FRI, FEBRUARY 17 - MON, FEBRUARY 20, 2023
PLEASE READ THROUGH ALL THE FIELDS AND DIALOGUE SECTIONS CAREFULLY. THANK YOU.
You will receive a Registration Confirmation Email after submitting this form that will provide all of the information contained in this registration form for your records. If you have any questions, please contact Pastor Corey at (703) 909-4423 or by email at pastorcorey@crbc.org.
TRIP DURATION:
This trip happens over the President's Day holiday weekend. We will depart on Friday, 2/17 at 3:45 P.M. from Calvary Road and will return Monday, 2/20 between 6-7 P.M.
Pennsylvania students will be picked up on Friday, 2/17, at the Philipsburg YMCA between 8:30 & 9:00 P.M. A precise pick-up time will be texted to parents and students as we get closer to the Philipsburg exit on I-99 (exit 52).
Additionally, PA students should be picked up at Camp Kanesatake on Monday, 2/20 at 1:00 P.M.
EVENT REGISTRATION REQUIREMENTS:
1. Complete this INITIAL registration form.
2. Complete a Medical Release Form for each event participant (minor) in your household (if NOT ALREADY submitted for a prior event). SEE BELOW...
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Destination:
Camp Kanesatake
4976 Camp Kanesatake Ln
Spruce Creek PA 16683
814-632-6024
Depart: Friday, February 17, 2023 @ 3:45 P.M.
Return: Monday, February 20, 2023 btwn 6-7 P.M.
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Trip Costs: $195 per student (plus extra money for a fast-food dinner on Friday night on the way to CampK)
NOTE: In addition to the fast-food meal on Friday night, we will be stopping (both ways) at the Sheetz in Breezewood PA for gas and restroom breaks. If your student wants to purchase drinks/snacks at these to/from stops, please plan for additional money. NOTE: This extra money does not apply to Pennsylvania students.
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The link to the Medical Release Form will be sent to you in a Registration Confirmation Email once you submit this INITIAL form. If you do not receive an immediate Registration Confirmation Email after submitting this INITIAL form, please contact Pastor Corey at (703) 909-4423.
If your student will have a cell phone during this event, it is imperative that you provide the number in the next field. Only IF your student will not have a cell phone during this event should you leave the next field BLANK. Thanks!
PLEASE READ: We will have the opportunity to do some snow tubing while at winter camp. There are great hills for snow tubing at CampK that we can use IF there is snow on the ground. IF there is no snow on the ground, we will take the students to Tussey Mountain Ski Resort (just a few miles from camp). If we have to go to Tussey Mountain for snow tubing, there will be an ADDITIONAL charge of $25 per person for 90-minutes of snow fun (this $25 will need to be in the form of CASH carried by the student). If student DOES NOT want to participate in this PAID event, they can spend the 90-minutes INSIDE (with leaders) sipping hot chocolate and playing cards/board games. Generally, there are a BUNCH of students who would rather STAY INSIDE (as well as leaders) so you DO NOT have to worry about there being nothing to do during our time at Tussey Mountain.
NOTIFICATION OF STUDENT'S MEDICATION REQUIREMENT
NOTE: Any/all required prescription medication(s) MUST be contained in its original RX bottle w/the student's name printed on the bottle as printed from the RX provider. Any RX meds that do not have the student's name on the bottle, as printed from the RX provider will not be permitted. Also, please make sure dosage instructions are printed on the RX bottle, again, as printed from the RX provider.
PARENT/GUARDIAN (1) INFORMATION
PARENT/GUARDIAN (2) INFORMATION
MEDICAL RELEASE FORM AGREEMENT
NOTE: After you submit this form, you will receive a link where you can complete your student's Medical Release Form in your Registration Confirmation Email.
If you have already completed a Medical Release Form since August 31, 2022, you DO NOT have to complete the form again...UNLESS important information, that would negatively affect your student's well-being, has changed.
FYI...All students who attended our last event (Liberty University's Homecoming) already have an active Medical Release Form on file.
