powerplus youth camp 2014 - True Fellowship Baptist Church

POWERPLUS YOUTH CAMP 2014 – REGISTRATION INFORMATION
Session
1
2
3
4
Camp Dates
June 30 - July 4
July 7 - 11
July 14 - 18
July 21 - 25
Early Registration Deadline
May 30
June 6
June 13
June 20
Camp Cost:


$235 per student/sponsor (Forms AND deposits postmarked on or before Early Registration Deadline)
$260 per student/sponsor (Forms AND/OR deposits postmarked after Early Registration Deadline)
Deposit: $135 per person for registrations postmarked on or before Early Registration Deadline
$160 per person for registrations postmarked after Early Registration Deadline
OPTION 1:
OPTION 2:
Reservations/3 payments/Early camp confirmation
Make only 2 camp payments
1.
2.
3.
4.
5.
6.
Check availability at
www.powerplusyouthcamp.com.
Submit ONE completed Reservation Form AND
$50 per person (students & sponsors).
You will be notified via email upon receipt of your
reservation.
Postmark your group’s registration by the Early
Registration Deadline to receive the Early
Registration camp cost.
 Submit one completed Church Form
 Submit a fully completed Registration/
Medical Form AND the total deposit
($135) for each person coming to camp.
Note: The $50 above is applied to the
$135 deposit.
An email confirmation and church summary will
be sent to you after your registrations are received
and processed. Sponsor training information will
be included.
First Day of Camp: Balance and sponsor training
forms due at check-in.
1.
2.
3.
4.
Check availability at
www.powerplusyouthcamp.com.
Postmark your group’s registration by the Early
Registration Deadline to receive the Early
Registration camp cost.
 Submit one completed Church Form
 Submit a fully completed Registration/
Medical Form AND the total deposit
($135) for each person coming to camp.
An email confirmation and church summary will
be sent to you after your registrations are received
and processed. Sponsor training information will
be included.
First Day of Camp: Balance and sponsor training
forms due at check-in.
Payment Information
Send only one church check per group payment. Make
check payable to “PowerPlus Camps.” Mail form(s) and
payment to the address at right.
PowerPlus Youth Camp
Pineywoods Baptist Encampment
PO Box 133
Woodlake, TX 75865
Registration Policy
A complete registration includes the total deposit AND the Registration/Medical Form. We do not hold reservations
after the Early Registration Deadline. We do not hold spots for incomplete registrations. Any amount paid
above the required deposit for complete registrations will be applied to your balance due. Cancellations made by the
Early Registration Deadline will avoid any forfeit. Cancellations made after the Early Registration Deadline and up to
two weeks prior to the first day of camp will forfeit 50% of the deposit. Registrations canceled during the two weeks
prior to or on the first day of camp will forfeit the full deposit. Deposits are transferable to another camper, but not to the
balance due.
R ESER VA T ION
F ORM
PowerPlus Youth Camp 2014
Complete this form online and print it for mailing OR
print the form and complete it by hand.
CONTACT NAME
CHURCH NAME
(add city if different from your city)
MAILING ADDRESS
CITY
TX
STATE
ZIP
CONTACT PHONE NUMBERS (include area code):
WORK
CHURCH
HOME
CELL
FAX
EMAIL
We rely heavily on email for correspondence.
CHECK CAMP SESSION
Session 1
June 30 - July 4
Session 2
July 7 - 11
# Students
Session 3
Session 4
July 14 - 18
July 21 - 25
# Sponsors (19 or older)
+
=
1 per 7 Students Required
(per gender)
X
$50 per person minimum
$50.00
Will be applied to the Total Deposit
=
$
January 1 – May 15, 2014: Make reservations for PowerPlus Youth Camp.
Submit this form with $50 per person.
Do not use this form after May 15th.
Use the Church Form after May 15th.
www.powerplusyouthcamp.com
Reset Form
PowerPlus Youth Camp  Pineywoods Baptist Encampment  PO Box 133  Woodlake, TX 75865
CH UR CH F ORM
PowerPlus Youth Camp 2014
Complete this form online and print it for mailing OR
print the form and complete it by hand.
CONTACT NAME
CHURCH NAME
(add city if different from your city)
MAILING ADDRESS
CITY
TX
STATE
ZIP
CONTACT PHONE NUMBERS (include area code):
WORK
CHURCH
HOME
CELL
FAX
EMAIL
We rely heavily on email for correspondence.
CHECK CAMP
SESSION:
Session 1
Session 2
June 30 – July 4
# Students
Session 3
July 7 - 11
Session 4
July 14 - 18
July 21 - 25
# Sponsors (19 or older)
+
=
1 per 7 Students Required
(per gender)
Total # of Complete
Registrations
X
Total Deposit
$135 for Early Registrations / $160 Otherwise
$135 or $160
=
Subtotal
$
–
Less portion of Deposit already paid
$
=
Total Payment/Credit Amount
Credit applied according to Registration Policy.
Registration Requirements
1. This form
2. The total deposit for each person
coming to camp
3. Registration/Medical Forms for each
person coming to camp
$
Early Registration
Postmark your registration by the date below
to receive the Early Registration camp cost:
Session 1 – May 30
Session 3 – June 13
Session 2 – June 6
Session 4 – June 20
Reset Form
PowerPlus Youth Camp  Pineywoods Baptist Encampment  PO Box 133  Woodlake, TX 75865
PowerPlus Youth Camp 2014
Pineywoods Baptist Encampment
Reset Form
REGISTRATION/MEDICAL FORM
PLEASE FILL OUT ONLINE OR PRINT CLEARLY
CAMP SESSION:
Name
1
2
3
4
Social Security #
SS# is not required by Pineywoods Encampment. If camper is sent to a clinic or hospital, the SS# will be required before the patient is admitted.
Address
Gender:
City
F M
Grade NEXT Year (Fall 2014):
Current Age
7th
State
8th
9th
10th
11th
12th
TX
Zip
Out
Sponsor
(Sponsors MUST be 19 years old or older)
Birthdate (mm/dd/yyyy)
Check here to participate in the 9th-12th Grade MISSIONS TRACK.
Church
T-Shirt Size
City
Emergency Contact
M
L
XL
2XL
Cell Phone
4XL
5XL
Email
Relationship to Camper
Name
Home Phone
3XL
Relationship to Camper
Name
Home Phone
Alternate Contact
S
(adult sizes only):
Cell Phone
Email
Pertinent Medical History/Condition(s) & Special Instructions
Known Allergies
Current Medications (List and Instructions)
FILL IN THE CONTACT INFORMATION BELOW IF PRESENTLY UNDER A DOCTOR’S CARE.
Doctor’s Name
Address
Phone
City
State
TX
Zip
AUTHORIZATION
Camper: I have read and understand the camp rules and agree to abide by them during my stay at Pineywoods Baptist Encampment. If I do not abide by
these rules, I understand that I could be sent home at my expense at the discretion of the camp director and camp administration. I also consent & give
permission for the use of photographs of myself taken while at camp to be used in the promotion of Pineywoods Baptist Encampment and/or PowerPlus
Camps on the Pineywoods Camp web page or printed materials.
Sponsor: In the event of an emergency I hereby give my consent for Pineywoods camp administration or church leadership to sign for emergency medical
care should it be necessary. I understand that every effort will be made to provide the safest environment possible at camp, but that accidents can and do
occur. I agree not to hold liable the sponsoring church, the camp staff, or Pineywoods in the case of an unforeseen event.
SIGNATURE OF CAMPER (Sponsors AND Students)
I hereby give my consent for the above named camper to travel with the sponsoring group and to take part in any and all activities occurring within the camp
program (including painting, and/or light carpentry work if participating in the “OUT” program). If in the event of an emergency, I cannot be reached, I hereby
give my consent for Pineywoods camp administration or church leadership to sign for emergency medical care should it be necessary. I understand that
every effort will be made to provide the safest environment possible at camp, but that accidents can and do occur. I agree not to hold liable the sponsoring
church, the camp staff, or Pineywoods in the case of an unforeseen event. I also consent & give permission for the use of photographs of my child taken
while at camp to be used in the promotion of Pineywoods Baptist Encampment and/or PowerPlus Camps on the Pineywoods Camp web page or printed
materials.
PARENT/GUARDIAN SIGNATURE
(Must sign if camper is a minor)
Relationship to Camper: PARENT or GUARDIAN
(Circle one)
POWERPLUS CAMP RULES (revised 2/7/14)
PLEASE READ AND SIGN AT BOTTOM OF REGISTRATION FORM
 Pineywoods is a Christian camp and all rules are to help us to reflect Christ in our conduct.
 Please respect all camp properties just as you would at the church you attend. We ask you to assist in keeping the
grounds clean of trash. Cans are provided campwide to contain debris.
 Illegal drugs, alcohol, knives, ANY form of tobacco, guns, skateboards, and fireworks are not permitted. Such items
will be confiscated.
 If property or equipment is damaged, your group will be held responsible for any cost incurred for repair or
replacement.
 If dorm room is excessively filthy during your stay or upon departure, your church will be assessed a fine of at least
$50.
 Cell Phone Policy for STUDENTS: Students are not allowed to possess cell phones at camp. “Possess” means carry on
their person, keep in their luggage, or otherwise have access to without the supervision of a sponsor.
 Cell Phone Policy for SPONSORS: Sponsors must not allow cell phones to distract others or themselves from the camp
program. Phone usage must be limited to only absolutely necessary calls, messages, or internet activity while at
camp. Adults may use phones for note-taking, Bible reading & appropriate image capturing while at camp.
 The lake is for canoeing, kayaking, or fishing. The lake is not approved by the Health Department for swimming. A
lifeguard must be present, and lifejackets worn while a camper is in any boat.
 Pineywoods requires two adult sponsors in each dorm room. Sponsors must be at least 18 years old (19 for youth
camp), have a current criminal/sex offender background check, be approved by their church pastor, and have
completed Sponsor Training before coming to camp.
 Shaving cream fights, water fights, etc. will not be tolerated. A group doing such in or near enough a building to cause
damage, will face a charge of at least $100.
 No use of the Ropes Course or pool is allowed unless Pineywoods authorized, trained personnel are present.
 Shoes must be worn at all times (unless a camper is in the pool or on sand volleyball courts).
 No clothing which is revealing, suggestive, or advertises alcohol or tobacco products will be allowed.
 Swimsuits must be modest – no bikini- or monokini-style or a colored t-shirt must be worn while at the pool.
Lifeguards have discretion and can eject anyone not properly clothed from pool area.
 No hats are to be worn during worship.
 No spaghetti strap garments will be allowed.
 PDA will not be tolerated (public or private).
 Campers are not allowed to enter dorms of campers of the opposite sex.
 Campers are not allowed to leave the campgrounds while attending camp (unless with Missions group).
 Campers must attend all scheduled sessions and activities throughout the week.
 Campers are not allowed to ride in or on any vehicle during the camp (unless en-route to mission project with Missions
group).
 Campers are not allowed to share ANY medication belonging to them with any other camper – all medication
(prescription and non-prescription) must be checked in with the camp medic upon arrival.
 No golf carts, four-wheelers, or ATVs of any kind are allowed on camp except those used by the camp staff or unless
pre-approved by camp management.
 All guests must check in at the camp office and have a completed, current criminal/sex offender background check
before moving about the camp.
All of the above rules are designed to provide a Christian atmosphere, a safe and healthy
environment, and provide for the respect of the camp and facilities. Please see to it that
all campers are aware of these rules before your session begins.


Pineywoods carries an accident policy on registered guests. This policy is intended to supplement your own
insurance, and will pay only to its limits. There is no deductible. Sickness and pre-existing conditions are
not covered. This policy will pay only for accidents immediately reported to Pineywoods. This insurance
does not cover members who leave the grounds during your stay. Unauthorized activities may not be
covered. Claims must be reported on forms provided by Pineywoods.
