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  • Leadership Teamwork Adventure

    Camper Registration Packet For: ___________________________________________

    Camp UNITE 2018 UNITE Strong!

    When Where Tuesday, July 24 to University of the Cumberlands Friday, July 27, 2018 Williamsburg, Kentucky

    Its FREE!

    Please return all forms and documents to:

    Camp UNITE c/o Operation UNITE

    350 CAP Drive London, KY 40744 FAX: 606-877-1018

    Time Sensitive Camper Slots Limited

    Campers will not be considered registered until ALL forms in this Registration Packet have been filled out and returned to Operation UNITE. A letter confirming

    your registration will be mailed to you at the address listed on the Camper Information Sheet (Form 1)

    when your application to attend Camp has been approved.

  • Leadership Teamwork Adventure

    About Camp UNITE Keep this page Camp UNITE is a free 4-day, 3-night adventure/leadership program to be held Tuesday through Friday, July 24-27, 2018.

    Campers will stay in dormitories and eat in the cafeteria on the University of the Cumberlands campus in Williamsburg.

    Campers will be supervised by trained Team Leaders at all times.

    Activities will include a combination of challenge events, swimming, outrageous games, motivational speakers, talent show, visit to the Hal Rogers Water Park, and much more.

    It is important that campers participate in the entire camp program. Late drop-offs or early pick-ups are strongly discouraged. Please do not schedule doctor or other appointments during camp.

    What to Bring

    Please limit to 1 suitcase per camper.

    Clothes (shirts, pants, shorts, socks, underwear) for 4 days. Designs or wording should not contain foul language or be offensive. All shorts, skirts, etc. should be of appropriate length.

    1 set of old clothes that may become stained

    Tennis shoes for Activity Tracks

    Respectable swimming suit (girls should be one-piece, boys trunks of appropriate length)

    Flip-flops for pool and water park

    Towels, washcloths and other toiletry items

    Lightweight jacket or sweatshirt

    Sleeping bag or a twin bed sheet and cover

    Pillow (if desired)

    Prescription medication in original container

    What NOT to Bring Tobacco products (including smokeless)

    Weapons (including pocket knives)

    Electronic music or entertainment devices (including computers, tablets and gaming devices)

    Transportation

    Operation UNITE will provide transportation to and from camp in each of the 32 counties in UNITEs service region. Pick-up and drop-off locations will be announced 1-2 weeks prior to camp.

    Parents and guardians may bring and/or pick up campers to Camp UNITE if they choose.

    It is important to be on time when delivering your camper to the pick-up location or camp, and to be at the pick-up location to greet your camper when they return home.

    Anyone having a problem with any of these items or wanting additional information

    should contact the UNITE office toll-free at 866-678-6483.

    Camper Application Checklist: * Form 1 Camper Information Sheet * Form 2 Waiver & Release * Form 3 Camp UNITE Code of Conduct * Form 4 Photo & Media Release * Form 5 Insurance & Physician Information * Form 6 Medical Information & Release * Form 7 Transportation Waiver * Form 8 Fast Tracks Activity Interest

    Campers WILL NOT be considered registered until ALL forms in this Registration Packet have been filled out and returned to Operation UNITE. A letter confirming your registration will be mailed to address listed on Form 1.

    NOTE! Insurance or Medical Card

    and Immunization record must be included with packet.

  • Leadership Teamwork Adventure

    Camper Information Sheet Form 1 Complete and return a separate form for EACH camper

    PLEASE PRINT

    Campers Name:______________________________________________________________ Male ___ Female ___

    Mailing Address:_______________________________________________________________ Birth Date: ___/___/___

    City:______________________________________________ State:___ Zip:___________ County: _________________

    Physical Address (if different from mailing address):_________________________________________________________

    City:______________________________________________ State:___ Zip:___________ County: _________________

    What grade were you in on January 1, 2018? (check one): 6th__ 7th__ 8th__ School: __________________________

    Does your school have a UNITE Club? Yes____ No____ If yes, are you currently a member? Yes____ No____

    Contact Information Note: In case of emergency, campers will be released ONLY to the people listed below. Contact must present a valid picture ID. _____________________________________________________________ ______________________________________________________ Parent/Legal Guardians Name Relationship to Camper _____________________________________________________________ ______________________________________________________ Cell Phone Home Phone _____________________________________________________________ ______________________________________________________ Work Phone Email Address _____________________________________________________________ ______________________________________________________ Additional Contact #1 (full name) Relationship to Camper _____________________________________________________________ ______________________________________________________ Cell Phone Home Phone _____________________________________________________________ _____________________________________________________________ Work Phone Email Address _____________________________________________________________ ______________________________________________________ Additional Contact #2 (full name) Relationship to Camper _____________________________________________________________ ______________________________________________________ Cell Phone Home Phone _____________________________________________________________ _____________________________________________________________ Work Phone Email Address

    Have you been to Camp UNITE before? Yes___ (How many times?____) No___ How did you hear about Camp UNITE? ___________________________________________________________________

    Campers T-shirt Size (check only 1 box) Youth Large___ Adult Small___ Adult Medium___ Adult Large___ Adult X-Large___ Adult 2X-Large___ Other___________

  • Leadership Teamwork Adventure

    Waiver & Release Form 2 Complete and return a separate form for EACH camper

    PLEASE PRINT Campers Name: ____________________________________________________________________________________

    Mailing Address: ____________________________________________________________________________________

    City: _________________________________________________________________ State: _____ Zip: _____________

    Having been made aware of the activities in which the camper will participate, I hereby consent to the above named

    campers participation in Camp UNITE. I voluntarily release and forever discharge Operation UNITE, Inc. from any and all

    liability, claims actions or rights of action which are in any way related to the campers participation in Camp UNITE

    activities. I agree to indemnify and hold Operation UNITE and its directors, officers, employees and agents harmless from

    any and all costs or damages, including attorney fees, incurred in connection with the campers participation in Camp UNITE

    activities. I further agree not to sue, assert or otherwise maintain any claim or cause of action against Operation UNITE and

    its directors, officers, employees and agents arising from the campers participation in Camp UNITE activities. In case of an

    emergency, including medical, I understand every effort will be made to contact parents or guardians of minor campers.

    However, if parents or guardians cannot be reached, I hereby give Operation UNITE permission to act on my behalf in

    seeking and administering medical treatment in the event that such treatment is deemed necessary or advisable for the

    campers health, safety and welfare. I release Operation UNITE from liability in acting on my behalf in this regard and

    rendering such medical treatment. I assume full responsibility for and the risk of any bodily injury, death or property

    damage resulting from campers participating in Camp UNITE activities. This waiver and release form shall be governed by

    the laws of the Commonwealth of Kentucky.

    _____________________________________________________________ ______________________________________________________ Parent/Legal Guardians Signature Cell Phone

    _____________________________________________________________ ______________________________________________________ Parent/Legal Guardians Printed Name Home Phone _____________________________________________________________ ______________________________________________________ Date Signed Work Phone

    In case of emergency, and I am not available, contact: _____________________________________________________________ ______________________________________________________ Name Relationship _____________________________________________________________ ______________________________________________________ Cell Phone