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share the fun!
Don’t miss springhill summer 2012
camp:
year:
summer
2012
location:
Summer Camps Day Camps Youth & Group Retreats
camp:
Year:
grades:
location:
summer 2012 1-12
Screaming down the zipline is better with a friend. Meet one. Options, we got ’em. We’re all about making camp work for you, so we’re giving you as many options as possible!
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Kids Need Camp................................ 4-5 Why SpringHill?.................................. 6-7 What’s New?...................................... 8-9 Red Brush (grades 1-3)...................... 10-13 Red Brush (grades 4-6)...................... 14-19 InPursuit (grades 6-9)......................... 20-25 Teen Service Team (grades 9-12)....... 26-29 Day Camps........................................ 30-31 Ministry Overview............................... 32-33 Map.................................................... 34 Registration Form............................... 35
1. Decide
which program you’d like to do.
2. Look
through the schedule to see when it’s offered.
3. Register
online at springhillcamps.com or use the form in this brochure.
4. Tell
your friends to sign up and request them as your roommate.
5. Pack
your bags and get ready for an awesome time at camp! springhillcamps.com | 3
why Kids NEED CAMP.
66
%
US homes with three or more TV sets.
1,000,000
1,680
Number of preschoolers in America that are clinically depressed. 3.
Number of minutes per week the average elementary age child watches television. 1.
623
1,880
Number of texts 29% of teens send per day.
Number of minutes per week the average child spends on a computer. 2.
Number of minutes per week the average teen talks on a cell phone. 2.
3.5
Number of minutes per week that children spend in meaningful conversation with their parents.
2.
147
Number of minutes per week the average child plays video games. 1.
100+
1.
1. Source: www.csun.edu/science/health/docs/tv&health.html, 2. Source: http://www.frankwbaker.com/mediause.htm, 3. Source: Psychiatric Services, April 2004.
why Kids NEED Springhill.
3,600 Number of minutes per week the average camper at SpringHill spends outside.
300
Number of minutes per week the average camper at SpringHill spends in meaningful, life-impacting conversations with Christian role-models.
0
Number of minutes per week the average camper at SpringHill spends: • watching tv • texting • talking on a cell phone • playing video games • on facebook or computer • listening to music with headphones
88 % 83% 85% 77% 72% of SpringHill campers understand better what Jesus did.
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of SpringHill campers are more comfortable with prayer.
of SpringHill campers were changed by the message of Jesus.
of SpringHill campers learned more about the Bible.
of SpringHill campers said people will notice changes in them.
kids need adventure. challenges. direction. growth. Camp promotes community. Camp teaches critical thinking. Camp embraces nature. Camp creates future leaders. Camp engages all the senses. Camp fosters positive relationships.
Camp allows kids to see themselves as God made them to be. Camp brings life-change.
kidsneedcamp.com springhillcamps.com | 5
why SpringHill? Our mission is to create life-impacting experiences that enable young people to know and grow in their relationship with Jesus Christ.
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SPIRITUAL We are about Jesus Christ and His message of grace, hope, and love. The entire SpringHill experience focuses on these messages; in our relationships, in our worship, in our teaching – around the campfire and in every activity that we do! STAFF SELECTION We have searched the country high and low for the most amazing and caring staff just for your child. This year we anticipate receiving 2,200 staff applicants, conducting over 1,500 interviews and hiring only 800 staff – each personally interviewed and background checked. We focus on adult staff who are spiritually, mentally, and emotionally mature to ensure that your child is not only in good hands, but also with good hearts. Once they arrive at camp, staff receives 40-80 hours of intensive job specific training. SAFETY In every area, safety is our first concern for your child. We engage multiple accreditation agencies, consultants, partners, and vendors in areas ranging from medical and emergency procedures to food service and staff training. We are also accredited by ACA (American Camp Association). CAMPER: COUNSELOR RATIO We want your child to have the best experience during their week at camp, so we keep our in-cabin counselor-to-camper ratio at one counselor for every seven campers. For our younger campers, that ratio is even lower: one counselor to every five campers. We also have additional staff hired specifically to run activities so counselors can focus their energy on your child, making our total on-camp, staff-to-camper ratio one staff person for every three campers! INCLUSION Inclusion is about participating and belonging, therefore we put forth every effort to make camp a place where every child is welcome and has the chance to experience all that we have to offer. Many of our campers with special needs feel SpringHill is the only place where they can truly “do everything.” We want your camper to have a fulfilling camp experience and we are fully prepared to provide specially trained staff, transportation, or specific housing. AFFORDABLE We want every kid to experience SpringHill regardless of financial need. If you have financial need, we will work with you to get your kid to camp. If you have any questions call us at 812.497.0008 or please apply for a scholarship on springhillcamps.com. We are so excited for your child to grow, laugh, swim, play, explore, climb, probably eat too many s’mores around the campfire, and experience the love of God in their hearts. See you this summer! For the Kids,
Craig Soderdahl, Vice President, Regional Director SpringHill Indiana
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what’s new? We’ve got lots of new activities and revamped programs for 2012! We’re making big improvements to our Party Barge out on the lake and are constructing a huge Giant’s Swing. We’ll also have electricity at all of our housing units this year - think fans in the summer heat and lights at night! For our older campers in InPursuit, we’re creating an action-packed Activity Hub including Six Square, Octaball, and much more. Our Family Camp fills up every year – so this year we’re adding a brand new one. We’d love for your entire family to come and experience SpringHill Camps together!
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limited time offers. scan today! springhillcamps.com/offersIN
springhillcamps.com | 9
camp center:
grades:
What your friends are talking about:
Red Brush 1-3 the Gusher
Plugging your nose and jumping in is better with a friend. Bring one. Have an awesome summer at Red Brush! Make new friends and race to the finish in the crazy Skittle Skattle Battle! Fly like a squirrel and enjoy delicious s’mores around the campfire with your amazing camp counselors. Red Brush features all the best of SpringHill camp!
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“I’d never known God’s love...I’d never felt Him in my heart. I barely knew who God was. When I was at SpringHill, they SHOWED me God’s love. I don’t just know OF God, I KNOW God!”
Matt, SpringHill Camper
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Red brush
Explorer
Playing isn’t everything, unless you’re playing everything! That’s exactly what you’ll be doing in Explorer. Get ready to sample a smorgasbord of activities: boat, splash, paint, zip, and shoot – try it all!
JUNIOR EXPLORER
Never camped before? Then Junior Explorer is just for you. It’s one week of Red Brush summer camp packed into three days. Laugh and grow during skits and small group chats. Fly, climb, and splash through awesome activities with new friends.
HORSES
Whoa, how cool is this? Veteran riders and rookies alike will go crazy for this riding experience. Saddle up to improve your technique on trail rides and in the arena. Learn horse care, feeding, and grooming. Giddy up! Girls only for now (Grade 3).
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camp center:
grades:
scholarships:
ReD brush
1-3
available!
July 22-27
July 15-20
$197
July 8-13
July 25-27
$197
June 24-29
July 22-24
$197
June 17-22
July 18-20
$197
June 10-15
July 15-17
6-Day Discounted Week
3-Day
Red Brush Programs Grades 1–3 completed
Apply online at springhillcamps.com or call 812.497.0008
Boys or Girls Jr. Explorer Explorer
$417
$467
$467
$467
$497
$547
$547
$547
$467
$467
TEPEES Keikionga is where you’ll find the canvas covered Tepees constructed with 6 foot high interior wood walls. Each tepee can sleep ten campers and two counselors.
Girls Horses (2-hour; grade 3) Note: Programs and housing are subject to change.
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camp center:
grades:
What your friends are talking about:
Red brush 4-6 blob
Blobbing doesn’t work without a friend. meet one. We have a fantastic summer planned for you! Hold on and get ready! Ziplining over a lake, blobbing, canoeing, campfires, crafts, horses, paintballing, wall-climbing, and so much more awaits you in Red Brush.
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“I wasn’t sure how long the zipline was or if I was gonna do it. During the process of jumping off I knew I had to take a leap of faith and trust God. Also, I really enjoyed the ropes course because at first I was so enthusiastic about it but when I got to the course I was nervous, but I learned that you can’t be afraid of anything. Take chances for the better and have a great experience with your friends and family who are with you.” Nicole, SpringHill Camper
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Red brush
ADVENTURE CHALLENGE
Test your skills and take your summer to new heights! Navigate the landscape using just a compass and a map. Learn to build shelters, light fires, and sleep under the stars for a night. Add in a little zipline for crazy fun!
CAMP CLASSIC
Want a week that lets you do it all? Ziplines, crafts, swimming, and exploring – it’s everything camp should be.
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HORSES Whoa, how cool is that? Veteran riders and rookies alike will totally love this riding experience. Saddle up to improve your technique on trail rides and in the arena. Plus, brush up on horse care, feeding, and grooming. Yeehaw! Girls only for now.
INTRO TO WATER SPORTS
If you love the thrill of speed on water, then this program is for you! Head out everyday for wakeboarding, waterskiing, kneeboarding, and tubing. Catch up on the basics and add some sweet skills to your bag of tricks.
EXTREME Adventure If you think gravity is more like a suggestion than a law, we have a week that will keep your adrenaline pumping! Do a little paintballing, high ropes, zipline, solo challenge, and top it off by scaling a 40-foot climbing wall! Boys only for now.
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Red brush
Flour, shaving cream, and horse feed look so much better on a friend. Bring one. 18窶ポ窶ピpringhillcamps.com
camp center:
grades:
We can help make camp
Red brush 4-6
More Affordable!
Multi-camper discount, payment plans, and more.
Learn more online at springhillcamps.com or call 812.497.0008
June 10-15
June 17-22
June 24-29
July 8-13
July 15-20
July 22-27
6-Day
July 25-27
July 22-24
July 15-17
July 18-20
3-Day
Red Brush Programs Grades 4–6 completed
$477
$527
$527
$527
$527
$527
$437
$487
$487
$487
$487
$487
$597
$597
$597
$597
$477
$527
$527
$527
$527
$527
$547
$597
$597
$597
$597
$597
Boys or Girls Adventure Challenge Camp Classic
$197
$197
$197
$197
Intro to Water Sports Boys Extreme Adventure Girls Horses (3-hour) Note: Programs and housing are subject to change.
WALLED TENTS At ease soldier – it’s time for some shuteye. These army-style Walled Tents are nestled in the trees near two campfires. Each cabin sleeps fourteen campers and two counselors. Girls only.
HILLTOPPERS The Grouseland Hilltoppers are stilted houses in a heavily wooded part of camp. The wooden cabins stand 20 feet high and overlook a ravine. Each cabin sleeps seven campers and one counselor. Boys only.
WIGWAMS Tucked back in the trees at White Water Valley, these 8-sided Wigwams have screen and canvas sides. Each fort sleeps seven campers and one counselor.
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camp center:
grades:
What your friends are talking about:
inpursuit
6-9 crud wars
Get ready for a totally unique summer! Worship with a LIVE BAND, laugh at hilarious skits, and grow through incredible teachings. Choose from a range of activities and we guarantee you’ll be laughing, dancing, and shouting your way through your week at InPursuit. Don’t forget a set of old clothes for our famous Crud Wars!
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Competing against (and beating) your friend is more fun. Bring one.
“Through SpringHill I learned that God is my ever loving Father, who’s there through thick and thin. While at camp I laid everything at His feet. I gave my life to Him, and only Him. I felt His warmth embrace me. Everyo ne I met at camp was real and honest. It was awesome seeing teens my age giving their all for God and not caring what they thought.”
Jamie, SpringHill Camper
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inpursuit
Water Sports
If you love the thrill of speed on water, then this program is for you! Spend one day on camp and for the rest of the time, head out to Lake Monroe near Bloomington for wakeboarding, waterskiing, kneeboarding, and tubing. Catch up on the basics and add some sweet skills to your bag of tricks.
EDGE
Want the most exciting and heart-pounding activities that camp has to offer? Activities include the zipline, blobbing, paintball, horses, extreme sports, the high ropes course, kayaking, the climbing wall, the solo challenge course, and a ton more!
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HORSES
Whoa, how cool is this? Veteran riders and rookies alike will totally love this riding experience. Saddle up to improve your technique on trail rides and in the arena. Plus, brush up on horse care, feeding, and grooming. Yeehaw! Girls only for now.
PAINTBALL
Dive behind barriers while you send showers of paintballs flying at your opponents. Plug into a team and learn how communication, strategy, target practice, and teamwork can sharpen your paintball game! Use our equipment or bring your own. Boys only for now.
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inpursuit
Yelling at the top of your lungs sounds better with a friend. MEET one.
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camp center:
grades:
scholarships:
Inpursuit
6-9
available!
July 22-27
July 15-20
July 8-13
June 24-29
June 17-22
6-Day June 10-15 Discounted Week
InPursuit Programs Grades 6–9 completed
Boys or Girls The Edge
$497
$547
$547
$547
$547
$547
Water Sports
$597
$647
$647
$647
$647
$647
$547
$597
$597
$597
$597
$597
$577
$627
$627
$627
$627
$627
Boys Paintball
Apply online at springhillcamps.com or call 812.497.0008
Buffalo Trace Located just off the ranch, this old west village is a great place to kick back and relax after a full day of camp. Each cabin sleeps 7 campers and 1 counselor. These cabins have electricity, air conditioning, and a bathhouse in the area. Girls only.
Girls Horses (3-hour)
Note: Programs and housing are subject to change.
Walled Tents At ease soldier – it’s time for some shuteye. These army-style Walled Tents in Clarks Grant sleep fourteen campers and two counselors. Boys only.
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camp center:
grades:
What your friends are talking about:
TST 9-12 Party Barge
Mastering the high ropes after working, is better with a friend. Meet one.
If you’re in high school and you’re ready to step it up at SpringHill, Teen Service Team (TST) is for you. TST is a totally different kind of camp experience – powerful, exciting, and meaningful! Enjoy your favorite parts of camp while learning what it means to serve your community. Discover the unique way TST-ers share their days, lives, and faith.
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I love SpringHill and cannot wait to go back this summer! I can’t stop talking about the great experiences I’ve had and all the exciting memories. The first time I went to camp was amazing and my counselors Pattie and Emily helped me commit myself to Jesus. This summer will be my fourth summer at SpringHill and I can’t wait to go! Kayla, SpringHill Camper
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teen service team
TEEN SERVICE TEAM CLASSIC
It’s all about teamwork! Grab your friends and jump into the ultimate SpringHill experience. Grow closer as you solve faith challenges together. Classic teams generally work indoors, in a dining hall, or cleaning camp facilities.
TEEN SERVICE TEAM ELITE
TST Elite generally work construction, landscaping, cleaning camp facilities, and managing luggage. After all that effort, you’ll be ready to take on our super-sweet activities and group games.
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camp center:
grades:
We can help make camp
Teen Service Team 9-12 More Affordable!
Multi-camper discount, payment plans, and more.
Learn more online at springhillcamps.com or call 812.497.0008
July 15-27
July 8-20
July 1-13
June 24-July 6
$227
June 17-29
$247
13-Day
June 10-22
June 9-15 Discounted Week
6-Day 7-Day
July 22-27
Teen Service Team (TST) Programs Grades 9–12 completed
Boys or Girls TST Classic A (grades 9–12) TST Classic B (grades 9–12) TST Elite (grades 10–12)
$247
$447
$447
$447
$447
$447
$447
$447
$447
$447
Note: Programs and housing are subject to change.
COMMUNITY SERVICE HOURS TST is an integral part of the SpringHill experience. The typical daily schedule for TST includes 5 hours of community service 6 times a week. The service each camper performs depends on the camp they sign up for and the work crew they are in at camp. They help camp run smoothly and contribute to fulfilling SpringHill’s mission. EREBOR LOG CABINS Stay in an Erebor Lob cabin with a front porch to kick back and relax on those lazy summer days.
• 6-Day Teams will receive 20 hours • 7-Day Teams will receive 30 hours • 13-Day Teams will receive 60 hours
Your teen will receive a letter at the closing ceremony on the last day of camp. Please keep these in a safe place for the future. If your camper’s school requires an evaluation form to be filled out in addition to a letter, this form must be submitted to the TST Area Director on the Opening Day of your teen’s camp experience. These forms cannot be filled out after the session ends. WALLED TENTS At ease soldier – it’s time for some shuteye. These are army-style Walled Tents.
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camp center:
grades:
What your friends are talking about:
Day Camps K-4 Eurobungy We have such an incredible summer planned for Day Camps – and we’re sure this is going to be the best year yet! With all the new stuff this year – we’re continuing to help kids deepen their faith in creative ways. Day Camps enrollment is exploding and we couldn’t be more excited for your kids to join in the action! Day Camps is five full days of SpringHill fun – right in your hometown! From the climbing wall to the flying squirrel, your kids will have more fun than they can imagine. Drop them off in the morning, pick them up in the afternoon and hear all about their awesome day! They’ll have a blast, make new friends, and learn a few things about themselves and God. + ACTIVITIES
Archery Bungee Trampoline Camp Songs Centipede Climbing Wall Crafts Flying Squirrel Giant’s Swing Laser Tag
Nature Paintball Targets Parachute Games Rope Ladder Skits Skittle Skattle Battle Slip-n-slide Water Slide
Check our website, www.springhillcamps.com, for a Day Camp location near you in Illinois, Indiana, Michigan or Ohio!
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youth & Group retreats Summer and Fall, there’s always something going on at SpringHill. Youth, teens, adults, and families can truly live it up at camp. You can even book our facilities and programs for your very own retreats and outings. GUEST GROUPS TEEN RETREATS JUNIORS (4th–6th GRADE) RETREATS FAMILY CAMPS
WOMEN’S RETREATS MEN’S RETREATS FATHER/DAUGHTER FATHER/SON
Over 40,000 people experience SpringHill Camps every year. Come see why! To book your retreat, call us at 812.497.0008 or go online at springhillcamps.com.
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PRAY. GIVE. VOLUNTEER. We’re excited about partnering with great people who have a heart for the ministry of SpringHill and a vision for what it could be! We believe SpringHill is an effective and fun ministry to be involved with. Our hope is that we would all be transformed and grow in our relationship with Jesus Christ through our efforts to impact kids’ lives for Him.
There are a few ways to get involved:
PRAY.
Please join us in prayer by going to springhillcamps.com/pray and sign up for the prayer newsletter.
GIVE.
SpringHill is committed to reaching all kinds of kids regardless of the financial means of their family. You can help by donating online at springhillcamps.com/donate.
VOLUNTEER.
There are opportunities to bring your family, church group, or organization to camp and have your own SpringHill service experience. Find out more at springhillcamps.com/volunteer.
springhillcamps.com | 33
Acorn Point (TST) Amphitheater (TST) 3 Archery & Riflery (RB) 4 Basketball Courts (RB) 5 Bell House (IP) 6 Blob (TST) 7 Boat House (TST) 8 Buffalo Trace Western Town (IP) 9 Cairn Field (TST) 10 Clark’s Grant (IP) 11 Climbing Wall (RB) 12 Competition Field (RB) 13 Crud Wars Field (TST) 1 2
Erebor (TST) Exclamation Point (TST) 16 Flying Squirrel (RB) 17 Grouseland (RB) 18 Gusher (TST) 19 Guest House (TST) 20 High Ropes Course (TST) 21 Horse Barn (IP) 22 Luggage Pavilion (TST) 23 InPursuit Skate Park (TST) 24 Joey’s Field (RB) 25 Lost Lake (RB) 26 Oak Shade (TST) 14
15
27 Paintball
(TST) Barge (TST) 29 Pine Point (TST) 30 Pine Point Pavilion (TST) 31 Pine Ridge RV Park (TST) 32 Red Brush Dining Hall (RB) 33 Red Brush Lake (RB) 34 Red Brush Skate Park (RB) 35 The Riviera (IP) 36 Sling Shot Course (RB) 37 Solo Challenge (RB) 38 Tepee Village (RB) 39 Trap Shooting (TST) 28 Party
40 Tree
Houses (TST)
TST Village (TST) 42 Turning Point Lodge ( TST) 43 Volleyball Court (TST) 44 Water Trampoline (TST) 45 White Water Valley Wigwams (RB) 46 Zipline (RB) 41
(TST) = Teen Service Team (IP) = In Pursuit (RB) = Red Brush
SpringHill Overnight
Camp Registration
Camper Information
✃
Camper’s first name
Camper’s last name
Birth date
Parent or guardian’s full name
Grade completed by June 12, 2012
Spouse’s name
Gender
Camper’s e-mail (if applicable)
Parent’s e-mail
Street address
City
State
Zip code
Home phone
Business phone (indicate whose)
Father’s cell phone
Mother’s cell phone
Camper’s School/School City
Camper’s church (if applicable)
Please specify your camper’s ethnicity and race below. The following information is helpful when seeking funding opportunities for campers. Yes
Do you consider your camper’s Hispanic or Latino? Which category best describes your camper’s race?
No
Caucasian/White
Hispanic/Latino
African-American
Asian/Pacific Islanders
American Indian
Alaskan Native
Multiracial
Unknown
Program Registration Indiana
Michigan
Redbrush 1st-3rd grade
Storybrook 1st-3rd grade
Redbrush 4th-6th grade
Copper Country 4th-6th grade
InPursuit 6th-9th grade
New Frontiers 6th-9th grade
TST 9th-12th grade
TST 9th-12th grade
Camper’s previous SpringHill attendance
Program 1st choice
Dates attending (beginning and end)
Program 2nd choice
Dates attending (beginning and end)
Michigan Indiana Day Camp None
Roommate Choices: List up to three friends and parent e-mail addresses
Billing Information A deposit of $25 is required when registering before December 1, 2011. Your signature below authorizes an automatic collection of your full deposit of $150 (additional $125) on January 17, 2012, as well as automatic collection of your balance on May 7, 2012 using the same payment method. A deposit of $150 is required registering after December 1, 2011. Your signature below authorizes an automatic collection of your balance on May 7, 2012 using the same payment method. It may take up to 7 days to process. Full payment is required when registering after May 7, 2012. To help keep camp costs down, the preferred payment method is Electronic Check. Payment plans are available. Please call 231.734.2616 MI or 812.497.0008 IN. Cancellation Policy If cancellation is made prior to December 1, 2011 your deposit is fully refundable. If cancellation is made after December 1, 2011, result is forfeiture of your deposit. Cancellations within 21 days prior to camp start date will result in forfeiture of one half the cost of camp. No-shows for a scheduled camp will result in forfeiture of the full camp fee. Please choose one of the following 3 payment options: Method of payment
Bank transit/ Bank Electronic transfer from checking account: Bank name _____________________________________________ routing number ________________________________ account number ________________________________
Debit/credit card:
Visa
Master Card
Discover Name on card ________________________________ Card number __________________________________ Exp. date _____________ Card Security Code __________
Check enclosed (Your check will be processed as an EFT as well as the remaining balance on May 7, 2012. It may take up to 7 days to process) Amount of deposit/fee authorized
Required minimum spending money amounts are: $10 (grades 1-3) $20 (grades 4-6) $25 (grades 6-12) Total amount of spending money will be collected with final balance May 7, 2012
$
TOTAL spending money $
Authorized signature (without your signature, it will not be possible to process your registration)
Special Needs
We want to make sure that each child receives the level of attention needed to provide an incredible, inclusive camp experience. Our staff will contact you if there is concern that your camper’s needs may require additional assistance from our staff or potentially exceed our ability to provide exceptional care to him/her and others. Indicate the severity of all applicable conditions: Does your camper have any physical, emotional, mental or behavioral challenges that have been professionally diagnosed or are under evaluation? Yes No 1 Mild, 2 Moderate, 3 Severe Does your camper currently receive special assistance at school? Yes No 1 2 3 Asperger’s Will your camper potentially require special attention in order to participate in normal camp activities? Yes No Unsure 1 2 3 Autism Indicate any behavior concerns 1 2 3 ADD/ADHD Additional information
1
2
3 Blind/legally blind
Release of Liability, Waiver, Indemnication, and Consent to Medical Attention and Use of Images
I understand that all camping and recreational programs carry with them significant risks. Although SpringHill Camps (“SpringHill”) has taken reasonable and prudent steps to reduce foreseeable risks, they still exist. Accordingly, in exchange for my child or ward being allowed to participate in the SpringHill Camping Program (the “Program”), to be conducted at the location identified above, we, the parent(s) or legal guardian(s) (individually and collectively referred to below in the first person singular) of the child or ward identified on this Registration Form agree to be bound by each of the following: 1. Voluntary Participation. I understand and confirm that our child or ward’s participation in the Program is voluntary. 2. Identication of Risks. I understand that the Program takes place at various locations in Michigan and Indiana. I understand that there are certain dangers, hazards, and risks inherent in camping activities and in the activities included in the Program and Activity. I also understand that medical facilities or treatment may be inadequate or unavailable during portions of the Program. I understand that our child’s or ward’s participation in the Program may involve risk of injury and loss, both to person and to property. I also understand that the risk of injury may include the possibility of permanent disability and death. There may be other risks not known to SpringHill and not reasonably foreseeable at this time. I understand that this Release of Liability, Waiver, Indemnification, and Consent is intended to address all of the risks of any kind associated with my child’s or ward’s participation in any aspect of the Program, including, particularly, such risks created by actions, inactions, or negligence on the part of SpringHill or its directors, officers, employees, agents, volunteers, successors, or assigns. 3. Assumption of Risk. I assume all risks, known and unknown, foreseeable and unforeseeable, in any way connected with my child’s or ward’s participation in the Program. I accept personal responsibility for any liability, injury, loss, or damage in any way connected with my child’s or ward’s participation in the Program. 4. Release and Waiver. I release SpringHill and its directors, officers, employees, agents, volunteers, successors, and assigns from any and all liability for and waive any and all claims for injury, loss, or damage, including attorneys’ fees, in any way connected with my child’s or ward’s participation in the Program (a “Claim”), whether or not caused in whole or in part by the negligence or other misconduct of SpringHill or any of the individuals mentioned above. 5. Indemnication. I agree to indemnify and to hold harmless (in other words, to reimburse and to be responsible for) SpringHill and its directors, officers, employees, agents, volunteers, successors, and assigns, from all claims for any liability, injury, loss, damage, or expense, including attorneys’ fees (including the cost of defending any Claim I might make, or that might be made on my or my child’s or ward’s behalf, that is released or waived by this instrument), in any way connected with or arising out of my child’s or ward’s participation in the Program, whether or not caused in whole or in part by the negligence or other misconduct of SpringHill or any of the individuals mentioned above. 6. Binding Effect. This instrument shall be binding upon my child’s or ward’s relatives, personal representatives, heirs, beneficiaries, next of kin, or assigns and shall inure to the benefit of SpringHill, the Program, and their respective directors, officers, employees, agents, volunteers, successors, and assigns. 7. Consent to Medical Treatment. I authorize and appoint SpringHill and its representatives, each to act alone as personal representatives, to consent on our behalf to all emergency treatment, transportation and/or medical care (except elective surgery) of my child or ward should my child require such assistance. This consent does not impose a duty upon SpringHill or its representatives, to provide such assistance, transportation, or services. This Limited Purpose Medical Power of Attorney shall continue until revoked by the undersigned or for (thirteen) 13 months after its date, whichever is earlier. Physicians or the hospital’s medical staff may assume and rely that this authorization is currently in effect during such thirteen month period unless notified. I also authorize SpringHill, or representative, as Medical Power of Attorney to have medical information disclosed to the representative of their choice. This is in compliance with HIPPA Privacy Rules which defines a Required Disclosure as “A covered entity must disclose protected health information to individuals (or their personal representatives) specifically when they request access to, or an accounting of disclosures of, their protected health information”. 8. Use of Images. By signature below, I grant to SpringHill, its successors and assigns, the right to use, publish (in any medium, but not limited to, print, digital, or display and transmission on the Internet), publicly display and perform (in any format, but not limited to, film, slide, television, digital display and/or transmission on the Internet), and copyright for its fundraising, marketing, educational media project, and other commercial purposes (the “Project”), photographs and/or video-taped interviews of my child or ward (collectively, the “Multi-Media Works”). By signature below and in consideration for SpringHill’s agreement to have the Multi-Media Works taken for the possibility of being featured in the SpringHill Project, and the expense that it may incur in having the Multi-Media Works taken, processed, and produced, I release, on behalf of myself and my child or ward, SpringHill, its directors, officers, employees, agents, successors, assigns, and all persons acting under SpringHill’s permission or authority, from any liability for, and waive any and all claims for injury, loss, damage, or compensation, or any other claims (including libel and slander, invasion of privacy, and violation of publicity rights) in any way connected with me and my child or ward, and arising out of SpringHill’s use of the Multi-Media Works in its Project. Finally, by signature below, I waive any right that I, or my child or ward, may have to inspect or to approve the Multi-Media Works’ finished product or other copy that SpringHill may choose to use for the Project or in connection with other materials related to SpringHill, its business, and products. By signature below, I understand and agree to the terms above. I understand that I am giving up rights by signing it. I am signing it voluntarily. 9. Severability. If any provision (or portion of any provision) of this instrument is held to be invalid or unenforceable, that provision shall be enforceable in part to the fullest extent permitted by law, and such invalidity or unenforceability shall not otherwise affect any other provision of this instrument. 10. Applicable Law. Because the SpringHill Program is conducted in the States of Michigan and Indiana respectively and in order to provide certainty in the law to be applied to the construction of this instrument, this instrument shall be governed, construed, and enforced in accordance with the laws of the States of Michigan and Indiana respectively. THIS IS A RELEASE OF LIABILITY, WAIVER, INDEMNIFICATION, AND CONSENT. I HAVE READ THIS RELEASE OF LIABILITY, WAIVER, INDEMNIFICATION, AND CONSENT. I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS AND MY CHILD’S OR WARD’S RIGHTS BY SIGNING IT. I AM SIGNING THIS RELEASE OF LIABILITY, WAIVER, INDEMNIFICATION, AND CONSENT VOLUNTARILY. If the person participating in the Program is not yet 18 years old, a parent or the legal guardian must sign: In exchange for my/our child or ward being allowed to participate in the SpringHill Program and as the parent(s) or legal guardian(s) of the above named individual, I/we verify that I/we fully understand, agree to, and accept all provisions of this Release of Liability, Waiver, Indemnification, and Consent.
________________________________________________________________________________________________________________________ Printed name (parent or legal guardian)
Signature
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Date
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