Victory Youth Camp 2017 Permission Form

Victory Youth Camp provides a Godly, safe, and moral atmosphere for our youth

All Campers Code of Conduct

NO alcoholic beverages, tobacco in any form, radios, mp3, Ipads, tablets, CD players, video games, knives, skateboards, fireworks, nonprescription drugs, pets, or weapons of any kind. No physical contact allowed between male and female campers. Male and female campers are not allowed to be alone together at any time. No gothic dress or makeup. Both guys and girls will need runners for the game time.

Ladies' Code of Conduct
Modest clothing is to be worn. Like loose-fitting culottes (skirt-like). No walking shorts. If you bring skirts or dresses, they must touch the floor when kneeling. A closed hem is required on all dresses or skirts (no slits). Modest loose-fitting tops or blouses. No sleeveless tops. No jam shorts. Please, No modern or faddish style clothing. Swimming is gender separate, but all ladies must still be covered from the shoulders to the knee during swim time.
No piercings outside of the earlobe can have jewelry in them.

Gentlemen's Code of Conduct
No see-through or mesh-like shirts. No shirts with questionable pictures or emblems. No sleeveless shirts. No “skinny” jeans. Just bring normal jeans, wind pants, and casual pants. No modern or faddish style clothing. No sagging pants. Swimming is gender separate, but all gentlemen must be covered from the shoulders to the knee during swim time. Men will not be allowed to wear earrings or necklaces. No piercings can have jewelry in them.

What to Bring
Clothes for four days, and an extra set for good measure • Two pairs of running shoes • Sleeping bag (or sheets & blanket) and a pillow • Torch/Flashlight (check to make sure the batteries are good) • Insect repellant • Soap and shampoo • Deodorant • Toothbrush and toothpaste • Cutoffs or swimming togs for swimming (boys) • Shower shoes / Flip-flops • Notebook • Pen or pencil • Your BIBLE • Money for  snack shop • Towels and washcloths • A good attitude!
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Registration Form
This registration form must be completed and submitted preferrably before arrival at camp along with the registration fee. Any remaining camp fee will be due upon arrival unless otherwise agreed with the Victory Youth Camp Director ahead of time. The registration fee is non-refundable.

Parent/Guardian’s Full Name & Address (PLEASE WRITE CLEARLY)

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My Relationship to the child(ren): __________________

Email: _____________________________________      Phone No:___________________________________

Mobile: _____________________________

Name of the Church We Attend: ______________________________________________________________

My Children’s Names                 Age       Gender Birth-date

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Do your children have any medical conditions we should know about?

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Please initial ALL of the following boxes provided (not a tick mark).

If you do not agree to all three conditions, your child may not be allowed to attend this Camp.

[______]  My child(ren) have my permission to attend the 2017 Youth Camp being held at Mt Melleray Scout Activity and Sport Centre, Cappoquin, Co. Waterford

[______]  The Camp Director (Pastor Craig Ledbetter), has my permission to take my child(ren) to the local surgery, or the Hospital if the need arises. If medical attention is required, the Camp will make every attempt to contact you.

[______]  I understand that if the camp has any major problem with my children, I will take full responsibility, and if called to come pick them up, will do so.

I hereby acknowledge that the above information is true,

Parent or Guardian’s Name (Please print)

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Your Signature                                     Today's Date