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Summer Camp 2010
Registration
_____ Leadership Training (15 yrs old and up) June 28-July 2 Training for those who will be working during the summer
_____ Junior Camp #1 (8-13 yr olds) July 5-9 Cost $75
_____ Junior Camp #2 (8-13 yr olds) July 12-16 Cost $75
_____ Teen Camp #1 (13-18 yr olds) July 19-23 Cost $75
_____ Teen Camp #2 (13-18 yr olds) July 26-30 Cost $75
_____ Day Camp (K-6th grade) August 2-6 Cost $7 per day registration can be paid daily
Cost: Summer week of camp is $75
Please pre-register by phone (276) 964-2230, mail, or email campevan@live.com
Name_____________________________________________________ Birthdate __________________
Address___________________________________________________ Boy _____ Girl _______
City_______________________________________________________
State___________ Zip_______________________
For campers under 18 years of age
Guardian: _____________________________________________________________
Phone Numbers: _______________________________________________________
Medications: ___________________________________________________________
Allergies: _______________________________________________________________
Insurance: _______________________________________________________________
Policy & Group Number: ___________________________________________________________
Insurance Phone: _____________________________________________________
In an emergency, I give permission for medical treatment to above child by authorized personnel. I absolve the camp of any liability beyond that of due care and sound judgment.
Parent or Guardian:__________________________________________________________
Camp Packing List
Bible, paper, pen Sleeping bag and pillow
Towel & washcloths, soap, shampoo, toothbrush & paste, etc
Spending money for Snack Shack and Trading Post (optional)
For Chapel: Girls--dresses or skirts Guys--Shirts and full length pants
For Swimming: Girls--one piece bathing suit and coverup Guys--Swim shorts and shirt
ALL CLOTHING IS TO COME TO THE KNEE No sleeveless shirts or blouses
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