Read 2011 Summer Camp Packet text version

Summer Camp 2011

Registration

MEN'S MINISTRIES GEORGIA BAPTIST CONVENTION 6405 Sugarloaf Parkway Duluth, Georgia 30097-4092 1-800-746-4422 ext. 256 mens.gabaptist.org CAMP KALEO 463 Old Zebulon Road Forsyth, Georgia 31029 1-888-725-2536 www.campkaleo.org

RA / Challengers Interest Event SUMMER CAMP Camp Kaleo www.ga-ra.org

Camp Kaleo is located just south of Forsyth, Georgia, near Macon. Camp Kaleo is affiliated with the Southern Baptist Convention Camping Association. It was established in 1986 to teach and advance missions to the glory of God. It is to this end that we seek to lead boys and young men to follow in obedience as a disciple of Jesus Christ. Summer Camp is open www.campkaleo.org. to groups and individuals. View photos of Camp Kaleo at

Lad Camps (Grades 1-3) are designed to provide a structured program for boys and their dads or leaders from their church to enjoy time together. The schedule provides opportunities for hiking, swimming, games, crafts, missions education and spiritual inspiration. We ask that a ratio of one adult to four campers be maintained.

Crusader Camps (Grades 4-6). Our program is skills based using the outdoors as a classroom. Environmental education and camp craft, along with other offerings provide fun, learning and exploration. Also part of our camp day are morning devotions, mission sessions, worship and evening activities. We encourage RA leaders to join their boys during this camp. It will be a learning experience.

Younger Challengers (Grades 7-8). The goal of the program is to introduce outdoor skills that will provide a lifetime of enjoyment. Included are backpacking, canoe and climbing skills, as well as environmental education. Worship, morning devotions, and missions sessions round out the week.

Older Challengers (Grades 9-12). Challenge, adventure, and personal growth all describe the program. Challengers may choose from backpack, rock climb/rappel, and adventure camps. Discipleship material written for these camps add a spiritual dimension.

MEN'S MINISTRIES GEORGIA BAPTIST CONVENTION 6405 Sugarloaf Parkway Duluth, Georgia 30097-4092 1-800-746-4422 ext. 256 mens.gabaptist.org

CAMP KALEO 463 Old Zebulon Road Forsyth, GA 31029 1-888-725-2536 or 478-994-5333 Fax: 478-994-2925 www.campkaleo.org

2011 RA/Challenger Summer Camp Registration

Come Help Us Celebrate Our 25th Year At Camp Kaleo! (Please Use Separate Forms For Different Age Levels & Different Dates) Forms Available On Line At "www.campkaleo.org". Send Forms to Camp Kaleo.

Church___________________________________________________Association__________________________________________________________ Person Making Reservation_______________________________________________Fax # _________________________________________________ Daytime Phone _____________________________________Email______________________________________________________________________ Address______________________________________________________________________________________________________________________ City____________________________________________________State_____________________Zip_________________________________________

All information must be completed for insurance purposes. Boys & adults must register. Mark "1" by your first choice of date and "2" by your second choice. (Only one week available for Girls Adventure Camp -- please circle below.) After May 21st, there will be a $15.00 late charge. Costs include lodging, meals, a limited accident insurance policy, a T-Shirt and Canteen Time; but does not include Store purchases.

Lads $102 June 10 - 11 July 7 - 9 July 29 - 30 Older Challengers $219 Back Packing $234 Rock Climbing $234 Adventure Camping June 20 - 24 June 27 - July 1 July 11 - 15 July 18 - 22 Back Packing Rock Climbing

Adventure Camping Adventure Camping

Crusaders $204 Girls Adventure Camp, Grades 4 - 6, Available Week of July 11-15.

June 13 - 17 June 20 - 24 June 27 - Jul 1 July 11 - 15 July 18 - 22 July 25 - 29

Younger Challengers $204

June 13 - 17 June 20 - 24 June 27 - July 1

Remember: Immunization Certificate, Health History Form, Photo Release & Camper Release. Send a Child Protection Form for chaperone groups. (See guide & form on-line, or RA/Challengers Activities Packet).

July 11 - 15 July 18 - 22 July 25 - 29

Camper Name Birth Date

____________________________

T-Shirt Size ____________________________________________________

________________________________________ Grade _____________________ Emergency Phone__________________

Mailing Address ________________________________________ City _______________________ State ___________ Zip_______________ Parent/Guardian ________________________________________ Camper Name Birth Date

____________________________

T-Shirt Size ____________________________________________________ Emergency Phone__________________

________________________________________ Grade _____________________

Mailing Address ________________________________________ City _______________________ State ___________ Zip_______________ Parent/Guardian ________________________________________ Camper Name Birth Date

____________________________

T-Shirt Size ____________________________________________________ Emergency Phone__________________

________________________________________ Grade _____________________

Mailing Address ________________________________________ City _______________________ State ___________ Zip_______________ Parent/Guardian ________________________________________ Camper Name Birth Date

____________________________

T-Shirt Size ____________________________________________________ Emergency Phone__________________

________________________________________ Grade _____________________

Mailing Address ________________________________________ City _______________________ State ___________ Zip_______________ Parent/Guardian ________________________________________ Check_______ Money Order________Visa________Master Card_________ Acct. #_____________ - ___________ - _____________ Exp.Date__________

Card Holder's Name_______________________________________________ Signature________________________________________________________ Address__________________________________________________________ City/State/Zip_____________________________________________________

Make Check / Money Order Payable to: Men's Ministries

Send to: Camp Kaleo, 463 Old Zebulon Road, Forsyth, GA 31029 (Fax: 478-994-2925)

FOR INFORMATION CONTACT: Mike Flowers, Consultant, RA & Camp Director Men's Ministries, Georgia Baptist Convention Camp Kaleo, 463 Old Zebulon Rd. Forsyth, GA 31029 478-994-2925 (fax) 1-888-725-2536

This side to be filled in by parents/guardian of minors or by adult participants themselves. Name ______________________________________ Birthdate _____________________ Sex __________ Age _____________ Parent or Guardian__________________________________________________________ Cell/Pager ______________________ Home Address _____________________________________________________________ Phone __________________________ Business Address___________________________________________________________ Phone __________________________ Second Parent and/or Guardian or Emergency Contact ______________________________________________________________ Home Address _____________________________________________________________ Phone __________________________ Business Address ____________________________________________________ Phone _________________________________ If not available in an emergency, notify ____________________________________ Phone ________________________________ Address ____________________________________________________________ Phone ________________________________ Health History (check approximate dates) Diseases Chicken Pox _______________ Measles ________________ German Measles ________________ Mumps __________________ Are you allergic to any Drugs ___________________ Foods ___________________ Insect Bites ___________________ Other _____________________ Present medical problems or tendencies (check where applicable) Has this participant had a DPT shot? _____________________________________ Date last tetanus shot______________

Has this participant ever required any psychiatric counseling or hospitalization? ___________________________________________ List all operations or serious injuries (dates)________________________________________________________________________ __________________________________________________________________________________________________________ List all disabilities, chronic and recurring illnesses___________________________________________________________________ Sinusitis _____________________ Diabetes _____________________ Frequent Colds _______________ Heart Trouble ________________

Convulsions __________________ Fainting _____________________ Kidney Trouble _______________ Frequent Sore Throat __________ Sensitive Skin ________________ Sleep Walking ________________ Contact Lenses _______________ Bronchitis ___________________ Other _______________________ List all dietary limitations_______________________________________________________________________________________ List all other diseases or illnesses not listed above__________________________________________________________________ Name of dentist/orthodontist ___________________________________________________ Phone __________________________ Name of family physician _____________________________________________________ Phone __________________________ Date of last physical examination _______________________________________________________________________________ Suggestions or health related information for camp personnel__________________________________________________________ There has been no changes in my health or physical abilities in the last year ________________yes ________________ no Please explain _____________________________________________________________________________________ Stomach upset ________________ Ear Infections ________________ Epilepsy ____________________ Bed Wetting _________________

________________________________________________________________________________________________

IMPORTANT - THIS BOX MUST BE COMPLETED FOR ATTENDANCE

This health history is complete and correct, and the person listed below has permission to engage in all prescribed activities except as noted. I hereby give permission to the program staff: 1. To provide ongoing health care. 2. To select medical personnel and to order x-rays or routine tests or treatment for the person listed below. To my knowledge this participant has not been exposed to a contagious or infectious disease within two weeks prior to this activity. In the event of a medical emergency and I cannot be contacted , I hereby give permission to the Camp Coordinator to select a physician and/or hospital for my child's care. I hereby also give the hospital and/or physician, as selected by the Camp Coordinator, my permission to hospitalize, treat and to order, injections, anesthesia medical treatment and/or surgery for my child whose name is: ________________________________________________ Signature _________________________________________ Date ______________________________________________ Relationship ________________________________________ List medications to be taken, dosage and/or frequency of use: ____________________________________ __________________________________________________ __________________________________________________ Witness__________________________________________ Notary ___________________________________________ Date ____________________________________________ Do you have medical/hospital insurance? _______________ Name of Insurer ___________________________________ _________________________________________________ Group or policy # ___________________________________

CAMPER INFORMATION

Name ____________________________________________ Age at Camp _______________ Birth Date_____________________ Parent(s) __________________________________________ Vocation ________________________________________________ __________________________________________ Vocation ________________________________________________ Address ___________________________________________________ City __________________________ Zip ______________ Brothers or sisters (names and ages) ____________________________________________________________________________ Church _____________________________________ Association _________________________ Pastor _____________________ School ____________________________________________________________________ Grade __________________________ Organization Memberships ____________________________________________________________________________________ Hobbies ___________________________________________________________________________________________________ Talents ____________________________________________________________________________________________________ Are you a member of an RA Chapter? _______ Challenger? _______ Have you made a profession of faith in Jesus Christ?_______ Have you been to a camp before? _______ If so, where?_____________________________ Do you swim? __________________ What do you hope attending Camp Kaleo will do for you? ____________________________________________________________ __________________________________________________________________________________________________________ What meaningful experiences do you hope your child will gain from attending Camp Kaleo? _________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________

MINOR PHOTO RELEASE

For Camp Kaleo, 463 Old Zebulon Road, Forsyth, GA 31029

SUBMIT THIS FORM WITH REGISTRATION OR AT CHECK-IN FOR ALL STATE CAMP KALEO EVENTS The Georgia Baptist Convention occasionally uses pictures of campers participating in various activities in printed material, videos, and picture displays. Please read the following and sign as appropriate for your child. I hereby grant the Georgia Baptist Convention the right and permission to use pictures of the minor or pictures in which the minor may be included in conjunction with camp activities in photographs, videos, and printed material. Check one: I hereby state that I, as parent/guardian, have the right to give this permission and do so gladly.

I hereby state that I, as parent/guardian, do NOT grant permission to use pictures of my child as stated above.*

Minor's Name: ________________________________________

Attach photograph here

Address: ____________________________________________

if you do not grant

____________________________________________________ Parent/Guardian Signature: ______________________________ Date: _______________________________________________

permission to use pictures of your child.

* In order to ensure that photographs taken of your child during camp are NOT used as described above, please attach a current head and shoulder picture of your child. This photograph will be for office use ONLY. If you have any questions, contact the Camp Kaleo office at: 1-888-725-2536. ------------------------------------------------------------------------------------------------------ CAMPER RELEASE

For Camp Kaleo, 463 Old Zebulon Road, Forsyth, GA 31029

NOT REQUIRED FOR FATHER/SON OVERNIGHT Camper's Name: ______________________________________________________________________________ These people may under NO CIRCUMSTANCES pick up my child: 1.__________________________________________________________________________________________ 2. __________________________________________________________________________________________ Please list the person(s) who WILL be picking up your child from Camp Kaleo: Name 1._________________________________________ 2._________________________________________ 3._________________________________________ Driver's License Number (REQUIRED) ______________________________________________ ______________________________________________ ______________________________________________

A staffer WILL check the driver's license of the person picking up your camper. Parent/Guardian Signature: ______________________________________________________________________ Date: _______________________________________

LAD PACKING CHECKLIST (GRADES 1 -- 3)

______ 2 Flat Sheets or a Sleeping Bag or Bed Roll ______ ______ ______ ______ ______ ______ ______ ______ Towels Wash Cloths Soap Shampoo Laundry Bag Swim Suit Pool Shoes or Flip Flops Canteen or Water Bottle

_____ A Light Blanket _____ Pillow _____ Play Clothes _____ Jacket or Sweatshirt _____ Raincoat or Poncho _____ Underwear _____ Socks _____ Extra Shoes _____ Flash Light _____ Insect Repellant _____ Bible _____ Spending Money _____ Mission Offering _____ Immunization Certificate _____ Health History Information Form--Completed

OPTIONAL EQUIPMENT ______ ______ ______ Camera Bandana RA Campcraft Book

ACTIVITIES AT CAMP

Flag Assembly Morning Watch Mission Study Nature Study New Games Handcraft: Wood & Leather Swimming/Water Sports Volleyball Variations Fishing Canoeing Hiking Evening "Serendipity" Evening Worship Cabin Devotionals Campfire

No Fireworks, Radios, Comic Books, or Tobacco in any form!

CRUSADER PACKING CHECKLIST (GRADES 4 -- 6)

______ 2 Flat Sheets or a Sleeping Bag or Bed Roll _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ Towels Wash Cloths Soap Shampoo Laundry Bag Swim Suit Pool Shoes or Flip Flops Flash Light Insect Repellant Canteen or Water Bottle

_____ A Light Blanket _____ Pillow _____ Play Clothes _____ Jacket or Sweatshirt _____ Raincoat or Poncho _____ Underwear _____ Socks _____ Extra Shoes _____ Bible _____ Pencil or Pen _____ Notebook or Pad of Paper _____ Spending Money _____ Mission Offering _____ Immunization Certificate _____ Health History Information Form (completed)

OPTIONAL EQUIPMENT _____ _____ _____ Camera Bandana RA Campcraft Book

ACTIVITIES AT CAMP

Flag Assembly Morning Watch Mission Study Group Activities New Games Horseshoes Swimming/Water Sports Canoeing Fishing Shooting Sports Archery Handcraft: Wood & Leather Campcraft Evening "Serendipity" Evening Worship Cabin Devotionals Overnight Camp-out

No Fireworks, Radios, Comic Books, or Tobacco in any form!

YOUNG CHALLENGERS PACKING CHECKLIST (GRADES 7 -- 8)

______

2 Flat Sheets or a Sleeping Bag or Bed Roll

_____ _____ _____ _____ _____ _____ _____ _____ _____

Towels Wash Cloths Soap Shampoo Laundry Bag Swim Suit Pool Shoes or Flip Flops Flash Light Insect Repellant

_____ A Light Blanket _____ Pillow _____ Play Clothes _____ Jacket or Sweatshirt _____ Raincoat or Poncho _____ Underwear _____ Socks _____ Extra Shoes _____ Bible _____ Pencil or Pen _____ Notebook or Pad of Paper _____ Spending Money _____ Mission Offering _____ Immunization Certificate _____ Health History Information Form (completed)

_____ Canteen or Water Bottle

OPTIONAL EQUIPMENT _____ _____ _____ _____ Camera Bandana RA Campcraft Book Pocket Knife

ACTIVITIES AT CAMP

Flag Assembly Morning Watch Mission Study Group Activities Handcraft: Wood & Leather Campcraft Horseshoes Swimming/Water Sports Fishing Shooting Sports Adventure Recreation Outdoor Living Skills Rock Climbing Rappelling Evening "Serendipity" Evening Worship Cabin Devotionals Overnight Camp-out

No Fireworks, Radios, Comic Books, or Tobacco in any form!

OLDER CHALLENGERS PACKING CHECKLIST (GRADES 9 -- 12)

______

A Sleeping Bag or Bed Roll

_____ _____ _____ _____ _____ _____ _____ _____ _____

Towels Wash Cloths Soap Shampoo Laundry Bag Swim Suit Pool Shoes or Flip Flops Flash Light Insect Repellant

_____ A Light Blanket _____ Pillow _____ Play Clothes _____ Jacket or Sweatshirt _____ Raincoat or Poncho _____ Underwear _____ Socks _____ Extra Shoes _____ Bible _____ Pencil or Pen _____ Notebook or Pad of Paper _____ Spending Money _____ Mission Offering _____ Immunization Certificate _____ Health History Information Form--Completed

_____ Canteen or Water Bottle

OPTIONAL EQUIPMENT _____ _____ _____ Camera Bandana RA Campcraft Book

ACTIVITIES AT CAMP

Flag Assembly Morning Watch Mission Study Group Activities Handcraft: Wood & Leather Campcraft Horseshoes Swimming/Water Sports Fishing Shooting Sports Adventure Recreation Outdoor Living Skills Rock Climbing Canoeing Evening "Serendipity" Evening Worship Cabin Devotionals Overnight Camp-out

No Fireworks, Radios, Comic Books, or Tobacco in any form!

Information

2011 Summer Camp Packet

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2011 Summer Camp Packet