Sunday, August 12 Saturday, August 18, 2018 We welcome campers entering grades 3 ~ 12! We expect every space to be filled up, so get your application in early! Deadline Date: June 30, 2018 After June 30th, the rate will increase by $25.00. No applications will be accepted after July 31, 2018 Featuring: Campfire - Crafts - Great Food - Canoes and Kayaking - Music - Bible Speakers - Chapel - Sports - Swimming - Tennis - Tubing - Lasting Memories CAMP 207 Camper Rules Check in: Sunday, August 12, 2018 at 2:00 p.m. at Camp Vega (please do not arrive prior to check-in time) Check out: Saturday, August 18 at 10 a.m. (promptly) Parents are responsible for return home transportation Mailing Address: Camp 207, 66 Gorham Road, Scarborough, ME 04074 Transportation is NOT provided. Parents/guardians must transport campers to and from Camp Vega. Please Bring: Warm jacket and clothing; sneakers and shoes; underwear and night clothes; modest bathing suits (two preferred); pillow, sheets and blankets OR sleeping bag; bath/hand towels, beach towel, wash cloths, soap, toiletries, tissues, Bible, notebook, pencil, flashlight, musical instrument. Camp Rules: Permission must be given by the Camp Director for any camper to leave the campground at any time. (forms are available) All campers are to attend, and to be on time, to all meals, sessions, class periods and services. All campers must turn any spending money in to the Camp Treasurer upon arrival. All campers must be involved in the Sports Program, unless a health reason is so stated on their Camper Application. All medications brought to camp must be given to the Camp Nurse upon arrival, and must be in the original container. Items such as electronic games, cell phones, laptops, tablets, magazines, knives, bows and arrows, fire-arms, fireworks, tobacco, alcohol, and drugs, are NOT permitted. Modest clothing at all times. Please refrain from bringing improper attire to camp you may be requested to change! Modest bathing suits only. (no bikinis or midriff bathing suits) No campers are to be out of cabins after lights-out. Boys Areas are off-limits to girls. Girls Areas are off-limits to boys. Staff Quarters and Kitchen Areas are off-limits to all campers. Campers are to maintain cleanliness in their appearance and their cabin. Campers are not to enter a cabin other than their own unless invited by a counselor. A camper consistently showing improper actions and attitudes will be asked to leave the campground. It will be the responsibility of the camper s parents to provide transportation. For more information, go to our website at www.camp207.com
Maine Event Ministries, Camp 207 Camper Application SUNDAY, AUGUST 12 - SATURDAY AUGUST 18, 2018 Applications will be accepted on a first-come, first-served basis only - Deadline is June 30, 2018 Camper Information (PLEASE USE INK and PRINT) Name Birth date Age at Camp Grade as of Sept, 2018 Street Address City State Zip E-mail Phone Gender: Male Female T-Shirt Size: (please circle one) YOUTH SIZE Sm Med Large OR ADULT SIZE Sm Med Large XL Church Affiliation - Church name Youth Group Custodial parent/guardian Email Home phone Cell Business Phone Other emergency contact Email Home phone Cell Business Phone Cabin/friend request (limit to TWO names) (must be in the same grade; cannot be guaranteed) Campers are assigned to cabins by school grade. Please do not request your child to be placed with a child in a different grade. Transportation is NOT provided. Parents/guardians must transport campers to and from Camp Vega. Check-in is Sunday, August 12th at 2:00 p.m. Parents/guardians must pick up campers at Camp Vega on Saturday, August 18th PROMPTLY at 10:00 a.m. Camp Registration Fee Checks should be made payable to Maine Event Ministries and sent to: Camp 207, 66 Gorham Road, Scarborough, ME 04074 Regular Camper Registration Fee (includes Snack Shack) $ 300.00 Non-refundable Registration Deposit due with Application by June 30, 2018 $ 200.00 (After June 30, 2018, add a late fee of $25.00) Total Amount Enclosed with Application $ $ Check # Balance due upon arrival at Camp $ Date Received by Camp 207: I have read and agree to adhere to the attached Camp Rules. Camper Signature Date
Maine Event Ministries, Camp 207 Waiver Agreement Participant Assumption of Risk and Waiver Agreement Welcome to Maine Event Ministries, Camp 207 at Camp Vega! When working outdoors and leading physical activities, safety is our main concern. We will regularly discuss basic rules of safety and provide the special organization, supervision, instruction and equipment you need to participate safely in activities. It is impossible for us to eliminate all risk; however, and your commitment to follow instructions and use sound personal judgment will contribute greatly to your well being. By signing this waiver, the participant and/or guardian accepts that there are inherent risks and hazards in camp programming and agrees not to sue Maine Event Ministries, Camp 207 or Camp Vega, Inc. Please read and sign the following agreement: I, as a participant or parent/guardian of a participant, understand I will be participating in activities that involve periods of physical exertion, balancing, heights (up to 45 ), lifting, pushing, pulling and climbing. I know most activities will be outdoors where I will need to watch for slippery and/or uneven footing, limbs and branches, insects or animals and possible exposure to extreme or inclement weather. I fully understand that my physical activity involves risk of injury. I understand the risks may include loss or damage to personal property. I understand that I will not be forced to do any activity that despite a reasonable precaution taken by Maine Event Ministries, Camp 207 or Camp Vega, that a guarantee of absolute safety is impossible. I agree to exercise good personal judgment, to ask for help if I am concerned about my safety and to be responsible for deciding if a proposed activity is appropriate for me. I agree to inform my instructors of any physical, mental or medical condition that might affect my ability to participate or affect other members of my group. I realize that failure to tell that information could result in serious harm to others or to me. I also state that I am not under, and will not be under the influence of any chemical substance including alcohol. I agree to comply with safety instructions given by Maine Event Ministries, Camp 207 and to be responsible for my personal safety and well-being. I/We agree to hold Maine Event Ministries, Camp 207 and Camp Vega, Inc., its Directors, Officers, Employees, Agents, and/ or Associates harmless for any accidents, injury, loss, of or damage to property that may occur on this program. I/We understand that all possible precautions are taken to insure that all programs and activities sponsored by Maine Event Ministries, Camp 207 and Camp Vega, Inc., are conducted by mature and qualified personnel in a safe and responsible manner. I voluntarily assume the risks of the activities and agree to report any injuries before leaving the premises. In the event of an emergency, I/We understand every attempt will be made to contact the parent/guardian. In the event that the parent/ guardian cannot be reached, I/We give permission to Maine Event Ministries, Camp 207 and Camp Vega, Inc., to secure proper medical treatment. I understand that any medical expense will be billed directly to me or to my insurance company. Additionally, I authorize the medical team to administer over the counter medications such as aspirin, Tylenol, etc. I/We grant permission for Maine Event Ministries, Camp 207 to use any photographs of the participant taken during the program in newspapers, magazines, brochures or other media for promotional purposes. I/We have read and understand all materials outlining the camp activities, including this waiver and agree by these terms. I am aware this is a waiver and a release of liability and I sign it voluntarily. Signature of Parent/Guardian Printed Full Name Date Signature of Participant Printed Full Name Date Please print name, sign and mail the Waiver Agreement and Health History to: Camp 207, 66 Gorham Rd, Scarborough, ME 04074
Health History For the good health of everyone at Camp 207, please complete the following, required, Health History form, and submit along with the registration. There is no admittance into the camping program without this form. PLEASE USE INK AND PLEASE PRINT Camper Name: _ Date of Birth (Month/Day/Year): Insurance Carrier: Policy Number: _ Emergency Contact Information Parent/Guardian: Home Phone: Work Phone: Cell Phone: Email: Alternate Emergency Contact: Relationship: Home Phone: Work Phone: Cell Phone: Family Physician: Phone: _ Immunizations: for everyone s safety, immunization information MUST be provided. Please give the most recent dates for the following: (DTAP or DT): / / MMR: / / Polio: / / Hepatitis B: / / Chicken Pox: / / Has the camper ever had Chicken Pox? Yes/no (If Yes when? / / ) Medications: By state law, medications must be clearly labeled and in their original containers. ALL medications MUST be held & dispensed by the camp nurse during camp. Please list all current medications below, add an additional sheet if necessary. Additional Information: Last Routine Physical: / / Height: Weight: Eye Color:
Please list any known allergies (including those to medications) and type of reaction(s) Please list any frequent or chronic illness(es) which we need to know about Please list and describe any disabilities and/or required accommodations (including any recent concussion) Please explain any behavioral or dietary restrictions Other information you would like those working at Camp 207 to know about? An additional physician s note is required if the camper has seen a doctor for any treatment of illness or injury during the month prior to camp. All conditions, restrictions, and treatments must be stated. Please Sign Below This health history is correct to the best of my knowledge, and the camper described herein has my permission to engage in all camp activities except as noted. I hereby give permission to the medical personnel selected by the Camp Director to order X-rays, routine tests, treatment, to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation for my child. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the camp director to secure and administer hospitalization, injections, anesthesia, surgery, and/or any other proper treatment for the camper named above. I understand that in the case of an emergency or illness, every effort will be made to contact me or the emergency contact person I have indicated. Signature of Parent or Guardian: Date: Printed Name: Please print name, sign and mail the Waiver Agreement and Health History to: Camp 207, 66 Gorham Rd, Scarborough, ME 04074