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CCCA Virtual Junior Camp Registration
*Please note registration fee of 35$ is due at the time of registration. A link at the bottom of this page will direct you to our region's secure Square payment page. Thank you!*

This year, Sara Hindsley's Junior camp will be hosted on Zoom and an online camp portal! We are excited to offer this option to rising 4th-6th graders to meet, learn and praise together as we all miss being together at Camp Mary Mac this season.

Camp will begin on Monday, July 27th.
Meetings will be held from 10am to 12pm on Monday, Tuesday (28th) and Wednesday (29th) of that week.

To fully participate campers will need:
1. Computer or device (tablet) with a webcam and mic
2. An Internet Connection
3. Be online during the time camp is offered.

Please fill out this form in its entirety - All questions can be directed to the Camp Registrar, Becky Morrison, at campregistrar@cccadisciples.org.


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Camper Name (First, Last) *
Guardian Name (First, Last) *
Camper Date of Birth *
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Camper Email Address (if preferred for communication during camp) *
Mailing Address (Include City and Zip) *
What Congregation do you attend? *
Permission to Photograph
With your permission, the Region's Ministerial staff and our volunteer camp staff (counselors and directors) will photograph or video tape your child for the express purpose of promoting the Region's Summer Camp (outdoor ministry), Children's Ministry, and Youth Ministry programs through print media, digital media, or Internet platforms. By checking a box below you, as the parent or guardian of the camper above, are providing your digital signature. Please select the appropriate permission box below.
Do you provide permission to photograph? *
Consent and Release

The undersigned person represents that he/she is the custodial parent/legal guardian of the above identified participant. The camper has my/our permission to attend the camping program that I selected which is sponsored by the Christian Church (Disciples of Christ) Capital Region between the dates of June 1, 2020 to September 30, 2020.  

I/We understand that the camping experience grows in intensity as the week progresses. I/We recognize that missing any part of the week compromises my child’s experience of intentional Christian community and affects both my individual child and the camp community as a whole.

I/We know that the demands outside this camp event may be in conflict with the commitment to spend a few hours apart for this digital Christian camping experience, and I/We have chosen to have my/our child spend this time online at camp uninterrupted by other commitments.
By checking the box below you, as the parent or guardian of the camper above, are providing your digital signature and agreeing to the Consent and Release above. *
Required
Online Camp Covenant
Our summer camp experiences depend on a commitment to living in intentional Christian community by the participants and the adult volunteers. To do so, we agree to a covenant that helps manage our relationships with one another, our behavior within community, and as a community. We require all participants to read and agree to our Community Covenant.

I understand that this is a digital camp experience and that my IP address can be traced.

I will participate fully in all activities.

I will be respectful to all persons and the camp environment at all times.

IF my camp has a chat window option, I will not post inappropriate language, images, or demean the appearance of another camper or adult volunteer.

I understand that the adults are present for my safety, for my questions about life and faith, and that they are responsible to uphold the Region’s policies and boundaries as well as that of the camp facilities. I will respect and trust the adults.

By checking the box below you are agreeing to the Online Community Covenant and providing your digital signature *
Required
Camp- In - A - Box
As an addition to this year's online camp experience, Junior Camp staff has put together a box of items that campers will be able to use to participate. This box is at no extra cost to you, but will need to be delivered by a volunteer prior to camp starting on July 13th.
May we drop your camper's box off at your mailing address? *
Payment
Please visit https://christian-church-capital-area.square.site/ to complete your registration by paying the one-time 35$ fee. Please consider the 36$ option that will cover the cost of our processing fees.
Thank you and we will see you on July 13th!
You will receive an email confirmation of your registration responses.
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