State Kids Camp 16 July 6th-9th At Camp Victory in Mannford
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1 State Kids Camp 16 July 6th-9th At Camp Victory in Mannford Completed 2 nd - 5 th Grades $150/camper + $15 snack shack & RC Kids Camp shirt (Camp Victory shirts can be purchased for an additional $10) Limited Space Available! Ryan Golightly [rgolightly@rejoicechurch.com] Nikki Scott [nscott@rejoicechurch.com]
2 What to Bring to Kids Camp 16 Dress is casual throughout camp. One light bag is best. *Remember to clearly mark each item with the camper s name. Bible Blanket/Sleeping bag Sheets (twin size) Flashlight Goggles Hat/Sunglasses Insect repellent Jacket (lightweight) Laundry bag Money for Snacks & T- Shirt Pajamas Pillow with case Prescription Medications (if applicable) Blue jeans/long pants Shoes Shorts Socks Sunscreen Swimsuit (one piece) Swim shoes / flip flops for the pool & canoes Toiletries (toothbrush & paste, soap, shampoo, etc.) T-shirts Towels (bath & pool) Underwear Items NOT ALLOWED at camp: Tablets Cell phones Items intended for pranks Water guns Shaving Cream Fireworks Go-Karts Canoeing Swimming Disc Golf Archery BB Guns What To Do at Camp?! Plus, the Foot Zip-Line and Bumper Cars! Fishing Basketball Volleyball Tetherball Hiking Trails Arts & Crafts
3 Rejoice Church State Kids Camp Behavior Expectations Obeying your counselor and following camp rules and guidelines, for example getting up when your counselor asks following directions no talking after lights out Being respectful of others (i.e. no calling others names, physical harm, fits of rage, etc.) Being on time to all activities. Following directions and participation in all activities. Encouraging others at all times. Always staying in (at least) groups of three. Letting your counselor know where you are at all times No boys in the girl's cabins and no girls in the boy s cabins: NO EXCEPTIONS. Showing manners at meals (no belching, throwing food, etc.) Discipline Procedures 1st Step Discuss with two group counselors Although a camper may be called down for misconduct, misbehaving incidents will be discussed privately between the two counselors and the individual camper(s) away from the other campers in the cabin. 2nd Step Discuss with counselor and camp director It is at this point that the parents are notified of the problem(s). 3rd Step Discuss with counselor and children s pastor At this point the camper will be sent home, and the parents and or guardian will be asked to come and pick up their child. *** All discipline matters are private matters between the counselor(s), camper and appropriate camp administrators. All final decisions are the responsibility of the Rejoice Church Children s Staff after discussion with all adult volunteers involved. Please complete the back.
4 Rejoice Church State Kids Camp BEHAVIOR WAIVER I, (print parent or guardian name), take all responsibility for my child, (print student name), during the entire 2013 Kids Camp event. In the event of any personal or property damage done by my child, I understand that I am completely, morally, and financially responsible. This includes: Negligent physical harm or injury inflicted to another individual by my child. Property damage to any and all objects done by my child. Transportation expense home for my child due to their inability to gain personal control over any actions that may cause injury to oneself or another. Transportation expense home for my child due to their causing excessive and persistent disruption to the entire group on said event. All dismissal decisions are at the discretion of the Children s Pastor. In the event that damage is caused by more than one child then equal responsibility is taken by all involved. When responsibility for damage is not claimed, all those closely related will share in responsibility and expense (example: room damage unaccounted for equals all room members share responsibility). All final decisions are the responsibility of the Children s Pastor after discussion with all volunteer adults involved. It is not our desire to ever send a child home and we will do all we can to work with you, the parent, in impacting your child positively. When any serious problem arises you will receive a phone call so that the matter can be discussed and the proper action taken. In the event of your child being excused from camp, you will be responsible for picking them up at Camp Victory on the date of, and immediately following, the dismissing action. Signatures: (parent or guardian) (child/camper) (date) Rejoice Church E. 106 St. N. - Owasso - OK
5 Oklahoma Free Will Baptist Camps CAMPER HEALTH/REGISTRATION FORM P.O. Box 7527 Moore, OK okstatece.com Circle One: July 6-9 July July July Church: Phone: Church Address: City: State: Zip: Circle One: Camper Sponsor Pre-Camper Camper s Name: DOB: / / Sex: M F Address: City: State: Zip: (If applies to you) CDIB#: (Please Send Photo Copy) Home Phone: ( ) Parent/Guardian Name: Relationship Emergency Phone: ( ) Emergency Contact: Relationship HEALTH INFORMATION Allergies No Yes -If yes, list what you are allergic to: Medicine(s) you are presently taking: Date of last tetanus shot: Are you current on all your shots: Yes No Are there any special conditions/health problems that we should be aware of: Yes No If yes, please explain: (use the back of this paper if necessary) Your physician s name: Office Phone: ( ) Your dentist s name: Office Phone: ( ) HEALTH INSURANCE INFORMATION Personal Ins. Coverage (Your Insurance): Company Name: Address: City: State: Zip: Phone: ( ) Policy Number: PERMISSION TO RECEIVE MEDICAL HELP FOR CAMPER IF NEEDED I/We, parent/guardian of the above named camper, hereby give consent to provide camper with emergency care, and/or hospitalization for any accident or illness which occurs while attending Oklahoma FWB Camp at Camp Victory, and also give permission to transport camper to and from localities where such health services are provided. I/We understand that the Oklahoma Free Will Baptist CE Board is not liable for any medical cost. Signed: Relationship: Date: STATEMENT I/We have read or have had read to us the Code of Conduct, guidelines, rules, and regulations. We agree that the above named camper will follow these rules while at camp. We understand that Camp Victory and Oklahoma FWB CE Board is not the responsible party for the supervision of the campers, but it is the responsibility of the church or group bringing them to camp. We understand that the Oklahoma Free Will Baptist Christian Education Board and the Oklahoma State Association of Free Will Baptists is not liable for any accidents that happen at any of the following camps at Camp Victory. Parent/Guardian Signature: Date: Camper Signature: Date: Go to okstatece.com for more information or call
6 Minor Release Form W Basin Rd, Mannford OK Fax Last Name First Name Home Address City State Zip Legal Guardian Last Name Legal Guardian First Name THIS FORM MUST BE SIGNED BY THE MINOR S LEGAL GUARDIAN AND TURNED IN TO CAMP VICTORY BEFORE MINOR MAY ATTEND ANY EVENTS AT CAMP VICTORY. IF NOT SIGNED, PARTICIPANT WILL NOT BE ALLOWED TO ATTEND CAMP VICTORY. As the parent or legal guardian of the said minor, I authorize said minor to attend Camp Victory and to engage in all camp activities, including water sports, horseback riding, outdoor activities, and strenuous activities. I acknowledge that the Camp and all related activities are offered by Camp Victory and not by Victory Christian Center, Inc. (the Church ), which is a separate legal entity from Camp Victory. I agree, personally and on behalf of minor, to release and indemnify Camp Victory and the Church and their respective officers, directors, employees, and agents from and against all liability for harm to said minor, or minor s personal property, resulting directly or indirectly from minor s attendance at Camp and/or participation in any Camp-related activities even if Camp Victory or the Church is deemed negligent. In other words, I will not sue Camp Victory or the Church for any reason, whatsoever. I also authorize administration of a tetanus shot or other medical treatment including the administration of over-the-counter medications deemed necessary by Camp Victory, and I agree to release and indemnify Camp Victory against all liability and costs for treatment. I also authorize Camp Victory to use photos taken of minor for promotional and record keeping purposes. Signature Printed Name Date
We love your kids, Jason & Robyn. Jason Underhill, Children s Pastor Robyn Collins, Children s Treehouse Minister
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