2019 Old Hickory Bible Camp Application
This is an application for Old Hickory Bible Camp. It will be July 14-19 at Fall Creek Falls State park, Group Camp 2. The camp theme will be "I Am The Prodigal." The theme for dress up day will be "Super." Applications will be accepted for campers who have finished the 2nd grade through graduated seniors in high school. After you sign up online, you will be contacted with more information about camp. The cost for the first camper in your family is $75, and $70 for each additional child in your household. Make checks payable to the Old Hickory Church of Christ and please put your child's name in the memo.

Send checks to:
Attn: Mason Hale
Old Hickory Church of Christ
1001 Hadley Ave.
Old Hickory, TN 37138

Or, you can pay online using PayPal's secure service. The link will be provided after the application is submitted.

If you would prefer to download a traditional camp application, you can get it on our website's Ministries page in the Youth Ministry section here: http://www.oldhickorychurchofchrist.com/our-ministries/

If you have any questions, call Mason Hale at (615) 847-2386 or email him at masonhale@oldhickorychurchofchrist.com

2019 Bible Camp Theme
Cascades
Camp Games
Cable Hike
Camper's First Name *
Your answer
Camper's Preferred Name
Your answer
Camper's Last Name *
Your answer
What is the camper's gender? *
Parent/legal guardian's preferred email address? *
This is so we can confirm with you that your application has been received.
Your answer
What is your street address? *
Your answer
City, State, and Zip Code? *
Your answer
What is the camper's full date of birth? *
Please enter MM/DD/YYYY
Your answer
What age will the camper be at camp? *
What grade will the camper be entering this fall? *
What are the parent's names? *
Your answer
Please list the parents' home phone number:
Your answer
Please list the parent's cell phone numbers: *
Your answer
What is the camper's shirt size? *
Campers who do not register before Sunday June 23rd may not be able to get the size of their choice.
Please check if your child needs to ride the bus: *
We have room for 27 passengers. Spots on the bus are reserved in the order that applications WITH PAYMENT are received.
Required
Does the camper have any allergies? *
If so, please describe them. If not, please put N/A.
Your answer
Does the camper take any medications? *
Please list all medications that the camper will need to be taking and the time of day they need to be administered. Medications are to be given tot he camp nurse. If no medications are required, please put N/A.
Your answer
Insurance Information *
In case of emergency medical situations that go beyond what our camp nurse is equipped to handle, please provide your insurance information so that we can get your child medical attention. Please list: (1) the name of your Insurance company, (2) The Policy Number, (3) The Policy Holder's name
Your answer
List the NAME and NUMBER of an emergency contact other than the parents. *
In case of emergency, we want to be sure we can keep you informed.
Your answer
Parental Consent *
"By checking this box, I understand that my child will follow all guidelines and participate in all activities of the Old Hickory Bible Camp. I herby authorize the director and/or other authorized personnel of Old Hickory Bible Camp to act for me according to their best judgment in any emergency requiring medical attention for my child. If my child violates any OHBC guidelines or displays behavioral issues I understand I will be required to come and take them home."
Required
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