<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40"><head><META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=us-ascii"><meta name=Generator content="Microsoft Word 14 (filtered medium)"><style><!--
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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal>July 20, 2018<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Memo To: Chapter & Division Presidents & Others<o:p></o:p></p><p class=MsoNormal>From: Frank Coppel, Director of Senior Camp<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal> Rocky Bottom Retreat and Conference Center of the Blind is a year round facility available free of charge to the blind of South Carolina and their family, located in the picturesque mountains of Pickens County in the northwest corner of the state. Rocky Bottom Retreat and Conference Center of the Blind has been in operation since 1979, providing positive recreational and educational programs designed to improve the quality of life for blind persons of all ages.<o:p></o:p></p><p class=MsoNormal> Rocky Bottom Retreat and Conference Center of the Blind is pleased to announce its Fall Senior Camp, designed for legally blind adults as 55 and over. The camp will begin on Sunday, September 16, at approximately 6:00 p.m. (supper provided) and end on Thursday, September 20, 2018 (breakfast provided prior to departure). The camp is free of charge and there will be a maximum of 25 campers. Eligible campers who have never participated will be given first priority. Those eligible campers who have not attended the most recent camp, will be given second priority, and any other available spaces will be filled on a first-come, first-accepted basis. WE ARE ENCLOSING A NEW MEDICAL FORM WHICH MUST BE FILLED OUT AND SIGNED BY YOUR PHYSICIAN IN ORDER FOR YOUR APPLICATION TO BE PROCESSED. Since the 2018 Spring Senior Camp had to be cancelled, those individuals who were scheduled to attend the Camp in May will be given priority and will only need to submit an application for the Fall 2018 Senior camp. Also, to ensure the safe and efficient travel for everyone, the transportation service will pick you up and return you only to your home address or address listed on the application. There will be scheduled activities including educational and recreational programs, field trips and entertainment. You will need to bring personal money to use on field trips.<o:p></o:p></p><p class=MsoNormal> There will be an opportunity to purchase Rocky Bottom souvenirs. To apply, please complete the enclosed application and return it to the specified address, listed on the application. You will be notified of your acceptance. All applications and MEDICAL FORMS must be returned to the specified address in the application no later than Friday, August 17, 2018 to be considered for the Fall session of Senior camp. If you need additional registration and medical forms, you may make copies, or let us know and we will be glad to provide them for you. If you have any questions, please contact me at (803) 796-8662, or email: frankcoppel@att.net. Please remember to send all of your members that are 55 years of age and older this information as soon as possible. We hope to see you at camp!<o:p></o:p></p><p class=MsoNormal> <o:p></o:p></p><p class=MsoNormal> <o:p></o:p></p><p class=MsoNormal> <o:p></o:p></p><p class=MsoNormal>APPLICATION - ROCKY BOTTOM RETREAT AND CONFERENCE CENTER OF THE BLIND - Fall SENIOR CAMP, September 16-20, 2018<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Please complete and return no later than August 17, 2018 and mail to:<o:p></o:p></p><p class=MsoNormal> Senior Camp<o:p></o:p></p><p class=MsoNormal> Rocky Bottom Retreat & Conference Center of the Blind <o:p></o:p></p><p class=MsoNormal> 119 S. Kilbourne Rd.<o:p></o:p></p><p class=MsoNormal> Columbia, SC 29205<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Name: _____________________________________ <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Male: ___ Female: ____ <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Birthdate: ________________________________ Age: ______________<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Address: _____________________________________________________<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Primary Phone: ________________________ <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Alternate Phone: _______________<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Name of Emergency Contact: __________________ <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Phone: ______________<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>We will need the enclosed medical form filled out and signed by your doctor indicating that you are able to take care of your own personal needs. We will also need a list of your medications and allergies. Your application will not be processed without this information.<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Transportation Arrangements<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>_____ returned to your home address (address listed on the application).<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>_____ Transportation will not be needed <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Signature ______________________________________<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Eligibility requirements: Must be legally blind and 55 or older.<o:p></o:p></p><p class=MsoNormal>Rocky Bottom Retreat and Conference Center of the Blind<o:p></o:p></p><p class=MsoNormal>Senior Camp Medical Form<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>The requested information must be completed by a licensed physician.<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Name of Patient: ______________________________________________<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Does this individual have any major health conditions the camp medical staff would need to be made aware of, including food or drug allergies? Yes___ No___<o:p></o:p></p><p class=MsoNormal>If yes, please list them here:<o:p></o:p></p><p class=MsoNormal>____________________________________________________________<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>____________________________________________________________<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>____________________________________________________________<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>____________________________________________________________<o:p></o:p></p><p class=MsoNormal>Note: We will need to know of food allergies in advance to notify the cafeteria staff.<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>____________________________________________________________<o:p></o:p></p><p class=MsoNormal>To the best of your knowledge, is this individual able to manage his/her daily living needs such as bathing, dressing, and feeding themselves? Yes___ No___<o:p></o:p></p><p class=MsoNormal>Comments:<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>____________________________________________________________<o:p></o:p></p><p class=MsoNormal>Does this individual need assistance with administering any medication? Yes___ No___<o:p></o:p></p><p class=MsoNormal>Comments:<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>____________________________________________________________<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Signature of Physician__________________________________________<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Date: _______________________________________________________<o:p></o:p></p></div></body></html>