2008 Camper Registration Form

2008 Camper Health Form

2008 Medication Form
   

PLEASE NOTE: Sessions may be filled before the deadline date.

It is preferred that all forms be mailed to the camp at one time, however we will accept the registration fee, registration form, and information checklist to reserve camp date.

ALL sessions begin at 12 noon on arrival day and end at 12 noon on departure day.

NOTE: Campers MUST be picked up between 9 a.m. and 11:45 a.m. on departure day

 2008 Camper Health Form               2008 Camper Registration Form

2008 Medication Form

Please Read this IMPORTANT REGISTRATION INFORMATION 

1. Mild to moderate levels of mental retardation, Autism, Asperger’s Syndrome, etc.
2. 6-18 years of age.
3. Non-physically aggressive to self or others. No severe behavior disorders.
4. Continent. Personal care needs will be evaluated on an individual basis. Must be able to assist counselors with bathing, dressing, feeding, and toileting. Children that may wet the bed will be required to bring a supply of personal care items; pull-ups/briefs, bed pads, wipes, and ample changes of clothing/pj’s.
5. Ability to communicate personal needs, follow basic directions, participate in daily activities in a group setting, and live peacefully in close quarters with up to 4 cabin mates.
6. Campers with a dual diagnosis will be reviewed on a case-by-case basis.
7. Ratio of 1 counselor to every 3 children/campers.
8. Maximum enrollment 40.

1. Vision requirement – 20/70 in better eye with best correction.
2. Camper may be accompanied by a “Buddy” of the same age range and sex. The “Buddy” must complete the same paperwork as the VI Camper, no behavior disorders, and sponsorships WILL NOT be designated for “Buddies” from Lions Clubs, rates will be as listed yearly. “Buddies” can be brothers, sisters, cousins, or friends. (“Buddies” can request sponsorship privately, however, BLC will not designate sponsorship unless the “Buddy” is also visually impaired or has a mild disability.)
3. Typically no mental retardation, but campers with mild learning disabilities and/or mental retardation may be accepted upon review or based on previous attendance.
4. Maximum enrollment 65.
5. Ratio of 1 counselor for every 6 campers.
6. Campers must be independent in all aspects of daily living skills. Staff will provide appropriate mobility assistance, dining hall assistance, and verbal prompting when needed.
7. Continent.
8. 6-12 or 13-20 years of age

1. Learning Disabled, Mild Mental Retardation, PDD, High Functioning Autism.
2. 7-18 years of age
3. Non-physically aggressive to self or others.
4. Continent & self-sufficient with bathing, dressing, feeding & toileting. Verbal prompting, mobility assistance, and basic assistance will be given in regards to ADL’s & daily schedule of activities. Ability to communicate personal needs, follow directions, participate in daily activities in a group setting, and live peacefully in close quarters with up to 6 cabin mates.
5. Ratio of 1 counselor for every 4 campers.
6. Maximum enrollment 50 campers.

1. A maximum of 11 families will be registered.
2. The Family Retreat is a 4-day camp for families w/ a disabled child. Families will relax and enjoy the beautiful surroundings of Beacon Lodge Camp, meanwhile spending quality family time together in a barrier-free atmosphere.
3. Age range of child with disability is ages 6 to 17. Family members will be responsible for any personal care the child may have, dispensing child’s medications, and supervision of family during down time.

1. Mild to moderate mental retardation, mild Autism.
2. Non-physically aggressive to self or others.
3. Continent. Minimal assistance needed and/or verbal prompting for personal care (i.e. ADL’s)
4. Able to function in a camp environment with a ratio of 1 counselor for every 3 campers.
5. No severe behavior disorders.
6. Campers with a dual diagnosis will be reviewed on a case-by-case basis.
7. Maximum enrollment 45-50 (Dependent of staff availability & camper needs)

1. Vision requirement – 20/70 in better eye with best correction. (Legally Blind w/ best correction, totally blind, Macular Degeneration, Retinitis Pigmentosa, Glaucoma, etc.) Typically no mental retardation.
2. Non-physically aggressive to self or others. Non-verbally abusive.
3. Campers must understand staff is here to assist campers with basic needs in regards to mobility, direction, and camp activities; however, BLC promotes independence and asks campers to help themselves as much as possible in the cabin, at meal times, and during down time.
4. Independent in all aspects of daily living skills w/ appropriate assistance from staff w/ mobility. Ability to self bathe, dress, feed, follow directions, rules & policies, responsible for personal laundry if needed, and must be responsible to manage money in camp & during off-camp trips. MUST be responsible for travel arrangements, & tickets if applicable.
5. No behavior disorders. Must be able to live in close quarters in a cabin of up to 7 people and up to 100 campers & staff per session.
6. Campers must be able to function in a camp environment w/ a ratio of 1 counselor for every 6 campers. Must agree to adhere to all guidelines set forth by the Board of Directors and Camp Administration.
7. Maximum enrollment 41 men, 41 women, 8 married couples.