Evangelical Church of Bermuda - Jr Camp Registration Form 2025

ECB - Jr Camp Registration 2025

Date: July 7th-12th, 2025
Ages: 8-12 years (Born 2013-2017)
Cost: $350 for 1st Child ($300 for each additional sibling)
Contact: jrcamp@ecb.bm or 441-236-2294

CAMPER DETAILS

Camper - First Name

Camper - Last Name

Gender

Camper Birth Year (Note: only birth years applicable to camp are below)

Camper - Birthdate

Mailing Address

Apartment, suite, etc.

Parish

Postal Code

Camper - T-Shirt Size

Parent or Guardian Details

Parent or Guardian #1

First Name

Last Name

Best Phone Number

Email (Note: this will be used for all Camp Correspondence)

Parent or Guardian #2

First Name

Last Name

Best Phone Number

CAMP QUESTIONS

Tent Mates Requested (usually same age for grade)

Note: We do our best to accommodate the request but we cannot guarantee it will be granted.

Church Camper Attends (if any)

Has Camper Attended ECB Jr Camp before:

Yes

No

If so, when was the last year

Non-refundable Deposit of $100 has been made

Yes

No

Mail: (Cash brought to the Church Office) Evangelical Church, 1 Mission Road, Paget, PG06
Online: CLARIEN BANK - EVANGELICAL CHURCH OF BERMUDA - CE A/C 6000282995 (List camper name in memo line for our records)

(**Please note that your child will not be confirmed as registered until the deposit has been received.**)
Once Deposit has been received you will get a confirmation email noting that your childs spot has been confirmed.

CAMPER HEALTH & MEDICAL INFORMATION

Does the camper have any health, dietary, physical, emotional or behavioural needs which may require special attention while at camp? (e.g. allergies, learning differences, etc.)

Yes

No

If yes to the above, please include a brief description:

PLEASE NOTE THAT ALL CHILDREN WILL BE REQUIRED TO UNDERTAKE A SWIM TEST IN ORDER TO ACCESS THE SLIDE, BEACH, FLOATING DOCK, WATER ACTIVITIES, ETC.

ALL MEDICATIONS SHOULD BE PLACED IN A ZIPLOCK BAG MARKED WITH CAMPERS NAME & GIVEN TO CAMP NURSE UPON ARRIVAL TO CAMP.

CAMPER ARRIVAL & DEPARTURE FROM CAMP

1. On the day of departure for camp, the applicant camper must be accompanied by either a parent/guardian or responsible adult who will sign the camper in.

2. On the day of return from camp the applicant camper must be collected by either a parent/guardian or responsible adult who will sign a camp release form.

Please indicate the name of the person who will be providing transportation home on the closing day:

Phone number of person providing transport