Mulhurst Camp Registration Form

Welcome to Mulhurst Camp registration! We are trying a new online registration portal this year. Your progress will be saved as you work through the forms.

If you wish to register a camper for multiple weeks, your information will be saved after each submission, so you can register with the same information for a separate camp.

You can reset your progress at any time by clicking the "Clear Form" button.

Program

Camper First Name

Camper Last Name

Birthdate

Address

Address Line 2

City

Province

Country

Postal Code

Swimming Level

Has the camper been to camp before?

Yes

Gender

Friend/Cabin mate Requests

Please list any friends or siblings the camper would like to share a cabin with.

T-Shirt Size

Are photos allowed?

At Mulhurst we like to take photos and videos during camp for archives, powerpoint updates for meetings, PR, marketing and promotional use.

Please complete the following section either giving or denying permission to release personal information in the context of Mulhurst Camp setting as indicated below. Please let your child know prior to camp if they are not allowed to be in pictures or videos, so they are not disappointed when we do not allow them to be in a photograph.

Mulhurst Lutheran Church Camp follows the principles under the Provincial Information Privacy Act (PIPA) as it relates to non-profit organizations. The use of photographs and/or videos of me or my child, if applicant is under 18 years of age, for the use of Mulhurst Camp publications, documents, displays or website use. By clicking box below identified as "yes" I am in agreeance and give consent to the use of my child's photo and/or video to be used for the purposes outlined above.

Yes, I consent to Mulhurst Camp's use of my child's photos/video for promotion

No, I do not consent

How did you hear about us?

This information will help us get a better understanding of how we can encourage growth within our camp community.

Parent Signature

I hereby release Mulhurst Lutheran Church Camp Association, it's agents, members and employees not holding them for any liability for any accident, injury, or any claim arising out of above camper's us of Mulhurst Camp or any of its facilities, or virtue of participation in any of its programs. In case of emergency, I understand that every effort will be made to contact me. In the event that I cannot be reached, I hereby authorize the camp personnel to secure medical advice and services as may be deemed necessary for the safety of my child.