Lodge Front Registration

S	M	T	W	T	F	S
1	2	3	4	5	6	7
8	9	10	11	12	13	14
15	16	17	18$111	19$111	20$111	21$111
22$111	23$111	24$111	25$111	26$111	27$111	28$111
29$111	30$111	31$111

First Name^*

Last Name^*

Street Address^*

Street Address 2

City^*

Province^*

Postal Code^*

Phone^*

Email Address^*

1. Are you sharing this accommodation with another Family?^*

Yes No

Single Person - Program Fee

Two Persons - Program Fee

Three Persons - Program Fee

Family - Program Fee

Full Names & Dependents including Ages of Children (For Insurance Purposes)^*

2nd Family - Single Person - Program Fee

2nd Family - Two Persons - Program Fee

2nd Family - Three Persons - Program Fee

2nd Family - Family - Program Fee

2nd Family - Full Names & Dependents including Ages of Children (For Insurance Purposes)^*

2. Are you bringing a Watercraft to Camp?^*

Yes No

Type of Water Craft^*

Length of Watercraft^*

Measured in Footage

Registration Number^*

Docking Space^*

Yes No

Anchoring Space^*

Yes No

Boat Dock Fee

Anchoring Space

3. Please indicate if you are bringing a pet with you^*

Yes No

Pets are only permitted in private tents & trailers and cabins. No pets are allowed in the Lakeside Suites. Our policy restricts pets at the waterfront.

Enter Name/Breed of Pet^*

4. Photo Release^*

Yes No

To assist Camp Mishewah in marketing and promoting camp, I give permission for photos of our family/group to be used in online or printed promotional/marketing materials for Camp Mishewah and/or ECM Camps.

Upon arriving at Camp, please check in at office to get your colour-coded wrist band and photo taken. To prevent publication of photos, We will provide you with an alternate colour wrist band and keep a photo on file so we can screen photos before release.

Agreement

To help protect the legal liability of Evergreen and its respective directors the following is a rental agreement between campers and Evergreen Christian Ministries.

1. I agree to waive all liability against ECM and will undertake to hold harmless ECM for any damage to my property and to indemnify ECM for any and all legal liability arising out of bodily injury or property damage caused by my negligence.

2. If I have a pet, I have read the Pet Policy, agree to abide by the rules, and will register my pet and provide proof of a current rabies vaccination.

3. I agree to inform the camp office if I have a boat at the camp during the summer and to obtain a docking/anchoring tag to be placed on my boat for the duration of my stay. I have also read and agree to follow the Camp Mishewah Boating Policy.

4. By submitting this form I consent to this agreement and all above linked policies and will follow the policies and camp guidelines of ECM Camps. ECM Camps also reserves the right to make changes to our policies, terms, and conditions surrounding the booking and use of our facilities/properties at any time and without prior notice.

Do you consent to the agreement above.^*

Yes No

This policy must be accepted before going any further

Emergency Contact Information

First Name^*

Last Name^*

Emergency Phone Number^*

Coupon

Total

Please select a date first.

Payment^*

eTransfer

Further Instructions will be emailed to you.

Pay Online (Credit/Debit)

Pay with your credit or debit card online.

Lodge - Front

Agreement

Emergency Contact Information

Member of:

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