High School "Reaching Out to the Community" (R.O.T.C.) 2024

Student Name

Student Grade (in August 2024)

Student Email

This address will receive a confirmation email

Parent/Guardian Email

Student Cell #

Parent/Guardian Cell # (Emergency Contact for Camp)

Student Mailing Address

HEALTH: Is there anything we should know to ensure your child's physical health/safety during our time together? (I.e. conditions, medications, food/material allergies, etc.) If none, write N/A. *

Is there anything else you'd like us to know to help your child have a positive and enjoyable experience in our daycamp? Ex. Personal fears, anxieties, emotional needs, etc.(Please note - while we try to accomodate requests for students to be with at least one friend, we cannot promise to keep large groups of friends together.)

PHOTO/VIDEO RELEASE

Print Media for St. Thomas, St. Johns & the Diocese (newsletters, posters/flyers for camp & future camps) Digital Media for St. Thomas, St. John's, and the Diocese (e-newsletters, websites, social media: Facebook) Local News Media (OP/Parsons)

*OPTIONAL* Summer @ St. Thomas 2024 T-Shirt = $12
Our annual summer camp t-shirt can be purchased ONE TIME (at your youth's earliest summer camp) and used for ALL of our summer camps. The shirt will be a soft lightweight blend in a light color for comfort in our outdoor camps and to help identify our youth during activities and when out and about in the community.
**All t-shirt orders with payment must be received by APRIL 30. To avoid waste, we will not be ordering extra shirts. Thanks for understanding.**

OPTIONAL T-shirt Order ($12)

COMMUNITY COVENANTS (Expectations) -
To ensure a safe and positive experience for all participants and staff, our Middle and High School Camps will abide by the Youth Community Covenants fo the Episcopal Diocese of Kansas. Please read with your student and click the box below.

The Episcopal Church’s unofficial mottos of “All are Welcome!” and “God loves you, no exceptions.” point us to the following standards towards which we strive:

· I will do my part to make this a welcoming and inclusive community.

· I will seek to build up myself, others, and our community in my actions and words, doing my best to ‘love my neighbor as myself.’ (Matthew 22:39)

· I will respect the person, property, feelings and beliefs of each member of our community and I will care for the property of this church with the understanding that it is God’s Place, made the way it is through the gifts of numerous people.

· I will actively participate in all parts of the event and do my best to have fun!

The following rule is non-negotiable, meaning if violated, you will be sent home from the event:

· I will not engage in any form of emotional or physical aggression toward any member of camp or camp staff. If I find my emotions running high, I will seek the help of an adult staff member who will support me in finding safe space where I can regain control until I decide with their support that I am ready to return to activities.

· I will not bring or use alcohol, tobacco, nicotine, e-cigarettes (includes: e-cigs, vapes, hookah-pens, etc.), illegal drugs, drug paraphernalia, fireworks, firearms or any kind of weapon.

We understand and agree to the Community Covenants.

Yes

PAYMENT: A $40 non-refundable deposit (along with $12 for a t-shirt, IF APPLICABLE) are required at registration. These funds secure our t-shirts, transportation, and fun/community activity at the end of our week. *If paying a deposit at this time, a link to allow online payment of the final balance will be sent to you on or around May 1.*

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

High School "Reaching Out to the Community" (R.O.T.C.) 2024

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