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?

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
$ 0.00 CAD
Date Thank You Card Mailed*
DD slash MM slash YYYY

(dd/mm/yyyy)
Date Thank You Card Received*
DD slash MM slash YYYY

(dd/mm/yyyy)
Campership Church Contacted?*
- Yes
- No
Church Contribution
Coupon Code (YYYYCSFLastName)*

Year - CS - Camper'sFirstNameInitial - Camper'sLastName
Email
This field is for validation purposes and should be left unchanged.

CAMPERSHIP APPLICATION

Campership Application

Parent/Guardian Information

Camper Information

Waiver

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