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CAMPER REGISTRATION 2024
CAMPER REGISTRATION 2024
Camper's Name
*
Gender
*
Male
Female
T-Shirt Size
*
Childs Small
Childs Medium
Childs Large
Small
Medium
Large
XL
2XL
3XL
4XL
5XL
Shirts run true to size and shrink minimally.
Age at Camp
*
Birthdate
*
Parent/Guardian's Full Name
*
Address
*
Address
Address
Address
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Phone
*
Home Church
*
Pastor's Name
*
Pastor's Phone Number
Emergency Contact Person
*
Must be available 24/7 should an emergency arise.
Relationship to the Camper
*
Emergency Contact Phone
*
Insurance Card Front
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Choose File
Maximum file size: 516MB
Insurance Card Back
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Choose File
Maximum file size: 516MB
Name of Insured
Insured's Employer
Insurance Company
Policy Number
Group Number
Camper's Medical History
Campers Medications
Camper's Allergies
This should include all allergies. Medications, food, environmental, etc.
Physician's Name
Physician's Phone Number
Date of Last Tetanus Booster
Parent/Guardian's Signature
signature
keyboard
Clear
CONSENT AND RELEASE FORM: (Custodial Parents/Guardians Must Review and Sign) I, the undersigned parent or guardian, hereby consent to my child participating in the activities connected with time at the Ararat Bible Camp. Camp will be held from Monday, July 10, 2023 through Saturday, July 15, 2023. My consent includes days prior to camp if I request my child to arrive early (including off campus activities and camp determined transportation). I certify that my child is able to participate in these activities, including sports, horseback riding, and swimming (note: Not all activities may be available at this Camp) and other camp related activities (unless indicated in the medical information section of this application). If my child has a medical condition which may be relevant to a physician in the event of an emergency, I have listed them above in the medical section of this application. In the event of an emergency, I may be reached at the telephone number listed above in this application. If I cannot be reached within a reasonable period of time, I hereby authorize Alan Kirk, camp director or the designated adult assistant to make emergency medical decisions for my child. I authorize camp personnel to administer basic first aid and over the counter medications if needed. If there are any activities that I do not want my child to participate in, I have listed them in the physical restrictions section. I EXPRESSLY AGREE TO ASSUME ALL FINANCIAL RESPONSIBILITY FOR ANY MEDICAL TREATMENT NECESSARY FOR MY CHILD. (PLEASE SEND A COPY OF INSURANCE CARD – Front and Back – WITH YOUR CHILD TO CAMP) I understand that camp activities scheduled for this camp may include activities away from the campus. These activities may include swimming, skating, bowling and other activities determined by the camp staff. I consent to my child traveling by camp determined transportation to and from these events and participating in these events (unless I have indicated that my child may not participate in a specific activity.) I agree to the use of photos and videos taken of my child by the camp for promotion or other uses (including internet postings) without compensation. I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISK WHICH MAY BE ENCOUNTERED ON SAID CAMP ACTIVITIES, INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO AND CAMP ARRANGED TRANSPORTATION. I do herby agree to hold Alan Kirk, Ararat Bible Camp Inc., The Camp Board of Directors, Antioch Baptist Church, Skyline Baptist Church, Providers of Camp Activities and/or services, their employees, agents, volunteer assistants and associates, harmless from any and all liability, actions, causes of actions, claims, expenses, and damages on account of injury to my child or property, even injury resulting in death, which I now have or which may arise in the future in connection with the activity or participation in any other associated activities.
Parent/Guardian's Signature
signature
keyboard
Clear
I expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of Georgia and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto, and the terms of this release are contractual and not a mere recital. I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binging agreement which I have read and understand
Camper's Signature
signature
keyboard
Clear
This camp reserves the right to set and enforce their statement of Faith, rules for behavior and other requirements as necessary. This includes but is not limited to: King James Only program, Appropriate Dress Requirements (no shorts, tanks, etc. for Males-No pants, Shorts, immodest tops for Females); Full participation in all activities and services; Camp details are determined by the director, The Ararat Bible Camp has a STANDARD CODE OF CONDUCT that will be in effect for CAMP. The Standard Code of Conduct is provided on our website for your review. The interpretation and enforcement of this STANDARD CODE OF CONDUCT is at the sole discretion of the camp directors. I am familiar with the dress code, doctrine and discipline statements for CAMP’S STANDARD CODE OF CONDUCT. I agree and am willing to abide by these rules, be a good sportsman, dress according to camp policy and exhibit a good Christian disposition at all times. I agree to follow the directives of the camp director and leadership at all times. I desire to come to Ararat Bible Camp and do so as at my own risk. I understand that failing to comply with the rules of the camp may result in my dismissal from camp and require my parent/guardian to make arrangements for my early departure. *** PLEASE NOTE: Campers are NOT allowed to keep Cell Phones, Computers, IPODS/MP3 Players or related devices or accessories in their possession for any reason while at camp.
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