Lift Summer Camp 2014
Dates: July 6-9th. Check-in begins in the lobby of Shoreline Church on July 6th at 2:30pm
Location: Camp Young Judaea; 121 Camp Young Judaea Rd, Wimberley, TX 78676
Price:
$240 for students and leaders
To register:
Go to www.shoreline.net/calendar/lift-summer-camp-2014/
Registration ends June 29th, however if you are fundraising and need an extra week (up to the day of camp) to raise all the camp funds let us know and we will work with you. For more info contact Devon Smith at 512-310-2244 x520
Forms you’ll need to turn in prior to departure:
Shoreline Activity Release Form
Shoreline Medical Release Form
Fundraising:
Our PS4 Raffle will start on May 28th and end on July 16th at our Wednesday night youth service. To receive $130 off, simply sell 13 tickets or 24 tickets to cover the total cost of camp!! Pick up your raffle ticket packets at any Wednesday night lift service, or stop by the main office and ask for Devon Smith at .
Packing List
Camp Checklist:
· Snacks – You may bring snacks for bus ride (1 hour ride). Dinner will be at Camp Young Judea.
· Bedding – Blanket and/or bedroll, 2 twin sheets and a pillow
· Swim Wear & Cover Up (Girls — modest one piece swimsuit, no midriff)
· Sneakers (Comfortable) are required to participate in some activities.
· Comfortable Clothes – 4 sets of shorts and t-shirts (Do not bring clothes that are revealing) Clothes will get dirty.
· Pajamas
· Toiletries – Wash cloth, 1-2 towels (showers and pool), shower shoes, toothpaste, tooth brush, shampoo/conditioner, soap, personal toiletries
· Medications – Make sure your child’s medical forms are complete and medications are in original container(s) in Ziploc bag marked with child’s name
· Other: Bible, notebook or paper, pencil or pen, water bottle, flashlight, sun block, bug spray - Please make sure your camper knows the how, when and why of their proper application.
· Optional: Camera
DO NOT BRING:
· Cell phones, IPod, CD player or MP3 Players of any sort, radios, TV’s, electronic games.
· Expensive jewelry or anything of value.
· Matches, lighters, or fireworks
· Spray paint, water guns, silly string, water balloons, etc…
· Alcohol, drugs, Illegal substances, tobacco products, Weapons
Any of the above items will be confiscated and returned after camp, NO exceptions. Parents please help us by ensuring that your student does not have any of the above items in their luggage.
Shoreline Church Activity Release Form
For All Parents, Camp Counselors, All Guardians and those 18 years of age or older:
I consent for any of my children listed below to participate in any activity or trip sponsored by Shoreline Church or its Affiliates, (collectively, “Church”). In case of medical need or injury, I authorize the Church to arrange for medical or dental services for me and any of my children listed below. I agree that any such expense will be my obligation. I, individually, or in my capacities as parent, guardian, or next friend of my children,
(PLEASE PRINT PARENT/GUARDIAN/COUNSELOR NAME - IF AT LEAST 18 YEARS OLD) ______, waive, release, and indemnify the Church all of its agents, directors, officers, employees, and volunteers (collectively, “Released Parties”) from all demands, claims, or liabilities, in law or in equity, that have arisen or may arise from any Church activity or trip and that involve any damage, loss, or injury to me, my spouse, any of my children, my property, or the property of any claims, or liability. This waiver, release, indemnification, and promise not to sue do not apply to claims of criminal conduct or gross negligence.
I understand that the Church may take photographs of me and my family in the course of its activities, and I grant the Church permission to publish such photographs in a manner the Church deems appropriate.
This Activity Release Form is in effect for events or activities that I, or any of my children, may participate in. This form is revocable, prospectively only, by a writing signed by me that bears the date that the revocation is delivered to the Church.
______/____ / ____
Signature - Adult or Parent /Guardian Signature Date
Print Names of Children:
1. ______
2. ______
Home Phone: ______Work Phone: ______
Mobile Phone: ______
For All Campers:
I waive, release, and indemnify the Released Parties as identified above from all demands, claims, or liability that have arisen for may arise from any Church activity or trip and that involve any damage, loss, or injury to me, my property, or my children’s property.
Minor’s (Child Camper) Signature & Date (of Minor’s Signature
Minor’s (Child Camper) Signature & Date (of Minor’s Signature
Shoreline Church Medical Release Form
MEDICAL AND EMERGENCY INFORMATION
Mother’s Name Phone
Place of Business Cell or work
Father’s Name Phone ______
Place of Business Cell or work
List 2 additional emergency contacts who will assume temporary care of your child if you cannot be reached:
1. Name Relationship
Home # Other #
2. Name Relationship
Home# Other #
Family Physician Office #
Business Address
Healthy History: Circle any area in which your child has had difficulty:
Kidneys Heart Asthma Diabetes Blood Pressure
Epilepsy Sight Hearing Allergies (explain)
Does you child wear corrective lenses while competing? (glasses or contacts)
Is your child allergic to any medications? Explain
Please list any physical concerns that would hinder your child from fully participating in all activities at this camp:
______/____ / ____
Signature - Adult or Parent /Guardian Signature Date