Summer Camp @ Windy Gap July 8-15 2012 Who: Hilton Head & Bluffton students and YL leaders, and 400 high school kids from all over the country. When: We leave the morning of Sunday July 8th, and get back in the evening on Sunday February 12th. What to Bring: Towel & linens are provided… toiletries, swimsuit, beach towel, sunscreen, 1 set of dress-up clothes, 1 set of throw away clothes (including shoes), extra $ for camp store, warm clothes for at night, camera (cell phones & ipods will be locked up), closed toe shoes, any necessary medication. Where: Windy Gap Camp in the mountains of NC (near Ashville), 120 Coles Cove Rd. Weaverville, NC 28787 Why: Why not?! This isn’t your typical camp experience. We guarantee that you will have an awesome time at YL’s top-notch mountain property. The cabins are more like resorts, and the food is unbelievable! We’ll get a chance to use the go karts, horseback riding, giant swing, ropes course, zip line, climbing tower, indoor basketball, whiffle ball field, game room, Frisbee golf, soccer field, and mountain bikes. Cost: The total, all-inclusive cost is $595. This includes charter bus transportation, lodging, food, and all activities. The only other money needed is for optional spending on the drive to and from camp, and the gift shop. All payments and deposits are non-refundable. Give money & form to a leader or mail to: Hilton Head/Bluffton Young Life PO Box 22614 Hilton Head, SC 29925 **Please make checks payable to Young Life with student’s name and school in memo line If you have any questions, please contact Jeff Thompson at 843-304-4525 or jeff.thompson@ylhhb.com In the event the your child becomes ill or injured while attending Young Life camp at Windy Gap, we request that Young Life be given permission to take your child to the nearest medical facility to be treated. Your signature verifies your child is in good health and capable of participating in strenuous activities. Your signature will also acknowledge your acceptance and understanding of Young Life’s role in the medical treatment of your child. In case of emergency, I understand that every effort will be made to contact me. If I cannot be reached, I hereby give Young Life the permission to act in my behalf in seeking emergency treatment for my child in the event that such treatment is deemed necessary by Young Life. *I absolve Young Life from liability in acting on my behalf in this regard. * Young Life is compliant with Health Insurance Portability and Accountability Act (or HIPAA) To obtain a copy of Young Life’s Notice of Privacy Practice, log onto www.younglife.org or call 719-381-1950. -----------------------------------------------------------------------------------Name_________________________________Gender_____School_______________________Grade _______ Parents or Guardians ________________________________________________________________________ Address________________________________________ City ______________________ Zip ______________ Email address_________________________________ Phone______________ 2ndPhone ________________ Parent’s Insurance Co __________________________Insurance Policy Number _________________________ Insurance Address __________________________________________________________________________ Allergies/other medical info___________________________________________________________________ *Parent’s Signature __________________________________________________Date____________________