WHEN:         July 21-24, 2009     

   WHERE:          Lake Afton (Sedgwick County, Kansas)

   WHO:              150 Area Youths Between the Ages of 11 and 15 Years of Age

   COST:             Free

 

MISSION:           The Sedgwick County Sheriff’s Office, with the support of the Kansas Army National Guard, is conducting its Fourteenth Annual L.A.W. Camp from July 21-24, 2009, at Lake Afton County Park. We are creating a partnership between law enforcement and youth by providing a positive experience using law enforcement personnel as role models, building self-esteem, confidence, and trust by involving the participants in activities that stimulates their interest. This will be an overnight camp and participants are expected to remain with their squads during this time period.

 

ACTIVITIES:  There will be a show and tell to include: an air ambulance, firefighting vehicles, E.M.S. ambulance, law enforcement vehicles, and an Army Blackhawk helicopter flyover. Fourteen other activities are planned as follows:

                               Wall Climb                                       Self-Esteem

                                                             Marksmanship                                   Swimming

                                                              Volleyball                                         Walk & Talk

                                                             Team Building                                   Rope Bridge

                                                              Fishing                                              Relay Race

                                                              SWAT Deployment                           Self-Defense Demonstration

 

Applications will be handled on a first come, first served basis. Applications will not be accepted after June 20th, 2009. Please fill out the whole packet.  If it is not properly completed, there could be a delay in processing your child’s application.

 

If you cannot attend for any reason, please call Lt. Brenda Dietzman at 660-3880 to cancel.  This will free up a space so another camper can attend.

 

If you are selected to go to L.A.W. Camp, an acceptance letter will be mailed to the address on your application during the first week of July 2008.

 

Contact or mail applications to:         Lt. Brenda Dietzman

Sedgwick County Sheriffs Office

141 W Elm

Wichita, KS 67203

Phone (316) 660-3880

 

 

 

             Sedgwick County

                Sheriffs Office

 

       L.A.W. Camp Application

 

 

CAMPER INFORMATION

Name:

Address:

City:

State:

Zip:

Home Phone:

Cell Phone:

Date of Birth:

Age:

Email Address:

Sex:

Race:

Grade:

PARENT INFORMATION

Father’s Name (Address & Phone if different from campers)

Mother’s Name (Address & Phone if different from campers)

Father’s Place of Employment

Father’s Employment Address

Father’s Employment Phone

Father’s Cell Phone

Mother’s Place of Employment

Mother’s Employment Address

Mother’s Employment Phone

Mother’s Cell Phone

ALTERNATE CONTACT INFORMATION (for emergency purposes)

Alternate Contact Last Name, First Name, and Address:

Phone:

Employed By:

Work Address:

Work Phone:

MEDICAL INFORMATION

Family Doctor:

Address:

Phone:

Alt. Phone:

 

What Allergies, if any:

Medications & times to be taken:

Special or unusual medical conditions that the camp director should be aware of, please include handicaps:

Please use back of application if necessary for further explanation.

Medical Insurance Carrier:

Policy Number:

In the event that the listed parent(s) or alternate emergency contact cannot be reached, I give permission for emergency treatment as outlined in the included medical release form.

Signed:

Date:

Signed:

Date:

Nominated by:  Sheriff’s Office    National Guard   Big Brothers/Big Sisters

                          CIS                      Other _________________________________________