Winter Camp Group Registration

For group registrations please contact our camp registrar at 519-376-3516 ext. 201 or 1-800-461-3503 ext 201.
Contact Name:


Church Name:


Address 1:


Address 2:


City:


Province:


Postal Code:


 Home Phone:
( )

Work Phone:
( )

Email Address:



How many people will be attending including leader(s)?

Campers:
Males Females

Leaders:
Males Females


Dates Attending
January 18-20 (Junior High) 

January 25-27 (Junior High)

February 1-3 

February 8-10 

 February 15-17 

February 22-24

March 1-3

Do you plan to bring your own counselors?

Yes

No
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