Tay Valley Bible Camp 2019
Click here to download a form to mail in or bring with you
*Or, new this year, click on the name of the camp listed below to register online with an option to pay electronically*
Complete this entire form and mail with a $15.00 non-refundable registration fee, which will be applied to the total camp fee.
Name:____________________________________________ M__ F__ Date of birth __/__/____
Address:_______________________________ ______City___________________ Prov. _____
Postal Code:___________ E-mail address: ___________________________________________
Phone (H) ______________________ ______ Work/Cell:________________________________
Emergency Contact: _____________________________________________________________
Phone: _____________________________ Relationship: _______________________________
Med. #: _____________________________ Expiration Date: ___/___/______
Known Allergies: ________________________________________________________________
*ALL Medications must have clear written instructions, in original containers, and be turned in to the registrar upon arrival.
Please indicate if your child has a history of any of the following:
___ Diabetes ___ Bed Wetting ___ Sleepwalking ___ Asthma
___ Ear/Stomach Aches ___ Homesickness ___ Aggressiveness ___ A.D.H.D. ___ Other: _______________________
Please indicate which week you wish to attend:
Note: Register by June 1 for summer camp and receive $10.00 off total camp fees.
__ Faith in Action (Online Registration) (Teens & Young Adults) March 22 to 23 $25.00
__ Young Adult Retreat (Online Registration) (Ages 16+) May 24 to 26 $50.00
__ Alumni Ball Hockey (Teens & Adults) June 1 $20.00
__ Teen Ball Hockey Camp (Online Registration) (Ages 12-17) June 22 to 25 $100.00
__ Junior Ball Hockey Camp (Online Registration) (Ages 7-11) June 26 to 28 $75.00
__ Teen Adventure Camp (Online Registration) (Ages 13-17) June 30 to July 5 $150.00
__ Teen Camp Week 2 (Online Registration) (Ages 13-17) July 7 to 12 $150.00
__ Teen Camps 1 and 2 (Online Registration) June 30 to July 12 $250.00
*(Does not include weekend July 5-7)
__ Jr. Camp (Online Registration) (Ages 7 to 9) July 14 to 19 $150.00
__ Jr. Camp (Online Registration) (Ages 10 to 12) July 21 to 26 $150.00
__ Faith in Action (Online Registration) (Teens & Young Adults) July 27 to 29 $25.00
__ Pastors' & Leaders' Retreat (Online Registration) (Adults) July 30 to August 2 Free
(Open to all pastors, associate pastors, youth pastors/leaders & wives)
__ Rikapuna (Online Registration) August 2 to 3 $20 for individual/ $50 for family
__ Ladies' Creative Retreat (Online Registration) September 20 to 22 $50.00
Attention Returning Campers: Receive $10.00 off camp fee for each new camper you bring to camp. Also, teens can earn credits towards camp fees by helping on workdays (see website for details).
Complete an electronic registration form by clicking the name of the camp for which you wish to register. This will enable an electronic payment option. Or send the completed registration form with fees (Cheque or Money Order only) to:
Tay Valley Bible Camp, 115 Moss Ave. Fredericton, NB E3A 2G2
I, ___________________ will respect the rules and facilities of Tay Valley Bible Camp. Campers may be included in photos for promotional purposes, but names will not be revealed. I am aware that any unacceptable behavior may result in dismissal from camp without refund of fees.
*Permission is given for off site special activities for teen campers.
Signature: __________________________ Parent / Guardian: ___________________________
Please do not bring cell phones or other electronic devices to camp!