We have restructured our Traveling Day Camp program for the 2019 summer. Program is FREE, but it costs us $38 per camper per day or $190 per week, so donate as much as you can.
The final item on this form is your "Parent/Guardian and Camper Agreement" with our Good Behavior Requirement, and your Parent/Guardian Authorizations for Attendance. (Is a Camp Bethel program a good fit for your camper? She/he will be with other children/youth and their counselors all day each day. We stay together with our group during our entire time at Camp Bethel. Bad behavior does not fit and cannot be tolerated.) By requesting enrollment into Camp Bethel programs, you and your camper agree to our Behavior Policy and understand that good behavior is required. See www.CampBethelVirginia.org/ParentInfo for details.
This is a LONG registration form; be sure to complete it thoroughly. SCROLL THIS FORM DOWN AS YOU GO, and be sure to click the SUBMIT button at the bottom of the form! Items with a red * asterisk are REQUIRED items.
PARENT/GUARDIAN AUTHORIZATIONS FOR ATTENDANCE:I hereby request that my child be accepted to attend the Day Camp chosen above. I have read and understand this program's description and the activities listed for my child’s time at camp, and the Parent Information at CampBethelVirginia.org/parentinfo, including the camp rules and behavior policies. I understand that my child will be participating in many physical activities (including, but not limited to those listed in the program descriptions) and the potential for accidents exists. I understand that the camp and the host church have established guidelines to minimize risks to provide a safe environment and that Camp Bethel is licensed by Virginia to operate a Summer Camp, and that Camp Bethel is accredited by the American Camp Association in accordance to adherence to over 300 quality standards. In consideration of acceptance to Camp Bethel,I indemnify and hold harmless Camp Bethel, the host site Church of the Brethren, the Virlina District Board–Church of the Brethren, Inc. and its staff and officers from any and all liability, claims, damage, injury or illness sustained by my child, andI verify that the information on this Registration Form is correct and complete as far as I know. This information may be copied for camp records, andFor this camper I will complete and return a Health Form (link available after registering). I hereby give permission to the camp to provide routine health care, administer prescribed medications and over-the-counter medications I list on the Health Form, and seek emergency medical treatment. I agree to the release of any records necessary for emergency purposes. I give permission to the camp to arrange necessary emergency medical transportation for my child. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the camp to secure and administer treatment for my child including ordering x-rays, administering tests, and admittance to a hospital, andI understand that Camp Bethel provides only limited secondary medical insurance coverage for participants. I will attach proof of primary personal/family medical insurance coverage for my child, if any (this is optional and NOT required), as requested for camp attendance on the Health Form received in my confirmation packet after registering, andI understand the active nature of the camp activities and give permission for my child to participate fully and to engage in all camp activities listed in the program description including archery, unless otherwise noted under the "restrictions" section of this application, andI understand that archery activities are “challenge by choice” and that my child will not be forced to participate, andI understand the cancellation/transfer and refund policies including (1) $25 of my payment is non-refundable unless Camp Bethel cancels the camp program, (2) a $20 processing fee must be added if I choose to switch or reschedule my camp date, (3) that if complete payment of the camp fee (or scholarship approval or Good-As-Gold form) is not received 14 days prior to my camp date I will forfeit my child’s reserved spot, (4) there are no refunds for cancellation of my reserved spot in camp within 14 days prior to my camp date, and (5) there are no refunds for partial camp attendance or early departure for any reason unless Camp Bethel cancels the camp program, andI agree to read all information included in the Confirmation Packet and What-to-Bring List sent to me after registration and to share this information with the camper, and to read, sign and return any and all applicable forms including the Health Form (which will include Emergency Contact and "Who is authorized to pick up my child" information), andShould it become necessary for my child to return home during the day because of illness, homesickness or other reason, I will accept the Director’s decision and arrange for transportation, andI permit camp photos, video and audio of activities or interviews that may include my child to be used in camp promotion without liability or remuneration, andI verify the Physical Assessment of this camper as described below.
Physical Assessment of Camper by parent, legal guardian or medical personnel: (We encourage parents/guardians to consult your child’s primary care physician to assess your child’s current health and physical abilities. Provide any updates or changes to this information at check-in on the first camp day.)This child is physically able to participate in all camp activities listed in the program description (unless otherwise noted under the "restrictions" of this application), and I will provide an update to this child’s health status and Health Form, if any, during the health screening at check-in on the first day of camp.