CAMPERS NAME:                                                                                             AGE                  SEX                  

ADDRESS                                                                                  CITY                                            

 STATE               ZIP                            

 HOME PHONE                                  BUSINESS PHONE                                       

HOME MEETING/CHURCH                                    

CAMP YOU WISH TO ATTEND                                                         

GRADE (07-08)                                             

I hereby give my permission for                                                  to attend Quaker Knoll Camp and participate in all activities. In case of emergency, I authorize the Camp Director to consent to any emergency X-ray exam, medical, surgical, or dental diagnosis or treatment recommended by qualified medical personnel in my behalf for                                                               during camp.
I agree not to hold Quaker Knoll Camp Board responsible for accidents.

_______________________________________________________
Parent or Guardian Signature        

                              
Emergency Phone Numbers                                                             

                          
Insurance Company                                                              Policy Number                                       

List any allergies, special medical problems or medication currently being taken:  

______________________________________________________________________________________________________

Register at your local meeting on or before May 1, or send form and registration fees to:  
Wilmington Yearly Meeting, 1870 Quaker Way, Pyle Center Box 1194, Wilmington, OH 45177  

Do Not Write Below this Line. FOR OFFICE USE ONLY

  Registration fee  
  Date
  Balance Due at check-in

  2007 QUAKER KNOLL CAMPS 2007 INFORMATION:
Registration for camps begin at 2:00 PM. Campers should be picked up at 10:00 AM. Day Camp runs from 10:00 AM to 5:00 PM daily.
All 2007 Camp registrations must be received by May 1 to take advantage of the early registration fee. Cancellations receive full refund if the Yearly Meeting Office is notified one week In advance of the camp. Otherwise the Registration fee will be kept. All Camp fees must be paid in  full by check-in time. We encourage families and Monthly Meetings to pay fees at least one week in advance of camp to simplify registration procedures.
All 2007 Camps will incorporate an important aspect of Christianity and Quakerism geared to each age level so that our camps are a meaningful experience to all who attend. Please keep leaders, staff and campers in your prayers. Theme: LIVING STONE I Peter 2:5
In order to provide Christian growth and continuity of program, we strongly encourage attenders to remain in camp for the entire program.
LOCATION: Quaker Knoll is 7 miles southwest of Wilmington, Ohio, off State Route 730 by. Lake Cowan. The address: 675 Sprague Road, Wilmington, OH 45177. TELEPHONE: EMERGENCY CALLS ONLY:(937-382-5241) or the Yearly Meeting Office 937-382-2491.
FACILITIES: Residential cabins with bunk beds, bathhouse, hot and cold showers, dining hall/meeting room, located on 38 acres of land. Hiking trails, volleyball, basketball, baseball, fit swimming available.
MEDICATIONS:  If regular medications are taken please inform Camp Director at the beginning of camp.
Gates to campgrounds will remain closed until beginning of registration for each camp - Please respect this - no early arrivals.
MARK YOUR NAME ON ALL BELONGINGS!!!
ALL CAMPERS WILL BE REQUIRED TO SIGN THE CODE OF CONDUCT BRING: Bible, notebook, sleeping bag or bed roll for bunk bed, pillow; clothes for hot days, cool nights at outdoor activities; protective clothing for hiking; extra shoes to keep feet dry (grass is wet in mornings); swimsuit (NO TWO PIECE SWIM SUITS), soap, towels, etc., mosquito repellent, flashlight. PLEASE DO NOT BRING OR USE ANY ELECTRONICS, ELECTRIC CLOCKS, CLOCK RADIOS,, WATER GUNS, PERSONAL FOOD GUM OR DRINKS. TOBACCO PRODUCTS, ALCOHOL, NON PRESCRIPTION DRUGS, KNIVES, FIREARMS AND FIRECRACKERS ARE PROHIBITED.
Directors may contact campers concerning specific items needed for their camp.

 DAY CAMP: June 11-15 
10 AM to 5:00 PM daily
4 years to entering grade 2
Cost:$70 Before May 1 after May 1 $85 

 BEGINNER CAMP: June 18-20
 arrive 2 PM, ends 10:00 AM
 entering 3rd-4th grade
 Cost: $90 before May 1 after May 1 $110  

JUNIOR CAMP: June 20-23
arrive 2 PM, ends 10:00 AM
entering 5th-6th grades
Cost: $ 120 before May 1, after May 1 $140  

JUNIOR HIGH CAMP: June 25-30
 arrive at 2 PM, ends 10 AM
 entering 7th-8th grades
Cost: $185 before May 1, after May 1 $210  

SENIOR HIGH CAMPS: July 5-9
 arrive at 2 PM, ends 10 AM
entering 9th through graduation
Cost: $175 before May 1, After May 1 $200
Camp Picture and T-Shirt included in cost