Step 1 of 13 7% This field is hidden when viewing the formPaid Yes This field is hidden when viewing the formBuddy AssignmentNo Buddy SelectedAbigail CheatwoodBrenda KillgoreJennifer HankinsChris GradyZane HatchJamie BullockApril BushTammy WarlickMitzi SadlerEmily HillCyndi JonesKorbynn SummersJake HarlanKassady WhitebirdAlexandra KonemannPierre DavisLorri DarrahGary KirkMatthew VarnumLaura SwankJon GeeGabrielle SheliteGrace ClarkAshleigh McBrideShawn BennRuss AdayChristopher LeeLISA TAPIAJoy BoeseByron BoeseVerla-Marie HullBrad JohnsonTonya PopeLorie FinniganAngel EtheridgeCassie MerrillCameron MolesKristee RavanMckenzy AltstattJames EasleyShaylynn SurrattNikki EasleyBeverly RodgersEldon RodgersJay McAlisterThis field is hidden when viewing the formCamper AssignmentNo Camper SelectedCharlie WilliamsonMichelle JonesNorah HillMaxwell ClayMisty DemaryRiicky WoodDylan MasonJames ThompsonMatt ConserCassidy CookValorie EslickConner GilleyKeith OwensDylan TuckerEmily GibsonTraci McLearenMichael LawrenceCasey CozartParker GeeZachary FrintMary ShawJosiah KierEunice GodwinLeslie BoatmanAubro VinesDeanna RavanQuentin Juarez-AshleyBreanna RobisonAubrey StuartBrendon RossElizabeth RemerKayli MurrayJosh JonesAshley MiracleDylan AdayAllyson VernerTina DisarioPreston HibbardKamden GreenhawJoshua PriceCole KeithKayla WinterlandGabrielle KingEthan FloodGabe BennKeith PeaseIsaiah HayesSabrina DavisTJ McBrideKristina ArrambbideChase MolesJaylin JohnsonZachary GarrettDRAKE LIRACaleb JohnsonKathleen KirkKimberly GarayJuan TapiaKristina ArrambideJennifer TourvilleTrenton LeeBethany SelenskyMindee BrownDaniel BlackKalah HardingBradley FisherI am registering a(Required) Camper Volunteer (Buddy, Leader, etc...) 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MissionaryLawton, St. JamesLawton, TrinityLeach, FirstLebanon, FirstLeedey, FirstLeedey, Moorewood MissionaryLeFloreLeflore, FirstLeflore, ThessalonianLehigh, FirstLenapah, FirstLeonLeonard, FirstLequireLexington, Acts 2 BaptistLexington, CorbettLexington, CornerstoneLexington, FirstLindsay, BannerLindsay, CalvaryLindsay, CrinerLindsay, Erin SpringsLindsay, FirstLindsay, HughesLindsay, PayneLindsey, Living SanctuaryLittle Axe, FirstLoco, FirstLocust Grove, BallouLocust Grove, Cedar CrestLocust Grove, CountryLocust Grove, FaithLocust Grove, FirstLocust Grove, Little RockLocust Grove, Snake CreekLone Grove, CheekLone Grove, FirstLone Wolf, FirstLongdale, FirstLuther, FirstMacomb, RomulusMadill, Archard RoadMadill, Cross-N-Spurs CowboyMadill, CumberlandMadill, FirstMadill, GranthamMadill, Little CityMadill, Nueva VidaMadill, OakviewMadill, PickensMangum, Abundant LifeMangum, FirstMangum, RussellMangum, TrinityMannford, FirstMannford, Freedom HillMannford, Lakeside SouthernMannford, New HopeMannsville, FirstMarble City, FirstMarietta, EastsideMarietta, FirstMarietta, Primera HispanaMarietta, Shady DaleMarland, FirstMarlow, CentralMarlow, ConnectionMarlow, DentonMarlow, EastsideMarlow, LakesideMarlow, St YorkMarshall, FirstMaud, FirstMaud, TrinityMaysville, CowboyMaysville, FirstMaysville, StoryMazie, FirstMcAlester, CalvaryMcAlester, Choate PrairieMcAlester, CommunityMcAlester, Double SpringsMcAlester, DowMcAlester, EmmanuelMcAlester, FirstMcAlester, First IndianMcAlester, FrinkMcAlester, High HillMcAlester, HillcrestMcAlester, Kiamichi Country CowboyMcAlester, MekkoMcAlester, ScipioMcalester, SecondMcAlester, Victory ParkMcCurtain, FirstMcloud, EmmanuelMcloud, Emmaus IndianMcLoud, FirstMcLoud, Hazel DellMcLoud, HillsideMeadMead, EmmanuelMead, Streetman RoadMedford, FirstMedicine Park, FirstMeeker, FirstMeeker, MammothMeridianMetro Baptist NetworkMiami, EastsideMiami, FirstMiami, Green AcresMiami, Hispanic MissionMiami, ImmanuelMiami, Lone StarMiami, MicronesianMiami, 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HillsOKC, ChineseOKC, Christ CentralOKC, Christ MissionaryOKC, Church at the VillageOKC, Circle of LifeOKC, Ciudad de DiosOKC, Classen BoulevardOKC, ConvergenceOKC, CrestviewOKC, CrossroadsOKC, CrosstownOKC, Crown HeightsOKC, Deaf ChurchOKC, DicksonOKC, Dumas Avenue SouthernOKC, E-ChurchOKC, Eagle HeightsOKC, El OlivarOKC, Emanuel HispanicOKC, EmmanuelOKC, EmmausOKC, Exchange AvenueOKC, Faith CrossingOKC, Faith Hope and Love MissionaryOKC, First HispanicOKC, Fortieth StreetOKC, Freedom WorshipOKC, Frontline DowntownOKC, Frontline SouthOKC, GlorietaOKC, Grace And TruthOKC, Grace CommunityOKC, Grace PlaceOKC, Grace PointeOKC, GracewayOKC, Greater BethelOKC, Greater TrinityOKC, Heavenly HeightsOKC, HeritageOKC, Highland HillsOKC, Holy TempleOKC, Iglesia Palabra VivaOKC, Iglesia Bautista CentralOKC, Iglesia Bautista Gracia De DiosOKC, Iglesia Comunidad De FeOKC, Iglesia LavillaOKC, Iglesia Puerta AbiertaOKC, Indian CommunityOKC, International CommunityOKC, International GraceOKC, Japanese MissionOKC, Jesus Es El CaminoOKC, KelhamOKC, Kentucky AvenueOKC, Knob HillOKC, Living WordOKC, MayridgeOKC, Miracle TempleOKC, Mission OKCOKC, New BethelOKC, New HopeOKC, New Life MissionOKC, New Vision Community ChurchOKC, NewchurchOKC, Northeast FellowshipOKC, NorthwestOKC, Nueva VidaOKC, OikosOKC, Oklahoma ZotungOKC, OlivetOKC, PlainviewOKC, Portland AvenueOKC, ProspectOKC, ProvidenceOKC, Putnam CityOKC, Quail SpringsOKC, RealOKC, Redemption ChurchOKC, Rios De Agua VivaOKC, Roca FuerteOKC, RockwoodOKC, SentralOKC, Shields BoulevardOKC, South LakesOKC, South LindsayOKC, Southern HillsOKC, SouthparkOKC, Spring CreekOKC, SpringdaleOKC, St. John MissionaryOKC, Stone FellowshipOKC, TabernacleOKC, The ParishOKC, The WellOKC, ThriveOKC, Timber Creek CommunityOKC, Together ChurchOKC, TrinityOKC, Trinity ChineseOKC, Trinity Lao-ThaiOKC, Trinity MissionaryOKC, True LightOKC, Unity ChristianOKC, UrbanOKC, VictoryOKC, Vietnamese FirstOKC, Village BibleOKC, Vision CommunityOKC, Western AvenueOKC, Wilmont PlaceOKC, Zomi ChristianOkeene, FirstOkemah, All NationsOkemah, Buckeye CreekOkemah, CalvaryOkemah, FirstOkemah, GreenleafOkemah, Last ChanceOkemah, MontesomaOkemah, SkyviewOklahoma Baptist University, BCMOklahoma City Community College, BCMOklahoma City University, BCMOklahoma Panhandle State University, BCMOklahoma State University - OKC, BCMOklahoma State University - Okmulgee, BCMOklahoma State University, BCMOkmulgee, BelvinOkmulgee, CalvaryOkmulgee, ClearViewOkmulgee, FirstOkmulgee, NuyakaOkmulgee, Old Post CowboyOkmulgee, SecondOkmulgee, Twin HillsOktaha, TrinityOlive, FirstOlustee, FirstOmegaOologah, FirstOologah, HarborOrlando, FirstOsage, FirstOU Health Science Center, BCMOverbrook, EastmanOverbrook, MarsdenOverbrook, McAlisterOwasso, BattleCreek ChurchOwasso, BethelOwasso, CentralOwasso, Cowboy UpOwasso, Dalton HillOwasso, FirstOwasso, FreedomOwasso, Redeemer BibleOwasso, The RefugePaden, FirstPanama, FirstPanhandlePanolaPaoli, FirstPark Hill, CarterPark Hill, KeysPauls Valley, BeatyPauls Valley, FirstPauls Valley, GracePauls Valley, LovePauls Valley, Primera HispanicPauls Valley, TrinityPawhuska, CalvaryPawhuska, FirstPawhuska, LynnPawhuska, NelagoneyPawhuska, Osage IndianPawhuska, WhippoorwillPawnee, FirstPawnee, IndianPawnee, MashamPeggs, First SouthernPerkins, FirstPerkins, ImmanuelPerkins, Rockin' M CowboyPerry, FirstPerry, Kaw Street ChapelPerry, SumnerPharoahPiedmont, CrossoverPiedmont, FirstPittsburgPittsburg, SardisPittsburg, Ti ValleyPlatter, FirstPocasset, First MissionaryPocola, FirstPocola, TrinityPonca City, CrestviewPonca City, FirstPonca City, HispanaPonca City, New FaithPonca City, New LifePonca City, NewPointPonca City, NortheastPonca City, Osage HeightsPonca City, Ponca IndianPonca City, ProvidencePonca City, Ranch DrivePonca City, SunsetPond Creek, FirstPorter, FirstPorum, FirstPorum, Friendship ChapelPorum, Oak GrovePoteau, Cross CommunityPoteau, Double BranchPoteau, FirstPoteau, HispanicPoteau, SouthsidePoteau, TrinityPottawatomie-LincolnPrague, FirstPrague, Pleasant HomePreston, FirstProctor, FirstPrue, FirstPryor, Coo-Y-YahPryor, Exciting SoutheastPryor, FirstPryor, Heritage SouthernPryor, Life FellowshipPryor, Pleasant ViewPurcell, EmmanuelPurcell, FirstPurcell, First HispanicPurcell, Johnson Road NativePurcell, New Hope SouthernPurcell, Union HillQuapaw, FirstQuapaw, Spring River IndianQuinton, FeatherstoneQuinton, FirstQuinton, West LibertyRalston, FirstRamona, FirstRandlettRandlett, Union ValleyRatliff City, FirstRatliff City, MiloRattan, CloudyRattan, FirstRaviaRed Oak, Beth-ElRed Oak, CedarRed Oak, FirstRed Oak, North Rock CreekRed Oak, South Rock CreekRed Rock, FirstRed Rock, OtoeRedlands Community College, BCMReydon, FirstRhea, FirstRingling, FirstRingwood, FirstRingwood, Seguidores De JesucristoRock Island, FriendshipRocky, SalemRoff, FirstRoff, Lightning RidgeRoff, Oak GroveRogersRogers State University, BCMRoland, Roland HillsRoland, Swon RoadRoosevelt, FirstRose State College, BCMRose, Elm PrairieRosedale, FirstRufeRush Springs, Cox CityRush Springs, SouthernRush Springs, Vimy RidgeRyan, FirstSaint Louis, FirstSalina, EmmanuelSalina, EuwashaSalina, FirstSalina, First IndianSalina, FreedomSalina, LakeviewSalina, New JordanSalina, Standing RockSalina, SteeleySallisaw, BluntSallisaw, EastsideSallisaw, FirstSallisaw, First AkinsSallisaw, Hanson FirstSallisaw, ImmanuelSallisaw, Pine TreeSallisaw, Prices ChapelSalt ForkSand Springs, Angus AcresSand Springs, BroadwaySand Springs, CalvarySand Springs, Church That MattersSand Springs, DelawareSand Springs, HillSpringSand Springs, Keystone HillsSand Springs, LimestoneSand Springs, RimrockSand Springs, The Father's HouseSand Springs, TrinitySand Springs, WekiwaSans BoisSapulpa, Church Inside OutSapulpa, Coalition ChurchSapulpa, Community IndianSapulpa, FaithSapulpa, FirstSapulpa, Forest HillsSapulpa, FoundationSapulpa, Little CussetahSapulpa, Native StoneSapulpa, Pickett Prairie FirstSapulpa, The WaySasakwa, FirstSasakwa, SpringSavanna, FirstSawyer, FirstSayre, BuffaloSayre, FirstSayre, HextSayre, Lone OakSchulterSchulter, Cedar CreekSeiling, FirstSeminole State College, BCMSeminole, FirstSeminole, Harvey RoadSeminole, HighwaySeminole, Ideal StreetSeminole, Iglesia Bautista ZionSeminole, Indian NationsSeminole, Snake Creek #2Seminole, TrinitySeminole, Twin OakSentinel, FirstShady Point, CalhounShady Point, FirstShamrock, FirstSharon, FirstSharon, South PersimmonShattuck, FirstShawnee, AydelotteShawnee, BibleShawnee, Blackburn ChapelShawnee, Central CityShawnee, First IndianShawnee, FrontlineShawnee, GalileeShawnee, Heritage ChurchShawnee, HilltopShawnee, HopewellShawnee, ImmanuelShawnee, Mount PleasantShawnee, Rock CreekShawnee, Rock Creek HispanicShawnee, SallateeskaShawnee, SharonShawnee, TempleShawnee, TrinityShawnee, Union MissionaryShawnee, UniversityShawnee, WallaceShidler, FirstShidler, The ChurchSkiatook, FirstSkiatook, ImmanuelSkiatook, Lakeview SouthernSkiatook, Riveted ChurchSkiatook, Tri-CountySlick, FaithSmithville, OctaviaSnyder, FirstSnyder, SouthsideSoper, ArcheySoper, FirstSoper, KentSouth CanadianSouth Coffeyville, FirstSouth Tulsa, BattleCreek ChurchSoutheastern Oklahoma State University, BCMSouthwestern Oklahoma State University - Sayre, BCMSouthwestern Oklahoma State University, BCMSparks, FirstSpavinaw, FirstSpavinaw, RibbonSpencer, AntiochSpencer, TrueloveSperry, FirstSpiro, Calvary SouthernSpiro, FirstSpringer, First SouthernSterling, Cross TrailsSterling, FirstStidham, Big Arbor IndianStigler, AntiochStigler, FirstStigler, Main StreetStigler, Rocky RidgeStigler, TrinityStillwater, ChineseStillwater, CountrysideStillwater, Cross Brand CowboyStillwater, Eagle HeightsStillwater, FirstStillwater, HillcrestStillwater, Hispana BethelStillwater, KoreanStillwater, Mehan UnionStillwater, SouthsideStillwater, University HeightsStilwell, AntiochStilwell, Bidding CreekStilwell, BunchStilwell, Calvary SouthernStilwell, Cherry TreeStilwell, ChuculateStilwell, EchotaStilwell, EmmanuelStilwell, FairfieldStilwell, FirstStilwell, Four VisionsStilwell, Mulberry TreeStilwell, OakridgeStilwell, Piney CreekStilwell, Rock SpringsStilwell, SalemStilwell, SequoyahStilwell, Sycamore SpringsStilwell, Victory SouthernStonewall, FirstStrang, FirstStratford, FirstStratford, Sandy HillStringtown, CommunityStringtown, FirstStringtown, McGee ValleyStroud, Deer CreekStroud, FirstStuart, AshlandStuart, FirstSulphur, CalvarySulphur, CentralSulphur, Crossway FirstSulphur, Midway HillSulphur, New HopeSulphur, SandySweetwater, FirstTahlequah, AntiochTahlequah, BoudinotTahlequah, Cedar TreeTahlequah, Crescent ValleyTahlequah, CrosswayTahlequah, EldonTahlequah, Elm TreeTahlequah, FirstTahlequah, First IndianTahlequah, GraceTahlequah, Johnson PrairieTahlequah, New GreenleafTahlequah, Park HillTahlequah, River ValleyTahlequah, SouthsideTalala, FirstTalala, Rabbs CreekTalihina, Buffalo ValleyTalihina, FalfaTalihina, FirstTalihina, God's Country CowboyTalihina, Green HillTalihina, Pine GroveTalihina, Prairie GroveTaloga, FirstTecumseh, FirstTecumseh, Karis MinistriesTecumseh, PinkTemple, FirstTerlton, FirstTerral, FirstTexhoma, FirstTexola, FirstThackerville, FirstThomas, FirstTipton, FirstTishomingo, Bullard ChapelTishomingo, CalvaryTishomingo, FirstTishomingo, First IndianTom, FirstTonkawa, FaithTonkawa, FirstTryon, FirstTulsa Community College, BCMTulsa Downtown, BattleCreek ChurchTulsa MetroTulsa Midtown, BattleCreek ChurchTulsa University, BCMTulsa, BelviewTulsa, BerryhillTulsa, Braden ParkTulsa, BrooksideTulsa, Calvary CampusTulsa, Canyon RoadTulsa, Church Inside Out at Red ForkTulsa, CognizantTulsa, ConcordTulsa, Easton HeightsTulsa, EastwoodTulsa, FirstTulsa, First KoreanTulsa, First SlavicTulsa, Garden CityTulsa, Garnett RoadTulsa, Gilcrease HillsTulsa, Good News ChurchTulsa, Greater New GroveTulsa, Harbor of Grace ChurchTulsa, Harvard AvenueTulsa, Hispanic AgapeTulsa, Hope FellowshipTulsa, Iglesia Bautista El CaminoTulsa, Iglesia Bautista EmmanuelTulsa, Iglesia Biblica BautistaTulsa, Indian FellowshipTulsa, InternationalTulsa, Kuki Worship Service TulsaTulsa, LambTulsa, Living Hope ChurchTulsa, Logos ChurchTulsa, Lynn LaneTulsa, MemorialTulsa, MercyviewTulsa, Mesa ChurchTulsa, Myanmar ZomiTulsa, New Hope CommunityTulsa, New Joy FellowshipTulsa, New OpportunityTulsa, Nogales AvenueTulsa, OakridgeTulsa, Oklahoma HmongTulsa, OlivetTulsa, Owen ParkTulsa, Palabras De VidaTulsa, ParkviewTulsa, PenielTulsa, Primera Iglesia Bautista HispanaTulsa, Ranch AcresTulsa, Restoration Church of BowdenTulsa, Ridge CrestTulsa, Rivendell FellowshipTulsa, Rose of SharonTulsa, Sequoyah HillsTulsa, Skelly DriveTulsa, SojournTulsa, South TulsaTulsa, Southern HillsTulsa, SouthwoodTulsa, SpringdaleTulsa, Springs of GraceTulsa, TrinityTulsa, Tulsa BanglaTulsa, Tulsa ChurchTulsa, Tulsa HillsTulsa, Turn ChurchTulsa, View AcresTulsa, Winnetka HeightsTulsa, Woodland AcresTulsa, Zion CommunityTulsa, ZomiTupelo, FirstTurpin, FirstTuttle, FirstTuttle, Heritage FamilyTuttle, Snow HillTuttle, True Oak FellowshipTyroneUnionUnion City, FirstUniversity Center of Southern Oklahoma, BCMUniversity of Central Oklahoma, BCMUniversity of Oklahoma, BCMUniversity of Science and Arts of Oklahoma, BCMUticaValliant, FirstValliant, Pilgrim RestValliant, TrinityVelmaVera, First SouthernVerden, FirstVerdigris, FirstVianVian CreekVici, FirstVinita, Bunker HillVinita, CalvaryVinita, CarterVinita, Dupree CommunityVinita, FirstVinita, Kelso FaithVinita, TrinityVinita, White OakVinsonWagoner, FirstWagoner, Immanuel SouthernWagoner, Twin OaksWainwright, FirstWakita, FirstWalters, AhpeatoneWalters, CalvaryWalters, FirstWalters, New SalemWanette, FirstWanette, Victory PointeWann, FirstWapanucka, FirstWapanucka, WilsonWardville, Harpers ValleyWarner, FirstWashington, FirstWashington-OsageWatonga, FirstWatonga, Mission PointWatonga, TrinityWatts, BallardWatts, CrittendenWatts, FirstWaurika, Cross Brand CowboyWaurika, FirstWayne, FirstWaynoka, FirstWeatherford, EmmanuelWeatherford, FirstWeatherford, IndianWeatherford, TrinityWebbers Falls, FirstWebbers Falls, Green ValleyWelchWelch, MaybelleWeleetka, FirstWelling, BarberWellston, CornerstoneWellston, FirstWellston, TrinityWest Siloam Springs, CalvaryWestern OklahomaWestern Oklahoma State College, BCMWestville, BaronWestville, Christie SouthernWestville, FirstWestville, JubileeWetumka, FirstWetumka, IndianWetumka, Sand Creek IndianWewoka, AkasvmkvWewoka, Cornerstone MissionaryWewoka, FirstWewoka, MidwayWheatland, FirstWhitefieldWhitesboroWichita, Discover ChurchWilburton, Boiling SpringWilburton, BowersWilburton, CalvaryWilburton, Center PointWilburton, FirstWilburton, Grace Country CowboyWilburton, High BridgeWilburton, SouthsideWillow, FirstWillow, Spring CreekWilson, FirstWilson, RexroatWilson, RubottomWilson, ZaneisWister, BethelWister, First SouthernWister, Heart O' the HillsWister, SummerfieldWoodward, AscentWoodward, Crown HeightsWoodward, Elm StreetWoodward, FirstWoodward, Lincoln AvenueWoodward, Vida AbundanteWright City, FirstWyandotte, FirstWynnewood, Eastern GateWynnewood, FirstWynnewood, JoyWynnewood, WalkerWynona, FirstYale, Council ValleyYale, FellowshipYale, FirstYukon, BibleYukon, Canadian ValleyYukon, FirstYukon, FrontlineYukon, RefugeYukon, Stable RockYukon, Surrey HillsYukon, Together We ChurchYukon, West Metro CommunityIf you are not registering as a member or as part of an Oklahoma Baptist Affiliated church select "-Other" and complete the fields below.Non-Affiliated Church or Group HomeNon-Affiliated Church/Group Home(Required)Please Select-OtherArdmore, Carter County Group HomeEl Reno, FirstMoore, FirstMuskogee, GrandviewOKC, CrossingsOKC, Portland AvenueIf your church or group home isn't listed please select "-Other" and complete the fields below.Group Name(Required)Group City(Required) Insurance InformationDo you have health insurance coverage? Yes No Insurance Carrier(Required)Policy Number(Required)Insurance Phone(Required)Primary DoctorPrimary Doctor Phone Emergency ContactsFor campers and minors (anyone under 18) please list parent/guardian. This will be the first point of contact in an emergency. For campers and minors please include one emergency contact who is not a parent or guardian.Parent/Guardian Name(Required)Parent/Guardian Relationship(Required)Parent/Guardian Phone(Required)First Emergency Contact Name(Required)First Emergency Contact Relationship(Required)First Emergency Contact Phone(Required)Second Emergency Contact NameSecond Emergency Contact RelationshipSecond Emergency Contact Phone General Health InformationDate of Most Recent Tetanus BoosterIf unsure or it has been longer than 10 years put "None"Can Attendee Climb Stairs?(Required) Yes No Can Attendee Climb & Sleep on Top Bunk Bed?(Required) Yes No Gluten Free(Required) Yes No Sugar Free(Required) Yes No Special Dietary Restrictions/Needs(Required)Please enter "None" if there are no special restrictions or needs.Are Any specific activities to be restricted?(Required)Please enter "None" if there are no activity restrictions.Allergies(Required)AllergyReaction/Side Effects Add RemovePlease list any medicine, food, environment, contact or other allergies. Click the "+" icon to add additional items. Please enter "None" if there are no known allergies. Volunteer InformationI'm a volunteer functioning as a(Required) Buddy Cook Camp Pastor Activity Leader Other I'm A Buddy to the Following Campers (if known) Volunteer ContractNo volunteer will be allowed to stay at the event if this form is not filled out and signed.I agree to the following camp rules and procedures set forth by Perfect Wings Camp. Should any rule or procedure be broken I will be asked to leave as well as the campers in my care. Volunteer will not physically leave the campus without the prior approval of camp leadership. Buddies will be with his/her camper(s) during meal times, recreation, rest/free time, and are responsible for his/her camper(s) overnight. Volunteers may be required to assist in activities if his/her camper requires assistance. Buddies will attend to any necessary care the camper(s) may need in the areas of personal hygiene, feeding, and mobility. Buddies will inform Perfect Wings staff of any contagious diseases his/her camper may have. Buddies will assist the camp nurse in administering the camper’s over-the-counter and prescribed medication. Buddies must be present at all camper activities as designated in the event schedule (will receive upon check-in at camp). All volunteers will perform their duties in a positive manner and interact in a helpful manner to campers. Volunteers must have a background check on file with Oklahoma Baptists before the start of camp. Volunteer Signature(Required)Parent's Signature(Required)Required for volunteers under 18 years old. Camper InformationPlease provide as much detail as possible to help us ensure your camper has a safe experience at camp. Please put "None" or "N/A" for anything that doesn't apply.I have a buddy coming with me or am coming with a group that will provide a buddy for me.(Required) Yes No Name of buddy or group providing buddy(Required)Gender of your preferred buddy(Required) Male Female No Preference There is limited housing available for buddies of opposite genders. This may require a camper and buddy to bunk separately. For more information, please contact childhood@oklahomabaptists.org.Main language or way to communicate(Required)Describe any challenges with movement, hearing, eyesight, or thinking(Required)Special safety instructions / crisis plan(Required)Does the camper experience seizures and if so how often?(Required)Special conditions, treatment challenges, unusual findings, or equipment used (type & size)(Required)If camper is on a weight loss program or has diabetes, please indicate what sort of snacks, desserts, etc. are allowed on the diet(Required)Suggestions from guardian(Required) Health HistoryCheck Yes or No. If Yes, give approximate date or most recent date of occurrence.GeneralEar Infection(Required) Yes No Rheumatic Fever(Required) Yes No Convulsions(Required) Yes No Diabetes(Required) Yes No Muscle Spasms(Required) Yes No Seizures(Required) Yes No Fainting(Required) Yes No Most recent date of occurrence of selected aboveAllergiesHay Fever(Required) Yes No Poison Ivy, etc(Required) Yes No Insect Stings(Required) Yes No Penicillin(Required) Yes No Other Drugs(Required) Yes No DiseasesChicken Pox(Required) Yes No Measles(Required) Yes No German Measles(Required) Yes No Mumps(Required) Yes No Asthma(Required) Yes No Heart Concern(Required) Yes No Other diseases or details of above(Required)Please put "None" if there are no other diseases or details.Chronic or reoccurring illness(Required)Please put "None" if there are no other diseases or details.Operations or serious injuries(Required)Please put "None" if there are no other diseases or details.IMPORTANT: Please notify the camp if this camper is exposed to any communicable disease during the three weeks prior to camp attendance. MedicationsMedication Agreement(Required) I agree to the medication policy below.MEDICATIONS BROUGHT TO CAMP MUST BE IN ORIGINAL CONTAINER WITH INSTRUCTIONS ATTACHED. Please note that this includes vitamins and any over-the-counter medications. Permission is given for my camper to receive over the counter medication by Medical Staff(Required) Yes No Daily LivingDegree of Disability(Required) Mild: Performs all activities of daily living and self care with minimal or no assistance. Moderate: Performs all activities of daily living, but at slow speed and with some assistance. High: Unable to perform all activities of daily living. Requires constant assistance. Dressing(Required) Independent Verbal Prompting Full Assistance Not Applicable Showering(Required) Independent Verbal Prompting Full Assistance Not Applicable Deodorant(Required) Independent Verbal Prompting Full Assistance Not Applicable Shaving(Required) Independent Verbal Prompting Full Assistance Not Applicable Brushing Teeth(Required) Independent Verbal Prompting Full Assistance Not Applicable Washing Hair(Required) Independent Verbal Prompting Full Assistance Not Applicable Using Toilet(Required) Independent Verbal Prompting Full Assistance Not Applicable Menstrual Hygiene(Required) Independent Verbal Prompting Full Assistance Not Applicable Brushing Hair(Required) Independent Verbal Prompting Full Assistance Not Applicable Incontinence Supplies(Required) Independent Verbal Prompting Full Assistance Not Applicable Buddy Admission A responsible adult or teen (16 years and up) can apply for buddy placement. One buddy may accompany up to three campers. Campers requiring assistance with mobility, behavior management, or skills, will require one-on-one staffing during the duration of the event. Camper Admission Camp Perfect Wings is open to campers 8 years and up with cognitive or intellectual disabilities. The campground's terrain presents a more physically challenging setting and should be taken into consideration. Our facilities are not equipped to accommodate diapering. It is recommended that all campers be able to take care of all toileting needs independently. Campers must have no life-threatening conditions and any contagious disease must be listed on registration form. A responsible adult or teen of the same gender, designated as a buddy, must accompany each camper. Camp Perfect Wings reserves the right to evaluate the individual need of campers on a case by case basis to determine if our staff and volunteers can adequately accommodate and provide for the campers needs and safety. Medications The camp medical staff will administer all medications (over-the-counter and prescription). All medications must remain in its original container. Medication will be securely stored in the nurse's station. In the event that you will need medication at camp, please bring it to the camp nurse at registration. A digital medication form must also be completed for all campers. Background Checks Oklahoma Baptists requires that anyone 18 or over attending Camp Perfect Wings must allow Oklahoma Baptists to perform a background check on them before coming to camp. Oklahoma Baptists classifies a background check as current if it is no more than 18 months old at the time of the event. The check must also include a nationwide county, sex offender registry check, and SSN verification. Buddy/Volunteer Agreement Every buddy and volunteer must sign an agreement that defines the responsibilities and duties of a buddy/volunteer. If the agreement is broken, the buddy/volunteer, as well as the campers in his/her care may be required to leave camp. Camper, Volunteer & Staff Identification All campers, volunteers and staff will wear identification badges at all times except for sleeping. Dress Code General Guidelines Shoes must be worn at all times outside of your dorm/room. Apparel may not display or promote tobacco, alcohol, controlled substances, or inappropriate language or pictures. Undergarments must always be covered by outer garments (i.e. No boxer shorts or bra straps showing). Midriffs should always be covered. No spaghetti strap shirts or dresses. No tank tops. No short shorts. Shorts must be modest length. Note: modest length can be generally defined as extending to just beyond the fingertips, which in general is no shorter than 5 to 7 inch inseam. No tight-fitting and revealing clothing. This includes leggings or similar attire, which cannot be worn as pants. Girls may wear dresses/skirts, but they must reach the top of the knee. Due to the terrain and activities of CrossTimbers, campers are encouraged to always wear closed-toe shoes outside of their dorm/room. Closed-toed and closed-heeled shoes are required to participate on the ropes course. Swimming Girls should wear modest one-piece swimsuits. A dark T-shirt must be worn over two-piece swimming suits. Males should not wear tight-fitting swimming suits. While going to and from the swimming areas, all campers must wear a t-shirt, and females must wear a long covering or shorts over their swimming suits. Campers may not be barefoot on the way to and from venues. Shorts, shirts, and closed-toed shoes are required for the waterfront and must be worn in the water. Camp Prohibitions Excessive volume from a dorm/room is not permitted since it can disturb other dorms/rooms. Please check with the office if there is an issue. No product sales are allowed at CrossTimbers unless they have secured a contract through the Falls Creek Conference Centers. Use or possession of illegal drugs, alcohol, or tobacco of any type is not permitted on the grounds. This includes e-cigarettes, vaping or other facsimiles. Falls Creek Conference Centers, which includes CrossTimbers, are smoke-free facilities. The possession of offensive weapons of any sort is prohibited at camp. CrossTimbers reserves the right to perform a random drug and weapon search at any time and confiscate items that distract from the camp goals or that violate the code of conduct of the camp. Pets/animals (other than trained and certified service animals), fireworks, rock throwing, water fighting, laser pointers, and shaving cream fights are prohibited on the campgrounds. Campers with service animals may attend camp and participate in activities. Parents or guardians of said campers should contact CrossTimbers to make prior arrangements for the service animal's presence on the campgrounds. However, no overnight lodging accommodations are currently available to campers with service animals. Campers with service animals may attend camp during the day and leave the grounds at night. The camper will be allowed to return with their service animal the next day. Masks or any other disguise over the face cannot be worn by anyone outside of their cabin. Face coverings which cover the nose and mouth for medical-related purposes are allowed at CrossTimbers. For the safety of all guests, skates, rollerblades, and skateboards are not permitted. All cycles (uni, bi, or tri) are prohibited on the grounds. Violation of this policy could result in confiscation of equipment. No wading or swimming is allowed in the creek unless there is a CrossTimbers Mission Adventure Camp lifeguard present. No fishing is allowed. No camera drones or remote-controlled flying devices may be operated on grounds without expressed permission from the Director of Falls Creek Conference Centers and the CrossTimbers Mission Adventure Camp Program Director. Agreement(Required) I agree to the policies and procedures listed above Background ChecksOklahoma Baptists requires that anyone over the age of 18 has a current background check. Oklahoma Baptists classifies a background check current if it is no more than 18 months old at the time of the event. Camp leadership will contact anyone who does not have a current background check on file with Oklahoma Baptists before camp begins.Background Check Status(Required) I need a background check ran I have completed a background check within the last 18 months and it is already on file with Oklahoma Baptists Authorization of Parent or Guardian and PaymentThis health history and other information are correct as far as I know, and the person herein described has permission to engage in all prescribed activities, except as noted. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the camp director to hospitalize, secure proper treatment for, and to order injections, anesthesia or surgery for the camper named above.Photo Release I give permission for my camper’s pictures to be taken during the event and to be used in publication/news materials by Oklahoma Baptists. Signature of Parent or Guardian(Required)Camper RatePayment Method Credit Card Check Credit CardCard Details Cardholder Name You can bring your check payment to camp or mail your check to: Oklahoma Baptists ATTN: Childhood Ministries 300 Johnny Bench Dr Ste 300 Oklahoma City, OK 73104Total