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About LWRSC Join us for Lakewood Retreat Summer Camp 2018! Come away from the routine of everyday life for the ultimate summer camp experience based around the best news the world has ever heard. Don’t miss out on Lakewood Retreat’s hayride, nature trails, Snak Shak, indoor games, open fire kettle popcorn, campfire with s’mores, archery instruction, canoeing, zip lining, and pool time (lifeguard on duty). Also join in on Summer Camp activities like field games such as Save the Whales, crafts, morning challenges/activities, worship times and Impact services with dynamic teaching from God’s Word. We have an amazing group of qualified counselors! Every camp staff member and counselor is required to pass a thorough background check. All our summer camp staff receive vigorous staff- training designed by our experienced Summer Camp Directors, George and Christina Benyola, who have been directing LWRSC for over 17 years! Our nursing staff and assistants will ensure your campers are healthy and safe, so they are free to concentrate on just enjoying camp. Note from the summer camp Pastor: Camp is so much more than fun and friends. At Lakewood Retreat Summer Camp, we've worked hard to challenge you with the message of the gospel. For 2018, be ready to be freed from old mindsets that keep us from living out the fullness of what Jesus died to give us. Get ready to explore God’s word and know the purpose that He has for your life. Bring a Friend to Camp Incentive A free $5 Snak Shak debit card will be awarded to every returning camper who brings a NEW friend to camp. Qualifications of a “new camp friend” are; they have never been to Lakewood Retreat’s Summer Camp Program, or they have NOT been to our Camp in the last three summers. Every new friend brought is another $5! Example: 1 new friend= $5 3 new friends= $15! All Snak Shak money is non-transferable. Online Registration Requirements 1. Online Registration Form 2. Online Medical Release Form 3. $30 Deposit by mail or phone (352-796-4097) to pay by credit card 4. Copy of insurance card due at 4. Copy of insurance card due at 4. Copy of insurance card due at 4. Copy of insurance card due at Registration Registration Registration Registration Lakewood Retreat Summer Camp 25458 Dan Brown Hill Road Brooksville, FL 34602 www.lakewoodretreat.org www.lakewoodretreat.org www.lakewoodretreat.org www.lakewoodretreat.org Lakewood Retreat Summer Camp 2018 Ages 5-15 Register your child today for a spiritually rewarding summer camp experience they will never forget! The theme for 2018 is ETERNITY. What is eternity? When does eternity begin? Why should I care? Everything we do in this life will be viewed from eternity’s perspective. Are you ready for eternity? _______________________________________ Campers (ages 5-14): July 8 th -13 th Staff (15 & up): July 6 th -13 th All lodging, meals, and activities included. Counselors Wanted! If you are 16 or older, you can be a camp counselor and receive up to 144 community service hours! Counselor application: www.lakewoodretreat.org www.lakewoodretreat.org www.lakewoodretreat.org www.lakewoodretreat.org Summer Camp Directors: George and Christina Benyola George and Christina Benyola George and Christina Benyola George and Christina Benyola 352-585-3360

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About LWRSC

Join us for Lakewood Retreat Summer Camp 2018! Come away from the routine of everyday life for the ultimate summer camp experience based around the best news the world has ever heard.

Don’t miss out on Lakewood Retreat’s hayride, nature trails, Snak Shak, indoor games, open fire kettle popcorn, campfire with s’mores, archery instruction, canoeing, zip lining, and pool time (lifeguard on duty).

Also join in on Summer Camp activities like field games such as Save the Whales, crafts, morning challenges/activities, worship times and Impact services with dynamic teaching from God’s Word.

We have an amazing group of qualified counselors! Every camp staff member and counselor is required to pass a thorough background check. All our summer camp staff receive vigorous staff-training designed by our experienced Summer Camp Directors, George and Christina Benyola, who have been directing LWRSC for over 17 years!

Our nursing staff and assistants will ensure your campers are healthy and safe, so they are free to concentrate on just enjoying camp. Note from the summer camp Pastor: Camp is so much more than fun and friends. At Lakewood Retreat Summer Camp, we've worked hard to challenge you with the message of the gospel. For 2018, be ready to be freed from old mindsets that keep us from living out the fullness of what Jesus died to give us. Get ready to explore God’s word and know the purpose that He has for your life.

Bring a Friend to Camp Incentive

A free $5 Snak Shak debit card will be awarded to every returning camper who brings a NEW friend to camp. Qualifications of a “new camp friend” are;they have never been to Lakewood Retreat’s Summer Camp Program, or they have NOT been to our Camp in the last three summers.

Every new friend brought is another $5!

Example:

1 new friend= $5 3 new friends= $15! All Snak Shak money is

non-transferable.

Online Registration Requirements

1. Online Registration Form 2. Online Medical Release Form 3. $30 Deposit by mail or phone

(352-796-4097) to pay by credit card 4. Copy of insurance card due at 4. Copy of insurance card due at 4. Copy of insurance card due at 4. Copy of insurance card due at

RegistrationRegistrationRegistrationRegistration

Lakewood Retreat Summer Camp 25458 Dan Brown Hill Road

Brooksville, FL 34602

www.lakewoodretreat.orgwww.lakewoodretreat.orgwww.lakewoodretreat.orgwww.lakewoodretreat.org

Lakewood Retreat Summer Camp 2018

Ages 5-15

Register your child today for a spiritually rewarding summer camp experience they will never forget!

The theme for 2018 is ETERNITY. What is eternity? When does

eternity begin? Why should I care? Everything we do in this life will be viewed from eternity’s perspective.

Are you ready for eternity? _______________________________________

Campers (ages 5-14): July 8th-13th

Staff (15 & up): July 6th-13th All lodging, meals, and activities included.

Counselors Wanted!

If you are 16 or older, you can be a camp counselor and receive up to 144 community service hours!

Counselor application: www.lakewoodretreat.orgwww.lakewoodretreat.orgwww.lakewoodretreat.orgwww.lakewoodretreat.org

Summer Camp Directors:

George and Christina BenyolaGeorge and Christina BenyolaGeorge and Christina BenyolaGeorge and Christina Benyola 352-585-3360

What to BWhat to BWhat to BWhat to Bring (requiredring (requiredring (requiredring (required)))) - change of clothes (twice a day – 5 days for Campers and 7 days for Counselors)

- sleeping bag or linens for a twin size bed - pillow - toiletries (shampoo, soap, deodorant, toothbrush, etc.) - washcloths or pouf & 4 towels (2 for shower & 2 for poolside)

- swimsuit (modest, one-piece for girls) - sunscreen& bug spray - flashlight & extra batteries - light jacket or sweater - sneakers with socks (we do a lot of sports & walking on rough terrain)

- flip-flops or slides (for on-the-way to the Pool & Bath house onlyonlyonlyonly)

- medications (in original bottles – must be registered with Nurse upon arrival) We will keep our cabins a drug-free zone for our Campers. Please see Nurse or Director for questions concerning medications.

What to BWhat to BWhat to BWhat to Bring (recommendedring (recommendedring (recommendedring (recommended)))) - Bible, pen & notebook - disposable camera (camper’s responsibility) - cell phone & charger (to be checked-in with Camp Staff upon arrival)

- decorations for Cabin Team (in relation to the theme)

- $10-20 cash to purchase a Snak Shak debit card (Campers & Staff should not carry any cash. LWR is not responsible for lost or stolen monies.)

- dirty clothes bag - refillable water bottle

- clothes for “dress-up” days: MON- Camp T-Shirt Day (Camp T-shirt to be supplied by LWRSC)

TUE- Toilet Paper Dress-up Day (bring a roll from home for this) WED - Wacky Hat/Wild Hair Day THU- Backwards Day FRI- P.J.’s to Brunch Day

What NOT to BWhat NOT to BWhat NOT to BWhat NOT to Bringringringring - personal electronics(such as ipads, laptops, etc.) - headphones - trading cards (sports, magic, pokémon, yugioh etc.) - anything intended as a prank - pocket knives - tobacco, alcohol, drugs, fireworks, weapons or firearms

These will NOT be tolerated.

Mail-in application to right or apply online at: http://www.lakewoodretreat.org/#/summer-camp/lakewood-summer-camp

Camper Registration Form (One per Camper): Camper’s Name:__________________________________

please printAddress:________________________________________ City:________________________State:____Zip:________ Day Night Phone:________________Phone:____________________ E-mail:_________________________________________ Birth Date:____/____/________ Grade entering into:_____ Gender: M orF(circle) Age:_______

Shirt Size: Youth: | S M L (circle one) --------------------------------- Adult: | S M L XL XXL Cabin buddy/ Counselor request:____________________ (requesting does not guarantee) Home Church:__________________Phone:____________ Church Address:__________________________________ Payment: [ ] Check #__________ (payable to Lakewood Retreat Summer Camp) [ ] Credit Card Type:________________ Name on Card:___________________________________ Credit Card Number:_______-_______-_______-________ Exp. Date:____________ Deposit Amount:$____________ Signature:_______________________________________ Register me for: [ ] Elementary Camper (Early*) [ ] Elementary Camper $329- Ages 5-10 $349- Ages 5-10 [ ] Middle School Camper (Early*) [ ] Middle S. Camper $329- Ages 11-14 $349- Ages 5-10 [ ] Cadet Counselor (counselor in training) $159 - Age 15 only (staff application and training is mandatory)

*Early registration only valid until May 1, 2018.

Campers/Cadets: please mail this form, medical release

form and nonrefundable $30 deposit to:

Lakewood Retreat Summer Camp 25458 Dan Brown Hill Road

Brooksville, FL 34602

Counselors/Cadets: complete and submit your staff application, medical release and background check release

forms online

Christina and George Benyola 832 129th Street NE Bradenton, FL 34212

www.lakewoodretreat.org

Medical Release Form: Name:__________________________________________ please print Birth Date___/___/_____ Age:______ Sex: M or F (circle) Height: ________ Weight:________ Parent/Guardian Name:_____________________________ Address:_________________________________________ City:________________________State:____Zip:________ Day Night Phone:________________Phone:____________________ 2nd Emergency Contact:_____________________________Day Night Phone:________________Phone:____________________ Family Doctor:________________Phone:______________ Medical Insurance Co.:_____________________________ Policy #:________________________________________ Copy of insurance card attached? Yes or No (circle) Last Physical Exam: [ ] 1 year [ ] 2 years [ ] __________ General Health: [ ] Excellent [ ] Average [ ] Below Avg. Date of last Tetanus Shot:___________________________ (T Shot must be within last 10 years. If not within last 5 years and laceration or puncture wound occur, a DT will need to be given.)

Do you agree to the use of over-the-counter medicine for your child if needed? Yes or No (circle)

Easily Sunburned? Yes or No (circle)

Prescription Medicine? Yes or No (circle) If yes specify:____________________________________ Allergies? Yes or No (circle) (food, medication, insects, etc.) If yes specify:____________________________________

Special Diet? Yes or No (circle) If yes specify:____________________________________

Chronic Medical Conditions? Yes or No (circle) (asthma, diabetes, seizure, etc.) If yes specify:____________________________________

I affirm this information is accurate, and Lakewood Retreat has my permission to act in the best interest of my child’s health if I cannot be contacted in a timely fashion. Parent/ Guardian Signature: Date:______________ _______________________________________________

REV 07/13/2017 BHG