SCBA Camper Form

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Sandy Creek Baptist Association Camps 2025

Registration Information

Dates:
• Youth Camp – July 14-18 (Completed 7th – 12th Grades)
• Children’s Camp – July 21-25 (Completed 3rd – 6th Grades)

Time: PLEASE – NO EARLY CHECK OUT!
• Both camps begin with check-in Monday at 9:00 a.m.
• Both camps dismiss at 11:00 a.m. on Friday.

PLEASE FILL OUT ALL INFORMATION ON THE CAMPER FORM & MEDICAL FORM
Camp Fee: $120.00 for each camper. There is a $20 discount this year for forms and fees received by July 1st. To receive discount forms and fees are due in the Associational office on July 1st. Scholorships are available through the Association office. Please Contact our AMS Richard Nations for details.

Things you will need to bring to camp:

See checklist on website http://sandycreekbaptist.us/camp_information

Campers’ clothing items should be packed in a duffle bag or suitcase for easy storage and access during the week of camp.

Bedding Items:
Some sort of mattress, pad or thick sleeping bag (wooden bunks have no mattresses), 2 sheets (one for over bed pad, one for a cover), blanket(s), pillow with pillowcase.

Toiletry Items:
Shampoo, Conditioner, Body Wash or Bar Soap, Deodorant, Toothbrush, Toothpaste, Flip Flops to wear in shower, Towels & Washcloths (one for each day = 5), comb/hairbrush, hair accessories, a bag and/or caddy to carry items back and forth to the shower building.

Clothing Items:
Full set of clothing for each day plus extras (7-8 sets) – including tops, pants, underwear, (bras), socks, tennis shoes (2 pair recommended), Sleepwear (at least two sets). Campers will need a dirty clothes/laundry bag (can be a trash bag or other bag large enough).

Appropriate Clothing: no shorts above fingertip length, no spaghetti strap shirts or t-shirt with large armhole or inappropriate messages. No sagging pants or exposed navels. Leggings (“biker” shorts or any other tight pants) must be covered by a long t-shirt. Camp leaders reserve the right to decide if any clothing is inappropriate.

Swimming Items:
1-2 large (beach size) towels, appropriate swimwear, dark colored t-shirt, (will use flip flops here also). Appropriate Swimwear: swim trunks and t-shirt for boys, one-piece or two-piece that covers entire stomach/naval area and a t-shirt for girls. Camp leaders reserve the right to decide if any swimwear is inappropriate. Do NOT invite anyone outside of camp to meet you at the pool – no family or friends will be allowed.

Personal Items:
Your Bible & Pen/Pencil/Paper/Notebook
Jacket, Sweater, Sweatshirt, Rain Jacket or poncho
Money for Missions Offering
Water Bottle to refill – have camper’s name on it!
Flashlight & extra batteries
Glasses case (for nighttime), contact solution & case (if applicable), Sunglasses

Things NOT to bring to camp:
• Cell phones and other electronics are not allowed – parents please keep these at home! If a camper brings any electronics, they will be kept by camp staff until camp dismissal.
• No fans (not enough plugs for everyone) this includes recharable, No toys or collectibles
• No FOOD – no candy or gum – cannot have in cabins due to pests
• Please note: SCBA is not responsible for lost items!

Medicine:
• All medicines, whether prescription or over-the-counter, must be given to the nurse at check-in time and must be in the original container.
• Labels should have the camper’s name, the name of the medication, the dose and when and how often it is given. You may add personal information on a strip of paper securely taped to the bottle.
• Please be aware the nurse will not give any medication that is not properly packaged or labeled.
• The nurse will not dispense any medicines you do not bring except for those listed on the medical form that are approved by the parent. We will have Acetaminophen, Ibuprofen, Antacid and Allergy Relief medicines. You are expected to supply any other medication you may need.
• If a camper becomes ill, the nurse will contact parents and/or make sure the camper is treated if necessary.

Note to Parents:
• The camp can become very hot in July. Please acclimate your child to outdoor weather if the child is used to staying in air conditioning. There is limited air conditioning available.

• Please encourage your child to stay the full week. It is very disruptive to have campers leave in the middle of the week and they miss out on a lot of fun!

• Please note that our staff are volunteers; if a need or issue arises after camp, please reach out to the association office so we can assist you with a resolution.

Contact information during camp:
Youth Camp Directors: Isaac King (816) 536-7271 & Jake King (816) 536-3919
Children’s Camp Director: Abby King (217) 371-7560
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Is financial assistance needed* This field is required.It is our desire that all students be able to attend camp and that money will not be obstacle, scholarships are available based on need.
Yes
No
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Week Plan to Attend* This field is required.Children's Camp for Students completed 3rd-6th grade. Youth for Students completed 7th-12th grade.
Children's Camp (July 22nd-26th)
Youth Camp (July 14th-18th)
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The Children's Camp form is filled out using a seperate link. Please selecet the link below.

You will be redirected to another Jotform when you click on the link.

Children's Camp Form
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Grade Last Completed* This field is required.
7th
8th
9th (Freshman)
10th (sophomore)
11th (Junior)
12th (Senior)
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Camper’s Name* This field is required.
First Name
Last Name
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Gender* This field is required.Please Select option as appears on Birth Certificate
Male
Female
8
Birthdate* This field is required.
Date
Month
Day
Year
9
Age* This field is required.Age Camper will be at start of Camp
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Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Parent/Guardian Name 1* This field is required.
First Name
Last Name
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Parent/Guardian 1 Phone Number* This field is required.Cell/Home Phone
Please enter a valid phone number.
13
Parent/Guardian 1 Phone NumberWork Phone
Please enter a valid phone number.
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Parent/Guardian 1 Email
example@example.com
Confirm Email
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Parent/Guardian Name 2
First Name
Last Name
16
Parent/Guardian 2 Phone NumberCell/Home Phone
Please enter a valid phone number.
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Parent/Guardian 2 Phone NumberWork Phone
Please enter a valid phone number.
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Parent/Guardian 2 Email
example@example.com
Confirm Email
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Church Member of a Sandy Creek Baptist Association Church* This field is required.
Yes
No
Not Sure
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Church Camper Attends
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Church group with which camper came (if different)
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Church Contact Person* This field is required.
First Name
Last Name
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Church Contact* This field is required.
Area Code
Phone Number
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Church Contact Email (If known)
example@example.com
Confirm Email
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T-Shirt Size* This field is required.Please Select One
Youth Small
Youth Medium
Youth Large
Small
Medium
Large
X-Large
XX-Large
XXX-Large
XXXX-Large
XXXXX-Large
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I give permission for my child’s picture to be used for promotional publications including but not limited to flyers, newsletters, social media and the Sandy Creek Baptist Association Facebook page.* This field is required.
YESNO
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Signature: I give permission for my child’s picture to be used for promotional publications including but not limited to flyers, newsletters, social media and the Sandy Creek Baptist Association Facebook page.
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Emergency Contact 1* This field is required.
First Name
Last Name
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Relationship* This field is required.
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Phone Number* This field is required.Emergency Contact 1
Please enter a valid phone number.
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Emergency Contact 2* This field is required.
First Name
Last Name
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Relationship* This field is required.
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Phone Number* This field is required.Emergency Contact 2
Please enter a valid phone number.
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Dietary Needs* This field is required.Please include dietary allergies that need to be brought to the attention of our cook staff. If none please state NA.
Huge
Large
Normal
Small
Ok
Ok
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Medical Information:* This field is required.Please discuss with the nurse all medication that you bring with you. Medications may be kept with your personal items but not in any of the camper cabins (Cabins A, B, & C). Please list any and all medical information the camp nurse should have (allergies, prescribed treatment, major illnesses and medical conditions, all medications taken by the camper, dosage, etc.) If none please state NA.
Huge
Large
Normal
Small
Ok
Ok
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Please select which of the following can be given to your child for minor needs.* This field is required.
Acetaminophen
Ibuprofen
Antacid
Allergy Relief
None
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Name of Physician * This field is required.
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Physician Phone Number* This field is required.
Please enter a valid phone number.
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Family Medical Insurance* This field is required.
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Policy Number* This field is required.
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Parent/Guardian Signature: I do give my permission to camp authorities to obtain emergency care for the above-named camper if necessary.* This field is required.
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Camp Rules

1. Have Fun!!!

2. All cell phones and electronic devices must be turned in to the Camp Director

at registration.

3. Your nametag is your identification. Wear it all the time unless you are

showering or involved in water activities.

4. Campers needing to see the nurse, camp pastor, or other staff member must

receive permission from the adult in charge of the camper at the time (usually the team leader).

5. Permission from the Camp Director is required to leave the campgrounds. Camper will sign in and sign out with camp cooks.

6. Follow the schedule and be prepared.

7. Follow all instructions and safety rules for all activities.

8. Cabins are off-limits during the day unless a camper is accompanied by a team leader.

9. Campers must be in the cabins for “lights out” as designated on the schedule.

Only campers with the permission of team leaders may leave the cabins after

lights are turned off.

10. Clothing must follow what is outlined in the Registration document.

11. Be polite in your words and your actions to ALL adults and to EACH OTHER!

12. No disorderly conduct, profane language, rudeness or destructiveness will be

tolerated. Any behavior, which is constantly inappropriate or violent, may result in that camper being removed from camp at the parent’s expense.

13. Campers are expected to participate in all camp activities.

14. Have Fun!!!
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Parent/Guardian Signature: *I agree that my child will abide by the rules for Sandy Creek Camps and have read and agree to the information on the registration page. I understand that the Camp Director will contact me to come get my child if rules continue to be broken. I give my permission for the Camp Director and a counselor to search my child’s luggage if disallowed items are suspected.
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*Parent/Guardian Signature: Transportation: I authorize the camp staff to provide transportation for the camper as necessary during the camp activities. I understand that all safety precautions will be taken during transportation.
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Liability Release: I release Sandy Creek Baptist Association, its staff, volunteers, and affiliates from any liability for injuries, accidents, or loss of personal property that may occur during Sandy Creek Baptist Association Camps.
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Camper Signature: Agree to abide by the rules of the camp *and have read and agree to information on the registration page.
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How will you being paying for Camp* This field is required.
Pay on Invoice via Square
Church will pay
Will Send Check or Cash
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Will you be paying for more than one camper?
Yes
No
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Please Provide Email for Square InvoicePlease note that you should receive an invoice within 3 Business days. Also, all camp fees are nonrefundable.
example@example.com
Confirm Email
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Please mail check to:
Sandy Creek Baptist Association, % Camp Committee,
P.O. Box 199
Murrayville, IL 62668

Please include camper name on memo line if paying via check. If paying via cash please indicate name of camper. Must be post marked on or before July 1st to receive $20 discount.
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Please list church that will be sending in payment.
Should be Empty: