Tay Valley Bible Camp 2020
*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.
__ Young Adult Retreat (Online Registration) (Ages 16+) TBD $50.00
__ Teen Ball Hockey Camp (Online Registration) (Ages 12-17) June 27 to 30 $100.00
__ Junior Ball Hockey Camp (Online Registration) (Ages 7-11) July 1 to 3 $75.00
__ Teen Adventure Camp (Online Registration) (Ages 13-17) July 5 to 10 $150.00
__ Teen Camp Week 2 (Online Registration) (Ages 13-17) July 12 to 17 $150.00
__ Teen Camps 1 and 2 (Online Registration) July 1 to 17 $250.00
*(Does not include weekend July 10-12)
__ Jr. Camp (Online Registration) (Ages 7 to 9) July 19 to 24 $150.00
__ Jr. Camp (Online Registration) (Ages 10 to 12) July 26 to 31 $150.00
__ Faith in Action (CANCELLED) (Teens & Young Adults) August 1 to 3 $25.00
__ Pastors' & Leaders' Retreat (CANCELLED) (Adults) August 17 to19 Free
(Open to all pastors, associate pastors, youth pastors/leaders & wives)
__ Ladies' Creative Retreat (CANCELLED) September 18 to 20 $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!