RADIATE 2025 REGISTRATION

We are excited to welcome your church to Radiate!

Thank you for taking the time to complete our online registration form.

If you have any questions about the registration process please feel free to contact the Main Office at info@pioneercamp.ca

Step One: Registration & Deposit

Once your registration has been processed, you will receive a confirmation email confirming your registrations, submitting final numbers and arrival details.

A deposit method must be chosen on this form - deposits can be paid either by credit card, cheque, or e-transfer.

An estimate of your group size - broken into leaders and students by gender will also be required to complete this form.

Step Two: Final Confirmation

Your group will be required to submit a Group Confirmation Form on the Monday before the retreat which must include the exact numbers of male and female students, male and female leaders, plus dietary, and other special requests.

A link to this form will be emailed to you closer to your arrival at camp.

Final payment will be required no later than two weeks after your visit to camp. Groups will be billed after the retreat is finished. Payment is required to be mailed or sent after the retreat.

Group Leader Name *

Church Name *

Street Address *

Address Line 2

City *

Province *

Postal Code *

Leader Cell Phone Number *

Church Phone Number *

Email Address *

Which Radiate will you be attending? *

Radiate #1: January 31 - February 2, 2025

Radiate #2: February 7 - 9, 2025

Radiate #3: February 28 - March 2, 2025

Radiate #4: May 9 - 11, 2025

Is this your first time attending a Pioneer Camp program? *

Yes

No

How did you hear about Radiate? *

Your church must provide a Certificate of Insurance to Pioneer Camp before your arrival. If you are unable to provide a Certificate of Insurance, each student and leader will be required to fill out a Pioneer Camp waiver form. If your church is able to provide the Certificate of Insurance no waivers are required.

Our church will provide: *

Certificate of Insurance (emailed to info@pioneercamp.ca before arrival at camp)

Signed waivers from all leader and student participants (handed in on arrival or emailed to info@pioneercamp.ca before arrival)

Number of Female Adult Leaders *

Number of Female Students *

Number of Male Adult Leaders *

Number of Male Students *

Total Group Size *

Do your church policies require your students to have separate rooms from your leaders? *

Yes, we require separate rooms for leaders and students.

No, we do not require separate rooms for leaders and students.

We require a male leader to accompany any male students and a female leader to accompany any female students. The recommended ratio is 5:1 and the minimum ratio is 10:1. All leaders must have been appropriately cleared through your church's child protection policy. By signing below you are acknowledging your compliance.

Signature *

clear

Payment/Liability Credit Card Information (required for damages even if paying by cheque or e-transfer)

Name on Card *

Street Address *

Address Line 2

City *

Province *

Postal Code *

Phone Number *

Email Address *

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

CVV *

Radiate Pricing:
$170 +HST - EARLY BIRD!
$190 +HST per person - After December 1, 2024

A non-refundable deposit of $50 per person (including leaders) is required to guarantee your spots when registering. Please estimate this number as accurately as possible. You are only guaranteed the spots that you register for. Deposit is due within four weeks of registration.

How would you like to pay your deposit and final bill? *

Use this credit card for deposit and final payment

Deposit and final payment will be paid by cheque mailed to the camp office at 942 Clearwater Lake Rd Port Sydney, ON P0B 1L0

Deposit and payment will be paid by e-transfer to: pioneerontarioeft@pioneercamp.ca Please indicate your church name in the transfer message.

Is there anything else we should know?