PARTNERS

Registration ContinuedParent/Guardian Authorizations I understand that a deposit of $30 for each camp session is the minimum payment required for each registration in order to complete the process. In the event a youth cannot attend a session and notice is received at least two weeks prior to the opening of that session of camp, all monies except the deposit will be refunded. No refunds will be given for youth leaving camp once a session has started. I give permission for my child’s picture to be used by Camp Fire USA. Use of such pictures may include, but is not limited to, brochures, video, and Internet web sites promoting or reporting on the camp and/or the American Camp Association. I waive any claims that may arise from my child’s participation in Camp Fire activities. I understand that in case I cancel a camping program the deposit will not be refunded. (Parents are urged to contact the Camp Fire office for more information about this camping session in order to recognize the nature of the activity to which they are giving consent.) I understand that in order to provide a safe and cooperative group experience, a child may be dismissed from the program for any reason including behavior, illness/injury, or homesickness. My child has permission to participate in all camping activities, including hikes and scheduled field trips, and be transported by camp for any scheduled activities away from camp property.

Signature of parent or legal guardian:

___________________________________________________ Date: _________ Total Amount Paid: ____________________ Method of Payment: Cash Check Visa MasterCard Name on Card: _______________________________________ Visa/MasterCard#: ____________________________________ Expiration date: _______________________________________ Signature: ___________________________________________

Register online at http://www.campfireusa.org/heartland_programs.aspx

Phone: 816–285–2006 E-mail: HeartlandInfo@campfireusa.org

2011

Camp Fire USA Heartland

Program and Innovation Center

Pictured above: Sugar Creek Cabin

Location: Camp Fire USA Camp Shawnee @ Camp WildwoodDates: June 27-July 1, 2011Location: Wildwood Outdoor Education Center, La Cygne, KS. Just one hour south of theKansas City metro area.One week overnight camp beginning Monday at 9am, and closing Friday at 4pm.Who can attend: Boys and Girls 8 – 14 years old Cost: $390 per camperThis summer the Camp Shawnee experience will occur at a new location! Campers will get to participate in cookouts, hiking, creative arts, swimming, outdoor living skills, canoeing, climbingon the adventure course and living the cabin life.

Week 1 - June 13-17, 2011 Rollin’ in a New

Summer

Start summer right with making new friends, try new adventures, hike the

Week 2 – June 20 – 24, 2011 Time Machine using a stick, try knot tying and discover how to build a shelter in the forest.

Week 3 - June 27- July 1, 2011 Camper Challenge Bring a sense of adventure as we travel through obstacle courses and

discover our path through scavenger hunts.

Week 4- July 5 – 8, 2011

(No session on Monday)

International Bonanza Come celebrate, enjoy and discover new fun facts about other countries

and cultures.

Week 5– July 11 – 15, 2011 Art-rageousCreativity will be extreme this week! Express yourself through painting,

drawing, music, and acting!

Week 6 – July 18 – 22, 2011 Walk on the Wild Side Four-legged friends, swampy reptiles, and creepy crawlies will climb their

way into our hearts as we learn about different animals, habitats and

Week 7 – July 25 – July 29,

2011

Splash!This week will be all about water and the different ways we can stay cool

with H20 fun.

Week 8 – August 1 – 5, 2011 Explore S’moreLearn some great outdoor skills like using a compass, building a campfire

and traveling the forest for outdoor adventures.

Week 9 – August 8 – 12, 2011 Best of Day Camp Whether you’re new to camp or have been waiting all school year to be

outside for the whole day, this session is for you!

Weeks 1-9Teens In Action (TIA)

(Boys and Girls 12-14

years old)

This camp is purposefully small from 8-10 teens spending the week hiking,

swimming, learning outdoor skills, creating art and participating in many

other camp activities. Teens will also participate in a service project each

week at camp or in the community.

Location: Camp Lake of the Woods (inside Swope Park)

Bring: Sack lunch, refrigerators available. Morning and afternoon snack provided. Who can attend: Boys and Girls 6 – 11 years oldDAY CAMPS

Scholarships Available!

Who ca

OVERNIGHT CAMP

Camp Fire USA Heartland Program and Innovation Center E-mail: HeartlandInfo@campfireusa.org or call 816–285–2006

Scholarships Available!

Teens in Action

Week 1 ($200)

Week 2 ($200)

Week 3 ($200)

Week 4 ($160)

Week 5 ($200)

Week 6 ($200)

Week 7 ($200)

Week 8 ($200)

Week 9 ($200)

Total

Price Total

Week 1—Rollin’ in a New Summer $200.00

Week 2—Time Machine $200.00

Week 3—Camper Challenge $200.00

Week 4—International Bonanza $160.00

Week 5—Art-rageous $200.00

Week 6—Walk on the Wild Side $200.00

Week 7—Splash! $200.00

Week 8—Explore S’More $200.00

Week 9—Best of Day Camp $200.00

Day Camp at Swope Park

Camp Fire USA Heartland ProgramsRegistration Form 2011

To Register: 1. Complete this registration form. 2. Enclose in an envelope: ▪ Your completed registration form. ▪ $30 nonrefundable deposit for each session (applied to total fee). 3. Mail to: Camp Fire USA Heartland Programs, 1100 Walnut Street, Suite 1900, Kansas City, MO 64106. Register online athttp://www.campfireusa.org/heartland_programs.aspx

Camper’s Name: ____________________________________ Boy _____ Girl _____ Age _____ Grade in Fall _____ Address ___________________________________________ City __________________ State ____ Zip Code _________ School ____________________________________________ Parent/Guardian ____________________________________ Daytime Phone _________ Residential Phone ___________E-mail (for confirmation) __________________________________________________ Preferred Parent Contact During Program ________________ Drop-off/Pick-up Times ___________ / ____________ Person Other Than Parent or Legal Guardian and Contact Number (for emergency only) __________________________________________________

Camp Fire USA Camp Shawnee Price Total

June 27–July 1—overnight $390.00ll also participate in a se

nity.