Capernaum Buddy Camp Williams, Arizona What is the Young Life Capernaum Week? Able-bodied campers serve as “buddies” for campers with disabilities. Together you will come together to unite in learning and fellowship, great food and adventure—everything you expect from Young Life camp and more. Why should you go? This is a tremendous occasion to help grow in Christ through serving. You will spend the bulk of the day participating at camp as friends to kids with disabilities. You’ll go to club, play games, go on the ropes course, eat meals and enjoy free time with your new Capernaum friends. In the evenings, there will be a time set aside for you and the other buddies to process the day and go deeper in Scripture with each other. When: July 4-10, 2015 Who: Juniors & Seniors Cost: $1375 Trip cost includes airfare, transportation to camp, a visit to the Grand Canyon, and all activities at Lost Canyon! Signing Up: ! $375 non-refundable deposit guarantees your spot. ! Turn in a copy of your drivers’ license (needed to book airline ticket). ! We have opportunities to help you raise money for your trip...let us know if you are interested. ! A limited number of spots are available! Reserve your spot ASAP. ! Two payments of $500 will be due towards the cost of your trip on March 2, 2015 and May 4, 2015 Make checks payable to Young Life. Mail to the address below or turn in to a Young Life leader. Sign up & pay for your trip online! Click on the Camp 2015 link on our website: acadiana.younglife.org Young Life / P.O. Box 51952 / Lafayette, LA 70505 Questions? Call the YL office at 989-9595 or visit acadiana.younglife.org Lost Canyon Capernaum Buddy Camp - July 4-10, 2015 Detach, fill out, and turn in with a $375 non-refundable deposit and a copy of your drivers’ license to reserve your spot. Camper Name ________________________________________________ Parents/guardian at this address _______________________________________ Camper cell phone ( ______ ) ______ - _________ Home ( ________ ) ________ - _____________ To which parent does each phone number belong? Camper email address _________________________________________ Work ( ________ ) ________ - _____________ _____________________ Address ______________________________________________________ Cell ( ________ ) ________ - _____________ _____________________ City _________________________ State ________ Zip ______________ Cell ( ________ ) ________ - _____________ _____________________ ☐ Male ☐ Female Age _______ Deposit enclosed: $ __________ Class of 20_______ Balance remaining: $ __________ Name as it appears on drivers license: ______________________________________________________________ Date of birth: _____ / _____ / 19______ Parent/guardian phone numbers: Parent email address _________________________________________ Parent signature _____________________________________________ ☐ Yes, I would like to give to support scholarships in YL Camping! Age as of July 4, 2015: ______ We are committed to everyone who is interested in Young Life camp being able School ______________________ T-shirt size (adult sizes) _________ to attend. Young Life staﬀ and committee raise scholarship funds annually. We want you to be aware so you can be part of helping if you would like. Would you consider giving a donation to help provide scholarship funds for kids who can’t pay the full amount? If so, include a separate check made out to Young Life. All gifts of this nature are tax deductible. Rules for acceptance and participation in the program are the same for everyone without regard to race, color, national origin, age, sex or disability. If you believe you have been discriminated against because of race, color, national origin, age, sex or disability, write immediately to the Secretary of Agriculture, Washington D.C. 20250. Updated Monday, November 3, 2014