RELEASE AGREEMENT FOR Camper Information EDINBORO … · Angel Tree Jr. & Sr. High Camp Week $250...

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_____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ RELEASE AGREEMENT FOR EDINBORO YOUTH CAMP I hereby give my permission for my child to participate in the programs and activities of Edinboro Camp & Retreat Center. This includes transportation for camp outings. I understand that every caution will be exercised by camp personnel to prevent injury, but that many of life’s activities have inherent dangers. In the event of a medical emergency involving my child, I authorize any hospital/ medical treatment deemed necessary by the physician selected by the Edinboro Camp personnel. I realized that every attempt will be made to contact me immediately at the emergency numbers I have listed on this form. I acknowledge that Edinboro Camp & Retreat Center does not provide accident insurance coverage for my child while involved in the camp’s activities. My family’s insurance provider will be used for any coverage so needed. My signature below indicates my agreement and understanding of this release along with the release of liability to Edinboro Camp & Retreat Center, its Director, staff and the Western PA District of the Christian & Missionary Alliance. _____________________________________________________________ Parent or Guardian Signature Date YES NO I give permission for use of photographs of my child for camp promotion. Family Information Gardians Full Name and Relationship to Camper Best Number to Reach You Email 2nd Gardians Full Name and Relationship to Camper Best Number to Reach You Email Church Name Church Address City State Zip Pastors Name Name of Camper Male Female Address City State Zip School Grade Completed by June 2018 Date of Birth Age Family Doctor Phone Insurance Company Policy# Group # Date of Tetanus Shot List of Medications Taken Must give meds to camp nurse at registration. Parents are responsible for the pickup of meds at the end of camp. Allergies Please list any special needs/restrictions (physical, mental, emotional, or behavioral including bed wetting) or recent illness/injuries that our staff should be aware of. Cabin Mate Request Cost to attend Camp Includes a Free T-Shirt, Check Size: Y-S Y-M Y-L A-S A-M A-L A-XL A-XXL Camper Information Mailto: Edinboro Camp & Retreat Center, 12940 Fry Road, Edinboro, PA 16412 Name on Card (Print) Name on Card (Signature) Card# Exp. Date 3-Digit # on Back of Card Payment Method ____________________________________________________ ____________________________________________________ ____________________________________________________ Master Card Visa Discover Check #____________ Make checks payable to Edinboro Camp and Mail to Camp What we Offer at Edinboro Youth Camps Great Worship, Challenging Speakers, Spiritual Growth, Learn about Missions, Learn Devotions, Beautiful Grounds, Really Nice Facilities, Dormatories, Hot Showers, In Ground Swimming Pool, New 100 x 130 ft Multi-Purpose Room, Awesome Outdoor Play Area, Snack Shop, Delicious Food, Free Camp T-Shirt, Campfires, Games Galore, Crafts, Inflatables, Fun Night Games, Archery, Hiking, Ping Pong, Billiards, Foos Ball, Carpetball, Soccer, Volleyball, Ultimate Frisbee, Octaball, Kan Jam, Bas- ketball, 9-Square, Sit Down Game, Wagon Rides, Tournaments, Team Competitions, Team Building, Outreach in Community, Lake Erie Swimming, Lake Erie Volleyball, Waldamere Amusement Park, Activities done in Past Years for our “Thrilling Base Camp” only, Canoeing, Horseback Riding, Cave Adventures, White Water Rafting, Ropes Course...lasting friendships and childhood memories! Important Information Relating to Camp Policies Bunk 1 is Back: A creative way of sending your campers a message. Through this service, you will be able to send one-way e-mail messages to you child at camp. You may include pictures, graph- ics, puzzles, etc. in your messages. Be sure to pick up an information brochure at registration. Homesickness/Visiting Campers/Phone Calls: Homesickness is always an issue, but we have found that campers deal with homesickness much better if they don’t see their parents or someone else’s parents. So we do not encourage visitation during the week. If you feel it is to the camper’s benefit that you should visit, or call them, then please call the Executive Director (Pastor Blair Blakeslee) 814-882-9816 and make arrangements. Thank you! Edinboro Youth Camps is open to anyone who wants to attend regardless of: Nationality – Race - Ethnic Background – Gender - Religious Affiliation or Church Denomination or No Religious or Church Affiliation. No Tolerance Policy for: Tobacco Products – Drugs – Alcohol – and/or Weapons. Camp Standards: We reserve the right to set standards of conduct for all campers. Campers who violate these standards may be subject to immediate dismissal at parent’s expense. Refuse Admittance: We reserve the right to refuse admittance to any camp week or event based on camp determined justifiable cause. Electronics: Please do not bring Radios – Tapes – CD’s – MP3 Players – TV/DVD – Hand-held Electronics – Games – Computers. Lost and Found: Lost and Found items will be held for 2 months. Requested items will be mailed C.O.D. Medications: All camper prescription medications must be brought to camp in their original container. Meals on Check-In Nights: No meals served on the night of Check-In. However, the Snack Shop will be open that evening for purchase. All snacks are provided for EXPLORER weekend. For more information about Edinboro Camp and Retreat Center go to: www.EdinboroCamp.org or call 814.882.9816 Executive Director Pastor Blair Blakeslee DirectionS Take I-79 to Edinboro Exit #166 • Go 1/2 mile East on Route 6N • Turn Right onto Fry Road • Go 1 1/2 miles South • Edinboro Camp is on the Right Executive Director Pastor Blair and Karin Blakeslee 814.882.9816 [email protected] 12940 Fry Road, Edinboro, PA 16412 EdinboroCamp.Org Edinboro Camp I-79 EXIT 166 Gibson Hill Rd Fry Rd 6N Scotland Yards Walmart ~Hebrews 13:16 “And do not forget to do good and to share with others, for with such sacrifices God is pleased.” 2018 Angel Tree Scholarship Camps IMPACTING LIVES Put x CAMP NAME AGE CAMP DATES COST Angel Tree Explorer Camp 6—7 June 15—17 Fri—Sun $15 Angel Tree Day Camp 6—10 June 18—22 Mon—Fri $20 Angel Tree Elementary Camp 8—12 July 15—20 Sun—Fri $30 Angel Tree Jr. & Sr High Camp 13—18 July 22—27 Sun—Fri $30 Angel Tree Evangelism Camp 13—18 July 15—20 Sun—Fri $25 Angel Tree Missionary Camp 13—18 July 15—20 Sun—Frii $25

Transcript of RELEASE AGREEMENT FOR Camper Information EDINBORO … · Angel Tree Jr. & Sr. High Camp Week $250...

Page 1: RELEASE AGREEMENT FOR Camper Information EDINBORO … · Angel Tree Jr. & Sr. High Camp Week $250 Angel Tree Pays $200 Camper Pays $30 Ages 13-18 • July 22-27 • Sunday-Friday

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RELEASE AGREEMENT FOR EDINBORO YOUTH CAMPI hereby give my permission for my child to participate in the programs and activities of Edinboro Camp & Retreat Center. This includes transportation for camp outings. I understand that every caution will be exercised by camp personnel to prevent injury, but that many of life’s activities have inherent dangers. In the event of a medical emergency involving my child, I authorize any hospital/medical treatment deemed necessary by the physician selected by the Edinboro Camp personnel. I realized that every attempt will be made to contact me immediately at the emergency numbers I have listed on this form. I acknowledge that Edinboro Camp & Retreat Center does not provide accident insurance coverage for my child while involved in the camp’s activities. My family’s insurance provider will be used for any coverage so needed. My signature below indicates my agreement and understanding of this release along with the release of liability to Edinboro Camp & Retreat Center, its Director, staff and the Western PA District of the Christian & Missionary Alliance.

_____________________________________________________________ ▲ Parent or Guardian Signature Date

☐ YES ☐ NO I give permission for use of photographs of my child for camp promotion.

Family Information

▲ Gardians Full Name and Relationship to Camper

Best Number to Reach You Email

2nd Gardians Full Name and Relationship to Camper

Best Number to Reach You Email

Church Name

Church Address

City State Zip

Pastors Name

▲ Name of Camper ☐ Male ☐Female

Address

City State Zip

School Grade Completed by June 2018 Date of Birth Age

Family Doctor Phone

Insurance Company

Policy# Group #

Date of Tetanus Shot

▲ List of Medications Taken Must give meds to camp nurse at registration. Parents are responsible for the pickup of meds at the end of camp.

▲ Allergies

▲ Please list any special needs/restrictions (physical, mental, emotional, or behavioral including bed wetting) or recent illness/injuries that our staff should be aware of.

▲ Cabin Mate Request Cost to attend Camp Includes a Free T-Shirt, Check Size: ☐Y-S ☐Y-M ☐Y-L ☐A-S ☐A-M ☐A-L ☐A-XL ☐A-XXL

Camper Information

Mail to:Edinboro Camp & Retreat Center, 12940 Fry Road, Edinboro, PA 16412

▲ Name on Card (Print)

Name on Card (Signature)

Card# Exp. Date 3-Digit # on Back of Card

Payment Method

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☐ Master Card ☐ Visa ☐ Discover ☐ Check #____________Make checks payable to Edinboro Camp and Mail to Camp

What we Offer at Edinboro Youth Camps Great Worship, Challenging Speakers, Spiritual Growth, Learn about Missions, Learn Devotions, Beautiful Grounds, Really Nice Facilities, Dormatories, Hot Showers, In Ground Swimming Pool, New 100 x 130 ft Multi-Purpose Room, Awesome Outdoor Play Area, Snack Shop, Delicious Food, Free Camp T-Shirt, Campfires, Games Galore, Crafts, Inflatables, Fun Night Games, Archery, Hiking, Ping Pong, Billiards, Foos Ball, Carpetball, Soccer, Volleyball, Ultimate Frisbee, Octaball, Kan Jam, Bas-ketball, 9-Square, Sit Down Game, Wagon Rides, Tournaments, Team Competitions, Team Building, Outreach in Community, Lake Erie Swimming, Lake Erie Volleyball, Waldamere Amusement Park, Activities done in Past Years for our “Thrilling Base Camp” only, Canoeing, Horseback Riding, Cave Adventures, White Water Rafting, Ropes Course...lasting friendships and childhood memories!

Important Information Relating to Camp PoliciesBunk 1 is Back: A creative way of sending your campers a message. Through this service, you will be able to send one-way e-mail messages to you child at camp. You may include pictures, graph-ics, puzzles, etc. in your messages. Be sure to pick up an information brochure at registration.

Homesickness/Visiting Campers/Phone Calls: Homesickness is always an issue, but we have found that campers deal with homesickness much better if they don’t see their parents or someone else’s parents. So we do not encourage visitation during the week. If you feel it is to the camper’s benefit that you should visit, or call them, then please call the Executive Director (Pastor Blair Blakeslee) 814-882-9816 and make arrangements. Thank you!

Edinboro Youth Camps is open to anyone who wants to attend regardless of: Nationality – Race - Ethnic Background – Gender - Religious Affiliation or Church Denomination or No Religious or Church Affiliation.

No Tolerance Policy for: Tobacco Products – Drugs – Alcohol – and/or Weapons.

Camp Standards: We reserve the right to set standards of conduct for all campers. Campers who violate these standards may be subject to immediate dismissal at parent’s expense.

Refuse Admittance: We reserve the right to refuse admittance to any camp week or event based on camp determined justifiable cause.

Electronics: Please do not bring Radios – Tapes – CD’s – MP3 Players – TV/DVD – Hand-held Electronics – Games – Computers.

Lost and Found: Lost and Found items will be held for 2 months. Requested items will be mailed C.O.D.

Medications: All camper prescription medications must be brought to camp in their original container.

Meals on Check-In Nights: No meals served on the night of Check-In. However, the Snack Shop will be open that evening for purchase. All snacks are provided for EXPLORER weekend.

For more information about Edinboro Camp and Retreat Center go to: www.EdinboroCamp.org or call 814.882.9816 Executive Director Pastor Blair Blakeslee

DirectionS• Take I-79 to Edinboro Exit #166 • Go 1/2 mile East on Route 6N • Turn Right onto Fry Road • Go 1 1/2 miles South • Edinboro Camp is on the Right

Executive Director Pastor Blair and Karin Blakeslee 814.882.9816 [email protected]

12940 Fry Road, Edinboro, PA 16412 EdinboroCamp.Org

EdinboroCamp

I-79

EXIT166

Gibson Hill Rd

Fry

Rd

6N

→→

ScotlandYards

Walmart

~Hebrews 13:16

“And do not forget

to do good and

to share with others,

for with such sacrifices

God is pleased.”

2 0 1 8 Angel Tree Scholarship Camps

IMPACTING LIVES

Put x CAMP NAME AGE CAMP DATES COST

Angel Tree Explorer Camp 6—7 June 15—17 Fri—Sun $15

Angel Tree Day Camp 6—10 June 18—22 Mon—Fri $20

Angel Tree Elementary Camp 8—12 July 15—20 Sun—Fri $30

Angel Tree Jr. & Sr High Camp 13—18 July 22—27 Sun—Fri $30

Angel Tree Evangelism Camp 13—18 July 15—20 Sun—Fri $25

Angel Tree Missionary Camp 13—18 July 15—20 Sun—Frii $25

Page 2: RELEASE AGREEMENT FOR Camper Information EDINBORO … · Angel Tree Jr. & Sr. High Camp Week $250 Angel Tree Pays $200 Camper Pays $30 Ages 13-18 • July 22-27 • Sunday-Friday

++ Angel Tree Elementary

Camp Week$250 Angel Tree Pays $200Camper Pays $30Ages 8-12 • July 15-20 • Sunday-FridayRegister Sunday Night 6–7:00 PMCheck Out Friday Night 7:00 PMFriday Night Event with Parents 6:00–7:00 PMA MEMORABLE week-long camp with so many things to do. Each day the kids will be busy with several activities, swimming, crafts, Bible teaching, worship, missionary speakers, and of course the snack shop food. Giant inflatables are always a favorite with this group. Great opportunities to fellowship with others their age and make some long lasting friendships.

Angel Tree Jr. & Sr. High Camp Week $250 Angel Tree Pays $200Camper Pays $30Ages 13-18 • July 22-27 • Sunday-FridayRegister Sunday Night 6–7:00 PMCheck Out Friday Night 7:00 PMFriday Night Event with Parents 6:00–7:00 PMCampers at this age are often in a challenging stage of their lives transitioning from being a child to a young adult. Bonding with others is important to them. They are looking for their identity so what a great place to be in helping them know who they are in Christ and building relationships with other teens with Biblical values. There will be plenty of activities and swimming to keep everyone involved and connected.OUR MISSION is to glorify God by providing opportunities for followers of Christ to strengthen their spiritual walk through sound Biblical teachings and enriching Christian fellowship. To reach out from a relationally Christ-centered environment to those who have yet to accept Jesus as their Savior and introduce them to Him.

Come to Edinboro Camp 2018Angel Tree Scholarship Camps!

Angel Tree Explorer Camp Weekend $105 Angel Tree Pays $90, Camper Pays $15 Ages 6-7 • June 15-17 • Friday-SundayRegister Friday Night 6:00–7:00 PM Check Out Sunday at 1:00 PMCampers have a chance to “EXPLORE” what camp is really all about. They have a short weekend rather than being thrown into a whole week. It is a brief but action packed weekend. There will be plenty of fun activities and inspirational services to help one grow in faith. This is a great camp to get kids prepared for longer overnighters when they get older!

Angel Tree Day Camp$155 Angel Tree Pays $135 Camper Pays $20This covers lunch for each day.Ages 6-10 • June 18-22 • Monday-FridayCheck in each morning at 8:00 AM and Check Out each afternoon at 5:00 PM with exception of Friday. Friday Night we have an Event for Parents 6:00–7:00 PM Day Campers have the chance to experience all that Edinboro Camp has to offer without staying overnight. You get to spend all day with all the fun activities and then go home and sleep in your own bed. You get to enjoy Craft Time, sing fun Worship songs and learn wonderful truths from the Bible. Get ready for several days of activities: Many interactive games – swimming – a huge playground and so much more.

Angel Tree Evangelism Camp Week$225 Angel Tree Pays $200Camper Pays $25Ages 13-18 • July 15-20 • Sunday-FridayRegister Sunday Night 6–7:00 PMCheck Out Friday Night 7:00 PMFriday Night Event with Parents 6:00–7:00 PMDon’t let the word EVANGELISM scare you. This will be an exciting and challenging camp. If you want to go deeper in your walk with the Lord or have a passion to see people come to know the Lord, then you will benefit from this camp. You’ll learn different ways to connect with people in the community so as to capture their respect. Then you’ll learn different ways to share the GOSPEL. This camp will be very rewarding. You’ll see God at work and be amazed at what He does in and through you. There will still be time for fun activities and of course Praise and Worship with challenging Messages.

Angel Tree Missionary Camp Week $225 Angel Tree Pays $200Camper Pays $25Ages 13-18 • July 15-20 • Sunday-FridayRegister Sunday Night 6–7:00 PMCheck Out Friday Night 7:00 PMFriday Night Event with Parents 6:00–7:00 PMThis exciting new camp will give you a chance to experience different cultures. Each day you will travel to different church ministries where they are impacting refugees or cultures differ-ent from your own. This camp will help give you a little flavor of what being a missionary is like. It is a very rewarding camp as you get a chance to impact lives for the Lord and have some eye opening experiences.

See you at Edinboro Camp!

What to Bring: Bible, pen/pencil, note tablet, snack shop money, clothing suitable for camp (including a jacket and modest swim suit), flashlight, soap, sun screen, towels, toothbrush, tooth-paste, sleeping bag or bedding and pillow, and other personal hygiene items. Please label all camper items.

What Not to Bring: Radios, CD Players, iPods, knives, laser pointers, electronic games, cell phones, computers, tablets, or weapons.

EDINBORO CAMP is first and fore-most a camp that ministers to the spiritual needs of campers.

We seek to keep the Lord Jesus Christ at the center of all activities.

We strive to minister to the campers’ all around needs including: spiritual, physical and emotional.

Services are held daily with special speakers, music and missionaries.

A varity of athletic and no-athletic activities are planned as well.

OUR MISSION is to glorify God by providing opportunities for followers of Christ to strengthan their spiritual walk through sound Biblical teachings and enriching Christian fellowship.

To reach out from a relationally Christ-centered environment to those who have yet to accept Jesus as their Savior and introduce them to Him.