Summer and Family Camp Registration Forms
PO Box 21032 Spruceland RPO Prince George BC V2M 7A5 Email: office@nlbc.bc.ca Phone: 250-612-4673 Dates Camp Session Ages Early Bird Fee If paid in full by April 10/15 Squirt 1 Junior 1 Intermediate 1 Intermediate 2 Junior 2 Squirt 2 Family Camp Family Camp Family Camp Family Camp Family Camp Family Camp Junior 3 Teen Camp Intermediate 3 June 26-28 June 29-July 3 July 5-10 July 12-17 July 19-23 July 27-29 July 31 – Aug 3 Maximum RV Discount Aug. 4-8 Aug. 9-15 Aug. 17-22 Intermediate 4 6-9 7-10 10-13 10-13 7-10 6-9 Infant 2-6 7-12 13+ Full Fee If paid after April 10/15 7-10 13-18 10-13 $120 $240 $350 $350 $240 $120 $0 $100 $150 $180 $600 -$50 $240 $375 $350 $130 $255 $370 $370 $255 $130 $0 $110 $160 $190 $660 -$50 $255 $395 $370 Aug. 24-28 9-13 $325 $345 (morning end) (morning end) Wilderness 1-Overload Wilderness 2 Paintball Boys Wilderness 3 Teen OutTrip Excursion Wilderness 4 Paintball Boys Wilderness 5 Junior Explore Wilderness 6 Extreme Teen Wilderness 7 Out-Trip Excursion Wilderness 8 Teen Paintball Work Crew 1 June 29 - Jul 3 July 5-10 10-14 11-15 $245 $385 $260 $405 July 12-17 13-18 $305 $325 July 19-23 11-15 $385 $405 July 27-29 8-10 $105 $115 Aug. 4-8 13-18 $310 $325 Aug. 9-15 10-13 $370 $390 Aug. 17-22 13-18 $385 $405 June 26-Jul 17 Work Crew 2 July 19-Aug. 8 Work Crew 3 Aug. 9-29 Completed Gr 9-12 Completed Gr 9-12 Completed Gr 9-12 $380 $360 $350 REGISTRATION FORM 2015 Camper’s Name: ___________________________________________ Gender ____M _____F Birthday: (M) ___________ (D) __________ (Y) ___________ Age/Grade (as of Dec. 31, 2015): _____________ Address: __________________________________________ City: ___________________________________ Postal Code: ____________________ Prov: __________ CareCard: ____________________ ___Food Allergy __Special Diet __Vegetarian Please Specify __________________________________ Church Affiliation: ________________________________ Mother’s Name: _____________________________ Father’s Name: _________________________________ (Mom) Home: ( ) ______________ Work: ( ) __________________ Cell: ( ) ___________________________ (Dad) Home: ( ) _______________ Work: ( ) __________________ Cell: ( ) ___________________________ I would like to be in the same cabin as: _______________________(One friend request only & not more than 1 year apart) Email: ________________________________ Parent/Guardian Signature ____________________________________ Camp Name and Date_______________________________________ Payment - Cheque Enclosed __________ VISA Camp Fee: _______________ MasterCard Visa/MC #: __________________________________ Expiry Date________ Name on Card________________________________ Signature of Cardholder ________________________________
© Copyright 2024