GOOD BEHAVIOR REQUIREMENT:
Is a Camp Bethel program a good fit for your camper? She/he will be with other children/youth and their counselors all day each day. We stay together with our group during our entire time at Camp Bethel. Bad behavior does not fit and cannot be tolerated. By requesting enrollment into Camp Bethel programs, you and your camper agree to our Behavior Policy and understand that good behavior is required. Behavior deemed dangerous, inappropriate, intolerable, detrimental to the group, or unmanageable by the counselors or directors is grounds for dismissal from camp. Examples include: not following the camp rules; hurting others (verbally, physically, or emotionally); possession of prohibited or harmful item; constant misbehavior; unsafe behavior; straying from your group; etc. The Director will call parents/guardians as needed. Should it become necessary for your child to return home because of unmanageable behavior, homesickness or other reason, you have agreed to accept the Director’s decision and arrange for transportation.

PARENT/GUARDIAN AUTHORIZATIONS FOR ATTENDANCE:
I request my child be accepted to attend Camp Bethel. I understand the information at www.CampBethelVirginia.org/ParentInfo, including the Good Behavior Requirement, camp rules and behavior policies, registration and cancellation policies, the program descriptions, and the activities listed for my child’s time at camp. I understand that my child will be participating in many physical activities including but not limited to those listed in the program descriptions, and the potential for accidents exists. I understand that the camp has established guidelines to minimize risks and provide a safe environment, and that Camp Bethel is licensed by Virginia to operate a Summer Camp and Dining Hall, and that Camp Bethel adheres to over 300 operational and safety standards, including thorough background checks and screening of all personnel and volunteers. In consideration of acceptance to Camp Bethel,

I indemnify and hold harmless Camp Bethel, the Virlina District Board–Church of the Brethren, Inc. and its staff and officers from any and all liability, claims, damage, injury or illness sustained by my child, and

I verify that the information on this Form is correct and complete as far as I know. This form may be printed and copied, and

I give permission to the camp to provide routine health care, seek emergency medical treatment, and administer any prescribed medications and over-the-counter medications I list on the Health Form (after registering you will receive a Health Form in your Confirmation Materials). I agree to the release of any records necessary for emergency purposes. I give permission to the camp to arrange necessary emergency medical transportation for my child. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the camp to secure and administer treatment for my child including ordering x-rays, administering tests, and admittance to a hospital, and

I understand that Camp Bethel provides only limited secondary medical insurance coverage for participants. I will attach proof of primary personal/family medical insurance coverage for my child, if any, as required for camp attendance on the Health Form received in my Confirmation Materials, and

I understand the active nature of the camp activities and give permission for my child to participate fully and to engage in all camp activities listed in the Day Camps program description (www.CampBethelVirginia.org/SOCI) including the group challenge & initiatives course, climbing wall, high ropes course, and archery, unless otherwise noted under the Restrictions section of this Form, and

I understand that climbing at any height, using climbing equipment (climbing wall/high ropes course), and archery activities may have inherent risks and that participation may involve accidents that could result in injury. I understand these activities are “challenge by choice” and that my child will not be forced to participate, and

I understand the cancellation and refund policies including: (1) Late arrival and early check-out is discouraged, but allowed in case of illness, family emergency or conditions beyond control. There is no fee reduction for late arrival or early check-out. (2) My initial one-time $75 registration and materials fee is non-refundable unless Camp Bethel cancels the program. (3) My 2-week advance payment is based upon my planned attendance and is due at least 2 days before my planned attendance or I will forfeit my reserved spot. (4) Because camp Staff have committed to their work days, my 2 weeks of tuition is paid regardless of my child's attendance, and tuition is not discounted for missed days EXCEPT for illness and school-day cancellations because of inclement weather. Missed days for illness or school-day cancellations due to weather can be either reimbursed or applied to future tuition. Missed days because Camp Bethel cancels the program will be reimbursed. (5) There is a 5-weekday advance notice required for withdrawal from the Fall Semester Day Camp program, upon which my remaining fees (if any) will be reimbursed., and

I agree to read all information included in the Confirmation Materials and Packing List sent to me after registration and to share this information with the camper, and to read, sign and return any and all applicable forms including the Health Form, and

Should it become necessary for my child to return home because of illness, homesickness, conduct, or other reason, I will accept the Director’s decision and arrange for transportation, and

I permit camp photos, video and audio of activities or interviews that may include my child to be used in camp promotion without liability or remuneration, and

I verify that this child is physically able to participate in all camp activities listed in the program description at www.CampBethelVirginia.org/SOCI (unless otherwise noted in the Restrictions section of this Form), and I will provide an update to this child’s health status and Health Form, if any, during health screening at check-in each day. (We encourage, but do not require, parent/guardian to consult your child’s physician to assess your child’s current health and physical abilities. Provide any updates to this information on the Health Form at check-in on the first day of camp.)

If you do not click "Submit" we will not receive your camper's information, so be sure to click SUBMIT.  Thanks!  Once submitted (and if you completed all the required questions with a red * asterisk), you will be directed to a "Thank You" message.