SummerCamp 2013 ALDERSGATE REGISTER ONLINE AT ALDERSGATENY.ORG
Hello Friends, As a young camper, I experienced a world that introduced me to new activities and helped me understand what it meant to live in Christian community and function as part of larger family. Hiking, making crafts, flying hot air balloons, singing around a campfire and swimming in a lake for the first time helped me grow in so many ways. As a teenager, I gained confidence as I played my guitar and sang a solo in front of my peers for the first time. I know from personal experience that camp changes a life forever. Now, with children of my own, I understand the trust it takes to leave my child in the care of others. Our dedicated team of professional staff is preparing an exciting summer; and our first and most important goal is that children and youth are provided a safe place where they can find themselves, define themselves, and just be themselves. The mission of Camp & Retreat Ministries is to provide programs for the purpose of Christian education and spiritual birth, growth and renewal. Sending your children to a fun-filled, life-changing, experience at summer camp is an investment in their lives. Campers will learn new skills, make new friends, live in Christian community, experience ways to grow in their relationship with God, and have fun doing it. Our low camper-to-staff ratio helps ensure a positive experience for each camper. There will be something new this year for first time and returning campers alike. Retreat participants and summer campers receive quality programs that impact the world by empowering children, youth and adults to love God and their neighbor. Looking forward to seeing you at camp. In Christ, Mike Huber Associate Director of Connectional Ministries for Camp and Retreat Ministries Camp and Retreat Ministries Upper NY Annual Conference The United Methodist Church transforming lives camp & retreat ministries A Ministry of The Upper NY Annual Conference of The United Methodist Church asbury asburyuny.org findley campfindley.org Upper NY Annual Conference of The United Methodist Church unyumc.org aldersgate aldersgateny.org casowasco casowasco.org sky lake skylakecenter.org United Methodist 3 UNY Camp & Retreat Ministries Ministries campsandretreats.org skye farm skyefarmcamp.org At camp, I discovered what it means to be a follower of Jesus Christ and began to sense God s call in my life to full-time ministry. I encourage you to participate in the many opportunities that our Camp & Retreat Ministries provide. You will discover God in a new way and your life will be transformed! Bishop Mark J. Webb
New in 2013 aqua slide for the aqua park aldersgate is a place where lives are changed. 1 what s new @ Aldersgate Directors Rebekah & Lucas Wachob Nestled in the beautiful Adirondacks, you ll find a camp filled with many opportunities for children to deepen their Rebekah is a former Aldersgate camper and received a BS in accounting from SUNY Albany, she is completing a master s in business administration at the Rochester Institute of Technology. Lucas is a graduate of SUNY College of Environmental Science and Forestry at Syracuse University and an Eagle Scout. They both served as summer staff for Camp and Retreat Ministries. Their shared love of God, nature, people and a heart for ministry make them right at home at Aldersgate. They are looking forward to meeting campers and families this summer. understanding of God and experience Christian love. Campers are encouraged to develop new skills and creating meaningful relationships through exciting activities, Bible exploration, hand-picked staff, and creative programming.
Aldersgate specialty & family camps 2 Six (6) camp & retreat centers + numerous buildings + deferred maintenance = a critical need for a CRM Maintenance Fund Friends, Let s face it. Owning property is both a blessing and a responsibility; and here in the Upper New York Annual Conference, we have been entrusted with the care and stewardship of six (6) camp and retreat centers. In July of 2010, four conferences came together to form one conference; and with that uniting, the Upper New York Annual Conference gained camp and retreat centers unique in their individual ministry outreach and also unique in the state of health of their facilities. CRM staff has worked diligently to introduce new events at each of our sites, and is committed to continued development of innovative programming that serves to introduce people to Jesus Christ and help them grow in their relationship with God. The critical need at each of our sites at the present time is a maintenance fund that will ensure long-term sustainability of our facilities and make certain that quality space is provided for our summer campers and retreat guests. YOU can be instrumental in the development of a long-term Maintenance Fund with a gift to Camp & Retreat Ministries. Gifts received will be held in a fund to support the capital needs at each of the six sites. Please consider this opportunity to support Camp & Retreat Ministries by sending a generous gift to Upper New York Annual Conference CRM or UNYAC-CRM, 324 University Ave., 3rd floor, Syracuse, NY 13210. Let us know that your gift is for facility needs, and thanks in advance for your generosity. Specialty & family camps Family Life Weekend Introduce your family to a Christian camping experience. Moms, Dads, kids, grandparents, aunts, uncles and cousins are all welcome! Enjoy swimming, family square dancing, an all-family softball game, special teen times, relaxing, and enjoyable fellowship with other Christian families. The FLW adult choir, sacred dance, and special music help make our Sunday morning worship unique and meaningful. There will be special sessions for children, youth, and college age young adults. A nursery will be provided during the adult sessions. Call (315) 348-8833 or info@aldersgateny.org to request a Family Life Weekend Registration Form or download it from www.aldersgateny.org. + July 19-21 ADULT (AGES 13+): $154 AGES 4-12: $73 AGES 3 and under: Free family max (families w/children at home): $454 Aldersgate Cartwright Retreat Cabins Available for Reservations Take a break from the routine of life and experience the peace and quiet of The Adirondack Park. Aldersgate is the perfect place for a family vacation, youth group retreat, or church retreat. While on site, some of the activities you will have the opportunity to experience are: swimming, canoeing, archery, hiking in the Wilderness Area, and relaxing around a campfire. The surrounding area attractions include: Old Forge, The 1000 Islands, the Adirondack Scenic Railway, the Wild Center in Tupper Lake, and The Adirondack Museum. The Cartwright Cabin area features a heated lodge with a meeting room (capacity: 60), including a full size brick fireplace. The insulated and heated cabins have one double bed and multiple single beds with a nearby bathhouse. All meals are provided. Please call 855-414-6400 (toll free) or email info@aldersgateny.org for more information. + Available May 1 October 1
g g New in 2013 g ASBURY ACRES Get ready for an Adirondack wilderness adventure! Our outpost offers programming in a unique setting. In Asbury Acres, campers will stay in our NEW Yurts. In addition to the specialty activities of each program, campers may play Ga-ga, ride Digglers, work as a team on the low ropes course, explore the bog, and have the option to spend one night in a tree hammock. 3 ASBURY ACRES Aldersgate Yurt photos courtesy of Pacific Yurts 2012 Pioneer Adventure Live like a pioneer for a week and learn what it was like to live in the 1700s. You will learn the art of knot tying and lashing as you build a shelter in the woods. Cook some classic recipes over the open fire, perfect your canoeing and archery skills, make candles, and go hiking. + June 30-July 5 Ages 9-11 $415 NOTE: Asbury Acres is located on the opposite side of Brantingham Rd. from main site. Campers will sleep in Yurts, have access to privies, and prepare breakfast and lunch over an open campfire. Campers will travel to main site each day for dinner, swimming, worship and a shower. Buggin Out Become an Amateur Entomologist! Find and identify insects within the Adirondack Park. Learn how to collect and preserve some of these unique creatures. You will take home a small collection of moths, butterflies, beetles, and other insects. + July 21-26 Ages 10-13 $425 Wild Things Explore every nook and cranny of Aldersgate and learn what it takes to live in the woods. Discover the wonder of God s creation as you catch some bugs, bullfrogs, and fish. Visit the bog, take a canoe trip on Brantingham Lake, and build a shelter out of natural materials. + July 7-12 Ages 12-14 $415 Adirondack Expedition Come discover the wilderness at Aldersgate and blaze a new trail. The NEW Yurts at Asbury Acres will be your home base, but you will also spend one night in a Lean-to and one night in a tree hammock. Cook over an open fire and use a backpacking stove. Expand your sense of adventure on the low ropes course and on a canoe trip down the Black River. + July 28-August 2 Ages 13-16 $415 Backwoods Boys Can t get enough of the woods and being outdoors? During this week with just the guys, you will spend your time practicing archery, canoeing, riding digglers, fishing, and building a shelter in the woods. + July 14-19 Ages 11-14 $415 (boys only)
Aldersgate Season PremierE 4 New in 2013 Aldersgate Season Premiere This opening week at Aldersgate is filled with the best activities and packed with fun! Choose your favorite activities and we will create a custom schedule just for you. Each day also features a new exciting activity, such as an extreme game of Gold Rush, a wild and wacky campfire, getting wet at the Luau, or the carnival. Aldersgate Season Premiere It s the first week of camp! What could be more fun than choosing the activities you like to do at camp? We pull out all the stops for this first big week of fun. Surprises await you every day! + June 23-28 Ages 6-18 $415 Activities include: Swimming Archery Boating Campfires Digglers Evening Worship Nature Exploration Arts and Crafts Water Carnival Ga-ga Courts Challenge Course Bouldering Wall Volleyball Hiking Wacky Games Fishing NOTE: Multiple age programs will have separate housing and run age-appropriate schedules.
Explorer programs... have been designed for you to experience a sample of classic camp activities and make wonderful new friends. Along with hanging out with awesome counselors, you will splash at the waterfront, do crafts, sing around the campfire, and play lots of games. ages 6, 7, 8 explorer 5 ages 6, 7, 8 Aldersgate LEGO -Mania Go crazy with LEGOS! Work with your cabin mates as co-builders to create a full blown campground made entirely out of LEGOS. Bring your thinking caps because each day will have a new LEGO challenge to solve. + July 7-12 $425 + July 21-26 $425 Energized! If you love games and have lots of energy, we have the perfect week planned for you. During this week of nonstop fun you will do archery, shoot some hoops, play whacky water games, ride digglers, and so much more. + July 28-August 2 $415 Messy Munchkins Art! Art! Art! Color in the lines? We think NOT! Reveal your creative gifts from God while you explore wild and crazy colors, paint monster murals, create do-bobbies, and sculpt with Sculpey clay! + July 28-August 2 $425 NOTE: Young campers interested in a full week stay may choose to attend two half week programs back to back. Aldersgate Season Premiere See page 4 for information. + June 23-28 $415 Jr. Spy Knock! Knock! Got the password? Become a spy, follow the clues, and search out evidence to complete the secret mission! Plus, learn some new spy tricks along the way. + June 30-July 3 (Su-W) $225 Mix & Match Can t make up your mind? Mix & Match your favorite activities such as spy missions, swimming, boating, visiting the bog, LEGO building, energizing field games, and so much more! You ll have a blast doing all of the activities that make camp great! + July 3-5 (W-F) $210 + July 14-17 (Su-W) $225 + July 21-26 $415 Frog, Fin, Fun! If you like water games, building sand castles, and catching frogs and fish, then this week is for you! You will even learn to use a mask, fins, and a snorkel to explore the shallows of the lake. + July 7-12 $415 + July 17-19 (W-F) $210 ONE DAY ADVENTURE Want to come to camp but not sure what you ll find? Don t want to sleep over alone? Don t worry! One Day Adventure is for YOU! Come spend the day. Hike, boat, play camp games, and toast marshmallows to build S mores. It s a day to remember! + July 20 (Sat-10am-4pm) Ages 4-8 $50
Aldersgate challenger 6 challenger ages 9, 10 11 Fill your days with fun, fun, fun! Join your new friends and counselor in swimming, bouncing on the water trampoline, archery, and a bog hike. Come see what it is all about! Aldersgate Season Premiere See page 4 for information. + June 23-28 $415 LEGO -CRAZE! LEGOS, LEGOS, LEGOS, and more LEGOS! Use your creativity to build small projects that will become part of a full blown town by the end of the week. Bring your thinking caps because each day will have a new LEGO challenge to solve. + July 28-August 2 $425 Frog, Fin, Fun Fantastic If you like water games, building sand castles, catching frogs and fish, and playing on the aqua park, then this week is for you! You will even learn to use a mask, fins, and a snorkel to explore the shallows of the lake. + June 30-July 5 $415 Hook and Lure Cast a line, catch a fish, hear fish stories, and create some stories of you own. Hear stories about Jesus and how He used fishing to demonstrate His love for us. + July 7-12 $415
ages 9, 10, 11 challenger 7 ages 9, 10, 11 Aldersgate Boots and Saddles This one is for horse lovers who are novice or beginning riders, as well as those who ride infrequently. Visit the stables four times to ride western and learn basic horsemanship, tack care, and horse care. This program focuses on the basics of saddling, walking, and trotting. + June 30-July 5 $545 + July 7-12 $545 + July 28-August 2 $545 Challenger Scramble Can t decide? This program is for you! You will be able to pick some of your activities. Create Bristle bots, spend FOB in a hammock, ride digglers, make arts and crafts, explore nature, and more. + June 30-July 5 $415 + July 7-12 $415 Planes, Trains, and Automobiles Fly high in the sky in a sea plane, experience the thrill of the Adirondack Railway as it rolls down the tracks, speed around a go-cart track, and check out a classic set of wheels. Compare the tanks of these mighty machines to the spirit filled tank that keeps us running. + July 21-26 $505 Aqua-Supreme This is supreme water fun. Spend many hours in, on, and around the water. Get soaked as you swim, boat, splash around the aqua park, and play wacky water games all week long. + July 21-26 $415 Extremelodeon (Back by Popular Demand) Ice Cream for breakfast, Wacky Wednesday, slime time, extremely wet day, awesome adventure day, and a fabulous floating lunch. Exciting surprises will pop up every day. You ll have some incredible stories to tell at the end of this week. + July 14-19 $415
Aldersgate mountaineer 8 mountaineer ages 12, 13, 14 The best week of your summer... will be packed with the awesome activities that make Aldersgate the place to be. Stay up a little later to do a night hike, go star gazing, or play a glow-in-the-dark game of capture the flag. In addition to your program s specialty activities, you ll bounce around the aqua park, do archery, paddle a kayak, and eat s mores around the campfire. Aldersgate Season Premiere See page 4 for information. + June 23-28 $415 Teen Chaps For avid horse fans that can saddle, walk and proficiently trot a horse. Go to White Frost Ranch five times to improve your riding skills. This program is for experienced riders only. + July 21-26 $580 Quest This adventure takes you to surprising destinations every day. While searching for the meaning behind God s desire for us to be our best, we will go horseback riding, take a trip to Water Safari, work together on the challenge course, sleep in tree hammocks, and hike in the wilderness area. + JuNe 30-july 5 $505 Rest, Relax, Recover Find the times and places to rest, relax, and recover in fun and funky ways. Rest in tree hammocks, relax having a floating lunch on Brantingham Lake, and recover with late morning breakfasts and campfire desserts in the evenings. Spend most of your day in your cabin area doing things you love to do with your cabin mates. + July 14-19 $415
ages 12, 13, 14 mountaineer 9 ages 12, 13, 14 Aldersgate Mountaineer Scramble Can t decide? This program is for you! You will be able to pick some of your activities. Create Bristle bots, spend FOB in a hammock, ride digglers, do arts and crafts, explore nature, and more. + June 30-july 5 $415 + July 7-12 $415 MOtor madness An adventure for those who like motors and engines! Come race go-carts and maneuver remote control cars, boats, and helicopters. You will build your own radio control car to take home at the end of the week! + July 14-19 $465 ARTrageous Creations Spend part of your camp experience diving into your God-given creativity. Explore music, painting, clay sculptures, storytelling, acting, and more. + July 21-26 $415 Hydro-Blast Spend every afternoon at the Aldersgate Waterfront! Splash at the aqua park, paddle a canoe or kayak, and get ready for some wacky water games. Your mornings will be filled with unique sports and games on the field. Bring some energy because you will be going non-stop all day long. + July 28-august 2 $415 Woodworking Do you enjoy creating things by working with your hands? Then woodworking is for you! Come and be part of the Master Carpenter s workshop and experience the fun of using hammers, saws, and drills to make stilts, games, gifts, and more. + July 28-august 2 $455
Aldersgate adventurers 10 adventurers ages 15, 16, 17, 18 Take a step away... from your daily life and join an environment full of enthusiasm and excitement. This week away gives you the chance to hang out with other high school students, stay up late, and participate in your favorite camp activities. Aldersgate Season Premiere See page 4 for information. + June 23-28 $415 Rest, Relax, Recover Find the times and places to rest, relax, and recover in fun and funky ways. Rest in tree hammocks, relax having a floating lunch on Brantingham Lake, and recover with late morning breakfasts and campfire desserts in the evenings. Spend most of your day in your cabin area doing things you love to do with your cabin mates. + July 7-12 $415 X-treme Quest Take part in a new quest each day as you go horseback riding, white water rafting, and take a trip to Water Safari. You will hike in the wilderness area, climb the bouldering wall, and sleep in tree hammocks one night. Lots of energy is needed for this adventure. + July 21-26 $550 ADK Fishing Spend most of your day fishing in the lakes, streams, and rivers around Aldersgate. Learn the art of fishing with artificial bait and the skill of tying flies, while discovering what it means to be a fisher of men. + July 28-August 2 $415
IMPORTANT POLICIES Upon Receipt of Registration Shortly after the registration is processed, the camper will receive a confirmation packet. It will contain: a health form, necessary permission slips, list of what to bring to camp, and general guidelines. We work hard to make your 1st day at camp go smoothly and hassle free! If you have questions, please do not hesitate to call 315-348-8833 or email info@aldersgateny.org. Cancellation Policy A full refund will be given in cases of documented medical concern or due to a death in the family that prohibits attendance. More than three weeks before the camp session, partial refunds (less the $75 deposit) will be offered. We are unable to offer refunds within three weeks of the start of the session except as stated above. There is no refund once camp starts. There is no fee adjustment if a camper arrives late or leaves early. Inappropriate Behavior Policy Aldersgate reserves the right to send campers home for inappropriate behavior at the parent(s) or guardian(s) expense, and without refund. The safety and security of our campers and staff is always our highest priority. Privacy Policy We respect the privacy of personal information submitted to us. Information is collected only for the purposes of this ministry, and may be disclosed to staff in the performance of their job duties or to others for statistical purposes only. We are committed to protecting your information to the best of our ability. We assume your submission of a registration represents your consent for us to collect, use and disclose your personal information for the purposes listed above. Health Forms A $15 late fee will be applied to each health form not returned at least five (5) business days prior to the start of the session of camp attending. Hey Parents... things you ll want to know about summer camp at aldersgate ABOUT OUR ACTIVITIES Whether you re an expert or beginner, there s something here for you! Our qualified staff will encourage you and ensure your safety. There are many options to choose from and all equipment and safety gear is provided unless stated otherwise in the confirmation material. Please note that for the safety of our guests, all campers must pass a swim evaluation to take part in most waterfront activities. Campers who are not strong swimmers will have limited, but quality access to the waterfront activities. FOOD SERVICE Always one of the most important parts of camp, we provide quality food and plenty of it! Healthy and delicious home-style meals are prepared daily and usually served family style. We seek to meet special dietary needs, provided we receive advance notice. ACCOMODATIONS Campers will stay in their designated cabin which is nestled among trees and beautiful scenery. Washrooms, including hot water and showers, are located near cabin area. Asbury Acres and the Wilderness Area at Aldersgate are outpost sites where campers sleep in platform tents, Adirondack lean-tos, or tree hammocks. Campers will help prepare some meals and have access to privies. Potable drinking water is available. These areas are located less than one mile from the main site and within easy walking distance. Often campers are transported by van or wagon. The site is easily accessible to emergency vehicles. CABIN MATE REQUESTS We will seek to honor cabin mate requests made at least 2 weeks before camp begins, provided campers are registered in the same program; ages are generally not more than 24 months apart and the request is made by both people. Note that this is optional and many campers do not make requests. We seek to honor your wishes, and to place similar age groups together. We also value kids making new friends. Please call if you have questions. HEALTH & SAFETY The health and safety of all our guests is of utmost importance. Our Health Care Staff includes a consulting physician, one visiting or on-site Registered Nurse, at least one EMT, several RTE s, and many of our summer staff are certified in CPR and/or first aid. In addition, there is a full-service hospital located within 20 minutes of the site. Staff are chosen after a rigorous application and screening process; and pre-summer staff training is provided. Red Cross certified lifeguards provide a safe environment for all water and beach activities. Aldersgate is accredited by the American Camp Association and inspected a minimum of twice annually by the New York State Department of Health. Inspection reports are available to view in the main office. CAMPER MAIL, TELEPHONE CALLS, and CELL PHONES Mail is delivered to and picked up from Aldersgate daily. Letters are welcome and encouraged; but parents are asked NOT to send packages. Any packages received while a child is at camp will be held until the end of the week and sent home with the child. Address camper mail to: Camper Name, Program Name c/o Aldersgate 7955 Brantingham Road Greig, NY 13345 E-mail is also printed and delivered to campers daily; see our websites for details. To contact a camper in an emergency, please call the camp office; we have 24 hour assistance. Typically campers do not call home during the week; however, in special situations we will permit campers to do so. Please assist us by keeping all cell phones at home. Aldersgate is accredited by the American Camp Association 11 summer camp at Aldersgate
Aldersgate how to register 12 + + + how to register for Summer Camp at Aldersgate Register online or fill out the form Register Online at aldersgateny.org or complete the registration form on page 13. A parent or guardian must sign the registration form. apply discounts Early Bird Discount $10 off - if registered on or before May 1, 2013. Sibling Discount $15 off - per sibling registering. Offer good at any UNY Camp and Retreat Center. Refer a Friend Discount $25 off - when we receive the registration of each new Aldersgate camper referred by your child. (Friend s name must be listed on your child s reg. form or emailed to Registrar for credit) DON T FORGET THE DEPOSIT A $75 non-refundable deposit per session must be submitted at the time of registration. Checks should be payable to Upper New York AC or UNYAC. The balance is due three weeks prior to the start of the camper s session. Processing of payment does not guarantee placement in a specific program. Aldersgate Camp & Retreat Center is truly a place where lives are transformed. We are an outreach ministry providing Christ-centered environments for fellowship and spiritual growth. ALDERSGATE Camp & Retreat Center Physical Address: 7955 Brantingham Road Greig, NY 13345 Phone: 315-348-8833 info@aldersgateny.org Administrative Address: 3343 St. Rt. 38, Moravia NY 13118 Phone: (Toll Free) 855-414-6400 Fax: 315-364-7636 registrar@aldersgateny.org DATE PAGE PROGRAM age 6/23-6/28 6/30-7/5 7/7-7/12 7/14-7/19 4 Season Premiere 6-18 5 Jr. Spy (Su-W) 6-8 5 Mix & Match (W-F) 6-8 6 Frog, Fin, Fun, Fantastic! 9-11 7 Challenger Scramble 9-11 7 Boots and Saddles 9-11 8 Quest 12-14 3 Pioneer Adventure 9-11 9 Mountaineer Scramble 12-14 5 Frog, Fin, Fun 6-8 5 LEGO -Mania 6-8 6 Hook And Lure 9-11 7 Boots and Saddles 9-11 7 Challenger Scramble 9-11 9 Mountaineer Scramble 12-14 3 Wild Things 12-14 10 Rest, Relax, Recover 12-14 5 Mix & Match (Su-W) 6-8 5 Frog, Fin, Fun! (W-F) 6-8 7 Challenger Scramble 9-11 7 Extremelodeon 9-11 3 Backwoods Boys (boys only) 11-14 9 Motor Madness 12-14 8 Rest, Relax, Recover 12-14 7/19-7/21 2 Family Life Weekend ALL 7/20 5 One Day Adventure 4-8 5 LEGO -Mania 6-8 5 Mix & Match 6-8 7 Aqua-Supreme 9-11 7 Planes, Trains and Automobiles 9-11 3 Buggin Out 10-13 9 ARTrageous Creations 12-14 8 Teen Chaps 12-14 10 X-treme Quest 15-18 5 Energized 6-8 5 Messy Munchkins 6-8 6 LEGO -Craze! 9-11 7 Boots and Saddles 9-11 9 Woodworking 12-14 9 Hydro-Blast 12-14 3 Adirondack Expedition 13-16 10 Adirondack Fishing 15-18 7/21-7/26 7/28-8/2
SIGN DISCOUNTS & PAYMENT CHOICES CAMPER INFO FAMILY INFO aldersgate 2013 SUMMER CAMP REGISTRATION FORM g REMINDER! It s easy to register online at aldersgateny.org Name of Camper: Camper Address (Street, City, Zip): Parent 1/Guardian Name: Occupation: Home Phone: Work Phone: Cell/Pager Number: E-mail: Address: Name of Church: City: Denomination: Sponsoring church/agency responsible for payment: Amount (if known): $ Date of Birth: Male Female Age at Camp: Grade Completed: Camper E-mail: Camper T-shirt size (circle one) CHILD: Sm Med Lg ADULT: Sm Med Lg XL XXL Cabinmate Request: (If possible, we will honor your request for one cabinmate, if campers are the same age group/program and each lists the other on their registration form.) Camper resides with: Mother Father Both Other: 3please list your top 1. 2. 3. Notes for leaders to help my child have a super week. Please note a recent family loss/change, custody information, medical needs, dietary requirements/allergies, life-threatening allergies, behaviorial notes. These notes are used to help prepare for camp. They are not used to establish eligibilty. Please attach extra pages as needed. I first heard about camp through: Church Brochure Website Family Friend Newspaper Other: Dates: Program Name: Site: Fee: $75* deposit per session must accompany registration. Total Discounts $1 donation to the Aldersgate Scholarship fund Total Amount enclosed* Balance Due -$ +$ $ $ $ Method of Payment: Check # Visa Mastercard (Charge will show as Upper New York Annual Conference ) Card Number: Expiration Date (XX/YY): / 3 Digit Security Code: Cardholder s Name (please print): Cardholder s Address (Street, City, Zip): Cardholder s Signature: for office use only: CAMPER NAME Postmark Date Rc d (if different than camper) Parent 2/Guardian Name: Occupation: Home Phone: Work Phone: Cell/Pager Number: E-mail: Address: I m registering for: One program More than one - How many? Total Program Fee(s): $ Early Bird Discount (Register by May 1 st ) (-$10.00) $ Sibling Discount (-$15.00 per sibling) $ My Sibling (name) is attending (program) at (site). Reminder: A $25 discount will be credited to your account with each friend that registers. Email your friends name to registrar@aldersgateny.org (if different than camper) Parental/Guardian Permission: I hereby give my permission for my child (named above) to attend the camp session for which he/she is registering. I understand that my child s name/address/e-mail address may be shared with his/her program group and UM agencies, and still/video pictures of my child may be used for promotional purposes unless I notify the camp administration in writing to the contrary. The camp administration has my permission to secure emergency medical care as needed until I can be reached. I understand that a properly completed health form is required for attendance. I understand that summer camp programs may include off site travel and/or off site swimming. 9Signature of Parent/Guardian: Date: **Remember to make checks payable to UNYAC and mail to 3343 State Route 38, Moravia NY 13118
Upper New York Annual Conference ALDERSGATECamp & Retreat Center 324 University Ave, 3rd Floor, Syracuse NY 13210 Return Service Requested Refer a friend SAVE $ 25 Register before May 1 st SAVE $ 10 JOIN US! OPEN HOUSE JUNE 15 th FROM 2-7pm