MARANATHA CAMP 2018
CAMPER APPLICATION FORM
VENUE: WHITHAUGH PARK, NEWCASTLETON
Transport will be provided from a central location
DATES: 14th – 21stJULY 2018
COST:
£190for forms submitted before 28th February
£230for forms submitted before 31st May
A minimum deposit of £50 is required with the form; the balance is to be paid by 31st May
Application forms will not be accepted after 31st May
AGE RANGE:anybody currently of P6 – S5 age
Application forms should be sent to or
Maranatha Camp
PO Box 19086
Motherwell
ML1 9EE
Or
Complete the online form at
Payment
Payment to be made online at
You will receive an automated receipt by email. If you wish to arrange an alternative payment method, please get in touch.
If you have any questions please email or call the Camp Director on07760252334.
Please keep this page for your records.
CAMPER INFORMATION
Last Name: ………………………….
First Name: ………………………….
Gender: ……………………….
Date of Birth: …../..…./...…
Address: ………………………………………..…..………………………………...... ……….………………………………......
Postcode: ……………………………….
Home Phone: …………………………..
Email: ……………………………………
Can I please share a dorm/team with: (1)………………………………...... (2)...………………………………......
PARENT/GUARDIAN INFORMATION
FIRST CONTACT
Full Name: ………………………………
Relationship to Child: ……………......
Primary Phone: …………………………
Alternative Phone: ……………………..
Email: ……………………………………
SECOND CONTACT
Full Name: …………………………..
Relationship to Child: ………………
Primary Phone: …………………….
Alternative Phone: …………………….
EMERGENCY CONTACT
(If different from others given):
………………………………………..
………………………………………..
………………………………………..
MEDICAL INFORMATION
Doctors Name, Address & PhoneNumber: …………………………......
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……………………………………………
……………………………………………
When did your child last receive a Tetanus injection? ……………………………………………
Allergies: ……………………………………………
……………………………………………
Special Dietary Requirements:
……………………………………......
Please advise of any disabilities, medical conditions (including details of medication & dosage) or any other relevant information which may affect your child’s participation at Camp:
……………………………………………
……………………………………………
……………………………………………
……………………………………………
……………………………………………
……………………………………………
Maranatha Camp cannot accept responsibility for incidents arising as a result of withheld information.
Please tick this box if you prefer to receive correspondence by post rather than email.
Camp Hoodie
Would the camper like a Camp hoodie? Yes No
If yes please provide size ………..
and include an additional £13 with your final camp payment.(please see sizing guide).
PARENTAL CONSENT
Please tick the box if you DO NOT grant permission for your child to be photographed/filmed whilst at camp. Media may be used in our blog or annual DVD and may be used for promotional purposes.
In case of emergency if parent or guardian cannot be reached:
Please tick the box if you DO NOT grant permission to the Maranatha Camp Director to authorise urgent medical treatment for your child, including sutures, x-rays or a surgical procedure, if necessary.
Please tick a box if you DO NOT give permission for a qualified first aider to administer the following to your child:
Sunblock / Aftersun
Insect repellent
Paracetamol
Ibuprofen
Antiseptic ointment
Plasters
Antihistamine tablets/cream
Please tick the box if you DO NOT give permission for your child to swim under supervision.
Parent’s Signature:……………….
If your child contacts you whilst they are at camp expressing unhappiness or a desire to come home we would ask that you contact the Camp Director on 07464 404873.
Mobile phones will be removed from campers at night-time. Should you need to contact your child between the hours of 11pm and 8am, please phone the Camp Director on 07464 404873.
In the interests of the success of camp, it is essential that a high standard of behaviour is maintained at all times. Minor misdemeanours are dealt with by loss of team points. In some extreme cases the camp leaders may resort to sending offenders home. Should this become necessary, parents will be advised and it will be the responsibility of the parents to make the necessary travel arrangements.
CAMPER ATTESTATION
I promise:
- Not to be alone AT ANY TIME with a member of the opposite sex.
- To be in my OWN dormitory at all times after lights out.
- Not to smoke or drink alcohol.
- Not to go out of the camp without permission from the Maranatha Camp Director
I understand that I WILL be sent home if I fail to abide by these rules.
I promise to take care of camp buildings and equipment. I promise to co-operate fully with leaders in punctuality, cleanliness, tidiness and involvement in the camp programme.
I agree to give my mobile to my dorm leader at lights out and understand that it will be returned to me in the morning.
Camper’s Signature: ………..……
To help us plan future Camps and events, please let us know the following:
How did you hear about Maranatha Camp?......
Do you currently attend a Church or Youth Group? If so, which one?......
We will not pass your information onto any other organisation, but we might email you with information about Maranatha Camp events or other suitable Christian events throughout the year.
Please tick the box if you DO NOT want to receive these.