Register for Youth Camp 2018

Welcome to the online registration page for BC's Lower Mainland Foursquare Youth Camp. Please complete the information requested below to begin your registration process. You will be notified by email that we have received your request - so please be sure to enter your email.

To complete your registration, you must then download, print, and sign the appropriate forms. These are available at www.foursquareyouth.ca by clicking on the "Downloads" button.
First Name: *     Last Name: *

Home Phone Number: *     Mobile Phone: *
Email Address: *
Confirm Email Address: *
Picture:

Birthdate: *
Gender: *

Parents or Guardian's Name(s): *
Parents or Guardian's Phone #: *

Emergency Contact Information (Name(s), Relation(s), and phone #):
*
Provincial Health #: *

Youth Group Affiliation: *
You must select your youth group from the drop-down list. If your group is not listed, select "Not on the List" and enter the name of your group in the box right below. If you do not have a regular group, enter "None"

My youth group is not on the list. My youth group is::


Cabin requests:


Medical information:


Food allergies or preferences:



Address (Where you live):
Street: *
City: *
Postal Code: *


Registration *


Camper ($350.00)
Leader ($115.00)

T-shirt Size *


Small $0.00
Medium $0.00
Large $0.00
X-Large $0.00

T-shirt Style *


Do Justice Love Mercy Girl's Tee $0.00
Do Justice Love Mercy T-shirt $0.00
The Face of Justice - Red T $0.00
The Face of Justice - White T $0.00

Comments/Special Instructions/Medications/Requests/Allergies: