Registration Application About Curriculum Programs Register Menu About Curriculum Programs Register Registration for Camp OAKS is now open! Camp OAKS Registration Application 2024 Camp OAKS Registration Application - v3 "*" indicates required fields Step 1 of 4 0% Are you an Oakwood Employee?* Yes No OU ID#* Do you live within the 35816 zip code?* Yes No How did you hear about Camp OAKS?*--ChurchEmployeeFacebookFamilyFriendOakwoodRadioTelevisionOther The cost of attendance is $250 per child, per week. Oakwood University is pleased to offer an 80% discount to all employees. Therefore, the cost per child is $50 per week and $200 for all 4 weeks. The total reduced amount will be shown at checkout, and is required to complete registration. The application fee is $20.00 per child and is nonrefundable. The cost of attendance is $250 per child, per week. The total amount is due at registration and is nonrefundable. The application fee is $20.00 per child and is nonrefundable. Tell Us about Your Student(s)For your application to be considered, please share details about your student(s), by adding them below.Student Details Student's Name Gender Date of Birth Student's Grade Fall 2023 Actions Edit Delete There are no Students. Add Student Maximum number of students reached. NOTE: Need Help? Contact the Community Health Action Center at 256-726-7777 for additional guidance. Parent/Guardian InformationParent/Legal Guardian Name* Parent's First Name Parent's Last Name Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Would you like to authorize an alternate person to pickup your student(s)?*NoYesYou may enter up to two additional authorized persons to transport your student(s).Authorized Person #1* First Last Relationship* Phone*Add another authorized person?*NoYesAuthorized Person #2* First Last Relationship* Phone*Church Membership Is the family income below $27,000 per year?* Yes No Did your student(s) attend Camp OAKS in 2023?* Yes No Does any member of your family support the Department of Defense (current or historical, active or retired: reserve, branches of the military, etcetera)?*NoYes HiddenSection BreakTerms & ConditionsNo refunds: Camp application and registration is non-refundable. Behavior Policy: To ensure a safe and fun environment for all, children are expected to behave in an acceptable manner and use appropriate language at all times. Campers may not bring backpacks, tablets, phones, or other items to camp. It is important to remember that there are no refunds if a child is asked to leave the program due to unacceptable behavior. Emergency Treatment Authorization: You hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of your child, should a medical emergency occur, which the attending medical professional believes requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement or impairment, or undue pain, suffering or discomfort, if delayed. IF YOUR CHILD HAS A PREEXISTING MEDICAL CONDITION, WE RECOMMEND REGISTERING YOUR CHILD AS A PATIENT AT THE HH PHYSICIAN CARE CLINIC AT THE COMMUNITY HEALTH ACTION CENTER, PRIOR TO JUNE 03, 2024. Permission is granted to the attending physician to proceed with any examination, diagnosis, and medical or minor surgical or other treatment. In the event of a medical emergency, you understand that every attempt will be made by the attending physician to contact you in the most expeditious way possible. The authorization is granted only after a reasonable effort has been made to reach you. Permission is also granted to the Community Health Action Center and its affiliates to provide emergency treatment prior to the child’s admission to the medical facility. This release is authorized and executed of your own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in your absence. Liability Waiver: On your own behalf, and as parent or guardian, you acknowledge and agree that there is the possibility of physical injury or loss associated with your child’s participation in the program and hereby release and discharge the Community Health Action Center, its affiliated organizations, employees and associated personnel including the owners of the program facility against any and all claims, liabilities and/or damages as a result of your child’s participation in the program. Photo Release: You authorize the Community Health Action Center to obtain, store, publish and/or use (without payment) any photographs, slides, sound and/or video recordings made of your child for public relations, marketing/advertising and/or internal training purposes. Pick-up Policy: To ensure a safe and fun environment for all, children are expected to be picked up at the close of camp each day by the designated Parent/Guardian or Alternate Transportation. Children will not be released to other parties. Failure to pick up a child in a timely manner may result in a child being dismissed from the program. ConfirmationPlease Confirm*By registering your child, you are certifying that you have read and agree to the Terms & Conditions of the program. *Parent/Legal Guardian Name* First Last Parent/Legal Guardian Signature*Date* Month Day Year Application Fee Price: $20.00 Camp Oaks Registration Fee Price: $250.00 OU Employee Discount $0.00 Total Due Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name NameThis field is for validation purposes and should be left unchanged.
