REGISTRATION FORM

Camper Registration

Select Camp Name

Camp Starts

Camp Ends

Camp Starts

Camp Ends

Parent First Name

Parent Last Name

Camper First Name

Campter Last Name

Address

City

Province

Postal Code

Country

Birth Date

Gender Gender

Cell Phone

Newsletter

Receive newsletter and next years camper registration information?

I Would Like to Bunk With:

Fees Due:

Please note: After December 25th, the price will increase to $300.

Preliminary Medical Form

Family Health Card Number(s):

Individual Health Card Number(s):

Family Health Card Number(s):

Individual Health Card Number(s):

Allergies? Explain:

0 of 250 max characters

Any special dietary needs?:

0 of 250 max characters

Any other medical problems?:

0 of 500 max characters

Any physical or mental challenges?:

0 of 250 max characters

Payment Options

Payment methods

Online Payment

E-Transfer Payment

If you choose to pay by e-transfer, please send the amount from the 'Fees Due' field to the email address camp@rocklake.com with the subject line: "[Camper First and Last Name] Camper Program Fee Payment."

Online Payment

First Name

Last Name

Billing Email

Billing Address

City

Province

Postal Code

Country

Payment

If you are human, leave this field blank.

REGISTRATION FORM

Camper Registration

Select Camp Name

Camp Starts

Camp Ends

Camp Starts

Camp Ends

Parent First Name

Parent Last Name

Camper First Name

Campter Last Name

Address

City

Province

Postal Code

Country

Birth Date

Gender Gender

Cell Phone

Newsletter

Receive newsletter and next years camper registration information?

I Would Like to Bunk With:

Fees Due:

Please note: After December 25th, the price will increase to $300.

Preliminary Medical Form

Family Health Card Number(s):

Individual Health Card Number(s):

Family Health Card Number(s):

Individual Health Card Number(s):

Allergies? Explain:

0 of 250 max characters

Any special dietary needs?:

0 of 250 max characters

Any other medical problems?:

0 of 500 max characters

Any physical or mental challenges?:

0 of 250 max characters

Payment Options

Payment methods

Online Payment

E-Transfer Payment

Online Payment

First Name

Last Name

Billing Email

Billing Address

City

Province

Postal Code

Country

Payment

If you are human, leave this field blank.

REGISTRATION FORM

Camper Registration

Select Camp Name

Camp Starts

Camp Ends

Camp Starts

Camp Ends

Parent First Name

Parent Last Name

Camper First Name

Campter Last Name

Address

City

Province

Postal Code

Country

Birth Date

Gender Gender

Cell Phone

Newsletter

Receive newsletter and next years camper registration information?

I Would Like to Bunk With:

Fees Due:

Please note: After December 25th, the price will increase to $300.

Preliminary Medical Form

Family Health Card Number(s):

Individual Health Card Number(s):

Family Health Card Number(s):

Individual Health Card Number(s):

Allergies? Explain:

0 of 250 max characters

Any special dietary needs?:

0 of 250 max characters

Any other medical problems?:

0 of 500 max characters

Any physical or mental challenges?:

0 of 250 max characters

Payment Options

Payment methods

Online Payment

E-Transfer Payment

Online Payment

First Name

Last Name

Billing Email

Billing Address

City

Province

Postal Code

Country

Payment

If you are human, leave this field blank.

REGISTRATION FORM

Preliminary Medical Form

Payment Options

E-Transfer Payment

Online Payment

REGISTRATION FORM

Preliminary Medical Form

Payment Options

E-Transfer Payment

Online Payment

REGISTRATION FORM

Preliminary Medical Form

Payment Options

E-Transfer Payment

Online Payment

ROCK LAKE
UNITED CHURCH CAMP

FOLLOW US

STAY UP TO DATE

ROCK LAKE
UNITED CHURCH CAMP

FOLLOW US

STAY UP TO DATE

ROCK LAKE
UNITED CHURCH CAMP

FOLLOW US

STAY UP TO DATE

REGISTRATION FORM

Preliminary Medical Form

Payment Options

E-Transfer Payment

Online Payment

REGISTRATION FORM

Preliminary Medical Form

Payment Options

E-Transfer Payment

Online Payment

REGISTRATION FORM

Preliminary Medical Form

Payment Options

E-Transfer Payment

Online Payment

ROCK LAKEUNITED CHURCH CAMP

FOLLOW US

STAY UP TO DATE

ROCK LAKEUNITED CHURCH CAMP

FOLLOW US

STAY UP TO DATE

ROCK LAKEUNITED CHURCH CAMP

FOLLOW US

STAY UP TO DATE

ROCK LAKE
UNITED CHURCH CAMP

ROCK LAKE
UNITED CHURCH CAMP

ROCK LAKE
UNITED CHURCH CAMP