Camping Site: A9 – Stayner Camp

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Select Start Date, then select End Date – * Required

Camping Site: A09 - 30 amp

Available

Booked

Closed

Not Available

S	M	T	W	T	F	S
		1	2	3	4	5
6	7	8	9	10	11	12
13	14	15	16$50.50	17$50.50	18$50.50	19$50.50
20$50.50	21$50.50	22$50.50	23$50.50	24$50.50	25$50.50	26$50.50
27	28	29	30$50.50	31$50.50

S	M	T	W	T	F	S
					1$50.50	2$50.50
3$50.50	4$50.50	5$50.50	6$50.50	7$50.50	8$50.50	9$50.50
10$50.50	11$50.50	12$50.50	13$50.50	14$50.50	15$50.50	16$50.50
17$50.50	18$50.50	19$50.50	20$50.50	21$50.50	22$50.50	23$50.50
24$50.50	25$50.50	26$50.50	27$50.50	28$50.50	29$50.50	30$50.50
31$50.50

Start Date:

End Date:

First Name^*

Last Name^*

Street Address^*

Street Address 2

City^*

Province^*

Postal Code^*

Phone Number

Mobile Number

Email Address^*

Lodge room rates are for 2 guests per room. Children 15 and under stay for free. If more than 2 adults (>16 yrs), enter the number of additional adults.

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

Yes No

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

Family consists of parents and dependent children. Do not count Children under the Age of One as of Jan 1, 2025

Program Fee

Please include Full Names of all Campers including ages of Children (For Insurance Purposes)^*

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

Family consists of parents and dependent children. Do not count Children under the Age of One as of Jan 1, 2025

2nd Family Program Fee

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

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

Yes No

Pets are only permitted in the non-refurbished cabins.

Enter Name/Breed of Pet^*

3. Photo Release^*

Yes No

To assist Stayner Camp 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 Stayner Camp and/or ECM Camps.

Upon arriving at Camp, please inform our office staff of your decision re: photos

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. 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.

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.

Agreement

Additional (Adult) Lodging

Camping Site: A09 - 30 amp

Agreement

Emergency Contact Information

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