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Michigan District Royal Rangers
Junior Leadership Development Academy
PRESENTS:
Rangers Training Camp and
Junior Training Camp
June 18—20, 2015
Loca!on: Connec!on Church, Canton, MI
Costs: $75 by June 1st; $85 a(er June 1st, 2015
Rangers Training Camp (RTC) is a district camp for boys in the 3rd and 4th grades. The focus will be
on team building through the Patrol Method. RTC is a Pre-Academy Training Event designed to help
boys for Junior Academy Camps. This is not a pre-requisite for Junior Leadership Training Academy
a6endance.
Junior Training Camp (JTC) is the entry level junior camp designed to strengthen camping , leadership
and soul winning skills of Royal Rangers. Rangers eligible to a6end this camp will be in the 5th grade
or older and be recommended by their commander. Earning the camping merit prior to a6ending JTC
is recommended.
Applica!ons will be available soon on the Michigan District Royal Rangers website, michrr.com. To
have an applica!on sent to you, contact District Training Coordinator Frank Fenbert at 734.777.5181
or at michiganjlta@gmail.com.
2015
JUNIOR TRAINING CAMP
MICHIGAN DISTRICT
Thursday June 18th through Saturday June 20th, 2015
TRAINEE APPLICATION
WHO:
All Royal Rangers who are Discovery Rangers in the 5th Grade or older.
WHERE: Connection Church 3855 S Sheldon Road, Canton, MI 48187
COST:
Registration is $75.00 if sent in before June 1st, 2015
Registration is $85.00 if sent after June 1st 2015.
Registration deadline is June 15th 2015.
A limited number of Rangers will be allowed to attend this camp. The camp fee includes a special JTC hat for each camper,
patches, food, supplies etc. Registration will be at 10:00am on Thursday morning and then camp classes will begin at 11am.
Camp ends by 4pm Saturday evening. This will allow the boys to be home on Saturday night.
REFUNDS: If for some reason you are not accepted for this camp, you will be notified by mail and your check will be
returned. There are no refunds for this camp! Should you be accepted and then not show up, you may send a substitute in your
place but they must have a completed application when they arrive. Otherwise your camp registration fee will be considered a
donation to Royal Rangers. If the camp is canceled by the JTC Staff for any reason, your money will be returned.
Name of Leader Attending Camp with Boys:_____________________________________________
PLEASE PRINT:
Boys Name:____________________________
Address:_______________________________
City:__________________________________
State: _____ Zip: ___________
Church:_______________________________
City:________________________ State:_____
Outpost Number:________
DOB____/____/_____
IN CASE OF EMERGENCY, PLEASE NOTIFY:
Name:____________________________________
Address:__________________________________
City:_____________________________________
State:__________________ Zip:_________
Home Phone: (___) _____-___________
Work Phone: (___) _____-___________
Relationship:_______________________
E-Mail __________________________________
PARENTAL AUTHORIZATION
I understand that there is a certain degree of risk and possible injury by reason of the activities at this camp. I will not hold the
local church, Royal Rangers or any of their staff, the Assemblies of God, nor Connection Church, or any of their agents or staff,
responsible for accidents or injuries. I understand there will be an Emergency First Aid Station on location. In the event of an
illness or accident, I do hereby give my consent to the staff to administer any medical treatment deemed necessary by licensed
Physicians, Dentists or Emergency Medical Personnel serving during this event. I also give my permission for any pictures
taken of my child to be used for promotional efforts for the JLTA.
___________________________________ ______/________/_______
(Signature of Parent or Guardian)
(Date)
Trainee Medical History: Good Health ?____________ Allergies:_____________________________
Physical impairments (heart, epilepsy, etc.)_________________________________________________
Special medications required ?___________________________________________________________
Allergic to medications ?______ What types:___________________________________________
Health Insurance Provider Name:____________________________ Group Number________________
Doctor’s Name:_______________________________ Phone number: (____)______-______________
MAIL THIS APPLICATION AND CAMP FEE TO:
(Make checks payable to Royal Rangers)
(Write account # 42144 on the memo line of your check)
RTC - C/O Frank Fenbert
20595 Richard Ave
Brownstown, MI 48183
2015
RANGER TRAINING CAMP
MICHIGAN DISTRICT
Thursday June 18th through Saturday June 20th, 2015
TRAINEE APPLICATION
WHO:
All Royal Rangers who are Discovery Rangers in the 3rd or 4th Grade.
WHERE: Connection Church 3855 S Sheldon Road, Canton, MI 48187
COST:
Registration is $75.00 if sent in before June 1st, 2015
Registration is $85.00 if sent after June 1st 2015.
Registration deadline is June 15th 2015.
A limited number of Rangers will be allowed to attend this camp. The camp fee includes a special RTC hat for each camper,
patches, food, supplies etc. Registration will be at 10:00am on Thursday morning and then camp classes will begin at 11am.
Camp ends by 4pm Saturday evening. This will allow the boys to be home on Saturday night.
REFUNDS: If for some reason you are not accepted for this camp, you will be notified by mail and your check will be
returned. There are no refunds for this camp! Should you be accepted and then not show up, you may send a substitute in your
place but they must have a completed application when they arrive. Otherwise your camp registration fee will be considered a
donation to Royal Rangers. If the camp is canceled by the RTC Staff for any reason, your money will be returned.
Name of Leader Attending Camp with Boys:_____________________________________________
PLEASE PRINT:
Boys Name:____________________________
Address:_______________________________
City:__________________________________
State: _____ Zip: ___________
Church:_______________________________
City:________________________ State:_____
Outpost Number:________
DOB____/____/_____
IN CASE OF EMERGENCY, PLEASE NOTIFY:
Name:____________________________________
Address:__________________________________
City:_____________________________________
State:__________________ Zip:_________
Home Phone: (___) _____-___________
Work Phone: (___) _____-___________
Relationship:_______________________
E-Mail __________________________________
PARENTAL AUTHORIZATION
I understand that there is a certain degree of risk and possible injury by reason of the activities at this camp. I will not hold the
local church, Royal Rangers or any of their staff, the Assemblies of God, nor Connection Church, or any of their agents or staff,
responsible for accidents or injuries. I understand there will be an Emergency First Aid Station on location. In the event of an
illness or accident, I do hereby give my consent to the staff to administer any medical treatment deemed necessary by licensed
Physicians, Dentists or Emergency Medical Personnel serving during this event. I also give my permission for any picture taken
of my child to be used for promotional efforts for the JLTA.
___________________________________ ______/________/_______
(Signature of Parent or Guardian)
(Date)
Trainee Medical History: Good Health ?____________ Allergies:_____________________________
Physical impairments (heart, epilepsy, etc.)_________________________________________________
Special medications required ?___________________________________________________________
Allergic to medications ?______ What types:___________________________________________
Health Insurance Provider Name:____________________________ Group Number________________
Doctor’s Name:_______________________________ Phone number: (____)______-______________
MAIL THIS APPLICATION AND CAMP FEE TO:
(Make checks payable to Royal Rangers)
(Write account # 42144 on the memo line of your check)
RTC - C/O Frank Fenbert
20595 Richard Ave
Brownstown, MI 48183