2018 Camper Application Form
Johnston Christian Park
Our camps tend to fill quickly (often by April). Please send your application early to avoid disappointment.
PLEASE PRINT. Send this form to the event director for your child’s age group, along with a $50 application fee ($25 for Beginner Camp) by cheque or money order payable to “Johnston Christian Park”. Please note that the application fee is non-refundable if the camper does not attend camp. We will acknowledge your application by email, but confirmation letters will not be mailed until early June. Cheques may not be cashed until early June. Thanks!
Camper’s Full Name: ______
Preferred name for camper’s Name Tag: ______Circle Gender: GirlBoy
Name of Parents/Guardians: ______
Mailing Address: ______
City/Town: ______Postal Code: ______
Parent’s Email: ______
Camper’s Email: ______
Main Phone Contact: Name:______Ph.#______
Additional Phone Numbers: Please list in order of contact preference
(1) Name & Relationship to camper: ______Ph.#______
(2) Name & Relationship to camper: ______Ph.#______
(3) Name & Relationship to camper: ______Ph.#______
Date of Birth (d/m/y): ______Current Grade in School: ______
Health Card No.: ______Province of Health Coverage/Card: _____
Campers may suggest ONE person with whom they would like to share a cabin. Please understand, this is not guaranteed, and cabin assignments are at the sole discretion of the event director.
______would like to share a cabin with ______.
Does your child attend church, Sunday School, or youth group on a regular basis?YesNo
If yes, which church or group? ______Location: ______
(Application continued on page 2)
Camper Application Form Continued…
Campers will be provided with a FREE camp t-shirt when they arrive at camp. Please select the size:
Children’s sizes: Small Medium Large
Adult sizes: Small Medium Large X-Large 2X-Large
Health Concerns (a detailed health form will be sent to you prior to camp):
Does your child have any allergies?YesNo
Does your child have any disabilities/challenges?YesNo
Does your child have any behavioral challenges?YesNo
Does your child have any dietary/food concerns?YesNo
Does your child have any other health concerns?YesNo
Please review the camp rules and conditions of enrollment (attached).
I declare that the information on this form is correct to the best of my knowledge. I have attached a letter explaining any further circumstances that the event director and staff should be made aware of to make my child’s stay at JCP a safe and enjoyable one.
______
DateSignature of Parent or Guardian
Please mail this form along with the conditions of enrollment form and application fee to the director for your child’s age group. (below)
Beginner Camp (7-8) Junior Camp (9-10) Intermediate Camp (11-12)Chi-Rho Camp (13-15)
(July 29-31, 2018) (July 8-14, 2018) (July 15-21, 2018)(July 22-28, 2018)
Ms. Morgan Dunn Ms.Gabrielle Andrews Mrs. Wendy Kinney Mr. Bob Howell PO Box 1155 1156 Wellington St Apt D Box, 24 31 Donald Ave. Digby,NS Halifax, NS Freeport, NS Amherst, NS B0V 1A0 B3H 2Z8 B0V 1B0 B4H 4A6
902-247-1505 902-247-0619 902-839-2548 902-667-5268
Fee: $90 Fee: $195 Fee: $195Fee: $195
RULES FOR ALL PARTICIPATING J. C. P. CAMPERS - 2018
The camping experience is a very special one. A lot of time and thought have gone into preparing the camping event you are to attend. The following rules have been put in place to ensure a more meaningful Christian camping atmosphere for all. The consequences for misconduct may be as severe as being asked to leave camp early.
In order for camp to be a fun and an enriching experience, all campers must be prepared to co-operate with and participate in the camping program.
Respectful language and behavior is expected. Swearing will not be permitted.
Event Directors and Counsellors will do their best to see that campers get sufficient sleep. There will be an evening curfew that we expect campers to follow.
Event Directors are responsible for campers and staff safety while at JCP. The permission of the Event Director is required before leaving the JCP property.
JCP property is a smoke free and an alcohol-free environment. This will be strictly enforced.
In order to protect the privacy of campers and staff, porches (decks) and steps and cabin interiors of opposite gender cabins are out of bounds unless clearly authorized to be there for a program purpose. i.e. boys are not to be on the porches (decks), steps, or interiors of a Girls Cabin and girls are not to be on the porches (decks), steps, or interiors of a Boys Cabin.
JCP camping events provide nutritious, tasty meals and snacks. Food in the cabin can attract both ants and rodents; therefore food in the cabins is not permitted.
We take pride in JCP and wish to promote this with our campers and staff. Damaging camp property is not respectful and does not show pride in the facility. Please show your pride and respect by keeping the JCP property free of graffiti and other damage.
Cell phones, smart phones, iPods, electronic games and devices prevent campers from fully participating in the total camping program. These items are to be left at home.
CONDITIONS OF ENROLLMENT at JULY CAMPING EVENTS at J.C.P.
Johnston Christian Park (JCP) is operated by the Maritime Area of the Christian Church (Disciples of Christ) Society (MDB) with the support of many dedicated volunteers who give time throughout the year to ensure that your child has an enjoyable and educational experience each July at this Christian Camp. Accordingly, the operator of the camp asks that the parent or guardian of each child/youth, applying to be a camper at J.C.P., agree to the following conditions of enrollment:
1. Camper Conduct: My child has agreed to conduct himself/herself in accordance with the “Rules for All Participating JCP Campers and Staff”, as located on the reverse side of this sheet of paper. YES ( )
2. Child Custody: The parent or guardian submitting this application (and named thereon) has legal custody of the child. Conditions of custody, if applicable, will be fully communicated by you, in writing, to the event director when the application form is mailed in. YES ( )
3. Accident & Sickness Waiver/Release: Precautions are taken for the safety and good health of our campers, but in the event of sickness or accident, the camp, event directors, employees, volunteers, and other agents of the MDB are hereby released from any liability. YES ( )
4. Medical Emergency Permission: In the event of a medical emergency, I hereby give permission to the physician selected by the event director or camp agent to hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery for my child as named on this sheet. I understand that every effort will be made to contact me in such circumstances. I also understand that I will be charged with any additional expenses of transportation and special care. YES ( )
5. Camp Promotion: I grant permission to the operators of JCP to use any photographs, video, or electronic image of my child taken during a camp sponsored activity for possible future promotion of Johnston Christian Park. YES ( )
IF AGREEABLE to the above noted five terms of enrollment please sign and date below.
______
(Signature of Parent/Guardian) (Date)
IF NOT willing to agree to all five of the above noted Conditions of Enrollment please indicate which of the 5you will not agree to and sign and date here to so indicate.