Fall Mini | LIT Session – Maple Springs Bible Camp

Fall Mini | LIT Session

October 23-25: Ages 14-16 Please note that both the guardian and L.I.T. will need to fill out portions of this form

1LIT Information

2Medical Information

3LIT Short Answer Questions

4Waiver

5Parent Permission Form

6Payment

Both the parent and L.I.T. will need to fill out parts of this form.

Camper's Name *

First

Last

Birth Sex *

Male

* We are currently full for girls. Please email registration@maplesprings.ca to be added to the waitlist

Single Line Text

Birthday *

Age (at the start of camp) *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Guardian's Primary Phone # *

Guardian's Secondary Phone #

i.e. Home phone, or other guardian's phone number

Email *

Confirm Email

Does your camper attend church? *

Name Of Church (if any)

New To Maple Springs? *

Guardian Name *

First

Last

Guardian Name

First

Last

Guardian Signature *

Clear Signature

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Medical Infomation

Care Card Number *

Doctor's Name

Doctor Phone #

Alternate Contact Name *

First

Last

Someone other than the campers guardian(s)

Relation To Camper *

Alternate Contact # *

Any Allergies? (other than food) *

If Yes, Please Explain *

Special Dietary Needs? *

Please note food allergies or intolerances *

Someone from our food service team may reach out and ask for your help accommodating certain dietary needs (only if needed)

Any diagnosis or notable behaviors? *

Ex. ADHD, Cerebral Palsy, Concussions, Autism, Diabetes, PTSD, Developmental Delays, Etc.

Please Specify *

Will your camper be bringing any medication or supplements to camp? *

We provide children's acetaminophen, ibuprofen and allergy medication if needed. Any medication brought (including vitamins) must be handed over to our First Aid Attendants and will be given to your camper at the required times - exception to an EpiPen or inhaler that must stay on the camper at all times. Please bring medication in original containers or be prepared to provide details.

Please Specify *

Any sleeping, eating, or bathroom habits/routines our team should know to make your campers experience better? *

Examples: may wet the bed, gets really hangry, reminders to drink water, nigh time fears, usually gets read a story, reminders to brushing teeth, etc.

Please Specify

Anything else to note to our team?

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Why do you want to be an L.I.T? *

How will you contribute to the LIT program? *

What do you think leadership means? *

If you are a Christian, briefly explain your spiritual journey and what that means to you. *

What has God been teaching you over this past year? *

Please explain any use (or involvement) in occult activity, inappropriate sexual behavior, tobacco, alcohol, non-prescription drugs, or self harm in the past year. Explain your belief or attitude regarding each of these items. *

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Informed Consent and Assumption of Risk Agreement

Participant's Name *

First

Last

IN CONSIDERATION of being permitted to participate in any way at Maple Springs Bible Camp, (hereafter known as ministry point) operated by One Hope Ministries of Canada , I acknowledge, understand, and agree: 1. Participation in activities could result in possible personal injury. Despite precautions taken by the ministry point, accidents and injuries may occur. By signing this form, I assume all risks related to the use of any and all spaces used by the ministry point. 2. To release from responsibility, the ministry point, including all missionaries, full-time and part-time, paid or volunteer, and the facilities used from any cause of action, claims, or demands now, and in the future that might arise out of the participant’s participation in activities at the ministry point or from the physical risks associated with the activities. 3. I accept all risks relating to such activities including personal injury such as: cuts, sprains, scrapes, bruises, fractures, broken bones, concussions, death, or any personal property damage/loss, which may occur on the camp premises. I understand these risks and will not hold the ministry point liable for any such injury. 4. Furthermore, I agree to obey all ministry point rules and take full responsibility for my behaviour in addition to any damage I may cause to the facilities utilized by the ministry point. *

Yes, I have read the above information

Participant (L.I.T)'s Signature *

Clear Signature

For Participants of Minority Age (under 18 at the time of registration)

Guardian Signature *

Clear Signature

This is to certify that I, as parent/guardian with legal responsibility for this participant, have read this Informed Consent and Assumption of Risk Agreement, fully understand its terms, and that I have given up substantial rights by signing it, and sign it freely and voluntarily.

Date *

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Parent/Guardian Permission Form - Please Read Prior To Registering

*Initial *

Clear Signature

In case of emergency, I understand every effort will be made to contact me. In the event that I cannot be reached in an emergency situation, I hereby give permission to licensed emergency and health care personnel to provide treatment, services and transport necessary to maintain the health of my child. In the event medication, medical advice, treatment and/or equipment are required, I agree to accept financial responsibility for fees in excess of provincial and or private medical insurance. I agree that the information on this form may be disclosed to such emergency and health care personnel. In the event of illness, accident, emergency, or any other circumstance requiring medical treatment, such treatment may be procured for the participant without legal or financial obligation to Maple Springs Bible Camp and One Hope Canada. All known health issues of my child have been stated to the camp. I will notify the camp if my child is exposed to any infectious diseases prior to arriving at camp.

*Initial *

Clear Signature

I agree to allow photographs or video of camp activities, which may include my child, to be used in any and all camp promotional material including the sharing of photographs and videos with ministry partners of One Hope Canada.

*Initial *

Clear Signature

I have read and understood the terms of this agreement and BY ALLOWING MY CHILD(REN) to participate in the camp, I am voluntarily agreeing to abide by these terms. I confirm that the participant [my child] is physically and mentally able to participate in all activities of the camp, unless specifically indicated otherwise in writing.

*Initial *

Clear Signature

Maple Springs Bible Camp reserves the right to request any participant to withdraw from their camp if the participant is not acting in an appropriate and responsible manner.

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Fall Mini | LIT Session *

Price: $90.00

Tuck (candy) Included!

Optional Merchandise

Hoodie - $50.00
Crewneck - $50.00

Adult sizes S-2XL

Hoodie Size *

Crewneck Size *

Donation

We greatly appreciate our cabin leaders and summer team. Here, you give a financial gift that will go towards the people making camp happen for your campers! Any donations above $50.00 will receive a donation tax receipt! Thank you so much for your support!!

Total

$0.00

By clicking "Next" you will be taken to the payment page. A spot in the camp will not be secured until payment is made. Please contact registration@maplesprings.ca if you have an issue with the payment.

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Select Credit Card or Paypal *

Card Number

Expiration Date

Security Code

Cardholder/Payer's Name *

First

Last

If paying with credit card, and cardholder's information is not the same as provided above, please fill out the following for accurate receipting:

(Skip this step if using Paypal Checkout)

Billing Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Cardholder's Email

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Your form entry has been saved and a unique link has been created which you can access to resume this form.

Enter your email address to receive the link via email. Alternatively, you can copy and save the link below.

Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted. A spot in the camp will not be saved until form is complete and payment has been made.

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Email *