Family Camp Registration Form

Parent/Guardian #1 Name *

Parent/Guardian #1 Name

First Name

Last Name

Parent/Guardian #2 Name

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone *

Home Phone

(###)

###

####

Cell Phone

(###)

###

####

Email *

Children

Child #1 *

Child #1

First Name

Last Name

Age

Child #2

First Name

Last Name

Age

Child #3

First Name

Last Name

Age

Child #4

First Name

Last Name

Age

Child #5

First Name

Last Name

Age

Child #6

First Name

Last Name

Age

Emergency Contact Information

Name *

Name

First Name

Last Name

Relationship to Applicants *

Home Phone *

Home Phone

(###)

###

####

Cell Phone

(###)

###

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Health Record

For each member of the family please provide their name, health #, family doctor, clinic and clinic phone number.

Family Member #1

First Name

Last Name

Saskatchewan Personal Health #

Family Doctor

Clinic

Clinic Phone Number

(###)

###

####

Allergies/Health Concerns

Family Member #2

First Name

Last Name

Saskatchewan Personal Health #

Family Doctor

Clinic

Clinic Phone Number

(###)

###

####

Allergies/Health Concerns

Family Member #3

First Name

Last Name

Saskatchewan Personal Health #

Family Doctor

Clinic

Clinic Phone Number

(###)

###

####

Allergies/Health Concerns

Family Member #4

First Name

Last Name

Saskatchewan Personal Health #

Family Doctor

Clinic

Clinic Phone Number

(###)

###

####

Allergies/Health Concerns

Family Member #5

First Name

Last Name

Saskatchewan Personal Health #

Family Doctor

Clinic

Clinic Phone Number

(###)

###

####

Allergies/Health Concerns

Family Member #6

First Name

Last Name

Saskatchewan Personal Health #

Family Doctor

Clinic

Clinic Phone Number

(###)

###

####

Allergies/Health Concerns

Family Member #7

First Name

Last Name

Saskatchewan Personal Health #

Family Doctor

Clinic

Clinic Phone Number

(###)

###

####

Allergies/Health Concerns

Does anyone in your family have diet restrictions? Please provide any information below:

Prices Per Person

Adults (age 17+) - $149.00 each /\ First 2 Children (ages 5-16) - $124.00 each /\ 3rd+ Children (ages 5-16) - $62 each /\ Children (ages 0-4) - Free

The first 2 children (ages 5-16) are full price. Each Child after that (ages 5-16) will be half price. Example: 2 Adults & 4 Children = 149+149+124+124+62+62

Accommodations

Please select from the available accommodations. Options will change according to availability. The number in brackets is the amount of beds in that cabin.

Pelican Patio - $110 - (10)

Woodpecker Hollow - $110 - (10)

Blue Jay Cottage - $100 - (10)

Hummingbird Hideout - $100 - (10)

Martin Motel - $100 - (10)

Falcon Ridge - $100 - (10)

Trailer Site (20 amp 110 volt power) - $20

Trailer Site (no power) - Free

Tent Site - Free

Are you are willing to share accommodations with another family and split the cost?

Write the name of the family you would be willing to share with

Please choose one of the forms of payment. *

A $50 deposit is required to hold your family's spot in camp.

Cheque (mail in)

Credit Card (phone in - 306-477-4410)

Date *

Date

YYYY

Family Camp Payment

Redberry Bible Camp

Since 1943 Redberry Bible Camp has opened its doors to children and adults alike. Our goal at Redberry Bible Camp is to communicate the Good News of Jesus Christ through the uniqueness of a camp experience.

No matter you are a child or just a child at heart there is always a place for you. From kids camp, to Leadership training programs, and family camps. We look forward to seeing you here at camp.

Redberry ON Instagram

The LAST day of spring camps. We are so thankful for our ROCKSTAR spring staff team and we are pumped for camp to start in 5 DAYS!!! ❤️🏅🎉 #ateam #redberrybiblecamp #campiscoming #ready #almost #free2017 #rockstars

Honoring a past director with some custom artwork. Thanks @joelinemagill for always loveing the people around you!! 💜 #loveingfather #ateam #redberrystaff #free2017 #teamwork

Redberry Bible Camp

Send a Kid to Camp! https://t.co/kAQxW9Nu01
about a week ago
Redberry Bible Camp

Foundations Retreat https://t.co/0GR87vIVjh
about 5 months ago