CAMP HRESANTHE REGISTRATION FORM

430 Sheep Pasture Road, Port Jefferson, NY 11777

Telephone: 631-473-0894   Email: goc.assumption@gmail.com

Session: Monday, June 28th to Friday, July 2, 2021

Ages 4 - 12: 9am to 3pm

$125/Child     

REGISTRATION CLOSES JUNE 15TH      

 

We may communicate via email or text so please check often for our correspondences.

We may also send info via backpacks.

 

Camp Menu

Breakfast Daily
Choice of:
A. Bagel w/Cream Cheese or Butter
B. Cereal Pack. e.g. Cheerios, etc.
C. French Toast Sticks
Assorted Juices
 
Lunch Daily
Monday - Hamburgers and French Fries
Tuesday - Hot Dogs and French Fries
Wednesday - Pizza 
Thursday - Chicken Fingers and French Fries
Friday - Souvlaki and French Fries
Assorted Juice Boxes and Water.
 
*Assorted snacks & water will be provided throughout the day.

Camp Schedule

Campers will be divided, by age, into three (3) groups.
 
4 - 6 year olds
7 - 9 year olds
10 - 12 year olds
 
There will be one (1) counselor and (2) CIT's assigned to each group.
There will be clergy and other adult volunteers leading the sessions.
Fr. Lou and the Camp director will be on the camp premises at all times.
 
Daily Schedule
9:00am - 9:15am - Arrival of Campers 
9:20am - 9:35am - Chapel 
9:40am - 9:45am - Alone With God 
9:50am - 10:10am - Breakfast 
10:15am - 12:10pm - Sessions 
12:15pm - 12:55pm - Lunch
1:00pm - 2:45pm - Athletics/Special Activities
2:45pm - 3:00pm - Camper Pickup

RULES, REGULATIONS & CONDUCT:

Camp rules were designed to help create a safe and enjoyable environment for our campers and staff.  Our aim is to create awareness and teach children about safety, care, respect for others, property and positive health habits. Each camper and parent, should read this form and have a clear understanding of its contents.

-We are a strict nut-free camp. This includes all nuts, nut and “Nutella” spreads, yogurts with nut toppings, certain breakfast bars, almond and nut milks, etc. Please read labels carefully.

- The camp fee is non-transferable, non-refundable and non negotiable. Fee will not be prorated.

-No smoking, vaping, alcoholic beverages, recreational or other drugs or substances are allowed whatsoever. We have a ZERO tolerance policy for substance abuse either on premises or if we suspect occurrences prior to a counselor reporting to duty.

 -Violence is not permitted; this includes threats, vandalism, bullying and inappropriate body language. Any acts of violence must be reported to the camp director or Fr. Lou.

-All meals are inlcuded. If you send lunch and snack in, please put it in separate bags and label each accordingly. Perishable items must have an ice pack of sorts and/or be properly insulated to meet health code food holding temperature.

 We are not responsible for any lost or damaged items.

-Because it is our goal that every child have a fun safe experience at camp, campers are required to:

                            Arrive promptly with sunscreen already applied and bug spray if desired.

  • Show respect and courtesy to staff and fellow campers at all times.
  • Stay on church grounds, except to attend camp-sponsored field trips.
  • Demonstrate moral and ethical behaviors/choices.
  • To represent the love and actions of Christ.
  • To not intentionally injure or endanger his/herself or any other person or object either physically or emotionally.
  • To not engage in bullying behavior and to mentor and protect their peers and/or younger campers.
  • To conduct him/herself exceptionally at all times. If warranted, he/she may have a disciplinary meeting with Camp  officials. He/she may be dismissed from the camp if no improvement is shown and forfeit the remainder of all camp fees.

- Young enrolled children must be capable of independently using the lavatory.

-Appropriate dress is required and consists of mandatory camp t shirt, and modest length shorts, skirts or dresses, socks and closed sneakers or shoes.

-Campers are to be picked up and dropped off  promptly. All children and counselors must be signed in as being present daily.

- Cell phones will remain with the parents. If yuo need to reach your child you can call Fr. Lou on his cell phone at 631-703-5795.

-We will not be responsible for personal items. No electronic tablets, other outside devices,  electronics,  toys or otherwise are allowed.

-Notify Fr. Lou at 631-703-5795 if camper will be absent for the day.

 -Children will not be released at day’s end until they are signed out by the parent/guardian listed on this form.  Parents must wait in the community center lobby for their child to be released. If someone else is picking you your child, please notify us in writing and by phone.

Registration Information

PLEASE FILL OUT ONE FORM FOR EACH CHILD ATTENDING THE CAMP
Child's Gender *
 MaleFemale
Please choose one:

Camp T-Shirt

Medical Information

Medical Consent

I (Parent/Guardian Listed Above) HEREBY CERTIFY MY CHILD (Listed Above) IS IN GOOD HEALTH AND PHYSICAL CONDITION, AND HAS NO CONDITION THAT MAY IMPEDE HIS OR HER ABILITY TO PARTICIPATE IN CHURCH CAMP ACTIVITIES. I ALSO HEREBY GIVE THE RIGHT TO THE CAMP OFFICIALS TO INSTITUTE OR ADMINISTER EMERGENCY TREATMENT SUCH AS FIRST AID, PHYSICIAN, DENTIST, AMBULANCE, HOSPITAL, ETC.,  FOR MY CHILD, SHOULD THE NEED ARISE. I DO NOT HOLD GREEK ORTHODOX CHURCH OF THE ASSUMPTION RESPONSIBLE FOR ANY ACCIDENTS OR ILLNESSES INCURRED. IF I PROVIDE MEDICATION, I AUTHORIZE THE CAMP TO DISPENSE IT. I AUTHORIZE ADMINISTRATION/DISPENSION OF ANY PROVIDED EMERGENCY ALLERGY MEDICATIONS AT THE CAMP OFFICIAL’S DISCRETION. ALL MEDICATIONS WILL BE ACCOMPANIED BY A NOTE FROM MY CHILD’S DOCTOR TO THE CAMP WITH THE WRITTEN PROTOCOL FOR SUCH MEDICATIONS.
Parent's\Guardian's Signature *
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Are you covered by medical insurance? *

Emergency Contacts

Permission/Waiver

I, the parent/legal guardian (Listed above) certify that my child (Listed above) is able to participate in all activities of camp. I certify my child is in good physical and emotional condition. I understand my child will be participating in cooking and off premises field trips and may be transported via car or bus and I hereby grant my permission for this and all other named or unnamed activities provided. 

I understand my child will not be admitted to camp until the medical consent and registration form is signed, dated and completed in entirety.

I and my child have read and understand all the camp rules and regulations and will abide by all. We release the Church/Camp of any and all liability. I hereby agree to indemnify, hold harmless and expressly release the Camp, GOC of the Assumption, and all personnel involved in Camp from any and all negligence, causes of actions, claims, suits, costs, injuries, and damages of every name and description related to my child’s participation in the camp.   I understand that on days when Camp provides meals either on premises or field trips if I do not wish my child to participate, I will notify the camp and provide my child with lunch and snack.  Camp is not liable for damages or illnesses by any food consumption whether brought in by campers or provided on premises or off. Camp shall do its best to monitor avoidance of nut products, but will not be held accountable for any ramifications should an issue occur. By also signing this form we agree to allow our child to be photographed which may be used but not limited to Church/Camp private Facebook or other social media pages as well as other Church materials.  I also certify I and my child will abide by any additional rules specified either orally or written during the duration of GOCOA summer camp. My signature is binding and representative of any other guardianship/parent of the named child.

Parent's Signature *
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Counselor In Training (CIT) Volunteers

Any child, ages 15 - 17, may apply to be a "Councelor in Training." (CIT)
 
This is strictly a volunteer position. 
 
There is no fee to attend camp as a "CIT" 
 
CIT's are subject to all rules and regulations of the camp.
 
There are only 10 CIT positions available this year.
 
Please fill out the information below to sign your child up as a CIT.
 
All CIT's will receive letters of community service.

Form Submission and Payment

When you click the "SUBMIT" you will be directed to PAYPAL.
 
1. Type in the payment amount.
 
2. Please select "SPECIAL EVENTS" in the drop down menu.
 
3. Please write, "CAMP HRESANTHE" in the comment section.
 
Thank you for registering for Camp Hresanthe.
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