www.campkurios.com
317 Ouachita 68
General Information
Kids Camp
Junior Week
Senior Week
June 2-4
June 4-9
June 11-17
those who have finished
1st -3rd grade
Check In: Friday (4-5 p.m.)
Check Out: Sunday, 12 Noon
Early bird rate: $65.00
After May 11: $85.00
those who have finished
those who have finished
4th-7th grade
8th-12th grade
Check In: Sunday (2-4 p.m.)
Check Out: Friday, 1 p.m.
Early bird rate: $185
After May 11- $205
Check In: Sunday (2-4 p.m.)
Check Out: Saturday, 10 a.m.
Early bird rate: $185
After May 11- $205
*A $20 deposit is required with the application form
*Canteen:
There is no charge for canteen; it is covered in the
application fee. Each child will receive two items (of their choosing)
each time canteen is offered.
REGISTRATION INFORMATION
Please fill out the information requested on the opposite pages. Detach and return the application along with a
deposit of $20. You may pay the entire fee. Registration costs are outlined elsewhere in the brochure.
Send registration forms to:
Camp Kurios
P.O. Box 42
El Dorado, AR 71731
To send cards, letters, and care packages to your child
while he/she is at camp-use the following address:
Name of camper
Camp Kurios C/O Beech Springs Camp
317 Ouachita 68
Louann, AR 71751
The camp phone number is (870)310-5873 (please use for emergencies only!!)
HOUSING INFORMATION: To make for a great time for all, we allow our campers the opportunity to
request a roommate at Kurios. Please make no more than one request. Also, we can only make an effort to
fulfill housing requests on applications postmarked by Wednesday May 10, 2017.
WHAT TO PACK
(Remember to label with permanent marker everything you want to go home with)
_____ Bible
_____ 6 sets of shirts and shorts
_____ socks & underwear
_____ Laundry bag
_____ Insect repellent
_____ at least 2 towels
_____ 1 sweatshirt or jacket
_____ Shampoo & Soap
_____ 1 swimsuit (1 piece for the ladies; no tankinis)
_____ Toothbrush/toothpaste
_____ Deodorant
_____ Bedding with pillow
_____ 1 pair tennis shoes
_____ Flip flops /sandals
_____ Prescription meds (if applicable)
_____ Snacks (in a plastic box with lid)
_____ Flashlight
_____ Camera (optional) make sure your name is on it
ALL medications MUST be turned in to the nurse and MUST be in their original containers. The Nurse
has Tylenol, Ibuprofen, etc.
WHAT NOT TO PACK
All alcohol, tobacco, weapons (including knives), fireworks & matches; All electronics including iPods, mp3
players, electronic gaming equipment, etc. Continuing this year, we do not allow cell phones.
DRESS CODE
* The Board of the Directors ask that all campers and staff members dress modestly in all athletic,
casual and dress-up occasions. What qualifies as modest clothing at camp will be up to the
discretion of the Camp Director in consultation with the Camp Staff.
RANDOM INFORMATION
Snacks or fast food being brought to camp by visitors during the camp week should not disrupt regular activities and
enough food should be provided for the entire cabin.
There are to be no cell phones at camp. If they are seen, they will be confiscated until the end of
the session.
Curfew time will be set by Camp Kurios according to the activities of the day. Everyone is asked to go to
their cabins at the assigned times.
No guys are allowed in the girls’ cabins. No girls are allowed in guys’ cabins.
Please respect Beech Springs property. Do not destroy any items at the facility. If something breaks, please report it
immediately.
ALL visitors on the Beech Springs property while camp is in session must register with the camp director. Visitors
must comply to the same rules campers do. Visitors eating meals on the Beech Springs property must pay $7.00
each per meal. Also, there are no overnight guests allowed. All camper-age visitors must leave following the
evening campfire.
All participants must attend all sessions. No one is allowed to go back to their cabins during sessions unless (1)
approved by the camp director and (2) accompanied by your counselor.
Rules for acceptance and participation in Kurios are the same for everyone without regard to race, color, sex,
religion, or national origin.
Our Statement of Faith and Gender Policy are available on the Camp Kurios website
www.campkurios.com for your convenience.
Insurance: The camp insurance is excess coverage to pay for what your family policy does not cover.
Nurse: A licensed nurse is a part of our camp staff and is available at all times.
CAMP KURIOS APPLICATION
Application for: Kid’s Camp ______
Jr. Week ______
Sr. Week _______
Camper's name ______________________________________________________
Parents' name _______________________________________________________
Address ____________________________________________________________
City _____________________ State _______ Zip _________Phone (
)____________
Age _________
Birth date ________________________________
Check one Male ______ Female_______ Grade camper completed as of June 1, 2017 _______
______________________________ will pay _______________ of my application fee.
(my congregation)
T-Shirt Size (circle one) child
adult (circle one) Small
Medium Large X-Large XX-Large
Roommate preference (no more than one, same grade level, no guarantees)_____________________________
-----------------------------------------------------------------------------------------------------------MEDICAL INFORMATION
It is necessary for parents to assume responsibility for the applicant. Below is an agreement for this purpose
which you should return with the application.
In consideration of the acceptance of my child, we, the undersigned parents, parent, or guardian, as the case
may be, covenant and agree with Camp Kurios that we will at all times hereafter indemnify, keep indemnified,
and save harmless the said Camp Kurios from all actions, proceedings, claims, demands, costs, damages, and
expenses which may be brought against or claimed for Camp Kurios or which I may pay, sustain, or incur as a
result of illness, accident, or misadventure to my child during the period he/she is a participant in the Camp
Kurios Christian Youth Camp.
In the event of a medical emergency, I the undersigned do hereby grant permission to the staff of Kurios to
administer medical treatment and authorize medical treatment for my child.
Doctor:
_____________________________________________
Allergies (specify any foods, medicines, insects , etc.): _____________________________
Regular (daily) medications: ________________________________________________
In case of emergency notify: Name: ______________________________ Phone: _____________
If unable to reach, then call: Name: ______________________________ Phone: _____________
Applicant is covered by medical insurance. (check one) Yes ______ No ______
Name of insurance company: __________________________________________
Policy number:
____________________________________________
Policy holder's name: ________________________________________
If company policy, name and address of employer:
____________________________
____________________________
____________________________
Witness our hand(s) this _____ day of _____ 2017
SIGNED ___________________________________________ (Parent or Guardian)
*Camp insurance will cover only what your insurance policy will not pay.
(THIS COPY TO BE SIGNED AND RETURNED WITH APPLICATION)
Required by Beech Springs Camp in order to participate in activities
ASSUMPTION OF RISK AND RELEASE FORM
[Includes ropes course and horseback riding]
Beech Springs Camp
Please Print:
Name of Participant________________________________________________ DOB ______
Address _______________________________________________________________________
_______________________________________________________________________
Phone___________________
Email: _________________________
Parent(s) and/or guardian(s) name, if participant is under age 18: _______________________
Dates of event: _____________
Sponsoring church or group name: __________________________________________
Signature of adult participant _________________________________ Date __________
If applicable, both parents and/or guardians must sign for minor children.
Assumption of Risk and Release
I acknowledge that my/my child’s participation at the Beech Springs Camp carries certain risks and
dangers. These include, but are not limited to, the hazards of being in a wilderness area, the forces of
nature, and other reasons concerning this special environment. I do hereby assume all risks and will hold
staff, officers, and trustees harmless from any and all liability, actions, cause of action, debts, claims and
demands of every kind and nature whatsoever which I/he/she now have/has or which may arise from or in
connection with my/my child’s participation in any camp activities or related transportation. I accept
personal financial responsibility for any injury or other loss and required medical expense. The terms
hereof shall serve as a Release and Assumption of Risk for my/my child’s, heirs, executors, and
administrators and for all members of my/his/her family.
Beech Springs reserves the right to refuse participation to any individual or group which presents itself as a
liability risk in any of the programs. This is at the sole discretion of the Beech Springs staff.
Signature of Parent/Legal Guardian______________________________ Date _________
Signature of Parent/Legal Guardian___________________________________ Date __________