OHIO VALLEY PARENT: Ohio Valley Christian Youth Camp, Inc., is hereby authorized to arrange for my child whatever medical or emergency treatment may be necessary while my child is at camp. I realize there are certain risks associated with camping. As a camper\parent of a camper, I accept full responsibility for personal injury\illness and loss\damage to personal property incurred during or as a result of camping. I will not hold Ohio Valley Christian Youth Camp, Inc. liable for any of the above. CHRISTIAN YOUTH CAMP Web Page: www.ovcyc.org 2015 Camp Sessions Senior Week Parent \ Guardian (print) _____________________________________ June 14-19 Ages 14-19 Parent \ Guardian (signature) _____________________________________ Directors: Emergency contact phone Tom Tucker; Bob Long __________________ or _________________ Junior Week MEALS The Sunday evening dinner will be provided for all campers and staff. Those in charge of the kitchen will be planning meals so that everyone will receive well balanced meals daily. Questions? Contact: Melcie Wells at 740-896-2512 home, text cell at 740-525-4419, email at melcie@suddenlink.net Donnie Watts; Sam Jones Intermediate Week June 28-July 3 Ages 11-14 Marietta, OH 45750 Each week of camp begins at 4:00 PM on Sunday and ends at 4:00 PM on Friday. Directors: 535 Lang Farm Road CAMP SESSIONS June 21-26 Ages 8-11 c\o Melcie Wells Registration forms MUST be filled out completely and signed. We need to be able to reach you at all times in case of emergency. If you need more forms you may download from our web site: www.ovcyc.org Ohio Valley Christian Youth Camp, Inc. REGISTRATION FORMS Directors: Ernie Cornell; Kipp Ferrebee While Camp Is In Session send mail to: Camper’s Name Camp Hervida 1260 Camp Hervida Rd. Waterford, OH 45786 2015 O h io Va l l ey C hr i st ia n Y out h Ca m p We can take care of 165 campers each week. Acceptance is based on registration; first come first served. Anyone who registers in the required way and agrees to abide by the camp rules may attend. No one shall be denied because of race, color, national origin, sex, or handicap. STAFF Approximately 35 Christians will be on hand to guide, teach, and counsel your children. The activities planned and the atmosphere will be a character-building experience for your child. All staff members volunteer their services which helps to keep the rates as low as possible. 2015 MAIL COMPLETED AND SIGNED WITH DEPOSIT What To Bring To Camp 1). Personal items such as soap, wash cloth, towels, toothpaste, brush, etc. 2). Bed clothes, sheets, pillow, blankets, sleeping bag 3). Plenty of clean clothing and shoes (no attire shorter than knee length is acceptable.) Received: ______________________________ OVCYC c\o Melcie Wells Deposit: ____________ Bal. Due: ___________ 535 Lang Farm Road Paid in full ____ Check # ______________ Marietta, OH 45750 Cabin Assignment _______________________ CAMPER INFORMATION: Confirmation sent: _______________________ Camper’s Name: __________________________ Gender: (circle) Male Mailing Address: ___________________________ Birth date: _________ Age:__________ City: ___________________________________ State ___________ Zip _______________ Home Phone: ____________________ Grade in fall: _______________ Female Home Congregation ____________________________________________ Member? YES Email address: _____________________________ NO __________________________________ SPECIAL REQUESTS: To be assigned to same cabin as two other campers\counselors (Please, no specific cabin number requests.) FACILITIES The beautiful Camp Hervida 4-H facilities are located near Waterford, OH. For Office Use Only: 1) _____________________________________ 2) _________________________________ OPTIONAL T– SHIRT ($10 if paid with registration $12 at camp) Circle size: Adult S M L XL Youth S M L PARENT OR GUARDIAN INFORMATION Father: _________________________________ Mother:___________________________ Home # _________________ Cell# __________ Home # _____________ Cell#_________ CAMPER MEDICAL INFORMATION 4). Personal sports equipment. The camp will furnish the basic equipment for most games. Family Doctor: ____________________________ 5). Spending Money + or - $10—convert to money cards to avoid loss. Medication: ____________________________________________________________________ 6).Personal Bible, pen, pencil, tablet for Bible Class Dr.’s Phone: ________________________ Allergies:______________________________________________________________________ Other Medical Information including restrictions: _________________________________________ What Not To Bring _____________________________________________________________________________ Campers are asked to please leave cell phones at home. Cell phones campers bring to camp will be collected and held until the end of the week and then returned. The Camp Phone Number is: 740-984-2267 COST: $100 for the first child and $95 for each additional child in the family. A $50 deposit must accompany your reservations, payable to Ohio Valley Christian Youth Camp or OVCYC Check Desired Week(s) __ June 14-19 SR. Week (14-19) __June 21-26 Jr. Week (8-11) __ June 28-July 3 Int. Week (11-14)
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