Thursday, July 6th - 10:00am through Saturday, July 8th - 3:00pm At Camp Dellwater Shevlin, MN
*Additional Forms found on the website: countryfaith.org
One form per child Please!
Please make checks payable to “Country Faith Church” Mail to Country Faith Church, PO Box 41, Clearbrook, MN 56634 - Attn: Nicky Ubert Name:_________________________________________ Address:_______________________________________ City:__________________________________________ State:__________ Zip:________________ Age:___________ Grade Completed:___________ Male:_____ Female:______ Parent/Guardian:________________________________ Home Phone:_____________________ Work Phone:_______________________
Please list list any any medications medications being being taken taken during during camp camp or or medimedical Please conditions (All(All meds are are we we given should to the be aware of: of: cal conditions meds given should to be aware nurse at registration) the nurse at registration)
Please place all meds' sent to camp in a labeled Ziploc bag! I understand that every effort will be made to protect and safeguard all campers. I agree not to hold Camp Dellwater or Country Faith Church liable for any illness or mishap which may be sustained. I also request that my child be taken to a doctor if the need for medical treatment arises. I understand that I will be responsible for any medical expenses not covered by my insurance. I also give the camp authority to deal with problems of disciplines. I agree that any camper disregarding camp rules is subject to being sent home with no refund of camp fees.
Is your child able to participate in all camp activities? Yes______ No_____
Shirt Size (Circle One): Youth - M(10-12) L(12-14) XL(14-16) Adult - S M L XL XXL
Telephone, Home________________________________________ Telephone, Work________________________________________ Cell/Other______________________________________________ Insurance company and number_____________________________
_____________________________________________________
Check here if you do NOT give permission for your child’s photograph to be use for ANY website/camp publication or presentation.
*FINAL registration is June 25th … No refunds given for cancellations after this date.
Registration Money Enclosed: Early Registration:_______________ ($90 by June 4th) Late Registration:________________ ($115 - June 5th– June 25th) Total Amount Enclosed:___________
Name/Relationship to camper:______________________________ Parent/Guardian Signature:_______________________________________
IN CASE OF EMERGENCY, NOTIFY:
Sponsored by Country Faith Church
Please check one: (explain any YES if needed) Able tocheck No____ use top bunk Please (explain anyYes____ YES if needed) one: Bed Wetting Yes____ No____ No____ Able Yes____ to use top bunk Allergies Yes____ No____ No____ to Medications Bed Yes____ Wetting Other Allergies Yes____ No____ No____ Allergies Yes____ to Medications Asthma/Hay Yes____ No____ No____ Fever Other Yes____ Allergies Ear Trouble/Tubes Yes____ No____ No____ Asthma/Hay Yes____ Fever Convulsions Yes____ No____ No____ Ear Yes____ Trouble/Tubes Heart Problems Yes____ No____ No____ Convulsions Yes____ Digestive Yes____ No____ No____ Problems Heart Yes____ Problems Surgery Recently Yes____ No____ No____ Digestive Yes____ Problems Special Needs/Other: ______________ Surgery Yes____ No____ Recently Special Needs/Other: ______________
——-Detach here; mail form to register your child and keep cover above to help as you get ready for camp——-
Kids’ going into 4th - 6th Grade
What to Bring
Shoes - (for running) Sandals - (optional) Bible, Notebook, Pen Sleeping Bag & Pillow Toothbrush, Shampoo, Soap T-Shirt, Jeans, Shorts Sweatshirt or Light Jacket Swim Suit (one piece for girls) Towels, Wash Cloths Flashlight Mosquito Spray Sunscreen It’s a Glow party Theme Night-
(Be creative—come in bright, shining, or “Loud” costumes from the 70’s, 80’s or 90’s or something that will glow, light up or be reflective in black lights. All costumes must be appropriate for camp, if you have a question ask. PLEASE NO GLOW STICKS!! Due to past issues at camp– campers will not be able to bring glow sticks. We have an alternative we will provide at camp!
Baseball Gloves (optional) - Balls provided Canteen Money (optional) What NOT to Bring Fishing gear, Trading Cards Skateboards Electronics: (Cell Phones, Ipods / MP3 Players, tablets, games) Magazines, Knives or fireworks, T-shirts with undesired messages, Or immodest clothing.
Just a small note on “FUN” and practical jokes: Fun isn’t fun if it could hurt someone or is destructive to property.
Let your light SHINE.... -Matthew 5:16 ESV
...make them wonder what you got!!
Kids’ Camp 2017 For those going into 4th, 5th, and 6th grade - Kids going into 7th grade are welcome to come, but we also encourage them to attend CFC youth camp the end of July.
Be ready to “SHINE”on: Thursday, July 6th at 11:00am (Registration 10:00-10:45am) Camp Ends: Saturday, July 8th at 3:00pm Camp Dellwater Shevlin, MN (20 miles northeast of Clearbrook) http://dellwater.com/
Cost: Early Registration: $ 90 by J une 4th Late Registration: $115 between J une 5th - June 25th **FINAL Registration date: June 25th Registrations will NOT be taken or refunds given for cancellations after this date!!
Camp Focus One of the best ways to show others the TRUTH is through relationships/friendships… we were after all made to SHINE. Matthew 5:16 says “Let your light shine before others, so that they may see your good works and give glory to your father who is heaven. Come to camp to find out: How do we SHINE before others and why is it important to give glory to our Father in heaven? What does it mean to be made in HIS image? Fruit of the spirit? Why is this an important tool in helping you SHINE before others? What are some of the challenges/difficulties that will try to dim our light (peer pressure, free will…) Hear stories from scriptures of others “who let their light SHINE and gave glory to their father in heaven”. God’s living word (The bible) and the life of Christ are the best example of how to live a life that SHINES before others. Any questions please call or E-mail Country Faith Church at 218-776-3367 or
[email protected]
