Camper Registration 2020 Camper Registration 2020 Christian Heights Virtual Camp 2020July 5-11, 2020Deuteronomy 31:6 - “Be strong and courageous. Do not be afraid or terrified because of them,for the Lord your God goes with you; he will never leave you nor forsake you.”Camper Name* First Last Birthdate*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Shirt Size*Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLAdult XXLAdult XXXLEmail* Enter Email Confirm Email Cost: • $10 payable by Cash or Check Theme: Deuteronomy 31:6 “Be strong and courageous. Do not be afraid or terrified because of them, for the Lord your God goes with you; he will never leave you nor forsake you.” Resources needed: Electronic device Reliable internet signal Positive Attitude! Imagination Various household items may be used in crafts/activities Participant Acknowledgements: I give permission for my child to access the Zoom platform using the password provided by Christian Heights Camp to participate in large and small group activities. I will not share the Christian Heights Camp log-in information to Zoom. If my child is under the age of 12, I agree to have an adult nearby who is available during the hours of virtual camp. I will set up my child's access to the internet/virtual camp in a place other than his/her bedroom. I will be aware of his/her background and what/who is visible. I release Christian Heights Camp from any responsibility for use of internet searches outside of camp channels. I agree to talk to my child about being online, such as safety, online searches, oversharing and cyber bulling (For some guidance, see pages 4-11 at www.whitehouse.gov/wp-content/uploads/2018/05/) General Release: I give permission for my child to virtually attend Christian Heights Camp and participate in the scheduled program. I recognize the possible risk involved for my child in participating in online activities, including risks associated with online piracy, security, and invasion of privacy. I release, discharge, and otherwise agree to indemnify Christian Heights Camp, its affiliated organizations and sponsors, its officers, directors, employees, volunteers, and agents against any claim by or on behalf of myself or my minor child as a result of my child's participation in any program or activity sponsored, coordinated, or supervised by Christian Heights Camp.I give permission on behalf of myself and my minor child for photographs to be taken of my child to be used for publicity purposes by Christian Heights Camp. I agree on behalf of myself and my minor child that photographs are the property of Christian Heights Camp and Christian Heights Camp shall have the right to reproduce, publish in print, online, and/or via social media these photos and videos as they desire free and clear of any claims on my, or my minor child's, part. I further give permission and agree on behalf of myself and my minor child that any photographs may be published and used by Christian Heights Camp, to illustrate and promote the camp experience, Christian Heights, and its camp programs.I give permission for the Christian Heights Camp staff and board of directors to discuss my child's health and any information I provide in the camper registration forms.Recording on the Virtual Platform*Yes, I give permission for Christian Heights Camp to record virtual sessions where my child is present.No, I do not give permission for Christian Heights Camp to include my child when recording virtual sessions (The camp director will disable your child's camera and mute his/her audio during all recorded sessions.) Camper Code of Conduct: Our hope is that Christian Heights Camp will be a place for campers to make friends and find support. In order for Christian Heights Camp to be safe, fun and enjoyable for everyone, there are some expectations to discuss with your child. I will choose the golden rule while at Christian Heights Camp. Alcoholic beverages, illegal drugs, smoking or tobacco products are not allowed during the hours of virtual camp. Christian Heights Camp has the right to remove a camper from the Zoom meeting without warning if the Camp Director suspects these products have been used. Sexual or suggestive behavior/comments/conversations is not appropriate or acceptable at Christian Heights Camp. Campers will only use the Zoom platform to contact camp staff and fellow campers during the scheduled camp times. Screen shots, recording, and private, separate chats are not allowed during virtual camp sessions. My background will be appropriate, such as, but not limited to, a blank wall, virtual background image, or pictures appropriate for camp. I will follow the guidelines for appropriate chat conversations. If you ever feel uncomfortable, tell your trusted adult No secrets. (Surprises are different. Surprises make us feel good and are intended to share eventually. Secrets are not ever meant to share and can feel bad.) Good messages are ones that parents/guardians are excited to see and hear and the person sharing it with you would want your parents/guardians to see and hear the message. Cussing, swearing and foul language is not acceptable at Christian Heights Camp. Consent* Clicking the submit button shows that you understand, agree, and consent with the above stated cost, resources needed, acknowledgements, general release and camper code of conduct.