Camp Gitchigomee Application Form

Use one form per camper. Please send payment with camper's name by E-Transfer to campgitchigomee@gmail.com or by mail to Camp Gitchigomee Registrar P.O. Box 29018 Thunder Bay ON P7B 6P9

Camper's Name*

First Last

Birthday*

Month/Day/Year

Cabin to be assigned*

Male
Female

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Mother's Name

First Last

Father's Name

First Last

Guardian Name

First Last

Emergency Contact Name*

First Last Phone

Select the camp week based on the age the camper turns this year*

Senior Camp (Ages 13-15)
Junior Camp (Ages 7-9)
Intermediate Camp (Ages 10-12)

Photo Release*

I hereby authorize Camp Gitchigomee to publish photographs taken of the undersigned minor children for use in printed and digital publications.

Yes
No

Cabin Mate Request

*Every effort will be made to meet these requests; however some requests may not be possible due to camper numbers or other factors

How did you hear about Camp Gitchigomee?

(Church parish, family, Thunder Bay Key Ad, Facebook, other)

Please, make cheque payable to “Camp Gitchigomee” and mail to the address given above.

Registration will not be complete until payment is made to Camp Gitchigomee

Please send registration fee (Cheque or money order. No cash, please) to mailing address at the top of this document or E-Transfer to campgitchigomee@gmail.com Please be sure to include the camper's name(s) with the payment. Other information to be collected includes health information, enrolment agreement, alternate contacts for emergency purposes.