CAMP HILLVIEW 2026 REGISTRATION INFORMATION

CAMP HILLVIEW 2026 REGISTRATION INFORMATION
Camp Theme: One Nation Under God
Scriptural Reference: Blessed is the nation whose God is the LORD, the people whom he has chosen as his heritage. Psalm 33:12
Daily Themes -

Monday:	Freedom - The Israelites are Set Free
Tuesday:	Honor - The Story of Ruth & Naomi
Wednesday:	Allegiance - The Story of Shadrach, Meshach & Abednego
Thursday:	Service - The Story of Jesus Washing the Disciples Feet

Weeks of Camp
Week 1: June 8-12 Week 2: June 15-19
Age Divisions

Primary:	0-5 years	Intermediate:	6-9 years
Junior:	10-12 years	Senior:	13 - HS graduation

Nightly Activities

Monday:	Praise & Worship	7:00 pm
Tuesday:	Derby Night	7:00 pm
Wednesday:	Fellowship Night	7:00 pm
Thursday:	Candlelight Service	8:00 pm

Camp T-shirts:
As part of your registration fee, a camp t-shirt will be included. Everyone registered for camp will receive a t-shirt. If your registration fees are not received by the deadline, you will NOT be guaranteed a shirt.
Camp Fees:
$100.00 per camper
(Children 4 & under & Pastors do not pay a camp fee but include $10 for t-shirt)
$15.00 deposit (per camper) is due by May 1
$10.00 late fee if registration is received after May 1
*No Day Camper fee this year. All campers pay the same.
Georgia Primitive Baptist Youth Camp Medical Authorization
I wish to register for the following week of camp:*

Week 1 (June 8-12)Week 2 (June 15-19)
I am registering as a Camper / Counselor:*

CamperCounselor
Name*
Date of Birth

MonthDayYear
Date
Primitive Baptist Church Affiliation
AGE (at camp)
Male or Female*
CAMP T-SHIRT SIZE: YOUTH

Youth XSYouth SYouth MYouth LAdult SAdult MAdult LAdult XLAdult XXLAdult XXXL
If registering as a camper, please provide the name of your parent / guardian.

First NameLast Name
ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
EMAIL:
example@example.com
Phone # (Cell):
Format: (000) 000-0000.
Phone #(Home):
Format: (000) 000-0000.
Phone Number (Work):
Format: (000) 000-0000.
Counselors, please check whether you will be staying each night at the camp

YES
**COUNSELORS ONLY ARE TO COMPLETE THE FOLLOWING:I wish to be placed with the following age group. I understand that my dorm assignment and counselor responsibilities will be determined by which age group I choose below. Counselors in training must have graduated from high school and will be placed with the primary or intermediate group working with an experienced counselor.

Primary (5 & under)Intermediate (6-9)Junior (10-12)Senior (13-HS grad)
** COUNSELORS ONLY - Please check areas in which you would like to minister during the week of camp:

play pianoplay guitardramarecreationcraftsmusicbible activitycamp storenurselifeguard (certified)
MEDICAL RELEASE
Name of persons other than Parent/ Guardian that may be contacted in case of an emergency.
Name
Phone
Format: (000) 000-0000.
Name
Phone
Format: (000) 000-0000.
Family Physician
Phone
Format: (000) 000-0000.
(1) Are there any PHYSICAL RESTRICTIONS?

YesNo
If yes, please describe
(2) Are there any ALLERGIES?

YesNo
If yes, please list
(3) Are they taking medication at the present time?

YesNo
If yes, please list below.

Rows	Name/Description of Medications	Dosage	How often
1
2
3

I UNDERSTAND THAT SHOULD A HEALTH PROBLEM ARISE, I WILL BE NOTIFIED BUT IF I CANNOT BE REACHED BY TELEPHONE, SUCH MEDICAL TREATMENT, AS DEEMED BY COMPETENT MEDICAL PERSONNEL COULD BE RENDERED; THAT NECESSARY INFORMATION MAY BE RELEASED FOR INSURANCE PURPOSES; AND THAT I UNDERSTAND THE LIMITATION ON COVERAGE AS INDICATED ABOVE.
Signature of Parent / Guardian
Date

MonthDayYear
Date
CAMP FEES & DEPOSIT INFORMATION
Camp Fees: $100.00 per camper (includes camp t-shirt)
Late Fee: $10.00 per camper (if postmarked after May 1st)
Balance Due: Upon Arrival at camp
**Children age 4 & under and pastors are not charged a camp fee but please include $10.00 to cover t-shirt cost.

**There will be no day camper fees this year. There will only be one fee: $100.00.
*Mail one check per church along with attached remittance form to:
Becky Waters
621 W. Barnard Street
Glennville, GA 30427
rebecca@womackcpa.com
Camp Directors:
Week 1:
Suzanne Ratliff
104 Cambridge Court NE
Milledgeville, GA 31061
sjratliff20@gmail.com
(478) 451-7155
Week 2:
Elder Sam Adkins
508 Pine Needle Road
Waynesboro, GA 30830
bearden508@gmail.com
706-466-0007 (Sam) 706-829-4868 (Tab)
Should be Empty:

CAMP HILLVIEW 2026 REGISTRATION INFORMATION

Daily Themes -

Weeks of Camp

Age Divisions

Nightly Activities

Camp T-shirts:

Camp Fees:

Georgia Primitive Baptist Youth Camp Medical Authorization

MEDICAL RELEASE

CAMP FEES & DEPOSIT INFORMATION

Camp Directors: