Winter Camp Registration Form Below!

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Missing friends and counselors from Summer Camp?

Come, share the holidays with them during…

Winter Camp

AT

CAMP BETHEL DECEMBER 29-30, 2007 (Sat-Sun)

 

FELLOWSHIP , WINTER NATURE LESSONS, Campfires, Singing, GAMES, SLEDDING?  Separate grouping for Elementary (grades 1-5), Middle School (grades 6-8), and Sr High (grades 9-12).

Who: Elementary Winter Camp = Campers in 1st through 5th grade.

         Middle School Winter Camp = Campers in 6th through 8th grade.

         Senior High Winter Camp = Campers in the 9th through 12th grade.

 

What: Although this camp is short, the list of activities is long: singing Camp songs and Christmas Carols, games, campfires, Bible study, crafts, morning watch, Nature, sledding (if there is snow), worship, drinking hot cocoa and cider, fellowship with friends.

 

When: Check-in Saturday, December 29, 2007 at 10:00am.  Pick-up is Sunday, December 30, 2007 at 2:00pm.

 

Where: Campers and their counselors will be staying in our winterized cabins.  Each cabin will be separated by gender and age with 6-10 campers and 2 counselors.

 

Cost: $55 fee includes meals, lodging, and lots of FUN!

 

Upon receiving your registration we will send you a confirmation packet with schedule, pack list and health form to bring to check-in.

 

Please send the full registration fee of $55 and form by December 20 to: Camp Bethel, 328 Bethel Road,  Fincastle, VA 24090.

SEE YOU HERE!  IF IT SNOWS, BRING YOUR SLED!  J

  

Campers and their counselors will be staying in our winterized cabins.  Each cabin will be separated by gender and age with 6-10 campers and 2 counselors.

 

Upon receiving your registration we will send you a confirmation packet with a schedule, packing list and health form to bring to check-in.

 

Please be sure to include the full $55 fee (checks payable to Camp Bethel) with your registration by December 20, 2007.  Mail to: CAMP BETHEL WINTER CAMP, 328 BETHEL ROAD, FINCASTLE, VA 24090, or e-mail form to camp.bethel@juno.com.

 

- - - -print, complete, detach and return form below- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

 

W i n t e r  C a m p  R e g i s t r a t i o n

 

Name: _________________________________________     Sex: M or F     Camper's Birth date: ___________

Church/Denomination: _________________________________  Current Grade:_________         

Mailing Address: ______________________________________________________________

City: ____________________  State: ______   Zip: ___________ 

Parent/Guardian Name: ____________________________________________

Home Phone: _________________   Cell Phone: _______________________

Family E-mail: ____________________________________________

Emergency Contact: _____________________________________ 

Emergency Phone: ________________ 

 

Cabin Mate Request:  _________________________________

 

Special Needs (Please elaborate on additional paper):

Diet:   _________________________________________________

Medical:  ______________________________________________

 

Consent Statement: I hereby request that my child be accepted to attend Camp Bethel.  I understand that my child will be participating in many physical activities (including, but not limited to those listed in the activity list above) and the potential for accidents exists.  In consideration of acceptance to Camp Bethel, I indemnify and hold harmless Camp Bethel, the Virlina District Board–Church of the Brethren, Inc. and its staff and officers from any and all liability, claims, damage, injury or illness sustained by my child, and I hereby give permission to the camp to provide routine health care, administer prescribed medications as directed, and seek emergency medical treatment. I understand the active nature of the camp activities and give permission for my child to participate fully and to engage in all camp activities including the group challenge & initiatives course (unless otherwise noted).  Should it become necessary for my child to return home because of illness or other reason, I will abide by the Camp’s decision and arrange for transportation, and I agree to read all information included in confirmation materials sent to me after registration and to share this information with the camper, and to read, sign and return any and all applicable forms and waivers and I permit camp photos, video and audio of activities or interviews that may include my child to be used in camp promotion without liability or remuneration. 

 

Camper Signature: ________________________ Date: ________

 

Parent/Guardian:  __________________________ Date: ________

 

Method of payment: __check    __Visa    __MasterCard

 

Credit Card #: ________________________________________; Exp. date: _______________

 

Cardholder signature: ________________________________

 

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