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Spruston Road Bible Camp

2025 APPLICATION FOR JUNIOR/TEEN BIBLE CAMPS

Junior Camp – July 13 – 19  (for grades 4-8 of upcoming school year)

Teen Camp – July 6 – 12 (for grades 9-12 of upcoming school year)

Single Camper: Family Plan: (must all be from same family)

Please fill out a separate application for each camper

Choose Camp for This Camper

Choose Camp for This Camper

# of Additional Campers @ $300

(From Same Family)

Total Amount

Total Family Plan:

SPECIAL NOTES:  All applications MUST be sent in together.

(Children must be from the SAME parent family to be included in the family plan)

Payment

E-transfers can be sent to [email protected]

Make all cheques or money orders payable to: SPRUSTON ROAD BIBLE CAMP.

Please NO POSTDATED cheques. There will be an additional charge of $30 for any NSF cheques received. If camp becomes full, your name will be entered on a waiting list.

Your Name

Phone Number

Email Address

Your Relationship to Camper

Camper Info

Name of Camper

Age

Campers Phone Number(optional)

Campers Email (optional)

Gender

Shirt Size

Birthdate

Personal Health Number

Home Address

Address

City

Province

Postal Code

Special Considerations

List any food allergies, special medical problems or medications

(PLEASE NOTE - medication will only be dispensed by a certified medical attendant. One will be on site at each camp.)

Vegetarians/Special Diet?

Vegetarians/Special Diet?
(Extra costs may be required – we will contact you)

Please share details of special diet

If my application is accepted, I agree to obey the rules and to cooperate to the best of my ability with the supervisors. Signature of

Signature

Part A

I/We, the undersigned parent(s) or legal guardian(s) of the child/dependent charge:
age
(hereafter referred to as the “participant,) who is to be registered for occasions, activities, or events run or administered by Spruston Road Bible Camp, (hereafter referred to as S.R.B.C.) do hereby waive, abandon, and relinquish all of our rights and interest in any and all claims, demands, proceedings, or actions, whether in law or equity, against S.R.B.C., it’s officers, directors, governors, trustees, agents, employees or servants, arising from any damages, loss or injury, however caused to the person or property of the participant which may hereafter be sustained as a result of his/her participation in, or attendance at any and all events that are run or administered by S.R.B.C., under which the participant is registered.
I/We understand this waiver to include any and all such events, occasions, or activities as noted above, whether or not they are confined to the property or premises of S.R.B.C., and to include the period of time while in transit to or from S.R.B.C., or any such events, occasions or activities that take place off or away from the premises or property of S.R.B.C.

Dated

Participants ( ) Signature:

Signature

Parent(s) or Guardian(s) Signature

Signature

Part B - Swimming Waiver

Due to the distinct possibility of danger always inherent in swimming, a separate waiver signature is necessary in order for the participant to partake in this activity. Let it be known that swimming will take place in a natural pool of a river. Experienced Adult Swimmers (or Lifeguards if available) will be provided when at the swimming hole. If you wish to allow the participant to take part in swimming activities, with knowledge of the limitations stated above, please sign below.
NOTE: The participant will not be allowed to partake in swimming occasions unless a signature of a parent or guardian is affixed below.
I/We, the undersigned, have read the above paragraph concerning the limitations of swimming activities , and hereby include everything in the above Waiver and Voluntary Assumption of Risk - Part A concerning activities of S.R.B.C. and my/our waiving of rights and interest in any and all claims, proceedings or actions, whether in law or equity, against S.R.B.C., and its various subordinates as stated therein, to apply also to swimming. I/We hereby give permission for the participant named upon that waiver to partake in swimming activities.

Participant’s Signature

Signature

Parent(s) or Guardian(s) Signature

Signature

Dated

Please indicate YOUR evaluation of the participant’s swimming ability

I give my permission to Spruston Road Bible Camp to use any photographs that include my child in any of their promotional materials.

I give my permission to Spruston Road Bible Camp to use any photographs that include my child in any of their promotional materials.