EBC Camper Registration Form

Thank you for taking the time to register your child for EBC 2026. Please allow yourself approximately 10-15 minutes to complete this form. You will need to complete a NEW form for each camper you are registering.

Camper Information

EBC Camp is for kids aged 7-13, going into Grade 2 to 8 in Fall 2026 and who were born in 2013-2019. If your child is entering Grade 9 or Grade 10, we invite them to apply to our Quest program!

Camper Name

Birth Date (DD/MM/YYYY)

Gender

Please enter the grade the camper will be going into in September 2026 below:

Grade

Please select which week your child will be attending EBC.
You can send your child for one or two weeks.
Week 1: July 12-18
Week 2: July 19-25

Please note: Our camp weeks do not overlap. All children, regardless if they are registered for 2 weeks are to be picked up on Sat July 18 at the assigned pick up time.

Week(s) Applying For:

Parent/Guardian Information

Parent/Guardian 1 Name

Parent/Guardian 1 Email

This address will receive a confirmation email

Parent/Guardian 1 Consent for Email Communications: Please indicate below if you would like to receive electronic communications, including without limitation, general camp information, camp newsletters, camp reports, press releases, invitations to or notices of events, and requests for donation from EBC Kids Camp.

Email Consent for Parent/Guardian 1 Email

Phone

Alternative Phone Number

Address

Parent/Guardian 2 Name

Parent/Guardian 2 Phone

Parent/Guardian 2 Email

Parent/Guardian 2 Consent for Email Communications: Please indicate below if you would like to receive electronic communications, including without limitation, general camp information, camp newsletters, camp reports, press releases, invitations to or notices of events, and requests for donation from EBC Kids Camp.

Email Consent for Parent/Guardian 2 Email

Camper Household Information

The camper being registered lives with:

Do you have any additional information to share regarding the camper's living arrangements or guardianship (e.g., court orders regarding limited parental access to the child etc.)

Please note, where applicable, EBC requires a conditions of custody of the camper being registered, fully communicated in writing and if possible, a photocopy of any court order referring to visitation rights.

Camper Medical Information

Health Card Number

Health Insurance (If camper does not have a Health Card, please provide us with the name of the Health Insurance company, Policy number and phone number.

Most Recent Tetanus Vaccination Date MM/YYYY or DD/MM/YYYY

Please list any diagnosed medical conditions, special needs, or exceptionalities (e.g., asthma, diabetes, ADHD, OCD, anxiety, or physical or developmental disabilities) in the space below.

Diagnosed Health Conditions or Exceptionalities

Please provide us with any helpful information you have about how we would best care for this camper's health conditions or exceptionalities at camp.

If your child has any drug or environmental allergies, please list them below.

Drug or Environmental Allergies

Please indicate below if the camper will be bringing prescribed medications to camp (Include medications such as puffers or epi-pens)

Prescription Medications

Medications: If your child has prescribed medications that they will be required to take at camp, please provide the following information in the box below:
Name of Medication, Dosage, Frequency, Reason for Medication

Medications

Dietary Restrictions and Food Allergies
The EBC Kitchen is able to accommodate many dietary needs, but our Kitchen Director cannot accept every dietary request due to the limitations of the kitchen environment.

Our kitchen is not certified peanut- or nut-free.
While EBC makes every effort to avoid purchasing peanut and tree nut products, some ingredients we use are labeled “may contain peanuts or tree nuts.” If you have a peanut or tree nut allergy, our Kitchen Director or Camp Nurse may reach out to learn more about your specific allergy and discuss whether EBC would be a safe and appropriate fit for you.

EBC is not a kosher certified kitchen. The EBC Kitchen staff do our best to provide pork free/gelatin free and shellfish free meal options for those who have requested it.

Dietary Allergies

None Gluten Dairy Nuts No Pork/Gelatin/Shellfish Eggs Other

Please provide our camp kitchen director with any additional information on your child's allergies that may be helpful.

Is there anything else you would like us to know about your child as it relates to their participation in the camp program? Please let us know here.

Emergency Contact Information

In the event of an emergency, please let us know which parent/guardian we are to contact first. If we are unsuccessful at contacting the camper's parents/guardians, we ask that you provide us with an additional emergency contact that is NOT one of the parents/guardians listed on this form already.

Parent/Guardian to be Contacted FIRST in Emergency

Additional Emergency Contact Full Name

Additional Emergency Contact Number 1

Additional Emergency Contact Number 2

Emergency Contact's Relationship to Camper (Grandparent, Aunt, Neighbour)

EBC Policies & Waiver

Please read carefully the EBC Camper and Medical Policies. Our polcies can also be found on our new website for future reference.

Click to read our EBC Camper and Medical Policies

Policy Agreement: Parent/Guardian, please type your first and last name in this box if you have read and agree to comply with our camper policies and medical policies.

Liability Waiver
I/we, the parent(s) or legal guardian(s) of the child named above, agree to indemnify and hold harmless Explore Bible Camp, Evangelical Baptist Campground, its Directors, Ministry Staff, Camp Director, and Property Managers from any and all loss, damage, or injury suffered by my child as a result of participation in EBC activities, including any medical treatment authorized by camp supervisory staff.

Liability Waiver: Parent/Guardian, please type your first and last name in this box to agree with the above Liability Waiver.

Media Consent

At various times, a designated media volunteer from EBC Camp may take photos, videos or sound promotional media for informational purposes internally or externally.
Internal Uses: within our camp program
External Uses (shared with the general public): social media, website, promotional material.

Please select below what you would like to consent to for this camper.

Media Consent

Submit & Pay

A deposit of $150 is required to hold your camper's spot in our camp program. Payment is required to submit this form.
(Note: If you are unable to make this deposit and are seeking sponsorship for your camper, please select the "Request Sponsorship" payment option and you will not be charged. You will need to complete the sponsorship request form found here).

Payment

EBC Camper Registration Form

Description

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