2023 Skyway $125.00 a TRBA Camp

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You will get an email confirmation once submitted.

Email *

Week attending (NOTIFY US If you have come in contact with any known infections/communicable diseases/viruses within the 2 weeks prior to camp.) *

Young Men's Camp June 5-9 (588 S. HWY. W, Elsberry 63343)

Campers Name *

Campers Address *

Church

School Grade (Fall); Age; Date of Birth *

Shirt Size *

XXL

Adult sizes

Parent(s) / Guardian names and phone #'s *

Insurance & Policy# ; Doctor and Phone# *

Health History check all that apply

Asthma

Bedwetting

Seizures

Heart Problems

Fainting

Diabetes

Hyperactive

Headaches

Diarrhea; Upset stomach; Cramping

check all that apply

Allergies, Medical Conditions, Physical Restriction, Last Tetanus shot

Check the days each is taken. Below give details.

Sun

Mon

Tues

Wed

Thur

Fri

Sat

Med # 1

Med # 2

Med # 3

Med # 4

Med # 5

Med # 6

Med Detail: #1-6 Script name, time to take, remarks

Permission to administer over the counter medication

Tylenol

Advil

Naproxen

Benadryl

Antacid

check all that apply

Payment of $125.00 (check / cash / VENMO / PayPal) *

I will bring payment at Camp Check In

I will pay via VENMO to Twin Rivers Association

I will mail payment before Camp Check In to TRBA; 100 Twin Rivers Ln.; Wright City, MO 63390 (enter Check # in space below)

I will pay via PayPal to Twin Rivers Baptist Association

Other:

Required

If mailing a check please give check number

MINOR AUTHORIZATION: If a medical, accident or illness should arise and I cannot be contacted. *

I hereby give my permission to the Camp Director to select a physician and/or hospital for my child’s care.

I understand my child will be transported by ambulance.

I hereby also give the physician and/or hospital my permission to hospitalize, treat and order injections or surgery for my child named herein, as needed.

Required

I give permission for Photographs taken of my child at Skyway Camp to be used on social media. *

Yes

CAMPER PLEDGE: I understand that the way I dress can have an effect on my witness. I will adhere to the follows: *

I will wear long pants, jeans, or MODEST length shorts (NO short shorts);

I will only wear shirts WITH sleeves

I will make sure that my swimsuit is covered / wear a shirt while on the way to swim

I will wear appropriate shoes-- sandals to swim, tennis shoes the rest of the time.

I will leave at home anything that could distract me (cell phones, etc.)

I understand that my actions and words should be pleasing in the eyes of the Lord.

I will do my best to show respect for all I meet this week

I will adhere to the follows:

I will wear long pants, jeans, or MODEST length shorts (NO short shorts);

I will only wear shirts WITH sleeves

I will make sure that my swimsuit is covered / wear a shirt while on the way to swim

I will wear appropriate shoes-- sandals to swim, tennis shoes the rest of the time.

I will leave at home anything that could distract me (cell phones, etc.)

I understand that my actions and words should be pleasing in the eyes of the Lord.

I will do my best to show respect for all I meet this week

I will adhere to the follows:

A copy of your responses will be emailed to the address you provided.

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