At Mill Stream Bible Camp, Christian living is taught

by having fun and fellowship in a camping experience.

To maintain an atmosphere where positive spiritual, physical, emotional and social growth may take place, we do not allow tobacco products, alcohol, drugs or knives on the property.


In addition to this we do not allow campers to bring radios, music players (CD, MP3 players, iPods etc.), pagers, cell phones, electronic games, laptops, tablets or pets.

All campers are required to be dressed modestly at all times.

Failure to obey these or any other camp rules could result in the camper being sent home without a refund.

Please complete a separate registration form for each camper and return it by either:


MAIL TO: MILL STREAM BIBLE CAMP

880 Old Mill Road,

Omemee, ON

K0L 2W0

EMAIL:

PHONE: 705.799.6521 or TOLL FREE 877.979.9990

FAX: 705.799.1465

Please note:
* Each encampment runs from Sunday afternoon to Saturday morning (except Beginnin’ Camp – Sunday afternoon to

Tuesday evening and Day Trekkin’ Camp is Monday to Friday 9:00am to 5:15pm).
* Children must go home between each encampment week.
* Please make all cheques payable to Mill Stream Bible Camp.
* No cheques dated, post-marked or initiated after June 1st will be accepted.
* We accept Cash, Money Orders, VISA, MasterCard and American Express payment. Interac is available at the office.
* To receive Early Bird Discounts the registration fees must be paid in full by May 1st.
* There is a non-refundable $50.00 administration fee in the event of a cancellation. The camper registration fee, less the

administration fee, is refundable up to four weeks prior to the beginning of the program.
* Late registrations are accepted based on space availability and accepted payment is Visa, MasterCard, American Express,

Interac, Money Order or Cash only.
* Late arrivals or early departures unless for medical reasons are not subject to any refunds.
* All NSF cheques are subject to a $20.00 service charge.

DISCOUNTS

The following discounts are available:

Early Bird Registration: Register and pay in full by May1st and receive a $10 discount fee and a FREE camp T-shirt.

Bring a Friend: Bring a friend who is new to Mill Stream for the first time and receive a $20 discount off your registration fees.

Family Discount: For immediate families of 3 or more campers attending full week encampments at Mill Stream this summer and receive a $10 for each family member.

Multiple Week Discounts: For the first week after the initial week a camper attends you will receive an additional $20 off your total fees.

Loyalty Discount:For campers who attended in the summer of 2017 only and are returning this summer - receive an additional $20 discount/week but must be registered before May 1st to receive discount.

CALCULATIONS

1.  Check off week(s) attending and calculate in the sub-total column using the before or after May 1st rate as applicable.

2.  Add the lines and place calculation in the “= Total” box.

3.  Calculate 13% HST amount and place in HST box.

4.  Add the HST with “Total” box above and place result in “Sub-Total of above” box.

5.  Complete any discounts you are eligible to receive and deduct them from the “Sub-Total of above” box.

6.  Complete Tuck and donation lines.

7.  Add “Total Fees” with Tuck money and donations into “Grand Total Payable” box.

8.  Complete acceptable payment methods.

Mill Stream Bible Camp Registration Form

Camper’s Name
(One form per camper) / Male / Female
Home Address / City/Town / Postal Code
Telephone / Email / Date of Birth / Age as of
July 1st, 2018 / All campers must be the proper age for each encampment
Cabin mate preference
(Must be close to same age, choose 1 only – Cabin mate must indicate your name
as well – If older child is requested, older child must agree to be moved to younger program) / Swimming Level / Home Church Name & City
Parents/Guardians Names / Contact numbers while campers at camp

How did you hear about us?

(please check or circle) / * Returning Camper * Friend * CCI Camp Day * Church Promotion * Sponsor * Brochure * Newsletter * Mill Stream web site * OCA web site * CCI web site * mysummercamps.com *camps.ca * CampDepot.com
* Kawartha Lakes Summer Guide * This Week * Christian Week * Lindsay Chamber of Commerce * Other
Medical FoodAllergy Information (Please describe if it is a life-threatening allergy or only an intolerance. What are the symptoms when the child eats the food? Does the child carryepinephrine for this allergy? We can provide alternative food for medical dietary restrictions within our means, but we do not cater for individual or lifestyle preferences)
2018 Encampments
Check or Circle Appropriate Boxes / July
8-14
(Trekkin’ Camp +) / July
15-21 / Aug
5-11 / *Early Bird
Must be paid in full by May 1st
Cost/week /

After

May 1st Cost/week / Sub-Totals
Jr. Trekkin’ Camp (Boys & Girls ages 8-10) / * / * / * / $415 / $425
Sr. Trekkin’ Camp (Guys ‘n’ Gals ages 11-13) / * / * / * / $415 / $425
Day Campin’ (Boys & Girls ages 8-10) (Guys ‘n’ Gals ages 11-13) / * / * / * / $210 / $220
Beginnin’ Camp (Boys Girls ages 5-7) / One session only! July 22-24 * / $165 / $175
Trailblazin' Camp (Young Teens ages 13-15) / One week only! August 12-18 * / $415 / $425
Add lines above = Total
Multiple Week Discount (Discount for this child attending more than one week) / Subtract $20
Bring a Friend Discount (Discount for returning campers only-can not be claimed for new immediate family members)
Camper’s Name: / Subtract $20
Family Discount (Only for three or more children of the same immediate family) / Subtract $10
Loyalty Discount (For campers who attended in the summer of 2017 and are returning this summer - receive an additional $20 discount/week but must be registered before May 1st to receive discount) / Subtract $20

Sub-Total of above

Add 13% HST

Total Fees

Tuck Money (Campers may spend up to $2.75 per day on snacks. Other non-snack items may be purchased above this amount.)

Camper Sponsorship Donation (Help sponsor a child for camp and receive a tax deductible receipt – any amount appreciated)
Summer Missionary Assistance Fund (Help sponsor student staff for camp and receive a tax deductible receipt – any amount appreciated)

General Donation (Donation towards the general operating costs and receive a tax deductible receipt – any amount appreciated)

Grand Total Payable

Credit Card No. / Exp. Date / Security Code
(3 digit # on
reverse of card) / Signature

*EARLYBIRDS NOTE: All registrations must be paid in full by May 1st, 2018 to receive the Earlybird discount and a FREE T-Shirt which will be provided at the end of the encampment week. Check or circle size: *Youth S *Youth M *Youth L *Adult S *Adult M *Adult L *Adult XL

A receipt and medical form will be sent when the registration form and monies are received and processed.

OFFICE USE ONLY
Date Received _____/_____/____
MM DD YY / Date Entered _____/_____/____
MM DD YY / Date Confirmation Sent _____/_____/____
MM DD YY
Paid by: O cash O cheque O money order O Visa O MasterCard O Amex / Paid for by: