To register for a camp in 2024, please fill in the form below:Camper RegistrationCamper InformationHiddenInvoice NumberFirst Name*Last Name*Date of Birth* YYYY slash MM slash DD Birth Year*Sex* Male Female Below are the camps available for registration, based on the age and sex given above.Leadership Camp Register (0 spots left)Jr. Girls Camp Register (0 spots left)Sr. Girls Camp Register (0 spots left)Day Camp 1 Register (25 spots left)Day Camp 2 Register (58 spots left)Jr. Boys Camp Register (0 spots left) Sr. Boys Camp Register (0 spots left)Youth Camp Register (0 spots left)My camp is full My camp is fullWaiting List:*If your camp check box is greyed, the camp "Waiting List" is full. Otherwise, please fill in the form below to register for the waiting list and we will contact you as soon as a spot opens up. Day Camp 1 (0 spots left) Day Camp 2 (0 spots left) Jr. Girls Camp (4 spots left) Sr. Girls Camp (0 spots left) Jr. Boys Camp (0 spots left) Sr. Boys Camp (0 spots left) Youth Camp (0 spots left) Leadership Camp (0 spots left)Street Address*City*Province*Postal Code*Primary Phone*Primary Email* Please Note: Your acknowledgement email will be sent to this account.Will transportation be required?* Yes NoBus Stop*Arnprior - Valley Roots Mall (100 Madawaska Blvd)Arnprior - No Frills (39 Winners Circle Drive)Arnprior - Calvary Baptist Church (156 Landrigan Street)Arnprior - William Street Gospel Hall (228 Williams Street)Braeside - Robins Variety (River Road)River Road - Rhoddy's BayRiver Road - Lochwinnoch Rd & Stevenson DriveRiver Road - River Rd & Thompson Road4 Corners - Chenaux Road & Storyland RoadPembroke - Moncion Metro (Back parking lot)Pembroke - West End Mall (the Brick parking lot)Pembroke - Irving Big StopCobden - Cobden Arena / Curling Rink Parking LotRenfrew - St. Joseph's High SchoolRenfrew - Dairy QueenRenfrew - Elmwood Bible ChapelRenfrew - Metro Grocery StoreRenfrew - Former George Jackson Toyota (327 Stewart Street)Renfrew - Former Grape Room (690 Stewart Street)Haley Station - United ChurchWalk Home Permission*Some children are old enough and live close enough to the bus stop to go home on their own. Please let us know if you would like us to leave your child at the bus stop. Yes, my child is able to walk home on their own, I give my permission for Camp Galilee to leave them unattended at the bus stop. No, my child cannot walk home by themselves, please wait until an authorized person arrives to take custody of my child.Cabin Mate RequestDo you have more than one child from the same family attending Boys or Girls camp?* This registration if for the FIRST child from the family going to Boys or Girls Camp This registration if for the SECOND child from the family going to Boys or Girls Camp This registration if for the THIRD child from the family going to Boys or Girls Camp This registration if for the FOURTH OR MORE child from the family going to Boys or Girls CampDo you have more than one child from the same family attending Day Camp 1? This registration is for the FIRST child from the same family going to Day Camp 1 This registration is for the SECOND child from the same family going to Day Camp 1 This registration is for the THIRD OR MORE child from the same family going to Day Camp 1Do you have more than one child from the same family attending Day Camp 2? This registration is for the FIRST child from the same family going to Day Camp 2 This registration is for the SECOND child from the same family going to Day Camp 2 This registration is for the THIRD OR MORE child from the same family going to Day Camp 2Name of Sibling Coming to Boys/Girls Camp* First Last Name of Second Sibling Coming to Boys/Girls Camp* First Last Name of Third Sibling Coming to Boys/Girls Camp* First Last Swimming Lessons*Would you like your child to take swimming lessons as one of their electives? Yes NoCurrent Swimming Level*What is the current swimming level that your child has completed? Camper Email Church NameCamper Health InformationFood Allergies*Does the camper have any food allergies / sensitivities that can cause allergic or anaphylactic reactions? Please Note: We are not able to accommodate food preferences (ie. diets - keto, vegan / vegetarian, etc.) Yes NoSpecific Food Allergies* Gluten Dairy / Lactose Peanuts Tree Nuts All Nuts OtherFood Allergies/Sensitivities*Does the camper have any activities encouraged or limited by a physician's advice?* Encouraged Limited NoneList specific activities encouraged by physician's adviceList specific activities limited by physician's adviceOne on One Support*Does the camper receive 1 on 1 support in their educational environment? Yes NoSupport DetailsPlease elaborateTriggers*Does the camper have any triggers that can cause anxious or negative behaviors? Yes NoTrigger DetailsPlease elaborateDoes the Camper have any Health Conditions? Yes NoHealth conditions include non food-allergy health related information that would be good for camp to know about.Health Conditions DetailsDoes the camper currently take any medications? Yes NoMedication DetailsOver the Counter MedicationsThe health care providers at Camp Galilee make it a policy to avoid giving ‘over the counter’ medications whenever possible. When non-medicinal methods have failed to relieve your child’s discomfort, we have ‘over the counter’ medications at our disposal. Please indicate the medications that you would permit us to give your child. Acetaminophen (Tylenol) Ibuprophen (Advil/Motrin) Gravol Tums Pepto-Bismol Immodium Cough syrup Benadryl Vitamin COver the Counter - Comments?Is there anything else we should know about dispensing OTC medications to your child?Contact InformationPlease note that if the provided contact information is invalid, or if our office is unable to reach you using the provided contact information in advance of the camp session, your registration will be invalidated.If your child is taking the bus to day camp and does not have permission to walk home on their own, one of the two provided guardians listed below must be at the pickup location to receive your child at the end of each camp day. If one of the following two guardians is not able to pick up your child from the bus stop, the camp office must be informed in advance as to who will be picking your child up. Name of Primary Guardian* First Last Phone of Primary Guardian*Email of Primary Guardian* Name of Secondary Guardian (If Applicable) First Last Phone of Secondary Guardian (If Applicable)Email of Secondary Guardian (If Applicable) Name of Emergency Contact First Last Phone of Emergency ContactDoctor's NameDoctor's PhoneTerms and ConditionsTo register online, the parent or legal guardian of the applicant must read and agree to the following conditions.1. I am the parent or legal guardian of the camper. I further agree to advise the camp in writing, prior to the start of the session(s) applied for, of any custody issues that they may need to be aware of.2. I give permission for the camper to be involved with all activities associated with the session(s) applied for, except as noted on the registration form.3. I release all individuals and groups associated with Galilee Bible Camp from any liability associated with any accident or sickness experienced by the camper, with the understanding that the camp staff will be taking reasonable precautions to guard against any situation of this nature.4. I give permission for the reasonable use of photos and videos of the camper for any camp-related promotions.5. I give permission for the reasonable use of my email address to keep me informed of camp related communications.6. I believe that the physical and emotional condition of the camper will allow them to function appropriately in the session(s) applied for. I also understand that the Summer Director is authorized to dismiss the applicant if they refuse to comply with the rules of the camp.7. 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.8. I agree to notify the camp if the camper comes in contact with a communicable disease (such as Covid, fever, vomiting or diarrhea) within 2 weeks of the planned date of arrival at camp.9. The camper's immunizations (non-COVID) are fully up to date for the session(s) applied for, and I believe the camper to be in good health. Any exceptions to this I have either noted above or on a separate page accompanying this application. I hereby authorize the camp medical staff or camp director to secure such medical advice and services as may be deemed necessary for the health and safety of the camper. In the event that I cannot be reached, I agree to accept financial responsibility beyond the benefits allowed by the Provincial Health Plan.Do you acknowledge that you have read and agree to the conditions of registration* Yes, I agreePlease tell us how you discovered Galilee Bible Camp? Attended camp previously Invited by a friend Flyer / Advertisement Website / GoogleInformation Sharing*Do you consent to having your camper's information (address, telephone, email) shared with other campers and their counselors? Yes NoBillingPleas note that a $15 non-refundable tuck tab is included in your child's registration fee.Do you want to*Pay the full amount onlinePay a $25 deposit onlineGrand Total Price: $ 0.00 CAD Deposit Price: $ 0.00 CAD If you think that this deposit does not apply to you, please pay the deposit at this time and our office will follow up with you.Δ