Hedges & Highways Camperships

General Information & Registration

 

General Information

Please read completely

This Scholarship has been paid for by friends of Camp Eagle and entitles one camper to attend one week of camp as a gift. The $295 has already been paid for your camper to attend. 

Transportation:

On Monday, the week of your camp week, a bus will leave precisely at 9am from Shenandoah Baptist Church, 6520 Williamson Rd., Roanoke, VA, to transport campers to Camp Eagle.  Any camper arriving after 9am will not be able to attend that week.    

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Departures:

On Friday at 10:30am, following your camp week, your camper will arrive at Shenandoah Baptist Church.  Parents should plan to pick up campers at that time.  Please do not be late.  

Emergencies: 

Weekdays: 8:30am - 5pm, call (540) 366-2431.  After 5pm, call (540) 309-3502.  

What to Bring:

SLEEPING BAG OR BED ROLL, pillow, towels, toiletries, flashlight, light jacket, rain gear, two pairs of shoes, one piece swimsuit, casual and modest clothing appropriate for camp, Bible, pen or pencil.  Suggested snack money is $25. Staff members reserve the right to have campers change clothing at any time.    

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What NOT to Bring:

Radios, personal listening devices, TVs, electronic games, cigarettes, non-prescription drugs, alcoholic beverages, fireworks, firearms, knives or weapons of any kind, magazines, cell phones, pets, or skateboards.  Please do NOT bring food or drinks.    

Medical Policy:

For the health and safety of all campers, we request campers with contagious conditions, including lice, not attend camp.  

Discipline:

In an effort to protect the safety of the campers and to ensure an orderly camp, the Camp Director reserves the right to dismiss any camper for reasons of safety or inappropriate behavior such as disobedience, bullying, disrespect, etc. Campers dismissed from Camp Eagle may forfeit all future opportunities to attend.

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Note:

Campers do not have access to phones except in the case of an emergency.  Campers are expected to stay the entire camp week except in cases of illness or emergency at home.  All visitors must have approval from the Camp Director to be on camp property. 

Lost & Found

Lost items, with an estimated value of $25 or greater, will be kept for one week and then discarded.  All other items will be discarded after the camper departs from their week of camp.  Camp Eagle is not responsible for items lost, left or removed from Camp Eagle or any of the drop off locations. 

Printable Registration forms:

If you would prefer a registration form to be mailed to you, please call (540) 366-2431 or click the button to print.


Hedges & Highways Registration Form

YOU MUST READ THE GENERAL INFORMATION BEFORE CONTINUING

Camper Name *
Camper Name
Parent/Guardian's Name *
Parent/Guardian's Name
Address *
Address
Preferred Phone Number *
Preferred Phone Number
Additional Phone Number
Additional Phone Number
Camper Date of Birth *
Camper Date of Birth
Emergency contact other than Parent/guardian *
Emergency contact other than Parent/guardian
Emergency Contact's Preferred Phone Number *
Emergency Contact's Preferred Phone Number
Additional Phone Number
Additional Phone Number
Name of Family Physician
Name of Family Physician
Family Physicians Phone Number
Family Physicians Phone Number
Please be specific
Date of Last Tetanus Shot
Date of Last Tetanus Shot
Camp Week Attending *
Only ONE camp week per camper can be selected and granted to give everyone an opportunity to attend. Be sure to select the correct age group for your Camper. 12 year olds may choose Junior Camp or Teen camp but not both.
Medical Authorization & Assumption of Risk & Indemnity Agreement
By registering your child for any event you are agreeing to the following statements: In the case of a medical emergency, I hereby give my permission to have the staff member in charge hospitalize my child and/or secure a licensed physician, surgeon, or anesthetist in providing the necessary care for my child as named on this registration form. I certify my child is in good physical health and is able to participate in the entire camping program, except for the activities listed as restricted. I further give permission to the camp staff to administer Tylenol or Benadryl, if needed. I understand and agree that I will be responsible for any and all expenses associated with providing medical care for my child. I am aware that during certain events and activities on Camp Eagle property, there may be inherent risks associated with this as well as any other outdoor activity. These events include, but are not limited to, High and Low Ropes Courses, Swimming, Hiking, Challenge Courses, Team Building Exercises, games, paintball, The “Blob”, Hay Rides, archery, BB guns, tomahawk throwing, sling shots, and all other camp related activities. Since Camper safety is of utmost importance to the Camp Eagle Staff, I agree that once made aware of the rules, regulations, and standards as set forth by Camp Eagle instructors, I will abide by them or accept dismissal without the benefit of refund for refusing to follow such rules. In consideration of and as part payment for the right to participate in these events and activities, I have and do hereby assume all risks and will hold Camp Eagle and its sponsoring organization, Shenandoah Baptist Church, (along with all employees or agents of Camp Eagle and Shenandoah Baptist Church), harmless from any and all liability, actions, causes of action, debts, claims and demands of every kind and nature whatsoever which I now have or which may arise from or in connection with my and/or my child’s participation in outdoor program activities arranged for me and/or others by Camp Eagle. The terms hereof shall serve as a RELEASE AND ASSUMPTION OF RISKS and INDEMNITY for my heirs, executors, and administrators and for all members of my family. If the participant is a minor, the undersigned parent or guardian gives permission for said minor to participate in events and activities sponsored by Camp Eagle and accept all risks as stated above. I hereby give permission for my child(ren) to be photographed or videotaped while participating in the events at Camp Eagle. I give Camp Eagle and their agents permission to use or distribute such photographs or video for any reasonable purpose including advertising or promotion. I understand this consent complies with Section 8.01-40 of the Code of Virginia or its equivalent. I have carefully read all the information from the Summer Guidelines and agree to cooperate and comply in all these areas. I understand that violations in any of these areas may result in the campers dismissal from Camp Eagle.
Parental Consent *
Parental Consent
I Agree