Pine Lake Christian Camp - 2008 Summer Camps Registration Form

2008 Summer LogoPlease note that any field with an asterisk (*) is a required field.

After you complete this form, you will be redirected to PayPal... where you may either make a payment by credit card... or you may close out of PayPal and snail mail your payment to: Pine Lake Christian Camp, 32203 230th St, Eldora IA 50627.

Pastors kids attend for free.

Maximum cost per family is $885 (Attendance at one camp only per child.)

A non-refundable deposit of $50 is required at the time of registration, for all NON-TimeShare churches.  Final payment is due 2 weeks prior to camp.

If you have any questions, please call the office at (641) 858-3284 or email us at office@iowabgc.org
























Health Information























Medical Treatment Information





Medical Treatment Authorization

In the event of an accident or illness, I agree to the following:

1) I give permission for my child to receive appropriate first aid treatment by the Pine Lake Christian Camp nurse or trained staff.  2) In the event that I cannot be contacted and emergency medical treatment is needed, I give permission for a licensed physician to hospitalize and secure proper treatment, including injections, anesthesia or surgery for my child.  3) While the staff will make every reasonable effort to teach my child the proper outdoor techniques and minimize exposure to known risks, I acknowledge that all dangers associated with camp activities cannot be forseen.

I hereby release and discharge the Iowa Baptist Conference and Pine Lake Christian Camp, its officers, directors, employees and agents from any claims, causes of action, costs, obligations or financial responsibility resulting from or arising out of any accident occurring while my child is participating in activities at Pine Lake Christian Camp.  If the Iowa baptist Conference or Pine Lake Christian Camp is held financially responsible to or for my child for any such incident, injury or accident, I agree to indemnify and hold harmless the Iowa Baptist Conference and Pine Lake Christian Camp from any such responsibility including costs, damages and attorney fees incurred by the Iowa Baptist Conference and Pine Lake Christian Camp. 

I hereby give permission for the Iowa Baptist Conference and Pine Lake Christian Camp to use comments, photographs and videos of my child to be used in camp promotions.  I also give authority in matters of discipline, understanding that any camper disregarding camp rules is subject to being sent home at camper expense, with no refund of camper fees, and that any camper willfully destroying property will be charged accordingly.





One Last Word...

When you press the submit button, you will be redirected to the secure PayPal website where you will have 2 options:

1) You may pay your deposit or full registration fee by credit card, or,

2) You may close out of the PayPal website and snail mail your deposit or full payment to: Pine Lake Christian Camp, 32203 230th St, Eldora IA 50627.

If you are from a TimeShare church, you will make all payments directly to your church.

If you have any questions, please call the office at (641) 858-3284 or email us at office@iowabgc.org.