Financial Information

To register for Discovery, Adventure or Teen Camps please follow these 4 steps:

1. Read Registration Information and Liability Disclaimer.
2. Fill out completely the Registration Application and submit it.
3. Fill out the Health Form completely and submit it.
4. Fill out the Financial Information Form and submit it. (This Page)

Please Read:
Due to the fact that to-date we have not been able to make this a "secure site" we do not recomend sending us your creit card information over this connection. Until we are able to sort this out, we suggest that you make payment to Maple Grove by mail. Cash payments or debit may be made at the office. Please do not send us cash by mail.

Camper/s name/s for which
payment is being made:

Camp/s being attended:

Camp Fee:

Minus Deposit:
Minimum of $100.00 must be paid at time of registration. Post dated cheques will not be accepted.

Tuck Deposit:
($20.00 recommended) Tuck money will be held by the camp for safety.

Early Bird Discount:

Multi-camp Discount:
$10.00 per camper for children from the same household.

Christian Campership:
Optional donation helps economically disadvantaged children by providing camp sponsorships.

Amount being payed with registration:

Remaining Balance:

Minus any Campership/Church Sponsorship:

CAMPER BALANCE DUE AT REGISTRATION:

Method of Payment (Cheque, Money Order, Visa, Mastercard, Debit, Cash)

Authorized to deduct deposit amount immediately and balance on May 31/08:

Deduct deposit and balance on May 31/08

Authorized to deduct the full payment immediately:

Deduct full amount immediately

Charge my Visa/Mastercard #:

Expiration Date (MM/YY):

Verification Code:

Street Number of Card Billing Address:

Name of Card Holder:

Download Financial Payment Form

Mail completed form to:
Maple Grove Christian Retreat Centre
Box 69,
Thamesford, Ontario,
N0M 2M0