CAMPERSHIP APPLICATION

Campership Application

Regardless of financial situation, we want to ensure that camp is open to any interested child. Please fill out the form below to apply for our Campership program.

Looking to donate towards LPC's Campership Program?

"*" indicates required fields

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Saved User

Do not use! User is NOT required to be logged in!

Parent/Guardian Information

Parent/Guardian Name*

First Last

Phone*

Email*

Enter Email Confirm Email

Explicit Email Permission

I agree to receive LPC Parent & Newsletter Updates

You can unsubscribe at any time. For further information, please see LPC's privacy policy or contact us.

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Camper Information

Camper Name*

First Last

Grade Camper is Completing this Year*

Camp*

See our website for dates and other information

Sex*

Do you require bussing from and/or to Edmonton?*

How big is your family?*

For the purposes of the fee, “Family” is defined as 1 adult or 2 married adults and the minors over whom they have legal guardianship

Are you bringing your own accommodations?*

Please select the church you attend (if any)*

We will contact your church to check whether they are willing to partner with us in offering your family Campership funding. Such partnerships allow us to stretch LPC's Campership donations as far as possible.

If you attend a church that is not listed above, please enter it here:*

Please enter your church's website address:*

How much are you able to contribute (not including GST)?*

Please enter a number greater than or equal to 25.

Waiver

Hidden

Waiver

By submitting this form, I am agreeing to allow Lone Prairie Camp to contact my church regarding helping to subsidize my child's camper fees.

I agree to the above

Consent*

By submitting this form, I am agreeing to allow Lone Prairie Camp to contact my church regarding helping to subsidize my child's camper fees.

I consent to the above

Hidden

Waiver

By submitting this form, I am agreeing to allow Lone Prairie Camp to contact my church regarding helping to subsidize my child's camper fees.

Camp Fee*

See current camp fees

Bussing?*

Yes

Option*

See current year Campership Applications

Only Child

2 Children

3 Children

4 Children

5 Children

Family Contribution*

Price: $ 0.00 CAD

Coupon Amount

Date Thank You Card Mailed*

(dd/mm/yyyy)

Date Thank You Card Received*

(dd/mm/yyyy)

Campership Church Contacted?*

Yes

Church Contribution

Coupon Code (YYYYCSFLastName)*

Year - CS - Camper'sFirstNameInitial - Camper'sLastName

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Phone

This field is for validation purposes and should be left unchanged.

CAMPERSHIP APPLICATION