Camp Perfect Wings – Special Registration | Oklahoma Baptists Registration

Step 1 of 13

I am registering a(Required)

Camper

Volunteer (Buddy, Leader, etc...)

Attendee Information

Name(Required)

First Last

Email(Required)

Phone(Required)

Gender(Required)

Male

Female

Birthday(Required)

YYYY

Age

Shirt Size(Required)

Is this your first time to go to a camp?(Required)

Yes

Is this your first time to go to Camp Perfect Wings?(Required)

Yes

Home Address(Required)

Street Address City State ZIP Code

Church(Required)

If 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 Home

Non-Affiliated Church/Group Home(Required)

If your church or group home isn't listed please select "-Other" and complete the fields below.

Group Name(Required)

Group City(Required)

Insurance Information

Do you have health insurance coverage?

Yes

Insurance Carrier(Required)

Policy Number(Required)

Insurance Phone(Required)

Primary Doctor

Primary Doctor Phone

Emergency Contacts

For 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 Name

Second Emergency Contact Relationship

Second Emergency Contact Phone

General Health Information

Date of Most Recent Tetanus Booster

If unsure or it has been longer than 10 years put "None"

Can Attendee Climb Stairs?(Required)

Yes

Can Attendee Climb & Sleep on Top Bunk Bed?(Required)

Yes

Gluten Free(Required)

Yes

Sugar Free(Required)

Yes

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)

Allergy

Reaction/Side Effects

Please 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 Information

I'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 Contract

No 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 Information

Please 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.

My Preferred Buddy (If Known)

Gender of your preferred buddy

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 History

Check Yes or No. If Yes, give approximate date or most recent date of occurrence.

General

Ear Infection(Required)

Yes

Rheumatic Fever(Required)

Yes

Convulsions(Required)

Yes

Diabetes(Required)

Yes

Muscle Spasms(Required)

Yes

Seizures(Required)

Yes

Fainting(Required)

Yes

Most recent date of occurrence of selected above

Allergies

Hay Fever(Required)

Yes

Poison Ivy, etc(Required)

Yes

Insect Stings(Required)

Yes

Penicillin(Required)

Yes

Other Drugs(Required)

Yes

Diseases

Chicken Pox(Required)

Yes

Measles(Required)

Yes

German Measles(Required)

Yes

Mumps(Required)

Yes

Asthma(Required)

Yes

Heart Concern(Required)

Yes

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.

Medications

Medication 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

Daily Living

Degree 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

General Policies & Procedures

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 for those with intellectual and developmental disabilities. The camp ground presents a more physically challenging setting and should be taken into consideration. Campers must have no life-threatening condition or any contagious disease must be listed on registration form. A responsible adult or teen, designated as a buddy must accompany each camper. One buddy may accompany up to three campers. Campers requiring assistance with mobility or behavior management must provide one-on-one staffing during the duration of the event. 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 the medication along with the attached Medication Authorization Form to present to the camp nurse at registration.

Background Checks
Oklahoma 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.

Volunteer Contract
Each buddy, must sign a contract that defines the responsibilities and duties of the buddy. If the contract is broken, the buddy 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
Each attendee is also required to wear appropriate camping clothing (t-shirts, jeans or long shorts are acceptable. No short shorts, halter tops, mini-skirt, etc). Female campers should wear a dark t-shirt over 2 piece swimsuits. It is permitted for people to wear sandals at camp, but some of our activities require closed-toe shoes. Because of this we ask that everyone bring a pair of closed-toe tennis shoes/sneakers.

Smoke-Free & Tobacco-Free Camps
Camp Perfect Wings is committed to providing a safe environment. Use or possession of illegal drugs, alcohol, or tobacco of any type is not permitted on the grounds. This includes e-cigarettes or other facsimiles.

Other Precautions
Staff and volunteers will use universal precautions (gloves, bleach solution) when cleaning any bodily fluids. All types of drugs, alcohol, weapons or controlled substances are strictly prohibited in the camp ground and will result in dismissal from the camp.

Agreement(Required)

I agree to the policies and procedures

Background Checks

Oklahoma 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 Payment

This 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 Rate

Payment Method

Credit Card

Check

Credit Card

Card Details

Cardholder Name

You can bring your check payment to camp or mail your check to:

Oklahoma Baptists
ATTN: Childhood Ministries
3800 N May Ave
Oklahoma City, OK 73112

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