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Emmanuel Bible Camp
Online Registration
New Account - Summer 2017
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Emmanuel Bible Camp - New Account

Step #1: Adult and Household Information

*If you previously registered online you already have an account. Please login with that email to save yourself some time and effort.

**Attended our camp before? We might be able to simpy issue you an account. This will save you time and energy. If this is the case please contact us before proceeding.

***Otherwise please begin by entering at least one Adult and your Household Information. If you're registering a Youth we will need all legal guardian/parents info.

Click on our Contact Us at any time if you need assistance.


First Adult/Parent Info - REQUIRED
 
All correspondance and receipts will be addressed to the First Adult entered here.
 
*First Name:
*Last Name:
*Gender:
*Type: (In relation to this Household)
*E-mail:
Cell:
Work Phone:
 
*Add Password: (At least 6 characters long,
*Confirm Password: only letters and numbers)
 
Household Info - REQUIRED
 
*Mailing Address:
 
*City:
*Province/State:
*Postal/Zip: eg: C0A 1H0
*Country:
*Home Phone: eg: 902-675-8642
 
Family Doctor:
Doctor's Phone:
Custody Notes:
 
Second Adult/Parent Info (OPTIONAL)
 
First Name:
Last Name:
Gender:
Type: (In relation to this Household)
E-mail:
Cell:
Work Phone:
 
Youth/Children Information
 
If applicable, any Youth info will be added during the next step.
 
 
 
*Verification
Enter this word as Verification.
 
* Indicates required fields.
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