2024 Day Camp at MVCSC

Come Join the Fun at Mississippi Valley Christian Service Camp

Audio/Visual Release

I give MVCSC permission to record and use still photographs or audio/video recording of myself/son/daughter. I agree and understand that such material may be used in an informational and educational manner for the purpose of promoting MVCSC. I understand that any images of myself/son/daughter will be presented in a manner such that there will be no infringement of my/his/her privacy and that the utmost respect will be shown in the use and presentation of such material.

MVCSC Camp Rules & Regulations

1. Everyone is required to follow the camp schedule

2. No one may leave the camp grounds without the permission of the camp dean

3 The use of alcohol, tobacco, vapes etc. and drugs is strictly prohibited.

4. Sickness or injury must be reported to the camp First Aid technician immediately. Prescription drugs are to be turned into the First Aid tech at check-in and will be distributed according to prescription directions.

5. Use of automobiles is restricted during camp

6. In matters of dress, MODESTY must prevail. No halter tops, short shorts, bikinis, etc. will be allowed. Wear shoes at all times.

7. Please do not deface camp property. It is your camp too. Help keep it looking nice. Intentional damage or damage due to unnecessary carelessness will result in the camper being charged for the damages

8. Smart Phones, Radios, music players, magazines, comic books, etc. are a distraction to camp. Please leave these items at home. The dean has the privilege of confiscating such items.

9. No camper is ever to be out of his/her dorm after lights out.

10. Please observe boundaries placed by the camp manager

11. Food and drink, except water, are not allowed in the dorms at any time!!

12. Telephone calls cannot be made without the dean’s permission

13. Stay out of the camp kitchen unless you have clean up duty after a meal

14. DO NOT push the beds together. This is a State Law !!

15. You get it out, you put it back. You mess it up, you clean it up. You abuse it, you lose it.

16. Keep your hands, and other parts, to yourself.

Dismissal from Camp

The Camp Deans and Mangers reserve the right to dismiss anyone who does not obey camp policies and regulations.

What to Bring:

Clothing: Modest clothing for classes, recreation, evening, rain gear, sweater/jacket. While choosing your clothing for camp, please remember that modesty is the key. Please, no bikinis, short shorts, halter tops, etc.

Bedding: single sheet, pillow with case, blanket and/or sleeping bag

Personal Items: Bible, towels, washcloth, soap, shampoo, toothpaste, toothbrush, comb, hairdryer, sunscreen, notebook, pen/pencil.

CANTEEN/WATERBOTTLE

Money: Offerings will be taken in older age group camps. We also offer the following items for sale, camp merch, extra snacks and treats.

Medication – will be dispensed by the camp nurse so bring your medicines to registration.

Personal Electronics: including phones may be confiscated. Please do not bring them.

Please ensure all valuable and personal items are marked with the camper’s name.

Not responsible for lost, stolen or damaged items

If your child doesn’t pass the swim test, then he/she will be required to wear a life-jacket at all times during swim-time (Certified lifeguards on staff)

Weather conditions are continuously monitored using a NOAA radio

Financial Support The camp is supported by the camp fees and the free will offerings of churches and individuals. If you would like to donate, please see one of the camp staff or mail your tax-deductible gift to the camp

Checkbox*

I have read the above information, confirm that I agree with ALL rules, requirements and conditions INCLUDING assuming risks for myself and my camper. I also release the camp of liabilty. Understanding this I wish to continue with registering my camper

Registration Options

Required Camp Pre-Registration ($40.00) [125 remaining]
Register and Pay before the start of this camp. Deposits are non-refundable but will apply to your camp fee.

Parent's Name

Phone Number

Address

Who will be picking up and dropping your camper?

Phone Number of person authorized to pick up camper

Camper's Name

Camper's Address if different than above.

Phone Number

Gender

Male
Female

Date of Birth

T-Shirt Size

Camper's Doctor's Name

Doctor's Address

Doctor's Phone Number

Checkbox*

The campers will be supervised and if serious illness or injury develops, medical and/or hospital care will be provided. I further understand that in case of serious injury or illness, I will be notified. If it is impossible to contact me, I give permission for emergency treatment or surgery as recommended by the attending physician. I have read and understand the above information.

Insurance Card Information: Card number/Companycontact information

List any medications Camper will bring to camp along with doseages/times

What restrictions, if any should be observed in ACTIVE camp life?

Is there anything else we need to know about your camper?

Checkbox*

Assumption of the Risk and Waiver of Liability Relating to

Coronavirus/COVID-19

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to
spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and
have, in many locations, prohibited the congregation of groups of people.

Mississippi Valley Christian Service Camp - MVCSC-WIMVCSC has put in place preventative measures to reduce the spread of COVID-19; however, MVCSC cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending camp could increase your risk and your child(ren)’s risk of contracting COVID-19.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending Mississippi Valley Christian Service Camp - MVCSC-WIMVCSC and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the camp may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Mississippi Valley Christian Service Camp - MVCSC-WIMVCSC employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at the camp or participation in camp programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the Camp its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Camp, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Camp program.

Running Total

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Total

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