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 Registration Update :: October 06, 2008
Instructions Minimize

Click the printer icon at the bottom of the registration form to obtain a printer-friendly version, then print and fill out completely. The form must be signed by a parent or legal guardian. Use a separate form for each camper for each week. Camp fees are $100 per week ($90 per week if postmarked by May 11, 2007).

Note: Scholarships are available for campers whose parents are unable to pay the fee. Contact any of the Trustees for more information about scholarships.

Mail the completed form with a $20 deposit to:

Fort Hill Christian Youth Camp
c/o Sherry McCray
Clifton Church of Christ
695 Berkshire Lane
Cincinnati, Ohio 45220-1410

Before filling out the registration form, please read the Instructions to Campers on what to bring, what not to bring, departure times, etc. You may also download and read the FHCYC Handbook in PDF format.

Please see the Calendar for retreat and camp dates. Click on the event to see the Directors' contact information.
Registration Form Minimize
Registration Front -- Clip Information Right Of Dotted Line (Read Before Printing) -- Please DO NOT Staple Forms

 
Please print in ink.    Mail with $20 deposit to: Fort Hill Christian Youth Camp   |  Registration Policies
                                                  c/o Sherry McCray                |
                                                  Clifton Church of Christ         |
                                                  695 Berkshire Ln                 |
Name ______________________________________       Cincinnati, OH 45220-1410        |  Registration form must
                                                           _______________________ |  be completed and signed by
Address ___________________________________               | Do not write here 2008 |  parent or legal guardian.
                                                          | Date _____ Reg _____   |
City ____________________ State ___________               |                        |  Fee: $100 per week
                                                          |         T-shirt ____   |        $90 if postmarked by May 14
Phone (______) _______________   Zip _________            |                        |
                                                          | PC      Due   ______   |  Separate forms are needed
Birth date: ____/____/____  Age: ____  Sex: ____          |                        |  for each camper for each week.
                                                          | SC      M   A   C      |
Church attending ______________________________           |_______________________ |  Pre-camper: ages 7 & over, full fee
                                                                                   |              ages 4 to 6, $25
               Retreats                            Camp weeks                   |              ages 3 & under, no charge
   Teen (Spring), May 2 ___        Age 14-18, June 8 ___   Age 10-18, July 13 ___  |
Check                                                                              |  Call (513) 281-2872 for more
session     Men, May 16 ___        Age 7-18, June 15 ___    Age 7-18, July 20 ___  |  information, additional forms, 
attending.                                                                         |  or questions.
         Family, May 23 ___        Age 7-18, June 22 ___                           | 
                                                                                   |  Please mail at least two (2) weeks
         Ladies, June 6 ___        Age 7-10, June 29 ___                           |  prior to camp date. If less than
                                                                                   |  2 weeks, call (513) 281-2872.
    Teen (Fall), Sept 5 ___        Age 7-18, July 6  ___                           |
                                                                                   |  No one shall be denied admission to
     Golden Age, Sept 9 ___                                                        |  Fort Hill Christian Youth Camp or to   
                                                                                   |  the benefits of our U.S. Department  
                   Optional T-shirt: $10 (pay by May 14)                    |  of Agriculture Child Nutrition Program
                                                                                   |  because of race, color, national 
             Circle size - youth:  S  M  L;       adult: S  M  L  XL  XXL          |  origin, sex, handicap, or age.

Registration Back 
CAMPER: I hereby agree to abide by all rules of Fort Hill Christian Youth Camp and
        agree that my picture may be used in publicity for the camp.
 
Date: __________  Camper's Signature: __________________________________
 
PARENT: Fort Hill Christian Youth Camp is hereby authorized to arrange for my
        child whatever medical or emergency treatment may become necessary while
        my child is at camp.
 
Family doctor: ______________________  Doctor's Phone: (____) ______________
 
Allergies: ______________________________________________________________
 
Other medical information: ______________________________________________
 
_________________________________________________________________________
 
_________________________________________________________________________
 
Has the camper ever been charged with a crime involving harming another or threatening to harm 
another? ___ Yes  ___ No (If yes, a camp official will contact you for further explanation)
 
Parent's Name (print) ___________________________________________________
 
Parent's Signature: ________________________________  Date ______________
 
Home # (___) ______________ Work # (___) ______________ Cell # (___) ______________

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FHCYC logoACA AccreditedFort Hill Christian Youth Camp
13500 Fort Hill Road
Hillsboro, OH 45133

(937) 588-2266
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