BWH 2023 Camper & BLT Application

2023 Beechwood Hills Camper & BLT Application

3144 22nd Street, Hopkins, MI 49328| 989-944-1482 | bwhsummercamp@gmail.com |
Our Mission

The mission of Beechwood Hills Christian Camp is to provide a present day retreat for all followers of Christ to be able to witness and fellowship free from worldly distractions. It is committed to the instruction of youth and families in the principles of a holy life as taught and modeled in the Word of God.
Name*

First NameLast Name
Age at Camp:*
Gender: Male or Female*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date*

MonthDayYear
Camper's Phone Number:
E-mail Address where you'd like to receive confirmation and information:*
example@example.com
Parent/Guardian Name:*
Parent/Guardian Phone Number:*
Please enter a valid phone number.
Parent/Guardian Name:
Parent/Guardian Phone Number:
In case of emergency contact if parents are unavailable:*
Name
Emergency Contact Phone Number if parent is unavailable:*
Emergency Contact Relationship:*
Please check which week/s the above camper will be attending:*

Senior Week – June 25-June 29, 2023—Ages 14-18Junior Week—July 9-13, 2023—Ages 8-13BLT Junior Week- July 9-13

T-shirt Size:*
Photo/Video Release: I also give my permission for my child to be photographed or videotaped and allow Beechwood Hills to release said pictures for publicity purposes. Parent/Guardian Electronic Signature:*

First NameLast Name
I agree that the information given above is accurate and correct to the best of my knowledge. I agree to my child listed above to attend Beechwood Hills Christian Camp. Parent/Guardian Electronic Signature:*

First NameLast Name

Agreement to Main Policies
Upon completion of this application, more policies/rules will be gone over by the Director on the first day of arrival. The following policies are important ones to take notice of and are required to be reviewed with the camper. Please sign agreeing that these have been read and the parents and camper are in agreement to follow. Keep in mind, BWH camp policies are established for the purpose of keeping every camper and staff member safe. If any rules/policies are violated, appropriate discipline will be exercised which could result in sending the camper home. We have kids coming to camp from all walks of life. This is a wonderful opportunity to share the love of Christ and to build friendships that hopefully last a lifetime. We are so thankful to have your child come to camp!

1. We do not allow compromise of any Biblical teaching. Zero Tolerance of any immoral: behavior, agenda, clothing (words or images), and/or conversations.

2. Beechwood Hills summer camp cabins will be organized according to biological gender.

3. It is an electronic FREE week with the exception of the Manager, Director & Nurse for safety. They will be collected upon arrival or leave with parent!

4. Clothing Policy:
- Shirts must be 4 finger length of sleeve for tank tops
- No clothing with any type of slogan or ad that doesn't conform to a Christian standard, i.e. tobacco, alcohol, social agenda
- Shorts, skirts, and slits in shorts/skirts must be credit card width from the knee.
- One-piece swimsuit or tankini allowed. If you bring a bikini, you must wear a shirt while swimming.
- No open midriff or low-cut (no cleavage showing) or see through clothing.
- No yoga pants, muscle shirts, spandex of any kind whether shirts, shorts, or pants.
- While walking to and from the waterfront, each camper must be fully clothed and covered. Shoes must also be worn.
AUTHORIZATION:

I have reviewed the Policies & Procedures with the camper. The camper in the application hereby applies for admission to Beechwood Hills Summer Youth Camp and agrees to submit to the regulations of the camp, counselors, director and camp manager.
Camper Signature*

Clear
Camper's Printed Name
Parent/Guardian Electronic Signature*

Clear
Parent/Guardian Printed Name:
Parent/Guardian Electronic Signature*

Clear
Parent/Guardian Printed Name:
Date*

MonthDayYear
Date
I agree to the regulations of the camp and hereby consent to the participation of my child in the activities of Beechwood Hills Summer Youth Camp during the selected camping session, except for the following (if any):

Visitor Policy

Part of the magic of camp is making great friends while being away from home. We ask that there be no social visits to campers or staff during sessions as it can be very difficult on other campers. If any individual plans on volunteering a day or even a few hours, please fill out a staff application and submit this application to the Summer Camp Manager before the deadline of May 1st. A Central Registry Clearance form is also required to be submitted to the State of Michigan to volunteer.

If a visit to the camp is necessary, please contact the Summer Camp Manager prior to visiting at (989) 944-1482. Upon arriving, please sign in at the office and present valid photo identification. A visitor badge will be issued at check in and required to be word during the visit.

Time for Drop-off and Pick-up

*Registration begins Sunday at 3:00 PM.

*Pick Up: Thursday 6 PM
Camper Release Form
To assure that a camper is not released into the custody of another person without a written statement of permission from the authorized person:

NO CHILD WILL BE RELEASED TO ANYONE OTHER THAN STATED ON THE RELEASE FORM.

Each child will need to be picked up on the Thursday night of their camp session at approximately 6:00 pm, unless other arrangements have been made with the Director of the designated camp week your camper is attending.

If the child is of age to drive, please note below that they have your permission to drive themselves home. Please authorize a staff member to sign your camper out stating that they have left the grounds of Beechwood Hills Christian Camp. In this event, releasing Western Michigan Christian Encampment DBA Beechwood Hills Christian Camp of any reliability from time of Check-Out.

If I am not able to pick up my child or they can drive themselves, the camper may be released ONLY to the following people:
Person 1

First NameLast Name
Person 2

First NameLast Name
Person 3

First NameLast Name
Person 4

First NameLast Name
By signing below, I,Your Name here , give Beechwood Hills Christian Camp authorization for the above people to have my camper released to upon Check-Out.
Signature

Clear
Date

MonthDayYear
Date

Payment Options

Payment Options:

Pay by Credit Card $160Pricing for one child to attend as a camper

$160.00 Quantity
Item subtotal:$0.00

BLT Volunteer July 9-13 (by credit card) $35

$35.00 Quantity
Item subtotal:$0.00

Make check to Beechwood Hills and Mail to: Alisha Bissell 4765 Jackson Rd. Blanchard, MI 49310 or (pay Cash or check at the camp)$160/ camper or $35 for BLT

$ Free

Already paid for my family... just filling out an app for the rest of my family

$ Free

add $5.00 to help cover credit card fees

$5.00 Quantity

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Refund Policy
Refundable due to family emergency. To be decided upon situation.
Upon completion of filling in all areas of form, click "Submit Form". If paying by credit card you will then be taken to STRIPE where you will pay and registration process will be completed. Only one camper may be registered at a time. You may click "Print Form" to print a copy of this form. Do you have questions or need help with online registration? Email the camp manager, Alisha Bissell, at bwhsummercamp@gmail.com.

For each camper, please fill out the following Medical Form! If you do this online, this should be all of your paperwork!!! Thank you!

Copy & Paste link below for Online Medical Form Link then sign & hit submit form below then you can go to the online Medical form:

https://form.jotform.com/231015485968059
Signature

Clear
Should be Empty:

2023 Beechwood Hills Camper & BLT Application

Our Mission

Agreement to Main Policies

Camper Release Form

Payment Options

Refund Policy