MEDICAL RELEASE

My daughter, _____________________________,
has permission to attend the Sewjourners Camp in
Cleveland, Wisconsin. In the event of a medical
emergency, I further give consent for the administration of first aid, her transfer to a medical facility
and the administration of treatment deemed necessary by such facility. I understand that every reasonable effort will be made to contact me. In the event
of an emergency I can be contacted at:
______________________________________

I hereby release the

the staff
staff of
of the
the Sewjourners
Sewjourners Camp,
Camp
Wynncliff,
Inc.Cultural
and Sherlake
Cultural
from
and Sherlake
Center
from Center
all liability
all
thattaken
may be
as aofresult
forliability
actions for
thatactions
may be
as taken
a result
this
of
this authorization.
authorization.
Signature: ______________________________
Date: __________________________________
Insurance Company: ______________________
Policy Number: __________________________
Date of last Tetanus Shot: __________________
Are there any medical conditions you would like to
make us aware of ?
______________________________________
Allergies? _______________________________
Medications? ____________________________
Do you give your daughter permission to swim?
Yes
No

DIRECTIONS
TO

WYNNCLIFF

Take I-94 North towards Milwaukee. As you near

Milwaukee, I-43 is identified. Take I-43 North
through Milwaukee towards Green Bay. Stay on
I-43 for about one hour and exit at CLEVELAND
Exit #137 (Kiel). Turn right at end of ramp exit and
go east until you reach the end. You will see Lake
Michigan. Turn left on highway L.S. (Lake Shore) and
go three miles north to farm driveway. Sign on right
side Wynncliff marks the driveway. Turn right on
driveway and proceed about 1/2 mile to the house.
There is a large barn and house immediately before
11811
Lake Shore
Road Acres in the
our driveway and
a small
sign Shore
Cleveland, WI 53015
front yard.

Telephone(920)
(920)726-4370
726-4370
Wisconsin Telephone

N !

July 10th - 16th, 2016

J 7THor
- 13TH, 2013
July 24th - OR
30th, 2016
J 21ST - 27TH, 2013

Located on Lake Michigan in a great old farmhouse,

Sewjourners Camp is a time for learning and
growing, having fun and making friendships.

ACTIVITIES INCLUDE:
Sewing
Swimming
Sports
Drama
Arts and Crafts
And More!
But because theres more to life than having fun,
weve made time for talks and discussions to think
about whats important to you. There will also be an
opportunity for daily Mass, Rosary and classes on the
Catholic faith.
Enjoy learning new sewing skills as well as growing in
friendships and in faith while youre having fun in the
sun.

FACTS
July13
16thth, 2013
, 2016
When: July 10
7thth- -July
OR
July 24
21thst -- July
June30
27thth, ,2016
2013
Where: Wynncliff Farm in Cleveland,
Wisconsin (midway between
Sheboygan and Manitowoc)
Cost: $435
$375
Who sponsors the Camp?
Sewjourners Summer Camp is sponsored by Sherlake
Cultural Center, a non-profit organization that
promotes educational and cultural programs for
young women. Activities of spiritual and doctrinal
formation offered at the Center are entrusted to
Opus Dei. Opus Dei is a personal Prelature of the
Catholic Church which strives to encourage the
practice of Christianity among lay faithful through
their ordinary occupations.
How do I apply?
Mail your application with a $100
150 deposit to:

APPLICATION

Name:_________________________________
Name:_________________________________

Address:________________________________
Address:________________________________

City/State/Zip:__________________________
City/State/Zip:___________________________

Telephone:______________________________
Telephone:______________________________

Email:_________________________________
Email:__________________________________
Date of Birth:___________________________
Date of Birth:____________________________
( for girls who have had their 10th birthday by June 1,
2016
and who will not be turning 14 years old during
School:_________________________________
the camp)
Grade:_________________________________
School:________________________________
Choice of camp:
Grade:_________________________________
(please indicate 1st and 2nd choice)

Choice
of camp:
_________
July 7th - July 13th
(please indicate 1st and 2nd choice)
_________ July 21st - July 27th
_________ July 10th - July 16th

Hip size___________________
Waist
size__________________

th
For your pattern
T-shirt
_________
July 24and
- July
30th size, please indicate
the following:
For your pattern and T-shirt size, please indicate
Bust size___________________
the following:
Waistsize___________________
size__________________
Bust

(Make checks payable to: Wynncliff, Inc.)

Hip size___________________

Maureen Kiernan
379 Bridle Lane
Lake Forest, IL 60045
Spaces are limited and will be filled on a first come basis.
Questions?

Jackie Winn

Please contact:
Questions?
Jackie Please
Winn (847)
235-5095
contact:
jacquelinewinn @aol.com
Maureen Kiernan (773) 251-3387
Maureen Kiernan
maureenkiernan@yahoo.com

sewjourners@yahoo.com
Monica
Larson (847) 295-2137
mwlarson912@aol.com