McPherson Church of the Brethren | Camp Colorado Transportation

Camper Name *

Camper Email (if applicable)

Camper Phone (if applicable)

Parent or Guardian Name *

Parent or Guardian Email *

Parent or Guardian Phone *

Select the camp session the camper will attend. *

Senior High Camp: June 11-17 (completed grades 9-12)
Junior Camp: June 18-24 (completed grades 5-6)
Junior High Camp: June 4-10 (completed grades 7-8)
Pre-Junior Camp: June 25-29 (completed grades 3-4)

Select the travel date(s) the camper is requesting *

I need a RIDE TO Senior High Camp on Sunday, June 11 @ 7 a.m.
I need a RIDE FROM Senior High Camp on Saturday, June 17 @ 11 a.m.
I need a RIDE TO Junior Camp on Sunday, June 18 @ 7 a.m.
I need a RIDE FROM Junior Camp on Saturday, June 24 @ 11 a.m.
I need a RIDE TO Junior High Camp on Sunday, June 4 @ 7 a.m.
I need a RIDE FROM Junior High Camp on Saturday, June 10 @ 11 a.m.
I need a RIDE TO Pre-Junior Camp on Sunday, June 25 @ 7 a.m.
I need a RIDE FROM Pre-Junior Camp on Thursday, June 29 @ 11 a.m.

Cost is $55 one way; $110 roundtrip. To make your payment, go to https://macbrethren.org/give-now/. Transportation sign-up deadline is Tuesday, May 9, 2023. Payment deadline is Tuesday, May 30, 2023. Registrants must meet all sign-up and payment deadlines to secure a seat. Travel waivers are available to campers who have a family relationship with a volunteer driver. Interested drivers need to contact Pastor Jerry Bowen at 620.504.2773.

Please share any medical or other conditions we should be aware of

Release for Healthcare *

In the event of an emergency or non-emergency situation in which medical treatment is required as a result of participation in the activities of the McPherson First Church of the Brethren, every reasonable effort will be made to contact the persons listed above. If unsuccessful in contacting the persons listed, consent is given for treatment by competent medical personnel. Further, consent is given to youth pastors or volunteers of McPherson First Church of the Brethren to hospitalize, secure proper treatment for, and to administer injection, anesthesia or surgery under recommendation of qualified medical personnel.

Indemnification & Release *

I/we hereby consent to my/our minor attending and participating in youth activities associated with the McPherson First Church of the Brethren, McPherson, Kansas, which may include various modes of transportation such as bus, train, personal automobile, etc. I/We hereby further consent to medical care and treatment being tendered or furnished to said minor in the event such circumstances should arise, and prompt notification of same will be given to the undersigned. I/We, the undersigned, hereby agree to indemnify and hold harmless the McPherson First Church of the Brethren and any individual in his or her capacity as leadership team member, officer, director, trustee, pastor, counselor, advisor or teacher from and against all claims, damages, losses and expenses, including attorney’s fees, arising out of or resulting from participation of said minor in the activities indicated above.