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Friendly Hills Camp • 5880 Friendly Hills Rd Zanesville, Oh, 43701

Registration Now - May 12th

Registration Options

Youth Camp

Camper Name

Grade

Date of Birth

Gender

Male
Female

Address

Home Church

T-Shirt Size

We must have a minimum of TWO individuals on file who are legally able to pick-up your camper and/or be contacted in the case of an emergency (even if over the age of 18). Please fill out the following section accordingly.

Father/ Legal Guardian 1 Name (N/A if not available)

Father/ Legal Guardian 1 Phone Number (if applicable)

Father/ Legal Guardian 1 Email

Mother/ Legal Guardian 2 Name (N/A if not available)

Mother/ Legal Guardian 2 Phone Number (If applicable)

Mother/ Legal Guardian 1 Email

Emergency Contact

Emergency Contact Number

If there is an individual who, for legal reasons, should not be allowed to have any contact with your child please provide their name

Please select an item below for diet. If a specific Diet is needed, there will be an additional charge of $55

Does your camper have any allergies?

Please list below if your camper has any pertinent medical history or any medications that will need to be handled by our camp nurse (N/A if not needed)

At Reverb Youth, we understand that the cost of camp can be a strain on

families. If your family needs extra assistance sending your camper to

camp, we want to aid you in whatever way possible. This information will be

kept in confidence to the best of Reverb Youth’s ability. Below we have

provided different options of financial aid you can request. Olivia Fondriest-

(740) 975-4931 or [email protected]- will reach out to you to provide

details upon your request.

Will your Camper Require Financial Aid?

Terms

By attending this event students agree to adhere to any requests made by a chaperone and adhere to the following guidelines:

    •    Campers are expected to follow Reverb's code of conduct: Love, Honor, and Serve.
    •    No Tobacco, alcohol, drugs, or vaping products
    •    No weapons of any kind
    •    Cell phones are permitted, but will be limited to specific locations and times of usage to help foster in-person engagement
    •    Camper’s will strive to be above reproach by adhering to modest attire and modest physical displays of affection. These guidelines will be better detailed in the campers preparation packet
    •    Campers will ensure that leaders are aware of their whereabouts at at all times
    •    No camper is allowed in the kitchen area at any time
    •    Campers are allowed to bring snacks, but they must adhere to the allergy avoidance policy that campers will receive with their preparation packet
    •    Medication will be turned into the camp nurse immediately upon arrival and must only be taken with the camp nurse’s supervision
    •    Campers will actively work to keep the dormitories and common areas clean. Campers must also respect the rights and property of the camp
    •    Campers are expected to respect other campers and show kindness, love, and grace. Campers must also respect the rights and property of other campers
    •    Campers will adhere to the set schedule provided by camp leaders
    •    Campers are not to be in the dorm of the opposite gender at any time

By attending Reverb Youth Camp, participants understand that Reverb Youth does not take responsibility or liability for any lost, broken, or stolen items. Campers are encouraged to refrain from bringing valuable items, large amounts of money, or items that are easily breakable.
Camp cost for an unedited diet is $100. Camp cost for dietary restrictions is $155. By registering for Reverb Youth Camp, participants understand that a camp deposit of $50 is due. By May 12th to hold the campers spot. The remainder of the payment -$50 for unedited food diet or $105 for dietary restrictions- is due on or before June 8th.

I understand that by attending events at Reverb Youth Camp photos may be taken by students, parents, or Reverb representatives and may be posted on social media platforms or used for advertisement of future youth events. If you have a legal reason that this needs to be adjusted, please reach out to Brendon or Olivia Fondriest.

Failure to comply with any or all of these regulations could result in the contact of a parent or guardian, and, in serious cases, could require the camper to be sent home.

If a camper is over the age of 18, they must be the one to agree below. If a camper is under the age of 18, a parent or legal guardian must be the one to agree below.

I have read and agree to the terms above.

Payments can be submitted either via Cash to Brendon or Olivia Fondriest or by Check. Checks will need to be made out to Redemption Church of Licking County. Please add "Reverb Camp" in the memo line

Payment is required on or before arrival at camp. A $50 deposit is required by May 12th to hold your camper's spot. The remainder of the payment is due on or before June 8th.

Camper Preparation Packet Link:

Copy and paste link into browser:

https://drive.google.com/file/d/14ML5XYVSWOh_YZZdbvJwRMuiX8W8HSAl/view?usp=sharing

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PARENT / GUARDIAN / EMERGENCY CONTACT INFORMATION

Diet / Allergen / Medical Information

Scholarship Information

Terms of Agreement

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Camper Preparation Packet Link: