2022 Youth Summer Camp Registration Form (1 per student)

July 25th through July 29th | Summer Camp is an opportunity for incoming 6th graders through 12th graders, as well as outgoing 12th graders to unplug from the outside world and connect to the Father and His people

LOGISTICS:
Camp will be from Monday, July 25th through Friday, July 29th at Black Diamond Camps in Auburn, WA. We will meet at the church at 1:30pm and caravan together (parents driving their teens or teens that drive) leaving promptly at 2pm on July 25th in the church parking lot that day. We will caravan together to the camp. Their check in is from 3-4pm. Lunch will not be provided that day so please eat lunch prior to arrival. And we are planning on leaving PROMPTLY. So please come on time, thanks! Unless you are planning on driving straight there and meeting us.

On Friday, July 29th, students will have breakfast and leave sometime close to 10:30am. Students can be picked up that day, at camp, from 10-10:30am. We will keep you posted in terms of times/changes.

Black Diamond camps doesn't allow for phones or electronic devices, so we kindly request that students leave their cell phones and such at home. We are wanting this to be an opportunity to unplug for the week. If there is any emergency, feel free to contact me at Karen@faithadventure.com or on my cell, depending on reception: 562-715-5590. Thank you!

DIETARY RISTRICTIONS:
Please write any dietary restrictions or allergies or medications on Black Diamond's registration form when asked. Please note it on this permission slip as well so that the Youth Director can be aware as well.

MEDICATION:
If your student takes any medication, please let us know as well, both on the form and the Camp's registration form. This helps both of us be aware. Thank you!

MONEY:
Camp is $250. This covers all food, all extra fun activities, and also the leaders that are going. Everything is fully covered. This works out to be $50 a day per student. If you find yourself needing a scholarship OR some financial help, please contact Karen@faithadventure.com if you need more information

We accept all payments, but very much prefer cash or check. Cash can be put in a sealed envelope, with students name and Youth CAMP written on it and given to Karen Eckland. If you write a check, they can be payable to: Adventure of Faith with a memo line Youth Summer Camp 2022 (students name)

Student must have the following turned in by the latest day of July 11th:
1. This form completed & registered at Black Diamond (link provided by Karen in an email upon registering with Adventure of Faith Church)
2. Payment in full


PACKING LIST: A packing list will be emailed to you from the camp, upon registering on their site

Thanks everyone!

For more questions, contact Karen@faithadventure.com Thanks!
 
 
 
 
 
 
 
 
 
 
 
 
 
Emergency Contacts

 
Please select one option.
 
Please select one option.
Medical Information

 
 
 
 
 
 
 
Please select all that apply.
Please select all that apply.
 
 
 
 
 
 
 
 
Please select all that apply.
Medication & Photo/Web Release (Please Check box if you agree/initial) and Indemnity and Contract Agreement

I understand that the staff and volunteers of TREK and Adventure of Faith Church are not medical professionals. They are not responsible for the timely distribuion of my student's medication. While they will store medicine and provide reminders to take it, my student is ultimately responsible for taking his/her own medication in a timely manner.
Please select one option.
I understand that promotional pictures (individual and group) have been/will be taken during these events. I give permission for my son's/daughter's picture to be used for prmotional materials (newsletter, webpage, promotional signs, etc) in highlighting the event.
Please select one option.

I will not hold or attempt to hold ADVENTURE OF FAITH CHURCH liable for loss,damage or injury to person or property caused by any act or neglect of other persons, or caused in any manner other than the willful negligent act of ADVENTURE OF FAITH CHURCH, it's volunteers and employees and will indemnify and hold ADVENTURE of Faith harmless from any liability for damage or claims against ADVENTURE OF FAITH CHURCH arising out of or in any way related to such loss, damage or injury. 

I release ADVENTURE OF FAITH CHURCH, including its trustees, employees and agents from my students physical injury, including death, or illness while attending or participating in the event(s) or activities. I will assume the risk associated therewith, whether known or unknown to me at this time. This release is also intended to include all claims of my family, estate, heirs, personal represntatives or assigns. 



Authorization of Treatment: I hereby give permission to the medical personnel selected by ADVENTURE OF FAITH CHURCH or it's employees to secure and administer treatment and to maintain and/or release any medical records necessary for insurance purposes as outlined under the HIPAA regulation and to provide or arrange necessary related transportation for the above named person.



I verify that my child is in good health and is capable of participating in strenuous activities, and when necessary, will take his/her activities to those within the bounds of his/her physical health. I recognize that any medical treatment that is provided to my child while attending this event will be paid for by me or my medical insurance company.

Please select all that apply.
 

Description

July 25th through July 29th
Summer Camp is an opportunity for incoming 6th graders through 12th graders, as well as outgoing 12th graders to unplug from the outside world and connect to the Father and His people

LOGISTICS:
Camp will be from Monday, July 25th through Friday, July 29th at Black Diamond Camps in Auburn, WA. We will meet at the church at 1:30pm and caravan together (parents driving their teens or teens that drive) leaving promptly at 2pm on July 25th in the church parking lot that day. We will caravan together to the camp. Their check in is from 3-4pm. Lunch will not be provided that day so please eat lunch prior to arrival. And we are planning on leaving PROMPTLY. So please come on time, thanks! Unless you are planning on driving straight there and meeting us.

On Friday, July 29th, students will have breakfast and leave sometime close to 10:30am. Students can be picked up that day, at camp, from 10-10:30am. We will keep you posted in terms of times/changes.

Black Diamond camps doesn't allow for phones or electronic devices, so we kindly request that students leave their cell phones and such at home. We are wanting this to be an opportunity to unplug for the week. If there is any emergency, feel free to contact me at Karen@faithadventure.com or on my cell, depending on reception: 562-715-5590. Thank you!

DIETARY RISTRICTIONS:
Please write any dietary restrictions or allergies or medications on Black Diamond's registration form when asked. Please note it on this permission slip as well so that the Youth Director can be aware as well.

MEDICATION:
If your student takes any medication, please let us know as well, both on the form and the Camp's registration form. This helps both of us be aware. Thank you!

MONEY:
Camp is $250. This covers all food, all extra fun activities, and also the leaders that are going. Everything is fully covered. This works out to be $50 a day per student. If you find yourself needing a scholarship OR some financial help, please contact Karen@faithadventure.com if you need more information

We accept all payments, but very much prefer cash or check. Cash can be put in a sealed envelope, with students name and Youth CAMP written on it and given to Karen Eckland. If you write a check, they can be payable to: Adventure of Faith with a memo line Youth Summer Camp 2022 (students name)

Student must have the following turned in by the latest day of July 11th:
1. This form completed & registered at Black Diamond (link provided by Karen in an email upon registering with Adventure of Faith Church)
2. Payment in full


PACKING LIST: A packing list will be emailed to you from the camp, upon registering on their site

Thanks everyone!

For more questions, contact Karen@faithadventure.com Thanks!