2024 FAMILY CAMP REGISTRATION FORM

2025 FAMILY CAMP REGISTRATION FORM

DATES: SUNDAY, AUGUST 17 - SATURDAY, AUGUST 23, 2025
Fairwinds Family Camp is located in Maine in a beautiful traditional summer camp setting on a pristine lake. Fairwinds is located just under three hours from Boston. For the safety and privacy of our campers, exact location is given to enrolled families only.
FAMILY DETAILS:
Parent/Guardian 1 Name*

Preferred First NameLast Name
Parent/Guardian 1 Pronouns
Parent/Guardian 1 Email*
example@example.com
Parent/Guardian/Adult 2 Name

Preferred First NameLast Name
Parent/Guardian/Adult 2 Pronouns
Parent/Guardian/Adult 2 Email
example@example.com
Parent(s)/Guardian(s) are (check all that apply):

Married/PartneredSeparatedDivorcedSingle ParentOther
Adult 3 Name

Preferred First NameLast Name
Adult 3 Pronouns
Adult 3 Email
example@example.com
Child 1 Name *

Preferred First NameLast Name
Child 1 Pronouns
Child 1 Date of Birth
MM/DD/YYYY
Child 2 Name

Preferred First NameLast Name
Child 2 Pronouns
Child 2 Date of Birth
MM/DD/YYYY
Child 3 Name

Preferred First NameLast Name
Child 3 Pronouns
Child 3 Date of Birth
MM/DD/YYYY
Child 4 Name

Preferred First NameLast Name
Child 4 Pronouns
Child 4 Date of Birth
MM/DD/YYYY
Additional adult or child name(s), pronouns, and child's age(s), and adult email address(es) who will attend Fairwinds:
Primary family address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
What makes your family want to come to Fairwinds? Please include "gender journey" information and which person/people in your family are trans, non-binary, or otherwise gender diverse (returners can say "same as last year!"):*
Returners can write "same as last year" if desired.
Please let us know if your family has any needs in general with relation to food/diet, accommodations, accessibility, or anything else that will help us make your family's stay the best it can be:
Race(s)/ethnicity(s): (Optional)
PAYMENT

The all-inclusive cost of Fairwinds Family Camp, with meals, lodging in a private cabin, activities, and lots of fun and community, is $3,895 for a family of up to 4 people. Each additional family member beyond 4 is $530.

At this time, Fairwinds Family Camp is only accepting payment by check. Please send a $1,000 deposit check made out to "Fairwinds Family Camp" to:

Fairwinds Family Camp

Nick Teich

32 Henderson St

Needham, MA 02492

The payment schedule is below. If you would like to request a different payment plan, please email nick@fairwindsfamilycamp.com. Once you submit your application, we will send an invoice to your email address with the above information.

Thank you!

Questions: contact nick@fairwindsfamilycamp.com

Payment schedule:

$1,000 deposit due upon application

$1,000 due March 1, 2025

Final balance due May 1, 2025

Refunds:

75% of full fee through March 1, 2025

50% of full fee March 2 - May 1, 2025

25% of full fee May 2 - June 1, 2025

No refunds after June 1.
Fairwinds Family Camp Statement of Understanding/Release:

The information on this form is correct to the best of my knowledge. I understand that if information listed on any of the forms I've signed changes prior to the start of camp, I will notify Fairwinds Family Camp. I understand that Fairwinds Family Camp is not responsible for my personal items. On behalf of my family, I voluntarily accept all risk and responsibilities of my family's participation in Fairwinds Family Camp, and I hereby release, waive, discharge, hold harmless, covenant not to sue and covenant to indemnify Fairwinds Family Camp, its trustees, officers, agents, employees and contractors, and all other persons associated with Fairwinds Family Camp with respect to any and all liability for any harm, injury, damage, cost or expense of any nature whatsoever. This release shall be interpreted under and governeed by the laws of the State of Maine. My signature below states that I fully understand and agree to this Statement of Understanding/Release.
Signature of Parent/Guardian

Clear
Print Name of Signee Above

First NameLast Name
Should be Empty:

2025 FAMILY CAMP REGISTRATION FORM