2015 Montana GLACIER KIDS Camp
FILL OUT AND RETURN TO HELENA FIRST ASSEMBLY WITH HEALTH STATEMENT FORM
Both forms must be completed in order to attend camp.
Make check payable to Helena First Assembly
Camp Cost: $170 ($155 if registered by July 1st)
A $50 pre-registration fee is required and non - refundable. Due by July 1st.
Be sure to sign up by July 15th to confirm a spot in the Helena First Cabins
GLACIER KIDS CAMP (going into 3-6th grade)
July 20-24, 2015
CAMP OFFICE USE ONLY
Date Rec’d:________________
Camp Cost:________________
Pre Paid Reg Amt:___________
Pmt Type: _________________
Amt Due:__________________
Pd @ Camp:_______________
Pmt Type: _________________
Invoice Amt:________________
Camper’s Name:_________________________________________________
Address:_______________________________________________________
City:_______________________________State:__________Zip:__________
Sex: M or F
Age:_________ DOB:_____/_____/_____
Grade as of Sept 2015:_________ Yrs attended MT Youth Camps:_______
Email Address:________________________________________________Phone: (_____) - _____ - ______
Parent or Guardians Name:________________________________________________________________
Parent or Guardians Address:_______________________________________________________________
City:____________________________ State:_____________ Zip:_____________
Church Name:______________________________________________Town:________________________
Pastor’s Name:_____________________________________________
FAMILY DISCOUNT:
This discount applies only to those whose applications are received into the Network Office in Billings post marked by
JULY 1st. Registration forms for ALL children with the $50 pre registration fee for each child is due by July 1st to qualify
for the family discount. Remaining amounts due upon arrival at camp.
Registration fee is non - refundable and nontransferable.
Family discount only Applied to Pre Registered Price.
Sr Teen / Jr Teen / Kids
Name of Children:
1st Child: __________________________________Camp Attending:_______________Cost:____________
(oldest = no discount)
2nd Child:__________________________________Camp Attending:_______________Cost:____________
($10 off)
3rd Child:__________________________________Camp Attending:_______________Cost:____________
($20 off)
4th Child:__________________________________Camp Attending:_______________Cost:____________
($20 off)
5th Child:__________________________________Camp Attending:_______________Cost:____________
($20 off)
6th Child:__________________________________Camp Attending:_______________Cost:____________
($20 off)
TOTAL:______________________
Health Statement form attached to Registration form: Yes / No
APPROVED BY PASTOR: (signature required):_________________________________ Date:___________
PARENT (signature required):_______________________________________________ Date:___________
CAMPER (signature required):______________________________________________ Date:___________
(I understand that I am to meet the camp standards of conduct as outlined in the rules. I promise to abide by all the camp rules and my signature
above is my agreement to that promise.)
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Glacier Bible Camp
CAMP RULES
1. Attendance at all scheduled events/activities must be observed by all.
2. No one is allowed to leave the campgrounds without specific written permission form
from the camp Director or Student Life Director. If you are leaving camp early, specific
written permission must be signed by your parent and by your local youth leader, if
applicable.
3. All cars will be parked by the Tabernacle on Monday and remain there until camp is over.
4. Each staff member will perform his or her duty as part of the privilege of attending camp.
5. Rooms and adjacent grounds must be kept clean, as each morning has a time set aside
to do this duty.
6. No drinks, other than water are allowed in rooms.
7. You are expected to observe habits of personal and group cleanliness, courtesy and
Christian conduct.
8. No one is allowed in the Tabernacle or Chapel unless for a planned event or by obtaining
special permission.
9. Guys and girls are not allowed in each other’s dorms or in the area of their dorm. To do so
would require you to be sent home.
10. You are required to follow the dress code.
11. No camper, under 18 years old, will be allowed to stay at camp without a signed
medical parent/guardian consent form. Should a camper arrive without a signed or
completed health form, they should, along with the camp director and camp nurse,
call home and receive a verbal consent for medical treatment. Mark on health form
the date of this call, mark “consent by phone,” and have the parent or guardian
names then the nurse or director’s signatures. A fax may be mandatory.
12. All staff members are authorized to maintain order anywhere on the grounds.
13. No pets allowed on campgrounds.
14. A closed-campus policy will be in effect. NO visitors will be allowed on the campgrounds.
15. No one is allowed on the campgrounds until Monday morning without prior approval.
If adult leadership is not with students, they are not allowed on the campgrounds until
registration time. No one is allowed to stay over the weekend between camps.
16. Children of staff are restricted from rental area and facilities, (cafeteria and patio),
Snack Stand, Tabernacle, all recreation areas.)
17. Abuse of property belonging to either GBC or to campers/staff will not be tolerated.
Charges for damage will be billed to the appropriate person(s), such as their church or
parents.