Registration/Sched

Highlighted Events

Hearts Ablaze
Clown Camp
ABC
Arising & Becoming Christians
June 2-4, 2005

Registration

Thank-you for your interest in Clown Camp. To register for Clown Camp, print this page, fill it out and send the registration to the address listed below.

NAME _______________________________________________________

ADDRESS ____________________________________________________

CITY _______________________________ ZIP CODE _______________

AGE _______ CHURCH ________________________________________

Do you have any medications you need to take (please list)?

Medication Dose Time Given

____________________________________________________________

Medicines will be kept at the nurses station and dispensed at the proper time.

I give my child permission to receive emergency treatment in case of an accident and want to be called at the following number.

Guardian Signature

Name _________________________________ Phone _______________

Emergency Contact if Guardian Not Available

Name _________________________________ Phone _______________

Mail your registration form in by May 15th. Cost will be $20 which includes Clown Camp T-Shirt, all meals, snacks, gifts and fun. If you can not afford $20 send what you can or ask for your child to receive a sponsor.

Please bring the following items:

Tent (if you have one)
Clothes for hot and cold
Covers and Pillow
Sunscreen
Clothes to play in Water Fun

Send Registration and payment (make checks payable to Hearts Ablaze) to:

Hearts Ablaze - Clown Camp
23427 Maries Rd 417
Belle, Missouri 65013

If you have any questions you can contact us at (573) 859-6257.

Thursday June 2nd

5:00 p.m. Registration
           Put up tents and eat at the Cook Shack
           Enjoy face painting and balloon fun
7:00       Big Tent
           Fun as you get your color Captain &
           Sign up for talent contest, then singing and ministry

           Snacks, off to bed            Teen Time

Friday June 3rd

7:00 a.m. Wake up and wash Up
7:45       Big Tent "Who's in the house", exercise
8:00       Biscuits and gravy and other yummy food
9:00       Lay out of activities
           Trip to the General Store and more
10:30      Free Time
12:00      Lunch
1:00 p.m. Fun Time
6:00       BBQ
7:00       Ministry

           Snacks, off to bed            Teen Time

Saturday June 4th

7:00 a.m. Wake up. wash up and pack up tents
8:00       Big Tent "Who's in the house", exercise
8:15       Breakfast at Cook Shack
9:00       Awards and singing and FUN, FUN, FUN!
              King and Queen
              Best Camper
              Best Helper

Go Shopping in General Store

Take group picture at 11:00 a.m.
Pick up your children right after picture