FELLOWSHIP OF CHRISTIAN COWBOYS NATIONAL RODEO BIBLE CAMP

Welcome, Camper: Enclosed you will find the forms to finalize your registration for the Fellowship of Christian Cowboys (FCC) National Rodeo Bible Camp at the Elbert County Fairgrounds in Kiowa, Colorado. Please complete the enclosed forms and return them by May 21, 2013 to the Fellowship of Christian Cowboys, PO Box 63502, Colorado Springs, CO 80962. If necessary, we will accept them at the time you arrive at camp. CAMPERS CANNOT CHECK-IN UNLESS THESE FORMS ARE COMPLETED, SIGNED AND NOTARIZED. Once check-in has been completed, you will remain at the Elbert County Fairgrounds until you are picked up by your parents/guardian, or you have been released to drive home on your own. A copy of the camp guidelines is included. We strictly enforce these rules throughout the camp and rodeo. Should you choose to disregard these rules, we will ask you to call home and explain the situation. You will be excused from further camp participation until a resolution is reached and agreed upon by the camp director. We want your camp experience to be awesome, so come prepared with an open mind and open heart, be eager to learn and willing to share, and HAVE A GREAT TIME! You are in our prayers and we look forward to seeing you soon! In His service,

Janet L. Smith Secretary/Treasurer FCC National Rodeo Bible Camp 719-646-9408

CONFIRMATION FORM
Name: Event: 1. This is to confirm your registration for FCCs National Rodeo Bible Camp on June 4-7, 2013. 2. Check in will be from 6:00 to 7:00 p.m. on Tuesday, June 4, 2013. (Please do not arrive prior to 6:00). We will provide a snack that evening. Camp will end following the awards ceremony, which will take place in the Grandstands after the Rodeo on June 7th, 2013. 3. In case of a family emergency, contact Buddy Strachan at 719-492-7098. This number is to be used for emergencies only! 4. The camp takes place at the Elbert County Fairgrounds 95 Ute Ave, Kiowa, CO 80117. 5. What to bring to camp: Bedroll or sleeping bag, AND sleeping pad, cot, or air mattress. Personal care items (soap, towel, toothpaste, toothbrush, etc.). Clean clothes (including long-sleeved shirts, jeans for rodeo, western boots, and cowboy hat). Rain gear. Bible, flashlight, bug repellent, and sunscreen. Rodeo gear (appropriate for your event). Campers bringing horses need to bring the following: 1. Horse and ALL NECESSARY TACK (i.e., extra bits, blankets, etc.). 2. Hay, feed, and two water buckets.

PLEASE OBSERVE THE FOLLOWING:

No pets allowed at camp. Long-sleeved shirts, jeans, western boots and a cowboy hat are mandatory for the Rodeo. (No English riding attire.) Western boots must be worn at all times while on horseback. To prevent heat exhaustion and sunburn during outdoor classes, each participant must bring a hat (any kind) and sun block of at least SPF-I5. Clearly mark ALL belongings with your name. Leave your radios, cassettes, & CD players, mini TV's at home. Cell phones are not to be used during any scheduled event and should be limited to emergencies only. NO ALCOHOL OR TOBACCO PRODUCTS. ALL campers are required to attend ALL scheduled events.

Please call Buddy Strachan at (719) 492-7098 or Ronnie Moyer at (719)659-8448 if you have any questions or concerns.

HEALTH FORM
(ONE FORM PER CAMPER) NOTE TO PARENTS: Every precaution will be taken to ensure that your child's stay with us is a fun and safe experience. However, rodeo is dangerous and occasionally people get hurt. We strongly advise that you have INDIVIDUAL HEALTH INSURANCE to protect your child! In case of sickness or accident, please fill out the following Health Form completely and accurately.
Campers Name: Date of Birth: Parents Names: Home Address: City: State: Home Phone: ( Email: Fathers Employer: Phone: ( Mothers Employer: Phone: ( 1) 2) Doctors Name: Phone: ( Policy #: Group #: ) Name of your Hospitalization Insurance Company: ) Additional Phone Numbers in case of emergency: ) ) ZIP:

MEDICAL INFORMATION
Please list any medications that your child will bring to camp (include non-prescription items such as aspirin, vitamins, etc., as well as prescription medications):

Reasons for taking above medications:

Does your child have seizures? If yes, most recent occurrence:

YES

NO

Has your child ever been knocked unconscious or passed out ? YES NO If YES, when and how?

Date your child last saw a physician:

Reason for visit:

Year of last Tetanus Shot: Circle any Allergies: Hay Fever Penicillin Other: Does your child have a history of? Heart Problems Diabetes YES YES NO NO Poison Ivy Asthma Insect Stings

List any other helpful medical information:

FELLOWSHIP OF CHRISTIAN COWBOYS PARTICIPANT RELEASE FORM

Campers Name: Home Address: City: State: Home Phone: ( Email: In consideration for the above-named participant being allowed to participate in the Fellowship of Christian Cowboys, National Rodeo Bible Camp on June 4-7, 2013 and other good and valuable consideration, the receipt of which is hereby acknowledged, the undersigned agree(s) as follows. 1. Acknowledgement of Risk: The undersigned acknowledge(s) that rodeo is a dangerous activity and that participation in rodeo events, rodeo training activities and other rodeo related activities exposes the participant to a substantial and serious risk of property damage, personal injury and even death. Notwithstanding the risk involved, the undersigned expressly consents to the participant assuming such risk. Release of sponsors and others: The undersigned, being fully aware that participating in the Fellowship of Christian Cowboys National Rodeo Bible Camp, and the activities related thereto, will expose participant to a substantial and even serious risk of property damage, personal injury or death, hereby releases and forever discharges the Fellowship of Christian Cowboys, its respective officers, directors, agents, employees, successors and assigns, and anyone acting on their behalf, from any and all damages, costs, losses, claims, actions or causes of action of every kind and nature, whether past, present or future, arising out of or in any way connected with the participants participation in or attendance at the Fellowship of Christian Cowboys National Rodeo Bible Camp. Covenant Not to Sue: The undersigned covenant(s) that the undersigned will not, now or at anytime in the future, directly or indirectly, commence or prosecute any action, lawsuit or other proceedings against the Fellowship of Christian Cowboys, its respective officers, directors, agents, employees, successors and assigns, or anyone acting on behalf, for any damages, costs, losses, or claims of whatever kind and nature that arise out of or that are in any way connected with the participants participation in or attendance at the Fellowship of Christian Cowboys National Rodeo Bible Camp, any such damages, costs, losses or claims being hereby expressly waived, released, discharged and satisfied. Assurance: The undersigned has (have) full power, authority, capacity and right without limitation to execute, deliver and perform the agreements and covenants contained in this release and agree(s) to indemnify the Fellowship of Christian Cowboys, and its respective officers, directors, agents, employees, successors and assigns against any claims to the contrary. ) ZIP:

2.

3.

4.

5.

Binding Effect: The agreements and covenants in this release shall be binding upon the undersigned, his/her, heirs, personal representatives, insurers, successors and assigns.

THE UNDERSIGNED HAS (HAVE) CAREFULLY READ AND UNDERSTOOD THE TERMS OF THIS RELEASE AND HAS (HAVE) VOLUNTARILY EXECUTED THIS RELEASE THIS DAY OF _______ 2013.
Signature of Participant

State of

, County of

On this _______ day of _______________ 2013, before me a Notary Public, personally appeared known to me to be the person who executed the foregoing Participant Release Form and acknowledged to me that he/she executed said form as his/her free act and deed for the purpose therein stated. My commission expires:

Notary Public

__________________________________________________________ PARENT/GUARDIAN: State of , County of

On this _______ day of _______________ 2013, before me a Notary Public, personally appeared known to me to be the person who executed the foregoing Participant Release Form and acknowledged to me that he/she executed said form as his/her free act and deed for the purpose therein stated. My commission expires:

Notary Public

FCC/RBC/participantform/4159

THIS HEALTH FORM RELEASE MUST BE SIGNED BY PARENT OR LEGAL GUARDIAN AND ACCOMPANY THE RODEO BIBLE CAMP REGISTRATION FORM!
This health history is correct as far as I know. In case I cannot be reached, I hereby give permission to qualified medical personnel with proper credentials to give emergency treatment to:

(Camper's Name) Print Name of Parent or Legal Guardian

Signature of Parent or Legal Guardian

Date

ATTACH A PHOTOCOPY (front and back) of your health insurance card.

FCC RODEO BIBLE CAMP GUIDELINES

1. Any case of illness, injury, or infection must be reported to camp staff at once. Failure to do so may jeopardize any claim for insurance. 2. The following are NOT ALLOWED at camp: roping of people; alcohol, tobacco products of any kind, illegal drugs, or swearing; radios, CD players, cassette players, TV's. 3. Under no circumstances will boys be allowed in the girls sleeping area or vice-versa. The same policy applies to adults. Touching, handholding and other expressions of affection between male and female campers are not allowed at Rodeo Bible Camp. We want to encourage Christ-honoring relationships between girls and boys. 4. It is expected that everyone will dress in a manner that is pleasing to God and does not draw unnecessary attention to anyone. No spaghetti straps, no belly buttons exposed, no low-cut pants, no baggy jeans (loose clothing is a safety hazard), and no pajamas at chapel. Short sleeves or long sleeves are class requirements. Everyone must bring a hat and SPF-15 (minimum) sunscreen to prevent heat exhaustion and/or sunburn. If you are in doubt, choose the more conservative side. Long-sleeved shirts, jeans, western boots and a cowboy hat are mandatory for the Rodeo. (No English riding attire.) Questions in this area should be directed to your Team Leader. 5. Any camper defacing camp property must pay for the damage incurred. 6. Once you are on the premises, you are to stay on the Elbert County Fairgrounds property unless checked out by your parent or legal guardian. Campers are not permitted to return to the camp if they leave the Elbert County Fairgrounds property. 7. Trash receptacles are around the grounds. Please keep the grounds clean. 8. If you have any problems or questions, please seek out your Team Leader for help. 9. Everyone is required to attend chapel or special meetings each day. Your attention is to be directed to those speaking. Go to the bathroom and get a drink before chapel begins. 10. Do not go near the rodeo stock or equipment unless under the supervision of your Team Leader or Instructor. No horseplay around the chutes or rodeo stock. No one is allowed on the Mighty Bucky without the Instructor. 11. Campers must wear mouth guards and vests during all rough-stock events, including class time, practice, and the Rodeo. No exceptions! 12. No campers should be in event areas other than the event for which they are registered. Stay with your Team Leader or in the eating areas when not in class. 13. Horses are to be ridden only during clinics or under supervision of an instructor. 14. It is each campers responsibility to make sure his/her horse(s) have been fed each morning before breakfast and each evening before dinner and have plenty of water throughout the day. If you do not bring a horse and are borrowing one, you will be responsible for that horse throughout camp. 15. Make sure feed containers are tightly covered at all times.