Closed for this Camp Season - LFBC Camper Registration

LFBC Camper Registration - 2026
Parent or Guardian's Name

First NameLast Name
Primary Phone #

Area CodePhone Number
Secondary Phone #

Area CodePhone Number
Parent's Email
example@example.com
Submitting this form on behalf of...
Camper's Name

First NameLast Name
Campers Biological Sex
Camper's Birthday

MonthDayYear
Date
What grade will the student be completing this year?
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Basic Health
Family Doctor

First NameLast Name
Family Doctor Phone Number

Area CodePhone Number
Family Health #
Campers Personal Health #
Emergency Contact

(Someone other than the parent/guardian completing this registration. In an emergency we will contact you first; this is just in case we can't get through to you.)
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Third Phone Number

Area CodePhone Number
Relationship to Camper
Other Health
Current Medications:
Allergies (food and other):
To help us plan effectively, alternative meal accommodations will be provided only for individuals with medically necessary food allergies or dietary restrictions.
Asthma:
Does your child have any behavioral or physical challenges that may require additional staff support? If yes, please explain:
REGISTRATION
Which Week of Camp is this child registering for?
Are there any other campers you are hoping will be in your child's cabin?
Important note: we cannot guarantee that all requests are accommodated.
Choose a Size for your Camp T-shirt (no additional cost)
Camp Information
TRANSPORTATION:

Kids Week
- Option 1: Bus will leave RFC at 8:30AM on Monday, July 27th and return to the church on Friday, July 31st at 5:30PM
- Option 2: You may choose to drop off your camper at camp on July 27th at 11:30am and/or pickup your child at camp on July 31st at 2:30pm.
Teens Week
- Option 1: Bus will leave RFC at 2PM on Sunday, August 2nd and return to the church on Friday, August 7th at 5:30PM
- Option 2: You may choose to drop off your child at camp on Aug 2nd at 5pm and/or pickup your camper at camp on August 7th at 2:30pm.
Please select a transportation option for your camper
COST:

Kids Week: $240/camper
Teens Week: $270/camper
PAY BY:
PAY BY:
If you have questions about how to pay, please contact the camp before sending in the application (lfbcmail@gmail.com).
Please note that your child will only be accepted into camp once full payment is received. You can expect to receive an e-mail confirming acceptance once payment has been processed

Credit Card Payment Info (For families with multiple children attending camp and are paying by credit card, please pay for each camper separately to avoid confusion on our end.)

Kids Week (August 8-12)

Finished Gr. 2-5

$240.00 CAD

Teens Week (August 14-19)

Finished Gr. 6-9

$270.00 CAD

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Other Payment Details
Send E-transfer to: lfbcmail@gmail.com (To avoid confusion on our end, please write the names of the campers you are paying for in the memo line.)

Mail cheques to: (To avoid confusion on our end, please write the names of the campers you are paying for in the memo line.)

LFBC
Box 188
Rosenort, MB
R0G 1W0

LFBC Campership Program:

The LFBC Campership Program is available to families who would benefit from financial assistance to help cover the cost of camp for their children. If you would like to apply for this program, please select "campership program" from the payment option above and briefly explain your reason for applying to the campership program below:
TO SUBMIT THIS FORM, YOU MUST READ THE FOLLOWING:

Our Camp is committed to providing a safe, respectful, and positive environment for all participants and will consider all accommodation requests in good faith. At the same time, our programs operate within specific facility designs, supervision models, staffing capacities, and training resources, and are guided by our faith-based mission and policies. As a result, we may not be able to accommodate every applicant where doing so would exceed our available resources, fall outside the scope of our facilities or staff training, or constitute undue hardship for the camp. Submission of an application does not guarantee acceptance. If parents or guardians have any specific requests or concerns, they may contact the LFBC board by email at LFBCmail@gmail.com.

Every precaution is taken for the safety and good health of our campers. The acceptance by the LFBC camp board of this application, and the submission of this form, shall give the camp board, director and/or staff the right to arrange for special services or other requirements necessary in the best interest of the applicant and shall give the camp director the right to obtain or approve any medical attention necessary to the applicant camper's welfare and good health and the parent hereby agrees to pay for all services as may be required as indicated above. LFBC, its directors, staff members, and employees are hereby released from any and all liability in the event of any accident or misfortune that may occur to the applicant camper. Pictures may be used for promotional purposes.
Should be Empty:

LFBC Camper Registration - 2026

Basic Health

Emergency Contact

Other Health

REGISTRATION

Camp Information

Credit Card Payment Info (For families with multiple children attending camp and are paying by credit card, please pay for each camper separately to avoid confusion on our end.)

Other Payment Details