Name *

First Name

Last Name

Spouse

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

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Please select each applicable box. *

I/we are at least nineteen (19) years of age.

I/we agree to comply with the Statements of Faith and Christian Conduct for Echo Lake Bible Camp.

I/we acknowledge that this application will be reviewed by the ELBC directors for approval and understand that membership is in accordance with the Echo Lake Bible Camp Bylaws.

I/we agree to support ELBC through involvement and/or financial contributions OR I/we are a member in good standing of an Evangelical Missionary Church of Canada congregation.

I/we are interested in serving on the Board of Directors.

I/we are interested in volunteering and are willing to be contacted to help.

I/we prefer to be contacted by: *

Phone

Email

Mail

I/we agree that the above information is true and correct. *

By checking this box you acknowledge that the information above is correct.

By checking this box your spouse acknowledge's that the information above is correct.

Date *

MM

DD

YYYY