St. Croix Chippewa Indians of WisconsinSt. Croix Tribal Summer Youth Camp

2021 Summer Youth Camp Application

St. Croix Tribal Summer Youth Camp 2021

2021 SUMMER YOUTH CAMP

CAMPERS APPLICATION

Leisure Lake, Spooner, WI. Camp Phone Number: (715) 635-3055

July 12-14, Ages: 7-10 Camp Opens 3pm Mon. 12th

July 19-21, Ages: 11-13 Camp Opens Noon Mon. 19th

Select One

Day Camp 3-6pm

Overnight Camp 8-10pm

Transportation will be parents responsibility to and from camp.

Any questions call Mark Soulier (715) 520-2272

PLEASE SUBMIT ONE APPLICATION PER CHILD

Child Name *

First

Last Name *

Last

Age *

Birthdate

Address

Parent Phone Number *

City

Emergency Contact Number *

School

Grade

Parent/Guardian First Name *

First

Parent/Guardian Last Name *

Last

Parent/Guardian Email *

The Parent/Guardian signature gives:
A.) Consent for child to attend St. Croix Summer Camp.
B.) Camp Staff permission to seek emergency medical treatment for your child if needed.
C.) St. Croix Summer Camp permission to use pictures and live video of your child.

Parent / Guardian Signature

Clear

Date

Allergies (Medical, Food, Plants)

Special Instructions

Things to bring to camp: Sleeping bag or blanket and pillow, warm clothing for evenings, jacket, shorts/swimming suit, towel, wash cloth, tooth paste, toothbrush, hairbrush, bar soap, shampoo, sunscreen and fishing gear.

Your name labeled on belongings

DO NOT BRING: Cell Phones, CD Players, MP3 Players, Gaming Systems, Portable Gaming Systems, Fireworks or Weapons. Camp/Staff is not responsible for lost or stolen property.

Camp Rules for Youth


NO alcohol, drugs or smoking allowed.	NO fighting or swearing.
NO swimming without permission.	NO leaving camp without permission.
MUST attend and participate in all activities scheduled for group.	MUST remain in your cabin after lights out.
MUST respect your elders, cabin leaders, staff, cooks and presenters.	MUST respect all other campers.
NO going into other cabins without staff permission.	More rules may apply when Camp begins.

I have read the rules and agree to follow them. Sign below.

Child Signature

Clear

If you are human, leave this field blank.

St. Croix Tribal Summer Youth Camp

2021 Summer Youth Camp Application

St. Croix Tribal Center