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The staff of Camp Copass is thrilled that you've decided to join us for Summer Camp 2016! We are anticipating all that the Lord is going to do!
if you have any questions contact Carla Besco, Director of Programming & Promotions: Carla©campcopass.comor 940-565-0050.
Registration: Please download and complete the following forms and
bring them with you to camp: camper/counselor medical release forms,
and extracurricular release 'forms. Please do not mail or fax them. The
only forms you will need to complete online prior to camp are the T-shirt
order form (due may 30 )and Trek Choice forms (due may 30 ).
Counselors: This camp requires one counselor per 10 students, at least 1
male and 1 female for a co-ed group. Each counselor must complete a health
registration form and have completed the Child Protection Training course.
You can obtain the course materials on line at www.campcopass.com .
A certificate of completion must be turned in to the camp for each counselor.
Counselors are expected to attend ALL camp activities with the students.
Background Checks: Each church must submit a letter to the camp stating
that they have completed a background check on each adult counselor attending camp including volunteer TREK Time leaders. The letter should list the full
names of each adult and be signed by your Pastor.
Dress Cede: Girl's swimwear must be a modest one.piece (tankinis are permitted if entire midriff is covered). Girls suits not meeting dress code must be
covered by a dark colored t-shirt. Boys are to wear modest trunk-type suits.
The lifeguard may eject anyone wearing swimwear that is not in good taste.
The lifeguard must be obeyed at all times. Boys must wear a shirt outside the
pool. Any suggestive clothing or garments advertising alcohol or tobacco are
not permitted. No spaghetti straps, tube tops, sleeveless or halter tops will be
allowed. Modest shorts are permitted, but must be no higher than 5” above the
2:30 Welcome Pep Rally for campers/Counselor Meeting in Dining Hall
3:30 watermelon Mixer at Patio Cafe
4:00 Free Time (pool, gift shop, concession stand, frisbee golf, basketball,
volleyball, gag pits, fooze human foozeball courts & putt-putt are open)
8:00 Church Devotionals
8:45 CARNIVAL —Super Hero Theme
11:00 Lights Out!
Tuesday, Wednesday, Thursday
7:30 Quiet Time 8:00 Breakfast
9:00 Morning Pep Rally (dismiss to Counselor Meellng in Dining Hall)
TREK TIME I BIBLE ST.
BIBLE ST. I-- REC
Extracurricular Release Forms: Ropes Course/Skateboarding Release
forms must be completed for all campers and counselros wishing to use the
skateboard ramp or participate in the challenge ropes course.
Recreation will be led by the DBU Rec Team. Please remind your campers to bring appropriate attire to participate during outdoor recreational activities: play clothes & closed toe shoes.
Medical Release Form: Each camper and counselor must complete a medical release form that is available on line. Counselors will turn in all camper/
counselor medications to the camp nurse during registration. Counselors,
please encourage parents not to send over the counter medications to camp
(ibuprofen, antihistamine, etc.). We keep these items stocked in the nurse's
TREK TIME j
...__ __ _i
1 6th grade Zipline
6th grade Zipline
Group Pho;sitti grade Zipfirge
Bible Study: Bible study leaders will be provided for you. Church leaders will
not be responsible for teaching. Campers will attend Bible study as part of their
Trak Time: Campers will have several activities to chose from. Sign-up forms
are found online. Completed TREK choice forms should be complet-
ed online by May 30 Please do not fax or mail these forms.
Church Devotion: This is a time for church groups to bond and reflect on the
events of the day. Each church is responsible for leading their own group, however optional materials will be provided upon your request. Daily devotion
guides will be provided upon your arrival at camp.
6th Grade Zinline: During Team Time (3:15-5:OOpm) on their designated day
6th graders who have parent signed ropes course release forms, may experience the zipline. 3rd-5th graders have time to visit the gift shop, concession
stand, frisbee/putt-putt golf courses, skateboard ramp (camper must have own
gear) or participate in basketball, volleyball, gag pits, human fooze ball court
5:00 Get cleaned up for dinner!
8:00 Church Devotion
8:45 Nite Life:
Camp Copass Color Run
10:00 Everyone in cabins
7:30 Quiet Time 8:00 Breakfast
9:00 Closing Challenge
10:00 Clean Cabins, Pack-up & Leave!
8200 E. McKinney St., Denton, TX 76208-2025
940-565-0050 * 940-382-9984 fax * 800-303-2103 TX only
Health and :Registration Form
Plvase complete priOr to arrival at camp.
Street or Mailing Address
Date of Birth
Parents' or Guardians' Names
Father's Work Phone
Mother's Work Phone
Church or Group you are with
Either provide dates below or attach a current copy of child's immunization record: DO NOT mark "CURRENT'
G eneral Health
DPT and/or TD
If not, explain; please be speci fi c
Was the carnper well when leaving for camp?
Is the camper able to participate in all recreational activities?
1f not, explain in detail
Medications — Please list all medications the camper is taking
If there are any medications your child may need while at camp (such as inhalers, prescriptions), send them:in
container to the camp nurse.
Permission to administer:
Aspirin? Y N
Tylenol? Y N
Ibuprofen? Y N
113cnadryl? Y N
ALL PRESCRIPTIONS & MEDICATIONS ARE TO BE GIVEN BY CAMP NURSE
Insurance - Information
Name and Address of Insurance Company
Name of Insured
Medical Emergency/Media Authorization Agreement
(Camper's Name) has my permission to engage in prescribed
activities, except as noted by me. I also understand that CAMP COPASS may choose to use my child's photo for promotional
purposes. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected'by an adult leader in
charge, to order injection, surgery or any other medical treatment that may be deemed necessary to insure the well-being of the above
named, due to sickness or accident while attending camp at CAMP COPASS, or en route to or from the camp. I also authorize the
camp personnel or adult counselor to transport my child at their discretion in case of an emergency.
We represent to you that we and the participant hold Camp Copass, its agents, employees and representative harmless from all liability
arising as a result of the conduct of the participant and agree to defend and indemnify Camp Copass, its agents, employees and
representatives against any claim or liability arising as a result of such conduct.
Cl I would like to receive future mailings from Camp Copass.
Ropes Course (persons age 6 & up only) & Skat boarding Release Form
Agreement to Participate; Assumption of Risk and Release of Liability
PLEASE READ BEFORE SIGNING.
("the PARTICIPANT") wishes
Whereas, THE UNDERSIGNED,
to participate in a ropes course experience organized and conducted by a certified ropes course facilitator employed by Camp
Copass of Denton, Texas or skateboarding experience supervised by Camp Copass employee; and in consideration of CAMP
COPASS's action in allowing the participant to take part in such a program.
The undersigned acknowledges that during the said ropes course or skateboarding experience the participant has requested to
participate in, that certain risks and dangers may occur. These include, but are not limited to, travel to and from the CAMP
COPASS facilities, the hazards of walking over uneven camp terrain, depending on other people and being at various heights
(ground to 50'), accident, and the forces of nature. The undersigned further recognizes that these risks may also include loss or
damage to personal property, physical or psychological damage and/or injury not excluding fatality due to accidents which may
occur, including accidents resulting from this ropes course or skateboarding experience or other type of activities, whether
conducted outdoors or inside an CAMP COPASS facility. J further understand that in participating in the activities I am
requesting to participate in, will be exposed to the effects of high altitude and the elements of nature, including temperature
extremes and inclement weather. I further understand that medical treatment is a minimum of ten miles away in the city of
.Denton, Texas in the event of a medical emergency.
I certify that am completely healthy (both physically and emotionally) and capable of participating in this:ropes course or
skateboarding experience. I have listed on the health and registration form any medical condition that CAMP COPASS should
be aware of which may hinder my participation in the ropes course or skateboarding experience.
In consideration of, and as part payment for the right to participate in such an experience and the services and food arranged for
-,MO by CAMP CO.PASS, its Supporting Churches, Directors, Officers, Employees, Agents, and/or.Associates, 1 have and do
hereby assume all the above risks and any other ordinary risk incidental to the nature of the trip which are not specifically
foreseeable, and will hold them harmless from any and all liability, actions, causes of action, debts, claims and demands of every
kind and nature whatsoever, whether for bodily injury, property damage or loss or otherwise, which 1 now bave or which may
arise from or in connection with my program or participation in any other activities arranged for me by CAMP COPASS, its
Supporting Churches, Directors, Officers, Employees, Agents and/or Associates, and their. heirs, executors and administrators,
successors and assigns and for all members of my family, including any minors accompanying me. In short, I cannot sue
CAMP COPASS, and Ulf do I cannot collect any money. In addition, I will be liable for Attorney and Court fees associated with
any litigation against CAMP COPASS. 1 also state that I am not under, and will not be under the influences of any chemical
substance, including alcohol. I fully understand that my physical activity involves risk of injury. I also understand that my
participation in this CAMP COPASS program is entirely VOLUNTARY. I enter into this experience and take full responsibility
for my decision to participate or not to participate and agree to follow all safety instructions.
FOR MINORS: As parent or guardian of
, the undersigned, I hereby state
that I have read, I understand, and I willingly grant my permission for
to participate in the ropes
course or skateboarding experience at CAMP COPASS of Denton, Texas. I agree to all of the terms stated above in their
Parent/Guardian Signature (for participants under age 18)
Name of Participant (please print)
Signature of Participant/Date
Name of Church/Group participating
Signature of Witness/ Date
Date of Event
Please fill out
May 30, 2016
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