Winter Camp 23 (WC23) with WayPoint Youth
Hello! This form is for Camp Registeration. If filled out completely, it's the only form you need.
This is the official registration form for Winter Camp 23 (WC23), with WayPoint Youth, the youth ministry of WayPoint Church, representing North and South campuses. This form must be filled out for each student attending! The deadline for WC23 registration is February 5, 2023, subject to availability. WC23 is taking place at Black Lake Bible Camp, in Olympia, WA. Transportation to/from camp is not provided, but carpooling is encouraged.
Drop off will be from 4:00-4:30pm on Friday at Black Lake Bible Camp. Pick-up will be on Sunday at noon.
For Frequently Asked Questions and any other information about camp, including the information above, please visit waypointyouth.com/wintercamp.
Are you a parent, or a student?
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I am a parent
I am a student
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Student Interest Form
To register for camp, a parent is required to complete your registration. Since you're a student, you'll need them to register for you.
If you'd like to give us some information below, we can reach out to them via email and let them know how awesome camp is, with a link to get you registered!
Your Name:
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First Name
Last Name
One of your parents' names:
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First Name
Last Name
That parent's email address:
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example@example.com
That parent's cellphone number (we will send texts to this number):
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Area Code
Phone Number
Email Confirmation:
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Please send my parent an email!
Type a question
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I am aware that filling out this interest form does NOT register me for camp! I am aware that I will not be registered fully until my parent fills out the registration form.
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The COST of WC23 is $125 per student.
You can find detailed info about WC23 at waypointyouth.com/wintercamp, but we need to cover some basics here.
Scholarship Info:
Check here if you'd like more information about scholarships and/or delayed payments for WC23
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Got it!
Scholarships
Pro Tip: Open this link in a new tab so you can keep filling out this registration without having to reload it!
For those that will have a hard time paying, scholarships and delayed payment plans are available! If that's you, fill out the Scholarship/Delayed Payment Request using the URL below. You'll have to copy and paste it into a new browser window. You can also find this link at waypointyouth.com!
https://forms.gle/ikT2yEVPPzdfzptw5
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Student Info
Age Requirement: ALL students who attend WC23 must be in 6th grade, OR be 12 years old by September 1 of 2023.
Students Name:
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First Name
Last Name
Student Cellphone (Optional - for texts):
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Area Code
Phone Number
Student's current Grade:
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6
7
8
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10
11
12
Student's age at the time of camp (Feb 10):
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Student's Date of Birth:
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Month
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Day
Year
Date
Student's Gender:
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Male
Female
Any special requests? (Requests will be granted/refused at the Camp Director's discretion.)
Will this student be bringing any medications to camp?
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Yes
No
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Student Medication Info
Custody: All medications are maintained with camp staff.
Campers may NOT self-administer prescription or over the counter medications, including Tylenol, Ibuprofen, Advil, Cold remedies, decongestants, antihistamines, vitamins, medicated creams and ointments.
Containers: All medications must be in original bottles.
Prescription medications must have pharmacy label with name of patient and drug, dose amount, doctor name and directions. Nonprescription medications and supplements must be in original packaging. All medicine amounts provided should be limited to the supply necessary for the duration of the camper’s stay.
Inhalers: Inhalers must be provided to camp staff upon arrival.
After inhaler has been verified and name placed on inhaler it will be distributed to the camper for self-use.
Medication Information
We need to know all of the medications your child will be taking at camp. Our camp nurse will see to it that they are administered correctly, on time, at the right dose. Again, we will verify this with you and the student at drop-off.
Name of First Medication:
Dose:
Time/Frequency of Use:
Reason student is taking medication:
Are there additional Medications your student will be taking?
Yes
No
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Additional Medications:
Leave blank any input fields that do not apply.
Name of Second Medication:
Dose:
Time/Frequency of Use:
Reason student is taking medication:
Name of Third Medication:
Dose:
Time/Frequency of Use:
Reason student is taking medication:
Name of Fourth Medication:
Dose:
Time/Frequency of Use:
Reason student is taking medication:
Any additional Medication information:
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Student Medical Information
We want to take care of your student as best we can. It can be helpful to us to have this information so we can watch out for them and make sure their camp experience is as good as it can be! If any of the following overall health issues apply to your student, please let us know in the field below each list. Describe the issue, what we can expect from the student, and how we can help them.
Student's Health Insurance Policy Number
Medical History
Recent Hospitalizations, Surgury, Infectious Diseases
Recurrent or chronic illness
Asthma, shortness of breath, or other respiratory problems
Diabetes, Seizures, Fainting/Dizziness, or Headaches
Sleep problems
Digestive Health issues (Diarrhea/constipation, IBS)
Pain with exercise
Skin problems
Visual/Hearing problems
Any of the above selections, explained:
Mental/Emotional/Social Health
Dealing with and/or being treated for ADD or ADHD
Dealing with and/or being treated for emotional or behavioral difficulties or eating disorders.
Had a significant life event that continues to impact the student's life
Struggling with bullying
Any of the above selections, explained:
List any Food and/or Medication Allergies here. Include what the reaction is to said food/allergy:
Anything else you'd like us to know?
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Parental/Family Info: Do we already have this information?
The following section contains questions for parents, emergency contacts, and asks for doctor info that most likely will apply to all of your students, if you are sending multiple students from the same household. If this is the case, and you've already filled out this info, we'll allow you to bypass it to save you some time.
Your Name (parent filling out this form):
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First Name
Last Name
Your email address:
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example@example.com
Have you filled this part out before?
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This is my first time filling this form out for WC23 OR I am only sending one student to camp.
I've already filled the parental information out for a previous student for WC23, and it will be the same as the next student I'm about to register.
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Parent Info
For you, the parent filling out this form.
Your cellphone number (we will send texts to this number):
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Area Code
Phone Number
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Secondary/Emergency Contact
Another adult we can contact in case of an emergency.
Name:
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First Name
Last Name
Relationship to Student
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Cellphone number:
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Area Code
Phone Number
Any other persons you'd like to share info for, please enter names, phone numbers, their relation to the student being registered.
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Family Medical Info
If you are sending multiple students to camp and they have DIFFERENT health care providers, you can write all information here, separated by commas, clearly letting us know which information is for which student. Example: "Stefan's Doctor: Charlton Heston. Carly's Doctor: Natasha Romenov."
Health Insurance Company:
Primary Doctor:
Doctor's Phone:
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Student Agreement
ALL STUDENTS will be required to read and sign the student agreement when they arrive at camp! This is a one-page contract for students that, by signing, the student agrees to all rules and requirements to attend camp. If a student does not sign the agreement, they will not be permitted to attend camp.
While it cannot be signed now, you can still read it so you and your student know what to expect. You can read the student agreement at waypointyouth.com/wintercamp
We STRONGLY recommend you go over this with your student so that they know what they are getting into!
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I understand that this agreement MUST be signed by every student coming to camp in order to attend.
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I further understand that I am NOT supposed to print this agreement and bring it already signed or deliver it to the church. It is to be signed in-person, when the student arrives at camp.
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Media Recording
From time to time, we at WayPoint Church take photographs and/or video for promotional purposes at events associated with church activities. In print or digital media, images of minors are not referenced with last name nor provide specific identifying information. Images are not sold; they are used exclusively for WayPoint Church’s purposes.
At WayPoint Youth, we love to promote our students and how awesome they are through our social media outlets, such as facebook, instagram, tiktok, and our website. The only people permitted to post on these outlets during camp are youth leaders who understand our policy of always posting with care given to how students are depicted and/or identified in these posts, and not posting things frivolously. WayPoint Youth prides itself in the culture of mutual respect, care, and dignity that our students and leaders share.
By signing below, you acknowledge this and give unrestricted permission to WayPoint Church (WPC) for your student's image to be used in print, video, and digital media at WC23, February 10-12. These images may be used by WPC for a variety of purposes, such as promoting a church/youth event, and may be used without notifying you. Unique identifying information, such as your child's last name, will not be used in conjunction with any video or digital images. If you have questions or objections to this, please reach out to Pastor Drew at dpappas@waypoint-church.org.
Sign here, and date below for Media release:
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Clear
Today's Date:
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Month
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Day
Year
Date
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Release of Liability Waiver for WC23 with WayPoint Youth
I , as parent or guardian of the student(s) registered in this form, by signing below, do hereby give permission for said student(s) to attend activities organized by WayPoint Church (WPC) for WC23 at Black Lake Bible Camp from February 10-12, 2023. I will hold harmless WPC, Black Lake Bible Camp, and all participating staff, volunteers, and partnering organizations for any accident or injury resulting from my child’s participation and agree to assume all responsibilities, liabilities incurred from property damage, and personal injury caused by said students(s). I also hereby give staff and volunteers of WPC permission to administer my child’s prescribed medications and over the counter medications as necessary. I further give authority to WPC staff and volunteers to administer any and all medical or emergency treatments necessary and provide health care information as needed in the event of an emergency. Finally, I confirm that all information entered on this form is true and accurate.
Sign here, and date below, indicating you agree with the above Liability Waiver:
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Clear
Today's Date:
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Month
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Day
Year
Date
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Interested in LIFT23?
LIFT23 is our epic annual summer camp at Sound View Camp in Longbranch, WA. Our current dates are June 25-30. Currently, we are requesting that parents who are able to pay early do so, and take advantage of a $15 per student discount if they do.
If you are interested in paying for LIFT23 early at a discounted rate, go to waypointyouth.com/camps and fill out a very short Google form to let us know, and we will be in touch.
Are you interested in paying early for LIFT23?
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Yes
No
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I Agree!
Make sure you click "submit" and wait for the form to finish loading! Thanks! Parents, check your email for a confirmation. No email = no registration!
NOTE:
Parents: If you do not receive a confirmation email from us in the next few hours, please reach out to Pastor Drew at dpappas@waypoint-church.org
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