Campsite 5 Registration – Camp Mishewah

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Start Date:

End Date:

First Name^*

Last Name^*

Street Address^*

Street Address 2

City^*

Province^*

Postal Code^*

Phone Number

Mobile Number

Email Address^*

Length of your trailer/tent trailer/tent when fully open.^*

Trailer Footage - Maximum Waterfront Trailer Length is 24 feet

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

Yes No

1st Family - Number of Person(s) including Children (4 Refers to 4 or more)^*

Do not count Children under the Age of One as of Jan 1, 2025

1st Family - Names of Adults For Insurance Purposes.^*

1st Family - Program Fee

1st Family - Child One Age^*

1st Family - Child Two Age^*

1st Family - Child Three Age^*

1st Family - Child Four Age^*

1st Family - Child Five Age^*

1st Family - Child Six Age^*

1st Family - Child Seven Age^*

1st Family - Child Eight Age^*

1st Family - Child Nine Age^*

1st Family - Child Ten Age^*

2nd Family - Number of Person(s) including Children (4 Refers to 4 or more)^*

Do not count Children under the Age of One as of Jan 1, 2025

2nd Family - Names of Adults For Insurance Purposes.^*

2nd Family - Program Fee

2nd Family - Child One Age^*

2nd Family - Child Two Age^*

2nd Family - Child Three Age^*

2nd Family - Child Four Age^*

2nd Family - Child Five Age^*

2nd Family - Child Six Age^*

2nd Family - Child Seven Age^*

2nd Family - Child Eight Age^*

2nd Family - Child Nine Age^*

2nd Family - Child Ten Age^*

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 Fee

3. Please indicate if you are bringing a pet(s) 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(s)^*

Please Note: No Pets Permitted in this Rental Unit

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. Videos and Photos may be used for Promotional Purposes

5. 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

To proceed, please review and accept our policy. Your acceptance is required to continue.

Email List^*

Yes No

If you are not already receiving them, may we add you to our mailing list to receive occasional news and updates from Camp Mishewah and ECM Camps?

Emergency Contact Information

Emergency First Name^*

Emergency Last Name^*

Emergency Phone Number^*

Coupon

Total

Please select a date first.

Payment^*

Pay Online (Credit/Debit)

Pay with your credit or debit card online.

Campsite 5

Agreement

Emergency Contact Information

Member of:

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