Pocono Plateau 20212021 SUMMER CAMP
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304 Pocono Plateau Road, Cresco, PA 18326 For additional information, please contact Rev. Ron Schane, Director Register Online at tel: 570-676-3665 fax: 570-676-9388 www.poconoplateau.org email: camp@poconoplateau.org website: www.poconoplateau.org In the heart of the Poconos, Pocono Plateau Camp & Retreat Center is in a beautiful mountaintop setting of 750 acres of wooded land, two lakes, natural wetlands and a variety of wildlife habitats. The Plateau is just one hour from Allentown & Scranton and about two hours from Philadelphia, Lancaster and New York City. Our Mission To provide opportunities for children and youth, regardless of their faith or denomination, to experience the Gospel of Jesus Christ through recreation, challenge and reflection within a caring Christian community. Visit Pocono Plateau during our OPEN HOUSE event on Saturday, May 22, 2021 for camp tours, food, and fun for the entire family. Lodging & Meals The Main Site borders picturesque Lake Pocono Plateau. Campers Pocono stay in one of several lodges with bunk beds and common bath- H Plateau rooms. Three meals and an evening snack are enjoyed daily at the Dining Hall. The Adventure Site is nestled in our beautiful forest setting. Scotrun Campers stay in rustic cabins (no electricity) with bunk beds and share a centrally located bathhouse. Campers (with adult assistance) cook lunch daily at their sites over an open fire. All other meals are prepared in our main kitchen and served at the Adventure Lodge. Activities While at Pocono Plateau, campers have the opportunity to try activ- ities in a friendly and encouraging atmosphere. Activities for each camp are Typical Daily Schedule specifically chosen for their age-appropriateness. Campers may participate 7:30 am Rise ‘n Shine in the following activities: Bible Study, Pedal Carts, Archery, Fishing, Ballfield Games, Campfires, Crafts, Worship & Singing, Lake Swimming with Sand 8:30 am Breakfast Beach, Boating, Canoeing, Kayaking, Sling Shot, Nature Exploration, Hiking, 9:15 am Small Group Activities Sports, Night Games and Challenge Courses - Group-Building, High Ropes, 10:15 am Small Group Activities Climbing Tower, Leap of Faith and Zip-Line. 11:15 am Main Site: Small Group Activities Adventure Site: Lunch Preparation Leadership 12:30 pm Lunch Well-trained, volunteer and paid adult staff lead campers through nurturing their spiritual development, maintaining health and safety, and teaching 1:15 pm Camp Activities skills. Our Food Service Manager prepares meals and is able to meet med- 2:00 pm Waterfront (swimming, boating, etc.) ically necessary food restrictions and allergies. All staff and employees are Afternoon Activity Options & Camp Store subject to a criminal background screening. 4:30 pm Rest Period 5:30 pm Dinner Health & Safety 6:30 pm Large Camp Activities Our Registered Nurses reside on-site under a physician’s standing orders. 8:00 pm Snack and Evening Chapel Camper Health Forms are required to provide essential information for Get Ready for Bed our healthcare staff. Certified lifeguards supervise all waterfront activities. Lights Out (Age-Appropriate Times) Pocono Plateau is accredited by the American Camp Association and com- plies with over 175 health, safety, program and operational standards. In response to the pandemic, we have created a COVID-19 CARE Plan. Pocono Plateau More details are available on the website. is a ministry of the Eastern Pennsylvania Conference Parent Information of The United Methodist Church. Online Registration, Camper Forms, Packing List, Check in and Check out Times, Photo Galley, and other information available at www.poconoplateau.org my life to Christ.” “I recommitted Jr. High Challenger Camper
UPCOMING RETREATS & EVENTS Father/Son Retreat April 23-25, 2021 Knitting Retreat Sept. 24-26, 2021 Open House May 22, 2021 Men’s Retreat October 1-3, 2021 Hero Dash 5K & 15K Races Sept. 18, 2021 Sr. Adult Retreat October 5-8, 2021 More information on our website – www.poconoplateau.org HOST YOUR OWN RETREAT Pocono Plateau operates year-round and offers groups opportunities for day & overnight events. We can help with planning your event or retreat. Check out the helpful information on our website (www.poconoplateau.org) under the “Retreats” tab, or contact the camp office: 570-676-3665. DISCOUNTS & FINANCIAL INFORMATION Scholarships Pocono Plateau provides limited funding for campers whose families have need of financial assistance. Camperships are awarded based on the availability of funds. Camper families who cannot afford the full fee should first contact their church about scholarship support. If the camper’s family and local church cannot cover the event cost, the family should contact the camp office and request a Financial Aid Application or download the form from our website. Multi-Child Discount Households that send more than one child to summer camp are eligible for a discount. A second child receives a $10.00 reduction in the fee for their event. A third child receives a $30.00 reduction in the fee for their event. You must contact the camp office to request discounts. Bring a Friend Discount If you attended a 2019 Pocono Plateau Summer Camp event you may choose to receive a discount off your 2021 registration fee for each NEW camper you refer who attends a 2021 Pocono Plateau Summer Camp program. • Refer 1 new camper = $25 off • Refer 2 new campers = $50 off • Refer 3 new campers = $100 off • Refer 4 or more new campers = One FREE Pocono Plateau Summer Camping event You must contact the camp office to request the discounts. Siblings are exempt from Discount. TIER PRICING At Pocono Plateau, we believe summer camp is extremely valuable to the mental, physical and spiritual growth of children and youth. At camp, Christian community is experienced, relationships are built, faith commitments are made, and tomorrow’s leaders are developed every day. We are proud to say that all of our camp programs are priced significantly under the industry average price of $690.00 per week. Our Tiered Pricing is intended to more closely represent the actual costs related to the camp experience and allow families to select the level of payment most appropriate for their financial circumstances. Each family may FREELY CHOOSE to participate at the Tier 1, Tier 2, or Tier 3 level; and every child will receive the same camp experience regardless of the tier chosen. HOW IT WORKS Tier 1: Partially Subsidized Cost Every effort is made to keep the cost of camp as affordable as possible. At this level, every camper’s fee is partially subsidized by generous donations. If scholarship help is requested through our Pocono scholarship fund, Tier 1 will automatically be selected. If partial payment is coming through your church or an agency, Tier 1 should also be selected, unless that party agrees to a different tier. Tier 2: Direct Cost of Camp Electing to pay the Tier 2 price helps cover the direct cost of a week of summer camp including program costs, food, summer staff and camp administration. Tier 3: True Cost of Camp For families who are financially able to pay Tier 3 pricing, this level represents more closely the true cost of camp including all aspects of maintaining facilities in good condition, utilities, etc.
FAMILY CAMPS my faith renewed.” “I gotEcoExplorer Camper Family Camp Weekend For families with children ages 3-17 Event No. 699 Dates: Aug. 13-15 Capacity: 50 Cost: Adults 18 & over: $145 / $170 / $195 Children 13-17: $99 Children 4-12: $55 Children 3 & under: Free This camp is designed especially for families looking to enjoy an extended weekend together. Experience a wide variety of traditional camp activities including swimming, boating, archery and games. Age-appropriate activities will be spaced throughout the day to allow plenty of time for your family to relax and enjoy our beautiful camp setting. In the evenings, there will be campfires, singing and s’mores! Create memories to last a lifetime! Join us for an opportunity to encounter God’s creation with the whole family. Lodging consists of bunk beds and community bathrooms. Registration begins at 10:00 AM on Friday and departure is 1:30 PM on Sunday. [Main Site] CHILDREN’S CAMPS GR.A.M. and ME 3-Day(Formerly Mommy & Me) For Children ages 3-7 & their Mom, Grandma, Aunt, etc. Event No. 600 (children) /600A (Mom, Grandma, Aunt) Dates: July 18-21 Capacity: 28 Event No. 601 (children) /601A (Mom, Grandma, Aunt) Dates: July 21-24 Capacity: 28 Cost: Ages 3-7 $175 / $200 / $225 Adults: $195 / $220 / $245 GR.A.M. and ME Camp ... making special memories with your GRandma, Auntie or Mommy. This camp offers moms/grandmas/aunts and their children opportunities to share in the camp experience. Enjoy being bunkmates, meal pals and hiking buddies in the beautiful outdoors! Spend three days together enjoying games, crafts, playing in the lake, and singing around the campfire. This camp is a great way to introduce your children to camp and create memories for a lifetime. Call the camp office to inquire about a multi-child discount. [Main Site] NOTE: Event #600 Departure is Wednesday morning at 9:30 am. Event #601 Camper registration begins Wednesday afternoon at 3:00 pm. 5-Day Young Children’s For children having completed grades 1-3 Event No. 603 Dates: July 25-29 Capacity: 40 Cost: $280 / $315 / $350 Looking for a great first camp experience for more than just three days of camp? This camp, especially designed for young children, will be just right for you. You get to enjoy all of the terrific activities camp has to offer, such as making crafts, hiking, singing, and playing in the lake. In the evening, you can roast marshmallows over a campfire, make fun snacks, and play exciting games. [Main Site] NOTE: Camper pick-up is Thursday night, 7 pm. 5-Day Young Children’s Nature Explorers For children having completed grades 1-3 Event No. 604 Dates: Aug. 1-5 Capacity: 30 Cost: $280 / $315 / $350 We’re going on a nature hunt! Join us as we explore God’s creation to find birds, insects, amphibians, and more. We will also enjoy the usual young children’s camp activities, such as crafts, boating, pedal carts, nature hikes, swimming, games, and an evening campfire. Join us for five days of fun! [Main Site]. NOTE: Camper pick-up is Thursday night, 7 pm. Children’s Camp Mania For children having completed grades 3-6 Event No. 609 Dates: July 11-17 Capacity: 24 Cost: $385 / $435 / $485 This camp is designed especially for 3rd to 6th graders who like having fun. You’ll enjoy the most popular activities that camp has to offer. During the day experience archery, sling shots, pedal carts, crafts, boating and swimming, just to name a few. Nights offer a time for the most cherished camp activities of all…campfires and s’mores! If you are looking for tons of fun with kids your own age, this is the camp for you. Join us for a week of making memories that will last a lifetime, with a God who has great things planned for you! [Main Site] God made us all special.” “I learned that 5-Day Nature Camper
CHILDREN’S CAMPS Eco-Explorers For children having completed grades 3-5 Event No. 605 Dates: Aug. 1-7 Capacity: 24 Cost: $390 / $440 / $490 Join us for an exciting week of camp while we learn about God’s diverse ecosystems through hands-on scientific experiments and exploration of the vast Pocono Plateau landscape. During our fun-filled week, we will also do the usual camp activities such as fishing, boating, sling shots, crafts, pedal carts, and gaga! We will learn together what an amazing planet God has given us and how we can help preserve and protect it. [Main Site] Children’s Pioneer For children having completed grades 3-6 Event No. 684 Dates: July 25-31 Capacity: 48 Cost: $385 / $435 / $485 Campers sleep in rustic cabins, cook lunch and try their hand at using Dutch ovens over an open fire, hike to an “Adventure” destination in the woods, learn about nature, test their skill at archery, play awesome group games, and make a craft. Weather permitting, campers have the option of an overnight sleep-out under the stars. Of course, daily swimming and boating on the lake are camper favorites! [Adventure Site] Adventure Quest For children having completed grades 3-6 Event No. 607 Dates: July 18-24 Capacity: 40 Cost: $385 / $435 / $485 Come join us for an exciting week of adventure and fun! Make new friends while enjoying great camp activities like the sling shot range, archery, boating, crafts, hiking, swimming, and campfires. Don’t forget about making s’mores! Additionally, you’ll get to participate in unique activities including night gaga, glow-in-the-dark games, land and water olympics, and our annual “Quest.” Experience everything camp has to offer in a caring Christian environment while forming friendships that will last a lifetime. [Main Site] Kid’s Camp For children having completed grades 3-6 Event No. 610 Dates: Aug. 8-14 Capacity: 60 Cost: $385 / $435 / $485 Experience camp in the comfort of our lodges with meals served in our dining hall. You’ll enjoy a wide variety of fun activities such as swimming, boating, games, sling shots and pedal carts. You also choose a favorite activity for the week. Electives include: Archery, Crafts, or Gaga (court dodgeball). In the evenings there will be campfires with singing and s’mores! If you are looking for a week of memories to last a lifetime in a caring Christian environment, this is the camp for you. [Main Site] “I learned that even when we can’t, God can, even at our weakest point. Children’s Pioneer Camper ”
CHILDREN’S CAMPS Music & Performance For children having completed grades 3-8 Event No. 681 Dates: Aug. 1-7 Capacity: 50 Cost: $395 / $445 / $495 Join us for a week of music and fun. You’ll enjoy lots of traditional camp activities (crafts, archery, sling shot, swimming), while working together to learn a musical. You’ll spend time each day rehearsing a Christian musical, complete with dialog and choreography, and then share your hard work with family and friends at a Saturday morning performance. Sign up for an amazing musical experience! [Main Site] You Can Do THAT at Camp? For children having completed grades 4-6 Event No. 688 Dates: July 11-17 Capacity: 24 Cost: $385 / $435 / $485 Summer camp is about trying new activities and having fun. Prepare yourself for a week full of crazy and unexpected moments! Enjoy all the exciting regular camp activities (swimming, pedal carts, archery, sling shots, crafts, etc.) while also having a blast doing things that are unique to this camp (i.e. ice cream for breakfast, crazy carnival, some late night fun). Surprises are around every corner! [Adventure Site] Into The Wild (formerly TrailBlazers) For children having completed grades 4-7 Event No. 686 Dates: Aug. 8-14 Capacity: 48 Cost: $390 / $440 / $490 Run into the wild to find new and unique experiences as we introduce you to fun activities both individually and in a team setting. Each camper will discover ideas and activities that challenge their personal capabilities and strengths. Activities include the popular hay wagon rides, campfire lunches, archery, sling shots, pedal carts, Gaga, and swimming, also some different themed events such as Mission Impossible, Team Competition, and Gladiator. [Adventure Site] about Jesus, but now I do.” “I didn’t know anything TrailBlazers Camper
YOUTH CAMPS “I learned more about God’s unconditional love.” Sr. High Adventure Camper Music & Performance For children having completed grades 3-8 Event No. 681 Dates: Aug. 1-7 Capacity: 50 Cost: $395 / $445 / $495 Join us for a week of music and fun. You’ll enjoy lots of traditional camp activities (crafts, archery, sling shot, swimming), while working together to learn a musical. You’ll spend time each day rehearsing a Christian musical, complete with dialog and choreography, and then share your hard work with family and friends at a Saturday morning performance. Sign up for an amazing musical experience! [Main Site] Into The Wild (formerly TrailBlazers) For children having completed grades 4-7 Event No. 686 Dates: Aug. 8-14 Capacity: 48 Cost: $390 / $440 / $490 Run into the wild to find new and unique experiences as we introduce you to fun activities both individually and in a team setting. Each camper will discover ideas and activities that challenge their personal capabilities and strengths. Activities include the popular hay wagon rides, campfire lunches, archery, sling shots, pedal carts, Gaga, and swimming, also some different themed events such as Mission Impossible, Team Competition, and Gladiator. [Adventure Site] Into The Wild: Above & Beyond (formerly TrailBlazers: Above & Beyond) For youth having completed grades 7-10 Event No. 687 Dates: Aug. 8-14 Capacity: 24 Cost: $395 / $445 / $495 For the more advanced adventurer who wants to stretch their limits and go to new heights. In addition to the popular activities of archery, sling shots, kayaks, swimming and the high ropes course, there will be opportunities for additional time around the campfire and the challenge of some awesome night games. Come and join the adventure! Weather permitting, campers will have the option of an overnight sleep-out under the stars. [Adventure Site] Pioneer Outpost For youth having completed grades 6-8 Event No. 685 Dates: July 25-31 Capacity: 40 Cost: $395 /$445 / $495 Campers sleep in rustic cabins, cook lunch and try their hand at using Dutch ovens over an open fire, Orienteer hike with compass and GPS, test their skill at archery & slingshot, play awesome group games, climb the tower, zip on the zip line and sleep-out one night under the stars. Of course, daily swimming, boating and kayaking on the lake are camper favorites! [Adventure Site] Science Adventure NEW For youth having completed grades 6-9 Event No. 630 Dates: July 11-17 Capacity: 36 Cost: $395 / $445 / $495 How do science and God work together? Find out at this camp. Spend the week meeting new friends and enjoying all the regular activities: archery, boating, sling shot, climbing tower, zipline and more. There will also be daily science experiences designed especially for this camp. Come join the fun! [Adventure Site]
YOUTH CAMPS Jr. High After Dark For youth having completed grades 6-9 Event No. 633 Dates: July 18-24 Capacity: 36 Cost: $420 / $470 / $520 Attention all night owls, we have a camp just for you. Come spread your wings and challenge yourself during this week of adventure encountering community, Creator, and Creation in the day and the night! During the day share meals cooked over a fire with new friends, test your accuracy at our archery range, explore the Bible, and more. When the sun goes down camp continues with s’mores, deep conversations around the campfire, soaring down the zip line, and more! [Adventure Site] Jr. High Camp For youth having completed grades 6-9 Event No. 611 Dates: July 25-31 Capacity: 70 Cost: $395 / $445 / $495 If you have difficult questions about faith, or struggle to make sense of God and the Bible, Jr. High Camp is the place to be. Our week will equip you to think through tough topics about God and help you to understand Christianity better than you ever have before. In addition to our annual night game, you will have the chance to compete for the Plateau Cup during our Olympic games. You will also participate in activities including climbing tower, zip lining on our 500-foot zip line, blueberry picking, archery, slingshots, and kayaking. Once the sun sets, we will reflect about the day while enjoying campfire snacks under a starlit sky. This is a week you won’t want to miss, and one you will never forget. [Main Site] Youth Adventure (Jr. High Option) For youth having completed grades 6-9 Event No. 632 Dates: Aug. 1-7 Capacity: 36 Cost: $395 / $445 / $495 Come and experience the adventure of living in the woods, cooking lunch over an open fire, and sleeping in rustic cabins while enjoying some awesome activities like archery, sling shots, swimming, canoeing and many more. You’ll get to challenge yourself on the climbing tower, and our 500 foot zip line. In the evenings, there are campfires and s’mores. [Adventure Site] Youth Adventure (Sr. High Option) For youth having completed grades 9-12 Event No. 634 Dates: Aug. 1-7 Capacity: 36 Cost: $395 / $445 / $495 Designed specifically for Sr. High, campers will experience the adventure of living in the woods by cooking over the fire and sleeping in rustic cabins. Enjoy some awesome activities like night games, archery, sling shots, swimming, and kayaking, just to name a few. Learn teamwork and challenge yourself on the climbing tower, zip line, and high ropes course. Join us for an amazing week of fun, spiritual growth and mountain pies! [Adventure Site] Youth Camp For youth having completed grades 6-12 Event No. 612 Dates: July 11-17 Capacity: 70 Cost: $395 / $445 / $495 This unique camping experience is geared for all 6th through 12th grade youth. Spend the week participating in exhilarating activities as you grow in your faith. Challenge yourself on a 500 foot zip line and climbing tower (additional high ropes available for high school campers). Enjoy fun activities including archery, swimming, canoeing, kayaking, talent night, and night games. Come experience God in the fun, the challenges, the times of reflection, and powerful worship. [Main Site]
YOUTH CAMPS “about I learned more the pieces that make up a Youth Music relationship For youth having completed grades 7-12 Event No. 682 Dates: June 27-July 3 with God. Night Camper ” Capacity: 80 Cost: $395 / $445 / $495 Are you ready? Are you ready for acceptance, community, joy, peace, validation, worship, trust, fun, singing, and sharing God’s presence in your life? Join us in celebrating your gifts in music, drama and stagecraft as we prepare a musical worship service for your family and friends. You can also experience outdoor activities and learn new skills through our elective program, such as high ropes, stagecraft, instrumental ensembles, worship ideas for your own church, and lots more. Are you ready? (Saturday Morning Performance at 10 a.m.)[Main Site] Sr. High Adventure For youth having completed grades 9-12 Event No. 642 Dates: July 4-10 Capacity: 48 Cost: $395 / $445 / $495 If you’re looking for a week of community, adventure, teamwork, spiritual growth, and close friendships, then this camp is for you. Campers will get the opportunity to participate in traditional camp activities (archery, slingshot, swimming, crafts, waterfront, canoeing & kayaking), plus you’ll be challenged through the high ropes course, soar down the zip line, take a step off of the Leap of Faith, and test your skills on the climbing tower! You’ll experience God and grow your faith through challenges, commitment, testimony, praise, worship, and communion at the Senior Campfire. Pack your bags and meet us on THE HILL this summer! [Adventure Site] Night Camp For youth having completed grades 9-12 Event No. 647 Dates: July 18-24 Capacity: 36 Cost: $420 / $470 / $520 Waking up early is terrible, we know this. Night Camp has solved the problem of groggy early mornings by eliminating them altogether, and letting you stay up until the wee hours. Get your glowsticks ready, because we’ve got night games, high ropes challenges and zip line - all in the dark. Prepare yourself for laser tag night, and of course hone your archery, slingshot, and climbing skills, because we’ve got all that as well. Join us under the stars! [Adventure Site]
POCONO PLATEAU SUMMER CALENDAR Start Date - End Date Event Name ID Director Age/Grades Capacity Tier 1 Tier 2 Tier 3 June 27-July 3 Youth Music 682 Laura Baker & Kristin Burr Hill 7-12 80 $395 $445 $495 July 4-July 10 Sr. High Adventure 642 Matt Klein & Rev. Mike Callahan 9-12 48 $395 $445 $495 July 11 - July 17 Youth Camp 612 Brandon & Christine Glover 6-12 70 $395 $445 $495 July 11 - July 17 Children’s Camp Mania 609 Matt & Katie Frank 3-6 50 $385 $435 $485 July 11 - July 17 You Can Do THAT At Camp 688 Sue Mathers 4-6 24 $385 $435 $485 July 11 - July 17 Science Adventure (New) 630 Brian Howland & Keith Kaeppel 6-9 36 $395 $445 $495 July 18 - July 21 GR.A.M. and ME: 3-Day (New Name) 600 Elizabeth Perfetti & Rev Candy LaBar ages 3-7 16 $175 $200 $225 July 18 - July 21 GR.A.M. and ME: 3-Day (New Name) 600A Elizabeth Perfetti & Rev Candy LaBar Adult 12 $195 $220 $245 July 21 - July 24 GR.A.M. and ME: 3-Day (New Name) 601 Elizabeth Perfetti & Rev Candy LaBar ages 3-7 16 $175 $200 $225 July 21 - July 24 GR.A.M. and ME: 3-Day (New Name) 601A Elizabeth Perfetti & Rev Candy LaBar Adult 12 $195 $220 $245 July 18 - July 24 Adventure Quest 607 Sarah Klein 3-6 40 $385 $435 $485 July 18 - July 24 Jr. High After Dark 633 Ariel Kaiser & Sarah Kline 6-9 36 $420 $470 $520 July 18 - July 24 Night Camp 647 Ashlin Callahan & Julianne Klein 9-12 36 $420 $470 $520 July 25 - July 29 Young Children’s 5-Day 603 Karen Keller & Jen Manthey 1-3 40 $280 $315 $350 July 25 - July 31 Children’s Pioneer 684 Randy & Amy Waltermyer 3-6 48 $385 $435 $485 July 25 - July 31 Pioneer Outpost 685 Renee Hartley 6-8 40 $395 $445 $495 July 25 - July 31 Jr. High Camp 611 Nick & Rachel Klein 6-9 70 $395 $445 $495 Aug 1 - Aug 5 Young Children’s 5-Day: Nature Explorers 604 Jean Carter 1-3 30 $280 $315 $350 Aug 1 - Aug 7 Eco-Explorers 605 Melissa & Kurt Werner 3-5 24 $390 $440 $490 Aug 1 - Aug 7 Music & Performance Camp 681 C.J. & Leah Lyons 3-8 50 $395 $445 $495 Aug 1 - Aug 7 Youth Adventure: Jr. High Option 632 Rev. Jared & Liz Stoltzfus 6-9 36 $395 $445 $495 Aug 1 - Aug 7 Youth Adventure: Sr. High Option 634 Rev. Jared & Liz Stoltzfus 9-12 24 $395 $445 $495 Aug 8 - Aug 14 Kid’s Camp 610 Jef & Christine Kuhn 3-6 60 $385 $435 $485 Aug 8 - Aug 14 Into The Wild (New Name) 686 Kim Litzke & Keith Camp 4-7 48 $390 $440 $490 Aug 8 - Aug 14 Into The Wild: Above & Beyond (New Name) 687 Kim Litzke & Keith Camp 7-10 24 $395 $445 $495 Aug 13 - Aug 15 Family Camp Weekend 699 Jesse & Sara Skaggs Families 50 Adults: 18 & over $145 $170 $195 Register Online at Ages13-17 $99 www.poconoplateau.org Ages 4-12 $55 Installment payments available Ages 0-3 Free
Pocono Plateau • 304 Pocono Plateau Road, Cresco, PA 18326 Summer Camp 2021 Registration Form tel: 570-676-3665 • fax: 570-676-9388 Camper Payment Information CAMPER INFORMATION: Please PRINT and use a SEPARATE form for each camper. Please pay $100 minimum deposit for full week events and Camper’s Last Name ______________________________First Name ____________________________ M.I. _____ p Male p Female $50 minimum deposit for half-week camps. Camper Lives at address below with: Both Parents _____ Mother Only_____ Father Only_____ Guardian _____________________________________ Installment payments accepted. Street Address _______________________________________________________________ City_____________________________ Online registration is preferred method. State __________ Zip _____________ Home Telephone __________________________________ Birthday _______ /________ / _______ All deposits are non-refundable. All other fees paid prior to check-in Church Name and Town _____________________________________________________________ Grade Completed by June 2021 _________ may be refunded if the camper must withdraw from a scheduled Email ______________________________________________ Bunk Mate Preference ________________________________________ event due to illness or family emergency. Notification of withdrawal (one only - campers choose one another) and request for refund must be made in writing and approved by Name of Father/Guardian (circle) _________________________Home Tel. _______________________ Cell __________________________ the Camp Director. Name of Mother/Guardian (circle) ________________________ Home Tel. _______________________ Cell __________________________ List major health concerns ________________________________________________________________________________________ PAYMENT METHOD Total Payment $________________ List food allergies/special dietary needs ________________________________________________________________________________ p Check p Money Order Yes, I am a first time camper at Pocono Plateau. I was referred by ___________________________________ (list name of returning camper who referred you). p Discover p Mastercard p VISA EVENT NO. EVENT TITLE ELECTIVE CHOICE DATES TIER FEE (for #610 ) (circle one) Card # ________________________________________ 1st Choice Tier 1 Tier 2 Tier 3 Exp. date _______________ 3 Digit CVC number ___________ 2nd Choice* Tier 1 Tier 2 Tier 3 * You will be contacted before 2nd choice is assigned ____________________________________________ I give my permission for the above named camper to attend the above listed summer camp event with the Eastern PA Conference-UMC. (SIGNATURE) I acknowledge my responsibility for payment of all fees in full to Pocono Plateau, ONE FULL MONTH PRIOR TO THE START OF THE EVENT. SIGNATURE OF PARENT OR GUARDIAN _______________________________________________________ DATE _____________________ (Grandparents or other relatives may not sign unless they are the legal guardian of the camper). CHURCH PAYMENT SCHOLARSHIP REQUEST (now available with online registration) There are a variety of need-based scholarships available. If you are requesting a scholarship, please indicate p Check enclosed below and the site staff will contact you regarding the best source of support. I request a Scholarship for the event indicated above for the following reasons: _______________________ p Check expected _______________________________________________________________________________________________________________ AMOUNT $ ________________________ _______________________________________________________________________________________________________________ ___________________________________________ ________________________________________________. ___________________________________________ (SIGNATURE/CHURCH REPRESENTATIVE) (Signed by Pastor, Parent, Guardian or Sponsoring Agency Representative)
POCONO PLATEAU Non-Profit Org. God’s place apart. Transforming lives. U.S. Postage Camp & Retreat Center PAID Cresco, PA 18326 Register Online at 304 Pocono Plateau Road Permit No. 1 www.poconoplateau.org Cresco, PA 18326 Installment payments available www.poconoplateau.org RETURN SERVICE REQUESTED
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