Summer Camp

Application deadline for Special Price: Wednesday, May, 31, 2017

Camp Begins: Monday, June 12, 2017 from 8:00am until 2:00pm

119 W. RIDGE ST.

Non-Refundable Registration Early Bird Special Regular Weekly Camp
$35.00 per Camper $300.00 for 7 weeks 75.00 per week

Thank you for choosing Salvation & Praise Youth Camp!  The purpose of this camp is to provide a fun, faith-filled environment that promotes healthy friendships, social interaction and an opportunity to advance academically in the areas of reading, math and science.


We encourage personal growth in each child by providing an excellent program facilitated by nurturing and highly trained staff. Each camper will have fun, create healthy friendships and become active participants in their learning process.


We are open from 8:00 am until 2:00pm. A late fee of $1.00/minute/child will be assessed to the account and must be paid in full prior to the child returning to camp. Within the registration package a late fee form must be signed for full understanding.


  •        SPYC is responsible for campers only after they have been signed in!  Parents must sign campers in each morning, no earlier than 8:00am but later than 8:30am.


  •        Campers will remain in the building until they have been signed out by a parent be in main building. Please park on the side of SPYC and come in the building to sign your child out. SPYC do not offer a “rolling pick-up.”
  •        Campers must sign out with the Counselor in charge of their age group and will be released only to their parents, legal guardians, and those authorized by such on the Camp Registration form to pick the child up from .
  •        Campers will automatically report to Aftercare if not picked up by dismissal time.


  •        Sneakers & socks must be worn daily! Sandals/flip flops/crocs may be worn for water play ONLY!
  •        A refillable water bottle (no glass containers!)
  •        No video games OR cell phones
  •        Sunscreen, bug spray, rain jacket—we avoid thunderstorms, but may play in a sun shower!
  •        Change of clothes, bathing suit and towel for water play.  Please label all clothing and personal items that your child will bring to the camp.


  •        Completed health forms must be received before child’s start date.


  •        Please put a name on clothing and belongings make every effort to inventory your child’s belongings before leaving camp each day.


Application deadline for Special Price: Wednesday, May, 31, 2017

Camp Begins: Monday, June 12, 2017 from 8:00am until 2:00pm

     Please include your $35 non-refundable deposit for each camper.  Unfortunately, we do not offer special accommodations for parents with multiple children.  Each camper must be registered separately and the registration is per camper not per family.Each camper will receive 1 camp t-shirt and it must be worn every day the camp is in session. Extra T-shirts will be available for purchase at the cost of 10.00 per shirt.

Child’s Name: ____________________________________

DOB: _________________

Grade: _______  T-Shirt Size: ___________

Father/Guardian Name: __________________________________________________

Home Phone: __________________________Cell:  _________________________

Address: _______________________________________________________________

City: ___________________________ State: _________  Zip: _________________

E-mail address: ________________________________________________

Place of Employment: ______________________________________________________

Address: _________________________________________________________________

Work: ______________________________Ext.____________

Purchasing a Camp T-Shirt? If so,  please provide your size: ___________

Mother/Guardian Name:  _________________________________________________

Home Phone: _____________________________Cell:  __________________________

Address: _______________________________________________________________

City: _____________________________ State: _________   Zip: ________________

E-mail address: _______________________________________________________

Purchasing a Camp T-Shirt? If so,  please provide your size: ___________

Place of Employment: ______________________________________________________

Address: _________________________________________________________________

Work: ______________________________Ext.____________

Emergency Contact: ________________________

Home: ________________________________Cell:_______________________________

Relation to Child: ____________________________

I hereby certify that all information on this application, and all information submitted as part of this application, is complete and accurate.  The applicant has my approval to participate in all regular club activities including off-site trips to area parks.  His/her name or picture may appear in camp or local news publications.  If you have concerns about the use of pictures of your child, please inform SPYC.

I realize it is my responsibility to consult a physician to assess my child’s health relating to participation.  I agree to hold harmless Salvation and Praise or their employees, volunteers and agents for any/all injuries and damages incurred during this program.

_________________________________________________   ______________

Parent Signature                                                                               Date:

Parental/Guardian Consent & Waiver/Release

Child’s Name _______________________________________  Birth Date __________

I, the undersigned, being a parent or legal guardian of_______________________ do hereby give my consent and permission for the above name to be transported to and from Salvation and Praise and to participate in all activities.  In consideration of the benefits to be derived from this activity, I hereby voluntarily for myself and anyone entitled to act on my behalf, waive, release, and forever discharge any claim or claims against Salvation and Praise or Board of Trustees and its or their staff and leadership in both their official and personal capacities, and any of its or their agents, assigns, representatives, successors, or anyone acting on its or their behalf, for any and all claims, demands or liabilities of whatever nature including but not limited to injury, death, or damage, whether in property or nature, which may arise in connection with said activities or any phase or parts thereof. This waiver/release extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown, and includes liability that may arise out of negligence or carelessness on the part of persons named in this waiver/release.  I understand that in the event of any such emergency, the Camp will attempt to notify me immediately based upon the contact information provided above.  This completed form may be photocopied for trips out of Camp.

I hereby certify that I have read this Consent, and Waiver/Release, fully understand it, and voluntarily execute on this ____ day of ___________________, 20_____.

Parent/Guardian Signature                                                          Date

Procedure For The Release Of Minors At SPYC

Salvation and Praise Youth Camp (SPYC) will not release a camper to any person other than the parent or legal guardian or persons listed below, without written permission from the parent or guardian.  SPYC presumes that each parent or guardian may legally pick up their camp member unless the custodial parent notifies the camp and sends a supporting court order.

Please list who you authorize to pick up your child; photo ID is required of the person and he/she must be 18 years or older. (You can add as many individuals.)

  1.      ________________________________________________________
  2.      ________________________________________________________
  3.      ________________________________________________________
  4.      ________________________________________________________

SPYC Summer Camps Code of Conduct

  1.      I will respect my fellow Campers and their personal belongings by not picking on or making fun of others, instigating verbal or physical fights, going into and/or stealing other Camper’s belongings.
  2.      I will respect the counselors and staff by listening to and following their instructions.
  3.      I will respect the Camps by not stealing or causing damage to Camp property.
  4.      I will respect myself and others by not using inappropriate language or will I bring to Camp any weapons, drugs/alcohol, tobacco or inappropriate/explicit material (images, music, etc.)

I understand that if I am in violation of these rules, my parents may be notified and I may be sent home, suspended, or terminated from the program and SPYC reserves the right to search my personal belongings, if there are safety concerns.

Child’s Signature _________________________________________ Date ____________

Parent’s Signature _____________________________________ Date ____________