Application | Engage Apologetics

Engage Truth Student Summer Camp at Aspendale 2024

Camper Information

First Name

Last name

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Gender:

Male

Female

Age of camper

Grade

What Church does the camper/camp staff attend?

Does the camper take any medications the nurse should know about?

Signature of Parent or Guardian

Emergency Contact:

First Name

Last Name

Relationship to Camper:

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Are there any issues or concerns with the camper that we should be aware of?

Second Contact Parent or Guardian:

First Name

Last Name

Relationship to Camper:

Phone

Emergency Medical Release

IN case of an emergency, I understand every effort will be made to contact me or the emergency contact persons listed above, in the event that we cannot be reached, I hereby give permission to the physician listed on the form to hospitalize, secure proper treatment and order anesthesia or surgery for my child.

Physician’s name:

Address:

Medical Insurance Provider:

Hospital Affiliation:

Phone:

Policy and/or group #:

Allergies and Medications:

Does the camper have any known allergies?

Does your child need to take medication(s) during camp?

Yes

If your child requires medication, please specify:

The Permission to Administer Medication form must be completed and given to the Camp Director on the first day of each camp session. Medications must be accompanied by the original physician’s prescription with clearly written directions. If your child has other special needs (language, learning disability, speech, hearing, food allergies, etc) please contact the Camp Director at 915-401-6065 prior to June 20th, 2024.

Your Signature

MEDICAL CONSENT AND RELEASE AGREEMENT

Engage Truth Student Camp

2024: June 23rd-June 28th

To be filled out by parents or legal guardians of participants under 18 years of age.

, the parent and/or guardian of

, a minor child, hereby acknowledge

I,

that said child is presently under my care, custody and control. I hereby give said child my express permission to participate in all regular and special Engage Truth Ministries youth activities, both at and away from Engage headquarters , including specifically and without limitation vehicle travel to and from, and participation in all aspects of, the Engage Truth Student Summer Camp.

In the event there arises an emergency necessitating medical and/or surgical attention, I hereby consent and give my permission to the Engage Truth Ministries members, volunteer leaders or other representatives, or any attending physician, to make such decisions and to consent to or perform such medical treatments and/or surgery upon said child which may in their sole discretion be necessary and proper under the circumstances.

I, the undersigned parent and/or guardian of said child, do release, acquit, discharge and covenant to hold harmless Engage Truth Ministries, its staff, members, volunteer leaders, other representatives, agents, servants, or employees, Aspendale Mountain Retreat Center, and their respective staff, members, volunteer leaders, other representatives, agents, servants, or employees, from any and all actions, damages or liabilities arising out of any sickness or injury incurred by said child at any time in such activities, or incurred at any time in the treatment of any such sickness or injury.

I also give my permission for the above-named child to be transported to and from Engage Truth Ministries by rented vehicles or camp staff vehicles that are arranged and supervised by authorized and Engage Truth Ministries staff, members, volunteer leaders, other representatives, agents, servants, or employees of Engage Truth Ministries.

Your Signature

Street Address

City

Region/State/Province

Postal / Zip code

Photograph and Publicity Release Form

parent/guardian of

give Engage Truth Ministries permission to use my child’s name, likeness, image, voice, and/or appearance as such may be embodied in any pictures, photos, video recordings, audiotapes, digital images, and the like, taken or made on behalf of Engage Truth Ministries activities. I agree that Engage has complete ownership of such pictures, etc., including the entire copyright, and may use them for any purpose consistent with the Engage events and missions. These uses include, but are not limited to illustrations, bulletins, exhibitions, videotapes, reprints, reproductions, publications, advertisements, and any promotional or educational materials in any medium now known or later developed, including the Internet. I acknowledge that I will not receive any compensation, etc for the use of such pictures, etc., and hereby release Engage and its agents and assigns from any and all claims which arise out of or are in any way connected with such use.

I have read and understood this consent and release.

I give my consent to the Engage Truth Ministries Apologetics to use my child’s name and likeness to promote the Engage Truth Ministries program, and/or their activities.

Student Signature

Parent/Guardian Signature

I do not consent to my child being photographed.

Behavior Agreement Form

Don’t do these things:

NO Public Display of Affection (PDA)
NO hand holding
NO whining
NO bad attitudes
NO bad language
NO improper clothing
NO alcohol, drug, tobacco, etc. use

Reasons to be sent home at YOUR expense:

Making out with anyone (PDA)
Physically hurting someone else
Continued display of worldly behavior
Continued disrespect of adults

If the rules are continually broken and behavior has not changed after these steps: (1) counselor intervention (2) meeting with one of our camp directors, then the Student will be sent home on nearest and soonest bus or airplane with the bill to be paid by the parents!

I have read and agree to follow these rules.

Signature of Student

I’ve read and accept full responsibility for the transportation cost to send home my son/daughter who has broken the rules.

Signature of Parent or Guardian

*parent / legal guardian (if under the age of 18)

Payment Options

Camp is $320 the total due must be paid before June 1st, 2024. Camp registration is not complete until a deposit of $50.oo is received.

-Check (preferred method) Please send a check to:
Engage Truth Ministries
P.O. Box #12523
El Paso, TX, 79913

-Pay online by following this link:
https://buy.stripe.com/fZeeXd4h9bJebokaEO
If you choose to pay online, please consider giving a few extra dollars to help us cover service fees.

Thanks for Registering