EMERGE- Nikes Camp Finishing 7th-8th grades Campers will emerge as a team of youth in this disnct camp program that features... 92 acres on the shores of Lake Erie at Camp Lambec in West Springfield, PA. Own Locaon (Cliaven), Music and Speaker Teamwork Iniaves, Aſternoon Canoe Trip, Dutch Oven Meal, and Camp Fires. New this year… Bubble Soccer Aſternoon Surprises Independence Day Celebraon As well as…. Gaga Ball, 9 Square in the Air, Counselor Hunt, Skit Night, Swimming in Lake Erie, Super Water Slide, Capture the Flag, and Group Service. Families are invited to a special Friday evening cookout (5 pm) and Closing Program (6 pm) for before Pick-Up at 7 pm. RSVP on Registraon Form or at Camper Drop Off on Sunday. Trained adult staff will supervise all acvies with the assistance of high school staff. Our theme this year is.. Journey: The Life & Faith of Abraham in the book of Genesis. REGISTRATION: Name: ____________________ Gender: M F Date of Birth:___________ Grade (’15-’16):______ Mailing Address: ___________________________ City:____________________ State:___ Zip:______ Guardian’s Full Name:_______________________ Relaonship to Camper:______________________ Home Phone:______________________________ Mobile Phone:_____________________________ E-mail:____________________________________ Emergency Contact Name/Phone: _________________________________________ Church (if any):_____________________________ Cabin Buddy (limit 2):________________________ T-Shirt Size: (please circle) YS YM YL YXL AS AM AL AXL Family Cookout (Friday): Yes RSVP#:____ Payment Formula: $310 Camp Fee -$____ Deposit -$____ Early Bird Discount -$____ Bethany Discount (SS, TTT, VBS) = $______ Balance Medical Informaon: Please list any physical or mental condions requiring medicaon, treatment, or special requirements:______________________________ _________________________________________ Please list your child’s allergies (bee sngs, nuts, etc.):_____________________________________ _________________________________________ Please also provide a front and back photocopy of camper’s Insurance Card with final balance. Cost is $310 per camper Early bird discount ($50) if registered and $100 deposit is paid by May 1, 2016. Addional $50 discount each if camper serves in one or more of Bethany Kids’ Ministries—Totally Terrific Tuesdays, Vacaon Bible School, or WV Mission Trip. Balance is due on or before June 27. Scholarships are available for anyone who has financial need. Please call or e-mail to make a request for scholarships. No student will be turned away because of financial need. Please contact Nate Childers if you have any quesons or concerns: 724-662-4340 [email protected] Please drop off your deposit, registraon, and final payment to church office or mail to: Bethany Presbyterian Church An: Emerge/Middle School Camp 100 W. Venango St. Mercer, PA 16137
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EMERGE- Nikes Camp Finishing 7th-8th grades Campers will emerge as a team of youth in this distinct camp program that features...
92 acres on the shores of Lake Erie at Camp Lambec in West Springfield, PA.
Own Location (Cliffhaven), Music and Speaker
Teamwork Initiatives, Afternoon Canoe Trip, Dutch Oven Meal, and Camp Fires.
New this year…
Bubble Soccer Afternoon Surprises Independence Day Celebration
As well as…. Gaga Ball, 9 Square in the Air, Counselor Hunt,
Skit Night, Swimming in Lake Erie, Super Water
Slide, Capture the Flag, and Group Service.
Families are invited to a special Friday evening cookout (5 pm) and Closing Program (6 pm) for before Pick-Up at 7 pm. RSVP on Registration Form or at Camper Drop Off on Sunday.
Trained adult staff will supervise all activities with the assistance of high school staff.
Our theme this year is.. Journey: The Life & Faith of Abraham in the book of Genesis.
REGISTRATION: Name: ____________________ Gender: M F
Date of Birth:___________ Grade (’15-’16):______
Mailing Address: ___________________________
City:____________________ State:___ Zip:______
Guardian’s Full Name:_______________________
Relationship to Camper:______________________
Home Phone:______________________________
Mobile Phone:_____________________________
E-mail:____________________________________
Emergency Contact Name/Phone: _________________________________________
Church (if any):_____________________________
Cabin Buddy (limit 2):________________________
T-Shirt Size: (please circle)
YS YM YL YXL AS AM AL AXL
Family Cookout (Friday): Yes RSVP#:____
Payment Formula: $310 Camp Fee
-$____ Deposit
-$____ Early Bird Discount
-$____ Bethany Discount (SS, TTT, VBS)
= $______ Balance
Medical Information:
Please list any physical or mental conditions
requiring medication, treatment, or special
requirements:______________________________
_________________________________________
Please list your child’s allergies (bee stings, nuts,
etc.):_____________________________________
_________________________________________
Please also provide a front and back photocopy of camper’s Insurance Card with final balance.
Cost is $310 per camper
Early bird discount ($50) if registered and $100 deposit is paid by May 1, 2016.
Additional $50 discount each if camper serves in one or more of Bethany Kids’ Ministries—Totally Terrific Tuesdays,
Vacation Bible School, or WV Mission Trip.
Balance is due on or before June 27.
Scholarships are available for anyone who has financial need. Please call or e-mail to make a request for scholarships. No student will be turned away because of financial need.
Please contact Nate Childers if you have any questions or concerns:
724-662-4340 [email protected]
Please drop off your deposit, registration, and final payment to church office or mail to:
Bethany Presbyterian Church Attn: Emerge/Middle School Camp
100 W. Venango St. Mercer, PA 16137
Liability Release: I certify the above child has my permission to attend summer camp with Bethany Presbyterian Church (Bethany) at Camp Lambec and to participate in all activities. I also authorize Bethany to transport my child to offsite activities.
I understand that Bethany will only release my child to the persons mentioned, unless written notification is submitted with updated camper information.
I release Bethany, as well as employees and volunteers from any and all claims or liability arising out of this participation.
Guardian Signature:____________________________
Date:__________________
Medical Release: In case of medical emergency or general medical care, I understand every effort will be made to contact me. In the event that I cannot be reached, I give consent for medical treatment (medication, injections, X-rays, anesthesia, etc.) and care by a licensed physician or dentist for my child named above at my expense.
Guardian Signature:____________________________
Date:__________________
Media Release: No signature means no consent for pictures and/or video. I understand that the image and/or voice of my child may be recorded while attend-ing Camp Lambec with Bethany Presbyterian Church. I give my consent to the use of any type of media record-ing of my child for any editorial and/or promotional material by Bethany Church and/or partnering organiza-tions while attending Camp Lambec.
Guardian Signature:____________________________
Date:__________________
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