· Your Registration Form
· Deposit/Full Payment
United Stroke Alliance
2000 W. Pioneer Pkwy, Ste. 16
Peoria, IL 61615
1 month prior to camp:
- if you paid only the deposit at the time of registration, please mail your remaining balance due to the United Stroke Alliance office (address above).
Ways you can pay for your registration:
Cash/Check (mail to address above. Checks can be made out to Retreat and Refresh Stroke Camp. Please be sure to specify exactly who and which camp the payment is for!!
www.strokecamp.org (Pay Camp Fees)
Approximately 1 or 2 weeks prior to camp:
We will email or mail you (whichever communication method you indicated on page 1 of this form) a packet of information that includes :
- The Weekend Schedule
- Camp & Facility Information
- Packing Check Guide
- Directions to camp
- Health History Form
Day of camp:
Make sure you have packed everything you need. Please refer to the“Packing Check Guide” we mailed/emailed you if you need guidance. Don’t forget any adaptive equipment that is necessary for you to perform your activ-ities of daily living!
Health History Form-
Unless you have already mailed it to us, bring the COMPLETED health history form to check-in at camp. Be sure to include a copy of your medication list. We need this form for ALL participants: survivors, caregivers, and family members/friends. The form is available on the Camp Date/Registration page of www.strokecamp.org.
(if you have changed your mind and no longer plan to attend Stroke Camp, please call our offices immediately to notify us as many of our camps have a wait list of participants. (309) 688-5450)
GENERAL INFORMATION:What do we do at camp?
- A minimum $25 (nonrefundable) per person deposit is requested with this application. Remaining balance is due one month prior to camp to the retreat weekend and is nonrefundable except in the case of a medical emergency. If you are registering less than one month prior to camp, the entire fee is due at this time. You can pay your camper fees by mailing a check payable to Stroke Camp. Once we have received your registration form/deposit, we will email or mail you (whichever communication method you indicated on page 1 of this form) a confirmed email/postcard.
- Camp Check-in is between 1:30pm and 3:30pm on Thursday! Please make arrangements with you schedule so that you are able to join us for the start of the weekend.
Crafts, games, educational sessions, resources, pampering, friendships, good food, hiking/walking, discussion groups, informal chat with experts, Wii, entertainment, relaxing, and more!
Outdoor activities will vary by retreat center location and time of the year, but may include fishing, boating, rock wall climbing, and swimming. The entire weekend is carefully planned for stroke survivors, caregivers, and family members. Activities are modified so that everyone can participate. Volunteers will support and assist you throughout the weekend. Visit www.strokecamp.org for more information about camp!
Rooms are double occupancy with twin and double beds and a private bathroom. Survivors attending without a caregiver may be paired with another survivor of the same gender when appropriate. Handicapped rooms will be assigned according to availability and need.
Retreat & Refresh Stroke Camp (RRSC) does its best to review registrations. It is the responsibility of the registrant to submit a complete and accurate registration. RRSC reserves the right to reject or revoke a registration that it deems is inaccurate, incomplete, or for which registrant would not be suitable for RRSC’s program(s), as determined in RRSC’s sole and absolute discretion.