Shrine Mont Camps, 2013 by Runningfire

Find@your place

shrine mont camps 2013 The Episcopal Diocese of Virginia Camps and Events at Shrine Mont www.shrinemontcamps.net

Mission of shrine mont camps

The Diocese of Virginiaâ&#x20AC;&#x2122;s summer camp program at Shrine Mont promotes the emotional and spiritual development of children, youth, and young adults through the fostering of a safe and positive environment for all. It is the goal of this program to encourage the growth of relationships with God, others, and self.

Safe-Camp Commitment

At Shrine Mont Camps, we strive to create a diverse and safe community that welcomes campers and staff from all backgrounds. We do not discriminate on the basis of gender, race, religion, creed, color, national or ethnic origin, physical or mental ability, or sexual orientation in the administration of any of our programs. All camp activities will promote and maintain the personal and emotional safety of all campers and staff.

About Shrine Mont camps Shrine

The Cathedral Shrine of the Transfiguration and Mont is a Retreat Center located of the Diocese of in Orkney Virginia

Springs, Virginia in the heart of the Shenandoah Valley

The summer program at Shrine Mont is a ministry of the Episcopal Diocese of Virginia, which offers nine amazing camps each summer, including one for families to attend together! From hiking to singing, arts and crafts to an evening spent playing Capture the Flag, all of our camps offer a mixture of recreation, group building, spiritual development, and just plain old fun. No matter how old or young you are – whether you have been an Episcopalian your whole life or are just checking out the Church – if you are interested in spending some time in the beautiful Shenandoah Valley with others in a warm, safe, and welcoming environment, we’ve got a spot for you! Shrine Mont is located on 1,000 acres of forest – which means there is plenty of space for hiking, camping, and enjoying God’s created world. In addition to retreat houses, there are three camp sites, complete with cabins, modern bath facilities, camp fire rings, and art studios. Campers eat well balanced and plentiful meals in one of the two dining halls, and they find themselves playing games on one of the fields (including a soccer field and basketball court), swimming in the pool, exploring or canoeing on one of the ponds in the area. Our staff is chosen for their maturity, dedication, and ability to serve as appropriate role models for their campers. Each counselor is interviewed and screened, and we have an extensive training program for all staff before the first camper sets foot onto the mountain. There are always one or two registered nurses onsite to care for the medical needs of the camp community, and chaplains work with each camp to help address the spiritual needs of the campers.

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Won der Each camp has a staff that is fun,

friendly, and loving. Nurses, chaplains, and other support staff are onsite throughout the season, and all employees go through an extensive application process that includes a reference and background check. We train staff members in how to address common camper issues (from homesickness to behavior management), emergency situations, and what to expect from campers of different ages. All C mm must attend sexual misconduct prevention training and te staff receive CPR and First Aid certifications. At each camp, you At Shrine Mont Camps, safety will find staff members who are kind, loving, and means more than simply providwell prepared for the realities of an overnight ing a physically safe environment. We camping program. believe that camp should be a welcoming and accepting place for all where emotional, iv spiritual, and physical safety is of the utmost It’s a place where young importance. Attending to safety is a priorpeople live in the now: At camp, ity at camp and is the responsibility of we turn off our cell phones, disconnect every staff member. from the internet, and opt to write letters rather than e-mails. This decision becomes more counter-cultural each summer, but results in campers being able to make meaningful relationships with each other and learn about the world around them in an important way.

Dear Parents, In these pages, you’ll discover how there is a place for every child at the diocesan camps at Shrine Mont. We’re here to help you and your family find your place at Shrine Mont, and here are just a few reasons why: Our wonderful staff; our commitment to safety; our practice of living in the now; our focus on nurturing faith; and our support of self-discovery.

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We understand that the decision to send your child to camp involves trust and confidence in the program and staff. We do not take that lightly, and we work year-round to ensure that we have the best staff, the strongest training, and the most welcoming environment possible for all. This is only a short list of why you should include Shrine Mont Camps in your summer plans, so please know that should you have any questions or concerns I’m always available to speak with you. We would also welcome you at one of our Open House events in the spring, and more information about our programs (including online registration and all camper forms) can be found online at www.shrinemontcamps.net.

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Now the

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It’s a chance for campers to discover themselves: Campers at Shrine Mont are openly encouraged to explore their passions and dreams. Away from the pressures and expectations of their school/ family/neighbors, campers are able to make new friendships, experience unstructured (as well as structured) social time, and try out different activities on their own.

Nurt uri Camp is also a place

We hope to see you this summer!

for youth to explore their own faith. Shrine Mont is a safe place for campers to ask questions, share their doubts and fears, and listen for God’s call in their lives. Every camp has a chaplain on staff who gets to know the campers, helps them plan and lead worship, and leads daily “chaplain’s time.” At our camps, faith is not pushed or forced; rather, opportunities for faith formation are invited.

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Selfdis c

Letter to Parents

Paris Ball Director of Christian Formation and Shrine Mont Camps

Art Camp

projects Art Camp we work on Express yourself! At owing campers to express , all in a variety of media re how d creativity. We explo also an ty ali du ivi ind ir ile the wh d Go to r se clo ng us this creativity can bri mp activities - camp fires, ca l ua enjoying all the us d more. You singing, worship, an swimming, games, erested in be t ster artist, jus int don’t need to be a ma d making new friends. , an creating, having fun at is Shrine Mont camp th 9-15 Ar t Camp is the only ed ag le op d for young pe king specifically designe loo en be e u’v yo If ether. to attend camp tog ildren can go to together, ch for a camp that your church can all go as a ur yo m fro uth or the yo be placed ance. Campers will group, this is your ch me activities the camp r so in cabins by ages. Fo oups, 9-12 year olds and o gr will be split into tw will have the other activities we 13-15 year olds; for er. entire camp togeth Ages 8-15 2 p.m . ay, August 4, Opens Sund , 10 a.m . 12 t day, Augus Closes Mon $600

All Ages ay, July 7 Opens Sund rday, July 13 Closes Satu s rate varie

p m a C ’s h t e b a iz l E . St

world while exploring the Enjoy the outdoors , camping, ing hik go t, dir e th around you! Play in Camp, eing! At Explorers’ swimming, and cano care of God’s creation take you’ll learn how to g at . Spend time lookin me ho at d at camp an all we do. in d Go e se to r, se everything a little clo ing, conservation, and mp Participants learn ca fun doing it all! Spend have nd –a ills sk or tdo ou und you cover the world aro time outside and dis u. yo and the spirit within

Ages 15 -17 2 p.m . ay, June 23 , Opens Sund 10 a.m . 2, ly Ju y, da Closes Tues $835

(Ages 9-11) Explorers’ I m. , July 14, 2 p. ay nd Su Opens a.m. 10 , 21 ly Ju , ay Closes Sund $515

Music and Drama Camp

s n o i t p i r c s e D Camp

ergy, a (MAD) is a high-en ard! Music and Dram lically bib a of ion rat Let your voice be he pa focused on the pre er be highly inclusive camp es the unique talents of each perform tur ers fea t mp Ca tha al mething new! based music nt, set design, or so d me an tru nts ins , me ice ve vo mo e, d nc it da learning songs an by n ow s, ir me the ga al y sic pla swim, hike, make the mu mes. In addition, we session of high stu co d an ts se ng t creati e oldes life-long friends. Th d the worship, and make Campers tour aroun d.” roa the n “o ow sh ir ging ga the en es d tak an s ng ler eti oo sch their show, me ing rm rfo pe a star! y lle Be Va al. sional music Shenandoah , and seeing a profes es nc die au c sti sia enthu ! Join us at MAD Camp s 9-11) MAD I (Age , 2 p.m. rday, June 22 tu Sa ns pe O , 11 a.m. 29 ne rday, Ju Closes Satu $515 s 12-14) MAD II (Age m. y, July 2, 2 p. da es Tu Opens 10, 11 a.m. ly Ju , ay sd ne Closes Wed $650 niors). to Rising Se MAD III (15 p.m. 2 ay, July 14, Opens Sund 11 a.m. , 27 ly rday, Ju Closes Satu $875

mild to moderate es individuals with giv mp Ca s al camp activities th’ be za St. Eli rticipate in tradition n volunteer pa to y nit rtu po op have their ow disabilities the onment. Our campers ily in a supportive envir ll be a constant friend and assist in da ities o wi activ counselor buddy wh will stay in cabins and share exciting they fishing. A typical activities. Together g, worship, art, and ein no ca , personal ng mi im including sw years old, attends to . er is between 14-25 ers mp oth ca th s wi th’ be tes za ica Eli St. mmun y, and effectively co needs independentl generosity of ssible because of the solely on po de ma is mp Ca s St. Elizabeth’ selors to focus enge volunteer coun is role requires energy, volunteers. We chall . Th ers mp ca r ou you being of the needs and well- sense of humor, and good judgment. If a n, of sio es as liv mp the co , ct ity pa im tur ma ively you! old and want to posit are at least 15 years needs, then St. Elizabeth’s is the place for n. catio ial pli ec sp ap th lor wi se un als co du a ivi d ind loa ontcamps.net to down Go to www.shrinem Ages 14 -25 , 2 p.m . day, July 30 Opens Tues 3, 10 a.m . t us ug rday, A Closes Satu $430

Explorers’ Camp

and t builds on the skills This one-session even s’ Camp, but is for rer themes found in Explo d in additional time ste ere int are o wh campers take our camp and ll wi We . in the outdoors truly d trips into the wild, ourselves on extende is Th . on ati gnificent cre dwelling in God’s ma time exploring the its camp spends most of d us through several aroun natural playground trips. noeing, and camping multi-night hiking, ca ad out with Explorers’ d he Sign up, pack up, an e or equipment is nc rie pe ex o (N at! the Gre d e for a challenging an required – just a desir t Outdoors.”) rea “G fulfilling week in the

(Ages 12-14) Explorers’ II p.m . y, July 23 2 da Opens Tues , 10 a.m . 31 ly Ju , nesday Closes Wed $670

Family Camp

ily vacation this Looking to plan a fam time playing, summer? Spend some faith as a family at in ng wi laughing and gro e ed in the picturesqu Family Camp! Nestl will be ily fam ur yo , ns tai Shenandoah Moun ll vate lodgings and wi accommodated in pri offering the chance ing din have communal s. ce with other familie to share in God’s gra structured and Family Camp offers , ities in the morning tiv ac age-appropriate s itie tiv ac l na tio op with relaxing down time ing en ev a fun-filled in the afternoon and of which allows for all r, ne din er aft m progra ll as making new family bonding as we suited for families is friends. Family Camp t required! Sign-up no of all sorts – children fun, new for dy rea t ge d an today ectacular week at friendships, and a sp CAMP for everyone!

Explorers’ the Great

ust are from July 28-Aug s – ages 15+ – dates n today! lor se un co r tee lun Vo tio ng. Fill out an applica which includes traini

St. George’s Camp

Senior High Youth Conference (SHYC)

who are interested in y. h school aged youth nit SHYC is a camp for hig deeply while giving back to the commu d more an th rd, fai ir wo the the g of rin ers plo ex ing how to “be do ion est ng qu mi ek lco we we d the We spend ng a close an mes 1:22) while creati us. Expect to challenge (Ja ly” on rs are he t no d fun ing out to those aroun community and reach cally and spiritually while having a ton of ysi pus” ph elf cam ff urs “o yo h es go etc p str d cam an is awesome people! Th the and hanging out with week to participate in service projects in nce the s, da g me ga s, on ssi cu dis several times durin for but returns each night Shenandoah Valley, re! mo ch parties, and so mu ing Seniors raders – Ris Rising 9th G , 2 p.m. rday, July 13 Opens Satu , 10 a.m. rday, July 20 Closes Satu $580

turing hiking, c summer camp fea ssi cla a is mp Ca e’s and overnight camp St. Georg sic, crafts, canoeing, art swimming, sports, mu arly-held traditions of zaniness! The he de of th lue wi va red te vo ini fla inf outs all ique and is its focus on the un 27 of St. George’s Camp mp community. With 1 Corinthians 12:12ca every member of the mbers of the one Body) as a point of ive me (we are all essential faith and encourage questions as we str r ou ild bu we e, er. referenc e gifts of every camp to celebrate the uniqu 9) s I (Ages 8St . George’ p.m. 2 , 12 ly , Ju Opens Friday , 10 a.m. 18 sday, July Closes Thur $515 -11) s II (Ages 10 St . George’ 21, 2 p.m. ly Ju , ay nd Opens Su a.m. y, July 29, 10 Closes Monda $7 10 -13) s III (Ages 12 St . George’ , 2 p.m. 31 ly Ju ay nesd Opens Wed a.m. 10 , 11 t ay, Augus Closes Sund $910 -15) s IV (Ages 14 St . George’ p.m. 2 , 24 y, June Opens Monda 10 a.m. 8, ly Ju y, Closes Monda $980

St. Andrew’s Camp

intimate, “family w’s Camp. This is an dre An of St. at s wd cro who need high levels Avoid the specifically for children camp lives in a Shrine style” camp offered l attention. The entire structure and persona in our cabins) and the daily schedule is n tha r the y to help campers Mont house (ra tine and predictabilit rou er e vid pro to ed mp” activities the oth structur ating in the same “ca m that feel safe while particip w’s campers are introduced to a progra , and dre programs offer. St. An worship, camping, singing, games, hiking , a art for , o, ng wh mi s all campers includes swim particularly welcome ral mp vio ca ha is be Th or l, re! nta mo much vironme ve specific social, en th a successful camping variety of reasons, ha wi ers mp ca all e vid pro to Andrew’s is 2:1. needs. It is our goal St. at io rat ff camper/sta experience, and the Ages 8-12 10 a.m . ay, June 23 , Opens Sund 10 a.m . , 30 ay, June Closes Sund $570

p m a C s t r o p S ’s n ia t s a b St. Se

sted in mpers who are intere the day, at place for active ca g rin gre a Du is . ips mp sh Ca s nd ort frie making lifelong St. Sebastian’s Sp ile wh tball, s ske me ba ga r, d an cce s sport s such as so playing a variety of a wide variety of sport th activities like camp of ls nta me da fun campers learn the filled to the brim wi more. Evenings are s and everything else that makes a week ultimate Frisbee, and ng so -12 , ng mi nd in Ecclesiastes 4:9 worship, swim fires, games, hikes, und the message fou ip, friendship, and aro ilt bu is mp ca tire sh at camp great. The en and explores the themes of sportsman ile one) make new friends wh (two are better than off the field. Come to St. Sebastian’s to and community both on te sports! enjoying your favori 9-11) n’s I (Ages St . Sebastia , 2 p.m. 22 ne Ju , rday Opens Satu , 10 a.m. 29 rday, June Closes Satu $515 12-14) n’s II (Ages St . Sebastia p.m. 2 1, day, July Opens Mon 10, 10 a.m. ly Ju , ay nesd Closes Wed $610

Find your place

A guide for finding the camp for you

Art Camp

By month

Explorers’ Camp

Early June

Explorers’ the Great

Late June

Family Camp

Early July

Music and Drama Camp

Late July

Senior High Youth Conference St. Andrew’s Camp

Early August

St. Elizabeth’s Camp

Late August

St. George’s Camp St. Sebastian’s Sports Camp

By age

8 9 10 11 12 Art Camp St. Andrew’s Camp St. George’s Camp

Art Camp Explorers’ Camp Music and Drama Camp St. Andrew’s Camp St. George’s Camp St. Sebastian’s Camp

13 14 15 16 17 Art Camp Explorers’ Camp Music and Drama Camp St. George’s Camp St. Sebastian’s Camp

Art Camp Explorers’ Camp Music and Drama Camp St. Elizabeth’s Camp St. George’s Camp St. Sebastian’s Camp

Art Camp Explorers’ the Great Music and Drama Camp St. Elizabeth’s Camp St. George’s Camp

9th – rising 12th grade 18-25 Music and Drama Camp Senior High Youth Conference

St. Elizabeth’s Camp

Explorers’ the Great Music and Drama Camp St. Elizabeth’s Camp

all ages

Family Camp

Explorers’ the Great Music and Drama Camp St. Elizabeth’s Camp

being outdoors • camping • hiking • learning about the environment • discovering God through nature

By activity

singing, acting & making music • dancing • creating costumes • designing sets • touring the Valley

swimming camping

playing sports of all sorts • teamwork & sportsmanship • staying fit being an artist • experimenting with media • expressing yourself creatively • connecting with God through art having personal attention & a high level of structure • feeling comfortable at a family-style camp not getting enough of the outdoors • exploring the backcountry • camping • hiking • cooking by camp fire being with family • something for everyone • meeting new people • having good conversation being ye doers of the Word • challenging yourself • working hard & playing hard • serving the community experiencing camp with a moderate disability • having compassionate counselors • being in a supportive environment

singing

Art Camp Explorers’ Camp Explorers’ the Great Family Camp Music and Drama Camp

worshipping challenging yourself playing games exploring God’s creation making art breathing mountain air

Senior High Youth Conference

being yourself

St. Andrew’s Camp

making friends

St. Elizabeth’s Camp St. George’s Camp St. Sebastian’s Sports Camp

growing in faith dancing eating great food spending time away from home growing up making music building community

having a little bit of everything • focusing on personal and spiritual growth • living as Christ’s body

7:15 Wake -u p Bell 8:00 Break fast 9:00 Clean Cabins AM 9:30 Sc heduled Ac tivities (For example: sports or art block, elective time, swimming period) 10:30 Chap lain’s Time 11:30 Camp er Free Tim e

Typical Daily Schedule 12:30 Lunch riod 1:15 Rest Pe d Activities le u 2:30 Sched es 3:30 Electiv ree Time F p 4:30 Cam r 5:30 Dinne ip h rs o 6:15 W g G a m es nce, hay ride, camp 7:00 Evenin m (For example: da ra g ro P g in 8:00 Even Cabins fire, movie night) and Head to g n o S t h ig N 9:30 Good schedule r a day at camp. The fo le du he sc al pic ty Note: this is a mp. will vary for each ca

Camp Open House

If you and y our family w ould like to of our facili take a tour ties – either before or aft please sign e r registering up for one o – f our c a m p open house dates.

April 6, 2013 , 1:30-3:00 p .m. May 5, 2013 , 1:30-3:00 p .m. Yo

u can RSVP for any of th ese dates by 800-DIOCESE calling Meg x1043. If you Schwarz at are intereste before the to d in joining u ur begins, ask s for lunch about availa bility when yo u RSVP.

See you at C

amp!

For informa tion on Shri n e M o nt a n d visit www.s driving dire hrinemont.co ctions please m. Learn more about Shrin e M o nt c a m shrinemontc p s at amps.net or c a ll 8 0 and ask for 0 -DIOCESE Meg Schwa rz or Paris B E-mail: msc all. hwarz@thed iocese.net.

General Packing List fo r Camps

• A slee ping ba g and/o • Sneak r s h e et s e r s fo r every d and a b For safe a lanket. y u se , b o t y re a s o ots for ns, we d shoes t h ik h at d o n o not all ing. No ’t have te: • Enoug ow cam a b a ck h tough p e r s to we (s uch as flip-flo , c a su al ar without ps). clothes doing la to make • Rain g undry. it throu ear. gh th e s • At lea ession st on e p air of lo evening n g p a nt s s. and a s • A bath weatsh ing suit irt or ja : one -pie cket for swimwe ces or t cool a r fo r c ankinis ampers • A flas a re t h e . hlight. only ap propria • Two d te urable w a t er bottle • Pa p e r , envelo s or c a n p es , a n teens. • B ook s d sta m p to read s . during • Suppli re s t p e r e s fo r a iod. creative (e.g., a musica activity l instrument, you enjo sketchbook, • A Bible y journal). and a B ook of C • Sham om mon poo, to Prayer, othpast if you h e , b at h ave the towel, e m. tc. This is a basic supply list. D ifferent cam Expect a list ps will requir from the cam e some extra p director. items.

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Registration opens on January 8, 2013.

Registration

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Fill out the application found on this brochure (make copies if you would like) or you may register online at www. shrinemontcamps.net.

Campers must be within the specified ages on the first day of their camp. Campers are expected to be present for the entire session. They may not come late or leave early. If mailing your registration form, please send to: Shrine Mont Camps, 110 West Franklin Street, Richmond, VA 23220.

A $75 non-refundable deposit per camper per session must accompany the registration. (This will be applied to your total fee.) Registrations without deposits will not be processed. Make checks payable to Shrine Mont Camps or you can pay online using PayPal. Any family sending more than one youth to camp will receive a sibling discount of $25 from each camperâ&#x20AC;&#x2122;s tuition. Tuition must be paid in full two weeks before the childâ&#x20AC;&#x2122;s first day of camp. If not paid by that time, your spot may be given to someone on the waiting list.

Please note

Sign up by March 16, 2013 and receive the early bird discount of $20. By completing this registration form, the parent/guardian of the camper(s) named agrees that the Diocese of Virginia reserves the right to deny admission to or send home from camp any camper at any time because of health and safety issues that the Diocese of Virginia, in its sole judgment, believes will present an unacceptable risk to any camper or staff of Shrine Mont camps or Shrine Mont. It is the explicit policy of Shrine Mont and the Diocese of Virginia that possession or use of controlled substances, nonprescription drugs, alcohol, tobacco, firearms, fireworks, and dangerous weapons is prohibited at all youth camps and conferences.

Online Registration

To register online for any of our summer camps, simply visit www.shrinemontcamps.net and click on the “online registration” link on the homepage. This link will direct you to our online registration form which will be submitted electronically. No stamp required! The $75 non-refundable deposit is required, and your camper’s registration will not be processed without it. Your camper’s registration will not be confirmed until you receive an e-mail from the diocesan office. You should expect this e-mail within one week of registering online. Due to the high volume of registrations, we are unable to “hold” spots.

Once You Have Signed Up

• You will receive confirmation via e-mail within one week. Your registration is not complete until you receive this confirmation packet. • A health form will be included with the confirmation packet, and any packing list, letter from the director, etc. will come to you later in the spring. • A physical examination (within the past two years) by a doctor is required for ALL participants. Please note that the terrain at Shrine Mont is hilly and uneven, requiring some agility and stamina. • If you do not receive confirmation within two weeks of mailing your registration, please call the Christian Formation Office to verify that it has been received (800-DIOCESE or 804-643-8451 x. 1043).

Scholarship Information

People come to Shrine Mont to celebrate being a part of the family of God. The cost of camp should not restrict any child from attending. To receive a scholarship application form, check the appropriate box on the registration form. Families are strongly encouraged to inquire of their clergy or senior warden about the availability of scholarship aid at the parish or regional level. Scholarship aid requests will begin to be reviewed on May 8, 2013. Please return the registration form before May 8, 2013.

Cancellations

Cancellations should be made in writing. We cannot refund your deposit after you are accepted, unless Shrine Mont Camps and Conferences cancel the event. For cancellations made less than two weeks before the first day of camp, a 50% penalty will be assessed. Questions? Please contact Paris Ball or Meg Schwarz in the Christian Formation Office at 800-DIOCESE or 804-643-8451 x1043.

and there’s more…

There is plenty happening throughout the year for people of all ages even beyond summer camps. Check out opportunities for everyone to

fInd their place

at Shrine Mont!

Photography, flower arranging workshops, spiritual formation offerings, retreat weekends for adults of all ages, and annual golf tournaments! See www.shrinemont.com for details and dates Parish Youth Ministries (PYM) Youth Retreat weekends are offered throughout the school year. www.diovayouth.wordpress.com

Save the date now for the 2013 Bishop’s Jubilee weekend: July 5-7, at Shrine Mont!

This is a chance to spend a weekend reuniting with old camp friends and making new ones while enjoying activities such as the annual Staff-VS-The-World Ultimate Frisbee game, 5k Race, camp style worship services, family fun fest, and the Saturday afternoon music festival. Whether this is your first time to Shrine Mont or you have decades of history on “the mountain,” join us as we celebrate our camps and diocesan life together this summer. There will be plenty to do for the whole family, as well as opportunities to relax and enjoy the food and fellowship of those around you.

2013 Camps Registration Register online at www.shrinemontcamps.net Camp name & session (check one)

Camper’s name (last, first)

ART

St. Andrew’s

Explorers’ I

St. Elizabeth’s

Birth date

Explorers’ II

St. George’s I

Explorers’ the Great

St. George’s II

MAD I

male

female Grade completed June 2013

Home address

Adult T-shirt size

St. George’s III

City State Zip

Youth T-shirt size

MAD II

St. George’s IV

Primary Guardian Relationship:

MAD III

St. Sebastian’s I

SHYC

St. Sebastian’s II

Day phone (

)

Evening phone (

Additional Camper Information: )

Secondary Guardian Relationship: Send scholarship info

Day phone (

We will begin reviewing scholarship applications on May 8, 2013 in the order in which they are received. Funds are limited so please turn in your request to the Christian Formation Office as soon as possible.

)

Evening phone (

)

E-mail Church & location (if applicable)

Guardian signature Name(s) of other sibling(s) attending Shrine Mont camp for sibling discount:

Included is a $75 non-refundable deposit.

2013 Family Camp Registration Name (contact person):

Children’s names and ages. (to better plan activities for each age group)

List adult names:

Name Age Name Age

Address:

Name Age Name Age

City Telephone: Home (

State Zip: )

Office (

)

Parish Name and Location: Special Needs/ Housing Preferences (no guarantees):

Send scholarship info E nclose a non-refundable deposit of $75 per person. Make checks payable to Shrine Mont Camps. The balance is due June 30, 2013.

How many: Adults

______ @ $500/wk________________

Infants 0-3 year olds

______ FREE

4-7 year olds

______ @ $115/wk _______________

8-12 year olds

______ @ $200/wk _______________

13-17 year olds

______ @ $230/wk _______________

Total Amount Due: $ _______________

Mail this form to: Shrine Mont Camps, 110 West Franklin Street, Richmond, Virginia 23220

2013 Camps and Events at Shrine Mont

runningfire design

The Episcopal Diocese of Virginia Non-Profit Organization U.S. Postage

110 West Franklin St. Richmond, Virginia 23220-5095

PAID Richmond, VA Permit 1218

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