"*" indicates required fieldsHiddenUnique IDCamper InformationRetreats* Ladies' Retreat Sept 29-Oct 1 (0 spots left) Men's Retreat Oct 27-29, 2023 (0 spots left) Fall Youth Retreat Nov 17-19, 2023 (0 spots left) Winter Youth Retreat (February 9-11, 2024) (0 spots left) Winter C&C Retreat (February 16-18, 2024) (5 spots left)HiddenWaiting List*Please fill in the form below to register for the waiting list and we will contact you as soon as a spot opens up. Please select "Pay at Camp" at the bottom. Winter Youth RetreatLadies' Retreat Options* Full Weekend - $172 Friday / Saturday - $118 Saturday / Sunday - $99 Saturday Only - $64Men's Retreat Options* Full Weekend - $172 Friday / Saturday - $99 Saturday / Sunday - $118 Saturday Only - $64Saturday Breakfast ?*Will you be arriving in time for breakfast on Saturday? Yes NoFirst Name*Last Name*Address*City*Province*Postal Code*Email* Phone*Sex* Male FemaleBirth Year*Church NameChurch Name / Youth GroupHiddenDo you have a friend attending?(Part of the fun in attending a retreat is being able to spend time with your friends. If you have a friend that is attending as well, please let us know, so that we can try to place you in the same room. If more than one friend is listed, we will do what we can, but we will try to make sure you are paired with at least one friend. If you aren't aware of any friends attending, no problem. You are bound to meet some new friends at the retreat.) Friend RequestRequesting a bottom bunk (due to health reasons) Yes NoFood allergies and sensitivitiesPlease note: We are able to accommodate food allergies and sensitivities, but we are not able to accommodate food preferences (ie. diets - keto, vegan / vegetarian, etc.).Health conditionsHealth conditions, and other health history information that camp personnel should know about it (anything that could impact the experience of the camper).Current medicationsHiddenPrimary Guardian Name First Last HiddenPhone of Primary GuardianHiddenEmail of Primary Guardian HiddenSecondary Guardian Name* First Last HiddenPhone of Secondary GuardianHiddenEmail of Secondary Guardian Emergency Contact Name* First Last Phone of Emergency ContactEmail of Emergency Contact SponsorshipsWe strive to make the retreat accessible to everyone and invite those that can to consider donating to the sponsorship program. Would you be interested in donating to a sponsorship? Yes NoSponsor Options* Full Event Sponsorship - $172 Other (please enter amt)Other Amt*0.00 CAD Terms and ConditionsTo register online, the applicant must be of legal age and must read and agree to the following conditions.1. I am of legal age.2. I release all individuals and groups associated with Galilee Bible Camp from any liability associated with any accident or sickness experienced by myself, with the understanding that the camp staff will be taking reasonable precautions to guard against any situation of this nature.3. I give permission for the reasonable use of photos and videos of myself for any camp-related promotions.4. I give permission for the reasonable use of my email address to keep me informed of camp related communications.5. I understand that no camper will be permitted to attend an overnight camp session if they are found to have nits or live head lice.Do you acknowledge that you have read and agree to the conditions of registration* Yes, I agreeBillingI want toPay the full amount onlinePay at campTotal Total Δ