Family Camp Registration Name* Phone Number* Mailing Address* Street Address City State / Province / Region ZIP / Postal Code Email Which Family Camp are you attending?* Family Camp One 2024 Family Camp Two 2024 Lodging Type* RV Tent Regular Cabin (Bathrooms Adjacent) Carpenter's Lodge Room (Bathrooms Attached) Lakeside Rooms (Bathrooms Attached) *Click on an option to see the available spaces/cabins in that category. If no options pop up below when you select a lodging type, it may mean all spaces in that category are filled for this family camp. Please contact our office to double check this OR to be added to a waiting list. If you select RV or Tent, no options will appear below and you will be placed in one of our tent or RV sites.Lodging Selection (Regular Cabins)* Cabin 3 Cabin 4 Cabin 24 (S4) (Mini Cabin) Lodging Selection (Regular Cabins)* Cabin 0A Cabin 0B Cabin 1A Cabin 1B Cabin 2 Cabin 3 Cabin 5 Cabin 6 Cabin 7 Cabin 9 Cabin 24 (S4) (Mini Cabin) Lodging Selection (Carpenter's Lodge)*Lodging Selection (Carpenter's Lodge)* L5 (6-8 beds) Lodging Selection (Lakeside Rooms)* L2 (2 beds) Lodging Selection (Lakeside Rooms)* L1 (No bathroom & 2 beds) List all family members and friends who are attending (including yourself):NameAgeRelationship to YouBirthday (Month/Day/Year) Use the "+" on the right to add more people (include yourself as well). Note: anyone not listed has no guarantee that they will be able to stay. Non family members will be housed at the discretion of the director. Special or Dietary Needs?Consent* I agree to the provisions belowRelease and Hold Harmless Agreement The undersigned shall be liable and agree(s) to pay all costs and expenses incurred in connection with such medical and dental services rendered to those in the group pursuant to their authorization. Should it be necessary for any participant/child to return home due to medical reasons or otherwise, the undersigned shall assume all transportation costs. The undersigned does hereby forever discharge and agree to hold harmless Lamoka Baptist Camp and the directors, leaders, and staff thereof from any and all liability, claims or demands for personal injury, sickness, or death, as well as property damage and expenses of any nature whatsoever which may be incurred by the undersigned and/or the child-participant that occur while said child is participating in recreation and work activities involved therein. Furthermore, we (I) [and on behalf of our/my child-participant if under the age of 21] hereby assume all risk of personal injury, sickness, death, damage, and expense as a result of participation in recreation and work activities involved therein. Further authorization and permission is hereby given to Lamoka Baptist Camp to supply food and/or lodging (if these are requested). I give my permission or permission for the members of my group/family to participate in all activities at Lamoka Baptist Camp, including, but not limited to, airsoft, paintball, climbing wall, low ropes, swimming, boating, tubing, group games, the super waterslide, the mud pit, and volleyball. I also give consent to Lamoka Baptist Camp to use any audio, video, or pictures taken of me or of my child during my/their stay for promotion or general reports. Finally, we (I) have read and agree to abide by Camp Lamoka’s Guidelines, Rules, and Morality Statement (See these rules and guidelines below). I understand that any violation of these Guidelines, Rules, or Lamoka Baptist Camp’s Morality Statement may, at the discretion of the Administrator, result in immediate expulsion from the campus. If my group or persons are expelled or asked to leave due to a violation of these Guidelines, Rules, or the Camp’s Morality Statement, I understand that certain costs will be non-refundable, and I (we) agree to pay those costs in a timely manner. General Rules 1. Do not climb on building or trees 2. Do not touch wild animals or bring wild animals into any building or cabin 3. Do not enter any building without advanced permission 4. Do not stand or swim in the lake without advanced permission and a lifeguard or over 18 CPR personnel on site. 5. Do not drive ATVs or vehicles on the grass. 6. Do not apply paint, shaving cream, or toothpaste to the exterior of any building. 7. Do not play with playground balls, sports balls, or frisbees in the cabins or buildings 8. We are an alcohol and drug free zone, both are prohibited on our campus. 9. Please do not light any bon fires or cooking fires without first clearing it with either the director or the housekeeping manager, who is on site all the time. 10. The campus should be quiet after 10 PM. We have neighbors who live very close to our campus. This does not mean people have to go to bed after this time, but the campus needs to be quiet. Waterfront Rules (for swimming groups only) 1. DO NOT enter the water unless lifeguard or supervising personnel (may be two adults under certain circumstances) are on duty. 2. Obey all instructions given by the waterfront or camp staff. 3. No horseplay, dunking, or throwing things. 4. No food, drink, or candy is allowed at the Waterfront. 5. No swimming under docks or outside the designated swim area. 6. No swimming will be allowed during darkness, lightning, or thunderstorms. 7. Report all injuries to the lifeguard or supervising adults immediately. 8. Keep sand on the beach. 9. Do not walk on the boat ramp. 10. Do not hang on the ropes. 11. No running or diving. 12. No fishing near or from swim area.Cost and PaymentOnly the registration fee of $100 and the early arrival fee of $75 is due today (only if you are arriving early). These fees are non-refundable and reserve your spot at Family Camp. This fee is deducted from your total amount upon arrival. If you choose to pay the $100 today, the remaining balance will be due when you arrive for camp. Your balance depends on where you stay and the ages of those staying. Please visit our FAMILY CAMP PAGE to see our current prices and to figure out your total balance. PAYMENT Options* I would like to pay the registration fee of $100 I would like to pay in full today Early Arrival Option Yes ($75 Flat Rate) No *If you would like to arrive early for your week of camp, you may now do so on Sunday afternoon or evening. There are no meals, program, or services provided until monday late morning. This Early Arrival Fee is non-refundable.Total Cost *Please use the prices on our Family Camp Page to figure out how much it will cost your family to attend. Type that number into the box above.Do you have a coupon code? Yes No Coupon Code Visit our FAMILY CAMP PAGE to see available discounts and coupon codes.Total Due Today $0.00 Δ