Register for Youth Camp 2019

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 also complete the online consent form and payment.

Note: this year your camper registration fee includes your $20 Candy Cabin store credit. Camp 2019 registration costs are all inclusive, in order to make things easier for eveyrone!
First Name: *     Last Name: *

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

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:

Cabin requests:

Medical information:

Food allergies or preferences:

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

Registration *

Camper $355.00
Leader $115.00
Guests $0.00

T-shirt style *

Style #1G Run (Black) Girl's fitted Tee $0.00
Style #1R Run (Black) Regular fit $0.00
Style #2G Hands (White) Girl's fitted Tee $0.00
Style #2R Hands (White) Regular fit $0.00
Style #3G Heart (Black) Girl's fitted Tee $0.00
Style #3R Heart (Black) Regular fit $0.00

T-shirt size *

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

Amount to add for Candy Cabin: $
Our recommended amount is $20 for snacks throughout the week. You can change this number to increase or decrease the amount.

Comments/Special Instructions/Medications/Requests/Allergies: