camp application is not complete until the … · brang our 11th year, wccc will be april 25-28 at...
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APRIL 25-28, 2019 MID-SOUTH YOUTH CAMP HENDERSON, TN
CAMPAPPLICATIONISNOTCOMPLETE
UNTILTHESTATEMENTSBELOWARESIGNEDANDDATED:
CAMPER, I will abide by all camp rules, be a good sportsman, dress
according to camp policy and exhibit a good Chris�an example at all
�mes. I agree to follow the direc�ves of the Wayne County Chris�an
Camp directors and leaders at all �mes. I understand that failing to
comply with the rules of this camp may result in my dismissal from
camp and require my parent/guardian to make arrangements for my
early departure.
Camper Signature_________________________ Date ____________
PARENT/GUARDIAN: I, the undersigned parent or guardian, hereby
consent to my child___________________________, who is ______
years of age, par�cipa�ng in the ac�vi�es connected with Wayne
County Chris�an Camp at Mid South Youth Camp in Henderson, Ten-
nessee. I cer�fy that my child is able to par�cipate in all ac�vi�es in-
cluding sports and other camp related ac�vi�es (unless indicated in
the medical informa�on on the front of this applica�on). I also give
Wayne County Chris�an Camp permission for my child to be trans-
ported off the camp property to all camp-related ac�vi�es. In case of
accident or serious illness, Wayne County Chris�an Camp has my per-
mission to secure the proper medical a,en�on.
Parent Signature_________________________ Date _____________
A Christian camp hosted by
Churches of Christ In Wayne County
CHRISTIAN CAMP EST. 2009
A select group of teachers and counse-
lors under the direc"on of capable direc-
tors will supervise the ac"vi"es.
In addi"on to camp directors, the staff
includes a nurse, cra)s director, teach-
ers, counselors, kitchen/canteen staff,
and other such personnel as may be
deemed necessary to maintain healthful,
enjoyable, and spiritual condi"ons at all
"mes.
All campers need to arrive on Thursday,
April 25 by 5 p.m. as welcome ac"vi"es
will begin at 8 p.m. Camp will conclude
Sunday, April 28 around 11 a.m.
Students should arrive back in Wayne
County on Sunday between 1-2 p.m.
If a camper needs a ride to and/or from
camp please call the Waynesboro Church
of Christ office at 931-722-5520.
Directors and founders of Wayne County
Chris"an Camp are Gregg Lee (332-
5414), Tracy Love (676-5262) and Jeff
Skelton (332-1326).
Please feel free to contact them at the
numbers listed should you have any
ques"ons.
WCCCAPPLICATION2019
(mustbereturnedwith$30bySunday,April14)
Name ________________________________________________________
Address ______________________________________________________
City ___________________________________ Zip ___________________
Phone ________________________________________________________
Parents Work Phone ____________________________________________
D-O-B ________________ Grade ___________ M/F __________________
Church you aAend ______________________________________________
* I (____ will need / ____ will not need) a ride to and from WCCC
Do you have any physical handicaps?_______________________________
If yes, explain __________________________________________________
List any medica"ons you must take ________________________________
_____________________________________________________________
List any allergies you have ________________________________________
Do you have health insurance? ____________________________________
Insurance Co. __________________________________________________
Policy Informa"on ______________________________________________
Please circle a t-shirt size: Youth Sizes: S M L Adult Sizes: S M L XL XXL
Parents and Applicants must read and sign the informa�on on the back.
Please return this applica�on to your church or mail to:
Gregg Lee, 121 Parkway Drive Waynesboro, TN 38485, by Sunday, April 14
INFORMATION
COST
WHATTOBRING
STAFF
ARRIVAL
I am a: Returning Camper New Camper
Campers are NOT guaranteed correct t-shirt size if applica�on is not turned in by the deadline.
Wayne County Chris"an Camp (WCCC)
exists to offer students in Wayne Coun-
ty a safe and fun Chris"an camp experi-
ence with Christ as the focus. Cele-
bra"ng our 11th year, WCCC will be
April 25-28 at Mid South Youth Camp in
Henderson, Tennessee.
This camp is open to students in grades
4-12. WCCC is limited to the first 100
campers that pay their registra"on fee.
WCCC does not discriminate upon the
basis of sex, race, color, religion, na"on-
al origin, or handicapping condi"on.
Cost for the camp will be $30 per camp-
er. This fee will include everything the
camper will need at camp such as food,
cra)s, canteen, insurance, and t-shirt.
Campers are NOT guaranteed correct
t-shirt size if applica�on is not turned in
by the deadline.
Each camper should bring a Bible,
sheets (or sleeping bag), a pillow, tow-
els, blanket, toilet ar"cles, flashlight,
and any other equipment such as ball
gloves, cameras, etc. DO NOT BRING
electronic devices such as stereos, tele-
visions, video games, etc. No tobacco
of any kind is allowed on the
campground. Only “school appropri-
ate” shorts are allowed at WCCC.
Campers may get dirty!!! Please keep
this in mind when packing for camp.
Be sure to mark all personal items.
DIRECTORS
*If a camper needs a ride to and/or from camp please call the Waynesboro Church of Christ office at 931-722-5520.