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Welcome!

Welcome to IBC!


    • First
    • Last
  • Gender
  • Street Address
  • Other Address (optional)
    • City
    • State/Province
    • Zip/Postal Code
    • Country
    • Region (optional)
  • Youth or Youth Leader *
  • Eligible for Group Discount *
    Discount applies if MORE than FIVE youth are registering together for event. It will cost $60 per camper for the entire weekend.
  • I hereby give permission for REFUEL camp staff and medical staff to administer assistance to my dependant in case of emergency and transport to local hospital if deemed necessary. I hereby accept all responsibility for any damage both personal and property incurred by my dependant. I understand where behavior is deemed unaceeptable, I will be contacted and responsible to pick up my dependant upon dismissal from the camp.
  • Is this camper physically/emotionally fit to participate in all camp activities? *
  • Is the camper using medication? *
  • Does this camper have any allergic sensitivity to any food, drugs or other environmental substances? *
  • Emergency Contact Information


    • First
    • Last
  • I am planning on arriving in time for Friday supper (6-7pm)

NOTE: Do Not Alter These Fields: