Orthodox Summer Camp 2011

Where: Camp Bar-V-Nok on Pigeon Lake, Alberta

When: August 14 B August 20 Who: For ages 8 B 16
Cost: $150 per member* $180 per non-member
(Children ages 6 & 7 years of age must be accompanied by an adult)
Camp Priests & Directors: Very Rev. Igor Kisil @ (780) 426-5163; e-mail:
ikisil@telus.net
Very Rev. Sergey Kipriyanovich @ (780) 429-5920; e-mail:
fr.sergey@mail.ru
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Camp Mission Statement
The Orthodox Diocese Camp is committed to providing an opportunity for all campers to
experience 6 days where God, and our Saviour are paramount in all aspects of our daily
activities. This includes meals, recreation, study, worship and socializing.
Camper Regulations and Expectations
1. Work and play cooperatively with other campers and staff.
2. Respect the property of others.
3. Be punctual for all camp activities.
4. Stay with, listen to and respect camp counselors.
5. Stay on the campground.
6. No smoking.
7. Life jackets will be worn during all swimming activities.
8. Help make this camp a joyful experience for all.
Proper disciplinary measures will be taken and parents will be notified immediately if rules are
broken.
Transportation
Parents are responsible for ensuring their children are transported to and from camp.
Drop Off Time: 3 – 5 p.m. Pick-up Time: 12 – 2 p.m.

A Typical Day at Camp

8:30 am Rise & Shine
9:00 am Morning Prayers 
9:30 am Breakfast to Edmonton
10:00 am Clean up M A P O F C A M P “BA R-V-N O K ”
10:30 am Morning activities 2
12:30 pm Free time
1:00 pm Lunch to Drayton Valley (West) Calmar Leduc
1:30 pm Clean up 39
2:00 pm Afternoon activities 778 
3:00 pm Snack 795
3:15 pm Sport/Swimming
6:00 pm Supper Thorsby
6:30 pm Clean up Glen Park Rd.
7:00 pm Evening activities 490
8:00 pm Evening prayers 4 Way Stop 229
8:30 pm Snack Sandholm Store 9 Millet
8:45 pm Campfire 4 Way Stop 616
9:30 pm Clean up Camp “BAR-V- NOK” Mulhurst
10:00 pm Lights out
PigeonPigeon
Lake (South) 780
Camp Phone Number: Lake Wetaskiwin
1 13
to Calgary
 1 - 780 – 983-7159
For Emergencies Only!

• Member of a family belonging to the Patriarchal Parishes in

Canada

Please Bring to Camp:

Mattress (Foam – or Air - 39’ X 79’)
Bible sleeping bag jackets water bottle
towels
Notebook pillow sweater bug spray
swimsuit
pencils/pens personal items jeans sun lotion
sun-hat
laundry bag tooth paste sneakers shirts
rain gear
toothbrush shorts aqua shoes other
personal attire

A limited amount of life jackets are available. If you have your own, please
bring it along.
All personal items should be labeled.

Please Leave at Home:

Junk food, electronic games, knives, jewelry, radios, alarm clocks, money,
portable disc players, clothing with unsuitable graphics/messages, IPODS, cell
phone (Staff members DO carry cell phones. The Directors’ phones will be
available if you need to communicate with a parent/guardian.)

The camp will not be responsible for the loss or theft of any items.

Parents and Guardians

We need your help!!! The overall success of the camp largely depends upon
you. If we do not get enough parental help, the camp may be cancelled. Please
consider the importance of your involvement. The areas of help include:

Counseling B you would be interested in being with children as role models, friends and
supervisors.
Cook=s Help - you would assist the cook in food preparation, clean-up and serving food.
Chore Coordinator B you would organize campers for kitchen clean-up and serving
food.
Coordinator B you would plan, direct and coordinate sports, crafts, camp, and group
activities.

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Only one morning, afternoon or evening of your time would be immensely
appreciated. Please indicate on the registration form if you are able to help and
the area most appealing to you. Consider your work at this camp as a ministry.

Thank you for your help and cooperation. If you have any questions
please call:
Father Igor Kisil @ (780) 426-5163 or Father Sergey Kipriyanovich
@ (780) 429-5920

Miscellaneous
• Donations will be gratefully accepted, and receipts will be provided.
• Parents, family and friends are invited to attend the Saturday Church Service (Holy Divine
Liturgy) at 10:00 a.m. on Saturday, August 20th. Lunch will follow the service.
Registration Form
Orthodox Summer Camp 2011
Date: Sunday, August 14th - Saturday, August 20th, 2011
Location: Camp Bar-V-Nok on Pigeon Lake, Alberta
Cost: $150 per member & $180 per non - member
Ages: 8 B 16
(Children ages 6 & 7 years of age must be accompanied by
an adult)

Name of Camper: __________________________________________________ M/F: _____

Address: _________________________________________________________________________

Birth Date: ____________________________ Age: ___________________

Parent/Guardian: __________________________________________________________________

Phone: (home) _________________ (work) ________________e-

mail______________________

Emergency Contact: ____________________________ Phone:

_____________________________

Baptized/Chrismated Orthodox: Yes _____ No ___ Home Parish

________________________

T-shirt Size:(circle one) Youth: 6/8 10/12 14/16 Adult: S M

L XL
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Camper Signature: I hereby agree to abide by the rules and expectations of the
camp: _______________
Parent Signature: I hereby agree to come pick up my child if he/she is unable to
abide by camp expectations and after due warning, does not change his/her
behaviour. My child has my permission to participate in any
field trips while at camp. I give my permission for my child’s photograph/video to be
taken and used for the purposes of camp promotion. Yes / No (please circle one).
I have also read the information sheet and agree with it. __________________

Please made cheques payable to: Russian Orthodox Bible Camp

Camp fee $150/$180 payment received by : ___________________ Date:

__________________

***Submission Deadline is July 31th, 2011***

Please return completed form to Father Igor Kisil @ 10812-108 Street, Edmonton,
AB T5H 3A6

When you can help at camp: Sun. ____ Mon. ____Tues. ___ Wed. ___ Thurs. ___ Fri.
___ Sat. ___

Please tell us how can you help:

_____________________________________________________

We specially need help with Saturday afternoon clean-up: Yes ____ No_____

**** NOTE: Parents are responsible for transporting their children to and from camp ****

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 HEALTH HISTORY

Camper=s Name: ____________________________________Health Care No. __________________

Doctor=s Name: ______________________________________ Phone: _______________________

Doctor=s Address: _______________________________________________________

Please be as Complete and Specific as Possible with Regard to the Following:

Any non-medicinal allergies? _______________________________________________

Any medicinal allergies? __________________________________________________

Any food restrictions? ___________________________________________________

Respiratory/asthmatic problems? ____________________________________________

Does your child use an inhaler? _______________ Does your child keep the inhaler?
_______________

Is your child presently taking any medications or bringing any medications to camp? If so,
please indicate: name of medicine; dosage time; administered regularly or as
needed

Campers are not permitted to keep medication of any type in their possession. All
medications will be turned over to Camp Personnel at the time of camp arrival and will be
dispensed by Camp Personnel (only inhalers are exempt).

Daily medication and other requirements for individual campers must be brought to Camp
Personnel with specific instructions at that time (also if not already noted above). The
following non-prescription medication may be administered if deemed advisable by Camp
Personnel:
Tylenol, Benadryl, Pepto-Bismol, throat Lozenges, Robitussin, Calamine Lotion, and
other over-the counter preparations for minor conditions, etc. If you have any
objections, please note them.

Please feel free to discuss any circumstances or behaviour you think Camp Personnel
should be aware of (e.g. bedwetting, wears contact lens, recent death or divorce in the
family, sleeping/eating disorders, etc.). Please provide any other medical information,
which Camp Staff or attending physician may want to know.

I/We the parent(s) or legal guardian(s) hereby authorize and consent to any x-ray
examination, anesthetic, medical or surgical treatment given under the general or special
supervision of any licensed personnel on the staff of a licensed hospital. This authorization
is given in advance of any specific diagnosis, treatment or hospital care required, but is
given to provide authority and power to give care that is deemed advisable in the best
judgment of the physician. It is understood that an effort will be made to contact the
undersigned prior to giving treatment, but that any treatment will not be with held if the
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undersigned cannot be reached. Orthodox Summer Camp Personnel and volunteers
shall not be liable for any personal injury that may occur while the camper is at
Orthodox Summer Camp nor for any personal injury during the transportation to or
from camp.

I/We have read and understand the above information:

Parent/Guardian Signature *__________________________ Date____________

must be signed
Volunteer Counsellor Application
Orthodox Summer Camp 2011
Date: Sunday, August 14th - Saturday, August 20th, 2011
Location: Camp Bar-V-Nok on Pigeon Lake, Alberta

Name___________________________________________________________ M/F______

Birth Date: ____________________________ Age: ___________________

Address: _________________________________________________________________________

Phone: (home) ________________________________

Emergency Contact: ____________________________ Phone: _____________________________

Baptized/Chrismated Orthodox: Yes ____ No ___ Home Parish ________________________

T-shirt Size: (circle one) S M L XL XXL

Please indicate any of the following areas where you have some ability,
experience and interest in leadership opportunities:

Counseling_______Canoeing_______Swimming_______LifeGuarding_______Crafts___________Sports___
__

Concert _______ Singing _______Cook’s help_______ Campfire_______Other_______

Please explain why you want to volunteer at camp this summer.

__________________________________________________________________________________________
__________________________________________________________________________________________

MEDICAL INFORMATION

Name:_________________________________________ Health Care No. __________________

Doctor=s Name: ______________________________________ Phone: _______________________

Doctor=s Address: _______________________________________________________

Please be as Complete and Specific as Possible with Regard to the Following:

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Any non-medicinal allergies?
________________________________________________________________
Any medicinal allergies?
____________________________________________________________________
Any food restrictions? ______________________________________________________________________
Respiratory/asthmatic problems?
______________________________________________________________
Do you use an inhaler?
_____________________________________________________________________
Are you presently taking any medications or bringing any medications to camp? If so,
please indicate name of
medicine._________________________________________________________________________________
_

Signature: ________________________ Date: ______________