CAMP
ELMWOOD
An
Urban Adventure for Young People Ages Five to
Thirteen and
Teen Counselors Ages Thirteen to Eightee
. Under
the Redwoods on the Grounds of St. John's
Presbyterian Church, 2727
College Avenue, Berkeley, 94705 ACTIVITIES: Basketball, volleyball,
skate board half
pipe, ping pong, lawn games, art, music, drama, dance, science,
cooking,
swim-hike, talent show, community service, opportunities for
leadership. Our
theme this year: Honesty: What is it? Is
honesty always the best policy? We will share experiences
and ideas through
improv, drama, art, music, and stories of honest people. Camp Elmwood is a great way to end
your summer.
You’ve learned new skills at other camps. Now share your skills and be
a leader
at Camp Elmwood! Please complete and return
registration application
as soon as possible. For more information and applications for our teen
leadership camp (August 6-10) and teen counselor program go to
http://www.stjohnsberkeley.org or call (510) 845-6830 extension 13. Camp
Elmwood is a community service program of St.
John's Presbyterian Church, Berkeley, emphasizing creativity, values,
and
concern for others. This is our nineteenth year. KIDS
TOGETHER, HAVING FUN, SHARING SKILLS, HELPING
OTHERS CAMP
ELMWOOD REGISTRATION APPLICATION For
campers ages 5-13, August
13-17, 2012 Name:__________________________________________Birth
date and year_______________ School__________________________________________Entering
grade (Fall 2012)_________ Favorite
school
subjects__________________________________________________________ Favorite
hobbies, sports and activities
_______________________________________________ Musical
Instruments
played________________________________________________________ Special
needs or activity
restrictions__________________________________________________ ______________________________________________________________________________ Health
insurance program and
number________________________________________________ Parents
or
Guardians_______________________________________________________________ Address________________________________________________________________________ City__________________________________________________________Zip______________ Telephone
(home)______________(work)_________________(cel)_______________________ Email_________________________________________________________________________l Emergency
contact (name and
phones)________________________________________________ Please
register the camper for Regular session (9:00 AM to 2:30
PM, $90.00 first
camper, $80.00 additional campers same
family)
$____________ Post session (until 5:30 PM, $30.00)
$____________ Total
$____________ Deposit enclosed. (Deposit of at
least $20.00 per
camper is requested.)
$___________
I request campership aid in
the amount of
$____________ I will pay balance by July 31, 2012
in the amount of
$___________ Except as noted above, camper is fully able and has my permission to participate in all normal camp activities and excursions. Camp Elmwood staff has my permission to authorize emergency medical treatment for the camper. I will pay any cost of treatment not covered by my insurance. Camper may leave camp at end of session on her/his own. YES _____ NO _____ Persons not named above who are authorized to pick up camper:___________________________ ______________________________________________________________________________ Date_______________Signature____________________________________________________ Make
checks payable to St. John's/Camp Elmwood and
mail to Camp
Elmwood, 2727 College Avenue, Berkeley,
California, 94705. (Tax ID No. 94-1156850) |