St. Peter the Aleut Orthodox Summer Camp 2018 For Students Grade 2-10 (as of June 1, 2018)

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1 WHERE IS PIONEER BIBLE CAMP? Located on the beautiful shores of Hanmore Lake, Pioneer Bible Camp is only 1 hr 20 min northeast of Edmonton. A map to the camp is included in the Camper Package sent out upon registration. PLEASE BRING TO CAMP: large plastic bag for dirty laundry; sleeping bag, pillow, bed sheet; towels, washcloths, personal articles (soap, shampoo, toothpaste); clothing should include jackets, sweaters, shirts, jeans, shorts, modest one-piece bathing suit, runners, rain gear and other personal attire; flashlight; Bible, pen and pencil, notebook; musical instruments (give to camp staff for safekeeping) PLEASE LEAVE AT HOME: junk food, electronic games, ipods, knives, clothing with unsuitable messages or graphics, short shorts, spaghetti strapped tank tops, jewelry, extra money St. Peter the Aleut Orthodox Summer Camp 2018 For Students Grade 2-10 (as of June 1, 2018) August 6-12, 2018 Alcohol, cigarettes and illegal drugs are not allowed at camp. Campers found with any of these items will be sent home at their own/their parent s expense. Still have questions about camp? Camp FB page: St. Peter the Aleut Orthodox Summer Camp Camp Website: stpetercamp.weebly.com Camp stpetercamp@yahoo.ca Camp Director: Dn. Kevin Wigglesworth Phone: (587) or (587) stpetercamp@yahoo.ca Pioneer Bible Camp, Hanmore Lake,AB

2 Vision Statement: St Peter the Aleut Summer Camp provides an opportunity for campers to experience a week where Christ is central in all daily activities. Mission Statement: Our Vision is fulfilled by living together in communion with Christ and one another through prayer and worship, education in the Orthodox Christian faith and all other daily camp activities and programs. CAMP EXPECTATIONS AND REGULATIONS: *work and play co-operatively with other campers and staff *respect the property of others *be punctual to all camp activities *stay with and listen to counselors *stay on the campground *make this camp a joyful experience for all A TYPICAL DAY AT CAMP 7:30 AM 8:00 AM 8:30 AM 9:00 AM 9:30 AM 12:00 PM 12:30 PM 1:30 PM 5:00 PM 5:30 PM 6:00 PM 6:30 PM 7:00 PM 8:30 PM 9:00 PM 9:30 PM 10:00 PM 10:30 PM Rise and Shine Morning Prayers Breakfast Cabin/Kitchen Cleanup Morning Activities (eg. crafts, rec, teaching) Lunch (Theme Lunches) Meal Cleanup Afternoon Activities (including swim time) Free Time Vespers Supper (Theme Meals) Meal Cleanup Evening Activities (sports, campfire, skitnite, etc.) Snack Wash/Cabin Prayers Elementary Lights Out Junior High Activities Junior High Lights Out For Calgary campers: Transportation to camp will be arranged and campers are responsible for the cost of gas. Transportation home from camp is the parent s responsibility. For Edmonton campers: Transportation to and from camp is the parent s responsibility. MONEY MATTERS First & Second Camper(s) (in family) $ Third & More Camper(s) $ Early bird registration: before June 24, $25 off each camper registration fee All kids should have the opportunity to go to camp. Financial assistance is available. If required, please contact your parish priest CAMPER REGISTRATION AND FEES must be postmarked no later than July 15th, Please make all cheques payable to St. Peter the Aleut Orthodox Summer Camp PLEASE FORWARD REGISTRATIONS TO: Dn. Kevin Wigglesworth 124 Mardale Crescent NE Calgary, AB T2A 3V5 DONATIONS for Camperships are gratefully accepted and receipts given if desired.

3 Transportation Calgary Campers Group transportation is being arranged from Calgary, AB to Pioneer Bible Camp, Hanmore Lake, AB for Calgary campers this year. St. Peter the Aleut Camp will cover the cost of transportation. Campers and their families are being asked to contribute to the cost of fuel and are asked to bring $20/camper with them on the first day of camp. Parents are responsible for arranging transportation from camp back to Calgary on Sunday, August 12 th. Edmonton Campers All Edmonton campers are responsible for their own transportation to and from camp. Edmonton parents are welcome to contact other Edmonton parents to arrange for carpooling, but travel costs are not being covered by St. Peter the Aleut Camp.

4 Map to Camp St. Peter the Aleut Camp Physical Location: Rge. Rd. 175 Travel 16.1 Km North from the town of Smoky Lake on Highway #855 Follow the signs after 16.1 Km *see note below* 3.2 km West 3.2 km North *note* The signs for Pioneer Bible Camp are small but they are there, so keep your eyes peeled. Following the signs is the best way to find the camp site! Pioneer Bible Camp phone number: (780)

5 Registration Form Name: M F Birth date: Grade (as of June 1, 2018): Age (as of June 1, 2018): Address: City: Prov.: PC: Parent(s)/Guardian(s): Phone Numbers: (Home) (Work) Parent s address: Baptized/Chrismated Orthodox: Y N Home Parish: T-shirt Size: (circle one) Youth: 6/8 10/12 14/16 Adult: S M L Red Cross Swim Level: Family Physician: Phone Number: Alberta Health Care Number: Additional Insurance type and number: EMERGENCY CONTACT Name: Relationship to child: Phone Numbers: (Home) (Work) Additional Emergency Contact (aside from parent) Name: Relationship to child: Phone Numbers: (Home) (Work) *Please turn over and complete the back of this form

6 MONEY MATTERS SUMMARY CAMP FEE: $ (1 st and 2 nd child in a family) CAMP FEE: $ (3 rd & more children in a family) Early Bird Registration Fee: for registrations received by June 24, please subtract $25 from each child s registration fee PAID IN FULL $ OR $30.00 deposit paid now, and August 6 th, 2018 post-dated $ cheque for balance is enclosed TOTAL FORWARDED WITH REGISTRATION $ Please make cheques payable to: St. Peter the Aleut Orthodox Summer Camp Elementary Camper Signature: (currently in Grades 2-6 as of June 1 st, 18) I hereby agree to abide by the rules and expectations of the camp Elementary Camper Parent Signature: I hereby agree to come pick up my child if he/she is unable to abide by camp expectations and, after due warning, does not change his/her behaviour Jr. High Campers and Parents: please sign separate attached Jr High Agreement. All parents: I hereby give permission for my child to be photographed/videotaped for use in future marketing materials: Y N (please circle)

7 Medical Information Camper s Name: Address: Phone Number: Emergency Contact: Phone Number: Are all immunizations up to date? Yes No Last Tetanus shot: Date: Does your child use an inhaler? Yes No Do you want your child to keep the inhaler with them? Yes No Does your child use an EpiPen? Yes No Do you want your child to keep the EpiPen with them? Yes No Is your child presently on any medication? If so, please specify type and any instructions for camp Nurse: Does your child have any allergies? Food: Drug: Environmental: Campers are not to keep medication of any type in their cabins. All medications will be turned over to Camp Personnel at the time if camp arrival and will be dispensed by Camp Nurse (only epipen and inhaler are exempt from this). Please notify Camp Nurse, upon arrival, of any new medications not listed above. The following non-prescription medication may be administered if deemed advisable by Camp Nurse: Tylenol, Benadryl, Gravol, Ibuprofen, Antihistamines, Pepto Bismol, Throat Lozenges, Robitussin, Caladryl/Calamine Lotion, other preparations for minor conditions, etc. If you have any objections, please note them: Any circumstances or behaviour you would like Camp Personnel to be aware of (bedwetting, contact lens wearer, recent death or divorce in the family, tantrums, sleep/eating disorders, etc): *Please turn over and fill out the back of this form

8 EMERGENCY AUTHORIZATION I/We the parent(s) or legal guardian(s) hereby authorize and consent to any X-ray examination, anesthetic, medical or surgical treatment given under the general or special supervision of any licensed personnel on the staff of a licensed hospital. This authorization is given in advance of any specific diagnosis, treatment, or hospital care required but is given to provide authority and power to give care that is deemed advisable in the best judgment of the physician. It is under- stood that an effort will be made to contact the undersigned prior to giving treatment, but that any treatment will not be withheld if the undersigned cannot be reached. The members, directors or volunteers shall not be liable for any personal injury that may occur while the camper is at St. Peter the Aleut Camp nor for any personal injury during the transportation to or from camp. I/We have read and understood the above information. Signature of Parent/Guardian Print name: Date: Additional Information for the Camp Nurse Please return completed registration/medical forms and cheque by July 15th, 2018 to: Dn. Kevin Wigglesworth 124 Mardale Crescent, Calgary, AB T2A 3V or or stpetercamp@yahoo.ca Take advantage of the Early Bird Registration Fee. Get your registration in by June 24 th and receive $25 off each camper s registration. For registrations received after July 15 th, the camper will not be guaranteed a t-shirt or that there will be a spot available for them at camp.

9 Junior High Camper Agreement (currently in Grade 7, 8, 9 or 10 as of June 1 st, 2018) All campers are expected to actively participate in camp program and abide by the rules set out by the Camp Director at the beginning of camp. Campers are advised that the following are not permitted: 1. Being under the influence of, or in possession of any restricted substances: illegal drugs, cigarettes and/or alcohol. 2. Leaving the site boundaries without the permission of the Camp Director. 3. Mixed visiting in the cabins of other campers. 4. Personal displays of affection of a romantic nature. 5. An inappropriate attitude towards staff. 6. Inappropriate behaviour that disrupts the effectiveness of camp. In the event that the camper fails to comply with the expectations in this agreement, one or more of the following actions will take place: Camper will lose camp privileges. His/her parent/guardian will be contacted. He/she will return home at his/her expense. The Camp Priest will be advised of the above action(s) taken and the reason for taking these actions. This agreement is in full force from the time the camper arrives at camp and will remain in effect until the completion of camp when the camper leaves the site. I, have read and understood the above expectations and by signing this agreement, I agree to abide by the rules of St. Peter the Aleut Camp. Signature of Camper Date Signature of Parent/Guardian Date This agreement was reviewed with the camper listed above by on. Camp Director Date Signature of the St. Peter of the Aleut Camp Director Date

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