LIFE Camps at The Cornerstone

Please fill out this form and click submit.

Which Summer Camp are you registering for?

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Please select one option.

July 7-11 July 21-25 July 28 - August 1 August 11-17

Student Information

Student's Name

*

Student's Grade in Sept 2025

*

Please select one option.

1 2 3 4 5 6

Student's T-Shirt Size

*

Please select one option.

Youth Small Youth Medium Youth Large

Parent/Guardian's Information

Parent/Guardian Name

*

Parent/Guardian Email

*

This address will receive a confirmation email

Parent/Guardian Phone

*

Address

*

Medical Information

Does your child have any allergies or medical conditions we should be aware of?

Name of Emergency Contact

*

Phone Number of Emergency Contact

*

Relationship to Child

*

Information for Pick-Up

Please supply the names of other people you authorize to pick up your child..

Statement of Informed Consent

Please click here to read The Cornerstone's LIFE Camps Policies.

I have read and agree fully with the policies of LIFE Camps.

*

Please select all that apply.

Yes

Payment Info

Payment $200 CAD

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit.

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