Saalem Kids Camp 2010
June 30th- July 3rd
Warnica Lake
Things to bring with you to Camp:
1. Blanket and/or sleeping bag, pillow,
sheet
2. Clothing – include clothes for warm and cold days, rainy days
(boots/spare socks)
3. Swimming suits (modesty is important) and towel (perhaps a spare
towel for washing)
4. Toiletries (toothbrush/paste, shampoo, soap, deodorant)
5. Insect repellent, sunscreen, hat
6. Bible (if you don’t have one we can share)
7. Notebook, pencil
8. Your best Adventurer Attitude!
**Please mark all of your child’s belongings with their name; it is easier to
return to you if it is lost.
Please forget at home:
1. CD players, Mp3 players, IPODs or portable radios (we will have lots
of music)
2. PSP’s or any other portable video game players
3. Pop, chips or candy (we will have some “special” snacks each
day)
4. Fishing rod or fishing equipment
If you are unsure of what to bring or not to bring to the camp, please contact us, we
would like to ensure as much fairness at the camp as possible. We also want you to know
that PARENT VISITING during the camp is NOT permitted. You will be contacted
immediately should the need arise. Your co-operation with this really helps us have as
hair a camp as possible.
**Sponsorship is available if you are unable to afford the camp fee. Please contact us for
more information.
Sign-in registration will commence at the camp starting at 10:00am on
Wed. June 30th.
*** Families are welcome to attend the Closing Ceremony at 3:30pm on
Saturday July 3rd!!!
Children who will be entering grade 1 as of September 2010 may attend
the camp. Cost for the camp:
$90.00 1st child
$80.00 2nd child (in the same family)
$70.00 3rd child (in the same family)
Registration Form
Child’s Name______________________________________ Age ___________________
Home Address ____________________________________________________________
Grade (Sept 2010) ________________ Birthdate _________________________________
Have they been at Camp before? Yes / No Does your child need a ride to the camp? Yes / No
Is there a friend your child would like to bunk with?_______________________________
Names of Parents/Guardians__________________________________________________
Home Phone__________________ Cell __________________Work _________________
Emergency Contact Person__________________________ Relationship______________
Emergency Contact Number__________________________________________________
Allergies____________________________________________________ Epi Pen? Yes / No
Health Conditions or Concerns________________________________________________
Any medications your child is currently taking?___________________________________
Health Card Number & Expiry Date____________________________________________
Date of Last Tetanus Shot____________________________________________________
Precautions are taken for the safety and health of your child. In the event that your child
should require special medication, x-rays, or treatment, the parents/guardians will be notified
immediately.
In case of absolute emergency, I ________________________ give permission to the
physicians selected by Saalem Church to hospitalize, secure proper treatment for, and to
order injection, anesthesia or surgery for my child _____________________.
Signature of Parent/Guardian_____________________________ Date:______________
Swim Permission Form
I grant permission for my child ______________________________ to participate in the
organized swimming program and properly supervised activities in the swimming area
at the Saalem Church Camp on Warnica Lake during June 30th – July 3rd.
Parent/Guardian Name:_____________________________________________________
Date:___________________ Signature:_________________________________________
Registration Deadline: June 21st 2010
**Registration AFTER deadline will be charged $10/child more**
Please send the completed Registration form for each child along with
payment to: Saalem Church, 21 Walkover St., Thunder Bay, ON, P7B 1L1