St. Andrew's Growing Youth 
Bible Vacation Camp 2018 
REGISTRATION FORM • One registration form per child please! Please fill out both pages 
	Camper Info: Camper's name: 	_ 
Address (full address please, including Postal Code) 
	Date of Birth Y/M/D 	Sex: 	_ 
	Grade Entering in Sept 2018 	_ 
Contact Info: Parent/Guardian name: 
--- 
	Phone number (H) 	(W) 	or (Cell) 	_ 
Email address:_______________________________________
	Other emergency Contact: Name: 	_ 
	Phone:~) 	_ 
	Medical Information: Health Card Number: 		Exp. __ 
	Family Doctor: 	_ 
Doctor's Phone Number 
------------------------- 
Child's allergies (food and drug) 
If your child has a food allergy please recommend some food or brands that you use at 
home that you know are "safe" for your child. 
Medication Needed while at Camp: 

• Please be advised that all medications must come in their original packaging and 
directions to camp 

Declaration: I am aware that my child may be driven to an offsite activity, and I hereby grant 
	permission for ____________________to participate in all activities and to be driven to the 
offsite location if needed. 
	Parent or Guardian signature ________________________________
Pictures will be taken during camp and may be used for church purpose only. By signing here, you authorize the Growing Youth Camp to include your child’s photo for this purpose only. 
Signature:_______________________   Date: ______________
For the first time since 2010, fees have been increased slightly. The Growing Youth Committee fundraises during the year to keep registration fees affordable as possible. Registration fees are accepted on a cash only basis.  

One Camp Week 
Two Camps 
Three Camps 
Four Camps 
Five Camps 

Early Bird Offer:
Pay for all 5 camps by June 20th
at $240.00

$55.00
105.00 
155.00	
205.00 
255.00

Camps are from 9:00a.m. until 3:00 p.m. Monday to Thursday. 
Friday camps end with a family lunch @ noon and a presentation, approx. 1:30 p.m 
Child care for working parents is available at a small cost from 3:00 – 4:00 p.m., Monday through Thursday. 
Please circle or check mark the camps attending: 
July 9 - 13th		Welcome Summer 
	July 16 – 20th	Food for All & Making Some	 
July 23 – 27th	Animal Planet	 
July 30 – Aug 3	WEEK OFF
August  7 – 10th 	Movin’ to the Music 
August 13 -17th "Reduce, Recycle, Reuse for God's Earth" 

Amount Paid: _____________________

See You at Camp!!