2018 Wisconsin District Youth Camp Camper General Information
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1 GENERAL INFO 2018 Wisconsin District Youth Camp Camper General Information LOCATION: WI UPCI Campgrounds - W7895 St. John s Church Rd. - Shawano, WI DATES: Monday, June 25 th Friday, June 29 th SCHEDULE: See attached 2018 Youth Camp Schedule DUE DATE: Online Registration is open May 20 th June 8 th Medication List is required at time of on-site registration or post-marked by June 8 th AGES: Ages 12 to 18 COST: $150 on or before June 8 th $165 after June 8 th DISCOUNTS: $50 discount per sibling that registers ONLINE REGISTRATION: Youth leaders are now able to register their students online for Youth Camp! Visit for complete details. Youth leaders please ensure that the all required signatures are completed on each form. MEDICATION LOG: Students that are taking medications must turn in the Medication Log form at on-site registration OR they can mail it Postmarked By June 8 th to Wisconsin Youth Ministries, 2720 Kesting Court, Appleton, WI, PAYMENT No personal checks will be accepted. Church payments can be completed by Credit Card through online registration or mailed in the form of church check or money order. REGISTRATION/DISMISSAL Registration will take place for pre-registered campers from 10 AM 12 PM on Monday, June 25 th in the old tabernacle Campers must pass a lice check as part of the registration process Campers are responsible for making sure their dorm/rooms and the campgrounds are cleaned Friday morning Campers will be dismissed to eat lunch and leave after the conclusion of the Friday morning service Dismissal will take place at approximately 1 PM on Friday, June 29 th SPACE LIMITATIONS Please note that pre-registered campers will receive priority for beds in the dorms. Late and Walk-In Registrations should be aware of the possibility they may be turned away from Youth Camp 2018 if there are not any available beds on the campground. RE-THREADS Re-Threads is a consignment shop that will be in operation during the afternoons. Campers can bring clothing, shoes, and/or purses to Re-Threads and exchange for different items to take with them. Please bring only clothes that are gently worn, do not have holes, fit within the camp dress guidelines and are in overall good condition. CLOSED CAMPUS Please note that Youth Camp 2018 is a closed campus except for the Thursday evening service. Non-registered guests (except for pastors and youth pastors) will not be allowed to participate in the any of the Youth Camp events or services except for Thursday evening s service. (CONTINUED ON NEXT PAGE) Wisconsin Youth Ministries Camper General Information Page 1 of 2
2 2018 Wisconsin District Youth Camp Camper General Information (Cont.) CAMP RULES: Before occupying dorms, campers must have completed registration, including a lice check Due to the large number of campers pre-registered campers will be given priority for beds please be aware that walk-in registrants will have to wait to complete registration and will have to pay an additional $15 and are NOT guaranteed a bed Campers are expected to be at classes, services, and planned activities all other areas are off limits during these times After classes, services, and planned activities, campers will be formally dismissed Dorms and designated areas of the opposite sex are off limits at all times Campers are to stay in lighted and appropriate areas of the grounds Campers are not to leave the grounds without permission from the Camp Principal Smoking, tobacco products, alcohol, and non-medical drugs are forbidden Fireworks, firearms, weapons of any kind, or any other dangerous substances are forbidden DVD players and laptops/computers are not allowed Campers are not to share non-prescription medications if something is needed, campers should see the camp nurse All campers and workers will be treated with respect MOBILE DEVICE USAGE: The inappropriate use of any mobile device (use during service, inappropriate messaging/websites, etc) will result in confiscation until the conclusion of camp. DRESS CODE: We ask that all campers dress modestly at all times, understanding that guidelines have been put in place that may differ from personal conviction. If clothes are not acceptable, campers will be instructed to change their clothing. EVERYONE Clothing with suggestive or inappropriate logos or slogans is not to be worn Clothing with writing on the buttock area, earrings, body piercing, bracelets, and necklaces should not be worn. Only promise, engagement, and wedding rings are allowed Hair should be of natural color LADIES Skirts and dresses should be below the knee Inappropriately tight or ripped clothing is not allowed Necklines should be modest, and abdomens should not show with movement no sleeveless or capped sleeve tops Pants, gauchos, shorts (even baggy shorts), should not be worn Make-up is not to be worn. No colored finger/toenail polish. MEN Shorts, cut-offs, and inappropriately tight or ripped pants, are not allowed Muscle shirts, tank tops, and capped sleeves are not to be worn in addition, abdomens should not show with movement Hair is to be an appropriate short length if staff feels hair is unacceptable, workers will be asked to cut or pin up their hair DISCIPLINE: Any incident that requires disciplinary action (camper or worker) is taken in counsel with the Camp Principal and District Youth President. Mistreatment of expected guidelines may result in camper/worker being sent home. WHAT TO BRING: The following list is a guideline for what to bring to camp to make Youth Camp a great experience. Dorm Room linens / sleeping bag / blanket, pillow Clothes o Casual clothes for morning services and during the day, dressy clothes for evening services o Appropriate clothes for recreation o Nights at camp get chilly, so a sweatshirt or light jacket is recommended Personal Care Items - Appropriate robe, shower shoes/flip flops, deodorant, shampoo, soap, towels, etc. Additional Money o Food - Meals will be provided, but campers may wish to bring additional monies for the concession stand o DVDs will be made of the services and will be available for purchase at the end of camp o An offering is taken every evening service. Bring additional money to worship through your giving! Miscellaneous Items Bible, bug spray, sunscreen, umbrella, mini-fan for church Wisconsin Youth Ministries Camper General Information Page 2 of 2
3 CAMPER INFORMATION Last Name: 2018 Wisconsin District Youth Camp Camper Registration Form First Name: Age: Date of Birth: Gender (circle one): Male / Female Address: City: State: Zip: This is my first Youth Camp (circle one)? YES / NO INSURANCE INFORMATION Insurance Carrier: Policy #: Insurance Phone #: HEALTH INFORMATION Is the student currently being treated for any injury or sickness, or taking any form of medication for any reason? YES / NO If yes, list medications: Has the student been treated for any injury or sickness in the past 45 days? YES / NO If yes, please explain: Does camper have any allergies? (Food, medical, or other): YES / NO If yes, please explain: List treatment for allergies: Does the student have any physical handicap or illness that prevents him or her from participating in normal rigorous activity? YES / NO If yes, please explain: Does the camp nurse have permission to give camper: Tylenol: YES NO Ibuprofen: YES NO Aspirin YES NO Anti- histamine: YES NO Decongestant: YES NO Please list any other conditions/situations that camp staff should know about the camper: Are immunizations current? YES NO If no, please explain: ONLINE REGISTRATION IS OPEN MAY 20 TH - JUNE 8 TH & IS FIRST COME FIRST SERVE Please work with your Youth Leader/Church Representative to complete online registration. Wisconsin Youth Ministries Camper Registration Form Page 1 of 3
4 CAMPER NAME: DOB: PARENT / GUARDIAN INFORMATION Name: Relationship Primary Phone: ( ) Secondary Phone: ( ) EMERGENCY CONTACT (If parent/guardian is unavailable) Name: Relationship: Phone #: ( ) CHURCH / PASTOR INFORMATION Pastor Name: City: Church Name: Church Phone: CONSENT AND CERTIFICATION This health history is correct so far as I know, and is up to date as of the last 90 days. I certify that my child is physically fit and adequately prepared to engage in all prescribed camp activities except as noted. Emergency Authorization: I hereby give permission to the medical personnel selected by the camp officials to order x-rays, routine tests and treatment for me or my child, as in the event I cannot be reached in an emergency. I hereby give permission to the physician selected by the camp director to hospitalize, secure proper treatment for, and to order injection and/or anesthesia and/or surgery for me or my child as named above. I hereby give permission to transport me or my child for medical assistance. I understand that I am responsible for payment of all medical treatments received from non-camp sources. I also give permission for the camp medical staff to administer over-the-counter medications to my child that I have approved on page 2 of this form. I also give permission for my child to participate in all camp activities. REQUIRED SIGNATURES Camper: I have read the guidelines and expectations of WI District Youth Camp and agree to abide by them and conduct myself in an appropriate manner. Signature: Date: Parent: I have reviewed the above information, including the Consent and Certification and Medical Authorization. I do hereby grant authorizations as requested. In case of an emergency, I give permission for my child to be transported and treated for emergency care. Signature: Date: Pastor: (Please note, a Wisconsin pastor must sign for registrants) The above camper is in good standing with my church, and I give my Pastoral approval for them to attend Youth Camp. Signature: Date: PAYMENT INFORMATION Camper Registration Fee: $ T-SHIRT ORDER: (adult sizes): $10.00 Each Late/Walk-In Registration Fee is $15.00 $ QTY QTY T-shirt Order Total: $ XS XL Sibling Discount ($50 for 2 nd, 3 rd, etc.) $ S XXL M XXXL TOTAL OWED FOR CAMP $ L If paying by check, please make one Church Check payable to: Wisconsin Youth Ministries, 2720 Kesting Court, Appleton, WI Wisconsin Youth Ministries Camper Registration Form Page 2 of 3
5 Camper Medication Log All Campers taking medications must present this completed log at on-site registration. Medications MUST be kept in the nurse's station if the camper is not with a parent and MUST be in original pharmacy bottle with label intact. CAMPER NAME: DOB: Please list all medications taken by camper, including time and dosage MEDICATIONS AM PM Allergic to: Please indicate if camper has any allergies, and what they are. Notes: Wisconsin Youth Ministries Camper Registration Form Page 3 of 3
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