Camp Quarterman

2007 Summer Camp Registration Form

 

Our mission is to provide an opportunity for young people to live in a Christ-centered community that

teaches life tools, builds strong friendships and exercises creativity in a safe and structured manner.

 

This page of the application must be completed, front and back, and returned with $100 deposit

or payment in full to the address below.  Please fill out separate forms for each camper.

 

Camp Quarterman

232 East Cottonwood Street

Amarillo, Texas 79108

 

Camp Session

 

Please check the session you are applying for:

 

_____Primary Camp (6/25-7/1)                          (Completed grades 2-4)      

 

_____Junior High Camp (7/2-7/8)                     (Completed grades 5-8)

 

_____Senior High Camp (6/18-6/24)                (Completed grades 9-12)

 

All sessions are coeducational.  We welcome all people without regard to race, creed, national origin or religion.  Campers are expected to attend the full camp session.  Each camp session runs Sunday through Saturday.  This ensures a full camp experience for all campers and staff.

 

Cost:  A minimum of $100 deposit is required with all registration forms.  Registrations paid in full and postmarked by May 15, 2006 are eligible for the early registration fee of $225 for each camp session.  The registration fee for forms postmarked after May 15, 2006 is $250.  All registration forms must be postmarked seven (7) days prior to the start of the camp session.  A late fee of $25 will be added to any registration forms postmarked after the seven-day cut off.

 

Multiple Children Attending Camp:  Families with more than one child attending camp will receive a $25 discount.  This will be applied to each tuition after one full tuition is paid.  This applies to only immediate family members.

This discount does not apply to families taking advantage of the early registration option.

 

Please make checks payable to BQCC or fill out the VISA/MasterCard credit card information below.

 

Credit card information:  Name (as it appears on the card)  _________________________________________________

 

Amount _________________  Expiration Date ___________________ Signature ________________________________

 

Refunds or Cancellations:  Refunds will be made only if the cancellation is two weeks before the starting day of camp.  Deposits will not be refunded.  Please notify the office immediately of cancellations.

 

 

Camper Information:  (PLEASE PRINT CLEARLY)

 

Legal Name ________________________________________________________________________________________

                                First                                                        Middle                                   Last

 

Name to appear on nametag (if different from legal name): _______________________________  Gender       M        F

 

Address ___________________________________________________________________________________________

City ___________________________________________  State _______________________  Zip __________________

 

Age ___________    Grade (completed) _______________   Date of Birth ______________________________________

Camper T-Shirt Size (circle one):                        XS           S              M            L              XL           XXL

 

Father’s Name ___________________________________   Home Phone ______________________________________

 

Work Phone _____________________________________   Cell Phone  _______________________________________

 

Mother’s Name  __________________________________   Home Phone ______________________________________

 

Work Phone _____________________________________   Cell Phone  _______________________________________

 

Home Church____________________________________________ City_______________________________________

 

 

Camper Health Information:

 

Allergies, Chronic Illness, or Disabilities _________________________________________________________________

 

__________________________________________________________________________________________________

 

Last Tetanus Immunization / booster (must be current) ______________________________________________________

 

Medication:  Campers are only allowed to bring medication in its original container.  Prescription medications must be in a prescription bottle with the campers name and physicians name and dosage clearly printed on it.  All other medications must have campers name clearly labeled on each item.  All medicine will be collected at registration and dispersed by an appointed staff member.  The camp does carry a variety of over the counter medicines for use.

 

Routine Medications:

 

Medication

Dosage

Times to be Taken

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Camper may be given over the counter medication by an adult sponsor:        Yes          No

 

 

My camper, _______________________, has my permission to participate in all planned activities while attending Camp Quarterman.  In signing this application, I certify that the information is correct and give permission for (1) the use of photographs, recording or videos in camp publicity; (2) transportation to be provided in private vehicles for approved off grounds camp activities; (3) and the release of medical records for insurance purposes in case of illness or accident.

 

I have read and understand the camp information and policies and agree that myself and my camper will adhere to them at all times.  If the camper is in violation of these rules, proper action will be taken.  In serious cases, I understand that the Director has the authority to dismiss the camper and that I am responsible for their immediate transportation home.

 

 

Parent/Guardian Signature ___________________________________________ Date _______________________________

 

 

For office use only:  Camper Name ____________________________________  Camp Session _____________________

 

Postmark Date ________________ Total Due _____________ Amount Paid _____________ Amount Due ____________

 



Camp Information and Policies

 

 

Check in and out:  Check in will be from 4:30 – 5:30 pm on the opening day of camp (Sunday).  Please do not arrive before 4:30.  In case of delay or last minute cancellation, please notify the office at (806) 383-6878.  Any remaining payment is due at this time.  All campers are to be picked up by 11:00 am on the last day of camp (Saturday).  Out of courtesy to the staff and volunteers, please arrive promptly on the last day.  Please do not disturb closing services if you arrive early.  If someone other than the parent or guardian is going to be picking up the child, please inform the Director at check in.

 

Camp Quarterman Code of Behavior:

Adherence to the Camp Quarterman Code of Behavior is required from everyone who is a part of the summer camp program, including campers, volunteers and staff.

 

·         I will treat everyone with respect and dignity.

 

·         I will not use inappropriate language during my stay at Camp Quarterman.

 

·         I understand that each person has physical boundaries and I will not step over their boundaries.

 

·         I understand that sexual misconduct is unacceptable with the campers, counselors and staff and will not be tolerated.  This includes sexual harassment, jokes containing sexual material or sexual conduct.

 

·         I understand that the use of alcohol, illegal drugs and tobacco products are prohibited during my stay.

 

·         I will treat others, as I would expect to be treated.

 

·         I will treat the facilities with care and not abuse the property.

 

·         I will have a positive attitude and encourage everyone to do the same.

 

Mail:  Mail is an important part of your camper’s experience here at Camp Quarterman.  Please feel free to write to them often.  Do not send large packages or any type of food or candy.

 

Camper mail should be addressed:

                                                                Camp Quarterman

                                                                Camper Name

                                                                232 East Cottonwood Street

                                                                Amarillo, Texas 79108

 

Telephone and Cell Phone Policy:  Campers are not allowed to make or receive phone calls during a camp session.  Exceptions will be made in emergencies and urgent cases with special permission from the Camp Director.

 

Emergencies:  In the event you need to reach a camper due to an urgent matter or an emergency, please call the BQCC office.  If no one is available, the answering machine will direct you to the Camp Director’s cell phone number.

 

Visitor Policy:  VISITORS WILL NOT BE ALLOWED DURING CAMP SESSIONS!  This includes parents or social visits from family or friends.  This is for the safety of the campers and staff.

 

Additional Information:

  1. Responsible care of all buildings and facilities is expected of all campers.  In cases of willful destruction of property or natural surroundings, parents will be asked to pay for damage.
  2. If a camper forgets an item of necessity, the camp will provide it for him/her.  Parents are to never bring items or visit camp without permission from the camp director. 
  3. Rooming requests will not be accepted, unless special circumstances or needs are explained prior to check-in.
  4. Campers that drive themselves to camp will be expected to turn in their car keys upon arrival to camp.
  5. Directions to the Bishop Quarterman Conference Center are on the website www.bqcc.org or feel free to call the office at (806) 383-6878.

 

 

 

WHAT TO BRING CHECKLIST

 

Please bring informal, inexpensive clothing to camp.  Camp Quarterman in not responsible for articles lost or left behind.  Please mark all clothing and other belongings with campers name.  Please bring enough clothing and toiletries to last the entire week.  We do not do wash!

 

_____ Shirts                                                                         _____ Shoes (hiking, tennis, sandals, pools shoes)

 

 

_____ Shorts                                                                        _____ Sheets or sleeping bag and pillow

 

 

_____ Underwear                and socks                                             _____ Shower towels and pool towels

 

 

_____ Sweater/sweatshirt                                                  _____ Jeans or long pants

               

 

_____ Jacket/coat                                                                               _____ Pajamas

 

 

_____ Clothing for Friday night banquet/dance            _____ Can of shaving cream for fun day

 

 

_____ Toiletries (shampoo, soap, deodorant)                                _____ Sunscreen and bug spray

 

 

_____ Flashlight                                                                  _____ Swimwear

 

 

_____ Items for talent show                                              _____ Camera & Film

 

 

_____ Bible                                                                          _____ Musical Instruments

 

 

_____ Letter writing materials                                           _____ Balance Due

           (paper, envelopes, stamps, addresses)

 

 

Please do not bring any of the following with you to camp: 

 

 

Any of these items brought to camp will be confiscated and held until the camper departs.  Campers who drive their own vehicle to camp will be asked to turn in their car keys as soon as they arrive.  Camp Quarterman is not responsible for jewelry, other valuables or lost items.