St. Tikhon's Orthodox Summer Bible Camp 2014 Where: C a m p Bar-V-Nok on Pigeon Lake, Alberta When: August 3 - August 9 Who: For ages 8 - 16 Cost $220 per m e m b e r * $250 per non-member

(Children ages 6&7 years of age must be accompanied by an adult) Camp Directors & Priests: Father Igor Kisil @ (780) 426-5163; e-mail: ikisil@telus.net

Father Sergey Kipriyanovich @(780) 429-5920; emai l : fr.seraev@mail.ru Father Oleksii Suraiev @ (780) 895-2149; emai l : aleksurus@amail.com

Assistant of Camp Directors: Kim Cochrane @ (780) 458-6768; e-mail: k-cochrane@hotmail .com

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 serializing.

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 w i l l be worn during all swrniming activities. 8. Help make this camp a joyful experience for all .

Proper disciplinary measures will be taken and parents will be notified immediately i f 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: 1 2 - 2 p.m.

A Typical Day at Camp 8:00 am 8:45 am 9:15 am 9:45 am 10:30 am 12:30 pm 1:00 pm 1:30 2:00 3:00 3:15 6:00 6:30 7:00 8:00 8:30 8:45 9:30

pm pm pm pm pm pm pm pm pm pm pm

10:00 pm

Rise & Shine Morning Prayers Breakfast Clean up Morning activities -Free time Lunch Cleanup Afternoon activities Snack Sport/Swimming Supper Clean up Evening activities Evening prayers Snack Campfire Clean up lights out

Camp Phone Number; 1-780 - 983-7159

For Emergencies Only!

MA? OF CAM? "BAR:V-NOK

to Drayton Valley ^fTFesri

Sandholm Store

Camp "BAR-V-NOKr

* Pigeon L a k e

to Edmonton

educ

.Millet

.Wetaskiwin

to Calgary

Member of a family belonging to the Patriarchal Parishes in Canada

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Please Bring to Camp:

Bible Notebook Pens/pencils Laundry bag Toothbrush Toothpaste/floss

Mattress (Foam - or Air -39'X79') sleeping bag pillow personal items socks shorts campfire blanket

jackets sweater jeans shirts aqua shoes chapstick

Shoes preferably runners one personal icon, i f you have Other personal attire

towels swimsuit sun-hat 10 clothespins sunglasses

air pump for mattress repair kit for mattress (optional)

water bottle bug spray sunscreen rain gear flashlight safety pins

A limited amount of life jackets are available. I f you have your own, please bring i t along. A l l personal items should be labelled.

Please Leave at Home:

Junk food, electronic games, knives, jewelry, radios, alarm clocks, money, portable disc players, clothing with unsuitable graphics/messages, IPODS, all mp3 players, cell phone (Staff members D O carry cell phones. The Directors' phones wil l be available i f you need to communicate with a parent/guardian).

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

Parents, Guardians and Older teens (15+) We need your help!!! The overall success o f the camp largely depends upon you. I f we do not get enough help, the camp may be cancelled. Please consider the importance of your involvement The areas of help include: Counseling - you would be interested i n being with children as role models, friends and supervisors.

Cook's Help - you would assist the cook i n 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 group activities.

Only one morning, afternoon or evening o f your time would be immensely appreciated. Please indicate on the registration form i f 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 have any questions please call:

K i m Cochrane @ (780) 458- 6768 or Father Igor Kis i l @ (780) 426-5163 or Father Sergey Kipriyanovich @ (780) 429-5920 or Father Oleksii Suraiev @ (780) 895-2149

Miscellaneous

• Donations w i l l be gratefully accepted, and receipts w i l l be provided.

• Please note that camp staff w i l l be required to submit a police criminal record check before being allowed to participate at camp.

• Parents, family and friends are invited to attend the Saturday Church Service (Holy Divine Liturgy) at 10:00 a.m. on Saturday, August 9t h. Lunch w i l l follow the service.

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Registration Form St Tikhon's Orthodox Summer Camp 2014

Date: Sunday, August 3r d - Saturday, August 9*, 2014 Location: Camp Bar-V-Nok on Pigeon Lake, Alberta

Cost: $220 per member & $250 per n o n - member Ages: 8 - 1 6 { A n adult must accompany Children ages 6 & 7 years o f age)

Name of Camper: M / F :

Address; i ,

B i r th 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 X L >

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 i f 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 iriformation sheet and agree with i t

Please made cheques payable to: Russian Orthodox Bible Camp

Camp fee $220/$250 payment received b y : ' Date:

* * * Submission Deadline is July 15% 2014* * * Please return completed f o rm to : Orthodox Bible Camp, 10812 - 108 St, Edmonton, AB, T 5 H 3A6

Emailed registration form submission also accepted.

When you can help at camp: Sun. Mon. Tues. Wed. Thurs. Fri. ' Sat

Please tell us how can you help: ,, . _ H _ _

W e specially need help with Saturday afternoon clean-up: Yes No

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

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H E A L T H 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 bririging any medications to camp? I f so, please indicate: name o f medicine; dosage time; administered regularly or as needed

Campers are not permitted to keep medication of any type i n their possession. A l l 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 i f not already noted above). The following non-prescription medication may be administered i f deemed advisable by Camp Personnel:

Tylenol, Benadryl, Pepto-Bismol, throat Lozenges, Robitussin, Calamine Lotion, and other over-the counter preparations for minor conditions, etc. I f 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 i n the family, sleeping/eating disorders, etc.). Please provide any other medical information, which Camp Staff or attending physician may want to know.

I /We the parent(s) or legal guardian(s) 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 i n the best judgment of the physician. I t 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 i f the undersigned cannot be reached. Orthodox Summer Camp Personnel and volunteers shall not be liable for any personalinjurythatmay occurwhile the camper Is at Orthodox Summer Camp nor for any personal injuryduring the tiansportation to or from camp.

I /We have read and understand the above information:

Parent/Guardian Signature Date

must be signed

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Name

Volunteer Counselor Application St. Tikhon's Orthodox Summer Camp 2014

Date: Sunday, August 3rd - Saturday, August 9*, 2014 Location: Camp Bar-V-Nok on Pigeon Lake, Alberta

M / F

Birth Date:

Address:

Age:.

Phone: (home)

Emergency Contact Phone:

No Home Parish Baptized/Chrismated Orthodox: Yes

T-shirt Size: (circle one) S M L X L X X L

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

Counseling_

Concert

_Canoeing_ _Swimming_ _LifeGuarding_ Crafts

.Singing. Cook's help_ Campfire_ Other

JSports_

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

Name:

MEDICAL I N F O R M A T I O N

, _ _ Health Care No .

Doctor's Name: Phone:

Doctor's Address:

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

Any non-medicinal allergies? Any medicinal allergies? Any food restrictions? Respu^ory/asthmatic problems? Do you use an inhaler? Are you presently taking any medications or bringing any medications to camp? I f so, please indicate name o f medicine.

Signature: Date:

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