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 choose from.

Fill out the application form on this very page!


OR download it, print it, and mail it! Summer 2012 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.

2012 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, 2012.

GST included in all prices.

Please note that all camps begin on SUNDAY, except for Sparks 1 & 2, Explorers 2, & PUSH 3 (which are on Tuesday). with registration at 3:00pm.

* 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 - August 7-10, Grades 1-3 $285
Explorers - July 22-27, Grades 3-5 $345
Trail Blazers 1 - July 8-13, Grades 5-7 $380
Trail Blazers 2 - July 29 - August 3, Grades 5-7 $380
Ignite 1 - July 15-20, Grades 6-8 $400
Ignite 2 - August 12-17, Grades 6-8 $400
Impact - August 19-24, Grades 9-12 $415

Out Trip Camps
Roughin It Boys 1 - July 8-13, Grades 4-6 $335
Roughin It Boys 2 - July 15-20, Grades 5-7 $335
Roughin It Boys 3 - July 29 - August 3, Grades 3-5 $335
Roughin It Girls 1 - July 22-27, Grades 4-6 $335
Roughin It Girls 2 - August 12-17, Grades 6-8 $335
Adventure 1 - July 8-13, Grades 9-12 $490
Adventure 2 - July 15-20, Grades 8-10 $490
Adventure 3 - July 29 - August 3, Grades 7-9 $490
Mountain Bike Extravaganza - August 7-10, Grades 7-9 $380
Trails Away 1 - August 7-10, Grades 7-9 $380
Trails Away 2 - August 12-17, Grades 9-12 $485

Adventures In Ministry (AIM) Camps
ARISE - July 8-27, Grades 11-12 $585
PUSH 1 - July 8-20, Grades 9-12 $149
PUSH 2 - August 12-24, Grades 9-12 $149
WTP - July 22 - August 3, Grades 10-12 $475
Skill Options for Trail Blazers, Ignite and Impact Only. Please mark 1st, 2nd and 3rd choices. All skill options have limited space and cannot be guaranteed. Please see our activities page for full descriptions. Please note there is a $10 surcharge for horsemanship as a chosen skill due to high costs associated with running our horse program.
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. 2012 *
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 February 24, 2012 ($10 discount)
Family Discount - 1st child pays regular rate, subsequent children receive $10 discount
Camp T-shirt (additional $15)
T-Shirt Size:
  Youth:
  Adult:
Memory DVD (additional $10)

Please note that Memory DVDs are only available for on site and AIM camps.
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? Yes No

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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