SCBN Boys and Girls Overnight Camp 2024

SCBN Overnight Camp Registration Form

Camp Believe (girls) and Camp Connect (boys) Cost is $100 and must be paid prior to camp in order to finalize registration.
REGISTRATION DEADLINE FOR CAMP BELIEVE/GIRLS CAMP IS JUNE 3, 2024.

REGISTRATION DEADLINE FOR CAMP CONNECT/BOYS CAMP IS JUNE 24, 2024.

All fields marked with * are required and must be completed.
Date Today*

MonthDayYear
Date
Camp Believe GIRLS Camp: June 17th - 20th. For girls who have completed the 2nd - 6th grade.Camp Connect BOYS Camp: July 8th - 11th. For boys who have completed the 2nd - 6th grade
Name of Camper*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Age
Most Recent School Grade Completed*
Biological Sex:*
Camper's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church Camper attends:
If none, type "none".
Has Camper accepted Christ as Savior?*
Has Camper been baptized?*
Is Camper a swimmer?*
If swim aids are necessary, please provide
Does Camper have permission to swim?*
Camper's T-Shirt size:*
Contact Person In Case Of Emergency

(Person to call if parent/guardian cannot be reached)
Name of Emergency Contact Person*

First NameLast Name
Primary Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Phone Number (if available)
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Camper's Primary Parent or Guardian*

First NameLast Name
Occupation
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Secondary Parent (if applicable)

First NameLast Name
Occupation
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Medical Release Form
Camper's Name*

First NameLast Name
Parent/Legal Guardian*

First NameLast Name
Home/Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Person (someone to call if parent/guardian cannot be reached)*

First & Last NameRelationship
Phone Number of Emergency Contact Person*
Please enter a valid phone number.Format: (000) 000-0000.
Camper's Physician's Name*
If none, type "NONE"
Physician's Phone Number*
Please enter a valid phone number. If no physician, enter all 0's.Format: (000) 000-0000.
List any and all allergies Camper has, including food allergies, medical problems, or physical limitations. If none, type "none".*
Example: Allergic to bee stings (must carry Epi pen), or asthma (may need inhaler)
Does Camper currently take any medication?*
If yes, please complete the section below to list all medications.
List any/all medications and dosage that Camper is currently taking. If none, type "NONE".*
For any prescription medication the camper is currently taking, it must be in its original container.
Does Camper have a special diet that needs to be followed?*
If yes, you will need to provide the SPECIAL FOOD your camper needs.
Can we administer basic first aid to your child as needed?*
Your child may receive the following for pain or fever:*
Do you request that camp staff call for permission prior to giving your camper Acetaminophen (Tylenol) or Ibuprofen (Advil) for pain or fever. *
Please use this section for any comments and/or additional medical information we should know about your child?
My child has my consent to attend the South Central Baptist Network (SCBN) Camp. I acknowledge that my child's experience at the SCBN Camp will be outdoors, often in direct sun with minimal shade, and around wooded areas. I understand there is a chance my child may come in contact with the following hazards included (but not limited to): ants, mosquitos, ticks, chiggers, poison oak/ivy, wasps, and bees. I further acknowledge that the SCBN Camp and its staff are not responsible for any bug bites, sunburns, or possible illnesses, including COVID-19, that may result from my child participating in activities while on the SCBN Camp premises. I further certify that to my knowledge, my child has not been exposed to any contagious diseases within the last thirty days. My signature below authorizes the staff at the SCBN Camp to request emergency treatment for my child if the situation warrants and I am unable to be contacted.
PHOTO RELEASE: I understand that my child may be photographed or videotaped while participating in the activities at the SCBN Camp. South Central Baptist Network Association has my permission to use these pictures in promotional material and/or on the Association website/social media pages. I UNDERSTAND THAT NO IDENTIFYING INFORMATION WILL BE PROVIDED WITH THE PHOTOS.
YOUR CHILD'S REGISTRATION IS NOT CONSIDERED COMPLETE UNTIL PAYMENT HAS BEEN RECEIVED IN OUR OFFICE.
Parent/Guardian's Name PRINTED*
Signature*

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Date*

MonthDayYear
Date
Payments can be made by coming to the South Central Baptist Network office or by mail.

Office Physical Address: 2116 US Highway 41 North, Cordele, GA 31015

Office Mailing Address: PO Box 1274, Cordele, GA 31010

If you are paying by check, make it payable to: "South Central Baptist Network" and indicate Camper's name(s) on the check.

Partial scholarships are available if there is a financial hardship.

PARENT/GUARDIAN INFORMATION SHEET

Please print and keep a copy for your records.
Checking in and checking out:
- All campers should be preregistered and prepaid.
- Camp check-in is from 4:00 - 5:00 PM on the first day of camp in the dining hall. CAMPERS MUST BE CHECKED IN BY 5:00 PM.
- Parents or responsible adults must sign in camper and give to the camp nurse any medication, prescription and/or over the counter medication that the camper will need during the camp stay.
- Each camper will receive his/her cabin assignment, name tag, schedule, etc at check-in.
- Parents are permitted to accompany campers to their assigned cabin and assist in unpacking and bed making.
- Camp missionaries will be in each cabin to answer questions that you may have.
- On the last day of camp, there will be a closing worship rally at 4:30 PM. Check out time is immediately following the closing rally. All campers must be checked out by 5:00 PM.
Make sure ALL of camper's belongings are gathered from the cabin, dining hall and chapel before leaving the campground!!
What to bring to camp:
1. Sheets (twin size), sleeping bag/blanket, pillow
2. Towels and washcloths
3. Sunscreen
4. Insect repellent
5. Bathroom articles
6. Flashlight
7. Bible, notebook, pen/pencils
8. Trash bag for dirty clothes
9. Clothes (see dress code below):
- -Lightweight jacket
- -Pajamas
- -Tennis shoes
- -Flip flops or sandals for pool
- -Hat (if needed for sun)
- -Swimsuit
*Please label all belongings as items left at camp will be donated after one week.
What NOT to bring to camp:
1. Candy, food, drinks
2. Expensive jewelry
3. Electronics: radios, DVD/CD/MP3 players, game boys, video games, etc
4. Weapons (i.e., knives, guns, etc)
5. Tobacco of any kind
6. Money or other valuables
7. Bad attitude
8. Cell Phones
*Campers are not allowed to have cell phones. All items on the DON'T BRING list will be taken from campers and returned to the parent at checkout.
POLICIES
1. Dress Code: Shorts no shorter than mid-thigh and fitted to the waist. No undergarments should be visible. Shirts must cover the stomach and undergarments. No T-shirts with inappropriate writing. Girls’ swimsuits should be modest. (Tankinis are permitted).

2. Homesickness: Visiting or calling your child during camp week is strongly discouraged. It upsets campers and is unfair to other children whose parents honor this policy. Every attempt is made to make camp as fun and enjoyable as possible, however, if your child becomes inconsolably homesick, the Camp Director will call you to pick him/her up. Because we do whatever it takes to help every camper have a wonderful camp experience, this seldom happens.

If a child does go home, they will not be allowed to return to camp.

3. Illness: Our camp nurse will be on call to bandage any cuts, scrapes, or bumps as needed. If your child is ill or injured, we will notify you immediately. Please call us and do not bring your child to camp if he/she has vomited, had a fever, or been exposed to any communicable disease 24 hours prior to check-in.

4. Behavior: To maintain an environment for fun and learning, campers must follow the camp rules and cooperate with the counselors and other campers. Campers who are consistently misbehaving and uncooperative will be sent home.
As parent/guardian of the camper, my signature below certifies that I have read and understand the camp information sheet.
Date*

MonthDayYear
Date
Signature*

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SCBN Overnight Camp Registration Form

Contact Person In Case Of Emergency

Parent/Guardian Information

Medical Release Form

PARENT/GUARDIAN INFORMATION SHEET

Checking in and checking out:

POLICIES