PLEASE NOTE: The Salvation Army cannot accept responsibility
Please leave electronic games, phones etc. at home.
Fees are non-refundable except with a doctor's note. The Salvation Army IN CASE OF EMERGENCY PLEASE CONTACT Declaration of Custodial Parent and or Legal Guardian: To the best of my knowledge the above information is correct, the above mentioned person
is in good health and is able to participate in the full activities of the camp program. I hereby give permission for the Director to hospitalize and provide
the necessary care for my child in the event of an emergency.
I am the legal guardian of the applicant with full authority to make decisions with respect to the care, upbringing and education of the applicant.
I confirm that only the following people, and myself, have my full authority to pick up the applicant during the camp session, and I hereby authorize you to release the applicant into the custody of any of these people:
I understand that if I have not inserted the name of anyone in the space
provided above, and if I have not provided the camp with authority over the telephone, the applicant will not be released into the custody of anyone who
attends the camp to visit the applicant, even if the visitor is a relative.
I hereby authorize The Salvation Army to use photographs of my child for promotional material. YES NO
I understand, and am in agreement with the camp rules and information
outlined on the information sheet attached to this application.
Applications will be processed only if the full form is received, fully completed, with
Signature of Custodial Parent or Other Legal Guardian Date
payment. No delegate will be allowed to stay at Youth Together if fee has not been received. Payments are non-refundable except for medical reasons. Form and
payment should be given to your Corps Officer or youth worker. A late fee of $10.00 will be charged to those who do not submit their forms by October 18, 2008. Applications will be processed only if all information is completed on this form at time received. Medical: Complete Fees: YOUTH TOGETHER October 22 – 24, 2010 Transportation
responsibility, but may be available from
your local Salvation Army for details. A
Highway 16. (KM 401) Tel. (250) 845-7048
Camp memorabilia and canteen will be available. Please bring cash
if you wish to purchase anything. T-shirts-$15 Hoodies-$30
Has the youth been to Camp Mountainview before? Yes No
Registration will be 7:00pm-7:30pm on October 22nd. The camp cannot be responsible for campers arriving before 7:00pm.
Pick-UpYOUTH TOGETHER will end approximately 1:00PM on CAMPER MEDICAL INFORMATION What to Bring:
Health & Safety are emphasized at all times at Camp Mountainview.
Basic health care is given at the camp. Please list any pertinent
information on the lines provided- use an extra sheet if necessary.
Optional - Money for T-Shirt/Sweatshirt /Canteen (please note: we are not a peanut free site)
• Alcoholic beverages, illegal drugs, cigarettes or weapons of any kind
Note: For the safety of all campers, all medicines which the camper must use during
including knives and slingshots are not permitted at camp.
the camp must be clearly marked and placed in the custody of the Director on arrival at Camp.
May the following be administered if necessary?
Delegates are not permitted in the cabins / washrooms / shower
facilities of delegates of the opposite sex.
Foul language, coarse jokes and conversation, questionable reading
material & inappropriate clothing will not be permitted.
Does the camper have any other medical problems?
• Roughhousing and fighting will not be tolerated.
Is the camper in doctor’s care for any of these conditions? Yes No
A camper who is consistently uncooperative or otherwise disruptive to the
program or who consistently breaks any of the camp rules, may be returned home via Greyhound Bus Lines at the expense of the Parent/Guardian whose
Does the camper have any emotional, social or developmental problems?
signature appears on the application form.
LICE CHECK Please check and treat if necessary, before coming to camp.
Route lyrique Vaud 2010 Pimpinone de Georg Philipp Telemann (1681-1767) Intermezzo comique en 3 parties Livret de Johann Philipp Praetorius d’après Pariati Première représentation au Theater am Gänsemarkt à Hambourg, le 27 septembre 1725. La serva padrona de Giovanni Battista Pergolesi (1710-1736) Intermezzo buffa en 2 parties Livret de Gennaro Antonio Federico d'ap
ALCOHOLISM: CLINICAL AND EXPERIMENTAL RESEARCHHippocampus Volume Loss Due to Chronic Heavy DrinkingThomas P. Beresford, David B. Arciniegas, Julie Alfers, Lori Clapp, Brandon Martin,Yiping Du Dengfeng Liu, Dinggang Shen, and Christos DavatzikosObjective: No clear consensus exists regarding the effect of sustained, heavy drinking on hippo-campal volume. Our prior work hypothesized signiﬁcant