Sunday, August 13 – Saturday, August 19, 2017
We welcome campers entering grades 3 ~ 12!
CAMP 207
66 Gorham Road
Scarborough, ME 04074
We are growing! Here’s what’s new for 2017:
~ Deadlines: We expect every space to be filled up, so get your application in early!
~ We are offering payment plans - you can pay monthly or quarterly installments
~ Our website address: www.maineeventministries.org
~ Out Facebook page - check it out and friend “Camp 207” to get the latest info!
Featuring Arts - Bible Class - Campfire - Crafts - Great Food - Canoes and Kayaking - Music - Speakers Sports - Swimming - Tennis - Tubing - Lasting Memories
To learn more, visit: www.maineeventministries.org
CAMP 207
Camper Rules
Check in: Sunday, August 13, 2017 at 2:00 p.m. at Camp Vega (please do not arrive prior to check-in time)
Check out: Saturday, August 19 at 10 a.m. (promptly) Parents are responsible for return home transportation
Mailing Address: Camp 207, 66 Gorham Road, Scarborough, ME 04074
Transportation is not provided. Parents/guardians must transport campers to and from Camp Vega.
Please Bring: Warm jacket and clothing; sneakers and shoes; underwear and night clothes; modest bathing suits (two preferred); pillow,
sheets and blankets OR sleeping bag; bath/hand towels, beach towel, wash cloths, soap, toiletries, tissues, Bible, notebook, pencil, flashlight, musical instrument.
Camp Rules:
Permission must be given by the Camp Director for any camper to leave the campground at any time. (forms are available)
All campers are to attend, and to be on time, to all meals, sessions, class periods and services.
All campers must turn any spending money in to the Camp Treasurer upon arrival.
All campers must be involved in the Sports Program, unless a health reason is so stated on their Camper Application.
All medications brought to camp must be given to the Camp Nurse upon arrival, and must be in the original container.
Items such as electronic games, radios, MP3 players, 2-way radios, cell phones, pagers, laptops, tablets, magazines, knives, bows
and arrows, fire-arms, fireworks, tobacco, alcohol, drugs, are NOT permitted.
Modest clothing at all times. Please refrain from bringing improper attire to camp…you may be requested to change! Modest
one-piece bathing suits only.
No campers are to be out of cabins after lights-out.
Boys’ Areas are off-limits to girls. Girls’ Areas are off-limits to boys. Staff Quarters and Kitchen Areas are off-limits to all
campers.
Campers are to maintain cleanliness in their appearance and their cabin. Campers are not to enter a cabin other than their own
unless invited by a counselor.
A camper consistently showing improper actions and attitudes will be asked to leave the campground. It will be
the responsibility of the camper’s parents to provide transportation.
Maine Event Ministries, Camp 207 Camper Application
SUNDAY, AUGUST 13 - SATURDAY AUGUST 19, 2017
Applications will be accepted on a first-come, first-served basis only - Deadline is July 1, 2017
Camper Information (PLEASE USE INK and PRINT)
Name ________________________________________________________________________________________________________
Birth date____________________________ Age at Camp________________ Grade as of Sept, 2017 ____________________________
Street Address______________________________________City____________________________State_____________Zip_________
E-mail __________________________________________________Phone___________________ Gender: Male _____ Female ______
Free T-shirt Please circle one: YOUTH Sm
Med
Large
OR
ADULT Sm Med
Large
XL
Church Affiliation - Church name ___________________________________Youth Group___________________________________
Custodial parent/guardian________________________________________Email__________________________________________
Home phone ______________________________Cell ___________________________Business Phone__________________________
Other emergency contact_________________________________________ Email__________________________________________
Home phone _________________________Cell _______________________Business Phone___________________________________
Cabin/friend request _____________________________________________ (must be in the same grade; cannot be guaranteed)
Campers are assigned to cabins by school grade. Please do not request your child to be placed with a child in a different grade.
Transportation is not provided. Parents/guardians must transport campers to and from Camp Vega. Check-in is Sunday, August 13th
at 2:00 p.m. Parents/guardians MUST pick up campers at Camp Vega on Saturday, August 19th promptly at 10:00 a.m.
Camp Registration Fee
Checks should be made payable to Maine Event Ministries and sent to: Camp 207, 66 Gorham Road, Scarborough, ME 04074
Regular Camper Registration Fee
$
275.00
1. Non-refundable Registration Deposit due with Application by July 1, 2017
$
175.00
2. Snack Shack Money ($25 maximum)
$________ (optional)
Total Amount Enclosed with Application
Balance due upon arrival at Camp
$________ (Total) Check # _________
$________
Date Received by Camp 207:____________________________
I have read and agree to adhere to the attached Camp Rules.
Camper Signature__________________________________________________ Date _______________________________
Maine Event Ministries, Camp 207
Participant Assumption of Risk and Waiver Agreement
Welcome to Maine Event Ministries, Camp 207 at Camp Vega! When working outdoors and leading physical activities, safety is our main concern. We will regularly discuss basic rules of safety and provide the special organization, supervision, instruction and equipment you need to participate safely in activities. It is impossible for us to eliminate all risk; however, and
your commitment to follow instructions and use sound personal judgment will contribute greatly to your well being. By signing this waiver, the participant and/or guardian accepts that there are inherent risks and hazards in camp programming and
agrees not to sue Maine Event Ministries, Camp 207 or Camp Vega, Inc.
Please read and sign the following agreement:
I, as a participant or parent/guardian of a participant, understand I will be participating in activities that involve periods of physical exertion, balancing, heights (up to 45’), lifting, pushing, pulling and climbing. I know most activities will be outdoors where I will need to
watch for slippery and/or uneven footing, limbs and branches, insects or animals and possible exposure to extreme or inclement weather. I
fully understand that my physical activity involves risk of injury. I understand the risks may include loss or damage to personal property.
I understand that I will not be forced to do any activity that despite a reasonable precaution taken by Maine Event Ministries, Camp 207
or Camp Vega, that a guarantee of absolute safety is impossible. I agree to exercise good personal judgment, to ask for help if I am concerned about my safety and to be responsible for deciding if a proposed activity is appropriate for me. I agree to inform my instructors of
any physical, mental or medical condition that might affect my ability to participate or affect other members of my group. I realize that
failure to tell that information could result in serious harm to others or to me. I also state that I am not under, and will not be under the
influence of any chemical substance including alcohol.
I agree to comply with safety instructions given by Maine Event Ministries, Camp 207 and to be responsible for my personal safety and
well-being. I/We agree to hold Maine Event Ministries, Camp 207 and Camp Vega, Inc., its Directors, Officers, Employees, Agents, and/
or Associates harmless for any accidents, injury, loss, of or damage to property that may occur on this program.
I/We understand that all possible precautions are taken to insure that all programs and activities sponsored by Maine Event Ministries,
Camp 207 and Camp Vega, Inc., are conducted by mature and qualified personnel in a safe and responsible manner. I voluntarily assume
the risks of the activities and agree to report any injuries before leaving the premises.
In the event of an emergency, I/We understand every attempt will be made to contact the parent/guardian. In the event that the parent/
guardian cannot be reached, I/We give permission to Maine Event Ministries, Camp 207 and Camp Vega, Inc., to secure proper medical
treatment. I understand that any medical expense will be billed directly to me or to my insurance company. Additionally, I authorize the
medical team to administer over the counter medications such as aspirin, Tylenol, etc.
I/We grant permission for Maine Event Ministries, Camp 207 to use any photographs of the participant taken during the program in newspapers, magazines, brochures or other media for promotional purposes.
I/We have read and understand all materials outlining the camp activities, including this waiver and agree by these terms. I am aware this
is a waiver and a release of liability and I sign it voluntarily.
_________________________________
Signature of Parent/Guardian
___________________________________
Signature of Participant
_________________________________
Printed Full Name
___________________________________
Printed Full Name
_________________________________
Date
___________________________________
Date
Health History
For the good health of everyone at Camp 207, please complete the following, required, Health History form, and
submit along with the registration. There is no admittance into the camping program without this form. PLEASE
USE INK AND PLEASE PRINT
Camper Name: _____________________________________________________________________
Date of Birth (Month/Day/Year): _______________________________________________________
Insurance Carrier: ___________________________________________________________________
Policy Number: _____________________________________________________________________
Emergency Contact Information
Parent/Guardian: _____________________________________ Home Phone: ___________________
Work Phone:_____________ Cell Phone:________________ Email:___________________________
Alternate Emergency Contact: _____________________________ Relationship: _________________
Home Phone: ___________________Work Phone:_______________ Cell Phone:_________________
Family Physician: _________________________Phone: ____________________________________
Immunizations: for everyone’s safety, immunization information MUST be provided.
Please give the most recent dates for the following: (DTAP or DT): __/__/____ MMR: __/__/____
Polio: __/__/____ Hepatitis B: __/__/____ Chicken Pox: __/__/____
Has the camper ever had Chicken Pox? Yes/no (If Yes when? __/__/____)
Medications: By state law, medications must be clearly labeled and in their original containers. ALL medications MUST be held & dispensed by the camp nurse during camp. Please list all current medications below,
add an additional sheet if necessary.
Medication: ________________________Dosage:________ Administration Time(s)______________
Medication: ________________________Dosage:________ Administration Time(s)______________
Medication: ________________________Dosage:________ Administration Time(s)______________
Medication: ________________________Dosage:________ Administration Time(s)______________
Additional Information:
Last Routine Physical: __/__/____ Height: _________ Weight:_________ Eye Color: __________
Please list any known allergies (including those to medications) and type of reaction(s)
__________________________________________________________________________________
__________________________________________________________________________________
Please list any frequent or chronic illness(es) which we need to know about
__________________________________________________________________________________
__________________________________________________________________________________
Please list and describe any disabilities and/or required accommodations (including any recent concussion)
__________________________________________________________________________________
__________________________________________________________________________________
Please explain any behavioral or dietary restrictions
__________________________________________________________________________________
__________________________________________________________________________________
Other information you would like those working at Camp 207 to know about?
__________________________________________________________________________________
__________________________________________________________________________________
An additional physician’s note is required if the camper has seen a doctor for any treatment of illness or injury
during the month prior to camp. All conditions, restrictions, and treatments must be stated.
Please Sign Below
This health history is correct to the best of my knowledge, and the camper described herein has my permission to
engage in all camp activities except as noted _________________________. I hereby give permission to the medical personnel selected by the Camp Director to order X-rays, routine tests, treatment, to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation for my child. In the event I
cannot be reached in an emergency, I hereby give permission to the physician selected by the camp director to secure and administer hospitalization, injections, anesthesia, surgery, and/or any other proper treatment for the
camper named above.
I understand that in the case of an emergency or illness, every effort will be made to contact me or the emergency
contact person I have indicated.
Signature of Parent or Guardian: ________________________________ Date: __________________
Printed Name: ______________________________________________________________________