A Ministry of Peachtree Baptist Church at Camp Fairview Date of Camp: July 17-22, 2017 Cost of Camp: $165 We now offer paying by card online through PAYPAL! Make checks payable to: Peachtree Baptist Church Mail checks and applictions at least two weeks in advance of camp to: Peachtree Baptist Church 3867 Hwy 85 Senoia, GA 30276 Contact Phone: 770-599-6888 Physical Location of Camp Fairview: 820 County Rd. 674 Riceville, TN 37370 Purpose Supplies List Preach Christ Develop Christian Character KJV BIble Notebook and Pen Bed linens (sheets, pillow, or sleeping bag) Boys Clothing Chapel Dress (casual pants and shirts) Recreational clothing (loose fitting, water resistant knee length or longer) Swim trunks Neat and orderly appearance (hair cut, no piercings) Girls Clothing Chapel Dress (casual skirts, tops, and dresses) Recreational Clothes (loose fitting, water resistant, knee length or longer) Modest Bathing Suit (one piece or tankini) Neat and Modest appearance Spending Money Please keep this page for your reference
Supplies List Cont. Smile and a Good Attitude Reusable Water Bottle Ball Glove & Bat Bath Items Deodorant Soap Shampoo Toothbrush/Toothpaste Shower flip/flops Towel(s) Will be used for a team activity electronic devices cigarettes/alcohol/drugs pranks playing cards weapons fireworks boy's earrings Phoning or texting is permitted only for emergencies. Please keep this page for your reference
Map to Camp Fairview Please keep this page for your reference
July 17-22, 2017 A Ministry of Peachtree Baptist Church at Camp Fairview Please return this page to Peachtree Baptist Church Name Address Camper or Parent's Email Date of Birth M/D/Y Name of Parents/Guardian Name of Home Church Name of Pastor Pastor's or Church's Email Parent Agreement "I give consent for my child to attend Camp Fairview and will not hold the organization or sponsors liable in case of sickness or accident." Parent Signature Phone Number Camper Agreement "I desire to attend Camp Fairview and will do so at my own risk and responsibility. Also, I am willing to abide by all camp rules and regulations." Camper's Signature
Please return this page to Peachtree Baptist Church Camper's Health Certificate Camper's Parent or Guardian must fill out this Health Certificate. Please answer ALL questions. Camper's Name Age Grade Next Yr. Address City/State Zip Phone Height Weight Sex Past Illnesses Hepatitis Mononucleosis Spinal Meningitis Appendicitis Heart Trouble Rheumatic Fever Convulsions Tuberculosis Diabetes Epilepsy Polio Scarlet Fever Has Camper Ever Had? Frequent Colds Sore Throat Sinusitis Asthma Abscessed Ears Kidney Trouble Athlete's Foot Sleepwalking Poor Appetite Fainting Bed Wetting Constipation Frequent Stomach Upsets Has Camper Had Inoculations, And Are They Up To Date? Camper is Allergic To: Will Camp Need to Receive Regularly Prescribed Medication While At Camp? (All medication will need to be given to the appropriate camp counselor upon arrival. Please describe medication) Doctor's name and contact information: I agree not to permit my child to attend Camp Fairview if he has been exposed to any contagious or infectious disease, and will cancel his reservation at once. In case of emergency, I grant permission to the physician selected by the Camp Director to render proper treatment for my child. The parents will assume any coverage which camp insurance does not include. Signature of Parent or Guardian Address Phone: Day Evening
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