Senior Camp (ages 12-16) July 12th – 15th Junior Camp (ages 7-11) July 18th – 20th Cost: $50.00 for camp. For those not able to pay partial or any costs, we do have sponsors available. If you want a DVD of 2014 Camp, add $5 to camp admission. Requesting a sponsor for camp: Yes / No Camp Fee mailed with Application: Yes / No Camp Fee handed in at admission: Yes / No Donation to Sponsor Kid / Family Yes / No Added $5 for DVD of Camp Program Yes / No Sponsorship: If you want to sponsor a client or family, make check out to Lords Army Bible Camp and mail to address below. Items to bring to Camp: Clothes (summer and warm), shoes, swim suit, towel, coat (warm), sleeping bag, pillow, flashlight, mosquito repellent, notebook, pencil/pen, anti-bacterial soap, flip flops for shower and a BIBLE. Activities: We offer experience with bible classes, swimming, crafts and lots of games and fun. Emphasis: We are a bible camp so we will have bible classes with a perfect blend of other activities. We want our campers, while having a great time, to discover that God loves us (John 3:16), that God sent His son, Jesus Christ, to die on the cross as a payment for our sin. If we trust the payment that Jesus Christ made for us, we will have eternal life in Heaven (II Corinthians 5:21)!! Location: The Lords Army Bible Camp is located at Camp Ruby on Ruby Lake. Directions are on the Good News Bible Church website; www.goodnewsbiblechurchmn.com Church: The Lords Army Bible Camp is operated by the Good News Bible Church in Cohasset MN, please check us out on the website; www.goodnewsbiblechurchmn.com First Day of Camp: On the first of Sr. Camp and Jr. Camp, we will have a admission station where all parents and/or guardians must admit their child with the Lords Army Bible Camp. Once camp admission is complete, kids will be assigned to counselor and personal items will be brought to their cabin. Once camp admission is complete, parents are free to leave. Last Day of Camp: On the last day of Sr. Camp and Jr. Camp, we will have supper for kids and family members and/or guardians. After supper, we will have our awards program. Parents and/or guardians are encouraged to come; supper begins at 5:00pm. The campers will go home with you after the program; you can purchase a DVD in advance for $5. Mailing Information: Good News Bible Church Attn: Lords Army Bible Camp P.O. Box 175 Cohasset, MN 55721 Physical Address: (Do not mail to this address) Camp Ruby 44319 Imperial Road Marcel MN 56657 For questions please email: ledminster@hughes.net Version 1.7 / Last Update 04-30-14 Good News Bible Church PO Box 175 Cohasset, MN 55721 Phone: (218) 999-9012 Facebook us at Good News Bible Church Facebook us at Lords Army Youth Group Twitter us at @LordsArmyGNBC Church Website: www.goodnewsbiblechurchmn.com 1 Note: We accept all children regardless of religion, color, race or national origin. Name: Age: Birth Date: Address: City: State: Zip Code: Phone Number: Email Address: Name of Parent/Guardian: Camper’s Health Record: Name of Clinic/Doctor: Name of Clinic/Dentist: M/F Phone: Phone: The following medications are stocked at Lords Army Bible Camp health center and are used to manage illness and injury. Cross out those medications your child should NOT be given: Acetaminophen Hydrocortisone Cream Benadryl Cough drops Triple Antibiotic Cream Ivy Dry Tums Sun-burn spray Ibuprofen Pepto-Bismol Calamine Lotion Is the camper free of illness, injury or physical challenges that would affect camp participation? YES NO. (If you answered no, please explain) Does the camper take any medication daily? YES NO. If you will be sending medications for our nursing staff to distribute, please send them in the ORIGINAL BOTTLES at admission. Does the camper have any allergies? YES NO. If yes, please list and the reaction that they have to each. Is there anything about your camper that you feel we should be aware of? How did you hear about Lords Army Bible Camp? Emergency Contact: (Please give two names and their numbers to call in case of emergency) Name: Phone: Name: Phone: Emergency Contacts Important for Two Reasons: Reason One: In case of an emergency, I understand that every effort will be made to contact parent and/or guardian. In the event parent/guardian cannot be reached, I (parent/guardian) hereby give my permission to the physician(s) selected by the camp director to hospitalize and give proper treatment to my child. Reason Two: In case your child wants to come home because he or she is “home sick”, we need an emergency contact number. The Lords Army Bible Camp will not transport client home, it is responsibility of parent/guardian to pick up child if they are home sick. _________________________________________ Signature of Parent/Guardian Date Notice: if you choose to sign this form, you will be permitting Good News Bible Church and Lords Army Youth Group/Bible Camp to record your voice or take your picture (or your child’s voice or picture) and use the recording or image in advertisements or new articles, on websites, or as part of Good News Bible Church or Lords Army Youth Group/Bible Camp documentation. Version 1.7 / Last Update 04-30-14 Good News Bible Church PO Box 175 Cohasset, MN 55721 Phone: (218) 999-9012 Facebook us at Good News Bible Church Facebook us at Lords Army Youth Group Twitter us at @LordsArmyGNBC Church Website: www.goodnewsbiblechurchmn.com 2