The Salvatin Army Senir Citizens Camp June 4-7, 2018 Wnderland Camp & Cnference Center Dear Camp Friends: It wn t be lng until we again meet at Wnderland Camp fr fellwship, fd, fun, and Gd-filled praise! Here are a few new pints t nte fr the 2018 camp experience: Yu must verify yur age by sending a cpy f a pht ID with yur applicatin. We will be adhering t the 62 age limit. Due t rising csts fr perating the camp, fees have been increased. Here are a few reminder pints t nte: Cmplete a 2018 applicatin, nt a cpy frm last year. The Ldge fills up quickly; verflw will be assigned t Sandpiper. Wnderland Camp is a camp, nt a resrt. There will be lts f walking required We d ur best t meet dietary restrictins, but cannt realistically accmmdate all needs. Cme prepared t participate in the Camper Talent Shw. Remember, this is a Christian camp. When the camp reaches its capacity, yur applicatin will be placed n a waiting list. T reserve yur spt, yur payment must accmpany yur applicatin. N drinking is permitted n the camp grunds. Gd s best t each f yu as yu anticipate anther Wnderland Camp experience! Stay well! Majr Debby Dalberg Older Adult Ministries Directr We have alternative funding fr thse wh are Medicaid r Public Aid recipients. If yu receive either Medicaid r Public Aid, yu are eligible t attend camp at n cst t yu. T apply fr this prgram, fill ut the Title XX frm and send a cpy f yur Medicaid/Public Aid card alng with yur applicatin t camp. If yu d nt qualify fr this assistance, please see the Camp Rates n the Applicatin Frm. Sign up fr camp by sending in yur 2016 applicatin. T bring a friend t camp, call 262-889-4305 fr additinal applicatins. Senirs Camp is fr thse 62 years f age and lder. The Salvatin Army Wnderland Camp & Cnference Center 9241 Camp Lake Rd., P.O. Bx 222 Camp Lake, WI 53109
Senir Camp Frm1 - Applicatin 2018 Senir Citizens Camp Applicatin (June 4-7) Camp is fr thse 62 and lder and yu must submit a cpy f a pht ID with birthdate t verify age. Last Name First Name Middle Initial Age Birth Date Sex (M/F) Spuse s Name (if attending camp) Spuse s Age Spuse s Birth Date Illinis Address Apt # City State Zip Phne Cane / Walker / Wheelchair / Ventilatr Equipment Please circle the aid used by yu while at camp. Emergency Cntacts (Please nly list peple wh will be available in case f an emergency) 1) Name Hme Phne Cell/Wrk Phne 2) Name Hme Phne Cell/Wrk Phne Please try t place me in the same cabin as last year r with my friend: Pplar Hickry Elm Pine Juniper Oak Willw Cedar Birch Spruce Please Nte: Yur payment must accmpany yur applicatin. Check r Mney Order nly. Make check r mney rder payable t: The Salvatin Army Wnderland Camp Please sign all mney rders & checks. Cuples rate fr legally married cuples nly. Yu must prvide a cpy f a picture ID with birthdate t verify yur age. 2018 Senir Camp Rates Singles Cabin Rates $90 Singles Ldge Rates Cuples Cabin Rates Cuples Ldge Rates $175 (per persn - n single ccupancy) $270 (per cuple - shared bathrm) $350 (per cuple - private bathrm) N fee fr thse wh qualify fr ur Title XX prgram. See ther page fr requirements r call camp. Transprtatin Sites: Mayfair Temple Englewd Driving t Camp Please mark the bx next t the bus site yu will be cming t:
2018 Senir Citizens Camp General Infrmatin Wnderland Camp is lcated abut 60 miles nrthwest f Chicag in Wiscnsin. The 145 acre camp is lcated n Center Lake and features mdern, cmfrtable, heated/air-cnditined cabins that accmmdate up t 22 campers. Washrms with shwers are in each cabin and the camp prvides all bed linens. Married cuples are prvided husing in a deluxe (shared bathrm) r ldge style (private bathrm) setting. A registered nurse is n the grunds and available n-call. The staff at Wnderland Camp will d all they can t make yur stay enjyable. Activities: Arts & Crafts Table Games Bating Swimming (pl is heated) Fishing (WI fishing license is required) Hrseshes/Bagg Mrning Chapel and Evening Prgrams There is a lt f walking at camp. If yu have TROUBLE WALKING, please call camp befre registering t see if camp is fr yu. Medical Frms: What t bring: Bath and beach twels Jacket, raingear, sweater (fr rain r cld) Dress clthes fr banquet Tiletries Bible Mney fr cncessins Lng distance walking shes Yu must turn in a cmpleted and signed Medical Frm befre yu attend camp. A Dr. s physical is nt required, but please fllw any dctr s rders regarding medicatins r activity limitatins. Remember t list any medicatins, allergies, r special needs f which ur nurse shuld be aware n the back f the Medical Frm. Medicaid and Public Aid Recipients: If yu receive Medicaid r Public Aid and wuld like t apply fr ur Title XX Prgram, please submit the Title XX frm and a cpy f yur Medicaid r Public Aid card with yur applicatin. If all frms are submitted prperly, yu will nt be required t pay (des nt apply fr Ldge) fr yur stay at Wnderland Camp. Htel (Ldge) Husing: The Ldge is first cme first serve. We will fill it up first and then verflw int Sandpiper (up the hill). Yu must have a rmmate. During camp have mail sent t yu at: Attentin: Yur Name Wnderland Senirs Camp Bx 222, 9241 Camp Lake Rd Camp Lake, WI 53109 Small blankets, sheets, and pillws are prvided by the camp. Please bring twels. Public Telephnes: If yu need t be reached in an emergency, the number t give ut is 262-889-4305. This number is answered by an autmated service after 5:00 p.m.
Senir Camp Transprtatin Sites June 4-7, 2018 Wnderland Camp will prvide transprtatin t and frm camp at the fllwing sites. Please make arrangements fr transprtatin frm yur hme t these sites. Remember t put name tags n all luggage and carry-n items (canes, fishing ples, etc). Limit 2 bags We have limited space, please keep bags as small and as light as pssible. Lcatins: Pick-up (June 4) Return (June 7) The Salvatin Army Mayfair Cmmunity Church 5020 N. Pulaski Rd. 8:00 a.m. 3:15 p.m. Chicag, IL 60630 773-794-6210 The Salvatin Army Englewd Crps 945 W. 69th St 8:00 a.m. 4:00 p.m. Chicag, IL 60621 (773) 723-4332 The Salvatin Army Temple Crps 1 N. Ogden Ave. 8:30 a.m. 3:30 p.m. Chicag, IL 60607 (312) 492-6803 ** Return times are estimated** Please be n time t yur transprtatin site. We d nt have alternate transprtatin fr thse wh are late. Remember: If yu are bringing a wheelchair t camp, make sure yu indicate it n the applicatin frm s that we have rm fr it n the bus. Keep this page fr yur recrds!!
Senir Camp Frm 2 TXX Wnderland Camp and Cnference Center Senir Camp June 4 th June 7th N/A Wnderland Camp and Cnference Center
Name: (fr ffice use) Cabin: Ntes: Senirs Camp Health Histry Frm 2018 This frm must be filled ut cmpletely, frnt and back, and signed by the camper. Each Senir attending camp must turn in a separate Medical Frm. The Salvatin Army Wnderland Camp & Cnference Center P.O. Bx 222, 9241 Camp Lake Rd Camp Lake, WI 53109 Telephne: 262-889-4305 Fax: 262-889-4307 Name Birth Date Age Sex M/F Last First Initial Address IL Phne: ( ) Street & Number City State Zip Emergency Cntact Name: Senir Camp Frm 3 - Health Histry (Part One) Address: Hme Phne: Wrk/Cell Phne: Health Histry: Please cmpletely fill ut bth parts f this frm. Physician s Name: Phne: ( ) Health Clinic Name: Fax: ( ) Dentist s Name: Phne: ( ) D yu carry Medical Insurance / Hspital Insurance / Medicaid Insurance? Yes N If yes, please indicate: Insurance Carrier: Plicy/Grup #: Medicaid Assistance #: (attach phtcpy f card) Medicatins Campers will self-administer medicatins unless requested t be given by camp nurse. Please list medicatins taken by the persn named n this frm. Name f Medicatin: Dsage: Time usually taken: A refrigeratr will be available in camp health ffice r kitchen fr all medicatins needing refrigeratin. This Bx Must be Cmpleted by the Senir Camper fr Attendance. This health histry is crrect s far I knw. Authrizatin fr treatment: I hereby give permissin t the medical persnnel selected by the camp directr t rder X-rays, rutine tests, treatment; t release any recrds necessary fr insurance purpses; and t prvide r arrange necessary related transprtatin fr myself. In the event I becme uncnscius in an emergency, I hereby give permissin t the physician selected by the camp directr t secure and administer treatment, including hspitalizatin, fr myself. This cmpleted frm may be phtcpied fr trips ut f camp. Sign Here: Date: HF-1 Revised 2/24/03
Health Histry (Part Tw) Name f Camper Senir Camp Frm 4 - Health Histry (Part Tw) **Please be aware f the physical demands while at camp. Our staff will try t meet all needs, but self-mbility is imprtant fr each camper t have. If yu have any questins r cncerns r if yu plan n bringing xygen, wheelchair r any machine supprt, please call camp.** Please check this bx if nthing belw applies t yu. Please check and give apprximate date when applicable: Heart Defect/Disease Recmmendatins while at Camp Is yur bld pressure: Lw Average High Epilepsy Cnvulsins If yu have diabetes, what is yur treatment plan? Diabetes High Bld Pressure Arthritis/ Jint Disease Psychiatric Treatment Any dietary restrictins r fd allergies? Bleeding/Cltting Disrders Asthma Sickle Cell Chicken Px/Shingles Measles Any ther allergies (medicatins, bees, etc)? Describe reactins and knwn treatment plan. German Measles Mumps ALLERGIES Hay Fever Ivy Pisning, etc. Insect Stings (include reactins) Is there any additinal health infrmatin yu wuld like the camp nurse t knw? Penicillin Other Drug Allergies (list t the right)