Where: Camp Bar-V-Nok on Pigeon Lake, Alberta When: July 18 - July 24 Who: For ages 8 - 16 Cost: $140 per

member* $1 70 per non-member

(Children ages 6 & 7 years of age mU$f be accompanied by an adult)

Camp Mission Statement

The Orthodox Diocese Camp is committed to providing an opportunity for all campers to experience 6 days where God, and our Saviour are paramount in all aspects of our daily activities. This includes meals, recreation, study, worship and socializing.

Camper Regulations and Expectations

1. Work and play cooperatively with other campers and staff.

2. Respect the property of others.

3. Be punctual for all camp activities.

4. Stay with, listen to and respect camp counselors.

5. Stay on the campground.

6. No smoking.

7. Life jackets will be worn during all swimming activities.

8. Help make this camp ajoyful experience for all.

Proper disciplinary measures will be taken and parents will be notified immediately if rules are broken.

Transportation

Parents are responsible for ensuring their children are transported to and from camp.

Drop Off Time: 3 - 5 p.m. Pick-up Time: 12 - 2 p.m.

A Ty~ical Day at Cam~
8:30 aITI Rise & Shine
9:00 aITI Morning Prayers
9:30 aITI Breakfast
10:00 am Clean up
10:30 aITI Morning activities
12:30 pm Free time
1:00 pm Lunch
1:30 pm Clean up
2:00 pm Afternoon activities
3:00 pm Snack
3:15 pm Sport/Swimming
6:00 pm Supper
6:30 pm Clean up
7:00 pm Evening activities
8:00 pm Evening prayers
8:30 pm Snack
8:45 pm Campfire
9:30 pm Clean up
10:00 pm Lights out Camp Phone Number:

1 - 780 - 983-7159 For Emergencies Only!

Orthodox Summer Camp 2010

Camp Priests & Directors: Father Igor Kisil @ (780) 426-5163

Father George Sergeev @ (780) 895-2149

MAP Of CAMP '1Y\"R;V-NOK"

Camp "BAR- v- NOK'

...............

•• ••

: Pigeon ~ (South)

•••• Lake •••• ..

••••••••••••

to Calgary

* Member of a family belonging to the Patriarchal Parishes in Canada 1

Bible Notebook pencils/pens laundry bag toothbrush

Please Bring to Camp:

Mattress (Foam - or AU- - 39' X 79J

sleeping bag jackets water bottle towels

pillow sweater bug spray swimsuit

personal items Jeans sun lotion sun-hat

tooth paste sneakers shirts ram gear

shorts aqua shoes other personal attire

A limited amount of life jackets are available. If you have your own, please bring it along.

All personal items should be labeled.

Please Leave at Home:

Junk food, electronic games, knives, jewelry, radios, alarm clocks, money, portable disc players, clothing with unsuitable graphics/messages, IPODS, cell phone (Staff members DO carry cell phones. The Directors' phones will be available if you need to communicate with a parent/guardian.)

The camp will not be responsible for the loss or theft of any items.

Parents and Guardians

We need your heJp!!!The overall success of the camp largely depends upon you. IT we do not get enough parental help, the camp may be cancelled. Please consider the importance of your involvement The areas of help include:

Counseling - you would be interested in being with children as role models, friends and supervisors. Cook's Help - you would assist the cook in food preparation, clean-up and serving food.

Chore Coordinator - you would organize campers for kitchen clean-up and serving food. Coordinator - you would plan, direct and coordinate sports, crafts, camp, and gTOUp activities.

Only one morning, afternoon or evening of your time would be immensely appreciated. Please indicate on the registration form if you are able to help and the area most appealing to you. Consider your work at this camp as a ministry.

Thank you for your help and cooperation. If you heve any questions please caU:

Father Igor Kisil @ (780) 426-5163 or Father George Sergeev @ (780) 895-2149

Miscellaneous

• Donations will be gratefully accepted, and receipts will be provided.

• If you wish, feel free to bring an ice-cream pail of health snacks. NO NUTS. Thanks in advance!

• Parents, family and friends are invited to attend the Saturday Church Service (Holy Divine Liturgy) at 10:00 a.m. on Saturday, July 24th. Lunch will follow the service.

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Registration Form Orthodox Summer Camp 2010

Date: Sunday, July 18d} - Saturday, July 24'\ 2010

Location: Camp Bar-V-Nok on Pigeon Lake, Alberta

Cost: $140 per member & $170 per non - member Ages: 8 - 16 (Children ages 6 & 7 years of age must be accompanied by an adult)

Name of Camper: MIF:

Address:
Birth Date: Age:

Parent/Guardian:
Phone: (home) (work) e-mail
Emergency Contact: Phone:

Baptized/Chrismated Orthodox: Yes No Home Parish

T-shirt Size: (circle one} Youth: 6/8 10/12 14/16 Adult S M L XL Camper Signature: I hereby agree to abide by the rules and expectations of the camp: _

Parent Signature: I hereby agree to come pick up my child if he/she is unable to abide by camp expectations and after due warning, does not change his/her behaviour. My child has my permission to participate in any field trips while at camp. I give my permission for my child's photograph/video to be taken and used for the purposes of camp promotion. Yes / No (please circle one). I have also read the information

sheet and agree with it. _

Please made cheques payable to: Russian Orthodox Bible Camp

Camp fee $140/$170 payment received by: Date: _

* * * Submission Deadline is July 1'" 2010* * *

Please return completed form to Father Igor Kisil @ 10812-108 Street, Edmonton, AB T5H 3A6

Able to help at camp: Sun. __ Mon. __ Tues. _ Wed. _ Thurs. _ Fri. _ Sat. _

How would you like to help? _

Able to help with Saturday afternoon clean-up: Yes No __

****

NOTE: Parents are responsible for transporting their children to and from camp

****

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HEALTH HISTORY

Camper's Name: Health Care No. _

Doctor's Name: Phone:

--------------------------- --------------------

Doctor's Address:

--------------------------------------------------

Please be as Complete and Specific as Possible with Regard to the Following:

Any non-medicinal allergies? _

Any medicinal allergies? _

Any food restrictions?

------------------------------------------

Respiratory/asthmatic problems? _

Does your child use an inhaler? Does your child keep the inhaler? _

Is your child presently taking any medications or bringing any medications to camp? If so, please indicate: name of medicine; dosage time; administered regularly or as needed

Campers are not permitted to keep medication of any type in their possession. All medications will be turned over to Camp Personnel at the time of camp arrival and will be dispensed by Camp Personnel (only inhalers are exempt).

Daily medication and other requirements for individual campers must be brought to Camp Personnel with specific instructions at that time (also if not already noted above). The following non-prescription medication may be administered if deemed advisable by Camp Personnel:

Tylenol, Benadryl, Pepto-Bismol, throat Lozenges, Robitussin, Calamine Lotion, and other over-the counter preparations for minor conditions, etc. If you have any objections, please note them.

Please feel free to discuss any circumstances or behaviour you think Camp Personnel should be aware of (e.g. bedwetting, wears contact lens, recent death or divorce in the family, sleeping/eating disorders, etc.). Please provide any oilier medical information, which Camp Staff or attending physician may want to know.

I/W e the parentis) or legal guardiants) hereby authorize and consent to any x-ray examination, anesthetic, medical or surgical treatment given under the general or special supervision of any licensed personnel on the staff of a licensed hospital. This authorization is given in advance of any specific diagnosis, treatment or hospital care required, but is given to provide authority and power to give care that is deemed advisable in the best judgment of the physician. It is understood that an effort will be made to contact the undersigned prior to giving treatment, but that any treatment will not be with held if the undersigned cannot be reached. Orthodox Summer Camp Personnel and volunteers shaD not be Hable For any personal injwy that may occur while the camper is at Orthodox Summer Camp nor For any personal injury during the transportation to or from camp.

I/W e have read and understand the above information:

*

Parent/Guardian Signature

Date

------

must be signed

4

Volunteer Counsellor Application Orthodox Summer Camp 2010

Date: Sunday, July 18th - Saturday, July 24th, 2010 Location: Camp Bar-V-Nok on Pigeon Lake, Alberta

Name M!F

----------------------------------------------------- -----

Birth Date:

_________________________ Age: _

Address:

------------------------------------------------------------------

Phone: (home) _

Emergency Contact Phone: _

Baptized/Chrismated Orthodox: Yes

No

Home Parish __

T-shirt Size: (circle one) S

M

L

XL XXL

Please indicate any of the following areas where you have some ability, experience and interest in leadership opportunities:

Counseling,' Canoeing Swimming. .LifeGuarding, Crafts Sports ___

Concert Singing Cook's help. Campfire Other _

Please explain why you want to volunteer at camp this summer.

MEDICAL INFORMATION

Name: Health Care No. _

Doctor's Name: Phone: _

Doctor's Address: _

Please be as Complete and Specific as Possible with Regard to the Following:

Any non-medicinal allergies? _

Any medicinal allergies? _

Any food restrictions? _

Respiratory/asthmatic problems? __

Doyouuseaninhaler? _

Are you presently taking any medications or bringing any medications to camp? If so, please indicate name of

memcine., _

S~ahrre: _

Date: _

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