REGISTER 2026 CAMPER REGISTRATION Things you need to do: Fill out the online registration form Indicate how you will pay for your registration (e-transfer or mail a cheque) Read the General Information Please enable JavaScript in your browser to complete this form. - Step 1 of 3CAMPER INFORMATIONPlease fill out a separate form for each child, thank you!Which camp are you registering for? *Junior Camp (July 26-July 31, 2026)Teen Camp (Aug 2-Aug 7, 2026)Young Adult Retreat (August 7-9, 2026)Camper Name: *FirstLastCamper Birthdate: *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Camper Gender: *MaleFemaleAge at Camp: *School Grade: (in September 2025) *Name of Church/Pastor/Youth Leader: (if applicable)Cabin Mate Request:We will do our best to honour one cabin mate request per camper, provided they both request each other and are within one year of age of each other.T-shirt Size: *Sm (Kids)Med (Kids)Lg (Kids)XL (Kids)S (Adult)M (Adult)L (Adult)XL (Adult)XXL (Adult)Each camper receives a free t-shirt with their registrationHoodie (Optional, $40):Bright PinkBright BlueDark GreenGreyBlackNo hoodie, thanksHoodie size (If purchasing one):Sm (Kids)Med (Kids)Lg (Kids)XL (Kids)S (Adult)M (Adult)L (Adult)XL (Adult)XXL (Adult)SKILL CHOICESPlease pick your top three skills, from first choice to third choice.First Skill Choice: *ArcheryCanoeingCraftsDance/FitnessDramaGolf (Jr. Only)Fitness and/or DanceMountain BikingSurvivalSwimmingPaintball (Teen Only)Volleyball (Teen Only)Second Skill Choice: *ArcheryCanoeingCraftsDance/FitnessDramaFitness and/or DanceGolf (Jr. Only)Mountain BikingSurvivalSwimmingPaintball (Teen Only)Volleyball (Teen Only)Third Skill Choice: *ArcheryCanoeingCraftsDance/FitnessDramaFitness and/or DanceGolf (Jr. Only)Mountain BikingSurvivalSwimmingPaintball (Teen Only)Volleyball (Teen Only)MEDICAL INFORMATIONManitoba Health #'s: (6-digit) *Manitoba Health #'s: (9-digit) *Family Doctor and name of clinic:Is the camper currently on medications? *YesNoIf YES, please specifyDoes the camper have any allergies or cultural food requirements? *YesNoIf YES, please explainPhysical, emotional, or behavioural special needs? *YesNoIf YES, please explainDoes the camper have any nighttime issues? (ie. bedwetting, nightmares, sleepwalking, etc.) *YesNoIf YES, please explainPhoto Waiver: *YesNoBy clicking 'yes', parents or guardians grant permission for photos and/or videos of this child taken at camp to be used publicly for promotional materials on the website, brochures, posters, etc. without any additional consent required and with the understanding that no compensation will be provided.NextParent/Guardian/Emergency InformationFather/Guardian's Name *FirstLastPhone (Home)Phone (Cell)Mother/Guardian's Name *FirstLastPhone (Home)Phone (Cell)Parent/Guardian Address *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryConfirmation Email *EmailConfirm EmailWe will send an application confirmation to this email.Parents are: *MarriedSeparated/DivorcedFoster ParentsCommon LawGuardianPlease notify us if there are special instructions regarding visitation, or pick-up of your child from camp.Emergency Contact (Other than parent/guardian): *FirstLastPhone (Home)Phone (Cell)NextWAIVER INFORMATIONBy filling out this application, parents/guardians agree to indemnify and hold blameless Gospel Light Bible Camp for any and all loss, accidents, injuries, or death that occur while their child is in attendance at GLBC. While every effort is taken to ensure the health and safety of all campers, parents/guardians recognize that accidents may occur, and will not pursue any legal action against GLBC, its staff, volunteers, board members or supporting churches. *I/we agree and understand1. The camp director(s) reserves the right to dismiss a camper who in his/her opinion is a hazard to the safety and rights of self and others, or who appears to have rejected the reasonable controls of camp. A parent or designate adult must be available during the week to pick up a dismissed child. 2. The parents/guardians submitting this application are those having legal custody over the child. Conditions of custody, if applicable, will be fully communicated in writing to the camp. 3. While all reasonable precautions are taken for the safety and good health of our campers, all liability in the event of any illness, accident or misfortune that may occur to the applicant camper or his/her property. Each camper must be covered by provincial health or equivalent medical insurance. 4. The completion of the application gives the camp director(s) the right to arrange for any special services or other requirements necessary for the best interest of the camper and gives the camp director(s) the right to approve and obtain medical attention necessary for the camp and will attempt to notify the parents/guardians as soon as possible. The parents/guardians are responsible for any additional expense that may result from such services. 5. I have read, understood, and hereby agree with the waivers and conditions of enrollment at Gospel Light Bible Camp. Before you send, to avoid delay, please double check that the entire registration is complete. Thank you.Date *PAYMENT INFORMATIONPlease indicate when you plan to pay:Total amount now (include hoodie cost of $40 if purchased)Total amount later (include hoodie cost if purchased)Due to limited internet connectivity at camp, if paying by e-transfer please send payment by July 18th so we can process the payment ahead of time. Payments by cash or cheque can be made upon arrival at camp if necessary.How will you be paying today?E-transfer (please send to: gospellightbiblecampdirectors@gmail.com)Mailing cheque (address below)Please mail cheques to: GLBC c/o Harrison and Amy Davey, Box 758, Boissevain, MB R0K 0E0Fees Junior Camp Fees - $235 Teen Camp Fees - $260 Hoodie Fee - $40 A family rate of $160.00 (Junior) and $180 (Teen) applies for a third child in the family going to either Junior and/or Teen camp. Young Adult Retreat Fees - $130 CommentSubmit