2021 Camp Big Cedars Senior Camp Application

 
 
1)  Registration Cost $145 (If Paid BEFORE April 8th)  
         (Registration Cost is Transferable but NOT Refundable)

 
2)  Registration Cost $155 (If Paid April 8 - May 15th)  
         (Registration Cost is Transferable but NOT Refundable)

3)  Registration Cost $170 (if paid AFTER May 15th)
                    (
Registration Cost is Transferable but NOT Refundable)
 
*** Camp T-Shirts Available at an additional charge.
           Adult Small-XL $15; 2X-4X $17
           Youth Small- Youth XL $15
 
Ages:  13-18 
 
Tuition Includes: Lodging, Meals and Activities
 
** Heartland Camping PROGRAM STATEMENT &  IMPORTANT CAMP INFORMATION DOWNLOAD LINK IS JUST UNDER THE MAP BELOW (**Required Information) 

PLEASE SEE THE TERMS SECTION OF THE APPLICATION FOR IMPORTANT COVID-19/INFECTIOUS DIEASE UPDATES AND CONDITIONS.




June 7, 2021 10:00am - June 12, 2021 8:00am
June 4, 2021 12:01am [Central Time]
32084 Hwy. 39
Wanette, OK 74878
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INFO:   Please note that this form contains limited capacity items which are sold out. They are displayed grayed out and/or are not selectable.





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Registrant Fee: $0.00


Billing information


Billing and Payment
Billing and payment processing for Businesses' events is performed by Member Solutions, Inc. ("MSI"), and this contract is specifically assigned to MSI for all such purposes. Customer knowingly and irrevocably authorizes MSI to charge electronically Customer's bank account and/or credit card for any and all amounts due for Customer's, and anyone registering under Customer's, attendance and participation in the Event. Please note, you may see all or any portion of the following on your bank or credit card statement: "MSI*CHURCHOFGODOFPROPHEC 8882448044 ONLINE REG FEE". Any returned payment will be assessed a $25.00 fee. Any unsuccessful electronic transaction is subject to a $10.00 processing fee. MSI is not responsible for any bank fees incurred by Customer. MSI has the sole right to resubmit returned or declined items (plus applicable fees) without prior notice. BILLING INQUIRIES -- 888-244-8044 or by mail to PO Box 297, Hatboro, PA 19040.

Applicant Agreement
I represent that I am the person who appears on the application above. I acknowledge and agree to the statements, terms and conditions above, as well as any applicable terms and conditions for this registration, and that by typing my name below and completing this registration form, I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.

Applicant Signature
Please enter your full name in the space below.
 


Please click the button below to finalize your registration.



Registration inquiries:
Directors: Loyd & Jessica Collins
16602 S. 203rd E. Ave
Broken Arrow, OK 74014
(918) 232-2175
loyd.collinsjr@heartlandcogop.org

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Privacy Policy
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VERY IMPORTANT: All Parents AND Campers must download this vital information about Camp Policies and Requirements for attending our camp. 
 
** A LINK will be provided on your Registration Confirmation, and your EMAIL Confirmation to download all of the required Camp Forms.
 
Please download and review all of the important camp documents.
MEDICAL/COVID-19/INFECTIOUS DIEASE and MEDIA CONSENT:

MEDICAL: In case of an emergency, I understand that every effort will be made to contact me (parent or guardian). In the event I cannot be reached, I hereby give permission to the Camp Director, Camp Nurse, and physicians selected by the camp, to secure proper treatment, and to administer “over-the-counter” (OTC), or prescription medications, to hospitalize, order injection, anesthesia, and/or surgery for the camper. I understand that my insurance has the primary responsibility for payment should my child need treatment, and that the camp insurance is secondary. I understand that, during the process of camp, all medications, including OTC medications must be administered by camp personnel, and that medications will be collected at time of registration. I certify that all the information provided on this application is accurate to the best of my knowledge. I have read and understand the camp rules and regulations, and also understand that by signing this application I am agreeing to abide by those rules. I understand that failure to do so could result in dismissal from camp. I also agree that the Church of God of Prophecy (local, regional, and international offices), and its officers, servants, or staff shall not be held responsible for damages for any accident or sickness involving my child.

COVID-19/INFECTIOUS DIEASE: Due to the outbreak of Covid-19, Camp Big Cedars has put in place preventative measures to reduce the spread of Covid-19 and other contagious diseases; however, Camp Big Cedars cannot guarantee that you or your child(ren) will not become infected with Covid-19 or any other infectious disease due to participation in camp activities.

Before sending your child to Camp Big Cedars, please acknowledge that the following statements are true:

I will not send my child to camp if he/she or any member of the household has exhibited any of the following symptoms within the last 10 days:
Fever over 100.4 degrees
Extreme Fatigue
Dry cough
Difficulty breathing
New loss of taste or smell

Your child as well as all household members has not been diagnosed with Covid-19 in the last 14 days.

The child or any member of the household has not traveled outside the country in the last 3 weeks, prior to camp.

NOTE: If you have any questions regarding these conditions, please contact the camp director.

(NOTICE: REFUNDS WILL BE ALLOWED IF YOUR CHILD IS UNABLE TO ATTEND CAMP DUE TO COVID-19 EXPOSURE OR INFECTION PRIOR TO CAMP.)

I acknowledge the contagious nature of Covid-19 and voluntarily assume the risk that myself or my child(ren) may be exposed to. I understand that Camp Big Cedars, its staff and volunteers, the Church of God of Prophecy (local, regional, and international offices) and its officers, volunteers or staff, cannot be held liable for any exposure to Covid-19 or any other infectious disease as a result of activities at Camp Big Cedars or misinformation on this form provided by other campers.

MEDIA and PARTICIPATION: I hereby give my permission for Camp Big Cedars administration to use images and recordings of my child/ward (including website or social media use) without further compensation. I agree that my child/ward may participate in all camp activities including travel off the property. I also agree to hold harmless Camp Big Cedars, its staff, and volunteers from any and all liabilities, claim, demands, and causes of action whatsoever, which may arise due to the participation of myself, or my child/ward in said activities. If you have any questions/concerns, contact your camp directors via phone or email prior to camp. * Camp Big Cedars is not responsible for lost items.

STATEMENT OF UNDERSTANDING AND CONSENT: I understand that this camp is a ministry of the Church of God of Prophecy, and consequently all actions, conduct, and policies will be consistent with the Church’s Statement of Doctrine and Beliefs.

Applicant Agreement
I represent that I am the parent/guardian of the student (Camper) named on this application. I acknowledge and agree to the statements, terms and conditions above, as well as any applicable terms and conditions for this registration, and that by typing my name below and completing this registration form, I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.
Check this box to indicate that you have read and agree to all of the above terms & conditions
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