Grace-Village Foundation
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Overnight Camping Application Form
Overnight Camping Application Form This application is for the Camp Clearfork retreat located at the Ouachita National Forest. Grace Village will provide lodging, food, beverages, and activities for each family for the duration of their stay. Each family interested in attending Camp Clearfork is required to fill out an application. The committee will review all applications and make the final decision as to who will be accepted. We are now accepting over night guests.
First Name
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Last Name
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Address
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City
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State
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Zip Code
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Primary Phone Number
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Secondary Phone Number
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Email Address
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Website
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Date of Birth
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Age
3-8
9-12
13-17
18-39
40-59
60+
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Gender
Male
Female
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Medical Conditions
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Food Allergies
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Medication Allergies
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Insect Allergies
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Other Allergies
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List current medications
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Do you have camping experience?
Yes
No
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Is this your family’s first experience camping together?
Yes
No
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Are you a skilled swimmer?
Yes
No
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Please check which box best describes you.
Shy
Passive
Friendly
Active
Aggressive
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Please check which words best describe you.
Easily Embarrassed
Easy Going
Serious
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Emergency Contact
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Contact's Phone Number
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Relationship
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How many are in your party?
1
2
3
4
5
6
7
8
9
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Name DOB Age and sex of each member in your party.
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Elaborate on any medical or allergy conditions of your party.
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Are any party members currently taking medication?
Yes
No
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List any medications this Applicant is taking.
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Special Considerations
Please indicate any special considerations or needs of any Applicants in this party.
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Additional information
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Disclaimer Grace Village sponsors camping activities for Families. Grace Village does not assume responsibility for any adult or child who attends a Grace Village sponsored event. The Applicant assumes and maintains all responsibility, to include but not limited to the safety, security and conduct of themselves and each person in their party. Applicant is responsible for conformity for themselves and each person in his/her party, to - all Local, State and Federal Laws, Rules and Regulations of all State and National Parks or Private Facilities. Applicant is responsible any required individual permits for themselves and each person in their party. Grace Village only provides accommodations and activities unless otherwise specified in our Programs. Food and Beverage, Clothing, Supervision, Medical Care and all other needs are the responsibility of Applicant. By signing this application, Applicant understands he assumes all responsibility for all needs and activities of all persons in Applicant’s party.
I agree to terms and conditions
Yes
No
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Submit
Grace-Village Foundation
A helping hand for families in transition
