camp bridgeway - bridgingtheway.org

CAMP BRIDGEWAY Fall retreat 2021

*Scholarships are available for students in need. Email [email protected]

Enter to win a FREE WEEK at camp at

Www.bridgingtheway.org

Packing List

Refillable Water Bottle (VERY IMPORTANT)

Sunscreen (VERY IMPORTANT)

Shirts (no spaghetti straps or midriffs)

Shorts (modest length)

At least 1 pair of pants

Pajamas

Undergarments

Swim trunks for boys/modest full-piece suit for girls *Note: Girls, if you only have a two-piece, you will need to bring a dark colored t-shirt to wear over it.

Tennis shoes and socks

Flip flops or sandals

Deodorant

Shampoo, conditioner, soap, toothbrush & toothpaste

Hairbrush, hair ties, hair dryer, hair product, etc.

Washcloth and 2 large towels

Pillow, blanket, and sheets (or a sleeping bag)

Bug Spray

Flashlight

Bible, pen and notebook/journal

Umbrella

Spending money for snacks and drinks at snack shack

Important Info

Drop Off at Georgia FFA Center: Sunday, September 19th at 3:00 PM Pick Up from Georgia FFA Center: Thursday, September 23rd at 7:00 PM Baptism and Parent Night: Each year, we provide an opportunity for students to be baptized on the last day of camp. If your student wants to be baptized, we will contact you ahead of time to get permission. Parents are invited to join us for the baptism on Thursday, September 23rd, at 4:30 p.m. Parents are then invited to join us for dinner and our final testimony night service. Dinner is served at 5:30 p.m. and will cost $12 per guest (other than your camper—which is covered in the registration fee). Please RSVP for dinner on the registration form and indicate how many people from your family will be attending. Payments can be made when you drop your student off on Sunday, September 22nd.

Address of the Georgia FFA FCCLA Center: 720 FFA FHA Camp Road, Covington, GA 30014

Emergency Contact Information: Kayse McCanne - 770-364-2995 Joseph McCanne - 678-677-3982 FFA Center - 770-786-6926

Please DO NOT Pack: Expensive items, cell phones, tobacco products/drugs, or weapon. Any tobacco products/drugs or weapons found will result in immediate dismissal from the camp. Any cell phones found will be taken by leaders and returned at the end of the week. We want students to be able to “unplug” and focus on God and building stronger friendships this week.

Camp bridgeway Fall retreat 2021

Bridgeway Youth Program Specialists, Inc. (770) 364-2995 www.bridgingtheway.org

Camp Bridgeway Fall Retreat September 19-23, 2021 during the Henry County Schools Fall Break

at the Georgia FFA FCCLA Center in Covington

PARTICIPANT INFORMATION

Last Name _______________________ First Name ________________________ Date of Birth ____________________

Address __________________________ City _________________________ State _________ Zip Code ___________

Phone number _________________________ E-mail _____________________________________________________

Emergency Contact _________________________ Emergency Contact Number _____________________________

PARENT/GUARDIAN INFORMATION

Last Name _____________________ First Name _____________________ E-mail ___________________________

Phone number __________________ Work number ___________________ Cell number ______________________

COST – lodging, food, recreation and camp shirt: Please select your payment plan below:

□ $250 full payment OR □ $125 deposit (submit balance by Sep. 12)

PARENT DINNER

Parents are invited to join us for dinner and our final testimony service on our last night of camp - Thursday, September 23rd at 5:30. Campers will then be released to their families to go home at 7:00 p.m. If you plan to attend, please let us know how many from your family will be joining us. Dinner will be $10 per person.

□ YES! I plan to attend the family dinner! I would like to RSVP for ______ (number) of meal(s) for dinner that night. I understand I will need to pay a $10 fee per person for dinner. Please note, this fee can be submitted on Sunday, September 20th at the registration table when you drop your child off for camp.

□ NO, Unfortunately, I will not be able to attend the family dinner.

CAMP SHIRTS (included in your registration fee)

Please select your t-shirt size: □ Small □ Medium □ Large □ X-Large □ 2X-Large □ 3X-Large

HEALTH INFORMATION

The information you provide here will be held in the strictest confidence. It will be kept on file in our health binder.

Child’s Doctor’s Name: __________________________________ Phone Number: _____________________

Allergies: Yes No

If yes, please describe the severity of the reaction, requested accommodations and what is done to manage them.

____________________________________________________________________________________ ______

_________________________________________________ ______

Medical, Physical, or Emotional Conditions (including Disabilities):

If your child does have any conditions, please provide information to assist us in providing the best camp experience for your child. ____________________________________________________________________________________ ______

____________________________________________________________________________________ ______

__________________________________________________________________________________________________

__________________________________________________________________________________________________


Medications (including Inhalers): Yes No

If your child must take medication while at camp, please note here. All medications must be in their original containers and be appropriately labeled. Please do not give your camper’s medication to them to bring to camp; medications must be received and held by the camp office or with the camp director.

____________________________________________________________________________________ ____

___________________________________________________________________________________ _ ____

Is your child up-to-date on all state-required immunizations? Yes Nos

INSURANCE INFORMATION

Is the participant covered by family medial/hospital insurance? Yes No

Carrier or Plan Name: _____________________ Group #: _____________________

Address _______________________ City _____________________ State ______ Zip Code ________

Name of Insured: _________________________ Relationship to participant: _________________________

AUTHORIZATION OF CONSENT

We the undersigned parent(s)/guardian(s) of __________________________________, give consent for medical and/or surgical treatment of this minor child by a licensed health care professional should the need arise while he/she is attending Camp Bridgeway I understand that medical personnel will make reasonable attempts to contact me before initiating treatment. I am aware that the practice of medicine is not an exact science and that no guarantees can be made concerning the results of treatment. I grant permission for treatment provided according to generally accepted standards of medical practice.

INDIVIDUAL CONTRACT

To the extent allowed by law, I, the undersigned am the parent/guardian of the individual(s) named below, and shall hold harmless, indemnify, and defend Bridgeway Youth Program Specialists, Inc. and the officers, employees, volunteers and agents of each of them from and against any and all liability, loss, damage, expense, cost of every nature, and causes of actions arising out of or in connection with any negligence in the performance of this agreement. It is further understood and agreed that this waiver, release and assumption of risk to be binding on my heirs and assigns. I also release Bridgeway Youth Program Specialists, Inc. of liability for any claims that may arise out of activity. Bridgeway Youth Program Specialists, Inc. also reserves the right to remove participants from the program if they present a threat to the children or if they abuse the privilege of the mission statement of Bridgeway Youth Program Specialists, Inc.

I hereby give my consent to all photographs, audio-recordings and/or video-recordings taken of me or my minor child by Bridgeway Youth Program Specialists, Inc. staff or their designees. I understand that any such photographs, audio-recordings and/or video-recordings become the property of Bridgeway Youth Program Specialists, Inc. and may be used by the organization, or others with their consent, for educational, instructional, or promotional purposes determined by the organization in broadcast and electronic media formats now existing or in the future created.

I have read this entire Informed Consent Agreement. I fully understand it and I agree to be legally bound by it.

_______________________________ _____________________ Signature of Parent/Guardian of Minor Date

_______________________________

Participant’s name

FOR OFFICIAL USE ONLY:

Date: _________ Total paid: ________ Type of payment: _________ Chk #_________ Receipt # __________ Staff Initials: _____

(Print child’s name)

---------------------------------IMPORTANT INFORMATION--------------------------------- Please scan and email this form to [email protected] and pay online at www.bridgingtheway.org

Please note that Camp Bridgeway is a faith-based camp. Sessions will be taught from a Biblical/Christian perspective.

Students of all faiths and backgrounds are welcome to attend!


Parent/Camper Agreement Form Parents and Campers,

It is our desire that every camper has an AMAZING week while at Camp Bridgeway! Please help us achieve

this goal by reading over and agreeing to the following policies and guidelines that we require students to

follow during their week at camp.

Please initial each statement below and sign at the bottom to indicate your understanding of these

policies. This form MUST be initialed and signed by BOTH parent and camper in order to attend Camp

Bridgeway.

Student Parent

Initials Initials

I understand that cell phones and electronics are NOT permitted at camp. No exceptions. If phones are found, they will be confiscated and returned at the end of the week. In case of an emergency, all leaders will have a cell phone available for student use. Parents are able to contact Kayse McCanne (Camp Director) at 770-364-2995. This is to ensure that students have an opportunity to “unplug” and focus on God and build stronger friendships with their peers this week.

All campers will be expected to attend all morning and evening worship services.

All campers will be expected to participate in all team competitions and activities unless there is a verifiable medical condition that prevents them.

The following behaviors will result in immediate dismissal from camp: fighting, bullying, stealing, sexual misconduct, or possession of drugs/alcohol/tobacco/weapons.

No public displays of affection will be allowed.

Girls are not allowed in or around boys’ dorms. Boys are not allowed in or around girls’ dorms.

All campers must stay in designated areas. Those found in unauthorized areas may be sent home.

Campers must wear modest clothing and swimsuits. Please refer to the packing list for specific guidelines. If a student is seen wearing inappropriate clothing, they will be asked to change. If no acceptable alternative is available, the parent will be notified to bring additional clothing.

We want everyone to have a safe week at camp. As such, COVID tests will be administered upon arrival to the campground on Sunday afternoon for $12.50 each. For those who would rather have their student tested off site, please bring a copy of the negative test result with you when you drop them off. Students must be tested within 24 hours of arrival. If a camper tests positive, they will receive a full refund of their camp fees at that time and released to go home. If a camper tests negative on Sunday but later shows symptoms and tests positive later in the week, the camper will be released to go home and unfortunately no refunds can be given at that time.

I understand and agree to abide by these policies and guidelines.

_________________________________ ____________________________ ________________

Camper Signature Parent Signature Date

camp bridgeway - bridgingtheway.org

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