GENERAL CAMP Registration o August 8th - August 15th o July 12th - July 18th CHECK APPROPRIATE BOX OR BOXES Teen Camp o June 28th – July 4th Boys Camp o July 5th - July 11th Soccer Camp o July 19th - July 25th Girls Camp o August 2nd - August 8th Registration may be cut off one week before each camp session or when the session is full. NAME____________________________________________________ STREET ADDRESS _________________________________________ CITY _____________________________________________________ ) ____________________________________ ) ____________________________________ STATE _______________________________ ZIP ________________ HOME PHONE ( PARENT CELL ( PARENT EMAIL ____________________________________________ FEMALE ❑ ENTERING GRADE ______ CAMPER EMAIL ____________________________________________ MALE ❑ BIRTHDATE: MO ______ DAY ______ YR ______ CHURCH _________________________________________________ I’M A NEW CAMPER INVITED BY ______________________________ LIMTED TO ONE OF SAME AGE CABIN MATE REQUEST _____________________________________ Photo permission: I give permission for the use of any possible pictures that include my child to be placed anonymously on camp websites or brochures. Consent is implied if box is not checked. No: o PARENT OR GUARDIAN’S SIGNATURE PARENT OR GUARDIAN’S NAME - PLEASE PRINT TO PAY BY CREDIT CARD, PLEASE FILL OUT THE INFORMATION BELOW. CHECK ONE: p VISA p MASTERCARD NAME ON CARD ______________________________________________ ACCOUNT # _________________________________________________ ■ Register online at www.iroquoina.org. Visa,MasterCard, and Discover are accepted. ■ Group discounts are available. Please contact the registrar for details. ■ Camp Iroquoina’s insurance (co-insurance) is a supplement to your personal insurance. ■ Check-in is Sunday from 2-4 p.m.* ■ Check out time is Saturday at 10 a.m. ■ All medications must be submitted to the nurse in their original containers at check-in.. (Checks, Mastercard and Visa accepted) General Camp Fees $25 if postmarked by June 1; $50 after June 1 ■ REGISTRATION All registrations are nonrefundable and are in addition to camp fees. $230 $190 ONLY ONE REGISTRATION FEE IS NECESSARY WHEN ATTENDING ONE OR MORE CAMP SESSIONS. ■ CAMP FEES First Week Each Additional Week ___________ ___________ _____________ $230 ____________ GENERAL CAMP FEE CALCULATOR 1. Registration - $25 ($50 if postmarked after June 1) 2. Fee for first week 3. Fee for additional week(s) ($190 per wk) 4. Discount(s) (include coupon if needed) Total Due (1 + 2 + 3 - 4) Register online at www.iroquoina.org Family Camp Fees (Checks, Mastercard and Visa accepted) ■ REGISTRATION $50 if postmarked by June 1; $100 after June 1 All registrations are nonrefundable and are in addition to camp fees. ■ CAMP FEES ■ Camp Cabin - 2 to 10 people, includes all meals. • Adults - $190 • Children (6-13) - $80 • Children 5 and under - $20 • max of $800 per family (in addition to registration fee) • 10% reduction for tent/trailer campers ■ Space available for tents/trailers MAIL REGISTRATION TO: Camp Iroquoina, 2341 Camp Rd., Hallstead, PA 18822 Attn.: Summer Camp Registration Make checks payable to: HIS Camps, Inc. Questions: Call 570-967-2577 Teen Camp ~ Boys Camp ~ Soccer Camp ~ Girls Camp ~ Family Camp ■ Camp Iroquoina is a smoke-free environment. ■ Campers are NOT permitted to bring pets. ■ IMPORTANT: To avoid disruption to the camp programs, we request that parents do not call their children and campers do not call home except in cases of emergency. Registration may be cut off one week before camp session or when the session is full. August 16th - August 22nd Registration FAMILY CAMP FOR INFORMATION CALL OR WRITE: )____________________________________ o our own tent o our own trailer EXP DATE _____ / _____ CVV2 CODE ______ AMOUNT $ ____________ ACCOUNT # _________________________________________________ NAME ON CARD ______________________________________________ TO PAY BY CREDIT CARD, PLEASE FILL OUT THE INFORMATION BELOW. CHECK ONE: p VISA p MASTERCARD SIGNATURE ______________________________________________________________ Photo permission: I give permission for the use of any possible pictures that include members of my family to be placed anonymously on camp websites or brochures. Consent is implied if box is not checked. No: o * Check if you need electricity for your tent/trailer o CABIN REQUEST ____________________________________________ o camp cabin * We desire to use (check one): WE ARE NEW CAMPERS INVITED BY ____________________________ CHURCH ___________________________________________________ ATTACH A SLIP WITH ADDITIONAL NAMES AS NEEDED. MALE o FEMALE o BIRTHDATE: MO ______ DAY ______ YR ______ NAME ____________________________________________________ MALE o FEMALE o BIRTHDATE: MO ______ DAY ______ YR ______ NAME ____________________________________________________ MALE o FEMALE o BIRTHDATE: MO ______ DAY ______ YR ______ NAME ____________________________________________________ MALE o FEMALE o BIRTHDATE: MO ______ DAY ______ YR ______ NAME ____________________________________________________ MALE o FEMALE o BIRTHDATE: MO ______ DAY ______ YR ______ NAME ____________________________________________________ NAME OF EACH PERSON ATTENDING: (first only if last is the same) EMAIL ____________________________________________________ HOME PHONE ( CITY ___________________________STATE ____ ZIP ___________ STREET ADDRESS __________________________________________ FAMILY NAME ______________________________________________ ALL CAMPERS ARE WELCOME REGARDLESS OF RACE, RELIGION, ANCESTRY, OR NATIONAL ORIGIN. “Remember now your Creator in the days of your youth...” Ecclesiastes 12: 1a 2341 Camp Road Hallstead, PA 18822-9748 Phone: 570-967-2577 | Fax: 570-967-2411 Email: campiroquoina@ epix.net Website: www.iroquoina.org 2015 *Check-in for the second week of Girls Camp is Saturday from 2-4 p.m. Check-in for Family Camp is Sunday from 3-5 p.m. B Y O P E R A T E D A N D EXP DATE _____ / _____ CVV2 CODE ______ AMOUNT $ ____________ ■ Drugs or medicine not administered by the camp nurse, alcohol, immoral literature, illegal weapons, audio music players, radios, electronic games, cell phones, and fireworks are not permitted. A truly thrilling experience for any boy or girl is learning a new skill while at camp, and at Iroquoina there is a wide variety of exciting activities from which to choose. True woodsman camp crafts as well as the popular skills of canoeing, swimming, archery, and sportsmanship are demonstrated and taught by an experienced staff of counselors. Please be modest in apparel. No short shorts, two-piece bathing suits or “spaghetti straps.” • Bible • Pencils • Spending money • Flashlight • Soap/toothbrush, etc. • Slippers/sandals John Doe 1001 West Main Street Apartment 1 Greenville, PA 00000 ■ Scholarships are available for those needing financial assistance. Please submit your request to the registrar before June 1. A form is available on the Downloads page at www.iroquoina.org. Spiritual growth is a very important aspect of camp life at Iroquoina. It is our aim that each camper has a wholesome Christian growth experience by learning to know the Lord better through His Creation and His Word. Dedicated Christian counselors seek to learn the individual needs of each person. We try to lead all campers to a personal knowledge of Jesus Christ as Savior and Lord and guide them in the development of their Christian lives. Registration Information: ADDRESS SERVICE REQUESTED • Sports/playclothes • Underwear and PJ’s • Socks • 2 pairs of sneakers • Bathing suit • Jacket, sweater • Rain gear • Backpack (required for CIT) • Hiking boots (required for CIT) From the north: Take I-81 South from Binghamton, NY to Exit 1 – Kirkwood. Follow signs to NY 7, and take NY 7 South. Once in PA, NY 7 changes to PA 29. The camp road, Howard Hill Road, is on the right 3 miles from the NY-PA state line. Follow this unpaved road 1.5 miles back to Camp Iroquoina. HIS CAMPS, INC. 2341 Camp Road Hallstead, PA 18822-9748 turn onto Cabin Hill Road to get to Camp Iroquoina. CABIN HILL ROAD IS NOT A THROUGH ROAD. When driving south on PA 29, continue past Cabin Hill Road and turn right on Howard Hill Road. OPTIONAL: • Camera • Fishing pole • Baseball glove • Tennis racquet • Soccer Ball From the south: Take Interstate 81 North from Scranton to Exit 230 – Great Bend/Susquehanna. Turn left onto Rt. 11 South and go over the bridge. Turn right onto Susquehanna Ave. immediately after crossing the bridge. After 2 blocks curve left onto Pine St., then take your first right onto Church St. Continue north into NY to the junction of NY 7 and 7A (4.5 miles). Turn left onto NY 7 South which becomes PA 29. The camp road, Howard Hill Road, is on the right 3 miles from the NY-PA state line. Follow this unpaved road 1.5 miles back to Camp Iroquoina. Nestled in the timbered foothills of the Endless Mountains of Northeastern Pennsylvania, Camp Iroquoina offers boys, girls and adults the enriching experience of getting close to the land. The God-given treasures of nature are plentiful at Iroquoina, assuring each camper the most satisfying “outdoor adventure” possible. WHAT TO BRING TO CAMP -- Please Label All Items -- About Iroquoina O W N E D PAID PAID Salamanca, NY Salamanca, NY Permit No. PERMIT NO.55 Directions: NOTE: Often your GPS will tell you to • Sleeping bag or blanket and linens • Pillow and case • Towels U.S. U.S. Postage Postage 2015 Non-Profit Org. Non-Profit Org. 2015 Teen Camp June 28 - July 4 Boys Camp July 5 - July 18 Director- Joe Plantz Speaker- Jeff Rickert Director- Phil Landis Assistant Director: Steve Young Speaker- Matt Huffman th th (Ages 14 - 19) ■ One week ■ Cost ● Registration $25 ($50 after June 1) ● Camp Fee $230** 1 Week ■ Special Programs: ● Canoe trips ● Mountain bikes ● Team competition ● Special activities th th (Ages 8 - 15) Soccer Camp July 19 - July 25 Girls Camp August 2 - August 15 Director- Harry Neil Speaker- Rob Sullivan Training Coordinator- John Jones CIT Coordinator- Daniel Rodriguez Director- Bonnie Landis Assistant Director- Erin Campbell Speakers- Alice Buckland, Eleanor Wagner and Jim VanDuzer th th (Boys & Girls Ages 9 & Up) ■ Two one-week periods ■ One week ■ Cost ■ Cost Registration $25 ($50 after June 1) ● Registration $25 ($50 after June 1) ● Camp Fee ● Camp Fee 1 Week $420 2 Weeks ■ Special Programs: Canoeing trips (for qualified older campers) ● Missionary speakers ■ Counselor-in-Training (CIT) Program ● ● $230** For qualified older campers To apply, call or email: Steve Young Phone: 434-717-1676 Email: [email protected] Experienced Staff stress fundamentals and skill development as part of a Christian approach to athletics. ● Team discounts are available. Contact the registrar for details. ■ Counselor-in-Training (CIT) Program ● For qualified older campers ● To apply, write to or email: Harry Neil 5 Snowball Lane Hamilton, NJ 08619 Email: [email protected] Bring a Friend to Camp For each friend you bring to camp who has never attended summer camp at Iroquoina before, you receive $25 off your camp fee, up to the full week’s fee. In addition, each member of a new family also gets a $25 discount (up to $100 for Family Camp). This offer is good for all summer camps. Any family that has never attended summer camp is eligible, but it must be a new family - siblings don’t count! Send the coupon with your registration paperwork. If you invite a friend, you can apply your $25 to your friend or yourself. Your friend must actually attend camp. Capacity is limited. Subject to available openings. BRING-A-FRIEND DISCOUNT COUPON ● (Ages 8 - 15) Registration $25 ($50 after June 1) ● Camp Fee o Please give my $25 discount to my friend GC 1 o GC 2 o 1 Week $420 2 Weeks ● Registration $50 ($100 after June 1) ● Camp Fee Cabin - 2 to 10 people (includes all meals): ● ● ● ● Adults $190 Children (6 - 13) $80 Children 5 and under $20 max of $800 per family (not including registration fee) ● Space available for tents/trailers ● 10% deduction for tent/trailer Register online at www.iroquoina.org **There is a Multiple Week Discount for Teen Camp and Soccer Camp attendees. Children who attend multiple weeks of camp are required to pay the full camp fee for their first week. They are then eligible to receive a $40 discount for each subsequent week. This discount is already built into the Boys Camp and Girls Camp rates. Group discounts are available. Contact the registrar for details. Scholarships are available for those in need of financial assistance. Please submit your request to the registrar before June 1. A form is available on the Downloads page at www.iroquoina.org. THERE ARE SO MANY WAYS TO MAKE MEMORIES THIS SUMMER! Challenge Course Nature Trails Camp outs Hiking, Backpacking Archery and Fishing Waterslide Swimming, Canoeing Water Trampoline Crafts and Rocketry Tennis, Ball Games Bible Studies Soccer, Razzleblast Mud Runs Campfires and Cookouts Basketball, Tetherball Beach Volleyball My name __________________________________________________________ Soccer o $230 Program ● For qualified older campers ● To apply, write or email: Bonnie Landis 315 Valley View Drive New Holland, PA 17557 Email: [email protected] will be attending camp for the first time. BC 2 o nd Director- Sherman and Abby Fray Speakers- Larry Price, Steve Swaim and Mark Thomas ■ Junior-Counselor-in-Training (JCIT) __________________________________________________________________ BC 1 o th (All Ages) ■ Cost ● My friend(s) _______________________________________________________ We are attending: TC o Family Camp August 16 - August 22 ■ One week ■ Cost 1 Week ■ Special Programs: ● th ■ Two one-week periods ● $230 nd FC o Find us on social media! @campiroquoina
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