Youth Camp 2023 - Registration 青少年營報名表

Youth Camp 2023 - Registration 青少年營報名表
First Chinese Baptist Church of San Francisco has provided opportunities for hundreds of young people to experience first-hand God’s presence in their lives. The experience of living together in community and fellowship is one of the primary attractions of Youth Camp.

Biblically-based programs help young people lay foundations in their lives as they grow in Christian maturity. Through small groups and cabin interactions, campers also learn to work and share with others. Camp fosters a Christian atmosphere where campers can meet friends, relate to both peers and adult leaders, and grow in their relationships with God.

Crafts, volleyball, softball, swimming, basketball, singing, camp-outs, and other special programs make the week at camp an unforgettable experience. Camp will also have some serious moments. Quiet times, worship, and cabin devotions nurture the camper’s spiritual life. For some, Youth Camp will be their first experience away from home. For many others, Youth Camp is one of the most anticipated weeks of their summer.

Youth Camp is held at Redwood Glen Christian Camp and Conference Center, situated in beautiful, peaceful, Loma Mar, in the wooded hills next to San Mateo Memorial Park, about an hour away from San Francisco. FCBC Youth Camp is one of the largest full-week camps held at Redwood Glen each year, with full use of the facilities. The camp begins at 3 pm on Sunday, July 23rd, and ends at 11 am on Saturday, July 29st.

While Youth Camp is sponsored by First Chinese Baptist Church of San Francisco, it is open to all, we have campers from other churches in the northern California region as well as campers from across the country!

Excited? Let's get started. Please provide a parent or guardian's email address.

三藩市第一華人浸信會為數以百計的年輕人提供親身體驗神同在的機會。在社區和團契中共同生活的經歷是青少年營的主要吸引力之一。

以聖經為基礎的活動幫助年輕人在基督徒成長的過程中為他們的生活奠定基礎。透過小組和宿舍互動，營友們還學會了與他人合作和分享。營會營造了一種基督教氛圍，營友可以在這裡結識朋友，與同齡人和成年領袖建立聯繫，並在與神的關係中成長。

工藝、排球、壘球、游泳、籃球、唱歌、露營和其他特別節目使營會的一週成為難忘的經歷。營會也會有一些嚴肅的時刻。靜默、崇拜和宿舍靈修滋養了營友的靈命生活。對於一些人來說，青少年營將是他們第一次遠離家居。對於其他許多人來說，青少年營是他們夏季其中一個最受期待的活動。

青少年營在紅木基督教營地和會議中心舉行，該中心位於美麗、寧靜的洛馬馬爾Loma Mar，坐落在聖馬刁San Mateo紀念公園旁邊樹木繁茂的山丘上，距離三藩市約一小時車程。本會青少年營是每年在紅木營 Redwood Glen 舉辦的最大全週營會之一，充分利用了該設施。營會於7月23日禮拜日下午3點開始，到7月29日禮拜六上午11點結束。

雖然青少年營由三藩市第一華人浸信會主辦，但它對所有人開放，我們有來自北加州地區的許多其他教會，以至來自全國各地的營友！

感到興奮？讓我們開始吧。請提供父母或監護人的電子郵件地址。

About Camp 營會資料
Who can attend Youth Camp? 誰可以參加青少年營？

Students entering the 7th grade this coming fall to those who graduated high school in spring of 2023
介乎本年秋季升讀七年班至2023年高中畢業生之間的學生。

When is Camp? 營會時間？

Camp starts at 3 pm on Sunday, July 23rd. 營會於7月23日禮拜日下午三時開始。
Camp ends 11 am on Saturday, July 29th. 營會於7月29日禮拜六上午十一時結束。

Where is Camp? 營會地址？

紅木營基督教營地及會議中心
Redwood Glen Christian Camp and Conference Center
1640 Wurr Road (100 Wright Drive)
Loma Mar, CA 94021
(650) 879-0320

Cost? 費用？$590

The cost for Youth Camp 2022 is $590 2023年青少年營費用為590元。

Important Dates & Registration Priority 重要日期和註冊優先權

***JUNE 18th***6月18日***
Part of the FCBC community? 你屬於本會的群體嗎？
Did you attend/serve at FCBC Day Camp? 您曾經參加本會的兒童日營或在當中擔任事奉嗎？
If so, sign up before June 18th and you will get registration priority!
如果是，於6月18日前報名您將獲得優先錄取。

All sign-ups after June 18th will be accepted based on the registration date (earlier = higher priority) as space is available.
6 月 18 日之後的註冊會先到先得，額滿即止。

***July 9th***7月9日
Final day to register is Sunday, July 9th. No more applications will be accepted after this date. Sorry :(
註冊的最後一天是 7月9日禮拜日。在此日期之後將不再接受任何申請。請勿錯過

Have any questions? 查詢？

Have any questions? Ask Us! 有疑問？聯絡我們！
三藩市第一華人浸信會
First Chinese Baptist Church, San Francisco:
(415) 857-3226
www.fcbc-sf.org/camps-youth
ycdirectors@fcbc-sf.org

About You (the camper)營友資料
Name 姓名*

First Name 名字Last Name 姓氏
Birthday 出生年月日*

MonthDayYear
Date
Gender 性別*

Female 女Male 男
School 學校*
Grade as of September 2023 九月份升讀*

7th Grade 七年班8th Grade 八年班9th Grade 九年班10th Grade 十年班11th Grade 十一年班12th Grade 十二年班Graduated of 2023 高中畢業

Address 家庭住址*

Street Address 街名及門牌號碼

Street Address Line 2 住址第二行

City 城市State 州

Zipcode 郵區號碼
Camper's Phone 營友電話號碼*
Please enter a valid phone number.
Camper's Email 營友電郵地址*
example@example.com

Camp Shirt 營恤

Sizes are in standard men's size. 尺碼為標準男裝大小。
Camper's Shirt Size 營恤尺碼*

Small 小碼Medium 中碼Large 大碼X-Large 加大
Transportation 交通

Redwood Glen is about 90 minutes from Chinatown and about 75 minutes from Santa Clara. We encourage everyone to carpool. Campers are not allowed to park their cars at camp. 紅木營距華埠約 90 分鐘車程，距聖克拉拉Santa Clara約 75 分鐘車程。我們鼓勵大家拼車。營友不得將車停泊在營地。
How will you get to camp? 您將如何前往營地？*

My family or carpool with other campers. 我家人接送或與其他營友共乘。We have space in our car for other campers. 我們的車有位置接送其他營友。Not yet determined. 未定

Youth Camp 2023 - Medical Information & Acknowledgements 2023年青少年營--醫療信息及承認書

Parents/Guardians of campers under the age of 18 must complete the rest of the form. 18 歲以下營友的父母/監護人必須填寫表格的其餘部分。
Parent or Guardian 父母或監護人*

First Name 名字Last Name 姓氏
Email 電子郵件*
example@example.com
Please gather the following information to complete this form:
- Emergency Contacts
- Medical Insurance
請收集以下信息以填寫此表格：
- 緊急聯絡人
- 醫療保險

Emergency Contacts 緊急聯絡人
Emergency Contact #1 - Name 緊急聯絡人#1 - 姓名*
Emergency Contact #1 - Relationship 緊急聯絡人#1 - 關係*
Mother, Father, Aunt, Uncle, etc. 父、母、姨、叔，等
Emergency Contact #1 - Phone Number 緊急聯絡人#1 - 電話號碼*
Please enter a valid phone number.
Emergency Contact #1 - Email 緊急聯絡人#1 - 電子郵件*
example@example.com
Emergency Contact #2 - Name 緊急聯絡人#2 - 姓名
Emergency Contact #2 - Relationship 緊急聯絡人#2 - 關係
Emergency Contact #2 - Phone Number 緊急聯絡人#2 - 電話號碼
Please enter a valid phone number.
Emergency Contact #2 - Email 緊急聯絡人#2 - 電郵
example@example.com

Medical Insurance 醫療保險
Medical Insurance Provider 醫療保險名稱*
Medical Policy Number 醫療保險號碼*
Subscriber's Name 受保人*
Subscriber's Relationship to camper 受保人與營友的關係*
Primary Physician's Name 營友家庭醫生姓名*
Primary Physician's Phone Number 營友家庭醫生電話*
Please enter a valid phone number.

Camper's Immunizations 營友免疫接種
Date of last tetanus shot 上次破傷風針注射日期*

MonthDayYear
Date
Covid 19 Vaccination 新冠病毒疫苗注射

We are aware that the nature of COVID protocols adjusts and shifts. All campers must be fully vaccinated to attend Youth Camp. You are considered fully vaccinated two weeks after your second dose in a two-dose series, such as the Pfizer-BioNTech and Moderna vaccines, or two weeks after the single-dose J&J/Janssen vaccine. We also recommend boosters.

我們知道新冠COVID 協議的性質會有調整和變化。所有營友必須完全接種疫苗才能參加青少年營。在第二劑兩劑系列（例如輝瑞-BioNTech 和 Moderna 疫苗）或單劑強生/楊森疫苗接種兩週後，您被視為已完全接種疫苗。我們還推薦加強針。

Allergies 過敏症
Life threatening Allergies 危及生命的過敏症*
Please list the camper's allergies that could be life threatening if left untreated. Please indicate if the camper will be bringing medication for this allergy. (i.e., epi pen) Answer "UNKNOWN" if the camper has no known life threatening allergies.請列出營友若不及時治療可能會危及生命的過敏症。請說明營友是否會攜帶治療這種過敏症的藥物。（如epi pen）如果營友沒有已知的威脅生命的過敏症，請回答“未知”。
Dietary Restrictions & Other Allergies 飲食限制和其他過敏症*
Please list any dietary restrictions and allergies. List anything that would cause discomfort if left untreated. This would include food allergies, insect allergies, animal allergies, etc. Answer "NONE" if the camper has none. 請列出任何飲食限制和過敏。列出如果不及時治療會引起不適的任何事物。這將包括食物過敏、昆蟲過敏、動物過敏等。如果營友沒有過敏，請回答“None無”。

Medical Treatment 醫療處理
Medication Storage 藥物保管*
Only prescribed medication, used routinely for a specific condition, or “as needed” medication, may be brought to camp. Please list all medication the camper will be bringing for use. Answer "NONE" if the camper has none. 只有在特定情況下常規使用的處方藥或“必要時服”的藥物才能被帶到營地。請列出營友將攜帶使用的所有藥物。如果營友沒有，請回答“None 無”。
First Aid 急救

FCBC will administer basic first aid medication only on an "as needed" basis. Please indicate which medications you APPROVE. FCBC 將僅在“必要”的基礎上使用基本的急救藥物。請注明您批准使用的藥物。
Approved Medication 允許使用的藥物*

Aspirin 阿司匹林Advil 雅維Tylenol 泰诺Benadryl 傷風抗素劑Neosporin (for scrapes & cuts to prevent infection) 新孢霉素軟膏(用於擦傷和割傷以防止感染)No Medication should be given to my child. 不可給我的孩子服用任何藥物。

Medical Treatment 醫療處理

In the event of an emergency, we will attempt to contact the person listed as the emergency contact. In the interest of the camper's welfare, we will seek professional medical assistance for situations we decide are appropriate. 如果發生緊急情況，我們將嘗試聯繫列為緊急聯繫人的人。為了營友的利益，我們將在我們認為合適的情況下尋求專業的醫療幫助。
Medical Treatment Authorization 醫療處理授權*

I hereby authorize FCBC to hospitalize, select a physician to secure treatment, for and/or give injections, anesthesia or surgery for my child. The costs of such treatments will be paid for by the camper's guardian or parents. 我在此授權 FCBC 為我的孩子住院、選擇醫生以確保治療、和/或進行注射、麻醉或手術。此類治療的費用將由營友的監護人或父母支付。

Camper Participation 營友參與

All campers are expected to remain at camp for the entire week. However, we understand that there may be special occasions (school, family event) that may require the camper to miss camp for some part of the week. 所有營友預期將在整個禮拜內留在營地。但是，我們知道可能有特殊場合（學校、家庭活動）可能需要營友在一週的某些時間裡錯過營會。
Will the camper be participating in camp for the entire time? 營友會一直留在營地嗎？*

Yes, the camper will not miss any part of camp. 是的，營友不會錯過營會的任何部分。Unfortunately, the camper will be absent for a part of camp. 可惜的是，營友將缺席一部分營會。
When will the camper be absent? 營友將缺席的時間？*
Please provide the date/time the camper will be absent. We may contact you with further questions. 請提供營友缺席的日期/時間。我們可能會就其他問題與您聯繫。

Acknowledgements 承諾書

Please review this form in its entirety. 請完整再查看此表格。If you do not accept all statements below, please do not submit this registration. 如果您不接受以下聲明，請不要提交此註冊。FCBC reserves the right to modify or amend these rules and guidelines at any time, without prior notice. By your child participating in FCBC Youth Camp, you acknowledge and agree to these terms and conditions. 第一華人浸信會保留隨時修改或更正這些規則和指南的權利，恕不另行通知。您的孩子參加第一華人浸信會青少年營，即表示您承認並同意這些條款和條件。
Acknowledgements 承諾書*

The camper has my consent to attend Youth Camp with First Chinese Baptist Church of San Francisco and to participate in all its activities. I further release from liability all staff and counselors of Youth Camp and First Chinese Baptist Church.本人同意營友參加三藩市第一華人浸信會青少年營並參加其所有活動。我進一步免除青少年營和第一華人浸信會的所有工作人員和輔導員的責任。FCBC reserves the right to dismiss any camper whose conduct is deemed inappropriate, disruptive, or detrimental to the overall well-being of the program and its participants. Inappropriate physical contact, alcohol, or illegal drug use are strictly prohibited during camp. FCBC 保留開除任何行為不當、破壞性或損害活動及其參與者整體福祉的營員的權利。營會期間嚴禁不適當的身體接觸、酒精或非法藥物使用。I have reviewed all the information on this form and my answers are accurate. If anything changes after I submit this registration, I will let the directors know.我已查看此表格上的所有信息，我的回答準確無誤。如果我提交此註冊後有任何變化，我會通知主理人。I acknowledge there is a $50 cancellation fee for cancellation requests after 7/9/23. 我明白2023年7月9日之後取消將被收取50美元費用。
Acknowledgement Total
Acknowledgement Signature 確認簽名*

Clear

What is an FCBC Scholarship? Is it for me? FCBC助學金是什麼？適合我嗎？

FCBC Scholarships are for those who are a part of the FCBC community but cannot afford the cost of camp. Request a FCBC scholarship if this is you.

Your FCBC church family wants to help you go to camp. Through out the year, they hold fundraising events to build up the FCBC Scholarship fund. The money from the fund will help you pay for camp.

FCBC 助學金是為那些屬於 FCBC 社區但負擔不起營會費用的人提供的。如果你符合條件，請申請 FCBC 助學金。

你的 FCBC 教會大家庭想要幫助你參加營會。全年中，他們舉辦各項籌款活動以建立第一華人浸信會助學基金。該基金的資金將幫助您支付營會費用。
SCHOLARSHIP APPLICATION FORM 助學金申請表
Scholarship Amount Requested? 申請助學金金額？*

$50$100None 不要
Total monthly household income*
每月家庭總收入
Monthly housing cost (rent) *
住房支出(房租)
Number of family members*
家庭人數
Scholarship Procedure & Policy 助學金程序和規則
- Requesting a scholarship does not guarantee you will get a scholarship.
- Scholarships are granted according to need and availability.
- Register and pay by the registration deadline.
- 提出助學金申請並不保證你將得到助學金。
- 我們將按教會所能供應的基金數字分發給需要的家庭。
- 請於截止日期前完成報名並支付費用。

Refunds & Cancellation Fees 退款和取消費用

Registration fees are 100% refundable if registration is cancelled before July 9, 2023; thereafter, all cancellations will be subject to a $50 fee to cover FCBC's non-refundable costs. If you do not accept the cancellation policy, please do not submit this registration. 如果在 2023 年 7 月 9 日之前取消註冊，註冊費可 100% 退還；此後，所有取消將收取 50 美元的費用，以支付 FCBC 不可退還的費用。如果您不接受取消規則，請不要提交此註冊。
FCBC Discount
Day Camp Counselor Discount
Pending Scholarship
Registration Total 註冊總數
Method of payment: 付款方式*

Zelle 網上轉賬Check 支票
Please do not send payment at this time. We will be reviewing all scholarship requests in June. We will reach out to you by July 1st regarding your scholarship and the cost of camp. Payment will be due by July 9th.

此時請不要付款。我們將在 6 月審查所有助學金申請。我們將在 7 月 1 日之前就您的助學金和營會費用與您聯繫。付款將於 7 月 9 日到期。
Please direct your Zelle payment to payment@fcbc-sf.org with a memo "YC2023-NameOfCamper"

Zelle網上轉賬給 payment@fcbc-sf.org 請備註“YC2023-孩子姓名”
Please make your checks to "FCBC" 支票抬頭請寫FCBC
Memo Line: YC 2023 - [camper's name] 備注YC2023 -[營友姓名]

Mail or deliver your payment by July 9th to: 將您的支票於7月9日前寄往：

First Chinese Baptist Church
Attn: Youth Camp
1 Waverly St
San Francisco, CA 94108

Once your payment is received, we will send you a confirmation. 收到您的付款後，我們將向您發送確認電郵。
When you click submit below, an FCBC staff member will review your eligibility for any requested discounts or scholarships, if applicable.

當您點擊下方的提交時，第一華人浸信會的工作人員將審查您是否符合資格獲得所要求的任何折扣或助學金(若適用)。
Should be Empty:

Youth Camp 2023 - Registration 青少年營報名表

About Camp 營會資料

About You (the camper)營友資料

Camp Shirt 營恤

Transportation 交通

More about you (the camper) 營友更多信息

Youth Camp 2023 - Medical Information & Acknowledgements 2023年青少年營--醫療信息及承認書

Emergency Contacts 緊急聯絡人

Medical Insurance 醫療保險

Camper's Immunizations 營友免疫接種

Covid 19 Vaccination 新冠病毒疫苗注射

Allergies 過敏症

Medical Treatment 醫療處理

Medical Treatment 醫療處理

Camper Participation 營友參與

Acknowledgements 承諾書

SCHOLARSHIP APPLICATION FORM 助學金申請表

Refunds & Cancellation Fees 退款和取消費用