Registration Form for Teen Camp 2009
Name: ____________________ Male or Female
Age: ______ Date of Birth: ____/____/_______
City:________________________State:______ Sponsoring Church:
Church Name: __________________________
Father’s Name: _________________________
Mother’s Name: _________________________ 15 Washington Street
Emergency Phone:_______________________ Sinking Spring, OH
Signatures Required 45172
“I have read the general information section in this
brochure, and I agree to comply with the dress and
conduct regulations while at camp.”
Signature of camper Date
“I understand that in the event medical treatment is
required, every effort will be made to contact me. I
give my permission to the staff to secure the services
and fees to:
of a licensed Physician to provide the care that is
necessary, including anesthesia, for my child’s well
being. It is agreed that the camp sponsors or
directors will not be responsible for injuries by
accident or otherwise. I also understand that our
child must obey all rules as set forth by the camp
directors.” P.O. Box 49
Seaman, OH 45679
Signature of parent or guardian
Medication taken regularly: ____________________
If you have any
Being held at: Southern
Medical problems: ___________________________
Insurance company: _________________________
Scott or Paula Miller Ohio Church
Policy Name Holder: _________________________
Policy Number: _____________________________ 937-386-2058. of God Camp
Emergency contact:__________________________ 2429 Moore-Saur Road
Emergency Phone: __________________________ Morrow, Ohio 45152
Candy Bar Wars: Are you General Information Meals: A sack lunch will be
needed for Monday. All other
Arrival: Check in will begin at 12:30
ready for a thrill packed week of pm on Monday.
meals are included through
breakfast on Friday.
adventure? This year’s camp is going to Departure: Camp ends at 11:00 am
be a delicious and nutty competition Friday following the award service.
between the “Almond Joys” and the What to bring: KJV Bible, bedding,
“Snickers”. Join the fun at GBC Youth pillow, towels, toiletries, flashlight, Information
spending money (for canteen), one-
Camp! The action will be non-stop with piece swimsuit, and jacket. Early Bird Discount!
plenty to do – swimming, individual
Campers Should Remember: As a Teen registrations and camp
challenges, crafts, group competitions, fees received or postmarked by
Christian organization, our camp
wiffle ball, sand volleyball, basketball, maintains high standards of conduct June 21 s t are entitled to $10 off
paddle boats, hiking trails, and a and separation. Do not bring cell ($105). Final deadline for
phones, electronic and media registration and fees is June 28 t h .
bonfire. There will also be an optional Paintball is an additional $15 fee.
devices, magazines, alcohol,
paintball activity ($15 fee). Each event tobacco, drugs, knives, firearms,
will be exciting and full of challenge. fireworks, or clothing with Speaker Information
However, camp is more than just inappropriate graphics or lettering.
Physical contact between boys and Our main speakers this week
exciting activities; it is a week of girls is not allowed. There are will be Evangelist Phil Gabbard
spiritual, life-changing decisions. Sign separate swim times between girls and Pastor Bruce MacDowell. It
up today for GBC YOUTH CAMP 2009! and guys. Any non-cooperative or is our camp’s desire that your life
noncompliant campers will be subject will be impacted and changed
to dismissal. through the ministry of their
When is it?
preaching. Over the years God
Ladies/girls’ note: Any fashion worn
has used the preaching at camp
must come at least to the top of the
to bring teenagers to Christ and
knee and cover the mid-section and
challenge them to serve the Lord.
shoulders. Low necklines (front or
God has always used preaching
back) are not acceptable camp attire.
to impact tender hearts. Come
Loose-fitting pants, jeans, or knee-
How much is it? length fashions may be worn. Please
bring a knee-length skirt or dress for
and join the fun at GBC Youth
Camp 2009 with the intent to
seek Christ and with a heart
$115 the Thursday evening service.
prepared to allow God to speak
Men/boys’ note: Any fashion worn to you.
must come at least to the top of t he
Who can come? knee. Sagging pants and
inappropriate holes are not
Grade 7 - Age 19 acceptable camp attire. Please
bring long pants and a collared
“Rejoice in the Lord
shirt for the Thursday evening alway: and again I say,