Children's Camp Registration

A week long overnight camp experience for children ages eight through fourteen. Each daily theme offers outdoor activities, worship, group reflections, crafts, campfires and more. Our well-trained program staff lead all activities. Chaplains serve each week to facilitate worship and study. Classic small-group camping in a Christian community!

Children's Camp Week 1: July 10-15, 2022

Children's Camp Week 2: July 17-22, 2022

Children's Camp Week 3: July 24-29, 2022

Children's Camp and LIT Registration Form

* Name
* Full Address
* Birthdate
* Phone Number
* Email Address (for confirmation)
* Camper Gender
M
F
X

Choice of Cabin Mate (if any) *They must also request you, be the same age or grade, and gender.
* Please Check Preferred Camp Week(s)
Children's Camp July 10-15
Children's Camp July 17-22
Children's Camp July 25-29
LIT July 3-29 (no weekends)

* Does the camper have any health, physical, emotional, behavioural or dietary needs which may require special attention while at camp? If yes, please provide detail.
* T-Shirt Size
Youth Small (S)
Youth Medium (M)
Youth Large (L)
Youth Extra Large (XL)
Adult Small (S)
Adult Medium (M)
Adult Large (L)
Adult Extra Large (XL)

* I give permission for my child to attend Camp Lutherlyn and voluntarily waive any claim against Camp Lutherlyn, local churches, sponsoring institution or camp personnel for any mishap, lost articles or any and all causes which may arise in connection with activities of the above organization.
Yes
No

* I give Camp Lutherlyn permission to obtain emergency medical treatment if so needed on my child's behalf.
Yes
No

* I give permission for any photographs or videos of camp activities which may include my child to be used in camp promotional materials and brochures and Camp Lutherlyn social media posts without any financial compensation.
Yes
No

* I give permission for Camp Lutherlyn to use this information only for camp programs, Camp Lutherlyn mailings and fundraising events.
Yes
No

Fees:
Children's Camp: $450.00
Leader in Training Program (4 weeks): $800.00

A non-refundable deposit of $50 per camper must accompany the registration form, cheque payable to Camp Lutherlyn or e-transfer to: info@lutherlyncamp.ca - please include the name of the camper in the comments. The balance is due 15 days prior to camp. 

Cheques can be mailed to: Camp Lutherlyn Registrar P.O. Box 531, STN Main, Pembroke, ON K8A 6X7.

* The above-noted information is accurate and fee deposit will follow in order to confirm registration.
I agree.
I disagree.