2020 WoLCC - Camper Registration
The 2020 Way of Life Christian Camp will be July 5th - July 10th at Camp Nuhop and the camper fee will be $225.00.

This form must be COMPLETELY filled out and submitted.
(You will not need to complete a paper copy.)

Campers must sign up for the High Ropes by May 31st (Ages 13+).   This is an additional $25 charge.

Questions concerning registration may be directed to:
Cathy Rehn
(513) 675-0138
Cathyrr@yahoo.com

Way of Life Christian Camp
c/o Cathy Rehn                       Checks Payable to:  Central Church of Christ
3501 Cheviot Ave                     Memo:   Way of Life Christian Camp
Cincinnati, OH 45211

If you'd like to pay your fee ahead of time on-line - email Cathy and she will send you directions to do this.  You must pay entire $225 + a 2.9% fee.
OR
Payment can be made in full at camp with cash or check - no credit cards will be accepted at camp.
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Email *
Untitled Title
Camper - Last Name, *
Camper - First Name *
School Grade in 2020-2021 *
Additional Items
What additional line items would you like to purchase?
Age as of 7/1/2020 *
Date of Birth (--/--/----) *
Gender *
Best Contact Email Address *
Camper Email Address
Home Address (Street Address) *
Home Address (City/State/Zip) *
Best Contact Phone *
Camper Cell Phone *
Emergency Contact 1: Name *
Emergency Contact 1: Relationship *
Emergency Contact 1: Address (Street Address) *
Emergency Contact 1: Address (City/State/Zip) *
Emergency Contact 1: Phone *
Emergency Contact 2: Name
Emergency Contact 2: Relationship
Emergency Contact 2: Phone
Limited Activity *
Does the camper have limited activity?
Swimming Permitted *
Is the camper allowed to swim in a lake or pool?
Medications
Please list the medications that the camper takes.
Allergies
Please list known allergies of the camper.
Dietary Restrictions
Please explain the dietary restrictions of the camper.
Over the Counter Medications *
Do you give permission for the medical staff to administer OTC medications?
Hospital Transport / Treatment *
Do you give permission for the staff to transport / treat the camper in event of an emergency?
Last Tetanus Shot (--/--/----) *
What is the date of the last tetanus shot of the camper?
Recent Disease Exposure
Please explain any recent disease exposure of the camper.
Family Physician (Name & Phone Number) *
Please provide the name and phone number of your family physican.
Family Dentist (Name & Phone Number) *
Please provide the name and phone number of your family dentist.
Insured Person & Relationship *
Please provide the name and relationship of the insured person of the camper.
Insurance Carrier *
Please provide the carrier name of the camper insurance.
Insurance I.D. Number *
Please provide the I.D. Number of the camper insurance.
Insurance Group Number *
Please provide the Group Number of the camper insurance.
Insurance Phone Number *
Please provide the Phone Number of the camper insurance.
Parent Consent *
I, the parent or guardian of the applicant certify that he/she is in good health and that I understand there are camp rules which must be followed in the best interest of all concerned, and that I will cooperate with camp management.
Parent Promotional Consent *
I authorize Way of Life Christian Camp to use my child’s photograph or likeness for promotional purposes.
All campers will receive a free T Shirt.  Please indicate the size.
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