NORTHERN LIGHTS FAMILY CAMP
ONLINE REGISTRATION FORM
** Registrations are handled on a 'first come' basis as we receive them **
LAST NAME:
FIRST NAME:
SPOUSE:
EMAIL:
 ( ￪ Only if attending...)  
ADDRESS:
CITY:
PROV/STATE:
POSTAL/ZIP:
TELEPHONE:
YOUR AGE:
 (if under 30 and registering as a single)
CHILDREN:
 Name: Age:     Name: Age:
Name: Age:     Name: Age:
(only those attending)
 Name: Age:     Name: Age:
Name: Age:     Name: Age:
Name: Age:     Name: Age:

CAMPING:
 
 
WED
THUR
FRI
SAT
  
TOTAL
NIGHTS
  
TOTAL
AMOUNTS
1.) Indicate number of each
type of campsite needed
for the nights needed -->
30 amp sites: 
        
=
  
X $ 50.00 =
  $ 0.00
15 amp sites: 
        
=
  
X $ 40.00 =
  $ 0.00
Unserviced sites: 
        
=
  
X $ 25.00 =
  $ 0.00

2.) What will you be camping in? 
If you have a trailer or motor home please list the length (ft):

** FAMILY RATES
For camp lodging and meals (below) we have a family rate policy. Show ALL members of your family for our count, but we will calculate the fees only for the 4 oldest members in your family (living at home) and the rest are FREE.

CAMP LODGING:
 
1.) Indicate number of
people in each age group
for the nights needed -->		  
WED
THUR
FRI
SAT
   TOTAL
Adults & youths 13+: 
X $ 18.00
X $ 18.00
X $ 18.00
X $ 18.00		    
Children (6-12): 
X $ 9.00
X $ 9.00
X $ 9.00
X $ 9.00		    
Children 5 & under: 
FREE
FREE
FREE
FREE		    
Total persons registered: 
            
Actual number of adults/children charged for: 
 0A, 0C  0A, 0C  0A, 0C  0A, 0C    Lodging total: 
Daily Totals: 
 $ 0.00 $ 0.00 $ 0.00 $ 0.00 = $ 0.00

2.) In the box below, please list the names of those in your group ages 16+ that want to stay in either the boys or girls dorms:
  

MEALS:
1.) Check one option --> A.) We are staying at
the camp AND will be
EATING there as well		   B.) We are NOT
staying at camp BUT
we want to EAT there		   C.) We do NOT
need any meals at camp
2.) In the boxes below indicate the number in each age group requesting meals on each day.
 
    THURSDAY FRIDAY SATURDAY SUNDAY   TOTAL
Adults & youth 13+:
#
X $ 32.00		 #
X $ 32.00		 #
X $ 32.00		 #
X $ 20.00		    
Children 6-12:
#
X $ 16.00		 #
X $ 16.00		 #
X $ 16.00		 #
X $ 10.00		    
Children 5 & under:
#
FREE		 #
FREE		 #
FREE		 #
FREE		    
Total persons registered:
           
Actual number of adults/children charged for:
0A, 0C  0A, 0C  0A, 0C  0A, 0C    Meals total:  
Daily totals:
$ 0.00 $ 0.00 $ 0.00 $ 0.00 = $ 0.00

AFTER CAMP ACTIVITY:
1.) Indicate how many single young people (13+) are staying for Sunday night "singsong" SUNDAY NIGHT  
#
X $ 12.50		 -->  $ 0.00

** IF you register by MAY 15, you qualify for TOTAL ABOVE AMMOUNTS:  $ 0.00
    a 20% EARLY BIRD DISCOUNT ---> LESS 20% EARLY BIRD DISCOUNT:  $ 0.00
  TOTAL CAMP REGISTRATION FEE:  $ 0.00
FLIGHT INFORMATION:
If you are flying into Saskatoon and need us to pick you up or drop you off at the airport, please give us your flight schedule. (If you don't have your flight schedule at this time, please let us know as soon as you can. Thanks!)
ARRIVAL: Date: Time: Airline: Flight #:
DEPARTURE: Date: Time: Airline: Flight #:
** Our airport pickup/drop-off is available from the evening on Tuesday, July 1st, 2025 through the night of Monday, July 7th, 2025 **

COMMENTS:
If you have any personal requests or comments regarding your registration, please type them in the box below:

FOR YOUR INFORMATION:
Please note that all fees mentioned on this registration form are in Canadian funds. After you have finished this online registration you will be taken to a page where you will pay online using Paypal or your credit card (Mastercard or Visa). This online transaction will convert the Canadian amount into U.S. funds automatically if you are from the U.S. Payment must be received before your registration can be activated.

We will send you a confirmation of your registration as soon as possible after we receive it. We will send the confirmation by e-mail if possible, otherwise it will be mailed. If you haven't heard from us by June 1 please call to verify that we have received your registration form. (306) 864-3113

If you have any questions on how to fill out this form - please don't hesitate to contact us.


DISCLAIMER NEEDED:
For insurance purposes we need to have the head of the household or their spouse sign the following disclaimer for every registration. Those that are 18 or older and are registering online may sign this disclaimer form at camp when you check in. (We are still including it here so you can see it and are aware of it at the time you register online.)

Unaccompanied young people aged 16 or 17 must have a parental signature. To accomplish this you will need to print the disclaimer form, have a parent sign it and mail it to us. We will keep your online registration in the order priority that it was received, but the registration will not be activated until we receive the disclaimer form signed by a parent.

Children under 16 unaccompanied by a parent MUST lodge with an on-site guardian and have signatures of both a parent AND the guardian on the disclaimer form. This disclaimer form must be printed, signed by a parent AND the one who will act as guardian at camp and mailed to us. We will keep your online registration in the order priority that it was received, but the registration will not be activated until we receive the disclaimer properly signed.

INSURANCE DISCLAIMER:
Registered campers are responsible to help keep the grounds and buildings clean during camp and agree to leave their room or campsite clean before leaving at the end of camp. Further, they are responsible for any damages incurred by them to camp buildings or facilities during camp. Unaccompanied young people (ages 16-17) staying in the dorms agree to abide by camp standards as established in the information sheet and all campers agree to abide by camp rules as will be set out at camp orientation.

I understand and agree to the above conditions, and if I am not accompanying my child(ren) under 16 I also authorize the
guardian who has signed below to act as guardian for our child(ren) at camp:

Main signature:______________________________________________ Please print the name of signature: ___________________
(Head of household / Parent / or single over 18)


Guardian signature:______________________________________________ Please print the name of signature: ___________________
(Guardian if child under 16 and will not be accompanied by parent)

To finish your registration, please click the -update- button below and once any errors are corrected proceed to the -Pay Now- step.


** You must update the form (with no errors on it) before you can proceed.


Thank you and God bless you! Lord willing we'll see you at camp!