• Arkansas Church of God Youth Camp

    Arkansas Church of God Youth Camp

    Camper Application 2025
  • Camp Pathway, 121514 Dawson Road, Benton AR 72019

    MUST COMPLETE ALL OF APPLICATION

  • Camper Information

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  • Medical Information

  • Emergency Contact Person

  • HEAD LICE/NIT POLICY:  We have a NO TOLERANCE POLICY REGARDING HEAD LICE AND NITS.  Each camper and staff will be discreetly checked by camp staff.  If lice or nits are found, the individual will be returned to the care and responsibility of the person who brought them to camp.  After lice/nit treatment and a 24-hour waiting period, the individual is permitted to return to camp for a re-check.  If no lice or nits are found by camp staff, the individual will be permitted to be re-admitted to camp.  If the individual cannot be re-admitted or decides not to return to camp, all registration money (minus the $50 deposit and $20 shirt cost) will be refunded following the close of Youth Camp season.   PLEASE THOROUGHLY CHECK EACH INDIVIDUAL’S HEAD PRIOR TO ATTENDING YOUTH CAMP.

  • PARENT/GUARDIAN INFORMATION

  • *Each Camp is $150 per camper if registered by May 1st. From May2nd through 31st the camp cost is $165 per camper. After that, the cost is $180 per camper. A shirt is included with registration.

    A $50 Non-refundable deposit due with application—-Remaining balance due at camp check in or may be paid prior.*

    *Check-in: Begins at 2:00 pm         *Check-out: Not later than 10:00 am-last day of camp

  • *Every effort will be made to place you in the room with your preference.

  • Camper pick-up Information

  • Mandatory Pastors Endorsement

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  • I have had adequate opportunity to read this entire document and its terms and conditions.  I have read and understood it, and I agree to be bound by its terms.

     

    1.     I acknowledge that outdoor based activities such as ropes or challenge course activities, missions project, paintball, or other physical activities entail known and unanticipated risks that could result in physical or emotional injury, paralysis, death or damage to myself, to property, or to third parties.  I understand that such risks cannot be eliminated without jeopardizing the essential qualities of the activity.  The risks include, among other things:  This program is based on the “challenge by choice” principle.  At any time you and/or your group are free to withdraw from participation in ropes course activities, mission project, paintball, or all other physical activities and its potential for:  slips and falls and falling; rope burns; accidental drowning, pinches, scrapes, twists and jolts that could result in scratches, bruising, sprains, lacerations, fractures, concussions, or stings, allergies and associated diseases.  Furthermore, ARCOG employees have difficult jobs to perform.  They seek safety, but they are not infallible. They might be unaware of a participant’s fitness or abilities.  They might misjudge the weather or other environmental conditions.  They may give incomplete warnings, or instructions, and the equipment being used might malfunction.

    2.     I expressly agree to assume all risks existing in said activities.  My participation in said activities is purely voluntary, and I elect to participate fully aware of the risks. 

    3.     I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless ARCOG from any and all claims, demands, or causes of action, which are in any way connected with my participation in said activities or any such claims which allege negligent acts or omissions of ARCOG.

    4.     Should ARCOG or anyone acting on their behalf, be required to incur legal fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.

    5.     I certify that I have insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself.  I further certify that I assume the risk of any medical or physical conditions I may incur. 

    6.     In the event that I or my representative files a lawsuit against ARCOG, I agree to do so solely in the state of Arkansas, and I further agree that if any portion of this agreement is found to be void or unenforceable , the remaining document shall remain in full force and effect. 

    7.     The administration of this camp reserves the right to dismiss any camper, for any reason, in its sole discretion.  In such an event, any cost of transportation of returning home shall be the obligation of the camper and not of the camp.  Further, it is understood that attendance at this camp is a matter of privilege and not of right, that the camp is not a place of public accommodation, and that the application of any camper to attend the camp may be denied by the Administration, for any reason, in its sole discretion.

     

    By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against ARCOG on the basis of any claim from which I have released from herein. 

     

    I hereby give my child permission to attend and participate in Arkansas Church of God Youth Camp.  I hereby waive, release, and discharge any and all claims, demands, and causes of action against Camp Officials, the Church of God in Arkansas, and the International Offices of the Church of God, their agents, employees, and participants arising from any damages, property loss, or injury my child sustains at Arkansas Church of God Youth Camp.  Your further consent to allow Camp Officials to seek and obtain emergency medical or surgical treatment for my child should my child require medical treatment.  I further grant permission for my child to appear in Camp Videos, Camp Photos or any promotional videos or photography.  I fully understand that my family’s insurance is the primary carrier for all accidents incurred at camp and the camp’s insurance is the secondary carrier.   

     

    In consideration of my child/legal guardian being permitted by ARCOG to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless ARCOG from any and all claims which are brought by, or on behalf of MINOR, and which are in any way connected with such use or participation by MINOR.

     

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  • Once application is submitted, you will directly be emailed a link for Payment, a $50.00 deposit is required, or you may pay camp in full. Camp payment will be transferable but NON-REFUNDABLE. 

    If you choose to pay by mail, please make check payable to: ARCOG Youth Camp and in the memo put Registration!

    Please Mail Checks to:

    Arkansas Church of God

    PO BOX 2650

    Benton, AR 72018

    ALSO: All unused cash on Camp Cards will NOT be refundable at the end of Camp.

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