DuBois Center 2016 Summer Camp brochure

COURAGE inCOMMUNITY Fearless Faith 2016 Summer AdventuresCamp and Retreat Center of the Illinois South Conference of the United Church of Christ

Faith-Based About Us Program Nestled among 308 wooded acres, two Caring Camp shimmering lakes, open meadows and Counselors countless trails, DuBois Center is a great escape for all ages. Our wide range of Experienced programs attracts campers with various Chaplains & interests and from numerous faith traditions and communities. Serving children and Directors families since 1965. Certified Health Care & Waterfront Staff Leadership is the Key Our dedicated staff provides positive leadership and guidance for our campers while Pastors and Christian Educators enrich the faith-based focus throughout the summer. All our leaders are screened and trained in keeping with our Safe Conduct procedures. Our full-time Director of Outdoor Ministries and Ministry Interns provide supervision and support for the program, staff and campers.Our Mission Growing Our Location 127 Centralia From Together… From Effingham We’re centrally located in St. Louis 51 In Faith, Southern Illinois, 70 miles 57 southeast of St. Louis, 64 Respect for 23 miles southwest of Mt Vernon Ourselves Mt. Vernon, and 39 miles and Others, directly north of Nashville 15 Carbondale. Specific And in directions will be included 127 51 DuBois 64 Our Care in your Confirmation Packet. CR 8 for Creation From Center 57 Waterloo CarboFnrdoamle DuQuoin From Marion Map not to scale Contact Us! [email protected] | DuBoisCenter.org 2651 Quarry Road, DuBois IL 62831 | 618.787.2202

S umm e r at D u B ois C e nt e r 2 0 1 6COURAGEinCOMMUNITY Fearless FaithAs Christians we are members of the communityof Christ. Our story has been lived and told forcenturies. The faith of those who have comebefore us strengthens the ways we live as God’speople, helping us to understand who God isand who God needs us to be. This summer we will explore some of the most epic stories in the Bible. Play, pray, create, serve and learn with us as we discover community with Abram, Ruth, Joseph, Shadrack, Meshack, Abednego, Esther and the disciples at the Resurrection. In all of these Bible stories we’ll see that living as God’s people both requires and provides us with courage. Camp is a rich setting for building community and fertile ground for courage to take root.Why Church Camp?Because church camp is joyful fun! It is a sacred place.Church camp is intensely relational, and positive rolemodels are all around! Camp is different from VacationBible School or Sunday School as it is a round-the-clockimmersive experience.Camp activities are fun, challenging and filled withopportunities to grow our Christian community.At DuBois Center, we learn to love ourselves, loveeach other and together grow in our faith.Come play and worship at DuBois Center as we grow closer to God,and in respect and care for ourselves, others and all of God’s creation.We are excited to be part of your child’s summer and hope to becomea family tradition. 3

4 The DuBois Experience In this tech-centered world, it is increasingly important for kids to unplug, step outside, get their hands dirty and experience real-world connections. At DuBois Center, relationship- building and faith-focused activities are woven throughout each day, whether exploring the creek or gazing at the stars. Cabin groups of 5-8 campers combine to form DuBois family groups. These family groups experience much of camp life together. On the first night, campers and leaders discuss and choose many of their adventures for the week. We offer a progression of activities based on the age group, program focus and skill level of the campers. For example, younger groups of children have the option to experience the joy of tubing on the lake and riding horses in the arena. Older camper groups can opt for more time on the teams course or cooking dinner over a campfire. There are new challenges and experiences for the youngest of campers and for our more adventurous older teens. Pointers from the Ponies No doubt about it, our horses are the most popular kids in camp, and all campers have the option to ride. Campers receive instruction in basic barn etiquette and how to safely lead, mount, dismount and ride a horse. Our riding instruction is based on safety and recreation. It is NOT intended as instruction for horse shows or competitions. Campers attending week-long sessions have the option of riding twice during their stay; part-week campers have the option of riding once (weather permitting*). The first ride includes time in the arena to get comfortable with the horses and practice basic skills. A short trail ride may also be included. The second ride is usually a longer trail ride. Campers attending our Horse Camps spend significantly more time with the horses. For more details about these exciting equestrian adventures, flip to page 11. * For the safety of our campers and horses, rides are cancelled whenever there are heavy rains, storms, lightning or if the heat index reaches 100o. We do our best to reschedule any rides that are cancelled.4

So Much to Explore! Open House & Sunday Dinner Archery • Crafts Ga-ga • Horseback Riding April 17 & May 15 Nature Discoveries Dinner Noon - 2:00pm Adventure Tree • Campfires $11.00 (adults) | $6.50 (ages 5-12) Camp-Style Worship free (age 4 & under) Singing • Skits • Cook-outs Meal reservations are required by the Monday prior to the dinner. Swimming • Canoeing Please contact DuBois Center Tubing • Water Mat at [email protected] 618.787.2202. Beach Fun • Dock Swims 9-Square • Faith Chats Activities/Tours Creek Walks • Fishing 12:30 - 2:30pm Night Hikes • Teams Course Group Building Activities Tour camp on foot and experience B.L.A.S.T. — arena horse rides and pontoon boat cruises (weather permitting). Bible Learning And Spirit Time Summer Camp Orientation 2:30 - 3:30pm Meet camp leaders, learn more about the summer adventures at DuBois Center and get answers to your questions during an orientation in Oak Lodge. Special Features April 17 – Wildflower Walk The wildflowers should be in full bloom! Enjoy a stroll with a Master Naturalist through the beauty of spring. Menu: Hearty turkey dinner & salad bar May 15 – Pentecost Party! Celebrate the coming of the Holy Spirit with worship in our new outdoor chapel and family-friendly activities. Menu: Pork steaks with summer picnic trimmings 5

AGES 5, 6 & 7 Just You and Me Camp (adult & child age 5, 6 or 7) June 5-7 Spend quality one-on-one time with a special child in your life. One adult, one child — many combinations: parents, grandparents, sons, daughters, nieces, nephews, godchildren. Make new friends and explore the wonders of DuBois Center. This camp runs from Sunday afternoon to Tuesday afternoon. Grades 1-3 See page 16 for pricing information. Shorter camps for younger campers (completed grades 1-3) Camp Quest | Discovery | Boy Meets Camp | Girl Power Smaller group sizes and shorter sessions make for ideal early camping experiences. While they’re just stepping out in the world, younger children can take giant leaps at camp. Riding a horse, exploring the creek and jumping in the lake (or even wading) may just seem like simple fun. In reality, campers are gaining critical social skills, independence, a healthy spiritual identity and a greater awareness of God’s creation. Being away from home can present some challenges, but with our caring staff’s gentle encouragement, kids gain confidence. They learn that making friends, having adventures and trusting God feels great! Camp Quest Boy Meets Camp July 13-15 June 8-10, June 22-24 Just for the boys and packed with camp fun and adventures! Make friends and Our shortest adventures for boys and girls on their own. have a blast as we laugh and Wednesday afternoon play together as brothers. to Friday afternoon. Wednesday afternoon to Friday afternoon. Discovery Camp Girl Power July 17-20 June 19-21, July 10-12 Just for the girls! Three Sunday afternoon through days jam-packed with Tuesday evening – a little fun activities. Laugh, longer than Camp Quest. dance and play — all in Campers enjoy more the spirit of sisterhood! activities and one last Sunday afternoon through dinner, then participate in Wednesday afternoon. a closing circle together with their parents.6

Grades 3-6Settler(completed grades 3-5)June 5-10, June 19-24, July 10-15Ready to experience DuBois Center See page 16 forfor a full week? New friends and pricing information.lots of fun are just the beginning.Run, play, sing, eat, jump, act,create, splash, pray, hike, grow,explore, build, ride and finally…sleep! Growing and playing together, exploring God’s creation,building a Christian community — that’s camp at DuBois. Mad Science (completed grades 4-6) June 26-July 1 Bubble! Fizz! Pop! Join us on a scientific exploration of the wild and wacky side of camp. Learn fun facts about the heavens while gazing at the dazzling night sky! Splash and play in the lake — then take a closer look and discover marvels beneath the surface. Have fun, get messy and experience the wonders of God’s world in a new way! Rustic 101 Pony Express (completed grades 4-6) (completed grades 4-5) July 17-20 July 17-20 Ready to “rough it” in the Horsin’ Around Rustic Village? Sheltered by tall oak trees, enjoy (completed grades 5-7) screened-in cabins June 5-10, June 19-24 with comfy bunks and ceiling fans. In this new Horse Camp details on page 11 three-night adventure,first time rustic campers take theirDuBois experience to the next level.Try canoeing, archery and a pie-ironcookout. Personalize your experienceeach day: choose to go gaga forGa-ga, crazy for colorful crafting,or fanatic for another camp favorite. 7

Grades 5-9 Trekkin’ It Base Camp Unleashed! See page 16 for pricing (completed grades 5-8) (completed grades 5-8) June 26- July 1 information. June 5-10, June 19-24 Ready to explore DuBois Center from the far side of the lake? Grab your gear, hop on a pontoon boat and head over to the Rustic Village. Campfires and field games in the meadow, archery, teams course, a dinner cooked over the fire — don’t miss out! It’s an exciting adventure with lots of DuBois favorites. Epic friends and legendary adventures – all from the comfort of a Main Camp cottage. This week-long extravaganza offers free- choice activity times to customize your summer camp experience. Along with family group activities, choose your own adventures in art, science and nature. Finish out the week with Thursday Night Live and Crazy Jam! Get ready to unleash your week! Outpost Lab new! (completed grades 6-9) June 12-17 It’s “Mad Science” meets “Survivorman”! Whether you prefer bubbles and fizz or taming the wilderness (or both!), this ultimate adventure is for you. Blast off and float on as we take to the sea and sky with unconventional vessels. Practice your outdoor living skills while learning the WHY behind them – build a campfire and cook dinner over it, use knotwork and timber to accessorize your campsite, and see what goes bump in the night on a moonlit hike.8

See page 16 forpricing information.Outlander(completed grades 6-9)July 10-15More adventure, with a night ortwo camping under the stars. Buildshelters and cook over a campfire.Experience the incredible nocturnalworld during a late night out; thenenjoy a lazy morning the next day.Explore God’s creation in wide openspaces and the tall oak forest. Be an Early Bird! Deadline April 5 See details on page 12. Horsin’ Around Saddle ’Em Up(completed grades 5-7) (completed grades 7-9)June 5-10, June 19-24 June 12-17, July 10-15 Horse Camp details on page 11 9

Grades 8-12 High School Week June 26-July 1 This week is for high schoolers only in the Rustic Village. Dig into scripture, create dynamic worship and GROW! All the favorite DuBois Center activities plus MORE! More fun, more adventure, more time to hang with your friends — new and old. Choice times are back, which means there will be opportunities to focus on special interests and customize your camp experience. Try a dock-to-dock swim, fishing at Deer Run, a service project or special craft. You can even harness up and hang from a limb with Adventure Tree! Whether it’s Wrangler or X-Plore, don’t miss out! Wrangler (completed grades 8-12) June 26-July 1 Horse Camp details on opposite page X-Plore (completed grades 8-12) June 26-July 1 Counselors In Training – CIT (completed grades 10-12) June 19-24 Focus on skills that will help you be a positive Christian leader, manage challenging behavior, create a safe and fun environment, and lead basic camp activities. An additional application packet is required. Contact the Camp Office for details 618.787.2202 or dcinfo@ DuBoisCenter.org. DuBois Center underwrites 25% of this camp fee as an investment in the training of future counselors.10

Horse Camps At DuBois Center every camper has the option to ride, but Horse Campers spend significantly more time with the horses. They mount up and ride daily, if weather allows.* Additional saddle time helps campers bond with their horse, develop basic western-style horsemanshipskills, gain insight into the responsibilities of horse ownership and build theirconfidence. Some mornings it’s “up and at ’em” long before chow time to feed andgroom the horses; some evenings, we’re scooping stalls and cleaning the barn.Depending on the skill level of the group, horse campers may try cantering orplaying games on horseback. Older campers may opt to try riding bareback or inan English or an Aussie saddle. “Horse Sense” sessions covering topics such asbreeds, anatomy, behavior, nutrition and ground work are also an option.Horse time – YES! But lots of other great camp activities too.Pony Express(completed grades 4-5) July 17-20Younger horse lovers ride daily, Mondaythrough Wednesday, grabbing the reins tosee what Horse Camp is all about. Aftera day of riding and camp adventures, it’sback to the bunkhouse (a Main Campcottage) for a good night’s sleep.Horsin’ Around See page 16 for pricing information.(completed grades 5-7)June 5-10, June 19-24 * For the safety of our campers and horses,Saddle ’Em Up rides are cancelled whenever there are(completed grades 7-9) heavy rains, storms,June 12-17, July 10-15 lightning, or if the heat index reaches 100o.Wrangler We do our best to(completed grades 8-12) reschedule any ridesJune 26-July 1 that are cancelled. 11

Registration & Discounts Register Online! Save Time & Money Discounts! Just follow the directions on our web site: Invite Your Friends www.DuBoisCenter.org. Click “Register Online” at the top of the home page. Save a stamp, an envelope and the Invite friends who are new environment — pay right online! to DuBois Center, or have not attended since 2012, Register by Mail and SAVE! When they register, you receive There are two sides to the enclosed Camp Registration $30 off your camp fee Form —­ complete BOTH thoroughly in DARK INK. Please for each of the friends you print or type one form per camper. (Make extra copies as invited who attends a full- needed.) Mail to ISC DuBois Center with a minimum, non- week camp and $15 off refundable deposit of $50 per camper. Note: For for each one who attends Just You & Me camp only one form per family is needed. a part-week camp. More You may also send forms by fax to: 618.654.4054 or email friends, more savings! to: [email protected] and then call the Registrar at 618.654.4052 with American Express, Discover, Family Savings MasterCard or Visa information. Save when you Reserve a Space by Phone register three or more campers from Call the Registrar at 618.654.4052 the same immediate and use a credit card to make a family. $20 per minimum, non-refundable deposit of camper for full-week $50 per camper. Note: You must still sessions and $10 per complete the Camp Registration camper for part-week Form and submit it to the Registrar sessions. postmarked within one week of reserving the space to complete the process. Excludes Just You & Me, and the same Payment Plan child attending more than one session. If you register online, it’s easy to make payments to your account at your Early Bird Specials convenience. If you register by mail and would like to set up a payment plan, Register early to contact the Registrar at 618.654.4052 for assistance. Save $20 on full-week sessions and Save $10 Final Payment on part-week sessions. The FAMILY SHARE of the camp fee must be paid in full 14 Registration and days prior to the start of the camp session. Earlier payments non-refundable deposit are welcome. If your church pays a portion of the camp fee, must be mailed we can bill them. (postmarked) or submitted onlinenew! by Tuesday, April 5. FREE t-shirt for every camper! This summer ALL campers receive a free camp t-shirt! Please specify size on the application.12

new! Why? What’s with all the numbers?? DuBois Center is one of many camps, locally and Three-Tiered Pricing Explained across the country, moving to tiered pricing structures Realizing that families are differently gifted, we are now for their summer programs. offering a three-tiered fee program, giving families the option Sadly, we have seen youth to pay one of three different rates for each summer camp camps in Southern Illinois session. Choose the tier that is most suitable or comfortable and Missouri close recently for your family. As you consider your family’s financial largely due to their inability situation, please also consider the true cost of camp. to cover direct and indirect costs. We don’t want to join The subsidized tier is a that list. reduced rate made possible through ministry support Tiered pricing gives greater we receive from Southern visibility to the true cost of Illinois UCC churches and providing the quality camp contributions from individuals experience you’ve come to who value the impact of our expect from us. It also offers summer camp programs. families an opportunity to take an active role in supporting The partially subsidized tier the true cost of their child’s represents the direct costs camp experience. of a camp session including counselors, food, utilities, New Pricing Structure Goals: materials, fuel and more. • Provide quality programs • Serve families from all The actual cost tier more closely reflects the true costs of providing a camp experience for one camper, including income levels facility maintenance and upkeep, equipment repair and • Preserve DuBois Center replacement and program development. It also helps fund DuBois Center scholarships, so more children can for generations to come experience the power of church camp. This new pricing structure The tier you choose is confidential and all campers receive the is one more step toward same DuBois experience, no matter which tier is selected. securing the future of DuBois Center.Q&A Reminder!Do I really pick my price? UCC ChurchWhat’s the catch? ScholarshipsYes! It’s your choice. Pickthe tier that works best for Many Unitedyour family. No catch. Church of Christ congregations inWill my church pay a What if my family needs the Illinois Southdifferent amount more assistance? Conference offer toif I choose a higher tier? A limited number of pay a portion of theMost churches set a scholarships are available. camp fee for theirspecific amount of support. Please contact the DuBois members. CheckCheck with your church. Center office for details and with your church! an application.Do we still get a t-shirt?Every camper will receivea free camp t-shirt atcheck-in, no matter whichprice tier is chosen. 13

More Information Confirmation Packet Health History & Physical Exams We will begin sending confirmations by email on April 1. For registrations we receive later in the season, we will A Health History is email confirmations within 3 weeks of receipt. required annually for each camper, including adults. The email attachments will include your statement, This includes current medical forms and login instructions for online health medical information, histories. It will also contain a packing list, directions immunization dates, details to camp, general procedures and other helpful about medication, and an information, which will also be available on our web site: authorization for treatment. DuBoisCenter.org after April 1. A Physical Exam by a Your confirmation will be sent to the email address you licensed medical provider indicated when registering. If you have trouble finding within the 24 months prior the email, please check your SPAM and JUNK folders. to camp attendance is also required for each youth If you do not have access to a computer and good camper. printer, call the Registrar at 618.654.4052 or email [email protected] and we will mail a paper Health Histories and Physical Confirmation Packet to you. Exams, whether completed online or on paper, are both Financial Assistance due 14 days before the camper’s arrival. Our health There are several financial assistance options available. care staff need time to review We recommend first checking with your church. Many this information and prepare UCC congregations pay a portion of the camp fee for for your child’s arrival. This their members. requirement also helps SPEED UP your check-in If church assistance is not available, or more support is process on the first day of needed, call the DuBois Center office at 618.787.2202 camp. to receive a scholarship application. Assistance is available for families receiving public aid or DCFS Health-related forms and benefits, and others with financial needs. login information will be sent with your Confirmation Cancellations Packet or can be found on our web site after April 1 at The $50 deposit is non-refundable. If a registration DuBoisCenter.org. is cancelled at least 30 days in advance of the start of the camp session, the full camp fee will be refunded If a camper has significant minus the $50 deposit. When notification is received health issues or food between 14 and 29 days, up to 75% of the total camp allergies, please contact fee will be refunded. When less than 14 days’ notice is the DuBois Center Office received, no refund is given. In cases of sudden illness, at 618.787.2202 before accident or emergency, we can transfer your registration registering AND describe to another session if space is available. If all sessions the issues on the registration. are full, then a full refund is given. We accommodate special needs whenever possible. If a session has 10 or fewer registrations, DuBois Center reserves the right to cancel that session up to 10 days prior to the start date. In this case, parents may select a different session or receive a full refund.14

Don’t Forget! Check-in / Pick-up Days and Times Early Bird Check-in for MOST sessions: 2:00 - 3:00pm Sunday Deadline: Pick-up for MOST sessions: 2:00pm Wednesday or Friday April 5 Exceptions are as follows:Questions?Want to learn more? • Just You & Me Camp concludes on Tuesday at 2:00pm.More about • Camp Quest and Boy Meets Camp begin onRegistration Wednesday with check-in from 2:00 – 2:30pm.Registrar • Discovery Camp concludes with a family closing circle618.654.4052 on Tuesday [email protected] Lodging at CampMore about DuBois Center has three distinct lodging areas:Camp Main Camp: Four cottages near the dining hall. CottagesDuBois Center have a common room between two sleeping rooms, each618.787.2202 with bunk beds for eight and a bathroom with [email protected] Rustic Village: Eight cabins split between two sites with a centrally located shower house. Each cabin has bunk beds for eight, screened windows, lights and a ceiling fan. Hickory Lodge: Located near the dining hall with hotel- style sleeping rooms, shared bathrooms off the hallways, and a meeting/activity room. AC available. Cabin Buddies TWO campers may request to bunk together. However, they must be within one year of age AND both request each other on their CAMP REGISTRATIONS. All written requests are considered but not guaranteed. It’s fun to share a week of camp with old friends, and it may be easier for first-time campers to come with a buddy. However, camp provides a great opportunity to make new friends and build new relationships. We try to avoid putting more than two friends together because it can be overwhelming for the rest of the cabin, especially for those who come without a buddy. It is our responsibility to assign campers in the way we feel is in the best interest of the whole camp family. Campers are encouraged to recruit their friends (and receive a discount for their efforts). However, if numerous friends are recruited, not all can be in the same cabin. There are a number of opportunities throughout the week for friends in different cabins to spend time together. 15

DuBois Center For more info on Tiered Pricing, see page 13. 2016 SUMMER SCHEDULE PASacurttbiusiaallldiyCzoeSsdutbsidized GRADES DATES LOCATION CODE TIERED PRICINGCOMPLETED SESSION Adult Just You & Me June 5-7 Main/Hickory 11JYM $218 $198 $178Child 5-7 Just You & Me June 5-7 Main/Hickory 11JYM $180 $160 $1401st - 3rd Camp Quest June 8-10 Main Camp 11Q $254 $234 $2141st - 3rd Camp Quest June 22-24 Main Camp 31Q $254 $234 $2141st - 3rd Discovery Camp June 19-21 Main Camp 31D $277 $257 $2371st - 3rd Discovery Camp July 10-12 Main Camp 51D $277 $257 $2371st - 3rd Boy Meets Camp July 13-15 Main Camp 51BMC $254 $234 $2141st - 3rd Girl Power July 17-20 Main Camp 61GP $354 $334 $3143rd - 5th Settler June 5-10 Main Camp 11S $510 $470 $4303rd - 5th Settler June 19-24 Main Camp 31S $510 $470 $4303rd - 5th Settler July 10-15 Main Camp 51S $510 $470 $4304th - 5th Pony Express July 17-20 Main Camp 61HP $368 $348 $3284th - 6th Mad Science Jun 26-Jul 1 Main Camp 41MS $535 $495 $4554th - 6th Rustic 101 July 17-20 Rustic Village 62R $337 $317 $2975th - 7th Horsin’ Around June 5-10 Rustic Village 12HH $555 $515 $4755th - 7th Horsin’ Around Jun 19-24 Rustic Village 32HH $555 $515 $4755th - 8th Trekkin’ It June 5-10 Rustic Village 12TI $510 $470 $4305th - 8th Trekkin’ It June 19-24 Rustic Village 32TI $510 $470 $4305th - 8th Base Camp Unleashed Jun 26-Jul 1 Main Camp 41BC $510 $470 $4306th - 9th Outpost Lab June 12-17 Rustic Village 22OL $510 $470 $4306th - 9th Outlander July 10-15 Rustic Village 52O $510 $470 $4307th - 9th Saddle ’Em Up June 12-17 Rustic Village 22HS $555 $515 $4757th - 9th Saddle ’Em Up July 10-15 Rustic Village 52HS $555 $515 $4758th - 12th Wrangler Jun 26-Jul 1 Rustic Village 42HW $555 $515 $4758th - 12th X-Plore Jun 26-Jul 1 Rustic Village 42X $510 $470 $43010th - 12th Counselors in Training June 19-24 Main/Rustic 31CIT $403 $363 $323 Registration Questions? Camp/Program Registrar: 618.654.4052 www.DuBoisCenter.org DuBois Center: 618.787.2202 [email protected] [email protected]

2016 Registration Form — COMPLETE BOTH SIDES OR Save Time: Register ONLINE at www.DuBoisCenter.org Complete one form per Youth Camper. If needed, make additional copies. Complete and mail with fee ($50 minimum per person) to: ISC DuBois Center, 1312 Broadway, Highland IL 62249 Fax to: 618.654.4054 • Scan & Email to: [email protected] • 618.654.4052Camper’s Name ________________________________________________ Gender_____________Street Address_______________________________________________________________________City ____________________________________________ State _ ______ Zip__________________Birth Date ___________________ Age _________ Grade completed as of June 2016 ____________Number of previous summers at DuBois Center _____________How did you hear about DuBois Center?___________________________________________________Church Name_ ________________________________ Church City___________________________Camper lives with: q Both Parents q Mother q Father q Other: __________________________PARENT / GUARDIAN NAME #1 _ ______________________________________________________ (choose only one email)Email Address __________________________________________ q Use for email confirmationPhone #1 ( ) Phone #2 ( ) q Cell q Home q Work q Cell q Home q WorkPARENT / GUARDIAN NAME #2 _ ______________________________________________________ (choose only one email)Email Address __________________________________________ q Use for email confirmationPhone #1 ( ) Phone #2 ( ) q Cell q Home q Work q Cell q Home q WorkCamp Session(s) Selected:1st Choice: Session _ _______________________________ Dates_ ___________ Code_________2nd Choice: Session _ _______________________________ Dates ____________ Code ________ If Possible, please put in cottage/cabin with: __________________________________________ (List only one friend. Friends must request each other.)Briefly describe any significant medical concerns or food allergies, recent trauma, life changes, or physicallimitations. (Include details on the Health History form that will be sent with Confirmation Packet.) Just You & Me Camper #2 _ ______________________ Birth date _ ____________ Age _ _____Campers –– Continue on Next page ––

Early Bird Deadline: April 5 2016 Camp Registration Form — Page 2 Complete Both Sides – OR – Register ONLINE at www.DuBoisCenter.orgCamper’s Name __________________________________________________________________Emergency contacts (in case parents cannot be reached):Name _ _________________________________________ _ Relationship ________________________Phone #1 ( ) Phone #2 ( )Name _ _________________________________________ _ Relationship ________________________Phone #1 ( ) Phone #2 ( )Will parents/guardians be home during camp session? q Home q Away ______________________T-SHIRT: ALL Campers!! Circle Size(s): YOUTH: S M L ADULT: S M L XL 2XL 3XLDISCOUNTS q Early Bird – Register with Deposit by April 5 q Family – 3 or more q First-time Friend: Name of Friend(s) ________________________________________Fee Total $__________ F_ amily Share $ __________ Church’s Share (if applicable) $_ __________________AMOUNT ENCLOSED $ __________ q Check enclosed q Discover q MasterCard Total FAMILY SHARE of fee is due 14 days prior to camp session. q Visa q American ExpressCredit Card# _ __________________________________ Exp. Date_ _________ CSC code_________PARENT/GUARDIAN AGREEMENTS AND AUTHORIZATIONS (initial statements & sign) The named camper(s) has my permission to engage in all I give permission for the named camper(s) toinitial camp activities except as noted on the medical forms. initial participate in horse-related activities. Under I agree to complete and submit medical forms at least the Equine Activity Act (Illinois P.W.A. #89-0111)initial 14 days prior to the beginning of the camp session. each participant who engages in an equine activity expressly assumes the risks of engaging in and I agree to pay the Family Share of the total camp fee at legal responsibility for injury, loss or damage toinitial least 14 days prior to the beginning of the camp session. person or property resulting from the risk of equine activities. I give permission for the named camper(s) to beinitial photographed or electronically recorded for future We (parents/guardians & campers) understand initial policies prohibiting campers from engaging in interpretive and promotional efforts by DuBois Center, the Illinois South Conference of the United behavior that is illegal or harmful to themselves or Church of Christ or their designated agents. others. We also understand that campers may be sent home for breaking camp rules and there willinitia l We (parent & guardian) understand there is a policy be no refund of the camp fee. prohibiting campers from having cell phones at camp.X (Please Print) Name of Parent/Guardian Date Signature of Parent/GuardianOffice Use Only Date Received _ ____________ Date Processed ______________Discount #1_________________ Discount #2 _______________ Scholarship __________________Payment Received: Family___________ Church_______________ _ CC Authorization #:_____________

COURAGEinCOMMUNITY Fearless Faith 2016 Summer Adventures at a Glance Grades Jun 5-10 Jun 12-17 Jun 19-24 Jun 26-Jul 1 Jul 10-15 Jul 17-20Completed Just You & Me*Adult/Child 5-7 years1st - 3rd Camp Quest* Discovery* / Discovery* / Girl Power Camp Quest* Boy Meets3rd - 5th Settler Pony Express4th - 5th Horsin’ Around Settler Camp* Rustic 1014th - 6th5th - 7th Mad Science Settler Horsin’ Around5th - 8th Trekkin’ It Trekkin’ It Base Camp Unleashed!6th - 9th7th - 9th Outpost Lab Outlander Saddle ’Em Up Saddle ’Em Up8th - 12th Wrangler & X-Plore10th - 12th Counselors In Training *Part-Week SessionsMore to Explore AFTER Summer Camp at DuBois Center! Watch for details on all these upcoming events and more at DuBoisCenter.org Rainbow Camp Service Saturdays And our biggest one-day event of the year… August 5-7, 2016 September and October, or Friday 7pm - Sunday 1pm call to schedule your own! FALL Oct 2Sunday Oct 4 FESTIVALfrom11-5Fall Horse Retreat Mother - Daughter Weekend Retreat For ages 12+ Round up your pony friends & ride! A relaxing weekend for the girls in October. 19

Open House & Sunday Dinner Sunday, April 17 Activities 12:30 - 2:30pm Sunday, May 15 Visit the Horses for Arena Rides Come check us out! Take a Pontoon Boat Cruise Tour the Cottages and CabinsEarly Bird Deadline: Dinner (optional) Summer Camp Orientation Reservations required by the April 5 Noon - 2:00pm 2:30 - 3:30pm Monday prior to each dinner. Adults: $11 See what all the buzz is about! 618.787.2202 or Children 5 - 12: $6.50 Meet Camp Leaders [email protected] Age 4 and under: Free Ask Questions and Get Answers 618.787.2202 Illinois South Conference [email protected] DuBois Center 2651 Quarry Road www.DuBoisCenter.org DuBois IL 62831 CHANGE SERVICE REQUESTED DuBois Center is aministry of the Illinois South Conference (ISC) of the United Church of Christ.