Non-Profit Org U.S. Postage

Paid Flora IL, 62839

Permit #36

Oil Belt Christian Service Camp 555 Park Road Flora IL, 62839

OIL BELT CAMP IS A YEAR-ROUND FACILITY SUPPORTED BY AREA CHRISTIAN CHURCHES AND CHURCHES OF CHRIST. OUR MISSION IS TO “MAKE DISCIPLES OF JESUS CHRIST THROUGH THE TEACHING OF GOD’S WORD.” ALONG WITH YOUR CHILD HAVING FUN AND MEETING GREAT CHRISTIAN FRIENDS, EACH SESSION OF CAMP WILL HAVE EMPHASIS ON BIBLICAL TEACHING, SALVATION THROUGH JESUS CHRIST, SCRIPTURE MEMORIZATION AND WORSHIP.

Ath

letes Cam

p: S

ign-up for over 9 sports includ-ing B

aseball, Basketball, F

ootball, Soccer, V

olley-ball and m

ore. But also be prepared for the annual

mud run by having a spare set of clothes and

shoes! M

usic C

amp

Plu

s: Rehearse all w

eek and per-form

a concert at 7pm on F

riday night. A few

of the electives are: C

hoir, Band, A

rt, Preaching, D

rama

and more.

Jr. Hig

h &

Sr. H

igh

Wild

erness

Warning: T

his is physically demanding &

will N

OT

be easy! Lim

ited to 12 campers for each w

eek. You’ll notice

we added m

ore weeks since these book quickly!

JHW

1, SH

W 1 &

2 are focused on loading up a pack and canoeing/hiking for the w

eek. JHW

2 is bas cam

p oriented with the sam

e campsite each

night. N

iners: D

esigned specifically for students entering their freshm

an year of high school, this is a can’t m

iss camp opportunity!

Gen

esis: Is the earth millions and billions of

years old? Did dinosaurs and people live at the

same tim

e? T

his year’s theme w

ill focus on the tower of

Babel and w

e’ll visit the Cahokia M

ounds as we

discuss the book of Genesis.

Su

nrise D

ay Cam

p: 1st-2nd graders first

opportunity to attend camp! It’ll be a day to

experience camp, m

eet new friends and

don’t forget your swim

suit! F

ishin

g C

amp

: Com

e learn about what it

means to be a fisher of m

en, while learning

the basics of fishing and enjoying God’s cre-

ation. This cam

p will be off-site, so be pre-

pared to tent camp!

Greater: 18-24yr old retreat to set young

adults on a course for a greater life. Spend a

weekend re-connecting w

ith Christ!

Reg

iste

r for th

e g

rad

e y

ou’re

en

terin

g in

the fa

ll!

Sp

ecial Need

s Day: A

ny camper needing a

little assistance or special consideration is wel-

come. E

ach camper w

ill have a buddy to share the blessings of the day or w

eekend. Register

online or email/call the cam

p office for a Special

Needs D

ay registration form.

O.A

.S.I.S

. Retreat: A

dult with special needs

overnighter. Register online or em

ail/call the cam

p office for an OA

SIS

Registration F

orm.

Fath

er/Ch

ild C

amp

: Overnighter for dads and their children. Y

ou can stay in the dorm

s or bring your own tent or R

V cam

per. Registration cost is only for the child,

dads come free!

Cam

p O

ut: 5th-6th grade off-site w

ilderness style camp. Y

ou’ll be challenged to sleep in a tent, hike, and learn m

any other outdoor skills! D

iscovery: A

t first glance, many ask the difference betw

een Discovery and P

athfind-er. D

iscovery is one night longer for those 4th graders who can handle the extra night

away from

home.

GR

AD

ES C

AM

P N

AM

E D

ATE

REG

. FEE D

EAN

C

AM

P STA

RTS

CA

MP

END

S K

- Ad

ult

Spe

cial Ne

ed

s Da

y M

ay 18

$

30

.00

D

anielle K

imb

rell

9:3

0am

3

:00

pm

K-4

th

Fathe

r/Ch

ild C

amp

Ju

ly 19

-20

$

48

.00

G

ary Barb

ee

5:3

0p

m

3:3

0p

m

1st-2

nd

Su

nrise

Day C

amp

1

Jun

e 1

$1

5.0

0

tba

10

:30

am

5:3

0p

m

1st-2

nd

Su

nrise

Day C

amp

2

Au

gust 3

$

15

.00

Ju

lie Van

Vo

orh

is 1

0:3

0am

5

:30

pm

2n

d &

3rd

Fo

otp

rints 1

Ju

ne 1

4-1

5

$4

8.0

0

Lezlie Joh

nso

n

5:3

0p

m

3:3

0p

m

2n

d &

3rd

Fo

otp

rints 2

Ju

ly 5-6

$

48

.00

A

shley C

zyzew

ski 5

:30

pm

3

:30

pm

4th

-5th

P

athfi

nd

er 1

M

ay 29

-31

$

95

.00

tb

a 3

:30

pm

5

:30

pm

4th

-5th

P

athfi

nd

er 2

A

ugu

st 11

-13

$

95

.00

tb

a 3

:30

pm

5

:30

pm

4th

& 5

th

Disco

very

Jun

e 30

-July 3

$

11

0.0

0

Bryce A

sh

3:3

0p

m

9:3

0am

5th

& 6

th

Enco

un

ter 1

Ju

ne 9

-14

$

15

0.0

0

Du

stin

Leek

3:3

0p

m

3:3

0p

m

5th

& 6

th

Enco

un

ter 2

A

ugu

st 4-9

$

15

0.0

0

Ro

b P

lum

mer

3:3

0p

m

3:3

0p

m

5th

& 6

th

Cam

p O

ut

Jun

e 9-1

2

$1

15

.00

D

arren B

arbee

1

:00

pm

2

:00

pm

6th

-8th

A

thle

tes C

amp

Ju

ly 7-1

2

$1

60

.00

K

evin C

olclasu

re

3:3

0p

m

3:3

0p

m

7th

& 8

th

Jr. High

1

Jun

e 16

-22

$

15

0.0

0

Seth Sch

nau

tz 3

:30

pm

9

:30

am

7th

& 8

th

Jr. High

2

July 2

1-2

7

$1

50

.00

Lan

ce Bo

ldt

3:3

0p

m

9:3

0am

7th

& 8

th

Jr. High

Wild

ern

ess 1

Ju

ne 8

-14

$

19

5.0

0

tba

5:3

0p

m

5:3

0p

m

7th

& 8

th

Jr. High

Wild

ern

ess 2

Ju

ly 21

-26

$

19

5.0

0

Dan

ny D

rewe

s 1

:30

pm

5

:30

pm

7th

& 8

th

Fishin

g Cam

p

May 2

8-3

0

$7

0.0

0

Aaro

n M

cCaleb

3

:30

pm

5

:30

pm

7th

-12

th

Ge

ne

sis We

ek

May 2

8-Ju

ne 1

$

15

0.0

0

Tim D

avis 9

:30

am

9:3

0am

7th

-13

th

Mu

sic Cam

p P

lus

Jun

e 23

-28

$

16

0.0

0

Matt

Shelto

n

3:3

0p

m

8:3

0p

m

9th

N

ine

rs Ju

ly 14

-19

$

15

0.0

0

Micah

Schn

autz

3:3

0p

m

3:3

0p

m

9th

-12

th

Sen

ior H

igh

Jun

e 2-8

$

15

0.0

0

Levi Schro

ck 3

:30

pm

9

:30

am

9th

-12

th

Sr. High

Wild

ern

ess 1

Ju

ne 1

-7

$1

95

.00

D

rew Flan

agan

5:3

0p

m

3:3

0p

m

9th

-12

th

Sr. High

Wild

ern

ess 2

Ju

ne 2

2-2

9

$1

95

.00

tb

a 9

:30

am

3:3

0p

m

10

th-1

3th

D

ee

pe

r Life

July 2

8-A

ugu

st 3

$1

50

.00

D

ou

g Jun

kins

3:3

0p

m

9:3

0am

18

-24

yr old

G

reate

r Re

treat

May 1

7-1

9

$7

0.0

0

Steph

en D

ulan

ey 6

:30

pm

1

:00

pm

Ad

ult Sp

ecial N

eeds

O.A

.S.I.S. Re

treat

Au

gust 1

6-1

7

$4

0.0

0

Lisa Dill

5:3

0p

m

3:3

0p

m

Wi

Fa

c

A

mo

un

t

Py

mt

Ty

pe

Da

te

P

aym

ent

$

___________

____________

_______________

P

aym

ent

$

___________

____________

_______________

B

ala

nce D

ue

$

_______________

OF

FIC

E u

se

ON

LY

:

Cam

per

Co

de o

f C

ond

uct

* I

und

erst

and

that

I am

req

uire

d to

con

form

to th

e ca

mp

sche

dule

.

* I

und

erst

and

any

poss

essi

on o

f dru

gs, t

obac

co, &

alc

ohol

is p

rohi

bite

d at

Oil

Bel

t and

will

res

ult i

n im

med

iate

dism

issa

l.

* I

f I w

illfu

lly o

r in

tent

iona

lly d

amag

e eq

uipm

ent o

r pr

oper

ty, I

will

rep

lace

at m

y (t

he c

ampe

r’s)

expe

nse.

* I

und

erst

and

Oil

Bel

t Cam

p re

serv

es th

e rig

ht to

dis

mis

s an

y ca

mpe

r fo

r un

desi

rabl

e co

nduc

t inc

ludi

ng b

ut

not l

imite

d to

bul

lyin

g, s

exua

l har

assm

ent,

dist

ract

ing

othe

rs, a

nd s

how

ing

disr

espe

ct.

* I

will

not

brin

g sn

acks

, foo

d or

drin

ks to

cam

p si

nce

they

are

not

allo

wed

in th

e do

rms.

* I

will

con

form

to th

e dr

ess

code

. Mod

esty

and

dec

ency

mus

t pre

vail

in m

y cl

othe

s. S

hort

or

tight

sho

rts,

bar

e

mid

riff,

or r

evea

ling

clo

thin

g ar

e no

t per

mitt

ed.

* I

und

erst

and

the

Cam

p T

elep

hone

is fo

r em

erge

ncy

use

only

.

* I

will

no

t b

rin

g o

r ke

ep a

cel

l ph

on

e o

r el

ectr

on

ic e

nte

rtai

nm

ent

dev

ice

at O

il B

elt.

I hav

e re

ad a

nd

fu

lly u

nd

erst

and

th

e ab

ove

co

de

of

con

du

ct a

nd

ag

ree

to a

bid

e b

y it

.

Cam

per

Sig

nat

ure

___

____

____

____

____

____

____

____

____

____

_

C

hu

rch

Nam

e:_

___

__

__

___

__

__

___

___

__

__

___

__

__

___

__

__

___

___

__

__

___

_

T

he

Ch

urc

h w

ill p

ay _

__

__

___

_ $

/ %

of

this

reg

istr

atio

n.

S

ignatu

re___________________

________________

Date

________________

Fre

qu

entl

y A

sked

Qu

esti

on

s: F

or m

ore

deta

iled

answ

ers,

see

oilb

elt.c

om

WH

AT

TO

BR

ING

TO

CA

MP

: B

ible

, Bla

nket

s/S

leep

ing

bag,

Pill

ow, T

ooth

brus

h, T

oile

trie

s, T

owel

s/w

ashc

loth

s, J

acke

t, S

peci

al m

edic

atio

n, T

enni

s sh

oes,

Sw

imsu

it, N

oteb

ook

WH

AT

NO

T T

O B

RIN

G:

Cel

lpho

nes,

ele

ctro

nics

, pla

ying

car

ds, r

olle

r bl

ades

, ska

tebo

ards

, or

pets

.

D

RE

SS

CO

DE

: P

leas

e dr

ess

mod

estly

and

dec

ently

. The

dea

n is

the

final

aut

horit

y in

mat

ters

of d

ress

.

- S

wim

suits

are

not

to b

e lo

w c

ut o

r re

veal

mid

riff.

T-s

hirt

s m

ust b

e w

orn

to c

over

all

biki

nis.

No

shee

r su

its a

re to

be

wor

n.

- S

hoes

or

sand

als

are

to b

e w

orn

on th

e ca

mpg

roun

ds in

clud

ing

to a

nd fr

om th

e po

ol.

- S

hirt

s ar

e to

be

wor

n at

all

times

at c

amp.

V

ISIT

OR

S:

Vis

iting

tim

e ha

s re

stric

tions

and

vis

itors

sho

uld

not i

nter

rupt

the

cam

p sc

hedu

le o

r ta

ke c

ampe

rs a

way

from

any

act

iviti

es.

Som

e ev

enin

gs a

re n

ot o

pen

for

visi

tors

, so

plea

se

call

ahea

d to

con

firm

. A

ll vi

sito

rs a

re to

che

ck-in

at t

he C

amp

Offi

ce lo

cate

d in

the

Act

ivity

Bui

ldin

g.

ME

DIC

AT

ION

S: T

he c

amp

nurs

e w

ill ad

min

ister

all m

edica

tions

to s

tude

nts.

At r

egist

ratio

n, th

e nu

rse

will

be a

vaila

ble

to c

heck

-in y

our m

edica

tions

and

aga

in p

ick-u

p du

ring

chec

k-ou

t day

.

Can

teen

Car

ds a

re a

vaila

ble

for

$5, $

10, $

15 a

nd $

20 fo

r us

e in

the

cant

een

and

to g

ive

tow

ards

the

mis

sion

ary.

Eac

h w

eek

has

a di

ffere

nt m

issi

onar

y to

sup

port

.

A c

amp

pict

ure

will

be

incl

uded

in th

e re

gist

ratio

n fe

e. E

very

cam

per

who

com

plet

es th

eir

wee

k w

ill r

ecei

ve a

pic

ture

.

Ca

mp

er

He

alt

h H

isto

ry

Fil

l-o

ut

BO

TH

sid

es

...

Se

nd

ON

E r

eg

istr

ati

on

ca

rd f

or

EA

CH

CA

MP

y

ou

att

en

d!!

__

____

____

____

____

____

____

____

____

____

____

__

Cam

per

Nam

e T

his

Bo

x t

o B

e f

ille

d o

ut

by

yo

ur

Min

iste

r O

NL

Y:

The

Cam

per

is a

llerg

ic to

...

P

enic

illin

Bee

stin

gs

Late

x

Foo

d __

____

____

__

O

ther

____

____

____

__

Epi

Pen

?

Yes

N

o

Des

crib

e R

eact

ion:

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

If a

seve

re r

eact

ion,

ple

ase

call

or e

mai

l the

cam

p w

ith d

etai

ls. (

618

-662

-282

2; c

ampo

ffice

@oi

lbel

t.com

)

The

Cam

per

does

/has

...

Epi

leps

y

Ast

hma

Dia

bete

s

S

eizu

res

Hay

Fev

er

S

leep

wal

k

Med

icin

e th

e C

ampe

r is

NO

T to

rec

eive

incl

ude.

..

Tyl

enol

Cal

adry

l

Ibup

rofe

n

Oth

er__

____

____

____

_

Lis

t all

Med

icat

ions

:___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

O

ther

Spe

cial

med

ical

nee

ds...

(a

ttach

not

e if

nece

ssar

y)

A

LL

ME

DIC

INE

MU

ST

BE

IN O

RIG

INA

L C

ON

TA

INE

R &

MA

RK

ED

CL

EA

RL

Y W

ITH

C

AM

PE

R’S

NA

ME

& D

OS

AG

E IN

ST

RU

CT

ION

S &

LE

FT

WIT

H T

HE

CA

MP

NU

RS

E!

__

____

____

____

____

____

____

____

____

____

____

____

_

____

____

____

____

____

____

____

____

____

____

_

Hea

lth In

sura

nce

Co.

& P

olic

y &

#

Fam

ily D

octo

r &

pho

ne #

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

P

leas

e lis

t any

rec

ent s

urge

ry, i

njur

y, o

r pe

rman

ent c

ondi

tion

that

mig

ht r

estr

ict y

our

child

from

par

ticip

atin

g in

act

iviti

es:

____

____

____

____

____

____

____

____

____

____

____

_

_

____

____

____

____

____

____

____

____

____

____

___

E

mer

genc

y C

onta

ct (

in c

ase

we

cann

ot r

each

you

)

Pho

ne

R

elat

ion

to C

ampe

r

______________________________________________________________________ Gender M

/ F B

irthday ____/_____/_____ C

amper N

ame

____________ ____ ___________________________ ______________________________________________________________

Grade this fall A

ge Has the cam

per been imm

ersed? C

amper E

mail

_________________________________________________________________________________ _____________________________ C

amper A

ddress

City S

t. Zip

Cam

per Phone

__________________________________ ________________________ ______________________ ________________________

Prim

ary Contact N

ame

R

elationship

Phone

E

mail

__________________________________ ________________________ ______________________ ________________________

Secondary C

ontact Nam

e

Relationship

P

hone

Em

ail T

he Prim

ary, Secondary and E

mergency contact are the only people allow

ed to pick up the camper, w

e will be checking identification. List

anyone else you’d like to add: ______________________________________________________________________

SE

LE

CT

CA

MP

: (on

e per reg

istration

form

)

RIS

K O

F INJU

RY – W

AIV

ER O

F LIAB

ILITY -- I hereby give permission for m

y

child to participate in recreational, swim

ming and learning activities and to be

bound by all camp policies in force. I desire that m

y child participate in the full range of cam

p activities and acknowledge that the natural conditions of the

camp and the interaction w

ith other children of various ages may subject m

y child to a risk of injury. I , therefore, release the cam

p from any responsibility

other than normal supervision and care. In case of accident, I w

ill not hold Oil

Belt C

hristian Service C

amp, its staff, m

anagement, faculty, volunteers, or its

officers liable. Further, I w

aive any claim or cause of action against the foregoing

parties, which m

ay arise as a result of an accident or an injury to my child. In

Case of E

mergency: I hereby give perm

ission to the physician selected by the cam

p managem

ent or dean to secure proper treatment for m

y child as named on

this card. Doctor calls, treatm

ent, or hospitalization are to be charged to our fam

ily insurance or to me personally. I understand that O

il Belt C

hristian Service

Cam

p and its staff shall not be held responsible for any articles lost, stolen, or left at the cam

p. I understand that my child m

ay be a subject of photographs taken by the cam

p for publicity purposes and authorize the use of these photo-graphs. I agree to be bound by all the cam

p policies in force. B

y Signing this I acknow

ledge that I have read and agree to the Risk of Injury

-Waiver of Liability statem

ents above.

SIG

NA

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OF

PA

RE

NT

/GU

AR

DIA

N

_______________x

Print N

ame H

ere:___________________________ D

ate ___/___/___

Reg

istra

tion

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To register for a w

eek of camp at O

il Belt, fill out the detachable card below

(both sides) and return to the Cam

p Office.

Once w

e receive your child’s registration, you will receive an em

ail confirmation. S

pecific camp inform

ation will be in that em

ail, or you may find it on our w

ebsite.

Register for the grade you w

ill be entering in the fall.

Cam

ps do fill up. Walk-ins or late registrations are accepted if there is available space.

All registrations m

ust be signed by a parent or guardian, as well as the cam

per signing the code of conduct.

Early B

ird D

iscou

nt

5% o

ff com

pleted

registratio

ns received

by M

ay 17th!

*Select a w

eek by the grade that you are entering in the Fall.

Reg

ister On

line!

oilb

elt.com

Confirm

your spot. P

ay with credit/debit.

Multiple kids: enter inform

ation once.

X