Camp Cost Early Registration (on/before June 17)$350 Registration (June 18 and later)$375 Optional: q Single room (as space permits)$12 q Parking permit (optional)$3 q q Registration Payment Please make checks payable to UWSP Camp Impact. Final payment due Thursday, June 30, 2016. Complete entire mail-in registration form and send to: UW-Stevens Point Continuing Education and Outreach 2100 Main Street, 032 Old Main Stevens Point, WI 54481 Register and pay online: www.uwsp.edu/campimpact Camp Impact is sponsored by UW-Stevens Point Continuing Education and Outreach. Fax: 715-346-3504; Phone: 715-346-3838. Pay by: q Check/Money Order q Discover/MasterCard/Visa Credit Card # ________________________________________ Expires ____________ Total_________________ q q Charge only $100 non-refundable deposit Charge the full camp tuition now Scheduled Highlights Friday: Check-in at 1 p.m., welcome, low ropes course, Team building activities Saturday: Central Rivers Farmshed Project Nicaragua Partnership Project Sunday: Culminating experience, Pave the Way activity, check-out and good-byes at 2 p.m. Housing & Health Services Camp IMPACT July 15-17, 2016 New on-campus camp for TEENS! Campers will be housed two to a room in a modern and convenient residence hall on the UW-Stevens Point campus. Each room includes fans, sheets and blankets. For added comfort, it is recommended to bring along your own pillow and towels. Please specify your roommate preferences on your camp application. Campers receive constant supervision as counselors room on the same floors. Camp Impact maintains a 5:1 camper-counselor ratio. Health care is available around the clock to assist with medication distribution, minor injuries or health concerns. Dining All meals are included and will be served in the Dreyfus University Center food court, which is also within easy walking distance of the residence hall and classroom. Dairy-free, gluten-free and peanut-free options are served at every meal. www.facebook.com/uwspcampimpact “Never doubt that a small group of thoughtful, committed citizens can change the world; indeed it’s the only thing that ever has.” – Margaret Mead The University of Wisconsin-Stevens Point is an Equal Opportunity/Affirmative Action Institution. “Be the change that you wish to see in the world.” – Mahatma Gandhi Camp Impact: July 15-17, 2016 Empowering teens who want to engage in the world around them and explore opportunities to build a better community. www.uwsp.edu/campimpact Immerse Yourself. Impact Others. Camp Impact is a three-day leadership camp designed to empower teens entering grades 9-12 who want to engage in the world around them and explore opportunities to build a better community. Camp Impact stretches the mind, fosters new attitudes and encourages creativity and imagination. Enhance your leadership skills at Camp Impact by: • working with others to achieve common goals • learning to give of yourself to help others • identifying your personal strengths • becoming an effective member of the team • connecting with community organizers to accomplish change With guidance from UW-Stevens Point faculty, you’ll work side-by-side with upper-class students who are already on their way to becoming change-makers in their communities. Community Connections Camp Impact Registration Form Camper First Name _______________________ Camper Last Name ________________________ Camp Impact is focused on helping others–locally and internationally. We will introduce you to local change organizers at Central Rivers Farmshed and the Wisconsin/Nicaragua Partners in Stevens Point as you gain hands-on experience. Birthdate___________________ Age__________ Start Earning College Credit Now! _________________________________________ Attend Camp Impact and enroll in Applied Community Impact (HD 397, sec 88) this summer and earn one college credit (for an additional fee). Details at www.uwsp.edu/conted/credit. q Male q Female Parent/Guardian Name ____________________ Address__________________________________ City______________________________________ State__________ Zip________________________ Parent Email______________________________ Home Phone______________________________ Cell Phone________________________________ School Name______________________________ Grade Entering (fall 2016) q9 q10 q11 q12 Check One q Night Owl q Early Riser Optional: Roommate Name__________________________ (payment on reverse side)