Tar Hollow Christian Adventure Camp

Sidney First United MethodistChurch

230 East Poplar Street

Sidney, Ohio45365

Non-Profit Org

U.S. POSTAGE

PAID

Sidney, Ohio

Permit No. 158

CAMPINFORMATION ENCLOSED

Tar Hollow Christian Adventure Camp

CampPacket

Tar Hollow Christian Adventure Camp

Sidney First United MethodistChurch

230 E. Poplar St.

Sidney, Ohio45365

(937) 492-9136

Fax (937)492-1409

It's that time for all of those entering grade 7 through Graduates to prepare for another spirit-filled week at Tar Hollow Christian Adventure Camp, August 10th - August 17th, 2013.

The cost of Camp will be:

$125.00 for all youth

The above camp fees include a campT-shirt.

*In the case of MORE THAN TWO Campers from ONE IMMEDIATE FAMILY:

The FIRST TWO pay FULL PRICE, and the OTHERS pay HALF PRICE.

*Make checks payable to: TAR HOLLOW CHRISTIAN ADVENTURE CAMP.

For your Registration to be complete, you must return ALL of the following to the Church Office:

Registration Form - SIGNED by Parents and Camper.
Medical Form - COMPLETED by Parents, SIGNED and NOTARIZED.

CampFee - IN FULL.
T-Shirt Form

DEADLINE for registration is July 19th, 2013. When an age group is filled, we will establish a waiting list.

Registrations will be processed according to the DATE RECEIVED.

*Space is always limited, so please return completed forms AS SOON AS POSSIBLE..

No one will be accepted after July 19th, 2013

**Registration Form will be returned if incomplete.**

*Full refunds will be given until July 19tht.

PARENTS AND CAMPERS please read the enclosed Tar Hollow Rules. Signing the application is an agreement to follow the rules.

Any violation of the CampRules will be subject to one or more of the following consequences:

Extra Camp duties as assigned by the Director.
Call home to Parents.
Being sent home.
Not permitted to return to Camp.

Because of past problems with cell phones, camera phones, MP3 players, walkie talkies, radios, etc., do not bring these items to camp. Any of the above being used for any reason will be confiscated and returned at the end of camp. Tar Hollow will not be responsible for items confiscated.

For ALL FIRST-TIME CAMPERS and THEIR PARENTS, we strongly recommend that you attend a FIRST-TIME CAMPER MEETING ----- SUNDAY, August 4th, 2013 at 4:00 p.m. inNew FellowshipHall of the Sidney FirstUnited Methodist Church, 230 E. Poplar St., Sidney.

(*This meeting will answer questions, as well as make the transition easier for the First-Time Camper.)

Cabins are formed on the basis of: Age, Grade and the desire to encourage new friendships.

**It CANNOT BE GUARANTEED that Campers from the same Church will be in the same cabin.

For more Registration Forms or questions, please call:

Teresa Kleinhans (937) 638-1105

OrSidney First United MethodistChurchat (937) 492-9136.

CHECK LIST:Completed and Signed ApplicationCompleted and Signed Medical Form

Complete all of the Completed T-Shirt Form Medical Form Notarized

For Office Use Only:

Date

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TAR HOLLOW CHRISTIAN ADVENTURE CAMP

REGISTRATION FORM

(This form must be turned in to the Church Office along with the Medical Form, T-Shirt Form, and CampFee.)

CAMPER (Please Print)

Name: Male: Female:

Address: Phone: ()

City: State: Zip:

E-Mail Address:

Date of Birth: Age: Grade Entering:

** Please check if you will be a First-Year Camper

CHURCH INFORMATION

Name of Church:

Address:

City: State: Zip:

District: Pastor:

For Campers:

I have read and understand the description of the Camp for which I am registered and agree to participate fully in the program, obey rules and regulations and to remember that we desire to exemplify Christ in every way, which includes our conduct, our behavior and our dress. Therefore, we trust that each of you will conduct yourselves and dress in such a manner “THAT WOULD NOT ALLOW SOMEONE TO STUMBLE” (Romans 14:21)

Camper's Signature

For Parents/Guardians:

I have read the description of and rules for the event for which my child is registering and understand the nature of the program. I grant permission for my child to participate in all Camp activities. Cabins are made up with 1 or 2 counselors and up to 8 children.

Parent's/Guardian's Signature

CampFees

Amount Paid For Registration:

Additional Donation (If Desired):

Short Sleeve T-Shirt: FREE

Additional Shirts (If desired):

Total:

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHOLARSHIP APPLICATION (If Desired)

Name of Camper:

Complete Address:

Reason Scholarship is needed:

Amount Needed:

THIS IS IMPORTANT ~ PLEASE READ!!

Dear Potential Staff-Camper Member:

In the event of injury or illness to an individual while attending Tar Hollow Christian Adventure Camp, it is important that we receive a complete and accurate medical history on each person attending. Please provide the information requested on the attached "MEDICAL INFORMATION FORM."

IT IS ESSENTIAL THAT WE HAVE THE DATE OF THE YOUR LAST TETANUS INJECTION! If you do NOT have an up-to-date tetanus injection, we strongly urge you to obtain one prior to attending camp.

All the information is treated confidentially and will only be released to medical personnel or other camp staff as required, ONLY IN THE EVENT OF AN EMERGENCY SITUATION.

For the protection of the campers and staff, ALL prescription medications as well as over-the-counter medicines, WILL BE HELD BY CAMP MEDICAL PERSONNEL FOR THE DURATION OF THE CAMP. Exceptions will be made in the case of EMERGENCY heart or asthma medications or similar situations. Notify camp medical staff of such medications. Required medications will be distributed appropriately by the medical staff as regularly scheduled. "As needed" or "In case of" medications will be made available upon your request from the medical staff.

PLEASE LEAVE ALLMEDICATIONS, BOTH PRESCRIPTION AND OVER-THE-COUNTER, IN THEIR ORIGINAL CONTAINER, AND MARK THEM CLEARLY WITH THE FULL NAME OF THE STAFF OR CAMPER FOR WHOM THEY ARE INTENDED. All unused portions will be returned to you at the end of camp.

NO ONE will be permitted to attend this camp without the "Medical Information Form" being signed and on file with the camp staff along with your application BEFORE FIRST DAY OF CAMP!CAMPER FORMS MUST BE NOTARIZED!!THIS IS AN ABSOLUTE REQUIREMENT!

If you have any questions or concerns, please contact the camp staff through the SidneyFirstUnitedMethodistChurch at (937) 492-9136 as soon as possible.

Thank you for your cooperation in this matter.

Confidential Medical Form

FULL NAME

COMPLETE ADDRESS

HOME/CELL PHONE ( ____) ______

Age______DATE OF BIRTH____/____/______

SOCIAL SECURITY #

======

NO ONE WILL BE PERMITTED TO ATTEND CAMP WITHOUT THIS FORM ON FILE. MEDICAL HISTORY INFORMATION WILL BE KEPT CONFIDENTIAL BY THE CAMPMEDICAL AND ADMINISTRATIVE STAFF, AND SHARED ONLY TO PROVIDE NECESSARY CARE FOR CAMPERS AND STAFF.

======

PRIMARY CONTACTS:(PLEASE PRINT)

NAME HOME PHONE () CELL ( ____ ) ______

RELATIONSHIP

COMPLETE HOME ADDRESS ______

WORK LOCATION ______WORK PHONE( ____ ) ______

NAME HOME PHONE () CELL ( ____ ) ______

RELATIONSHIP

COMPLETE HOME ADDRESS

WORK LOCATION ______WORK PHONE( ____ ) ______

OTHER CLOSE RELATIVE NOT RESIDING WITH (CAMPER ONLY)

NAME HOME PHONE () CELL ( ____ ) ______

RELATIONSHIP

COMPLETE HOME ADDRESS

WORK LOCATION ______WORK PHONE( ____ ) ______

MEDICAL INSURANCE INFORMATION:

Please provide the following information as it appears on the insurance card and provide a photocopy

of the front and back of the card.

NAME OF COMPANYPOLICY NUMBER

PHONE NUMBER:

POLICYHOLDER NAME

POLICYHOLDER NAME (IF DIFFERENT FROM PARENT/GUARDIAN) ______

ADRESS______PHONE NUMBER______

PLEASE PROVIDE A PHOTOCOPY OF THE FRONT AND BACK OF INSURANCE CARD AND PRESCRIPTION CARD.

FAMILY DOCTOR OFFICE PHONE ()

AFTER HOURS PHONE ()

PERMISSION TO TREAT

NO STAFF WILL BE PERMITTED TO ATTEND CAMP WITHOUT THIS SIGNED FORM ON FILE.

NO CAMPER WILL BE PERMITTED TO ATTEND CAMP WITHOUT THIS SIGNED AND NOTARIZED FORM ON FILE.

I understand that the Camp Nurse or other qualified Medical Personnel will administer any necessary first-aid and/or other over-the-counter medicines for any minor injuries or illnesses that, if a serious injury or illness should occur, emergency medical care may be administered by qualified Camp Personnel and that, if any further medical treatment is deemed necessary, it will be obtained at the nearest Healthcare Provider/Facility as soon as possible. I further understand that, in the event of a serious injury or illness, every possible effort will be made to contact my primary contact person at the earliest possible time. However, if time does not permit or if circumstances do not allow for this contact, I hereby give my permission to qualified CampPersonnel to provide emergency treatment and for the Healthcare Provider/Facility to provide emergency treatment or surgery as deemed necessary. This permission is in effect from the time he/she enters the Campground area and becomes subject to Camp jurisdiction until the time he/she leaves the Campground area and is no longer subject to the Camp jurisdiction.

My signature here acknowledges that I have read, understand, and consent to the above condition listed both on this form and the Cover Letter as well, and that all information is as complete and as accurate as is possible, to the best of my knowledge.

______NOTARIZATION

SIGNATURE OF STAFF MEMBERDATE

______

SIGNATURE OF PARENT/GUARDIAN (REQUIRED FOR CAMPER ONLY) DATE

______

SIGNATURE OF WITNESS TO ABOVE (REQUIRED FOR CAMPER ONLY) DATE

CAMPER RULES

Friends and family are not permitted to visit the camp during the week.

Attend and report to meals and special events on time.

Help your counselor by observing the camp schedule, especially lights out.

Writing home is encouraged at camp, mailbox is in the office.

Have clean bodies and clothes, report to the nurses’ station for first aid treatment.

Swim only at swim periods and then only in the swimming area. No one can go to the lake or waterfront area unless on the schedule or at extra time by special permission from the Waterfront Director.

When using the recreational equipment, boats, canoes. Care for them respectfully and RETURN them to their proper place when finished.

At meals stay seated in the lodge until everyone is dismissed.

Report for hopper duty on time, including Counselors, NO BATHING SUITS AT THE TABLE OR CLASSES.

Keep cabin clean and in order, including the grounds around the cabin

NO SMOKING IS PERMITTED FOR ANYONE UNDER 18, Adults 18 and over are permitted to smoke only at the designated time and area.

Campers shall not be on other hills or in other cabins without authorization.

Boys are not to be on the hill where there are girls’ cabins and vice-versa. Any singing etc. must be done from no lower then the closest cabin to the lodge.

Camper are not permitted on the hills without permission except during assigned times.

Do not go up the hill after friendship circle without your counselor.

Cabin Devotions should be done nightly before any other in cabin activities

Camp activities should involve all the cabin members including the counselors.

Put your name on your camp book and any other personal belongings, you are responsible for them.

Try something during the day to feel the presents of God- LET GO AND LET GOD!

All campers are expected to attend camp for the full week, unless some unanticipated emergency occurs. Exceptions may only be made by the camp director.

DISCUSSION ON THESE MATTERS MUST BE HANDLED PRIOR TO CAMP.

There will be no driving on the hills, to the Green Cathedral, to the dam, etc. at any time, unless deemed necessary by the camp director.

Any camper leaving the camp without authorization may be sent home immediately.

2013LOGO

SHIRT PRE-ORDER FORM

SHORT SLEEVE T-SHIRT INCLUDED IN PRICE OF CAMP

(Circle one)

Short Sleeve T-shirtSMLXLXXLXXXLFREE

Long Sleeve T-ShirtSMLXLXXL$15.00

9oz SWEAT SHIRTSMLXLXXLXXXL$19.00

9 oz HOODIESMLXLXXLXXXL$26.00

(Choose color below for Hoodies Only)

Ash GreyGoldBurnt Orange

RedPurpleRoyal

PLEASE RETURN:

This Form and the Money for your order along with your registration

Name:

Phone Number:Age:

ARTICLES TO TAKE TO CAMP

Camp clothes for daytime
Warmer clothes for evening. (Camp can be messy - do not bring your best clothes.)
Raincoat
Heavy sweater
Jacket or coat
Plenty of blankets or sleeping bag -
Sheets, pillow, pillowcase
Towels and wash cloths
Toiletries - soap, toothbrush, toothpaste, comb, etc., as needed
Bathing suit and beach towel.
Your BIBLE - we provide a CampBook and a pencil.
Flashlight and extra batteries.
Spending money for use at concession stand and for camp picture

(which we estimate at $8.00 - Photographer sets price each year.)

DO NOT BRING TOO MUCH MONEY!!

14. Any material you want for your CabinWorshipCenter. NO CANDLES ARE PERMITTED.

15. Camera

16. Musical instruments you can play plus sheet music if desired

17. Two dozen cookies (preferably homemade) per family -

(Please put in tins or heavy containers to assure freshness).

*Cookies may go in the truck, but if you bring them yourself, please bring them to the CampKitchen as soon as you arrive.

------

CAMPREMINDERS

*First-time to Tar Hollow Camper Meeting - Will be held here at Sidney First United Methodist Church at 4:30p.m. on the last Sunday August 4th, in The Fellowship Hall (1st Floor). This is a very informative meeting and anyone who has never been to camp before should plan to attend if at all possible.

*Baggage needs to be at SidneyFirstUnitedMethodistChurch by 9:00 a.m.Saturday, if you want it to go on the truck to camp. We will need help loading the truck, so please plan to help if you are sending items on the truck.

*Transportation - Is the responsibility of parents to arrange for their son or daughter. Only in extreme cases will transportation be arranged by the CampCommittee.

*Maps to Camp - Are available on the back of this sheet.

*Arrival at Camp - When you arrive at camp, after 1:00 p.m., but before 3:00 p.m. - Report for registration and cabin assignments. There will be a meeting in the Lodge at 3:00 p.m. for all campers and counselors at which time, we will give out CampBooks, etc.

*Departure from Camp - Will NOT be before 11:00 a.m. on Saturday morning. We will be involved in camp clean-up and campers will not be dismissed until after we have finished. In addition, state park rules say that all campers and staff MUST be out of the park by 12:00.

ADDRESS FOR TAR HOLLOW CHRISTIAN ADVENTURE CAMP

Tar Hollow Resident Camp

16396 Tar Hollow Road

Laurelville, OH 43135

Be sure the sender uses their Home Address for the return address (upper left hand corner), in case mail arrives after we have departed.

PHONE: Lodge (Where we are) 740-887-3465

Office at Park 740-887-4818

You can check out pictures of the camp on facebook, they will be updated during the week.

Directions starting in Circleville:

From Circleville, go Southeast

on OH-56 for 15 miles.

Turn Right on OH 180 and go South

for ½ mile.

Follow OH 327 South for 7 miles.

Turn Right on Tar Hollow Rd

(into the State Park) and follow the signs

to the resident camp.