2023 WoLCC - Camper Registration
The 2023 Way of Life Christian Camp will be July 2-7 at Camp Nuhop and the camper fee will be $235.00. WOLCC is a all ages camp for kids 8 years old to 18 years old.  This electronic registration form must be COMPLETELY filled out for each child that will attend (there is no paper copy needed).  Your confirmation of this registration will be when you receive the electronic consent to treat form in your email within 24 hours of registering.  Please complete the DocuSign electronic signature upon receipt.  Of note: we will not offer high ropes this year so no additional fees are needed.

PLEASE READ
-We will require payment before the start of camp.  
-You can send a check by May 15 to the address below-note: we we will deposit the check upon receipt OR
-You can pay online by June 1 (at https://tithe.ly/give?c=580677 - please select "WOLCC - Registration" as the fund under 'Give to' - we'd appreciate it if you would choose to cover the fees.).
-Any cancellations before June 15 will be refunded in full - unfortunately, any cancellations after June 15 we will not be able to refund.

SEND CHECKS TO:
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

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


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Email *
Camper - Last Name, *
Camper - First Name *
School Grade in 2023-2024 *
Age as of 7/1/2023 *
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 and will be bringing to camp.
Allergies
Please list known allergies of the camper.
Dietary Restrictions
Please explain any 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?
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.
Indicate shirt size of your camper.
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