Summer Youth Retreat 2022

Kingswood is officially open for the summer and this year we are excited to hold our second ever summer youth retreat for ages 12-16 from July 31-August 3! Come explore the 766 acres of woods, fields, and waterways and make some lifelong friends and memories along the way.
Over the course of these three days, youth will spend their time exploring, swimming, playing games and learning naturalist skills all while reconnecting with themselves and God. We may even work on a small service project to give back to the Kingswood community.

Sign up today!
 
Kingswood is owned and operated by the New York Conference of The United Methodist Church. We will be staying at an equipped site with an outdoor kitchen, water, and platform tent. Learn more about the campground and equipped sites here.

Logistics:
Age Range: 12–16 year old’s
Dates: July 31-August 3
Drop-off:  Sunday, July 31: 3-3:30pm at the Barn
Parents will be required to review their camper's registration form and sign it prior to the start of the retreat.
Pick-up: Wednesday, July 31-August 3: 12:30-1pm at the Barn
Location: Kingswood Campsite 1500 Hathaway Pond Road Hancock, NY 13783
Price: $200 for each camper. This price includes dinner on Sunday and all three meals on Monday and Tuesday. Breakfast and snacks will be provided on Wednesday.
 
The retreat will be lead and supervised by two experienced counselors. At least one counselor will be CPR/AED/ First Aid certified. 
 
COVID-19 Protocols:
We will be following all protocols set by New York State and the CDC in regards to COVID-19. Families must submit one of the following in order to attend the retreat:
1. Up-to-date vaccination card (sent to rachel.bortin@cortland.edu)
2. Proof of a negative PCR test for COVID-19 taken within 72 hours of arrival
(bring to the retreat).
3. Proof of a negative rapid antigen test administered by a healthcare professional collected within six hours prior to arrival at camp (bring to the retreat).
4. Documentation of laboratory confirmed COVID-19 infection in the previous 3 months before arrival at camp (sent to rachel.bortin@cortland.edu; camper must still be asymptotic).
 
Our retreat is 100% outside unless we visit the barn. Masks are optional indoors and outdoors for campers. If you wish for your camper to wear a mask please provide several in case some get dirty or wet.

COVID-19 Policy and Refund Policy:
If your child is not able to come due to illness or a COVID-19 exposure, you will receive a $100 (50%) refund.
 
Payment Information:
Please complete and submit this form by July 25, 2022. All information will be kept confidential.
Payment is due to Jon Stidworthy 430 County Route 1 Warwick, NY 10990    labeled "Summer Youth Retreat" by July 25, 2022.

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* 1. Camper Information: Name, Age, Gender, Other Relevant Information

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* 2. Parent/Guardian Information: Name, Work and Cell phone number, email address, mailing address

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* 3. Emergency Contact Information #1: Name, Relationship to Camper, Work and Cell phone number

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* 4. Emergency Contact Information #2: Name, Relationship to Camper, Work and Cell Phone number

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* 5. Does your child have any allergies? If yes, please specify.

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* 6. List any medications your child is currently taking as well as any other relevant medical information. If none, skip to question 7.

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* 7. I agree to provide one of the following options in regards to the COVID-19 requirement.
1. Up-to-date vaccination card (sent to rachel.bortin@cortland.edu)
2. Proof of a negative PCR test for COVID-19 taken within 72 hours of arrival
(bring to the retreat).
3. Proof of a negative rapid antigen test administered by a healthcare professional collected within six hours prior to arrival at camp (bring to the retreat).
4. Documentation of laboratory confirmed COVID-19 infection in the previous 3 months before arrival at camp (sent to rachel.bortin@cortland.edu; camper must still be asymptotic).

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* 8. Please list any adults who can pick up your child:

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* 9. I understand the payment of $200 per child is due on July 25, 2022. I will send a check to Jon Stidworthy 430 County Route 1 Warwick, NY 10990 under the label "Summer Youth Retreat". I understand if my check is not received by July 25, 2022 my child may not be able to participate in the retreat.

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* 10. TERMS & CONDITIONS

I hereby enroll my family members listed above with the New York Conference of The United Methodist Church Family Camp for the 2022 session and agree to the following terms and conditions:

All information supplied in this camper registration form is correct.
I agree to complete and return any additional registration material in a timely manner after registration is confirmed. 
I recognize the risks associated with camp and the camp program, and do not hold the New York Conference of The United Methodist Church responsible or legally liable unless losses and/or injury results directly from the negligent or willful act of staff acting within the scope of their responsibilities.
I give permission and consent for my camper(s) to participate in all activities associated with the Youth Retreat unless a restriction or limitation is described on their retreat registration. Camp activities may include, but are not limited to, swimming, campfire building, and hiking.
I give permission and consent for my camper(s) to allow photographs and videos to be taken during the Youth Retreat session activities. I further give permission and consent that any such photographs and videos may be published and used by the New York Conference of The United Methodist Church and its agents, to illustrate and promote the camp experience and/or camp programs.
I give permission to release participant's health information to health officials in emergency situations and in case of illness and injury. I give permission to the physician selected by the camp to order x-rays, routine tests, and treatment related to the health of my camper(s) in emergency situations. 
I understand the information on this form will be shared on a need-to-know basis with camp staff. 
I understand that I am financially responsible for all medical expenses, including prescriptions, incurred on behalf of myself and my campers.

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