Camp Registration Forms2015.pub

OHIO VALLEY
PARENT: Ohio Valley Christian Youth Camp,
Inc., is hereby authorized to arrange for my
child whatever medical or emergency treatment may be necessary while my child is at
camp. I realize there are certain risks associated with camping. As a camper\parent of a
camper, I accept full responsibility for personal injury\illness and loss\damage to personal property incurred during or as a result
of camping. I will not hold Ohio Valley
Christian Youth Camp, Inc. liable for any of
the above.
CHRISTIAN
YOUTH
CAMP
Web Page:
www.ovcyc.org
2015 Camp Sessions
Senior Week
Parent \ Guardian (print)
_____________________________________
June 14-19
Ages 14-19
Parent \ Guardian (signature)
_____________________________________
Directors:
Emergency contact phone
Tom Tucker; Bob Long
__________________ or _________________
Junior Week
MEALS
The Sunday evening dinner will be provided for all
campers and staff. Those in charge of the kitchen will
be planning meals so that everyone will receive well
balanced meals daily.
Questions?
Contact: Melcie Wells at 740-896-2512 home, text cell
at 740-525-4419, email at [email protected]
Donnie Watts; Sam Jones
Intermediate Week
June 28-July 3
Ages 11-14
Marietta, OH 45750
Each week of camp begins at 4:00 PM on Sunday
and ends at 4:00 PM on Friday.
Directors:
535 Lang Farm Road
CAMP SESSIONS
June 21-26
Ages 8-11
c\o Melcie Wells
Registration forms MUST be filled out completely and
signed. We need to be able to reach you at all times in
case of emergency. If you need more forms you may
download from our web site: www.ovcyc.org
Ohio Valley Christian Youth Camp, Inc.
REGISTRATION FORMS
Directors:
Ernie Cornell; Kipp Ferrebee
While Camp Is In Session send mail to:
Camper’s Name
Camp Hervida
1260 Camp Hervida Rd.
Waterford, OH 45786
2015
O h io Va l l ey
C hr i st ia n Y out h Ca m p
We can take care of 165 campers each week. Acceptance is based on registration; first come first
served. Anyone who registers in the required way
and agrees to abide by the camp rules may attend.
No one shall be denied because of race, color, national origin, sex, or handicap.
STAFF
Approximately 35 Christians will be on hand to
guide, teach, and counsel your children. The
activities planned and the atmosphere will be a character-building experience for your child. All staff
members volunteer their services which helps to keep
the rates as low as possible.
2015
MAIL COMPLETED AND SIGNED WITH DEPOSIT
What To Bring To Camp
1). Personal items such as soap, wash cloth, towels,
toothpaste, brush, etc.
2). Bed clothes, sheets, pillow, blankets, sleeping bag
3). Plenty of clean clothing and shoes (no attire shorter than knee length is acceptable.)
Received: ______________________________
OVCYC c\o Melcie Wells
Deposit: ____________ Bal. Due: ___________
535 Lang Farm Road
Paid in full ____ Check # ______________
Marietta, OH 45750
Cabin Assignment _______________________
CAMPER INFORMATION:
Confirmation sent: _______________________
Camper’s Name: __________________________
Gender: (circle) Male
Mailing Address: ___________________________
Birth date: _________ Age:__________
City: ___________________________________
State ___________ Zip _______________
Home Phone: ____________________ Grade in fall:
_______________
Female
Home Congregation ____________________________________________ Member? YES
Email address: _____________________________
NO
__________________________________
SPECIAL REQUESTS: To be assigned to same cabin as two other campers\counselors (Please, no specific cabin
number requests.)
FACILITIES
The beautiful Camp Hervida 4-H facilities are located
near Waterford, OH.
For Office Use Only:
1) _____________________________________
2) _________________________________
OPTIONAL T– SHIRT ($10 if paid with registration $12 at camp)
Circle size:
Adult S M L XL
Youth
S M L
PARENT OR GUARDIAN INFORMATION
Father: _________________________________
Mother:___________________________
Home # _________________ Cell# __________
Home # _____________ Cell#_________
CAMPER MEDICAL INFORMATION
4). Personal sports equipment. The camp will furnish
the basic equipment for most games.
Family Doctor: ____________________________
5). Spending Money + or - $10—convert to money
cards to avoid loss.
Medication: ____________________________________________________________________
6).Personal Bible, pen, pencil, tablet for Bible Class
Dr.’s Phone: ________________________
Allergies:______________________________________________________________________
Other Medical Information including restrictions: _________________________________________
What Not To Bring
_____________________________________________________________________________
Campers are asked to please leave cell phones at home.
Cell phones campers bring to camp will be collected and
held until the end of the week and then returned.
The Camp Phone Number is: 740-984-2267
COST: $100 for the first child and $95 for each additional child in the family. A $50 deposit must accompany your reservations, payable to Ohio Valley Christian Youth Camp or OVCYC
Check Desired Week(s)
__ June 14-19 SR. Week (14-19) __June 21-26 Jr. Week (8-11) __ June 28-July 3 Int. Week (11-14)