Oil Belt Christian Service Camp is a year-round facility supported by area Christian Churches and Churches of Christ. Our mission

is to “make disciples of Jesus Christ through the teaching of

God’s word.” Along with your child having fun and meeting great

Christian friends, each session of camp will have emphasis

on Biblical teaching, salvation through Jesus Christ, scripture

memorization, and worship.

Route 45to Louisville

Route 50to Salem

Flora

Charley Brown Park

Church Camp Sign

North MainEntrance

Hemlock Road

Lincoln Road for 1 Mile

Remember, each camp STARTS with registration in the Activity Building.

Use the north main entrance; the east entrance through the park is closed.

Regi

stra

tion

Info

rmat

ion

• To

regis

ter f

or a

week

of ca

mp a

t Oil B

elt, fi

ll out

the d

etac

hable

card

be

low (b

oth s

ides)

and r

etur

n to t

he C

amp O

ffice

, or r

egist

er on

line.

• On

ce w

e rec

eive y

our c

hild

’s re

gistra

tion,

you w

ill re

ceive

an e-

mail

co

nfirm

ation

. Spe

cific c

amp i

nfor

mat

ion w

ill be

in th

at e-

mail

, or

you m

ay fi

nd it

on ou

r web

site.

• Re

giste

r for

the g

rade

you w

ill be

ente

ring i

n the

fall.

• Ca

mps

do fi

ll up.

Walk

-ins o

r lat

e reg

istra

tions

are o

nly a

ccep

ted i

f th

ere i

s ava

ilabl

e spa

ce.

• Al

l reg

istra

tions

mus

t be s

igned

by a

pare

nt or

guar

dian

, as w

ell as

th

e cam

per s

ignin

g the

code

of co

nduc

t.

Early

Bird

Disc

ount

5% off

comp

leted

reg

istrat

ions r

eceiv

ed

by M

ay 11

th!

Regi

ster

Onl

ine!

9

Confi

rm yo

ur sp

ot.

9

Pay w

ith cr

edit/

debi

t. 9

Ente

r inf

o on

ce fo

r mul

tiple

ki

ds a

nd w

eeks

of c

amp!

Cam

per R

egis

trat

ion

Form

(Fill

out

BOT

H s

ides

)

RISK

OF I

NJUR

Y – W

AIVE

R OF

LIAB

ILIT

YI h

ereb

y giv

e pe

rmiss

ion f

or m

y ch

ild t

o pa

rticip

ate

in r

ecre

ation

al,

swim

min

g, an

d lea

rnin

g act

ivitie

s, an

d to b

e bou

nd by

all c

amp p

olicie

s in

forc

e. I d

esire

that

my c

hild

parti

cipat

e in t

he fu

ll ran

ge of

cam

p act

ivitie

s, an

d ac

know

ledge

tha

t th

e na

tura

l con

ditio

ns o

f th

e ca

mp

and

the

inte

ract

ion w

ith ot

her c

hild

ren o

f var

ious a

ges m

ay su

bjec

t my c

hild

to a

risk o

f inj

ury.

I, the

refo

re, r

eleas

e the

cam

p fro

m an

y res

pons

ibilit

y oth

er

than

nor

mal

supe

rvisi

on an

d ca

re. In

case

of a

ccid

ent,

I will

not h

old O

il Be

lt Ch

ristia

n Se

rvice

Cam

p, its

staff

, man

agem

ent,

facu

lty, v

olunt

eers

, or

its o

ffice

rs lia

ble.

Furth

er, I

waive

any c

laim

or ca

use o

f act

ion ag

ainst

th

e fo

rego

ing

parti

es, w

hich

may

aris

e as

a re

sult

of a

n ac

ciden

t or a

n in

jury

to m

y chi

ld. In

Cas

e of E

mer

genc

y: I h

ereb

y give

perm

ission

to th

e ph

ysici

an se

lecte

d by

the

cam

p m

anag

emen

t or d

ean

to se

cure

pro

per

treat

men

t for

my

child

as

nam

ed o

n th

is ca

rd. D

octo

r call

s, tre

atm

ent,

or h

ospi

taliz

ation

are

to b

e ch

arge

d to

our

fam

ily in

sura

nce

or to

me

pers

onall

y. I u

nder

stan

d th

at O

il Be

lt Ch

ristia

n Se

rvice

Cam

p an

d its

st

aff sh

all n

ot b

e he

ld re

spon

sible

for a

ny a

rticle

s los

t, st

olen,

or le

ft at

th

e ca

mp.

I und

erst

and

that

my

child

may

be

a su

bjec

t of p

hoto

grap

hs

take

n by

the c

amp

for p

ublic

ity p

urpo

ses a

nd au

thor

ize th

e use

of th

ese

phot

ogra

phs.

I agr

ee to

be bo

und b

y all t

he ca

mp p

olicie

s in f

orce

.

By S

ignin

g th

is I a

ckno

wled

ge th

at I

have

read

and

agr

ee to

the

Risk

of

Inju

ry-W

aiver

of Li

abilit

y sta

tem

ents

abov

e.

Sign

atur

e of P

aren

t/Gu

ardi

an

Prin

t Nam

eDa

te

Cam

per N

ame

Birth

day

Cam

per A

ddre

ss

City

Stat

eZi

p

Cam

per E

-mail

Cam

per P

hone

Gend

er:

M

ale

Fe

male

Has t

he ca

mpe

r be

en im

mer

sed?

Yes

No

Grad

e Thi

s Fall

Age

Hom

e Chu

rch

Chur

ch Lo

catio

n

Prim

ary C

onta

ct N

ame

Relat

ionsh

ipPh

one

E-m

ail

Seco

ndar

y Con

tact

Nam

e

Relat

ionsh

ipPh

one

E-m

ail

The P

rimar

y, Se

cond

ary,

and A

ltern

ate C

onta

cts a

re th

e only

peop

le all

owed

to pi

ck up

the c

ampe

r. We w

ill be

chec

king i

dent

ificat

ion.

List a

nyon

e else

you’d

like t

o add

:

SELE

CT C

AMP:

(one

per r

egist

ratio

n for

m)

Fa

ther

/Chi

ld C

amp

Disc

over

y

Gen

esis

Wee

k

Sun

rise D

ay C

amp 1

Enco

unte

r 1

Mus

ic Ca

mp P

lus

S

unris

e Day

Cam

p 2

Enco

unte

r 2

Nin

ers

Fo

otpr

ints

1

Athl

etes

Cam

p

Sen

ior H

igh

Foot

prin

ts 2

Jr

. High

1

Sr. H

igh W

ilder

ness

Path

finde

r 1

Jr. H

igh 2

D

eepe

r Life

Path

finde

r 2

Jr. H

igh W

ilder

ness

Gre

ater

Ret

reat

oilb

elt.c

om

Send

ONE

regi

stra

tion c

ard f

or

EACH

CAM

P yo

u atte

nd!

4th Draft-OBCSC-Summer 2020 Brochure.indd 1-24th Draft-OBCSC-Summer 2020 Brochure.indd 1-2 3/9/20 4:54 PM3/9/20 4:54 PM

GRAD

ESCA

MP

NAM

EDA

TERE

G. FE

EDE

ANCA

MP ST

ARTS

CAMP

ENDS

K–Ad

ultSp

ecia

l Nee

ds D

ayMa

y 16

$30.0

0Da

nielle

Kim

brell

9:30a

m3:0

0pm

K–4t

hFa

ther

/Chi

ld C

amp

June

26–2

7$5

5.00

Dusti

n Dr

aear

5:30p

m3:3

0pm

1st &

2nd

Sunr

ise D

ay C

amp

1Ju

ne 6

$20.0

0Ke

lly B

aker

10:30

am5:3

0pm

1st &

2nd

Sunr

ise D

ay Ca

mp 2

Augu

st 1

$20.0

0Ju

lie Va

nVoo

rhis

10:30

am5:3

0pm

2nd &

3rd

Foot

prin

ts 1

June

19–2

0$5

5.00

Lezli

e Joh

nson

5:30p

m3:3

0pm

2nd &

3rd

Foot

prin

ts 2

July

17–18

$55.0

0Pe

nny A

rnold

5:30p

m3:3

0pm

4th

& 5t

hPa

thfin

der 1

May 2

7–29

$110

.00Sc

ott G

oods

on3:3

0pm

5:30p

m

4th

& 5t

hPa

thfin

der 2

Augu

st 9–

11$1

10.00

Aaro

n Sh

irley

3:30p

m5:3

0pm

4th

& 5t

hDi

scov

ery

June

28–Ju

ly 1

$125

.00Br

yce A

sh3:3

0pm

3:30p

m

5th

& 6t

hEn

coun

ter 1

June

14–19

$165

.00Du

stin

Leek

3:30p

m3:3

0pm

5th

& 6t

hEn

coun

ter 2

Augu

st 2–

7$1

65.00

Rob P

lumm

er3:3

0pm

3:30p

m

6th–

8th

Athl

etes

Cam

pJu

ly 5–

10$1

85.00

Dann

y Far

ris3:3

0pm

3:30p

m

7th &

8th

Jr. H

igh

1Ju

ne 7–

13$1

75.00

Brya

n He

inrich

3:30p

m9:3

0am

7th &

8th

Jr. H

igh

2Ju

ly 19

–25

$175

.00La

nce B

oldt

3:30p

m9:3

0am

7th &

8th

Jr. H

igh

Wild

erne

ss

June

28–Ju

ly 3

$225

.00Se

th Sc

hnau

tz12

:30pm

5:30p

m

7th–1

2thGe

nesis

Wee

kMa

y 26–

30$1

75.00

Tim D

avis

9:30a

m9:3

0am

7th–13

thMu

sic Ca

mp P

lus

June

21–2

6$1

85.00

Ben

VanH

yning

3:30p

m8:3

0pm

9th

Nine

rsJu

ly 12–

17$1

65.00

Mike

Kne

pper

3:30p

m3:3

0pm

9th–

12th

Seni

or H

igh

May 3

1–Jun

e 6$1

75.00

Levi

Schr

ock

3:30p

m9:3

0am

9th–

12th

Sr. H

igh

Wild

erne

ss

June

20–2

6$2

25.00

Drew

Flan

agan

5:30p

m3:3

0pm

10th

–13th

Deep

er Li

fe

July 2

6–Au

gust

1$1

75.00

Doug

Junk

ins3:3

0pm

9:30a

m

18–2

4yr o

ldGr

eate

r Ret

reat

May 1

5–17

$80.0

0St

ephe

n Du

laney

6:30p

m1:0

0pm

Adult

Spec

ial

Need

sO.

A.S.I

.S. Re

treat

Augu

st 14

–15

$40.0

0Lis

a Dill

5:30p

m3:3

0pm

Regi

ster

for t

he g

rade

you

ar

e en

terin

g in

the

fall!

Spec

ial N

eeds

Day

: Any

cam

per n

eedi

ng a

little

assis

tanc

e or s

pecia

l co

nsid

erat

ion is

welc

ome.

Each

cam

per w

ill ha

ve a

budd

y to s

hare

the

bles

sings

of th

e day

or w

eeke

nd. T

o reg

ister

, get

the s

pecia

l reg

istra

tion

form

onlin

e, or

e-m

ail/c

all th

e cam

p offi

ce.

Fath

er/C

hild

Cam

p: O

vern

ighte

r for

dads

and t

heir

child

ren.

You c

an

stay

in th

e dor

ms,

or br

ing y

our o

wn te

nt or

RV c

ampe

r. Reg

istra

tion c

ost

is on

ly fo

r the

child

, dad

s com

e fre

e!

Sunr

ise D

ay C

amp:

1st-2

nd gr

ader

s’ fir

st op

portu

nity t

o atte

nd ca

mp!

It’ll b

e a d

ay to

expe

rienc

e cam

p and

mee

t new

frien

ds. D

on’t f

orge

t you

r swi

msu

it!

Foot

prin

ts: 2

nd-3

rd gr

ade o

vern

ighte

r. The

firs

t cam

p to s

pend

the

nigh

t with

out a

pare

nt at

cam

p. Br

ing a

frien

d to b

e a bu

nk bu

ddy!

Path

finde

r and

Disc

over

y: At

first

glan

ce, m

any a

sk th

e diff

eren

ce

betw

een D

iscov

ery a

nd Pa

thfin

der. D

iscov

ery i

s one

nigh

t lon

ger f

or th

ose

4th a

nd 5t

h gra

ders

who

can h

andle

the e

xtra

nigh

t awa

y fro

m ho

me.

Athl

etes

Cam

p: S

ign up

for o

ver 9

spor

ts, in

cludi

ng: b

aseb

all,

bask

etba

ll, fo

otba

ll, so

ccer

, voll

eyba

ll and

mor

e. Al

so, b

e pre

pare

d for

the

annu

al m

ud ru

n by h

avin

g a sp

are s

et of

clot

hes a

nd sh

oes!

Jr. H

igh &

Sr. H

igh W

ilder

ness

: War

ning:

This

is ph

ysica

lly de

man

ding &

wi

ll NOT

be ea

sy! L

imite

d to 1

2 cam

pers

each

wee

k. Re

giste

r ear

ly—th

ese

book

quick

ly! JH

W w

ill ha

ve a

base

cam

p in E

min

ence

, Miss

ouri,

whe

re

they

will

stay

in te

nts,

and e

ach d

ay ha

ve di

ffere

nt ou

tdoo

r exp

erien

ces:

cano

eing,

hikin

g, a c

ave t

our, a

nd m

ore.

SHW

will

be off

site a

nd hi

king.

Gene

sis W

eek:

7th-

12th

grad

ers g

et th

e onl

y cam

p of i

t’s ki

nd in

the

USA!

Spe

nd a

week

with

Cre

ation

Trut

h Fou

ndat

ion as

they

brin

g the

ir ex

hibi

ts an

d tea

ch. It

’s an

incr

edib

le we

ek fo

r tho

se w

antin

g to l

earn

how

the B

ible

and s

cienc

e wor

k tog

ethe

r!

Music

Cam

p Plus

: Reh

earse

all w

eek a

nd pe

rform

at 7:

00pm

on Fr

iday

night

. A fe

w of

the e

lectiv

es ar

e: ch

oir, b

and,

art, p

reac

hing,

dram

a, an

d mor

e.

Nine

rs: D

esign

ed sp

ecifi

cally

for s

tude

nts e

nter

ing t

heir

fresh

man

year

of

high

scho

ol, th

is is

a can

’t-m

iss ca

mp o

ppor

tuni

ty!

Grea

ter R

etre

at: 1

8-24

yr ol

d ret

reat

to se

t you

ng ad

ults

on a

cour

se fo

r a g

reat

er lif

e. Sp

end a

wee

kend

reco

nnec

ting w

ith C

hrist

!

O.A.

S.I.S

. Ret

reat

: Adu

lt wi

th sp

ecial

need

s ove

rnigh

ter. T

o reg

ister

, get

th

e spe

cial r

egist

ratio

n for

m on

line,

or e-

mail

/call

the c

amp o

ffice

.

Camper Health History(Fill out BOTH

sides)

Camper Nam

e

The camper is allergic to...

Penicillin

Latex

Bee Stings

Food ____________________

Other ______________________

EpiPen? Yes

No

Describe reaction:

If a severe reaction, please call or e-mail the cam

p with details at 618-662-2822 or cam

poffice@

oilbelt.com.

The camper has/does...

Epilepsy

Asthma

Diabetes

Seizures

Hay Fever

Sleepwalk

Other _______________________

Medicine the cam

per is NOT to receive includes...

Tylenol

Caladryl

Ibuprofen

Other __________________________________________________

List all medications:

All medicine m

ust be in original container, marked clearly with

camper’s nam

e/dosage instructions, and left with the camp nurse!

Pill counts will be conducted.

Other special medical needs: (attach note if necessary)

Health Insurance Co.Policy Num

ber

Family Doctor Nam

e Doctor Phone

Please list any recent surgery, injury, or permanent condition that

might restrict your child from

participating in activities.

Please add an alternate emergency contact, in case the prim

ary or secondary contact can’t be reached.

Alternate Contact

PhoneRelation to Cam

per

This Box to Be filled out by your Minister ONLY:

Church Name

The Church will pay ___________________ $ / % of this registration.

SignatureDate

Send ONE registration card for EACH CAM

P you attend!

CAMPER CODE OF CONDUCT

• I understand that I am required to conform

to the camp schedule.

• I understand any possession of a controlled substance, such as tobacco, alcohol, m

arijuana, vape, etc, is prohibited and will result in imm

ediate dismissal.

• If I willfully or intentionally damage equipm

ent or property, I will replace at m

y (the camper’s) expense.

• I understand Oil Belt Camp reserves the right to dism

iss any camper

for undesirable conduct including but not limited to: bullying, sexual

harassment, distracting others, and showing disrespect.

• I will not bring snacks, food, or drinks to camp, since they are not allowed

in the dorms.

• I will conform to the dress code. Modesty and decency m

ust prevail in my clothes.

Short or tight shorts, bare midriff, or revealing clothing are not perm

itted.

• I understand the camp telephone is for em

ergency use only.

• I will not bring or keep a cellphone or electronic entertainment device at Oil Belt.

• I have read and fully understand the above code of conduct, and agree to abide by it.

Camper Signature

OFFICE use ONLY:Am

ountPaym

ent TypeDate

Payment

$_______________________

____________

Payment

$_______________________

____________

Balance Due$_______________________

W

i Fac

Frequently Asked Questions:W

HAT TO BRING TO CAMP: Bible, blankets/sleeping bag,

pillow, toothbrush, toiletries, towels/washcloths, jacket, special m

edication, tennis shoes, swimsuit, pool shoes, notebook.

WHAT NOT TO BRING: Cellphones, electronics, playing cards,

roller blades, skateboards, or pets.

VISITORS: Visiting time has restrictions, and visitors should

not interrupt the camp schedule or take cam

pers away from any

activities. Some evenings are not open for visitors, so please call

ahead to confirm. All visitors are to check in at the Cam

p Office

located in the Activity Building.

DRESS CODE: Please dress modestly and decently. The dean is the final

authority in matters of dress. For the com

plete dress code, see oilbelt.com.

• Swimsuits are not to be low cut or reveal m

idriff. T-shirts must be

worn to cover all bikinis. No sheer suits are to be worn.

• Shoes or sandals are to be worn on the campgrounds including to

and from the pool.

• Shirts are to be worn at all times at cam

p.

CANTEEN: Canteen cards are available for $5, $10, $15, and $20 for use in the canteen, and to give towards the m

issionary. Each week has a different m

issionary to support. (Some cam

ps will not warrant the purchase of a canteen card.)

MEDICATIONS: The cam

p nurse will administer all m

edications to cam

pers. Medications will need checked in with the nurse at registration, and will need to be picked up from

the nurse during check-out. All m

edicine must be in original container, and m

arked clearly with cam

per’s name and dosage instructions. Pill counts will be conducted.

CAMP PICTURE: A cam

p picture will be included in the registration fee. Every cam

per who completes their week will receive a picture.

For more detailed answers, see oilbelt.com

4th Draft-OBCSC-Summer 2020 Brochure.indd 3-44th Draft-OBCSC-Summer 2020 Brochure.indd 3-4 3/9/20 4:54 PM3/9/20 4:54 PM