W.O. L. Summer Camp

June 21st – June 27th

$50 Deposit due April 15th
(Paperwork must be turned in with deposit)

Final balance of $275 will be due by 6/10/15

Sun. June 21st 9:30 a.m. Meet at Russell Haven of Rest, load all luggage

10:00 a.m. Leave for WOL Camp

12:00 p.m. Lunch

2:00 p.m. Arrive at WOL Camp

Sat. June 27th 8:30 a.m. Leave WOL Camp

12:00 p.m. Arrive back at Russell Baptist Church

Emergency Phone Numbers

Bro. Doug (cell) 237-9241

Bro. Chad (cell) 955-0002

WOL Camp 727-856-7575

Dear Parents,

Thank you for allowing us to take your teen to camp. Every year we see young people make life long decisions for Christ, so we fell this is a very important week! If you have any questions or concerns please feel free to call me.

Doug Eason, Youth Pastor

Chad Weeks, Jr. High Pastor

DRESS CODE/PACKING LIST

Camper Checklist

____ Bible ____ Notebook

____ Pen/Pencil ____ Sleeping bag or sheets and blanket

____ Pillow ____ Bath/Pool Towels

____ Toothbrush/Toothpaste ____ Soap and Shampoo

____ Hairbrush/Comb ____ Deodorant

____ Sunscreen ____ Bug Repellant

____ Camper Bank Money

____ Casual Clothes (T-shirts, jeans, shorts, jacket, etc.)

Shorts must be fingertip length (mid thigh). Skirts knee length. Sleeveless shirts and

tank tops must cover at least half the shoulder. NO tight fitting shorts, pants or tops.

NO spaghetti strap tank tops.

____ Bathing Suit: Modest beachwear. One piece suit for girls – trunk style for guys. NO

brief style or spandex suits for boys. NO tankini and bikini for girls.

____ Shoes )Comfortable sneakers or sandals)

Make sure your name is on everything.

Clothing that does not meet the above standards will not be permitted.

A coin operated laundry facility is available for teen campers staying for more than one week.

Please do not bring cell phones, music/media players, laptops, ipads, ipods, knives, gaming devices, books, magazines, e-readers, etc.

DIRECTIONS

From US19 South:

Head north on US 19 to Hudson Ave. Turn east (right) on Hudson Ave. Bayonet Point Hospital is on the right. Go 8 miles to the Word of Life entrance. Turn right into the drive.

From US 19 North:

Head south on US 19 to Hudson Ave. Turn east (left) on Hudson Ave. Go 8 miles to the Word of Life entrance. Turn right into the drive.

From US 41:

Head toward State Road 52. Turn west onto SR 52. Head west about 4 miles to Hays Rd (at a stop light). Turn north (right) onto Hays Rd for 2 miles. Turn west (left) onto Hudson Ave. Word of Life entrance is ½ mile on the left.

From I-75:

Exit to State Rd 52, exit number is 285. Head west 15 miles to Hays Rd (at a stop light). Turn north (right) onto Hays Rd for 2 miles. Turn west (left) onto Hudson Ave. Word of Life entrance is ½ miles on the left.

Camp Activities

Water slide Swimming Pool Climbing Tower

Basketball Volleyball Skate Park

Camp T-shirt ($10) Low Ropes Course Gift Shop/Snack Shack

Pizza In The Cabins ($10) Arts and Crafts (Jr Camp Only) Camp DVD ($5)

Water Tubing ($15)-ages 10 & up

All you can eat Pizza ($5)-teen camp only

Climbing Tower: Each camper may try his hand at our 40ft., three-sided climbing tower. Available all afternoon and in the evening under the lights. The tower can be tackled by a beginner, while still proving to be a challenge for the most experienced climber. Word of Life Florida provides all safety equipment and all our facilitators are properly trained and certified.

Skate Park: Campers must bring their own skateboard or roller blades as well as wrist guards, elbow pads, knee pads, and a helmet. You will not be allowed to use the Skate Park unless you have all of this equipment.

Paintball: $15 – Teen Camp Only – Each paintball session lasts 1 hr and can include up to 40 campers at once. Two teams are formed and various types of games are played on our large wooded field. Campers are required to wear proper clothing. Masks and paintball markers are provided as well as 100 paintballs. Extra paintballs are available for purchase in increments of 100 for $5. Campers are not permitted to bring their own paintballs. Campers may bring their own guns which will be kept in the youth camp office between paintball sessions. Target practice is available for junior campers – first round is free – additional paintballs are $5 per 100.

Water Tubing: $15 – Ages 10 and up – Campers may go water tubing at an area lake in the afternoon (transportation provided). Equipment and life vests are also provided.

Pizza in the cabins: Price for whole pizza is $10. Campers may just purchase a few slices. Delivered to the cabins after the evening activities.

All You Can Eat Pizza Party by the Pool: $5 – Available during teen camp only.

Camp DVD: $5 – Available for purchase after the Friday evening meeting. A review of the activities and events during the camp week.

A swim test is required for junior campers who would like to use the pool. Certified lifeguards are on duty when pool is open.


Payment and sign-up for the above activities will be made upon arrival at camp after you have proceeded through the camp registration lines. Please bring separate checks for camp registration and camper activities.

FAQ

Are there any additional charges for campers?

We try to keep our additional charges to a minimum. A list of additional charges can be found in the Camp Activities section of this packet.

What if a camper is coming in by plane?

Round trip van shuttle from Tampa International Airport is available. Please call the conference center front desk at least 72 hours in advance to reserve your transportation. (727) 379-5000. The charge is $20 per person per way.

What are the cabin facilities like?

Campers sleep on bunk beds in air-conditioned cabins with bathroom facilities inside each cabin. Each room houses about 12-13 campers and 2 counselors. Groups are automatically housed together as much as possible unless requested otherwise.

What is the food like?

The food served is the finest quality and is prepared under strict supervision. A well-balanced diet is planned for each day. Campers are served family style and are free to eat as much as they desire. Candy and snacks are available at the Snack Shack. Campers are also welcome to bring their own snacks.

What is the Camper Bank?

We recommend that campers put their spending money (for activities, pizza, snack shack, camp store, et.) in the Camper Bank. This can be done on registration day or prior to arrival. The amount of spending money your camper brings is up to the parent. Word of Life is not responsible for any money or items not deposited in the bank.

What if I forget things at camp?

Lost and found articles are returned COD upon claim by parents, up to 30 days after the end of their camping week. Call (727) 379-5020 for lost items.

Can I call my camper?

Please limit calls to campers for emergencies only. The Camp office can be reached by calling (727) 856-7575 or (727) 379-5600. A message will be taken, your camper will be informed, and they may return your call. No calls after 10 pm unless it is an extreme emergency. Campers may not have cell phones at camp. Phone cards are available for purchase at the camp bookstore.

Who are the counselors?

The counseling staff at the Word of Life Youth Camp is of the highest caliber. They have been carefully selected and specially trained. Each counselor has just completed a school year at the Word of Life Bible Institute filled with extensive training in the Bible and the camp ministry. They have also completed first aid classes and were subject to state and federal background checks.

Summer Camp

HEALTH AND ACTIVITY RECORD

Please complete, sign, and date this form for all campers. PLEASE DO NOT MAIL.

(If form is incomplete, parents or guardian will be contacted before camper is admitted to camp) Please Print

Camper Last Name Camper First Name Camper Middle Initial

Date of Birth Age Male Female Dates Attending Summer Camp


Group Information:

Group Name Group Leader

Is leader staying on campus during camp? Yes No

Parent or Guardian Full Name Telephone Numbers w/Area Codes

Home ( )

Address Work/Cell ( )

City State Zip Code

If not available in an emergency notify: (preferably relatives) Telephone Numbers w/Area Codes

Name ( )

Relationship to Camper

Do you have Health Insurance? YES NO

If YES, please fill in the information below or attach a copy of front and back of insurance card.

Family Health Name of Company Policy Number

Insurance

Information

Group Number Telephone Number

( )

Parent/Guardian Name

Does your child have any food/drug/environmental allergies? YES NO

If YES, please explain:

SPECIAL MEDICAL PROBLEMS, CONDITIONS OR RESTRICTIONS:

Are they able to pursue all normal activities? YES NO

If not, explain:

Name of Family Physician or Medical Group: ______Phone: ______

Name of Dentist or Orthodontist: ______Phone: ______

If camper has had or currently has any of the following, please check the box and include year of occurrence:

______Anemia ______Orthopedic Problems ______Seizures/Epilepsy

______Asthma ______Bed Wetting ______Diabetes

______Chicken Pox ______Emotional Treatment ______Insulin Dependent

______Non-Insulin Dependent

IMMUNIZATION HISTORY 1ST DOSE 2ND DOSE 3RD DOSE 4TH DOSE LAST DOSE

Diphtheria & Tetanus (DTP, DTap, Pertussus, Td)

Most recent dose should be within 10 years.

Polio Vaccine

MMR

Hepatitis B

Haemophilus Influenza B


Varicella (Chicken Pox)

Meningococcal Meningitis (optional)

Other (please specify)

Word of Life Camps are a non-profit charitable organization dependent on God and His people. Those who use Word of Life’s facilities and/or engage in related activities, waive and release Word of Life Fellowship from any claim for personal injury or property damage. Attendees agree to carry insurance or have the resources to cover the expenses related to personal injury or property damage.

The health and immunization history is correct so far as I know. My son/daughter has permission to engage in all prescribed camp activities except as noted by me and the examining physician and has permission to leave the camp grounds for camp related outings and purposes. I realize that my camper’s picture and/or testimony may be used in the future promotion of Word of Life.

I understand that all medicines, vitamins, etc. must be given to the camp nurse upon arrival and that they must be in the original containers. Illegal drugs, weapons and similar items are not permitted at camp. Word of Life reserves the right to search for and remove such items from anyone suspected of possessing them.

I hereby give permission to the medical personnel selected by the camp director to order s-rays, routine tests and treatment for my son/daughter, in the event I cannot be reached. I hereby give permission to the physician selected by the camp director to hospitalize, secure proper treatment for, and to order injection, anesthesia, and/or surgery for my child as named above. This form may be photocopied for use out of camp.

Signature of Parent or Guardian: ______Date: ______

Word of Life Camp

Individual Medication Form

Last Name: ______First Name: ______

The following may be administered to your child, if needed, while at camp.

Medication / Dosage / Approval
Acetaminophen (Tylenol) / Per label instructions / Yes No
Ibuprofen (Advil) / Per label instructions / Yes No
Diphenhydramine HCI (Benadryl) / Per label instructions / Yes No
Guaifenesin (Robitussin or Mucinex) / Per label instructions / Yes No

Parents or guardians, please list your child’s prescription medications, over the counter medications, vitamins, herbs and or dietary supplements. Camper must be able to administer own injections.

Medication Name / Route / Dosage / Frequency and Indications / Comments

Russell Baptist Church

Parent Release/Medical Form

Event: Word of Life Youth Camp 2013

Student Name: ______Phone: ______

Student Address: ______

City: ______State: ______Zip: ______

Date of Birth: ______Grade: ______Gender: ____M ____F

Parent/Legal Guardian: ______

Home Phone: ______Work Phone: ______Cell Phone: ______

Insurance Information

Policyholder’s Name: ______

Name of Insurance Company: ______

Policy Number: ______

Health History

Allergies: ______

Medications: ______

I, ______, consent to ______going
(Parent/Legal Guardian Name) (Student’s Name)

to ______on ______.
(Destination) (Date)

For supervised activities and agree to release and discharge Russell Baptist Church, its employee’s officers and agents (all
claims, demands/rights and causes of action) growing out of personal injury and property damage resulting or occurring
during the aforementioned activity or in transit to and from said activity.


Date: ______Parent/Legal Guardian Signature: ______