PINE LAKE CAMPS CASE #2012

You have been summoned...

Almost everyone agrees that Jesus existed, yet some have

doubts concerning what he did while here on earth.

Lucky for us, there are plenty of Witnesses that we can

call on to determine the truth.

“I have investigated all the reports in close detail, reports

handed down by the original eyewitnesses...so you can

know beyond the shadow of doubt the reliability of what

you were taught” -- Luke, 61 A.D.

This summer you will sit in the jury box for the most

important case in history. You will be called on to hear

the testimonies, to decipher truth, and to weigh evidence

concerning the life of Jesus. You can decide beyond a

shadow of a doubt not only what he did, but who he was.

Upon reaching your verdict, maybe you will become...the

next witness.

Court is now in session!

Dear Parents

Something amazing happens when your kids spend aweek at Pine Lake Camps. Our staff and counselorscare for your kids, life-long friendships are made,teenagers grow in their leadership skills and familiesget precious time together. The reason campers say,“this was the best week of my summer” is because atthe core of Pine Lake’s ministry is the transformational message we share about Jesus.This summer give your kids and teens something sovaluable that they will never forget...A Pine LakeCamps experience!

Benjamin FrankDirector of Pine Lake Camps

yOuTh CAmp

sChEDuLE AND

rEgIsTrATION

You may begin registering foryouth camps as soon as you re-ceive this brochure. Completethe youth camp registrationform, providing all informationrequested. To assure your reg-istration is processed as quicklyas possible, register online atwww.pinelakecamps.org . Be aware that camps may filland registration is handled on afirst-come, first-served basis.

Make your check payable toPine Lake Camps. For your con-venience, we accept Visa, Mas-tercard, and Discover. If you areregistering for camp under theTimeshare program check withyour local church office for camppayment instructions. Do notsend any registration funds di-rectly to Pine Lake. If you areunsure if your church partici-pates in Timeshare, please askyour pastor or camp coordinator.

This year a $50 deposit is re-quired to register for youthcamps.

Mail the completed registrationtogether with your deposit tothe address below

In the event of cancellation, thefollowing amounts are non-re-fundable:

January 1 to one week beforecamp........$50One week before camp andlater.......Full Fee

To Register for Youth and Adventure Camps

Grade Completed

Camp Week 1 2 3 4 5 6 7 8 9 10 11 12

June 10-15 Sixer ’s Centershot

June 17-22 Young Teens

June 24-29 Sr. High

July 1-6 Juniors

July 8-11 Primary

July 22-28 Adventure Camp

kID’s CAmp

ADVENTurE

yOuTh CAmp

Both the Lake Superior Adventure and Centershot campsare for students who want to experience the thrill of newadventure. Campers grow stronger both physically andspiritually and are “wowed” by God’s awesome creation.Both camps stress leadership development in an out-door, rustic setting. Prepare to learn more about yourselfand how to follow Jesus. Adventure camp will begin atPine Lake. However, most of the week will take place atMink Lake Camp, our rustic camp located 20 minutes NWof Grand Marais, MN. Centershot campers stay at Pine Lake for the entire camp.

CENTERSHOT................................................June 10-15

LAKE SUPERIOR ADVENTURE CAMP.........July 22-28

When you send your child to Pine Lake Camps, we guar-antee that they will have a unique and exciting experience.Activities include canoeing, kayaking, bb gun, swimmingin the pool and new activities like kettle corn and a slingshot range. Whether in chapel, with their counseloror enjoying one of the many activities, campers will experience a program that is focused on communicating

the life changing message of Jesus Christ.

PRIMARY...........................July 8-11

JUNIORS............................July 1-6

SIXER’S..............................June 10-15

Youth camps are for students in Junior and Senior High.Amazing worship times and challenging Chapel mes-sages highlight the week. New relationships are formedand old friendships renewed. Youth camps include allthe fun activities of our traditional camps with ampedup activities like marksmanship, mountain biking, andthe zip line. Like all of our camps, the program is fo-cused on communicating the message of the Gospeland helping campers take the next step.

YOUNG TEENS...........JUNE 17-22

SR. HIGH............JUNE 24-29

Camper’s Name______________________

Street______________________________

___________________________________

City/State/Zip_______________________

___________________________________

Gender Male Female

Grade Completed as of June 2012_______

Birth Date/Age_______________________

Parents with whom you live____________

___________________________________

Home Phone________________________

Mom’s Work Phone__________________

Dad’s Work Phone___________________

Email Address_______________________

Church you Attend___________________

City________________________________

Cabin Mate Request (First and last name, you

may request two cabinmates)

1st Choice___________________________

2nd Choice__________________________

yOuTh CAmp rEgIsTrATION FOrm

Payment form

Check#______ Mastercard Visa Discover

Account #______________________________

Expiration Date_______________CVV#______

Name On Card__________________________

Phone Number__________________________

Signature______________________________

Payment worksheetTimeshare Camper* (please check)

Church_______________

Camp Fee (see schedule) $_____________

5x7 Cabin Photo $4 (optional) $_____________

Camper’s Bank Money(optional) $_____________

Subtotal $_____________

Church Payment $[____________]

Total Payment Enclosed** $[____________]*Timeshare campers must contact thier church for payment details

**A $50 deposit is required to register your camper

Frequent Ear

Infections

Bedwetting

Chicken Pox

Asthma

Downs Syndrome

Measles

Mononucleosis

Heart Defect/Disease

ADD/ADHD

Diabetes

Seizures

Tourette’s Syndrome

Bleeding Disorder

Mumps

June 10-15 Sixer’s Camp $320

June 10-15 Centershot $320

June 17-22 Young Teens $320

June 24-29 Sr. High Camp $320

July 1-6 Juniors Camp $320

July 8-11 Primary Camp $230

July 22-28 Lake Superior Adventure Camp $380

Date Camp Price

FOR FEMALES

Has this person menstruated?____If not, has she been told about it?________

If so, is her menstrual history normal?_______________________________

(Please list any additional information in the box to the right)

Additional Medical InformationIf you child has any special needs, such as special diet, diabetes, asthma, physi-

cal and mental challenges, autism, ADHD, behavior changes, etc., please enter

them in the box below. Although we do have handicapped accessible facilities,

be aware that Pine Lake Camps may not be equipped to handle children who

require one-on-one attention or who have extreme special needs. If you have

questions whether Pine Lake is the right camp for your child, please call the

camp office to discuss your situation with the camp director prior to registering

your child for camp.

Camper Name___________________________________________________

Alt Emergency Contact_______________Phone________________________

Dietary Restrictions_______________________________________________

Current Medications______________________________________________

______________________________________________________________

Drug Allergies (specify)___________________________________________

______________________________________________________________

Medical Insurance Carrier_____________Policy or Group #_______________

Carrier Address__________________________________________________

Name of Insured Person___________________________________________

Medical/Activity Release

I Hereby:1. Affirm there is no need of a doctor’s examination prior to camp based on good health history,

or that such an examination has been obtained and mailed to: Pine Lake Camps 32203 230th St.

Eldora, IA 50627

2. Authorize Pine Lake Camps medical staff to dispense medications based on interactions pro-

vided.

3. Give permission to the medical personnel selected by the camp to order x-rays, routine tests,

treatment, to release my records if necessary for insurance purposes, and to provide or arrange

necessary medical transportation for me or my child. In the event that I cannot be reached in an

emergency, I hereby give my permission to the physician selected by the camp to secure and ad-

minister treatment, including hospitalization, for the person named below.

4. Allow my child to participated in all camp activities, including the rifle range, challenge

course, and mountain biking unless written instructions are sent indicating otherwise.

5. Understand that Pine Lake Camps reserves the right to dismiss any child whose action, behav-

ior or attitude, in their judgement, is contrary to the best interests of camp.

6. Agree that any portraits or video of the camper taken at camp may be used by Pine Lake

Camps or their assigned agents for art, advertising or promotional literature. I waive my right to

inspect or approve the finished product of copy.

Health History and Medical Information(This form must be completed and signed in order for your child to attend and participate in activities

at Pine Lake Camps)

Camper Name Parent/Guardian Parent/Guardian Signature

*All registrations postmarked on or before May 1st, 2012 will receive a $25 discount.

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Father’s Name_____________________

Mother’s Name____________________

Street____________________________

_________________________________

City/State/Zip______________________

________________________________

Home Phone______________________

Mom’s Work Phone________________

Dad’s Work Phone_________________

Email Address____________________

Church you attend_________________

City_____________________________ ACCOMMODATIONS Reservations are made on a first come first served basis. Please list your lodging preferences.

Select a RetreatFamily Camp II(June 29 - July 1)

Memorial Day (May 27-30)

Parr Lodge2 twin beds, private bath, and linens. Memorial Day: $120Family Camp II: $80

Rustic Cabin4 or 5 bunk beds with bathhouse nearbyMemorial Day: $140Family Camp II: $90

Modern Cabin4 or 5 bunk beds with private bathMemorial Day: $160Family Camp II: $105

RV Site (select type)

w/water/sewer/electicMemorial Day: $75Family Camp II: $50w/electric onlyMemorial Day: $60Family Camp II: $40Tent/no hookupsMemorial Day: $45Family Camp II: $30

Cabin Name (1st Choice)_________________________________Cabin Name (2nd Choice)_________________________________

Lodging ________________________

Program Fee # of Adults (9 & up) x $25(Max Fee $100/Family)

Meal Packages 7 Meals (ages 9 & up) $42 x # of people)

Memorial Day Only

7 Meals (ages 4-8) $21 x # of people)

Memorial Day Only

4 Meals (ages 9 & up) $24 x # of people)

Family Camp II Only

4 Meals (ages 4-8) $12 x # of people)

Family Camp II Only

Total Fee DueA $50 deposit is required to register your family

FAmILy CAmp rEgIsTrATION FOrm

(See “Accommodations” for Pricing)

# of People Cost

Children’s NameGrade Completed

as of June 2012

Age at time

of Camp

1.

2.

3.

4.

5.

6.

Payment form

Check#____________________ or Mastercard Visa Discover

Amount to charge on card $______________

*Timeshare Camper Account #______________________________

Timeshare Church________________ Expiration Date_______________CVV#_____

*Timeshare campers must contact church for payment details Name On Card_________________________

Signature_____________________________

Looking for a family getaway?

Pine Lake Family Camps are one

of a kind. Bring the whole family

together for exciting camp activi-

ties. Spend time with your kids at

our outdoor breakfast, rifle range,

boating, fishing, doing crafts or

just relax and enjoy the beauty

and peace of God’s creation!

Take the stress out of vacation, let

us do the work for you!

Registrations are handled on afirst-come, first served basis.Mail or fax registrations toPine Lake Camps or for fasterservice register online at:

www.pinelakecamps.orgclick on the orange “camp

registration” tab.

rENTAL grOups CONTACT INFOrmATION

FALL rETrEATssCrApbOOkINg rETrEATs

Scrapbooking retreats at Pine Lake are like a

smorgasbord! You will be with friends

and meet new friends. Followhard Ministries

will provide worship and great food will be

served from Diana’s kitchen. All of this

packed into one short weekend, saving your

memories and creating more. Contact Pine

Lake for more information.

Spring Scrapbooking Retreat: March 16-18

Our Men and Boy’s and Women’s retreats

offer a time to come together as a conference

to worship God. Whether you are looking for

a peaceful time away or would rather take

part in numerous “camp” activities, Pine

Lake has something for you.

Women’s Retreat: September 21-23

Men and Boy’s Retreat: September 28-30

If you are looking for a place for your next

church leadership retreat, youth group

retreat, or family reunion, Pine Lake Camps

may be the place for you. We offer numerous

rental group options throughout the

year, including weekends during the

summer.

Contact the camp office for available dates.

Mail or Fax Registrations to:

Pine Lake Camps

32203 230th Street

Eldora, IA 50627

Office: (641) 858 3284

Fax:(641) 858 2476

Email: info@pinelakecamps.org

For faster service register online at www.pinelakecamps.org

Our gOAL

It is our goal to create and maintain a

safe and caring environment where in-

dividuals can come to know Jesus

Christ as their personal Savior and

grow in their understanding of His love

for them. It is our hope that a camper’s

confidence, self esteem, personal skills

and relationships will expand and de-

velop while at Pine Lake Camps. We

believe that a good camp experience

should foster love for God, life-long

skills, and friendships that last for

years to come.

sTAFF QuALIFICATIONs

Staff are chosen on the basis of their

personal commitment to Jesus Christ,

maturity, character, and love for chil-

dren. After completing an extensive

application, all applicants take part in

a thorough interview, have three ref-

erences examined, and undergo crim-

inal record checks. All camp staff

members also take part in an intensive

training program that prepares them

for this important responsibility.

prOgrAm sAFETy

Health and safety of campers is impor-

tant at Pine Lake Camps. A camp

nurse is on hand at all times during the

summer. American Red Cross life-

guards are on duty during swimming

and boating activities. Riflery and

archery activities are led by qualified

instructors who know and love their

sport and understand how to

teach it safely.

ACTIVITIEs

At Pine Lake, campers participate in

many fun and exciting activities. Ca-

noeing, swimming, riflery, low ropes

course, team sports, and arts and

crafts to name a few. Young Teens and

Senior High campers may also moun-

tain bike, tube down the Iowa River

and use the high ropes course.

CAbIN AssIgNmENTs

If you have a friend you would like to

be cabin mates with, we will do our

best to make sure you are with at least

one other person you request. Be sure

to list your friend’s name as a cabin

mate when you register and ask your

friend to do the same for you. We will

do our best to lodge campers together

who request each other.

ArrIVAL AND DEpArTurE

Registration for all Pine Lake youth

camps takes place from 4:00 pm to 6:00

pm. All camps conclude at 10:00 am

with a final chapel. Youth Camps gen-

erally begin on Sunday and end on Fri-

day. The exceptions to this are Primary

Camp and Adventure Camp. Primary

Camp begins on Wednesday and

concludes on Saturday.

The Lake Superior Adventure Camp

begins on Sunday and concludes on

Saturday. Transportation will be pro-

vided to and from Mink Lake Camp.

More details will be provided with

your registration confirmation.

CAmp Is FOr EVEryONE

In the operation of all Pine Lake camp-

ing programs, no child will be discrim-

inated against because of race, color,

age, sex, disability or national origin.

Any person who believes that a child

has been discriminated against in any

USDA-related activity should write

immediately to the Secretary of Agri-

culture, Washington, D.C. 20250.

TImEshArE

Some churches pay in advance for

space at camp. We call this Timeshare.

Please check with your church to see if

they participate in the Timeshare pro-

gram. If you are registering as a Time-

share camper, please check the box

under the payment area on the regis-

tration form and identify your church.

Contact your church for payment

information.

sChOLArshIps

It is our desire that all children have

the chance to come to camp regardless

of their family’s personal income level.

We struggle to keep camp fees as

affordable as possible. In spite of this,

we realize that some may not be able to

afford a week of camp at Pine Lake.

For those in financial need, financial

assistance may be available. To receive

a financial assistance application, call

camp at (641) 858 3284 or visit our web-

site at www.pinelakecamps.org and

click on “About Us” then “Resources

and Forms.”

Non-Profit Org.U.S. Postage

PaidPermit # 118

Eldora, IA 50627