2026 Camp Rakas Registration Form

Camp Rakas Registration

July 15-25 2026
2026 Camp Rakas Cover Letter

July 15-25, 2026
Dear scouts and parents,

Scout camp will be held at Camp Rakas in Custer, Michigan beginning Wednesday, July 15th (12:00 p.m. EDT) through Saturday, July 25th (12:00 p.m. EDT). Only registered members of the Lithuanian Scouts Association will be accepted. Jaunos Seimos/Family Camp program will only be running from July 15th-July 21st.

REGISTRATION

Below you will find the registration for Camp Rakas 2026. The registration deadline for all adults(18 years and older) is June 1st. The deadline for campers (17 years and under) is June 15th. Please note that a $50 late fee will be applied to all registrations after June 15th. If registrants are unable to attend camp, the fee (minus $50.00) will be refunded after camp.

NOTES

Campers may attend camp without parents starting at age 7.

Children ages 5 and 6 must have a legal guardian at camp and can participate at camp in the appropriate children's programs (i.e., paukstytes, udrytes, vilkai, bebrai). They can sleep in the campsites of these groups with their legal guardian as long as they have participated in the programs of these groups during the school year. Opposite gender guardians will have a designated area for sleeping with their child. The legal guardian will be expected to participate with their childs’ program as an aid or helper for the duration of the camp.

It is the responsibility of parents to bring and pick up their children. If you have any questions, please contact your child's leaders or tuntininke(as).

All campers must be fully registered members of the Lithuanian Scouts Association, who have paid the 2025-26 membership fee and were active members in 2025-2026. This requirement may be waived for guests and adults invited to fulfill certain leadership positions at the discretion of camp leadership. For young families, at least one adult and all children must be registered with LSA.

The camp is conducted according to the principles and rules of scouting ideology. Campers must familiarize themselves with the camp rules and promise to follow those principles and rules.

If you are a vegetarian (vegetarian or vegan), please note this information on the Health History Record form under "Explain Any Special Health, Behavioral or Emotional Considerations".

All adults (18+) are considered leaders and every adult will be assigned responsibilities. The DCFS background check and Sterling Volunteers online background check are mandatory for all adults spending 2 or more nights at camp. Parents whose children will be participating in the Young Families Program are required to attend with their children and complete all background checks.

OFF-SITE EXCURSIONS

• Campers may participate in off-site excursions at the discretion of camp leadership.

• When registering their children for the camp, parents give permission for their children to participate in camp outings.

Please complete a registration and price sheet per child/adult. You will automatically migrate to required forms based on the age entered at the start of the form.

Adults: Please download the DFCS 689 form, fill it out with WET SIGNATURE then scan and upload it as a pdf to the registration form.  The State of Illinois does not accept e-signatures or photos of the form. You will also need to download the references sheet to complete and upload to the registration form. Please be prepared to upload any certifications to the personnel record. You will not be able to submit registration until all of the above is completed.

An additional background check via Sterling Volunteers is also required by the State of Michigan. Directions for this background check will be emailed to registered adults prior to the start of camp.

GUESTS

Anyone who visits the camp for one day and/or spends one night will be considered a guest. Upon arrival at the camp, guests will register with the registration coordinator. Guests are encouraged, but not required, to make a donation.

COMPLETE REGISTRATION FORMS AND FEE BY JUNE 1st for ADULTS AND JUNE 15TH FOR CAMPERS 17 AND UNDER

Please see the price sheet at the end of registration.

If you have any questions, please contact:

Aušros Vartai – Kernavė: s. fil. Viki Barr avktuntininke@gmail.com

Čikagos vietininkija: v.s. Ieva Zigmante ieva.zigmante@gmail.com

g. Elena Tuskenis etuskenis@gmail.com

Lituanica: j.s.fil. Aras Galinaitis lituanicostuntininkas@gmail.com

Nerija: g. Andrea Mikenas juruskautes@gmail.com

Camp Directors: s. Ramune Barkauskas, p.s g. fil. Birute Rundell: rakascampdirector@gmail.com

Rakas Izdininike: p.s. Julyte Andriusis  Sese.Julyte@gmail.com



Budėkime! Gero vėjo! Ad meliorem!

Campers Name*

First NameLast Name
Birth Date*

MonthDayYear
Sex*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Campers Email (if available)
example@example.com
Campers Phone Number (if available)

Area CodePhone Number
Tuntas/ Council of Camper*
Pastovkle/ Campsite of Campers and Leaders *
Parent or Guardian Name*

First NameLast Name
Relationship to Child*
Parent or Guardian Email*
Parent or Guardian Mobile Phone Number*

Area CodePhone Number
Parent or Guardian Home Phone Number Number

Area CodePhone Number
Individuals name other than parents or legal guardian that child may be released to

First NameLast Name
Individuals phone number other than parents or legal guardian that child may be released to

Area CodePhone Number
Individuals name other than parents or legal guardian that child may be released to

First NameLast Name
Individuals phone number other than parents or legal guardian that child may be released to

Area CodePhone Number
Media Release Form

In an effort to recognize camper achievements and highlight camp programs, the leaders often takes photographs or videos. These photos and videos are provided to each tuntas and placed on our website and/or used for social media posts.

Videotaping and photographing individuals provided that the parent/guardian or individual has not refused the use of the individuals identity.

General images of children in which a student is not identified do not require parental permission.
I the camp the right to identify your child in any published photographs, video, or media coverage.*

I allowI deny
Parent or Guardian Work Phone Number Number

Area CodePhone Number

References and DCFS- ADULT (18 years or older)

All campers 18 years or older must have recommendations from 3 references. References may be contacted prior to camp start date. They will be asked whether the applicant who is attending Camp Rakas is suitable for a camp position. Please download, print the form below and reattach once you have obtain 3 references and signatures. REFERENCES CANNOT BE FAMILY MEMBERS. DCFS forms must be downloaded, completed with WET SIGNATURE and uploaded as a PDF
Click here for Reference Form
Attached Signed Reference Sheet Here*

Browse Files

Cancelof
Click here for DCFS Paperwork to download
Attach PDF WET SIGNED DCFS Form Here. NO PICTURES OF FORM*

Browse Files
PRINT FORM, WET SIGN (HAND SIGN), and RE-ATTACH HERE AS PDF ONLY Cancelof

ALL AGES Rakas Consent Forms

July 9-19 2025
GENERAL CAMP CONSENT (ALL Campers Regardless of Age):

Camp Rakas Safety & Conduct Guidelines
To ensure a safe, respectful, and enjoyable experience for everyone, all campers, counselors, staff, and visitors must follow these rules at all times. A camper may lose camp privileges leading up to removal from camp if rules are broken.

1. Prohibited Items

The following items are strictly prohibited at camp:

*Weapons of any kind (including firearms, or any item used to threaten

or harm others

*Fireworks or explosives

*Alcohol, Illegal drugs, controlled substances, smoking materials, vaping devices, or tobacco products

* No outside food or drinks (other than water) are allowed inside tents

* No Pets or animals (unless pre-approved service animals)

* No cell phone usage during camp. Phones may only be used to take pictures.

Any prohibited items found at camp will be confiscated. Possession of these items may result in disciplinary action, including dismissal from camp. The camp administration reserves the right to search belongings if there is reasonable suspicion of rule violations.

2. Bullying & Hazing Policy

Camp is a place where everyone should feel safe and included.

* Bullying of any kind is not tolerated. This includes physical, verbal, social, or online behavior that hurts, threatens, or excludes others.

*Hazing, initiation rituals, or any activity that humiliates, pressures, or harms another camper are strictly prohibited.

*Encouraging or participating in bullying or hazing is also not allowed.

*Any camper who experiences or witnesses bullying or hazing should report it to a counselor or camp staff member immediately.

*Incidents of bullying or hazing will result in disciplinary action, including dismissal from camp.

3. Campsite Boundaries & Visiting Rules

Campers may not enter another campsite without permission. This includes all campsites, including the Lake and the Dragonfly property. Before visiting another campsite:

* Obtain permission from your own counselor.
* Receive approval from the counselor of the campsite you wish to visit.
* Respect the privacy, space, and belongings of others.
* Return to your campsite at the agreed time.
* No camper is allowed to enter a tent of the opposite sex

Entering another campsite without permission outside of established hours is not allowed and may result in loss of privileges and may lead up to removal from camp.

4. General Expectations
All campers and counselors are expected to:

*Follow counselor and staff instructions.
*Treat others with kindness and respect.
*Respect camp property and the natural environment.
*Help maintain a safe and positive camp community.

These guidelines are in place to protect everyone and ensure camp remains a fun, safe, and welcoming experience for all.

If you are unsure whether something is allowed, ask a staff member before proceeding.

Health Rules
Health Screening Upon Arrival
All campers must pass a health screening upon arrival at camp. Camp staff reserve the right to deny admission to any camper who exhibits symptoms of illness.

Do Not Attend if Sick
Campers should not attend camp if they are experiencing symptoms of illness.

Illness During Camp
If a camper becomes ill while at camp:

The camper will be evaluated by the camp’s medical staff.
Parents/guardians are required to pick up their child within 24 hours of notification by the medical team.
Parental Cooperation & Camp Discipline Policy
Camp organizers respectfully request that parents/guardians emphasize to their children the importance of following all camp rules and policies.

By registering for camp, campers and their parents/guardians acknowledge and fully understand that compliance with camp rules, instructions, and established discipline standards is mandatory.

Failure to follow the rules, orders, or behavioral expectations established by the camp may result in dismissal at the discretion of the Camp Directors.

If a camper (or participating adult, if applicable) is dismissed:

Parents/guardians will be notified immediately.
Parents/guardians are responsible for arranging prompt pick-up.
The camper (or adult participant) must leave the camp premises as directed.
The camp reserves the right to enforce all policies in order to maintain a safe, respectful, and orderly environment for all participants.
Date Signed*
Signature*

CHILD (0-17 years old) Shooting and Archery Range Forms
SHOOTING RANGE CONSENT (ages 6-9):

I consent to my child participating in the shooting range using a BB gun only. I understand that this involves my child learning about and using a gun/rifle under the supervision of certified staff. Please check a box.
Please ensure all information provided is accurate and complete. Thank you!
Shooting Range Consent*

Yes, I consent.No, I do not consent.N/A
SHOOTING RANGE CONSENT (ages 10-17):

I consent to my child participating in the shooting range. I understand that this involves my child learning about and using a gun/rifle under the supervision of certified staff. Please check a box.
Shooting Range Consent*

Yes, I consent.No, I do not consent.N/A
ARCHERY RANGE CONSENT (ages 6-17):

I consent to my child participating in the archery range. I understand that this involves my child learning about and using a bow and arrow under the supervision of certified staff. Please check a box.
Archery Range Consent*

Yes, I consent.No, I do not consent.N/A
Date Signed*
Signature*

CHILD (0-17 years old) LSA Agreement
LITHUANIAN SCOUTS ASSOCIATION, INC. AGREEMENT TO RELEASE

Child under 18 years of age

We (I) hereby grant permission for our (my) child or children named above to fully participate in the programs provided by the Lithuanian Scouts Association, Inc., at Camp Rakas in Custer, Michigan. We (I) understand, agree and acknowledge that the Lithuanian Scouts Association, Inc., Camp Rakas, Gelezinis Vilkas, Inc. and/or their respective directors, officers, employees or volunteers cannot assume any responsibility for any injury, damage or harm which might result during the course of any activity during the camp or camping activities or traveling to or from such camp or activity, and we (I) hereby release the Lithuanian Scouts Association, Inc., Camp Rakas, Gelezinis Vilkas, Inc., and/or their respective directors, officers, employees or volunteers from any and all liability for any claim or lawsuit arising out of such injury, damage or harm.

In consideration of permitting our (my) child to participate in the Lithuanian Scouts Association, Inc. camp, we (I) agree that such responsibility for our (my) child will remain with us (me), as the parents, parent or guardian of our (my) child. Should any claim be asserted by any person as a result of the acts of our (my) child while participating in any activity during said camp or traveling to or from such camp or activity, or should our (my) child asset any claim or lawsuit against the Lithuanian Scouts Association, Inc., Camp Rakas, Gelezinis Vilkas, Inc., and/or their respective directors, officers, employees or volunteers, we (I) agree to indemnify and hold the Lithuanian Scouts Association, Inc., Camp Rakas, Gelezinis Vilkas, Inc., and/or their respective directors, officers, employees and volunteers harmless from any such claim or lawsuit, including attorney’s fees and costs incurred in defense thereof.

We (I) further authorize medical treatment of our (my) child, in the event of illness or injury sustained in our (my) absence while our (my) child is participating in the activities of the Lithuanian Scouts Association, Inc., at Camp Rakas.
Date Signed*
Signature*

ADULT (18 years or older) Health History Record
Staff Member Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Insurers Policy Holder Name (self or parents name)*

First NameLast Name
Health Insurance Company*
(ex, BCBS, Humana, etc)
Insurance Member Account and group number *
Personal Physician's Name*
Physician's Phone Number*

Area CodePhone Number
Please list any allergies
List any food restrictions you have: (i.e. vegetarian, etc.)
Do you have any health problems including current infectious disease?*

YesNo
If yes, please explain
List physical limitations if any:
If none please type in none or N/A
Does camper have any medications they take?*

YesNo
Current Medication (Drug Name, Frequency and Dosage)
Secure Storage Selection

Adult participants must choose one of the following secure storage options for all medications brought to camp. Select one option. Explanation of options are below:

Option 1 — Secure Storage With Healthcare Staff

I choose to keep my medication(s) stored securely with Camp Rakas Healthcare Staff.

Medications will be stored in the designated locked medical area.
Healthcare Staff will provide access to the participant for self‑administration as needed.
Medications will not be administered by staff unless separately authorized.
I will only bring the necessary amount of medication(s) for the duration of my stay at camp.

Option 2 — Personal Secure Storage (Participant‑Provided Lock Box)

I choose to keep my medication(s) with me in a secured, locked container (lock box) that I will provide.

I will maintain the lock box in a secured, locked state at all times when medications are not in use.
I will present the lock box at Camp Rakas Health Check‑In for verification of secure storage.
I will only bring the necessary amount of medication(s) for the duration of my stay at camp.
I assume full responsibility for maintaining secure storage in accordance with camp policy.
Camp staff may re‑verify the lock box at any time if safety concerns arise.
Self‑Administration Agreement

By signing below, I acknowledge and agree that:

I am solely responsible for the self‑administration of my medication(s).
I will follow the prescribed or recommended dosage and schedule.
I will maintain secure storage of my medication(s) using the option selected above.
I will notify camp leadership of any changes to my medications or storage needs.
I release Camp Rakas and its staff from liability related to my self‑administration of medication(s) when performed according to this agreement.
I select the following option (see descriptions of options above):*

Option 1Option 2N/A
Emergency Contact Name 1*

First NameLast Name
Emergency Contact Phone Number 1*

Area CodePhone Number
Emergency Contact Name 2*

First NameLast Name
Emergency Contact Phone Number 2*

Area CodePhone Number
I certify that this information is true to the best of my knowledge.
Date Signed*
Signature*

ADULT (18 years or older) Medical Agreement
MEDICAL AGREEMENT

Campers 18 years of age of Older

In case of sudden illness or injury to the undersigned in any Lithuanian Scout
Association, Inc. (hereinafter referred to as the Association) activity whatsoever, I hereby authorize the senior representative of the Association present to give the undersigned any and all emergency medical treatment necessary.

Should I be mentally or physically incapable of retaining the services of a physician and consenting to required medical treatment, I hereby grant authority to the senior representative of the Association present to select and retain a physician; and I authorize that physician to hospitalize, secure proper treatment, and to order injections, anesthesia or surgery for me.

Furthermore, I agree to idemnify the Association, Its officers, agents, leaders,
assistants, representatives, employees, servants, and their successors and assigns against and save them harmless from any and all debts, liabilities, and expenses incurred as a result of any medical treatment given to me.
Campers Full Name*

First NameLast Name
Date Signed*
Signature*

ALL CAMPERS Rako Stovyklos Mokestis- Rakas Camp Payment

July 15-25, 2026
Campers Date of Arrival and Departure*

Pasirinkite mokėti savaitei arba pagal dienas/ Choose to pay 10 day camp or daily rate	10 dienu (visa stovykla)/ 10 days (whole camp)	1 diena/ 1 day
1st stovyklautojas/camper (amžius/age 6-17)	$500	$ 50.00 x _____ (#dienų/days)
2nd stovyklautojas/campers (amžius/age 6-17)	$450	$ 45.00 x _____ (#dienų/days)
3rd stovyklautojas/camper (amžius/age 6-17)	$400	$ 40.00 x _____ (#dienų/days)
4th stovyklautojas/camper (amžius/age 6-17)	$350	$ 35.00 x _____ (#dienų/days)
Jauni vaikai/young children including day campers (amžius/age 4-5)	$150 per person	$ 15.00 x _____ (#dienų/days)
Jauni vaikai/young children (amžius/age 0-3)	Nera kainos/no cost	Nera kainos/no cost
Vyr skauciu, gintariu, vyciu or budziu pastovykle as a camper (without pareigas)	$200	$20.00 x _____ (#dienų/days)
Jaunu vaiku tėveliai/young families parents	$250 per person	$ 25.00 x _____ (#dienų/days)
Suaugusieji ir vadovai (18+) su pareigom/All adults and leaders (18+) with duties	$100 per person	$ 10.00 x _____ (#dienų/days)
Vėliavimo mokestis/ Late fee (if registered after June 15th)	-	$50.00 x _____ (#žmonių/people)

Stovyklautojo/os kaina/ Camper cost*
This is payment for the registered camper you are filling the form out for.
Please pay by Zelle to: CampRakas

Email: Sese.Julyte@gmail.com

Please put your camper's(s) name under the memo section
Should be Empty:

Camp Rakas Registration

References and DCFS- ADULT (18 years or older)

ALL AGES Rakas Consent Forms

CHILD (0-17 years old) Shooting and Archery Range Forms

CHILD (0-17 years old) LSA Agreement

CHILD (0-17 years old) Rakas Health History Forms

OTC Medication Authorization

ADULT (18 years or older) Health History Record

ADULT (18 years or older) Medical Agreement

ADULT (18 years or older) Personnel Record

ALL CAMPERS Rako Stovyklos Mokestis- Rakas Camp Payment