The ISM Team. Should you have any questions you can reach the ISM office at or by calling

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1 Greetings Kids Camp Coordinator! We are thrilled that you choose to spend your summer with us here at Lake Williamson. Please fill out the Camp Coordinator Form on the Kid s Camp page of our website (ilsmonline.org/events/breakaway-kids-camp) right away to let us who you are. This will enable us to push out information and reports accurately to you. We will send out an notification to let you know each time the Camper Reports are available. New this year, the will contain a link to a Dropbox folder where you will download your church s Camper Reports as they are made ready, giving you access at your convenience. More information and detailed instructions will be included in the s as you begin to receive them. New this year is a step by step instruction manual to help your parents/guardians and volunteers complete their online registration. We have also modified the Personal & Pastoral Reference Forms to be completed digitally. During the registration process it will prompt your volunteers to send the form directly to their references. Please be sure and encourage your volunteers to submit a photo for their identification lanyard when they register so we can have it ready upon arrival. Payments will still need to be made by check from your church. We know this takes extra help from you but it is the best way to ensure camp remains at as low of cost as possible. There is a Financial Breakdown Sheet available for download on the Kids Camp Downloadable Forms Page (ilsmonline.org/kidscampforms) that will need to be sent into the ISM office with each check. It is important that you send in your Group Housing Form as soon as your students have registered. This allows us to complete rooming promptly and can let you know your Color and Housing assignments as early as possible. Do not forget to bring the Lice Check Form filled out and signed with you to Registration Check-In on Monday. No group will be allowed to enter camp without these Lice Checks having been completed prior to arrival. Coupon codes can be used online for discounts for those who qualify. They are as follows: Credentialed AG Ministers child ($30): PK2018MK; Royal Rangers Chartered Member ($10): CH2018RR; Mpact Girls Chartered Member ($10): CH2018MP. You will need to make your parents aware of these coupon codes as they have not been given out to them. **The RR and Mpact discounts are ONLY applicable to those who actively participate in a church that is chartered Should you have any questions you can reach the ISM office at ilsmonline@idcag.org or by calling Sincerely, The ISM Team **If you or a parent/guardian have a problem at any point during the online registration process, there is a Contact Us icon in the top right hand corner of the registration screen. This lists the technical support phone number to Campwise directly and they can guide anyone through an issue. That number is

2 2018 Breakaway Camp Disclosures & Code of Conduct REGISTRATION: No phone registrations, nor incomplete registrations will be accepted. Walk-ins may be accepted based on our capacity and counselor to camper ratio. All monies must be received by registration check-in on Monday in order for a student to attend. Students or groups registering by the early registration deadline must pay the correct deposit amount to be eligible for the early registration pricing. T-SHIRTS: T-shirts are available for purchase for those who registered by (May 8 - Kids Camp/June 8 - Teen Camp) for $5 or $7 depending on size. Orders taken after (May 8-Kids//June 8-Teen) will be available on a first come, first serve basis. DEPOSITS: A student or group may register by making a $100 deposit per camper. (Deposit MUST include payment for any extras purchased: high ropes course & t-shirts). Registration must be PAID IN FULL on or before the first day of camp. No deposits will be accepted without the camper(s) applications. Payments should be made to your church and they will forward to us. If you are coming as an individual, please send all necessary contact information with your payment. REFUNDS: Due to programming costs, refunds for students who are unable to attend a full week of camp must be requested a minimum of SEVEN DAYS prior to the first day of camp. Refunds must be requested via an official Refund Request Form which can be obtained through our offices. Refunds will be issued at the end of the camping season minus a $50 fee per student. We cannot refund monies for partial attendance to a week of camp. No refunds will be given for expelled students. INDIVIDUAL HOUSING: ALL students will be housed before arriving on the campgrounds. If a student is coming as an individual, but would like to be housed with a group, we will do our best to accommodate requests if it is made by MAY 8 (for Kids Camp) or June 8 (for Teen Camp), however, NO GUARANTEES! GROUP HOUSING: All students will be housed before arriving on the campgrounds. A church coordinator is responsible for getting us this information. Students grades 1-2 are housed 8 campers/2 counselors and students grades 3-12 are housed 9 campers/1 counselor. CAMP SCHEDULE: Registration check-in begins the Monday at 10AM of each week of camp. Student orientation begins at 2PM. Please plan to bring a sack lunch or money to eat at the Lake Williamson Dining Hall ($4.00 per person) for Monday lunch. The first camp meal served will begin at 5PM on Monday. Camp checkout is 11AM on Friday. NON-CAMPER POLICY: ISM summer camps are CLOSED camps. All camp activities including evening services are open only to registered campers and staff. Any child, student, or adult violating this policy will be asked to leave the grounds. LOST AND FOUND: Any lost and found items left on grounds after the conclusion of camp will be held for two weeks. If not claimed during that time period, items will be donated. Claimed items will be shipped back to their owners at their owner s expense. CAMP PROPERTY DAMAGE: Charges for items broken/damaged during camp will be billed to all parties/individuals involved. INSURANCE: Secondary medical coverage for accidental injuries is with Brotherhood Mutual Insurance. WHAT TO BRING: Sleeping bag or twin sheets, blanket, pillow, towel, recreational clothes, & gym shoes, toiletries, modest swimwear (no bikinis), Bible, spending money is needed for BGMC/STL offering, snacks and camp store. Please clearly label all items. Campers are responsible for personal belongings. ISM is not responsible for lost/stolen items. WHAT NOT TO BRING: No weapons, tobacco, electronic devices, laptops, video games, SILLY STRING, water guns, water balloons, sidewalk paint, tape, or spray paint products (including colored hair spray) will be permitted. DRESS CODE: MODESTY. No revealing clothing will be permitted. This includes: short dresses, skirts, or shorts (4 inch inseam), leggings, plunging necklines, spaghetti straps, cut off t-shirts (showing sport bras) or cut off shorts, bikinis, and speedos. EXPECTATIONS: Regulations are given as guidelines for every camper to follow. This code of conduct has been established for your students protection and the benefit of every person present. The lack of cooperation, unnecessary roughness, lack of respect for property, or an unwholesome attitude on the part of any camper will result in expulsion from camp. The expense of transporting the expelled camper(s) home from camp is the responsibility of the parents/guardians.

3 Breakaway Kids Camp Breakdown Sheet Please fill out this form COMPLETELY and send it along with ALL payments being made Make checks payable to: ISM, PO Box 620, Carlinville, IL Step 1 CONTACT INFORMATION (please print) Church City Camp Coordinator Church Name Camp Coordinator Phone # Church Phone # Camp Coordinator STEP 2 CHOOSE CAMP Week 1 June Week 2 June STEP 3 LIST PERSONS REFLECTED IN PAYMENT BEING SUBMITTED (You may make copies of this section as needed; additional lines on back of form as well. Please make sure your grand total from both sides matches your check total.) Name Is this a camper, a counselor or support staff? Total Amount submitted today Is this a deposit, full payment or payment of remaining balance? 1 camper counselor sup. staff deposit pymt in full remaining balance 2 camper counselor sup. staff deposit pymt in full remaining balance 3 camper counselor sup. staff deposit pymt in full remaining balance 4 camper counselor sup. staff deposit pymt in full remaining balance 5 camper counselor sup. staff deposit pymt in full remaining balance 6 camper counselor sup. staff deposit pymt in full remaining balance 7 camper counselor sup. staff deposit pymt in full remaining balance 8 camper counselor sup. staff deposit pymt in full remaining balance 9 camper counselor sup. staff deposit pymt in full remaining balance 10 camper counselor sup. staff deposit pymt in full remaining balance 11 camper counselor sup. staff deposit pymt in full remaining balance 12 camper counselor sup. staff deposit pymt in full remaining balance 13 camper counselor sup. staff deposit pymt in full remaining balance 14 camper counselor sup. staff deposit pymt in full remaining balance 15 camper counselor sup. staff deposit pymt in full remaining balance 16 camper counselor sup. staff deposit pymt in full remaining balance 17 camper counselor sup. staff deposit pymt in full remaining balance 18 camper counselor sup. staff deposit pymt in full remaining balance 19 camper counselor sup. staff deposit pymt in full remaining balance 20 camper counselor sup. staff deposit pymt in full remaining balance 21 camper counselor sup. staff deposit pymt in full remaining balance 22 camper counselor sup. staff deposit pymt in full remaining balance 23 camper counselor sup. staff deposit pymt in full remaining balance 24 camper counselor sup. staff deposit pymt in full remaining balance 25 camper counselor sup. staff deposit pymt in full remaining balance CHECK# PLEASE TOTAL: CHECK TOTAL $ **PLEASE MAKE SURE YOUR CHECK TOTAL MATCHES THIS TOTAL!** *Additional lines on back of form if needed. Please make sure, if utilizing back of form, that your grand total from both sides matches your check total. For office use only: Pstmk Dt: Processor Intials : _ Dt Processed:

4 Church City Church Name Check # Name Is this a camper, a counselor or support staff? Total Amount submitted today Is this a deposit, full payment or payment of remaining balance? 26 camper counselor sup. staff deposit pymt in full remaining balance 27 camper counselor sup. staff deposit pymt in full remaining balance 28 camper counselor sup. staff deposit pymt in full remaining balance 29 camper counselor sup. staff deposit pymt in full remaining balance 30 camper counselor sup. staff deposit pymt in full remaining balance 31 camper counselor sup. staff deposit pymt in full remaining balance 32 camper counselor sup. staff deposit pymt in full remaining balance 33 camper counselor sup. staff deposit pymt in full remaining balance 34 camper counselor sup. staff deposit pymt in full remaining balance 35 camper counselor sup. staff deposit pymt in full remaining balance 36 camper counselor sup. staff deposit pymt in full remaining balance 37 camper counselor sup. staff deposit pymt in full remaining balance 38 camper counselor sup. staff deposit pymt in full remaining balance 39 camper counselor sup. staff deposit pymt in full remaining balance 40 camper counselor sup. staff deposit pymt in full remaining balance 41 camper counselor sup. staff deposit pymt in full remaining balance 42 camper counselor sup. staff deposit pymt in full remaining balance 43 camper counselor sup. staff deposit pymt in full remaining balance 44 camper counselor sup. staff deposit pymt in full remaining balance 45 camper counselor sup. staff deposit pymt in full remaining balance 46 camper counselor sup. staff deposit pymt in full remaining balance 47 camper counselor sup. staff deposit pymt in full remaining balance 48 camper counselor sup. staff deposit pymt in full remaining balance 49 camper counselor sup. staff deposit pymt in full remaining balance 50 camper counselor sup. staff deposit pymt in full remaining balance 51 camper counselor sup. staff deposit pymt in full remaining balance 52 camper counselor sup. staff deposit pymt in full remaining balance 53 camper counselor sup. staff deposit pymt in full remaining balance 54 camper counselor sup. staff deposit pymt in full remaining balance 55 camper counselor sup. staff deposit pymt in full remaining balance 56 camper counselor sup. staff deposit pymt in full remaining balance 57 camper counselor sup. staff deposit pymt in full remaining balance 58 camper counselor sup. staff deposit pymt in full remaining balance 59 camper counselor sup. staff deposit pymt in full remaining balance 60 camper counselor sup. staff deposit pymt in full remaining balance 61 camper counselor sup. staff deposit pymt in full remaining balance 62 camper counselor sup. staff deposit pymt in full remaining balance 63 camper counselor sup. staff deposit pymt in full remaining balance 64 camper counselor sup. staff deposit pymt in full remaining balance 65 camper counselor sup. staff deposit pymt in full remaining balance PLEASE TOTAL: **PLEASE MAKE SURE YOUR CHECK TOTAL MATCHES THIS TOTAL!**

5 Breakaway Kids Group Housing Form 1-2 Kids Breakaway Camp For Students Who Have Completed Grades 1 or 2 Postmark Deadline May 15, 2018 Please list how you would like your group to be roomed. Understand a counselor is not guaranteed until approved by the director. Some rooms hold up to 12 people; you may write in 2 extra spaces if need be, and we will contact you should there be a problem. Be sure to list any support staff or additional counselors (not already listed in your rooms) in the space provided. Please print: Check Week Attending: Church City Week 1 June Week 2 June Camp Coordinator Church Name Camp Coordinator Phone # Church Phone # Camp Coordinator Room #1 Counselor#1 Counselor#2 Camper#1 Camper#2 Camper#3 Camper#4 Camper#5 Camper#6 Camper#7 Camper#8 Room #2 Counselor#1 Counselor#2 Camper#1 Camper#2 Camper#3 Camper#4 Camper#5 Camper#6 Camper#7 Camper#8 Room #3 Counselor#1 Counselor#2 Camper#1 Camper#2 Camper#3 Camper#4 Camper#5 Camper#6 Camper#7 Camper#8 Room #4 Counselor#1 Counselor#2 Camper#1 Camper#2 Camper#3 Camper#4 Camper#5 Camper#6 Camper#7 Camper#8 (continued on reverse side) For office use only: Original Form Revised Form Dt Rec d:

6 Church City Church Name Room #5 Counselor#1 Counselor#2 Camper#1 Camper#2 Camper#3 Camper#4 Camper#5 Camper#6 Camper#7 Camper#8 Room #6 Counselor#1 Counselor#2 Camper#1 Camper#2 Camper#3 Camper#4 Camper#5 Camper#6 Camper#7 Camper#8 Room #7 Counselor#1 Counselor#2 Camper#1 Camper#2 Camper#3 Camper#4 Camper#5 Camper#6 Camper#7 Camper#8 Room #8 Counselor#1 Counselor#2 Camper#1 Camper#2 Camper#3 Camper#4 Camper#5 Camper#6 Camper#7 Camper#8 Males Support Staff Females Available Counselors Not Roomed Males Females

7 Breakaway Kids Group Housing Form 3-6 Kids Breakaway Camp For Students Who Have Completed Grades 3 thru 6 Postmark Deadline May 15, 2018 Please list how you would like your group to be roomed. Understand a counselor is not guaranteed until approved by the director. Some rooms hold up to 12 people; you may write in 2 extra spaces if need be, and we will contact you should there be a problem. Be sure to list any support staff or additional counselors (not already listed in your rooms) in the space provided. Please print: Check Week Attending: Week 1 June Week 2 June Church City Camp Coordinator Church Name Camp Coordinator Phone # Church Phone # Camp Coordinator Room #1 Counselor#1 Camper#1 Camper#2 Camper#3 Camper#4 Camper#5 Camper#6 Camper#7 Camper#8 Camper#9 Room #3 Counselor#1 Camper#1 Camper#2 Camper#3 Camper#4 Camper#5 Camper#6 Camper#7 Camper#8 Camper#9 Room #2 Counselor#1 Camper#1 Camper#2 Camper#3 Camper#4 Camper#5 Camper#6 Camper#7 Camper#8 Camper#9 Room #4 Counselor#1 Camper#1 Camper#2 Camper#3 Camper#4 Camper#5 Camper#6 Camper#7 Camper#8 Camper#9 (continued on reverse side) For office use only: Original Form Revised Form Dt Rec d:

8 Church City Church Name Room #5 Counselor#1 Camper#1 Camper#2 Camper#3 Camper#4 Camper#5 Camper#6 Camper#7 Camper#8 Camper#9 Room #7 Counselor#1 Camper#1 Camper#2 Camper#3 Camper#4 Camper#5 Camper#6 Camper#7 Camper#8 Camper#9 Room #6 Counselor#1 Camper#1 Camper#2 Camper#3 Camper#4 Camper#5 Camper#6 Camper#7 Camper#8 Camper#9 Room #8 Counselor#1 Camper#1 Camper#2 Camper#3 Camper#4 Camper#5 Camper#6 Camper#7 Camper#8 Camper#9 Males Support Staff Females Available Counselors Not Roomed Males Females

9 Church City CAMP LICE CHECK FORM Bring this form with you to camp Church Name Students must be checked for lice BEFORE arriving at camp for registration. Please do a lice check at your church before leaving for camp. If you suspect a child might have lice, be sure to check early enough so said child and his/her personal items can be treated before camp. Have a qualified person, (teacher, nurse, etc) give each child a thorough check and then add their names to the list below. Be sure to bring the list with you to Registration Check-In. Any camper needing to be checked for lice at the camp will be charged $10 to be paid by the church, separate from the registration fee. Camper Lice Free Camper Lice Free I have checked each of these children for lice and they are lice free. I understand that if children are brought to camp with lice, they may be sent home. Signature of Qualified person checking for lice

10 Packing for Camp WHAT TO BRING Bible/ Notebook/ Pen Color Team supplies Bedding (Sheets (twin), sleeping bag, pillow, blanket) Sunscreen/ Bug Spray Towels & Wash Clothes Alarm Clock Modest swimwear- (1 piece or Tankini- no 2 pieces allowed) Casual clothing Money for BGMC/ STL offering Money for Cafe & ISM Store Tennis Shoes/ Flip Flops Toiletries (deodorant, shampoo, tooth brush & paste, etc...) Air Fresheners Snacks WHAT NOT TO BRING Spaghetti Straps or Strapless Shirts Short Shorts/ Short Skirts Bikini/ Speedos Cutoff shorts/shirts (no sports bras allowed to show) Spandex (shorts or shirts leggings allowed if covered with another article of clothing.) Water Guns No Paint, Silly String or Tape is allowed Water Balloons Campers are responsible for all personal belongings. Please clearly label all items. ISM is NOT responsible for lost or stolen items.