PRINT, FILL IN, AND MAIL COMPLETED FORM TO:  Marty Davey, P.O.Box 611, Middleburg,

FL 32050.  Please enclose a $50 deposit made out to "SEP FLORIDA"

SEP FLORIDA - CAMPER APPLICATION

FIRST AND LAST NAME:  ___________________________________________________________

BIRTHDATE:  ____________________  AGE BY JUNE 6:  ______________   GENDER:  __________

T-SHIRT SIZE (circle one): small 34-36   medium 38-40   large 42-44     xlarge 46-48    xxl over 48

                                         or Child size:  S - M - L

ADDRESS:  _______________________________________________________________________

                          _______________________________________________________________________

PHONE NUMBERS:  ________________________________________________________________

EMAIL ADDRESS: (write clearly):  ____________________________________________________

PARENTS' NAMES AND PHONE NUMBERS:  __________________________________________

__________________________________________________________________________________

WHY WOULD YOU LIKE TO BE A CAMPER AT SEP FLORIDA  youth camp? (completed by applicant):

____________________________________________________________________________________
____________________________________________________________________________________
_________________________________________________________________________________

CAMPER AGREEMENT (please sign):  I HEREBY AGREE TO ABIDE BY THE RULES AND POLICIES OF THIS GENERATIONS MINISTRY

CAMP, AND TO COOPERATE WITH ALL STAFF MEMBERS.    GENERATIONS CAMP MINISTRY MAY USE ANY PHOTOS AND

VIDEOTAPES TAKEN OF THE APPLICANT AT ANY GENERATIONS CAMP MINISTRY EVENT IN THEIR PUBLICATIONS OR THOSE OF

THEIR SPONSOR, THE WORLDWIDE CHURCH OF GOD.

____________________________________________________________________________________
applicant's signature                                                                              date signed

PARENTAL CONSENT: 

DOES THE APPLICANT HAVE A CONDITION THAT LIMITS OR PROHIBITS APPLICANT'S PHYSICAL ACTIVITY?  (circle): YES / NO     IF YES, PLEASE EXPLAIN BELOW.  IF NO RESPONSE IS GIVEN, GENERATIONS CAMP MNISTRY WILL ASSUME THAT APPLICANT CAN ENGAGE IN ALL SEP FLORIDA YOUTH CAMP-RELATED ACTIVITIES.

I HEREBY GIVE GENERATIONS CAMP MINISTRY PERMISSION TO HAVE MY CHILD PARTICIPATE IN ALL ACTIVITIES AT SEP FLORIDA

YOUTH CAMP, UNLESS SPECIFICALLY LIMITED ABOVE.  I GIVE PERMISSION FOR MY CHILD TO BE TRANSPORTED OFF THE

CAMP PROPERTY TO ALL SEP FLORIDA YOUTH CAMP-RELATED ACTIVITIES.

______________________________________         __________________________________________
parent/guardian signature          date                         parent/guardian signature                    date

CAMPER TUITION: 

TUITION FOR SEP FLORIDA is $135 for Teens, $135 for Pre-teens.  PLEASE SEND A DEPOSIT OF $50 ALONG WITH THIS

APPLICATION.

SEP, and Generations Camp Ministry youth camps are private, non-profit entities sponsored by the Worldwide Church of God.  Our purpose is to promote Jesus Christ and His way of life to all participants.  Campers and staff of all nationalities, races and denominations are encouraged to join us as we share in Christian worship and life.