Registration Information and Fees

Save this PDF as:
Size: px
Start display at page:

Download "Registration Information and Fees"

Transcription

1 South Shore Day Camp 2015 Registration Information and Fees Parent Information Name: Address: Town: Zip: Home Phone: Work Phone: Cell Phone: Parent s address: Parent s address: Please circle each session that your child (ren) will attend camp. Availability of sessions is on a first come first serve basis. We will not refund for sessions chosen but not used, except for a Medical reason supported by a physician s note. $ per session. (10% discount for siblings) Please add $90.00 per session per child for Transportation Please add $60.00 per session per child for extended hours per child (if needed) A two week non-refundable deposit is due with this agreement (to be applied to the last session s camp fee). Session #1 July 6 th July 17 th Session #2 July 20 th July 31 st Session #3 Aug 3 rd Aug 14 th Session #4 Aug 17 th Aug 28 th Child Information Name 1: D.O.B.: / / Current Grade: School (September 15): Name 2: D.O.B.: / / Current Grade: School (September 15): Name 3: D.O.B.: / / Current Grade: School (September 15): In order to be successful at camp, will your child need any special accommodations? [ ] yes [ ] no If yes, please check all the reasons that we should know about which apply: behavior social/emotional developmental delays other. physical abilities health issues If you checked yes, a staff person will call you to discuss if the accommodations your child needs will be possible and to develop a plan so that your child will have a good camp experience. Please tell us the best number and time of day to reach you. Phone #: Best time of day: Payment for sessions 1 & 2 is due by June 19 th. Payment for sessions 3 & 4 is due by July 17 th. I will need extended care at the following site: (please circle choice) Quincy Atlantic Randolph St. Mary s Weymouth Make Payable to: South Shore Stars Amount enclosed: Check# 200 Middle Street E. Weymouth MA MC/Visa # Expiration Date: Parents Signature : Date :

2 South Shore Day Camp Open House Saturday, April 25th at Hale Reservation 11AM 1:30PM (rain date April 26th) What does it cost? * The actual cost of South Shore Day Camp is over $ per session. Because Stars is committed to keeping our camp affordable to all South Shore working families, we use other funding sources so that we can charge you $ per session for this wonderful camping experience. A 10% discount is available for siblings. * $ includes $90.00 for transportation. If you choose to transport your child to and from camp, you will pay $360.00/two week session or $ if you transport one way. * Extended care is available until 6:15pm in Randolph and 6:00pm in Weymouth and Quincy, at an additional cost of $60.00 per session. Directions to Hale Reservation (from the South Shore) Take Route 128 North to Exit 16B (Rte. 109 West) Follow 109 West approximately one mile and turn Right onto Dover Rd. (street sign also says Highway Garage) Follow Dover Rd. approximately ½ mile and turn right onto Carby St. Follow Carby St. right into Hale Reservation and SSDC parking is available in the first big lot on the left. (Cat Rock Parking Lot) Bus stops are conveniently located at the sites listed below: Quincy Randolph Weymouth Bernazzani School, Lincoln Hancock School, Parker School, Quincy High School Young School, Randolph High School, St. Mary s School, Donovan School Abigail Adams School, Pingree School, Joseph Fern Court/Lake Street, Seach School, Weymouth High School, Nash School A convenient registration form is available on the other side of this sheet!

3 South Shore Stars At Hale Reservation 2015 Health History, Emergency Contact, and Release Form 80 Carby Street, Westwood, MA Tel (781) Fax (781) Male Female Camper or Staff Name (First) (Last) (Middle) Birth Date (Circle One) Street City/Town State Zip Parent or Guardian Information Parent or Guardian Parent or Guardian Address (Only if different from address above) Address (Only if different from address above) Phone Work Phone Work Cell Phone Cell Phone Please list at least one emergency contact that, if necessary, could provide transportation home. Emergency Contact Address Emergency Contact Address Phone Work Phone Work Cell Phone Cell Phone Allergies Penicillin Seasonal Foods Insect Bites Other Drugs Other Please explain reaction and severity: Medications for above allergies: If medications will be administered at camp for above allergies a Medication Information Form must be completed Medications Will your child (or staff member) be bringing any medications (including over the counter medications) to camp? Yes (check one) No If Yes, please complete a Medication Information Form. Please check which of the following may be administered to your child if needed (administered by the Wellness Center): Tylenol Advil Benadryl Nasal Decongestant Cough Drops External Antibiotic Cream Anti-Itch Cream Sunscreen Antacid Insect Repellant with Deet Calamine Sudafed ALL of the above NONE of the above Immunization History: This Massachusetts is a two sided requires document. a Certificate Please complete of Immunization and sign for reverse side. all campers and staff. You may use the form provided or a copy from your doctor s office. Check if attached

4 Does your child (or staff member) have Asthma? Relevant Past Medical History, General Information, and Restrictions Will your child (or staff member) be taking an Inhaler or other medication to camp? Yes (check one) No If Yes a Medication Information Form must be completed Any physical, mental, or psychological conditions requiring medication, treatment, or restrictions while at camp? Does your child or (staff member) take any prescription or over-the-counter medication at home? List any past medical treatment or recent injuries: Describe any specific activities from which your child (or staff member) should be exempted: Any dietary modifications or restrictions? Physician Information: Name of family physician: Address of family physician: Phone: Date of last physical exam: Insurance Information: Insurance Carrier: Insurance Policy Holder Name: Policy of Group #: Authorizations: Accuracy of Information: This health history is correct so far as I know and the person herein described has permission to engage in all camp activities except as noted. Photo Release: I authorize Hale Reservation, American Camp Association, and South Shore Stars to have my child s (or staff members) photo to appear in camp brochures, videos, on websites or other promotional literature. Authorization for Treatment: In case of an emergency, I authorize Hale Reservation and South Shore Stars to administer first aid and to transport my child or (staff member) to the nearest hospital emergency room and to order X-rays; routine tests and treatment; and to release any records necessary for insurance purposes. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the camp director, or his/her designee, to secure and administer treatment, including hospitalization, for the person named above. This form can be photocopied for camp trips. Acknowledgment of Risk and Waiver: I understand and acknowledge my camper (or staff member) may participate in a variety of activities including; swimming, boating, outdoor games, sports, rope course, and other rigorous physical activities. I hereby release and discharge, and agree to indemnify and hold harmless Hale Reservation and South Shore Stars and its officers, directors, members, agents, employees, volunteers, and any other persons or entities on its behalf, against all claims, demands, and causes of actions whatsoever, either in law or equity, relating to or arising from any participation, medical treatment, recommendation, transportation or administration, or any lack thereof. Signature of Parent/Guardian of Camper, Staff Member, or Parent/Guardian of Staff Member under 18 years of Age Date

5 Camper or Staff Name Birth Date 2015 South Shore Stars at Hale Reservation Camper Medication, EpiPen, and Inhaler Administration To be completed for any or all medications that will be brought to and administered at camp. Please Read: Prescribed medications must include the pharmacy label with the Rx number, the name of the medication, dosage, directions for use, and the child or staff s name. Non-prescription medications must be in its original containers, clearly labeled with the child s r staff s name and directions for use. All medications must be kept in the Health Center. Please completely complete the following information regarding the appropriate times and dosages of each medication your child or staff will receive at Hale (attach additional forms if needed). Please sign at the bottom of the page. Name of Medication (if Inhaler or EpiPen complete below as well): Why is this medication taken? Days Taken (please circle) M T W Th F As needed Times Taken (be specific) AM PM Other Dosage Are there any additional notes or instructions for this medication? Name of Medication (if Inhaler or EpiPen complete below as well): Why is this medication taken? Days Taken (please circle) M T W Th F As needed Times Taken (be specific) AM PM Other Dosage Are there any additional notes or instructions for this medication? Type of Inhaler: Location of Inhaler at camp (circle one) Health center or designated secure storage on campers person with camp counselor Who can administer inhaler? (circle one) Qualified Personal Camper Type of EpiPen : Location of EpiPen at camp (circle one) Health center or designated secure storage on campers person with camp counselor Who can administer EpiPen? (circle one) Qualified Personal Camper I hereby give permission for Hale Reservation to administer the following medications to my child or staff member under eighteen years of age during his or her camp attendance. Parent/Guardian Signature Date:

6 South Shore Day Camp 2015 Transportation Information These are TENTATIVE routes based on last year and this year s projections. Final routes will be sent in mid June. Changes may be 15 minutes per stop but you can switch to another stop on your route. After the first week of camp times should remain consistent. Bus monitors are instructed not to leave a stop until the designated time. It is our policy not to drop a child off at a stop without a parent to meet them unless we have written permission. If you would like to have your child left off alone at a stop please indicate on the attached form. Without written permission, we will not drop a child off unattended at his/her stop. We cannot have vehicles waiting at the stop for late parents. Your child will be driven to the nearest Stars Extended Care Location where staff will attempt to reach an emergency contact. Parents will be charged a late fee of $25.00 if this occurs. Buses leave camp at 4:00 PM. Drop-offs begin at approximately 4:30 and finish at approximately 5:30 PM. Drop-off times should remain consistent after the first week, depending on traffic problems.

7 South Shore Day Camp 2015 Transportation Child s Name: Bus Pick-up (AM): (select choices from next page) First Choice: Second Choice: Bus # Pick-up Time in AM Stop Name *You must have a second choice. Please be sure that it is a different Bus # than the first choice. Bus Drop-off (PM): (please check one) I will meet my child at his/her pick-up site. I will meet my child at a different location (same Bus#). I give permission for my child to walk home unattended from his/her pick-up site. I would like my child dropped off at the Extended Care Site chosen. (select below) Check if applicable: Quincy Atlantic Randolph St. Mary s Weymouth Extended Care Site (from 4:30-6:00pm in Weymouth and Quincy, 6:15 in Randolph) I give my permission for my child to be released from the program at the end of the day as described above, and/or to the following people. These people will also be contacted in an emergency, in the order listed, in the event parents or guardians can not be contacted. Name: Relationship: Address: Telephone #: Name: Relationship: Address: Telephone #: Name: Relationship: Address: Telephone #: Any other transportation or release requests must be stated in writing and maintained in the child s file. Your child will not be released to anyone not listed on this form without prior consent, preferably written. In the event that a parent can not be reached to confirm permission of an unauthorized person to pick up a child, staff may try to obtain permission from emergency contacts listed above. Parent s Signature Date

8 South Shore Day Camp TENTATIVE Transportation Routes (Based on last year's enrollment) FINAL TRANSPORTATION ROUTES WILL BE MAILED OUT IN JUNE. QUINCY BUS #1 QUINCY BUS #2 AM Pick-up PM Drop-off AM Pick-up PM Drop-off 7:30 Quincy High School 4;50 7:45 Parker School 4:55 7:45 Lincoln Hancock School 4:40 7:55 Bernazani School 4:40 Quincy Atlantic After Camp PM only 5;00 Quincy Atlantic After Camp PM only 5:00 Union Congregational Church Union Congregational Church 135 Rawson Rd. (617) Rawson Rd. (617) After Camp closes at 6:00pm After Camp closes at 6:00pm WEYMOUTH BUS #3 Weymouth BUS #4 AM Pick-up PM Drop-off AM Pick-up PM Drop-off 7:30 Abigail Adams 5:05 7:30 Seach 4:55 7:40 Pingree School 5:00 7:45 Weymouth High School 4:45 7:55 Joseph Fern Court/Lake Street 4:45 7:55 Nash School No PM Stop Weymouth After Camp PM only Weymouth After Camp PM only 200 Middle Street (781) : Middle Street (781) :05 After camp closes at 6:00pm After camp closes at 6:00pm RANDOLPH BUS #5 AM Pick-up PM Drop-off 7:30 Martin Young 5:05 7:40 Randolph High School 4:55 7:45 St Mary's School 4:50 St. Mary's After Camp 30 Seton Way :40 After Camp closes at 6:15pm 7:55 Donovan School 4:40 You can switch to another stop on your route. A phone call is not necessary but please tell the bus monitor. Please allow 10 minutes on either side of the pick-up and drop-off times for the first week of camp. The times should stay relatively consistent after that depending on traffic.

9 South Shore Day Camp 2015 Swim Form and Field Trips Dear Parents/Guardians: Annually, at no extra cost to you, South Shore Day Camp offers swimming and swim lessons. Our lessons are given by Red Cross Certified Instructors. Participation in our swim program is strongly encouraged. We have created incentives for campers who demonstrate improvement, move up swim levels, and pass the deep end test. Please discuss this option with your child as we will not force participation in this activity. Thank you, Camp Director Child s Name: Age: (please print) SWIM Please indicate below if you want your child to participate in the swim instruction: Yes I give permission for my child to participate in swim instruction No I do not give permission for my child to participate in swim instruction FIELD TRIPS Throughout the summer we provide a variety of field trips which may include going to: the zoo, museums, sporting events or roller skating. If you want your child to be able to participate in field trips, please indicate below: Yes I give permission for my child to go on field trips No I do not give permission for my child to go on field trips Parent s Signature: Date:

South Shore Stars 2015 Summer Camp and Fall Enrollment

South Shore Stars 2015 Summer Camp and Fall Enrollment My child is in the grade, and attends After School Program. South Shore Stars 2015 Summer Camp and Fall Enrollment Child s Name(s) Parent s/guardian s Name Home Phone Work Phone Email Address Your child

More information

2018 Registration Packet

2018 Registration Packet Registration Packet To Register: Complete all forms in the Registration Packet. A separate and complete Registration Packet must be submitted for each camper. Online registration is available at: www.halereservation.org/programs/hale-day-camp

More information

2018 Medical Waiver and Release

2018 Medical Waiver and Release 2018 Medical Waiver and Release I hereby give my consent to the Summer Camps at Avon Old Farms School personnel to provide, through a medical staff of its choice, customary medical attention and emergency

More information

CAMP MCCUMBER. Overnight Camp. Camp Dates: Session I: July 8-July 14, 2018 Session II: July 29- August 4, 2018 Expedition Camp Theme

CAMP MCCUMBER. Overnight Camp. Camp Dates: Session I: July 8-July 14, 2018 Session II: July 29- August 4, 2018 Expedition Camp Theme CAMP MCCUMBER Overnight Camp Going into 3rd -9th Grade Camp Dates: Session I: July 8-July 14, 2018 Session II: July 29- August 4, 2018 Expedition Camp Theme 2018 OVERNIGHT CAMP YMCA Camp McCumber Registration

More information

GARAYWA CAMP & CONFERENCE CENTER 2019 Summer Missions Day Camp Registration Form

GARAYWA CAMP & CONFERENCE CENTER 2019 Summer Missions Day Camp Registration Form GARAYWA CAMP & CONFERENCE CENTER 2019 Summer Missions Day Camp Registration Form REGISTRATION OPENS JANUARY 3, 2019 A FULL PAYMENT OF $25 PER CAMPER PER DAY MUST BE MAILED WITH THIS COMPLETED REGISTRATION

More information

2019 Registration Form

2019 Registration Form Please include a $50 NONREFUNDABLE DEPOSIT for each camp. Please complete a separate form for each camper. For Office Use Only Please Print Legibly Parent/Guardian Information Relationship to Camper Relationship

More information

Dear Camper and Family:

Dear Camper and Family: Dear Camper and Family: We are excited about this year s Growing Together Day Camp, Monday June 20 through Friday June 24 and hope that you will join us for a week of fun and adventure at Camp Tyler. CAMP

More information

Camp Fire Georgia / Camp Fire Camp Toccoa Camper Medical and Health History

Camp Fire Georgia / Camp Fire Camp Toccoa Camper Medical and Health History First Name: _ Last Name: Camp Fire Georgia / Camp Fire Camp Toccoa Camper Medical and Health History Attending Camp Session(s) 1 2 3 4 5 6 7 8 LIT CIT Intern Staff The information on this form is not part

More information

Rye Y Summer Camp 2018 Registration Checklist

Rye Y Summer Camp 2018 Registration Checklist Rye Y Summer Camp 2018 Registration Checklist Make sure you have completed all of these tasks to complete your camper s registration! Registration Completed in Full: o Make sure we have all possible authorized

More information

CAMP MSC SENSATIONAL SUMMER SCIENCE

CAMP MSC SENSATIONAL SUMMER SCIENCE CAMP MSC SENSATIONAL SUMMER SCIENCE Thank you for choosing Camp MSC for your summer camp experience. Our camp programs are designed to be engaging, hands-on, challenging, and of course, fun! All full day

More information

Page

Page Page 1 Page 2 Page 3 Page 4 WE ARE ACA ACCREDITED! (AND PROUD!) Page 5 Page 6 º º º º Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Page 14 Page 15 Page 16 Page 17 º Page 18 Page 19 Page 20 Page

More information

2018 Camp Aristotle Forms and Information

2018 Camp Aristotle Forms and Information 2018 Camp Aristotle Forms and Information Prior to starting camp, all families must complete the following. Please return this checklist along with the required forms. A supply list is included at the

More information

Overnight Camp 2018 Camper Information and Medical Form

Overnight Camp 2018 Camper Information and Medical Form Overnight Camp 2018 Camper Information and Medical Form Day camper medical form, other registration forms and/or online registration are available at www.circlerranch.ca This form must be submitted to

More information

Sunday, August 12 Saturday, August 18, 2018 We welcome campers entering grades 3 ~ 12!

Sunday, August 12 Saturday, August 18, 2018 We welcome campers entering grades 3 ~ 12! Sunday, August 12 Saturday, August 18, 2018 We welcome campers entering grades 3 ~ 12! We expect every space to be filled up, so get your application in early! Deadline Date: June 30, 2018 After June 30th,

More information

Camp Hands Up 2018 Registration Form **Please Note: Prices are changed and see on the bottom**

Camp Hands Up 2018 Registration Form **Please Note: Prices are changed and see on the bottom** Camp Hands Up 2018 Registration Form **Please Note: Prices are changed and see on the bottom** Participant Questions (Required) = * *First & Last Name *Date of Birth *Gender: Male or Female *Grade: *Email

More information

Camper Health History form must be on file prior to arrival at NEMC

Camper Health History form must be on file prior to arrival at NEMC Dear NEMC Parent: Camper Health Form It is our privilege to care for your child while they are at camp. In order to do so safely and effectively, we ask that you use the checklist below to assure that

More information

2018 Junior Lifeguard Camp Registration

2018 Junior Lifeguard Camp Registration Sign up for A power packed week of coaching in first aid, water safety, team building, CPR & rescue techniques for only $329.99. Sessions fill up quickly! Participant Name: DOB: Age: Grade in Fall 2018:

More information

Health History & Emergency Form

Health History & Emergency Form Health History & Emergency Form - 2019 th THIS FORM IS DUE NO LATER THAN MAY 24. Camper s Last Name, First Male Female Birthdate / / rade Entering Fall 2019 Mother s/uardian #1's Last Name, First Father

More information

Dates: 6/25-6/29 Monday - Friday (day camp 8:30am - 4:30pm)

Dates: 6/25-6/29 Monday - Friday (day camp 8:30am - 4:30pm) Green Mountain Camp for Girls Registration Return by 6/1/18 (or until sessions fill) Payment options: Visit our website www.greenmountaincamp.com to pay entire fee with PayPal. Or, send a $100 non-refundable

More information

CAMP (2267) Welcome to Banbury Kids Camp 2017!!! To register a camper for Banbury Kids Camp, you must include the following:

CAMP (2267) Welcome to Banbury Kids Camp 2017!!! To register a camper for Banbury Kids Camp, you must include the following: 647-526-CAMP (2267) Welcome to Banbury Kids Camp 2017!!! To register a camper for Banbury Kids Camp, you must include the following: 1) The Camper Application Form (One per family) 2) Swim Form (One per

More information

Camper Application. Legal Guardian #1 Information. Legal Guardian #2 Information: Family Status: Mailing Address: Address: City: State: Zip:

Camper Application. Legal Guardian #1 Information. Legal Guardian #2 Information: Family Status: Mailing Address: Address: City: State: Zip: Camper Application Legal Guardian #1 Information First Name: Last Name: Relationship to Camper: Home Phone: Cell Phone: Work Phone: E-mail: Legal Guardian #2 Information: First Name: Last Name: Relationship

More information

Summer Art Camp 2015 Parent Orientation Guide

Summer Art Camp 2015 Parent Orientation Guide Summer Art Camp 2015 Parent Orientation Guide The following information is provided to answer most of the questions you may have as you prepare your camper to attend PAFA Art Camp. The leading counselor

More information

MARYLAND 4-H CAMPS HEALTH FORM

MARYLAND 4-H CAMPS HEALTH FORM MARYLAND 4-H CAMPS HEALTH FORM Camper s Name: _ Last First MI Nickname Current Photo Of Camper Male Female Age at Camp Arrival: Birthdate: Dates will attend Camp: to Street Address City State ZIP County

More information

CAMPER APPLICATION CAMP DRAGONFLY September 23 & 24, 2017

CAMPER APPLICATION CAMP DRAGONFLY September 23 & 24, 2017 CAMPER APPLICATION CAMP DRAGONFLY September 23 & 24, 2017 Registration Deadlines Return Campers: Aug 1st New Campers: September 11th (Please use only black or blue ink and complete all information) Camper

More information

Camp Zanika Required Camper Forms

Camp Zanika Required Camper Forms Camp Zanika Required Camper Forms Every camper attending Camp Zanika must have a copy of the required forms. Forms can be found on our website, emailed, or mailed. All forms need to be returned to the

More information

PROGRAM INFORMATION: School s Out Activity Day 2012/2013 (ages: K-8 th ) January 21 February 18 March 25, 26, 27, 28 & 29 9:00am-6:00pm

PROGRAM INFORMATION: School s Out Activity Day 2012/2013 (ages: K-8 th ) January 21 February 18 March 25, 26, 27, 28 & 29 9:00am-6:00pm PROGRAM INFORMATION: After School Rendezvous 2012/2013 (ages: K-8 th ) Winter Session (Winter Break-Spring Break)Monday-Friday, January 2-March 22 Spring Session (Spring Break-End of School) Monday-Friday,

More information

Camp St. Charles ANNUAL HEALTH FORM CHECKLIST

Camp St. Charles ANNUAL HEALTH FORM CHECKLIST Camp St. Charles ANNUAL HEALTH FORM CHECKLIST Parents, please use this handy checklist to help you organize your child s health information and prepare everything that needs to be mailed to Camp. HEALTH

More information

Borough of Lincoln Park Parks & Recreation 2018 Summer Camp K-6 CAMP / SUMMER TOUR WAIVERS & MEDICAL FORMS

Borough of Lincoln Park Parks & Recreation 2018 Summer Camp K-6 CAMP / SUMMER TOUR WAIVERS & MEDICAL FORMS Borough of Lincoln Park Parks & Recreation 2018 Summer Camp K-6 CAMP / SUMMER TOUR WAIVERS & MEDICAL FORMS TO: FROM: RE: Parent, Guardian or Caregiver of a LP Summer Camper: Cathy Adubato, Camp Director

More information

Day Camp Health Form and Waiver Packet

Day Camp Health Form and Waiver Packet Day Camp Health Form and Waiver Packet Camper Name: Session Group: Date: Completion Checklist: Completed Health Form Signed Waivers Physical and Immunization Record Insurance Card Allergy, Asthma or Diabetes

More information

Midland Park Recreation SUMMER CAMP SIX WEEKS June 26- August 4, 2017

Midland Park Recreation SUMMER CAMP SIX WEEKS June 26- August 4, 2017 Midland Park Recreation SUMMER CAMP SIX WEEKS June 26- August 4, 2017 REGISTRATIONS WILL NOT BE ACCEPTED THE FIRST DAY OF CAMP, ALL CAMPERS MUST BE REGISTERED BEFORE THE START OF CAMP MAIL IN REGISTRATION

More information

GARAYWA CAMP & CONFERENCE CENTER 2018 Summer Missions Camp Registration Form

GARAYWA CAMP & CONFERENCE CENTER 2018 Summer Missions Camp Registration Form GARAYWA CAMP & CONFERENCE CENTER 2018 Summer Missions Camp Registration Form A FULL PAYMENT OF $185 PER CAMPER MUST BE MAILED ON OR AFTER JANUARY 4th WITH THIS COMPLETED REGISTRATION FORM TO Garaywa Camp

More information

University of Miami 2007 Hurricane Aquatics Sports Camp Ages 5-12

University of Miami 2007 Hurricane Aquatics Sports Camp Ages 5-12 University of Miami 2007 Hurricane Aquatics Sports Camp Ages 5-12 The University of Miami Head Diving Coach, Randy Ableman and Head Swimming Coach, Christie Shefchunas, both 4x All-Americans in their sport

More information

Ben Lomond Quaker Center Summer Youth Camps Box 686, Ben Lomond, CA (831) ENROLLMENT FORMS

Ben Lomond Quaker Center Summer Youth Camps Box 686, Ben Lomond, CA (831) ENROLLMENT FORMS ENROLLMENT FORMS THESE FORMS MUST BE COMPLETED AND POSTMARKED NO LATER THAN JULY 2ND OR FAXED TO 831-336-0218 EQUIRED EMERGENCY INFORMATION Please PRINT legibly Camper's Name Sex: M F Birth date: / / Social

More information

2018 Application. Easy Online Enrollment: Application valid 1/16/18. New Jr. Camp Pricing!

2018 Application. Easy Online Enrollment:  Application valid 1/16/18. New Jr. Camp Pricing! FAMILY INFORMATION 2018 Application Easy Online Enrollment: WWW.SLDC.COM Application valid 1/16/18 New Jr. Camp Pricing! 30 YEARS S L D C Celebrating Our 30th Anniversary! Family Name Home Phone Address

More information

Date Camper Name: LAST, FIRST (Please print) Medical Form

Date Camper Name: LAST, FIRST (Please print) Medical Form Date Camper Name: LAST, FIRST (Please print) Medical Form Medical information must be provided for you or your child to attend camp. To ensure the health and safety of our volunteer staff, adult and youth

More information

Cave Springs Camp Registration Form

Cave Springs Camp Registration Form Cave Springs Camp Registration Form Camper Information (please use one form per camper) Camper s Name: (Last) (First) Birthday: (D/M/Y) Age: Gender: Does your child require 1:1 support? Yes No (Please

More information

CAMP SUNRISE LAKE 2019 REGISTRATION

CAMP SUNRISE LAKE 2019 REGISTRATION CAMP SUNRISE LAKE 2019 REGISTRATION Photo: Please attach a 2x3 photo of the camper to this application. Camper Address Camper lives with: Both parents Mother Father Guardian(s) Home Address (Street): City,

More information

DAY CAMPS Camp Fee $10.00/session to be paid at time of application Day Camps Locations Leaders In Training Locations

DAY CAMPS Camp Fee $10.00/session to be paid at time of application Day Camps Locations Leaders In Training Locations Camper DAY CAMPS Camp Fee $10.00/session to be paid at time of application Day Camps Locations Leaders In Training Locations Dates Session 1 $10.00 July 9-20 Downtown (7-11 yrs.) Scarborough (6-8 yrs.)

More information

FOR MORE INFORMATION:

FOR MORE INFORMATION: CADILLAC AREA YMCA 9845 CAMPUS DRIVE CADILLAC, MI 49601 NONPROFIT ORGANIZATION U.S. POSTAGE PAID PERMIT NO. 63 CADILLAC, MI Early Bird Registration Register before April 1st SAVE $10 total fees For single

More information

CALVERT COUNTY PARKS & RECREATION CALVERT COUNTY SHERIFFS OFFICE

CALVERT COUNTY PARKS & RECREATION CALVERT COUNTY SHERIFFS OFFICE CALVERT COUNTY PARKS & RECREATION together with CALVERT COUNTY SHERIFFS OFFICE Teamwork, Activities, Demonstrations, Swimming All squeezed into one week of Camp! Date: July 10 14, 2017 Time: 8:00 a.m.

More information

MARYLAND 4-H CAMPS HEALTH FORM

MARYLAND 4-H CAMPS HEALTH FORM MARYLAND 4-H CAMPS HEALTH FORM Last First MI Nickname Current Photo Of Camper Male Female Home Address: Age at Camp Arrival: Birthdate: MM/DD/YYYY Dates will attend Camp: to MM/DD/YYYY MM/DD/YYYY Street

More information

FOR MORE INFORMATION:

FOR MORE INFORMATION: FOOTHILLS AREA YMCA FOOTHILLS AREA YMCA Offering 2 camp locations Seneca, SC & Walhalla, SC Early Registration: March 6 April 6, 2018 $40 per single camper $60 per family FOR MORE INFORMATION: Shannon

More information

NetXtreme Intro Sheet

NetXtreme Intro Sheet NETX YOUTH CAMP P.O. BOX 27 MAUD, TX 75567 For registrations after the deadline or other questions about registration call: 903.585.2569 fax: 903.585.9772 email: info@netxtreme.org www.netxtreme.org NetXtreme

More information

*MUST have independent bathroom skills.

*MUST have independent bathroom skills. Town of Crawford Summer Camp 2018 CAMPER REGISTRATION PACKET SUBMIT ONE PACKET PER CAMPER Five Weeks Camp Dates: Monday June 25 Friday July 27 CAMP IS CLOSED ON July 4 Camp runs weekdays: 9:00am-1:00pm

More information

WHY. Search Blue Mash Golf Camp on YouTube to view fun videos of the past years of Summer Camp!

WHY. Search Blue Mash Golf Camp on YouTube to view fun videos of the past years of Summer Camp! WHY? The Areas Best Practice Facility- Blue Mash has the area s most immaculate and incredible practice facility featuring an all grass driving range tee. Your campers will receive instruction at our 10,000

More information

DHAC School Vacation Camp

DHAC School Vacation Camp DHAC School Vacation Camp Required Camper Paperwork Please complete all forms and return prior to attending camp. Dedham Health & Athletic Complex 200 Providence Hwy Dedham, MA 02026 781-326-2900 www.dedhamhealth.com

More information

2018 VINS NATURE CAMP HEALTH AND EMERGENCY CARE FORM

2018 VINS NATURE CAMP HEALTH AND EMERGENCY CARE FORM 2018 VINS NATURE CAMP HEALTH AND EMERGENCY CARE FORM Instructions: Please return completed forms NO LATER than two weeks prior to the start of camp One set of forms per camper should be submitted per calendar

More information

YMCA CAMP PINEWOOD 2014 Summer Camp Registration

YMCA CAMP PINEWOOD 2014 Summer Camp Registration YMCA CAMP PINEWOOD 2014 Summer Camp Registration Send completed form to 4230 Obenauf Road, Twin Lake, MI 49457 Fax to 231.821.0487 Email to mmccarthy@ymcachicago.org Call our office at 231.821.2421 with

More information

Overnight Camp Registration

Overnight Camp Registration over ---> Summer 2019 Overnight Camp Registration Additional registration forms and/or online registration available at www.circlerranch.ca Camper Information: Male New Camper (Camper s last name) (Given

More information

Washington County Recreation Department Robinwood Dr. Hagerstown, MD / CAMPER INFORMATION FORM

Washington County Recreation Department Robinwood Dr. Hagerstown, MD /   CAMPER INFORMATION FORM CAMPER FULL NAME CAMPSITE LOCATION HOME ADDRESS Washington County Recreation Department 11400 Robinwood Dr. Hagerstown, MD 21742 240-313-2805 / www.washco-md.net CAMPER INFORMATION FORM Do NOT return this

More information

2018 Summer Camp Packet

2018 Summer Camp Packet WOR LD CL A S S M A S T E R ' S C H O N G 2018 Summer Camp Packet for registered campers Lancaster Location IMPORTANT: The last 3 pages of this packet must be filled out and turned in no later than June.

More information

Clark's Self Defense Karate Adventure Summer Camp

Clark's Self Defense Karate Adventure Summer Camp Clark's Self Defense Karate Adventure Summer Camp Our Summer Karate Camp is one of the most unique summer camps available to children. It provides an enriching selection of self defense activities as well

More information

KIDDO CAMP PACKING LIST

KIDDO CAMP PACKING LIST KIDDO CAMP PACKING LIST WHAT TO PACK IN 22 GALLON (or smaller) Plastic tub with lid -- LABEL with your child's first and last name please!! WHAT TO BRING Sleeping bag, or twin sheets and cover Pillow and

More information

CAMP HORIZONS: WEST CABARRUS BRANCH

CAMP HORIZONS: WEST CABARRUS BRANCH 2018 SUMMER DAY CAMP REGISTRATION FORM CAMP HORIZONS: WEST CABARRUS BRANCH (Please Print) Today s Date: CAMPER INFORMATION Camper s Last First: Middle: Child s Code Word: Rising Grade (2018-19 School Year):

More information

Camper Authorization for Medical Treatment and Authorization to Pick-up Camper

Camper Authorization for Medical Treatment and Authorization to Pick-up Camper Camper Authorization for Medical Treatment and Authorization to Pick-up Camper Please return all 5 forms at least week before your first day of camp to: Inside the Outdoors, 200 Kalmus Dr., Costa Mesa,

More information

RESIDENTIAL CAMP PRESCRIPTION AND OVER THE COUNTER MEDICATION FORM

RESIDENTIAL CAMP PRESCRIPTION AND OVER THE COUNTER MEDICATION FORM THE FOLLOWING MUST BE COMPLETED BY ALL PARENTS OF CHILDERN ATTENDING THIS CAMP AND SUBMITTED AT CHECK-IN If your child will be taking medication while at camp, it is state law to secure your consent for

More information

CAMP I BELIEVE: CAMPER APPLICATION Camp Baldwin Elberta, AL Saturday, September 12 th -Sunday, September 13 th, 2015

CAMP I BELIEVE: CAMPER APPLICATION Camp Baldwin Elberta, AL Saturday, September 12 th -Sunday, September 13 th, 2015 CAMP I BELIEVE: CAMPER APPLICATION Camp Baldwin Elberta, AL Saturday, September 12 th -Sunday, September 13 th, 2015 CAMPER INFORMATION Last First Middle Nickname _ Street Apt# City State Zip DOB Age Grade

More information

MUSIC CAMP REGISTRATION INSTRUCTIONS

MUSIC CAMP REGISTRATION INSTRUCTIONS REGISTRATION INSTRUCTIONS If you have any questions, please call us at: 203-925-9660 or 1-888-MYLESSON To Enroll: 1) Print and complete the attached forms. 2) Enclose a deposit check of $150 per camper

More information

SOFTBALL Advanced Clinics Hitting, Pitching & Catching Camper Information Packet

SOFTBALL Advanced Clinics Hitting, Pitching & Catching Camper Information Packet SOFTBALL Advanced Clinics Hitting, Pitching & Catching Camper Information Packet Session Date Time Hitting Clinic Pitching/Catching Clinic Bonus: Hitting Mindset Friday, November 16, 2018 Friday, November

More information

SUMMER AT THE YMCA 2019 Health History Form

SUMMER AT THE YMCA 2019 Health History Form SUMMER AT THE YMCA 2019 Health History Form This form must be filled out completely, signed by the camper s parent/guardian, and returned with requested documentation to the camp office or YMCA Branch

More information

Camp AB Summer Day Camp June 5, 2017 August 4, :00 am 5:00 pm Extended Day 7:00 am 6:00 pm

Camp AB Summer Day Camp June 5, 2017 August 4, :00 am 5:00 pm Extended Day 7:00 am 6:00 pm Abyssinia Baptist Church 10325 Interstate Center Drive Jacksonville, Florida 32218 Phone: 904-696-1770 Web: www.abyssinia.org email: ehopkins@abyssinia.org Camp AB Summer Day Camp June 5, 2017 August 4,

More information

Camp Courage I May 17-19, 2019 Pre-Camp May 6, 2019 Camp Courage II October 4-6, 2019 Pre-Camp September 23, 2019

Camp Courage I May 17-19, 2019 Pre-Camp May 6, 2019 Camp Courage II October 4-6, 2019 Pre-Camp September 23, 2019 Dear Prospective Camper and Parent/Guardian: We are so pleased that you are considering Camp Courage as a way of supporting your child in dealing with the death of a significant person in their lives.

More information

Homewood Parks & Recreation Homewood, Alabama Summer Day Camp 2019 Information Packet

Homewood Parks & Recreation Homewood, Alabama Summer Day Camp 2019 Information Packet Homewood Parks & Recreation Homewood, Alabama Summer Day Camp 2019 Information Packet INFORMATION PACKET Camp Dates, Hours & Fees Registration Fee: $100 Due at Registration (Per Camper) Day Camp Sessions

More information

2018 Summer Camp Registration Please select which camp your child(ren) will be attending

2018 Summer Camp Registration Please select which camp your child(ren) will be attending 1515 N. Galloway Avenue Mesquite, Texas 75150 972.216.6260 www.cityofmesquite.com 2018 Summer Camp Registration Please select which camp your child(ren) will be attending Kidz Kamp Sports Camp Camper Information

More information

IMPORTANT INFORMATION FOR CAMP BIG HEART APPLICANTS

IMPORTANT INFORMATION FOR CAMP BIG HEART APPLICANTS IMPORTANT INFORMATION FOR CAMP BIG HEART APPLICANTS PLEASE NOTE OUR NEW LOCATION AT CAMP JOHN HOPE FFA-FCCLA CENTER IN FORT VALLEY, GA. 281 Hope Entrance Road, Fort Valley, GA 31030 Session One will be

More information

Camper Application. DATE: Monday-Friday, June 18 - July 27 (Excluding July 4) 9 am - 12 noon. FREE! [Member] $20 [Non-Member]

Camper Application. DATE: Monday-Friday, June 18 - July 27 (Excluding July 4) 9 am - 12 noon. FREE! [Member] $20 [Non-Member] Camper Application Greetings Parents & Campers! The Greater Elizabethtown Area Recreation & Community Services is proud to announce our Camp Ladybug 2018 theme: Exploring Nature!! Camp is for individuals

More information

FORM /GUARDIAN PLEASE HEALTH PARTICIPANT PROGRAM PARTICIPANT HEALTH FORM, CONT. TO BE COMPLETED BY PHYSICIAN ARENT/G CAMPER

FORM /GUARDIAN PLEASE HEALTH PARTICIPANT PROGRAM PARTICIPANT HEALTH FORM, CONT. TO BE COMPLETED BY PHYSICIAN ARENT/G CAMPER GLOW YMCA CAMP HOUGH PARTICIPANT HEALTH FORM TO BE COMPLETED BY PARENT ARENT/G /GUARDIAN PLEASE TE THE NEED FOR PHYSICIAN HYSICIAN S S SIGNATURES ON BOTH SIDES OF THIS FORM ORM. T ALL YMCA SUMMER PROGRAMS

More information

ESO Summer Camp 2018

ESO Summer Camp 2018 ESO Summer Camp 2018 Dear Parent/Guardian: We are so glad you are interested in attending ESO Summer Camp at the Barber National Institute. Attached is the 2018 ESO summer camp Application Packet. WE WILL

More information

2017 Critter Camp Humane Society of Carroll County

2017 Critter Camp Humane Society of Carroll County Humane Society of Carroll County Dear Parent/Guardian: We are excited to have your camper join us for Critter Camp at the Humane Society of Carroll County this summer? Our goal is for children to develop

More information

2017 VINS NATURE CAMP HEALTH AND EMERGENCY CARE FORM

2017 VINS NATURE CAMP HEALTH AND EMERGENCY CARE FORM 2017 VINS NATURE CAMP HEALTH AND EMERGENCY CARE FORM Instructions: Please return completed forms NO LATER than two weeks prior the start of camp. One set of forms per camper should be submitted per calendar

More information

Camper Information. New Garden Flying Field July 9-13 August 6-10

Camper Information. New Garden Flying Field July 9-13 August 6-10 ! 2018! Camper Information New Garden Flying Field July 9-13 August 6-10 www.newgardenflyingfield.com 2018 Future Aviators Summer Camp New Garden Flying Field, Toughkenamon PA. 610-268-2619 Camper Information

More information

City of St. Gabriel. June 1 st July 31 st

City of St. Gabriel. June 1 st July 31 st City of St. Gabriel June 1 st July 31 st Registration $60 (Non-refundable) $40 per additional child Weekly Fees Weekly Extended Care Fees $50-1 st child $10 1 st child $40 - per additional child $5 per

More information

Eastman Area 4-H Summer Camp

Eastman Area 4-H Summer Camp Eastman Area 4-H Summer Camp It s not too soon to be thinking about summer camp! Eastman Area will once again be holding a summer camp for Junior and Intermediate members, from August 25 th -30 th at beautiful

More information

Student Camper s Name Age: Student Camper s Name Age: Student Camper s Name Age: Junior Counselor s Name Age: Junior Counselor s Name Age:

Student Camper s Name Age: Student Camper s Name Age: Student Camper s Name Age: Junior Counselor s Name Age: Junior Counselor s Name Age: St. Rita School Summer Camp Program Registration Page 1 Please print out this form and complete it in its entirety. Return or mail this registration form AND all required medical forms to: ST. RITA SCHOOL

More information

$125 per student / per week

$125 per student / per week Located on the campus of The Foundation Academy Campus 3675 San Pablo Rd S., Jacksonville, FL 32224 6 weeks - June 17 July 26 8am ~ 5pm Extended Care is Available from 5pm ~ 6pm for an additional $10 fee

More information

2013 BFA Jr. Balloonist Hot Air Balloon Camp Camp Registration Form Reno, Nevada

2013 BFA Jr. Balloonist Hot Air Balloon Camp Camp Registration Form Reno, Nevada 2013 BFA High Sierra Balloon Camp Western States Region Balloon Federation of America Jeff Haliczer, Director 15225 Pinion Dr. Reno, Nevada 89521-8841 Home Phone: (775)853-4109 Camp E-mail: Renoballooncamp@sbcglobal.net

More information

IMPORTANT INFORMATION FOR CAMP BIG HEART APPLICANTS

IMPORTANT INFORMATION FOR CAMP BIG HEART APPLICANTS IMPORTANT INFORMATION FOR CAMP BIG HEART APPLICANTS Session One will be Sunday, July 27 to Friday, August 1, 2014 (Winder, GA). The ages for this session are ages 7 to 28. Campers will be in cabins with

More information

GIRLS LACROSSE Train Like a Tiger Clinic Camper Information Packet

GIRLS LACROSSE Train Like a Tiger Clinic Camper Information Packet GIRLS LACROSSE Train Like a Tiger Clinic Camper Information Packet Check-In Check-Out Date Saturday, December 8, 2018 Saturday, December 8, 2018 Time 9:00am 12:30pm Location Bubble at Princeton Stadium

More information

Day and Resident Camp

Day and Resident Camp Day and Resident Camp CAMPER NAME: BIRTHDAY: / / AGE AT CAMP: GENDER: M F ADDRESS: CITY: STATE: ZIP: PARENT/GUARDIAN S NAME: HOME/WORK/CELL PHONE: EMAIL: COUNTY: ETHNICITY: TRANSPORTATION/BUS SITES Car

More information

There will be no refunds.

There will be no refunds. Flint Park Day Camp Application- 2015 Camp Dates: July 6 th August 14 th In order for application to be accepted: 1. Application must be completed in its entirety. Immunization Records must be printed

More information

2018 Highfield Summer Camp Registration

2018 Highfield Summer Camp Registration 2018 Highfield Summer Camp Registration Camper Name: Member Guest, member name: Parent/guardian name: Phone #: - - Address: City: State: Zip: Date of Birth: / / Grade Entering in Fall: Male Female Does

More information

Peterkin Camp and Conference Center

Peterkin Camp and Conference Center Camper Information Peterkin Camp and Conference Center A Ministry of the Episcopal Diocese of West Virginia Summer Camp Registration Please complete one form per camper per camp. Check which camp your

More information

2019 CAMP WARWICK R EGISTRATION FORM

2019 CAMP WARWICK R EGISTRATION FORM 2019 CAMP WARWICK R EGISTRATION FORM THIS FORM MUST BE COMPLETED BY PARENT/ GUARDIAN AND SUBMITTED WITH PAYMENT AND OTHER REQUIRED DOCUMENTS BEFORE REGISTRATION WILL BE ACCEPTED. THE PERSON REGISTERING

More information

Summer Camp at Wesley Gardens 2016 Registration

Summer Camp at Wesley Gardens 2016 Registration Summer Camp at Wesley Gardens 2016 Registration Camper Information (Please use a separate form for each camper) Camper s Name Goes by Camper s Age Grade Fall 2015 Male/Female Home Address City/State Zip

More information

Overview. Camper Confirmation Packet Easter Seals Washington Camp Stand By Me

Overview. Camper Confirmation Packet Easter Seals Washington Camp Stand By Me Camper Confirmation Packet 2015 Email: campadmin@wa.easterseals.com Overview Welcome to the 2015 Season at Easter Seals Camp Stand by Me! This packet includes important paperwork that we need on file here

More information

2018 Camp OK Information and Forms

2018 Camp OK Information and Forms 2018 Camp OK Information and Forms Dear Club Leaders: It is time to again consider Camp OK as a club project and sponsor a child or children for this wonderful camping experience. This year the camp will

More information

Cornerstone Peaceful Bible Baptist Church s

Cornerstone Peaceful Bible Baptist Church s s Registration begins Tuesday, February 12th REGISTER NOW...SPACES ARE LIMITED!! Campsite: Excellence Christian School Hours: Cost: Monday - Friday 8am - 4:30pm $60 One Time Registration Fee $175 per child/week

More information

SIBLING/FRIEND APPLICATION 2013

SIBLING/FRIEND APPLICATION 2013 SIBLING/FRIEND APPLICATION 2013 To be filled out by the parent/guardian of the friend/sibling. PERSONAL INFORMATION Name of Camper: Name of Primary Camper that he/she will be accompanying: Relationship

More information

American Indian/Alaskan Native Black or African American Hispanic/Latino Asian or Pacific Islander Caucasian/White Mix Other

American Indian/Alaskan Native Black or African American Hispanic/Latino Asian or Pacific Islander Caucasian/White Mix Other For Official Use Only: Branch: Camp Site: Camp Group: CHILD S FIRST & LAST NAME ADDRESS (Street Address, Apt#, City, Zip Code) DATE OF BIRTH (Month/Day/Year) CHILD S DISMISSAL [ ] BE PICKED UP [ ]WALK

More information

Camper Registration Form 6/10/14

Camper Registration Form 6/10/14 Camper Registration Form 6/10/14 Camper Name M or F Birthdate Mailing Address City State Zip Parent(s)/Guardian(s) Home Phone ( ) Cell Phone ( ) Work Phone ( ) Parent/Guardian Employer and Street Address

More information

2018 Day Camp Dates See you this summer!

2018 Day Camp Dates See you this summer! DearKidsandParents, ItistimetogetreadyforCampRiseAbove!Weareexcitedtoinviteyouto our2018campsession,andhaveoutlinedbelowwhatourdayswillbe like.wehavealsoincludeda WhattoBring listonthebackofthispage. Ifyouwouldliketoattend,weaskyoutofilloutthe:

More information

Dates Theme Field Trip Entertainment

Dates Theme Field Trip Entertainment Camp Kodiak Summer Day Camp - Outdoor Games - - Weekly Field Trips - - Fantastic Food Fridays - - Weekly Entertainers - Camp Kodiak Information Day Camp Hours: 9:00 a.m-3:00 p.m. Cost: $85.00 Extended

More information

2018 Summer Day Camp Registration Form

2018 Summer Day Camp Registration Form 2018 Summer Day Camp Registration Form Camper s Name: Nickname: Male or Female (Circle One) Birth : Age: Parent/Guardian s Name: Address: Day Time Phone: Cell Phone: E-Mail Address: T-Shirt Selection:

More information

YMCA Teens in Action Summer Camp Enrollment Form 2019

YMCA Teens in Action Summer Camp Enrollment Form 2019 June 10-14 June 17-21 June 24-28 July 1-5 July 8-12 July 15-19 July 22-26 July 29 - Aug. 2 Office Use only Date received: Extra Hands? (if so) Approval date: Weekly/Monthly Fee Entered into Daxko: YMCA

More information

Summer Camp Application Fax completed form to OR Print and mail to 4443 Grave Run Rd., Manchester, MD 21102

Summer Camp Application Fax completed form to OR Print and mail to 4443 Grave Run Rd., Manchester, MD 21102 Summer Camp Application Fax completed form to 443-712-1015 OR Print and mail to 4443 Grave Run Rd., Manchester, MD 21102 _ Camper s Last Name First Name Middle Initial _ Grade Completed ( as of June) Birth

More information

Town of Crawford Summer Camp 2016 CAMPER REGISTRATION PACKET PLEASE SUBMIT ONE PACKET PER CAMPER

Town of Crawford Summer Camp 2016 CAMPER REGISTRATION PACKET PLEASE SUBMIT ONE PACKET PER CAMPER Town of Crawford Summer Camp 2016 CAMPER REGISTRATION PACKET PLEASE SUBMIT ONE PACKET PER CAMPER 2016 Camp Dates: Monday June 27 Friday July 29 CAMP IS CLOSED ON Monday July 4 Camp runs weekdays: 9:00am-1:00pm

More information

ROWING WINTER CLINICS Camper Information Packet

ROWING WINTER CLINICS Camper Information Packet ROWING WINTER CLINICS Camper Information Packet Day 1 Day 2 Session 1 Saturday, January 5, 2019 (12pm 5pm) Sunday, January 6, 2019 (10am 3pm) Session 2 Saturday, January 19, 2019 (12pm 5pm) Sunday, January

More information

SUMMER AT THE YMCA 2018 Health History Form

SUMMER AT THE YMCA 2018 Health History Form SUMMER AT THE YMCA 2018 Health History Form This form must be filled out completely, signed by the camper s parent/guardian, and returned with requested documentation to the camp office or YMCA Branch

More information

Summer Camp 2018 Registration FYIs

Summer Camp 2018 Registration FYIs Summer Camp 2018 Registration FYIs 1) All payments must be made at time of registration to secure discounted pricing. 2) The Installment Payments (multiple payments) Option is available with a one-time

More information

CAMPER REGISTRATION FORM, SUMMER CAMP, 2015

CAMPER REGISTRATION FORM, SUMMER CAMP, 2015 CAMPER REGISTRATION FORM, SUMMER CAMP, 2015 FOR GRADES 3-12 (separate forms for Uno & Family Camps) Christian Church (Disciples of Christ) in Florida RETURN COMPLETED FORMS AND PAYMENT TO The Retreat at

More information