Leave this field blank Camper's Name Camper's Birthday Camper's Gender Male Female Camper's Grade as of Fall 2020 2 3 4 5 6 7 8 9 10 11 12 N/A Camp Selection Cornerstone (Age 17+) July 5-10 Junior Teens 1 (Gr.7-9) July 12-17 Kids Camp 1 (Gr.4-6) July 19-24 Sparks (Gr.2-3) July 27-30 Senior Teens (Gr.10-12) August 16-21 Preferred Activity Area 1 Activity areas offered are subject to change. *If you are signing up multiple campers that will share a screen, they will need to be placed in the same Activity Area. Art Drama Games Science Wilderness Survival (not available for Sparks or Cornerstone) Preferred Activity Area 2 Activity areas offered are subject to change. *If you are signing up multiple campers that will share a screen, they will need to be placed in the same Activity Area. Art Drama Games Science Wilderness Survival (not available for Sparks or Cornerstone) Preferred Activity Area 3 Activity areas offered are subject to change. *If you are signing up multiple campers that will share a screen, they will need to be placed in the same Activity Area. Art Drama Games Science Wilderness Survival (not available for Sparks or Cornerstone) Anyone your camper would like to be in a Cabin Group with? 2020 T-shirt ($25) Youth XS Youth S Youth M Youth L Adult S Adult M Adult L Adult XL Adult 2XL Adult 3XL No thanks Parent or Guardian First Name Email Address Phone Number Street Address City Province Postal Code Emergency Contact Full Name Emergency Contact Relationship Emergency Contact Phone Terms and Conditions Mill Creek Camp may use my and/or my child's photograph/written comments in future online and offline publications. Choose Yes No Please Sign Date mm/dd/yyyy Conduct Waiver: Parents please Sign and Date if you agree to the statements below. Respect is the guiding factor in all of the behaviour encouraged at camp. Every participant is to show respect to each other through acts of inclusion rather than exclusion. Acts of exclusion are not permitted at camp and any camper who engages in an act will be removed from the camp activities. Acts of exclusion may include but are not limited to: Gossip/Bullying; Intentionally leaving others out; Language that includes swearing or vulgarity; Fighting. Financial Agreement: Parents please Sign and Date if you agree to the statements below. All fees associated with attending Mill Creek Baptist Camp shall be paid in full before Camp Activity boxes will be mailed out. Any compromises to this financial understanding will be sent in writing to the Camp Office and only take effect once confirmed by an office administrator. If a camper decides not to participate in the full week, Mill Creek Camp cannot give a refund because all the supplies for that camper have already been purchased. Participation Agreement: Parents please Sign and Date if you agree to the statements below. Mill Creek Baptist Camp Ltd. conducts camps for children and adults on a yearly basis. We take every precaution to ensure the safety and well-being of each camper. Even with online camp activities there are certain risks involved and campers still require adult supervision. I give permission for my child (or myself if I am over 18) to participate in all activities and understand and accept these potential risks and as the undersigned, am bound hereby to release forever the Mill Creek Baptist Camp Ltd. and all individuals associated therewith, from any and all liability for injury or damage, which may be sustained by the undersigned and/or child of the undersigned or property of the same at or in transit to, at, or from any camp conducted activity or under auspices of Mill Creek Baptist Camp Ltd. In case of emergency, I give permission to Mill Creek Baptist Camp Ltd. to help secure proper treatment for my child or person named. IF THE PARTICIPANT IS UNDER 18 YEARS OF AGE, in consideration of the participant being permitted to engage and take part in activities offered, carried on, sanctioned, or sponsored by Mill Creek Baptist Camp Ltd., the undersigned Parent or Guardian of the participant hereby releases Mill Creek Baptist Camp Ltd., its principals, officers, agents, officials, servants, organizers, and representatives from and against all claims, actions, accosts, expenses, and demands whatsoever in respect of death, howsoever caused, regardless of whether same may have been contributed to or occasioned by the negligence of Mill Creek Baptist Camp Ltd, its principals, officers, agents, officials, servants, organizers, and representatives. Allergies We will not be providing food, however, there will be supplies sent in the kits according to the activities chosen. Please record if there are allergies we should be aware of such as latex. Payment – please read and acknowledge I'll send an e-transfer to payments@millcreekcamp.org Sponsorship (Request from your church) Send