Spring Blast May 24-26 2019

Spring Blast 2019!

Spring Blast is a multi-denominational organization made up of volunteers who are committed to spreading the Good News of Jesus Christ to youth in our area. This retreat is for students in Grade 7-9 only.

Please fill out the registration form below to sign up for this great weekend event. Sign up by May 10, 2019 and you will receive the early bird pricing of $60. If you sign up after that, the fee is $75. You can pay your registration fee by mail to: Pinelodge Bible Camp La Crete, Ab T0H 2H0 or online after submitting this form by going to www.pinelodgebiblecamp.com/giving.
  • Camper Information
  • First Name
    Last Name
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  • Family Information
  • First Name
    Last Name
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  • Camper Medical Information
  • Please tell us the camper's height is in ft and inches
  • Please tell us the camper's weight in lbs.
  • i.e. heart conditions, balance problems, joint pain, sprains, muscle weakness, diabetes, seizure disorders, asthma, mental health disorders, high blood pressure.
  • i.e. allergies to food, insect bites, animals, plant life etc
  • i.e. Tylenol, aspirin, prescription medication.
  • ACTIVITY OPTIONS: Choose your TOP Four 1-Hour Activity Options below, IN ORDER OF PREFERENCE!!
  • Fears and Phobias:
  • TURN IN ALL MEDICATIONS UPON ARRIVAL AT CAMP.
    *Medications need to be picked up before the camper leaves the camp grounds.
    *The cost of prescription drugs needed during camp will be paid by the parent or guardian.
    *Parents will be notified by the camp of any illness or injury that may occur during the camp.
    *Emergency intervention will be administered to a child considered in distress, pending safe transport to nearest medical facility.
    *I agree to co-operate fully with camp staff in the event of a disciplinary/behaviour issue with my child.
    If you do not accept terms and conditions your camper registration will be rejected.
    *Photos of campers or family members attending may be used for promotional purposes.
  • PLEASE NOTE: If you would like to pay your fees online, click submit and then go to www.pinelodgebiblecamp.com/giving/ to access our secure online donation page. If you do not want to give at this time, feel free to close this window after submitting this form. Your registration will still be accepted. THANK YOU!

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