Page
|
|
- Polly Hodges
- 5 years ago
- Views:
Transcription
1 Page 1
2 Page 2
3 Page 3
4 Page 4 WE ARE ACA ACCREDITED! (AND PROUD!)
5 Page 5
6 Page 6 º º º º
7 Page 7
8 Page 8
9 Page 9
10 Page 10
11 Page 11
12 Page 12
13 Page 13
14 Page 14
15 Page 15
16 Page 16
17 Page 17
18 º Page 18
19 Page 19
20 Page 20
21 Page 21
22 Page 22
23 Page 23
24 KEEP UP WITH CAMP ALL SUMMER LONG! Stay in touch with your camper at Camp Wasiu II with Bunk Notes. Your message will be delivered to the camp within 24 hours. No need to wait for snail mail Bunk1 makes it easy to communicate with your child. Follow Bunk1 on Facebook and Twitter for the latest updates and deals! GET STARTED TODAY! Go to RETURNING PARENTS will login using their address and password. NEW PARENTS will click Need an account or have an invitation code? and complete the basic form. The Invitation Code for Camp Wasiu II is: WASIUB1 You will be prompted to select a bundle for access to your Parent Portal. Bundles include credits for you to send Bunk Notes and enhance your notes with borders, photos, sports scores, and puzzles. SENDING BUNK NOTES Send Bunk Notes day or night! Your camp receives a pdf at 7am PST each day containing all Bunk Notes received in the last 24 hours. Camp prints each Bunk Note and delivers them to your camper with the regular mail. You can purchase more credits anytime in the Bunk Notes menu. On the go? Purchase Bunk Notes Express and receive a unique address to send your Bunk Note directly from an account. Your message is still delivered as a Bunk Note. Each time you send a message, 1 credit is deducted from your account. Your Bunk Note will not be sent via Bunk Notes Express unless you have credits in your account. FREQUENTLY ASKED QUESTIONS: Can other relatives use these services? Absolutely! In your Quick Links you ll select Invite Family Members, enter their details and they will be sent an . PLEASE NOTE this will prompt them to set up their own account. It does not provide them access to your account OR your Bunk Note Credits. Questions or Problems? The Bunk1 team is available to support you 7 days a week during peak season. They guarantee a response within 24 hours and it's usually much quicker than that. Please call Bunk1 at or support@bunk1.com.
25 Page 1 of 4 Camp Transportation Release Form This form must be completed for ALL campers under age 18, even if a parent/guardian is providing all transportation. Please print this form singlesided (not doublesided) and fill out all sections (including name, address, and parent/guardian info.), as this document will be separated from the rest of the packet. This form is to be filled out each summer for each camp program/event. Present this form at checkin. Participant Information Name Program name Street address City State Zip Parent/Guardian Emergency Contact Information First Custodial Parent/Guardian Telephone: Day Evening Cell Does this person have permission to pick up the camper? Yes No Second Custodial Parent/Guardian Telephone: Day Evening Cell Does this person have permission to pick up the camper? Yes No Please circle one response for each of the following statements. This MUST match your online registration. My camp is arriving at camp by: Car Bus from Reno Bus from Truckee My camper is leaving camp by: Car Bus to Reno Bus to Truckee Are there any custody situations of which we need to be aware? Yes No If yes, please explain. Please identify any additional persons who MAY pick up your camper. We cannot release campers to any individuals not noted on this form. This box must be completed for attendance. Name Relationship to camper Phone 1 Phone 2 Name Relationship to camper Phone 1 Phone 2 Name Relationship to camper Phone 1 Phone 2 I confirm that the individuals listed above have my permission to pick up my camper. I also understand that the adult picking up my camper will be required to show photo ID. Printed Name Date Signature This section is to be completed at pickup: I am an approved adult listed on this form. I am confirming that I am picking up the youth camper named on this form. Printed Name Date Signature
26 Page 2 of 4 Camp Health History Form for Children & Adults This form must be completed for ALL camp participants (youth AND adults). Please fill out the name and address section, as this document will be separated from the rest of the packet. The information on this form is gathered to provide camp health care personnel the background necessary to provide appropriate care. Please provide complete and correct information. Keep a copy of the completed form for your records. This form is to be filled out each summer for each camp program/event by parents/guardians of minors or by adults themselves. Please staple pages 2 4 together and present at checkin. Participant Information Name Birth date Age at camp Home address Street address City State Zip Parent/Guardian Emergency Contact Information First Custodial Parent/Guardian Telephone: Day Evening Cell Second Custodial Parent/Guardian Telephone: Day Evening Cell If not available, in an emergency, notify: Relationship to participant Telephone: Day Evening Cell Insurance Information Is the participant covered by insurance? Yes No If yes, copy of insurance card must be attached. If so, indicate carrier or plan name Group Insurance ID # Name of insured Relationship to participant Medical Providers Name of family physician Telephone Address Name of family dentist/orthodontist Telephone Address Is there anything we should know about the camper? Please describe any physical, mental, or psychological conditions requiring medication, treatment, or special restrictions or considerations while at camp. Dietary Restrictions Allergy Information Allergic to: Describe reaction and management of the reaction:
27 Page 3 of 4 Prescriptions and/or Daily Medications Medication Name: SUN MON TU WED TH FRI SAT Dose Time(s) to give Medication Name: SUN MON TU WED TH FRI SAT Dose Time(s) to give Medication Name: SUN MON TU WED TH FRI SAT Dose Time(s) to give My camper uses an EpiPen. Yes No If yes, should the EpiPen be kept on the camper, her counselor, or at the Health Hut? My camper uses an inhaler. Yes No If yes, should the inhaler be kept on the camper, her counselor, or at the Health Hut? Common overthecounter medications are stocked in the Health Hut and will be administered at the discretion of the camp health staff to your camper if permission is given below. Medication will be administered based printed label s symptoms and suggested dosage. Circle all that apply. Tylenol (Children s) Calamine and/or Caladryl Lotion Sudafed Tums Tylenol (Adult) Benadryl (Children s) Robitussin DM Neosporin Ibuprofen (Advil and/or Motrin) Benadryl (Adult) PeptoBismol Sun Screen Bug Spray/Insect Repellant Hydrocortisone Cream Overthecounter medication notes: This box must be completed for attendance. Parent/Guardian or Adult Authorization: This health history is correct and complete to the best of my knowledge. The person herein described has permission to engage in all camp activities except as noted. I understand and agree to abide by any restrictions placed on my participant in camp activities. I attest that all immunizations required for school are up to date and agree that the date of the last tetanus shot is provided. I hereby give permission to the camp to provide routine health care, administer prescribed medications, and seek emergency medical treatment including xrays or routine tests. I agree to the release of any records necessary for insurance purposes. I give permission to the camp to arrange necessary transportation for me/my child. I have listed the medication dosage and administration instructions (if applicable). I authorize camp health staff to administer the above listed medications to my camper during her participation. I understand that GSSN is not liable for lost or damaged medical equipment. If I cannot be reached in an emergency, I hereby give permission to the physician selected by the camp to secure and administer treatment, including hospitalization, for the person named above. I understand every effort will be made to contact me or the emergency contact noted above before taking this action. This form may be photocopied for trips out of camp. Printed Name Date Signature
28 Page 4 of 4 THIS ENTIRE SECTION MUST BE COMPLETED BY LICENSED MEDICAL PERSONNEL FOR ALL CAMPERS (YOUTH AND ADULT) ATTENDING A CAMP WASIU II SESSION THAT IS FOUR (4) NIGHTS OR LONGER. A physical is required for ALL campers that are attending a Camp Wasiu II session that is four (4) nights or longer. The physical exam must be current within 12 months of the camper s first day at camp. Date of Examination Height Weight BP Please circle the appropriate number for each system examined during the physical. 1 = Within normal 2 = Abnormal finding 3 = Referred for evaluation or treatment HEENT Neurological Skin Lungs Abdomen Heart Extremities Urinary Vision Date of Last Tetanus Shot (Required for participation in camp) Record of Past Medical Treatment (including treatment of any chronic/recurring illnesses, surgeries, etc.) Activity Exemptions The camp day includes high activity levels at elevations above 6000 feet. Are there any camp activities from which the camper should be exempted for health reasons? Yes No If yes, please describe: This box must be completed for attendance IF the camper will attend a Camp Wasiu II session lasting 4 nights or longer. Printed name & title of licensed medical personnel Practice / Clinic Name Phone Address Signature Date
29
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 informationSouth 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 information2018 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 informationCamp 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 informationDate 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 informationCamper 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 informationRegistration Information and Fees
South Shore Day Camp 2015 Registration Information and Fees Parent Information Name: Address: Town: Zip: Home Phone: Work Phone: Cell Phone: Parent s Email address: Parent s Email address: Please circle
More informationMARYLAND 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 information2015 Camper Health Form
2015 Camper Health Form Camp Frederick PO Box 258, 6996 Millrock Road, Rogers, OH 44455 Email: info@campfrederickohio.com Phone: 330-227-3633 FAX: 330-227-9005 Camp Frederick requires the following information
More information2019 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 informationDates will attend camp: from to Month/Day/Year Month/Day/Year. Male Female Birth Date Age on arrival at camp Month/Day/Year
CAMPER HEALTH-CARE RECOMMENDATIONS by LICENSED MEDICAL PERSONNEL FORM 2 Developed and reviewed by: American Camp Association, American Academy of Pediatrics Council on School Health, & Association of Camp
More informationCAMPER HEALTH HISTORY FORM 1
CAMPER HEALTH HISTORY FORM 1 Developed and reviewed by: American Camp Association, American Academy of Pediatrics Council on School Health, & Association of Camp Nurses Mail this form to the address below
More informationCAMPER HEALTH HISTORY FORM 1
CAMPER HEALTH HISTORY FORM 1 Developed and reviewed by: American Camp Association, American Academy of Pediatrics Council on School Health, & Association of Camp Nurses Mail this form to the address below
More informationCAMPER HEALTH HISTORY FORM1
CAMPER HEALTH HISTORY FORM1 Developed and reviewed by: American Camp Association, American Academy of Pediatrics Council on School Health, & Association of Camp Nurses Mail this form to the address below
More informationMARYLAND 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 informationSummer 2017 Health Form Break Down
Summer 2017 Health Form Break Down The health and safety of campers are our primary concern. As such, we review and update our Health Forms each year to reflect changes made in Maryland State Youth Camp
More informationHealth 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 informationCamp 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 informationCamper Information. Street Address Apartment/Unit # City State ZIP Code. Parent/Guardian Information. Last First M.I. City State ZIP Code
Health History Form Parents / Guardians must complete all sections of this form apart from the final section which should be completed by the campers physician or a licensed medical personnel. Camper Information
More informationCamper 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 informationPeterkin 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 informationNetXtreme 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 informationForms A-C must be completed and sent to the Camp Floyd Rogers office and postmarked by June 1 st. Camp Floyd Rogers PO BOX Omaha, NE 68154
Forms A-C must be completed and sent to the Camp Floyd Rogers office and postmarked by June 1 st. Camp Floyd Rogers PO BOX 541058 Omaha, NE 68154 NOTE! The forms typically require $.70 postage in a standard
More informationCAMP 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 informationYMCA Hayo-Went-Ha Camps Instructions for Medical Form
YMCA Hayo-Went-Ha Camps Instructions for Medical Form EFFECTIVE JANUARY 01, 2012, THE AMERICAN CAMPING ASSOCIATION HAS CHANGED THE STANDARD FOR A CAMPER S HEALTH EXAM. CAREFULLY READ THE INFORMATION BELOW!
More information2013 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 informationCamper s Name Last First Middle Date of Birth Age Today s Date. Mailing Address City State Zip County Sex Race
For Arc Use Only Application for 2018 Day Camp 546 S. Collett Street, Lima, Ohio 45805 Phone: 419-225-6285 Please fill out this application completely Any incomplete application will be returned to you
More informationCAMPER 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 informationCamper 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 informationLake Geneva Youth Camp Health Certificate
Lake Geneva Youth Camp Health Certificate Camp Session This health form must be completed by the parent or legal guardian of the camper, and signed at the bottom. This form must be returned to the Camp
More informationIndian Valley Boys & Girls Club 2018 Summer Day Camp Registration Form PLEASE CIRCLE SHIRT SIZE: CAMPERS NAME: HOME PHONE: ADDRESS:
Indian Valley Boys & Girls Club 2018 Summer Day Camp Registration Form CAMPERS NAME: HOME PHONE: ADDRESS: CITY: ZIP CODE: AGE: GENDER: *I UNDERSTAND THAT REGISTERING MY CHILD AFTER MAY 18 TH WILL RESULT
More informationBen 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 informationIMPORTANT NEMC CAMP FORMS
IMPORTANT NEMC CAMP FORMS Please print this page, read the Parent/Camper Handbook, complete the checklist of forms, and mail to the camp address or email office@nemusiccamp.com by June 1 st. Travel Form
More informationOvernight 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 information2017 Medical Form Carolina Raptor Center Summer Camp
2017 Medical Form Carolina Raptor Center Summer Camp Health Information, Form 1 Camper s Name: Birthdate: Sex: Street Address: City State Zip _ 1st Parent/Guardian: Mobile Phone: Home Phone: Work Phone
More informationYMCA 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 informationPlease mark which days your camper will be attending. ($15 a day or $70 for all week)
Peterkin Camp and Conference Center A Ministry of the Episcopal Diocese of West Virginia An Accredited American Camp Association Camp Day Camp Registration June 18-22, 2018; Open to youth entering K-6
More informationPARENT / GUARDIAN: PLEASE FILL OUT AND SIGN THIS PAGE.
CAMPER HEALTH Attending: 1st Session 2nd Session (Circle one) HISTORY FORM 2015 Camper Name: Developed and reviewed by: American Camp Association, First Middle American Academy of Pediatrics Council on
More informationKIDDO 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 informationDates: 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 informationAs the parent/guardian of I choose not to have a medical. Personnel FORM 2.
Star Lake Camp Health Form 2017 All Campers must have a signed CAMPER HEALTHHISTORY FORM 1 on file at camp. Please be sure to send it with them. All campers must have a Recommendations for Licensed Medical
More informationDHAC 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 informationAmerican 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 information2019 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 informationMedical History Form
Medical History Form Childs Name: Age: Date of Birth: Weeks Attending: Gender: M F Parent/Guardian: Address: Home Phone #: Work Phone #: Cell Phone #: E-Mail: Emergency Contact Information: Name: Relationship
More informationRye 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 informationPlease circle shirt size and check Youth or Adult: Shirt Size S M L XL XXL 3XL other: 4-H Member is active in 4H Online:
2019 4-H Special Clovers Registration Packet March 23 & 24, 2019 DEADLINE: Registration is due in the State Office February 1 st Camp is limited to the 1 st 15 paid 4-H members Date: / / 2019 FOIC USE
More informationCamp Celo. Medical Form Package Instructions:
Camp Celo 775 Hannah Branch Road Burnsville, NC 28714 828-675-4323 Medical Form Package Instructions: These forms are required of all campers. Please complete and return by May 15. 1. Complete and sign
More informationCAMP 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 informationPlease return this form to your hosting branch.
CAMPER HEALTH HISTORY FORM 1 Developed and reviewed by: American Camp Association, American Academy of Pediatrics Council on School Health, & Association of Camp Nurses Please return this form to your
More informationCamper 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 informationHarvest Kidz Camp 2016
DO NOT STAPLE USE PAPER CLIP PLEASE PRINT CLEARLY Camper s Information Last Name First Name Harvest Kidz Camp 2016 CAMPER REGISTRATION FORM Middle Social Security Number Date of Birth Age Gender Male Female
More informationMarianne Askew and Sally Joyce
Dear Friend, Thank you for your interest in Camp Hope 2019. Camp Hope s mission is to create a healing environment for those living with cancer by fostering meaningful relationships with others through
More informationESO 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 informationPROGRAM 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 informationResidential campers will report Sunday evening, and parents need to pickup Friday afternoon
Thank you for registering your child to attend our fun-filled summer camps. Our camps are packed with many opportunities to learn, make friends with other Deaf or Hard of Hearing kids, and explore outlets
More informationSummer 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 informationSUMMER 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 informationStudent 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 information2018 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 information2017 Houchens Day Camp
2017 Houchens Day Camp Registration Deadline: May 15, 2018 Limited to first 100 paid registrations Location: Houchens Program Center on Barren River Road, Bowling Green, Kentucky Dates: June 11-14th with
More information2018 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 information2017 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 information2018 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 informationCAMP 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 informationCamp 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 informationCamper Forms Checklist-Camp Menzies
Camper Forms Checklist-Camp Menzies If you have difficulty opening the forms, contact customer care at 916.452.9181/800.322.4475 or customercare@ Forms Tips Use the following checklist and review the information
More informationOverview. 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 informationDear 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 informationEastman 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 informationCave 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 information2015 Catholic Scout Retreat The Diocese of Birmingham September 25-27, 2015 at Beautiful Camp Tekakwitha
2015 Catholic Scout Retreat The Diocese of Birmingham September 25-27, 2015 at Beautiful Camp Tekakwitha Registration Deadline: September 15 Check-in on Friday begins at 5:00 PM. The program will conclude
More informationBayshore District Great Scouts! Outdoor Adventure Twilight Camp June 15 19, 2009 Youth Application
Youth Application: Scout (Tiger, Wolf, Bear, Webelos) Sibling (Girl, PeeWee) Rangers (Boy Scouts 11-13) Bayshore District Twilight Camp June 15 19, 2009 Youth Application One form per child. Name Date
More informationArea 14 Day Camp 2019 Celebrating You
Area 14 Day Camp 2019 Celebrating You June 24-28, 2019 Camp Shantituck Training Dates for volunteers and AIDEs May 19, June 24 @Camp Shanituck Based upon the interests of the campers the possibilities
More informationSunday, 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 informationGARAYWA 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 informationGirl Scouts of Area 10 Day Camp June 18-22, :30 a.m. 3:30 p.m. Camp Shantituck Shepherdsville, KY Registration Opens March 15
Girl Scouts of Area 10 Day Camp June 18-22, 2018 8:30 a.m. 3:30 p.m. Camp Shantituck Shepherdsville, KY Registration Opens March 15 Do you have some time you can give to camp? This camp is staffed by volunteers
More informationWashington 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 informationDay 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 informationGIRLS 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 informationCAMP JEANNE D ARC Medical Information Instructions for Parents/Guardians
CAMP JEANNE D ARC 2018 Medical Forms 2017 Medical Information Instructions for Parents/Guardians DUE to bybunk1 MAY or 1, mail 2017to our office by May 1st Please complete and upload Complete online: Registration
More informationGARAYWA 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 informationMinions: Take Me to Your Leader. Youth Camp: July Kids Camp: July T-Shirt is included in the Registration Fee! $255.
Northern New England District Assemblies of God Early Bird Registration $255.00 Deadline: 5/12 Regular Registration $275.00 Deadline: 5/13-6/2 Late Registration $305.00 After 6/2 T-Shirt is included in
More informationCAMP SUNRISE LAKE CIT Registration
2019 CIT Registration Morris County Park Commission Recreation Department Mailing Address: Morris County Park Commission, P.O. Box 1295, Morristown, NJ 07962-1295 Telephone: 973.326.7616 Fax: 973.656.2467
More informationAll forms and the $25.00 registration fee must be completed and returned to us in order to start the enrollment process.
PineTree oce~ DI SCOVERING A B I L IT I E S TOGE THER Dear Parents and Guardians: Thank you for your interest in having your child attend Camp Pine Cone in 2012. Many of last year's summer staff members
More informationSOFTBALL 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 informationCrex Meadows Youth Conservation Camp. Camper Application Form. First Last M.I. Date of Birth Age Gender
Name Crex Meadows Youth Conservation Camp Camper Application Form First Last M.I. Date of Birth Age Gender Expected Graduation Year Current Grade Level School Attending Social Security Number / / (for
More informationThe Hammock House Summer Camp Programs nd Street West, Marathon, Florida
The Hammock House Summer Camp Programs 451 52nd Street West, Marathon, Florida 33050 HammockHouseKids@gmail.com 305-743-6412 Dear Parents/Guardians WELCOME AND REGISTRATION INSTRUCTIONS: Thank you for
More informationFORM /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 information2017 Camp Requirements. Why does Mercy Street go to camp?
Summer Camp 2017 August 6-11 Once again, Mercy Street is blessed beyond measure in our partnership with Pine Cove Christian Camps! We are excited to be going to Pine Cove Outback located in Columbus, Texas
More informationCALVERT 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 informationMonday, Tuesday, and Wednesday: 9:00 AM until 4:00 PM
Vacation Bible School Silver Spring Presbyterian Church In Partnership with Camp Krislund s Traveling Day Camp This year, Silver Spring Presbyterian Church is partnering with Camp Krislund to bring you
More informationInstructions for Parents Registering Children for Camp Walter Johnson
Instructions for Parents Registering Children for Camp Walter Johnson These instructions are for parents to create a registration profile for your own child and will complete the child s health history
More information2018 Day Camp Dates See you this summer!
DearKidsandParents, ItistimetogetreadyforCampRiseAbove!Weareexcitedtoinviteyouto our2018campsession,andhaveoutlinedbelowwhatourdayswillbe like.wehavealsoincludeda WhattoBring listonthebackofthispage. Ifyouwouldliketoattend,weaskyoutofilloutthe:
More informationCAMP TAWINGO 2018 CAMPER APPLICATION FORM SUMMER FUN FOR BOYS & GIRLS 7 TO 16 YEARS OF AGE
We have fun building GREAT kids! CAMP TAWINGO 2018 CAMPER APPLICATION FORM SUMMER FUN FOR BOYS & GIRLS 7 TO 16 YEARS OF AGE Please send this Application Form to: 1844 Ravenscliffe Rd Please check the session(s)
More information*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 informationCAMP 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 information2018 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 information2018 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 informationOVERNIGHT CAMP REGISTRATION PACKET
OVERNIGHT CAMP 2 0 1 9 REGISTRATION PACKET WWW.PARADISEFARMCAMPS.ORG WELCOME TO PARADISE FARM CAMPS! PARADISE FARM CAMPS IS THE PLACE TO BE IN CHESTER COUNTY EACH SUMMER. SINCE 1875, WE HAVE BEEN PROVIDING
More information