Rainbow 2011 - Camp Lake Stephens

REGISTRATION FORM
Camper Name:__________________________
Birthday:_______________________________
Guardian/Parent:_________________________
With whom does the camper live
______________________________________
______________________________________
Oxford, MS 38655
117 Camp Lake Stephens Drive
Camp Rainbow
Camp Rainbow
2011
Camp Lake Stephens
Camper Address: _________________________
______________________________________
July 4- July 8
Phone:_________________________________
Guardian/Parent email: _____________________
______________________________________
No. of years as Rainbow Camper: _____________
Special Requests / Information: _______________
______________________________________
RETURN SERVICE REQUESTED
Early Bird
______________________________________
$260
______________________________________
Regular Cost
$100
$260 Early Bird (April 8, 2011)
$280
$280 Regular Cost
Mail with $100 NON-REFUNDABLE Deposit to:
Camp Rainbow
117 Camp Lake Stephens Drive
Oxford, MS 38655
117 Camp Lake Stephens Drive
Oxford MS 38655
Non-Profit Org.
U.S. Postage PAID
Permit #306
Oxford, MS 38655
www.camplakestephens.com
662-234-3350

Camp Lake Stephens
REGISTRATION
Camp Rainbow
Located at beautiful Camp Lake Stephens in
North Mississippi, Camp Rainbow offers a
fun filled camping experience. Here,
campers can engage in fun activities while
making friends, building skills, and enhancing
self-confidence. Most importantly, every
camper will feel the love of God through all
Camp Rainbow staff.
Camp Rainbow serves developmentally and
mentally challenged persons in a caring and
respectful environment. Camp Rainbow is
open to all persons, regardless of religious
preference, race, or social background. This
special 5 day/ 4 night camp is for campers
ages 18 and older. Thanks to many trained
volunteers, we are able to offer a 1:2 staff to
camper ratio.
Campers participate in many traditional
activities, such as hayrides, carnivals,
concerts, and a talent show.
Our primary goal at Camp Rainbow is to provide a safe, nurturing
environment where each camper is accepted for his or her gifts.
At Camp Lake Stephens, we believe that all persons are created in
the image of God, and worth the love and kindness of all of God’s
people.
Campers at Camp Rainbow must possess basic expressive and
receptive language skills (both verbal and non-verbal). Campers
must be able to dress and eat independently, as well as take care
of their bathroom needs. Camp Lake Stephens is an outdoor
campus, and entails walking and physical activity. Campers must
be willing and able to physically participate in the camp week.
How to Register:
If possible, please register online at:
www.camplakestephens.com. You will have
to pay a non-refundable deposit of $100 by
check.
If you cannot register online, please
complete “Registration Form” and mail it
the camp office:
117 Camp Lake Stephens Drive
Oxford, MS 38655
Spots will NOT be held if the deposit is not
included with the registration form.
Rainbow Camp often fills early, so register
soon. Reservations for camp are taken on a
first come, first serve basis. Forms must be
mailed to the office or hand delivered. NO
REGISTRATIONS WILL BE ACCEPTED BY
PHONE OR FAX.
PAYMENT OF FEES !
A non-refundable deposit must be included with
registration form. The balance must be paid
two weeks prior to the first day of camp (if you
would like to complete payment at the time of
registration, you may do so).
Discounted rates are available to early
registrants. To receive this discount, your
registration form and non-refundable deposit
must be postmarked by April 8, 2011.