If you would like to register a camper for day camp, please complete the form below.

This program offers the best of both worlds: the fun and sun of camp with the comforts of home.  Day campers arrive at PBC at 9:00am and depart at 5:30pm.  They choose from a list of 14 activities for instruction, have one hour of cabin activity and enjoy tuck and free swim in the afternoon. 

Whether you want something a little special for the kids this summer or need to arrange child care, PBC Day Camp is perfect for local people who want a taste of what PBC offers.

The cost per day is $35 and includes lunch, an afternoon snack and all activities.  You can register for single or multiple days throughout the summer.  Campers that register for three or more days in one week are welcome to join us for our theme banquet, awards, video and campfire on Friday nights free of charge.

Please complete a Camper Health Form from the side menu.  If you are registering for more than 2 days in a given week please also submit a Camper Activity Form from the side menu so that we can ensure that you recieve your selected activities.

Please contact our registrar if you require further information or have questions.

Bernice Kerr (613)962-7686 thekerrs@cogeco.ca

*	First Name:
*	Last Name:
*	Address:
*	City:
*	State/Province:
*	Zip/Postal Code:
*	Email Address:
*	Phone:
	Birthday:	JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 01020304050607080910111213141516171819202122232425262728293031 20132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913
*	Age of Camper During Camp	7 8 9 10 11 12 13 14 15 16 17
	Full Week Registration: What week(s) would you like to register for?	July 7-13 July 14-20 July 21-2 July 28-August 3 August 4-10 (ages 13-17) August 11-17 (ages 13-17)
*	Registration Fee	$175.00 Quantity
	Single Day Bookings: What week would you like to register for?	July 7-13 July 14-20 July 21-2 July 28-August 3 August 4-10 (ages 13-16) August 11-17 (ages 14-18)
	Single Day Bookings: Which days of the week would you like to register for?	Monday Tuesday Wednesday Thursday Friday
	Daily Fee	$35.00 Quantity
*	Emergency Contact: Name, Phone, Relationship (other than contact info given above)
* Is this the Camper's first time at PBC? yes no
*	How did you learn about PBC?	friend website church organization advertising other
*	What is the main reason you chose PBC?	price location friend invitation positive past experiences other
	Church Attended (if applicable)
	Friend Attending the Same Week
*	Please read the waivers and conditions under General Information.	I have read and agree with the stated waivers and conditions of registration
	Medical information is collected on another form. Other than medical issues, are there special behaviour concerns or anything else we should know about to properly care for this camper?
	Other Comments/Questions
	Total:
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