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Pin Camp 2024

PIN Camp, for incoming 3rd--5th grade students, is July 8-12, 2024. The camp has a limited number of spots. Camper to counselor ratio will be no more than 10 to 1. Total number of accepted campers will depend on available funding.  All potential campers will be notified of acceptance and/or of wait list status when all of their forms are received. PLEASE COMPLETE AND SUBMIT THE FORM BELOW IN ITS ENTIRETY. 

Questions?

Questions directed to Brittany Bennett, Camp Director:  Cell: 317-840-6130, pincampdirector@gmail.com

Or, Jerry Bell,  namelesscreekcamp@gmail.com

Address
Camp Schedule

2675 S. 600 E.

Greenfield, IN, 46140

July 8-12, Mon - Fri

9:00 am – 4:00 pm

2024 PIN Camp Registration

I do hereby waive, release and discharge Nameless Creek Youth Camp, Inc. and their respective staff and volunteers from any and all rights and claims for damage resulting from injury to my person or property, which may be sustained or suffered in connection with my association with or participation in or arising out of participating in events at the camp.

 

I (We), the parent(s) hereby waive any claim for damages that may result in injury to my child. 

I (We), the parent(s) do hereby state that I am (we are) the parent(s) or legal guardians of the above-named student, a minor who resides with me (us). I (We) authorize an adult volunteer or the camp director to administer minor first aid and to consent to any necessary examination, anesthetic, medical diagnosis, surgery or treatment and/or hospital care and transport to be rendered to the above-named minor under the general or special supervision and on the advice of any physician or surgeon licensed to practice medicine in the state of Indiana. 

ALLERGIES TO MEDICATION AND OTHER SUBSTANCES
Select allergies, if applicable:
MEDICAL HISTORY: Please check if your child has or has had, any of the diseases or conditions listed below:
.
Student may be given the followng by an adult volunteer or Camp Director:
Student wears:
So that we may better serve your child's needs,may we contact your child's school for additonal information?
Does your cild have an I.E.P?
Form and payment must be submitted to secure a spot.

Thanks for registering!

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