Tax-Deductible Donation to Camp Evergreen? Camp Evergreen is a registered not-for-profit organization and we rely on the generous support of donors to keep our camp fees as low as possible.
Payment Method * Credit Card (visa/mastercard/amex)

If you're paying by credit card, don't forget to call the camp office at 403-638-4230 after submitting this form to provide your credit card information. Your child's registration cannot be processed without it!

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