Summer Camp 246 Detailed Registration Form Logo
  • Camp 246 Christmas Program Registration

    Making memories that last a lifetime! Summer Camp 246 is filled with other activities such as arts & craft, sports, and adventurous tours, which keep our campers engaged and eager to learn and explore new challenges in a fun, safe and supportive environment.
  • Participant Information

  • Parent/Guardian Information

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  • Emergency Contact Information

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  • Informed Consent and Acknowledgement 

    I am aware that certain activities are physically demanding. (If you have concerns regarding your child’s abilities to participate fully, please contact the Camp Directors.) I will send my child to camp with the appropriate equipment, such as rain gear, sturdy shoes, protective clothing, sunscreen, water bottles, etc. I further understand that equipment, clothing, backpacks, coolers, etc. will experience heavy wear and tear. I understand that both my child and their belongings may come home wet, dirty, muddy, and tired. * I understand that money, video games, toys, electronic devices, cell phones, and trading cards, are not to be brought to camp. I understand that Summer Camp is not responsible for their loss or misplacement. * I understand that clothing, towels, shoes, coolers, mats and water bottles will be marked with the child’s name. I understand Summer Camp is not responsible for their loss or misplacement.

    * I understand that my child may not be released to anyone without prior notification from a Parent/Guardian disclosed in the forms above. * I understand that the Summer Camp staff cannot withhold a child from a biological or custodial parent without legal documentation (i.e. court orders, custody papers, etc.) * I understand my child will be expelled from Camp if he/she is found to be in the possession of knives, kitchen cutlery, guns, pocket knives, or weapon of any sort. In addition, I understand that my child may be expelled if I, any member of my family, or my child verbally or physically threatens another camper or staff. * I understand that Summer Camp staff will not be responsible for any prescription medication a camper has to take. *I understand some specific hazards that may be encountered during the course of a normal camping day may include: slipping or falling insect bites, or bodily injury. I understand and recognize the element of risk inherent in any adventure program, dance, gymnastics, sport, or activity associated with the outdoors. I certify that my child is capable of participation in all of the daily activities and I agree to reinforce the established safety rules and procedures. * I understand that credits or refunds will not be issued for any absences or program closings due to severe weather. *I understand that after my child has attended five (5) days of camp, refunds will not be issued under any circumstances. * The information given in the registration and medical information paperwork is correct and complete to the best of my knowledge and the person herein described has permission to engage in all activities in the program, except where noted. * I give my permission for my child to take part in the field trips provided by Summer Camp. I understand that my child will walk, or be transported by Company vans or busses. * I understand Company staff may photograph or video record my child for Company promotional or onsite activity purposes. * I agree to hold harmless the Company, its agents and employees for all incidents alleging bodily injury or property damage or loss occurring while the person herein described is a participant at a Company-sponsored activity on or off the Company premises. I will not hold harmless the Company from any liability arising out of the negligence of the Company.

  • Confirmation

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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