my name is haley martin, and i am overjoyed to be your ......your time has come to create a joyful...

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Your time has come to create a Joyful Noise at camp this summer! My name is Haley Martin, and I am overjoyed to be your dean for Fontanelle’s first ever younger camp of Joyful Noise! I attended this camp as a camper and I’m so excited to team up with my former dean, Aaron Bostwick, to give a wider range of campers a fabulous week of camp. At this camp, we will be discovering our gifts and using those to worship God. Every single person has gifts that can be used to praise God, so we’ll do some fun things to discover those gifts. Not only will we get to do many of the fun camp activities that Fontanelle provides, but we will also get to put on a variety show for Blair UMC, friends, and family at the end of the week! Please read through the rest of this letter carefully, as it has very important details to make our week a success. Campers should arrive Wednesday, July 10 th at 2pm for Registration Parents and friends are strongly encouraged to attend the performance on Sunday, July 14 th @ 9:30AM at Blair UMC (1656 Colfax St, Blair, NE 68008). Our week of camp will conclude back at camp on Sunday, July 14 th @ 1PM. Please join us at camp for lunch with a free will donation @12:00 PM followed by our closing festivities. Worship Service For the worship service, we will be teaming up with the other Joyful Noise camp to provide a worship service. We will be sharing some group numbers, but the younger group focus will be to learn the process of worship planning and talent development throughout the week. These talents can include (but are not limited to) a praise band, worship leaders, dramatic skits, and dance. Throughout the week, we will discover where your passions lie and how to use your gifts to do this! I encourage you to bring any instruments and talents you’d like to share and explore further. Don’t be nervous about the service because throughout the week we will discover the best way that YOU can praise God. No matter what your talents may be, we will find a way to incorporate it into some group pieces for the service! If you have an idea of what you would like to do explore for your talent before coming to camp, please send me an email ASAP at [email protected] with some of the following details: - Your name, age, and a fun fact about you - What you would like to work on for your talent - How comfortable you are with that talent - Do you need any supplies for your talent - Anything else you’d like me to know about your talent that could help me have a better idea of how to explore your talent more

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Page 1: My name is Haley Martin, and I am overjoyed to be your ......Your time has come to create a Joyful Noise at camp this summer! My name is Haley Martin, and I am overjoyed to be your

Your time has come to create a Joyful Noise at camp this summer!

My name is Haley Martin, and I am overjoyed to be your dean for Fontanelle’s first ever younger

camp of Joyful Noise! I attended this camp as a camper and I’m so excited to team up with my

former dean, Aaron Bostwick, to give a wider range of campers a fabulous week of camp. At this

camp, we will be discovering our gifts and using those to worship God. Every single person has

gifts that can be used to praise God, so we’ll do some fun things to discover those gifts. Not only

will we get to do many of the fun camp activities that Fontanelle provides, but we will also get to

put on a variety show for Blair UMC, friends, and family at the end of the week! Please read

through the rest of this letter carefully, as it has very important details to make our week a

success.

Campers should arrive Wednesday, July 10th at 2pm for Registration

Parents and friends are strongly encouraged to attend the performance on Sunday, July 14th @

9:30AM at Blair UMC (1656 Colfax St, Blair, NE 68008). Our week of camp will conclude

back at camp on Sunday, July 14th @ 1PM. Please join us at camp for lunch with a free will

donation @12:00 PM followed by our closing festivities.

Worship Service

For the worship service, we will be teaming up with the other Joyful Noise camp to provide a

worship service. We will be sharing some group numbers, but the younger group focus will be to

learn the process of worship planning and talent development throughout the week. These talents

can include (but are not limited to) a praise band, worship leaders, dramatic skits, and dance.

Throughout the week, we will discover where your passions lie and how to use your gifts to do

this! I encourage you to bring any instruments and talents you’d like to share and explore further.

Don’t be nervous about the service because throughout the week we will discover the best way

that YOU can praise God. No matter what your talents may be, we will find a way to incorporate

it into some group pieces for the service!

If you have an idea of what you would like to do explore for your talent before coming to camp,

please send me an email ASAP at [email protected] with some of the following details:

- Your name, age, and a fun fact about you

- What you would like to work on for your talent

- How comfortable you are with that talent

- Do you need any supplies for your talent

- Anything else you’d like me to know about your talent that could help me have a better

idea of how to explore your talent more

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This will help me get a better idea of the amazing talent to expect for our camp and what group

pieces would be best so we can start the week off running! If you need some ideas, then here’s

some things to begin to think about:

- Singing

- Playing an instrument

- Dancing

- Comedic stand-up. (would be great if you could comment on Christian related things)

- Write and recite some poetry on a Christian topic.

- Make some sort of artwork that represents your Christian faith or do some live painting to

a Christian song.

- Provide audio/visual aid to the worship service

- Other (be creative and out of the box)

Also attached to this letter is some paperwork and the packing list provided by the amazing staff

at Fontanelle! Here are a couple things to add to that list:

- Your instrument or other items necessary for your talent

- A nice pair of dark jeans you can “move” in (for the performance!)

- Clothes that you don’t mind getting muddy (including shoes)

I cannot wait to see you, and I am so glad that YOU can be a part of Joyful Noise this year at

Fontanelle!

See you soon!

Haley Martin

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Our 2019 Theme “PeaceWorks” Empowering the next Generation of Peacemakers

Campers, this year, will learn many aspects of peace. They may learn about making others feel welcome in the spirit of Aloha. There is an opportunity to learn about community, discover agape, SÍ Se Puede (Yes, you can), and especially that Jesus’ peace is with us now and always.

They will experience the fun of camp with Jumping Pillows, hiking trails, campfires, our barn animals, maybe sleeping under the stars or sliding down the giant slip N slide.

New things around the camp since last summer.

1. The Dining Hall floor in Riverview Lodge has been redone. It is now a beautiful wood-look tile

2. A water bottle drinking fountain has been installed. Donated by a generous donor.

3. The Bath House rooms were completely gutted. There are now tile floors and there are two

additional showers on each side.

4. Air Conditioners (window units) have been installed in the Camping Caves

5. There is a brand new Jumping Pillow that replaces the original pillow installed in 2011

6. New cable on the ziplines

7. The 7:24 Shelter has been repaired from the fire

8. A third Bunkhouse has been brought on camp property

FIRST DAY OF CAMP

When you arrive to camp there are a couple of things that are going to happen fairly quickly. It is best if you follow these steps in order

1. As you drive in, watch for signs for directions. If your child will be staying in the Camping Caves, you will drop

their things off at the Caves. At the Caves, look for signage to show which camps are sleeping there

PLEASE MAKE SURE ALL MEDS ARE NOT PACKED! THEY NEED TO BE WITH YOU/THE CAMPER AT THE MED

TABLE DURING CHECK-IN AT THE LODGE

2. At the Lodge, if you have not unloaded the camper’s things, do it at that time.

3. FIRST go to the check in table.

o Pay any outstanding balances and turn in any forms that were not previously submitted

o You will be asked if you have cell phones, music devices, food, etc…These things will need to be sent

home, or given to a staff person to safeguard until the end of camp.

4. Second go to the Health Desk. A staffer will be there to ask some basic health questions. There you will:

o Turn in health forms

o Turn in all meds that you will be taking during the week. Meds will be placed in a Ziploc bag with the

camper’s name on it

5. The camper will make a nametag, say goodbye to non-camp friends/family, and start playing “get-to-know-you”

games on your FIRST DAY OF CAMP!!!!

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SENDING EMAILS/WRITING LETTERS!!!!

Campers love to get mail, either a printed email or a letter that you have written. If you would

like, hand write letters prior to them coming to camp, there will be a box at check-in where you can drop the letters in and they will be given to your child during their stay at camp.

*Please write their first and last name on the envelope and if there is a special day in which you would like them to receive the letter, put that on the envelope as well. (e.g. Jane Doe, Tuesday) Please make sure the first and last name are on the envelope. *Emails need to be received by 11:30 a.m. If emails are not received by 11:30 a.m., they will be given to the camper the next day. *Letters will not be handed out on check-in day as, in general, mail is handed out at lunch. (The exception is if the camp is traveling that day.) Mail will also not be handed out the day the camp ends. The final day can get crazy with cleaning, packing, lunch and then worship. For most camps, you will be seeing your child within an hour of them receiving their mail.

To send an email, go to Campfontanelle.com. Under the Summer Camp tab, click on the “Send a Message to a Camper.”

What should you say to your camper? Be positive…don’t talk about the great things they are missing at home

Give them encouragement and let them know you are praying for them and that you know they

are having a great time

We know you miss your child and they miss you too! Refrain from being overly emotional. This

may make your child lose sight of why they are at camp and may cause homesickness. As I am

sure you will agree, we want Happy Campers!

Prayer is a conversation; A Conversation with God

Pray to God for guidance, help and comfort

As a community of faith, we believe that prayer is powerful. Our staff is in daily prayer and they

would like to include your family in those daily conversations. How would you feel if your children stopped talking to you? You might feel lost and lonely, but mostly you would wonder why. God wants to hear from us. God wants to know how our day

went; what made us happy and what made us sad. And just as parents want to help their children in struggles and celebrate in the successes God, too, wants to hear those things.

Please let us know joys, concerns or life events which we can lift up to God while your camper is with us. Share your prayer requests with us at check-in. They can be written on the back of

this note. We have a camp prayer team of volunteers who would also like to lift up your prayers. Please let us know if you do not want us to share your prayers with this team.

Our staff and prayer team will pray daily for you. These prayers will not be shared with campers. God knows who you are, your name will not be put with the prayer request unless you

would like us to do that for you.

“‘Hear, O Israel: The Lord our God, the Lord is one. Love the Lord your God with all your heart and with all your soul and with all your mind and with all your strength.’ The second is this: ‘Love your neighbor as

yourself.’ There is no commandment greater than these.” Matthew 12:29b-31

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Celebrating Birthdays If your child is having a birthday while they are at camp and you would like them to share something special with their camp buddies, please get in contact with Jane Van Horn (402-278-0526) or [email protected]. She can let you know how many campers are in your child’s camp so you provide enough treats. Please take into consideration that there may be food allergies, so things like ice pops, Rice Krispy bars, ice cream are usually a safe choice. Social Media and Marketing: We wanted to remind you that we use camp photos in our social media and marketing. Names will not be put with the photos. If you want to tag photos on FB, you may do that, but we will not.

The Retreat Center Capital Campaign

Camp Fontanelle is actively raising money for the proposed retreat center. This center will add 60 beds in a climate controlled (air conditioning and heating) setting. In addition, there will be additional toilets and showers, including handicap bathroom facilities set in a suite-like atmosphere.

The longer the campaign goes, the more expensive things become. Would you like to be a part of the future of Camp Fontanelle, with a gift to the Branching Out Campaign? Has your church made a pledge to the capital campaign? Are you aware of any benefactors who might be interested in supporting our camp which helps develop confidence, community mindedness, and leadership skills in our campers? The campaign committee is still seeking out large benefactors, as well as smaller gifts. Over 2.1 million dollars has been raised. We are so close….but need your help.

Please pray and ask God how you can help. Ask God to bless this campaign and help those who are working so hard to see it through its fruition. Great things can happen and many doors will open and opportunities abound when the camp can have a brand new facility to meet the insufficiencies we presently have in branching out in our ministry.

pAn d Fi n a l l y p

Thank you for being a parent who believes in Camp Fontanelle; for allowing your child (children) to spend time with us learning about being a good person, a loving person and a person who loves life and wants to see the best in the world. We believe in our ministry and that through God’s help great things can happen. We are an intentional Christian Community and all we do; we do to make the world a better place. AMEN!

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What Should Campers Bring To Camp? In order to have the best camping experience, here are a few things you need to bring with

you to Camp Fontanelle. Please put your full name on everything you want back if lost, misplaced, or left behind.

Have Ready When You Arrive: o Any waivers and/or forms sent to you from Camp Fontanelle o Medications (All medicines are to be turned over to the nurse upon arrival at camp unless a physician recommends that your child self-medicate, for example, with an inhaler

or Epipens. Please send enough medication for the entire time at camp in the or ig ina l package/bot t l e that identifies the prescribing physician, name of drug, dosage, and frequency.) Medications are kept in a Ziploc bag with the camper’s full name written on front.

Small Backpack Or Drawstring Bag: ( fo r carry ing shower i t ems or o ther needed i t ems around camp) o Bible, notebook, and pen (If a camper does not have a Bible we have one for them) o Sunscreen and Bug Spray o Water bottle o A Flashlight with new batteries o Optional items: Camera, Book (for horizontal hour), Paper, envelopes (pre addressed), and

stamps (write during down times to family, friends, and those that sent you to camp)

Packed In A Duffel Or Drawstring Trash Bag: o Bedding/Sleeping Bag and Pillow (If in treeboats, extra camping pad or blanket to keep warm from

bottom side of treeboat. A security item that fits in the pillowcase is often a welcome nighttime comfort) o Rain poncho or light waterproof jacket

Packed In A Suitcase: o Comfortable clothes (suitable for hiking and being outdoors)

o Shorts AND Pants (some nights and mornings are cool) o T-Shirts o Long-sleeved shirt, sweatshirt, and/or a light jacket (again, it can get cool) o Underwear and socks o Pajamas o Sturdy tennis shoes (bring an extra pair in case one gets wet or muddy) o Sandals or flip flops (only for pool, water games, and shower times)

o Toiletries (packing in a gallon size Ziploc is ideal if you do not have a separate toiletries bag) o Toothbrush and Toothpaste o Soap and Shampoo o Deodorant o Shower towel and Washcloth o Feminine hygiene products o Etc.…

o ONE PIECE or MODEST Swimming Suit/Beach Towel (a shirt may be needed for other water activities, it may get muddy too) o Bag for dirty clothes o Other special items listed within the letter.

* I f campers dr ive themse lves to camp, vehi c l e s should not be dr iven unt i l the camp sess ion has ended .

What Campers Should Not Bring To Camp Fontanelle: Ø Anything you are not willing to lose (Camp Fontanelle cannot be held responsible for missing items) Ø Soda Pop, Snacks, gum or candy of any kind Ø Money (unless otherwise directed in letter. Our camp store will be open during registration or at closing. The store will not be open

during the week) Ø ANY personal electronics (any brought will be held in a baggy for you until you are picked up, including cell phones.) Ø Illegal drugs, alcohol, fireworks, knives—anything illegal or dangerous are grounds for dismissal from camp!

A Special Note For Parents & Guardians: The health and welfare of your child is a priority. Notification of parents will be attempted for allergic reactions, if EMS is contacted, for decisions on a trip to the hospital, and for any questions on medications or proper treatment. If your camper is nervous about being away from home, feel free to have them bring along a favorite “sleep aid,” like a stuffed animal, blanket or family picture; anything you think will help them feel closer to home without causing homesickness. That item should fit into a pillowcase and can be felt when trying to fall asleep. We have lots of experience working with children, so we will make sure your child feels safe and has as much fun as he/she possibly can! Remember to write or e-mail your camper to encourage them stay but PLEASE tell your child that they will not be allowed to call home and that “no news is good news.” We are way too busy having fun to spend any time on the phone. In case of emergency the number at Camp Fontanelle is (402) 478-4296. You will talk to a staff person. We strongly recommend not speaking to your child. As we said, we’re going to be too busy to pull kids away from the fun to talk to a “homesick” parent. You can also email the camp at [email protected] for any questions you have and WE HIGHLY ENCOURAGE you to send an e-mail to your camper while they are at camp (just put their name in the subject box so we can deliver to the proper person).

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Would you care to receive newsletters and updates of events and activities at Camp Fontanelle?

� YES � NO

If yes, by mail or email? � MAIL � EMAIL

Philadelphia Indemnity Insurance Company Page 1 of 1 One Bala Plaza, Suite 100, Bala Cynwyd, PA 19004 11/2006

CAMP FONTANELLE PROGRAM RELEASE FORM

ALL GUESTS AND ALL PARENTS OR GUARDIANS OF ANY GUEST WHO IS A CHILD (UNDER 18) THAT WISHES TO PARTICIPATE IN ANY PROGRAM OR ACTIVITY MUST COMPLETE THE FOLLOWING PROGRAM RELEASE FORM BEFORE GUEST OR BEFORE HIS/HER CHILD MAY BEGIN THE PROGRAM/ACTIVITY.

Male Female Age:

Personal Information

Participant’s Name: EMAIL:

Church:

Phone Number: (Home): ( ) - (Cell): ( ) -

Street City State Zip

Address:

Program or Event Information

I agree for myself or for my child to participate in any Program or Event sponsored by Camp Fontanelle both on

site or off site. Programs include but are not limited to: Race competitions, hiking, Zip Lines, tree climbing on

rope, laser tag, archery, low ropes challenge course, jumping pillow, pony rides, hay rack rides, inflatable castles,

gaga ball, corn maze, and petting barn.

RELEASE / DISCLAIMER

I DO HEREBY ASSUME FULL RESPONSIBILITY FOR ANY AND ALL DAMAGES, INJURIES (INCLUDING DEATH), OR LOSSES THAT MAY BE SUSTAINED OR INCURRED, IF ANY, WHILE ATTENDING, PRACTICING, PARTICIPATING OR WITNESSING IN ANY ACTIVITY, PROGRAM, SPORT OR PHYSICAL ACTIVITY OCCURRING IN OR ABOUT CAMP FONTANELLE PREMISES OR AT ANY OFFSITE LOCATION. I HEREBY ASSUME FULL RISK, WAIVE ALL CLAIMS AND RELEASE AND HOLD GREAT PLAINS UNITED METHODIST CAMPS, INC. DBA CAMP FONTANELLE & GREAT PLAINS ANNUAL CONFERENCE OF THE UNITED METHODIST CHRUCH, IT’S INSTRUCTORS, OR PARTNERS OF SAID PROGRAM OR EVENT, INDIVIDUALLY OR OTHERWISE, HARMLESS FOR ANY AND ALL CLAIMS FOR INJURIES OR DAMAGES.

I am fully aware and understand that Camp Fontanelle does not have on or about the premises, an employ or

contract with any medical services, provisions for ordinary and/or emergency medical services.

In consideration of mine or my child’s participation in and the use of Camp Fontanelle’s facilities, I hereby

release and covenant not to sue the institution, its owners, shareholders, directors, officers, employees,

representatives, agents, and lessees from any and all claims resulting from any physical injury that may occur

to myself or my child while participating in any program or event sponsored by GREAT PLAINS UNITED

METHODIST CAMPS, INC. DBA CAMP FONTANELLE.

I HAVE READ AND FULLY UNDERSTAND THE ABOVE RELEASE/WAIVER AND FULLY UNDERSTAND THAT I HAVE

GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS WAIVER VOLUNTARILY.

Parents or guardians must sign if applicant is UNDER 18.

Participant’s Name (print): _________________________________________ DATE:____________________________

Participant’s Signature: __________________________________________ DATE: ___________________________

Parent/ Guardian Name (print): ______________________________________ DATE: __________________________

Parent/ Guardian Signature: ________________________________________ DATE: ___________________________

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Primary Emergency Contact Name

Address

Preferred Phone(s)

Home:

Cell:

Work:

Relationship to Camper

Second Emergency Contact

Name

Address

Preferred Phone(s)

Home:

Cell:

Work:

Relationship to Camper

RESTRICTIONS I have reviewed the program description and activities of the camp and feel the camper can participate without restrictions

I have reviewed the program description and activities of the camp and feel the camper can participate with restrictions or adaptations. (Please describe on reverse side. Feel free to attach additional information if needed)

ALLERGIES No Known Allergies Food Medicine Environment (insect stings, hay fever, etc) Other

Please describe on reverse side what the camper is allergic to and the reaction seen.

Camper Name Last First Birthdate Primary Phone Number Session Name

Camper’s Primary Care Doctor Phone

This camper is covered by family medical/hospital insurance Yes No

(Include a copy of your insurance card if appropriate; copy both sides of the card so information is readable.)

Insurance Company Phone

Policy Number

Subscriber

Camper’s Dentist Phone Other Healthcare Provider (if applicable) Phone

IMMUNIZATION HISTORY Please check current immunizations. Italicized immunizations must be current:

Diptheria, tetanus, pertussis (DTaP) or TdaP) Mumps, measles, rubella (MMR) Polio (IPV) Haemophilus influenzae type B (HIB

Pneumococcal (PCV) Hepatitis B Hepatitis A Varicella (OR date of chicken pox_______) Meningococcal meningitis (MCV4) Date of last tetanus booster (dT) or (TdaP):__________________

If your camper has not completed these immunization requirements, please sign the following statement: I understand and accept the risks to my child from not being fully immunized.

Relationship to Signature of Custodial Parent/Guardian______________________________________ Date_______________ Camper________________________

Page 1 of 2

DIET, NUTRITION This camper eats a regular diet This camper eats a regular vegetarian diet

This camper has special food needs (Please describe on reverse side & give Camp two weeks notice)

HEALTH HISTORY Please circle statements that apply. Explain circled items in the space on reverse side, noting the number of the questions. The camp may contact you for additional information if necessary. Has/does the camper:

1) Been hospitalized

2) Had surgery

3) Recurrent/chronic illnesses

4) Recent infectious disease

5) Recent injury

6) Asthma/wheezing/shortness of breath

7) Diabetes

8) Seizures

9) Headaches

10) Wear glasses, contacts, or protective eyewear

11) Fainting or dizziness

12) Passed out/had chest pains during exercise

13) Mononucleosis during the past 12 months

14) If female, have problems with periods/menstruation

15) Problems with falling asleep/sleepwalking

16) Back/joint problems

17) History of bedwetting

18) Problems with diarrhea/constipation

19) Skin problems

20) Traveled outside the country in the past 9 months (please name countries visited and dates of travel)

21) Been treated for ADD or ADHD

22) Been treated for emotional or behavioral difficulties or an eating disorder

23) During the past 12 months, seen a professional to address mental/emotional health concerns?

24) Significant life event that continues to affect the camper’s life? (History of abuse, death of a loved one, family change, adoption, foster care, new sibling, survived a disaster, others)

25) Other:

ONE form per person. If registering multiple campers, make as many copies as needed.

2019 Camper Health History Form

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IMPORTANT—THIS BOX MUST BE READ AND SIGNED FOR ATTENDANCE

Each United Methodist Camp and Retreat Center (“Camp”) in the Great Plains Annual Conference of the United Methodist Church (“Conference”) offers a variety of ser-vices and voluntary activities designed to enrich the camping or retreat experience. These services and voluntary activities may include, without limitation, the provision of food, lodging, transportation, as well as the sponsorship of challenging and educational activities often associated with camping and the outdoors, such as hiking, boating, swimming, campfires, fishing, low and high rope courses, horseback riding, archery, tree climbing, ziplines, and other opportunities. Both participants and staff members (including volunteers) may have the opportunity to participate in one or all of these activities. Additional releases for special activities may be required. I understand that reasonable measures will be taken to safeguard the health and safety of all participants. I understand that some camp activities have inherent risks of serious injury or death. The person described has permission to participate in all camp activities except as noted on this form and accompanying information. I understand that participa-tion in camp activities and receipt of camp services is voluntary, that I/my child may decline to participate in any activity, and that I/my child has the obligation to notify a camp official of anything I/they feel to be unsafe and, if necessary, to immediately leave the area or stop participating in the event which I/they feel may be unsafe. I will assure that I/my child is properly prepared and able to participate, willing to abide by camp policies, and follow directions of camp personnel. I understand that I/my child may be transported in a licensed, insured Conference vehicle or a licensed, insured private vehicle.

This health history is correct and accurately reflects the health status of the camper to whom it pertains. I understand I will be notified as soon as possible in case of any emergency or illness affecting my child. I understand that I/my child may be transported in a licensed, insured Conference vehicle or a licensed, insured private vehicle. I give permission to the physician selected by the camp to order x-rays, routine tests, and treatment related to the health of my child for both routine health care and in emer-gency situations. If I cannot be reached in an emergency, I authorize listed emergency contacts and/or camp staff to act on my behalf. Furthermore, I give my permission to the physician to hospitalize, secure proper treatment for, and order injection, anesthesia, or surgery for this child. I accept responsibility for the costs of such treatment. I understand the information on this form will be shared on a “need to know” basis with camp staff. I give permission to photocopy this form. In addition, the camp has permission to obtain a copy of my child’s health record from providers who treat my child and these providers may talk with the program’s staff about my child’s health status.

I understand that my child can be dismissed from camp for reasons including, but not limited to: contagious illness, chronically disruptive behaviors, illegal activity, breaking of camp rules, or destruction of property. If my child is dismissed from camp, I understand it is my responsibility to arrange and pay for transportation for my child to return home, and that no refunds will be issued for campers going home early for disciplinary action or because they are missing home.

Unless I have checked the box below, I give Great Plains UM Camps permission to take and use photographs or other media representations of myself or my child in pro-motional material, including websites, brochures, videos, and other means. I understand that my child will not be named in this material.

I DO NOT want Great Plains UM Camps to use any images of my child for promotional materials. (Please initial and send current photo to be used later to identify camper)

What Have We Forgotten to Ask? To help make your child’s visit to camp successful, it is vital that we are aware of any unique needs or special con-

cerns they may have. Please provide description of restrictions, allergies, diet, nutrition, information about the camper’s health, special learning considerations, family circumstances, relevant experiences, or anything that will help us better prepare for your child’s upcoming camp visit. Please attach additional information if needed.

MEDICATION “Medication” is any substance a person takes to maintain and/or improve their health. This includes vitamins & natural remedies. All medications (including over-

the-counter medications) need to be in the original containers and must be turned in upon arrival at camp (with the exception of inhalers) and accompanied by written instructions for the medical staff person. Please discuss needed medications or special health concerns with the medical staff person at check-in.

This camper will not take any daily medications while attending camp This camper will take medication(s) while at camp. (Please List)

I give permission for over-the-counter medications to be administered to my child if the health care staff deems necessary.

I understand that medications will be administered per instructions in the camp’s healthcare handbook, which is approved by a physician, that dosages will be administered according to the directions on the bottle unless a physician directs otherwise, and that the health history form will be reviewed for allergies and parental recommendations prior to

administration of over-the-counter medications. (Please list below any over-the-counter medications that you DO NOT want administered to your child.)

Relationship to Signature of Custodial Parent/Guardian______________________________________ Date_______________ Camper________________________

Name of Medication Date Started Reason For Taking It When It Is Given Amount or Dosage Given How It Is Given

I have read and understand the authorization section and will abide by judgments made by Great Plains UM Camp staff. Relationship to

Signature of Custodial Parent/Guardian______________________________________ Date_______________ Camper________________________

With my parents/guardian, I have completed the above information and will assume responsibility for taking my medication as administered by camp staff and for restricting any activities agreed upon and listed above. I will exercise good judgment in regard to my own health, safety, behavior, and well-being while at camp.

Signature of Camper________________________________________ Date_______________ Page 2 of 2

We need to know who will be picking up your camper on the last day of camp. If this information changes prior to or during your child’s stay at camp, please call us to provide updated

information. Name of Person Picking Up Camper at Check-Out:

Camper Name Last First Birthdate Primary Phone Number Session Name

Page 10: My name is Haley Martin, and I am overjoyed to be your ......Your time has come to create a Joyful Noise at camp this summer! My name is Haley Martin, and I am overjoyed to be your

Permission Form

“Joyful Noise” Camp

Camp Fontanelle

July 10-14, 2019

To Whom It May Concern,

I hereby give permission for my child, ____________________,

(print name of child)

to participate in a worship service outside of Camp Fontanelle.

I understand that my child will be traveling from Camp Fontanelle

& returning to Camp Fontanelle by either church van, bus or

private vehicle.

(Print name of Parent/Guardian)

(Signature of Parent/Guardian)

(Date)