CTM English Enrollment Form

Camper's Name*

First Name Last Name

Campers Birth Date*

Date

Gender*

Current Grade in School *

School Name *

Program Selection *

East Coast Trip 2 weeks -7/13/2025-7/26/2025West Coast Trip 2 weeks -7/13/2025-7/26/2025East Coast College Tour Camp -7/27/2025-8/9/2025West Coast College Tour Camp -7/26/2025-8/2/2025Winter Camp 2025- 2/1/2025-2/15/2025

Add Summer Camp?*

YesNo

Summer Camp Add on Selection*

CTM Trip + 2 weeks camp -7/13/2025-8/9/2025CTM Trip + 3 weeks camp -7/13/2025-8/15/2025

Parents Name *

First NameLast Name

Parents Email *

example@example.com

Phone Number *

Company *

Job Title *

Add Another Parent?*

YesNo

Parents Name *

First Name (名字)Last Name (姓氏)

Parents Email *

example@example.com

Phone Number *

Company *

Job Title *

Emergency Contact Name*

First Name (名字 )Last Name (姓氏)

Phone Number*

Relationship to Camper*

Please check the boxes below to acknowledge and agree*

Payment Terms: a $1,500 deposit is due at the time of enrollment. $2,000 tuition payment is due on or before March 1. The balance is due on or before May 1. A $250 late fee will apply for any payments made on or after May 2.Cancellation Terms: a full refund, including any deposit paid will be made if cancellation request is received in writing on or before December 31. A partial refund, less $1,000 non refundable and non transferable deposit, will be issued if cancellation request is received in writing on or before May 1. No refund will be issued if cancellation is requested on or after May 2, including during the camp session.Camper tuition at Camp Thousand Miles includes round-trip transportation from the Metropolitan New York area/ Metropolitan Los Angeles area on our scheduled transportation, laundry service, all meals, hotel accommodations and all activities. Tuition does not include required curriculum based reading materials or required and optional camp apparel. Itineraries and trip details are subject to change.The camp is not responsible for campers' equipment or personal belongings while in transit, traveling at camp, or if lost or damaged by fire, theft, laundry, etc.A 3% processing fee will be added for all credit card transactions. Families are welcome to pay by check or ACH at no additional cost. All refunds for payments made by credit card will incur an additional 3% fee on the amount refunded.As parents/guardians, we sign below, understanding the risks involved in rural, woodland, outdoor camp activities. We realize that no environment is risk-free, and we accept responsibility and grant permission for our child to participate in all activities, program excursions, and special outings. Knowing that the orderly operation of the program is of utmost importance, we have instructed our child on the importance of, and we agree to comply with, all Camp policies and procedures, including enrollment, withdrawal of campers, and all policies as outlined here, in the Parent Handbook. Further, we shall defend, indemnify, and hold harmless SAR United LLC (d/b/a Camp Thousand Miles), its officers, officials, employees and volunteers from and against any and all claims, suits, actions, or liabilities for injury or death of any person, or for loss or damage to property, which arises out of my child's camp experience.We fully understand that Camp Thousand Miles reserves the right to dismiss, at its sole discretion, a camper whose condition, conduct, influence, or behavior is deemed by the Camp to be unsatisfactory or detrimental to the best interests of the Camp or any child who violates Camp Policies and Regulations without any refund. In these cases, parents are responsible for any costs incurred with dismissal (such as, but not limited to, hotel nights, meals and transportation)We hereby consent to and authorize the reproduction, publication, and use by Camp Thousand Miles and their successors and assignees for advertising, commercial, or any other purposes, use of any photograph, picture, or likeness of my/our child.We agree that any dispute or cause of action arising between the camper, parent/guardian, Camp, or any other parties involved can only be brought in a court of competent jurisdiction located in Essex County, NY, and shall be construed in accordance with the laws of the State of New York.

Please check the boxes below to acknowledge and agree*

Payment Terms: a $1,500 deposit is due at the time of enrollment. The balance is due on or before December 15. A $250 late fee will apply for any payments made on or after December 16.Cancellation Terms: a full refund, including any deposit paid will be made if cancellation request is received in writing on or before November 15. A partial refund, less $1,000 non refundable and non transferable deposit, will be issued if cancellation request is received in writing on or before December 15. No refund will be issued if cancellation is requested on or after December 16, including during the camp session.Camper tuition at Camp Thousand Miles includes round-trip transportation from the Metropolitan New York area/ Metropolitan Los Angeles area on our scheduled transportation, laundry service, all meals, hotel accommodations and all activities. Tuition does not include required curriculum based reading materials or required and optional camp apparel. Itineraries and trip details are subject to change.The camp is not responsible for campers' equipment or personal belongings while in transit, traveling at camp, or if lost or damaged by fire, theft, laundry, etc.A 3% processing fee will be added for all credit card transactions. Families are welcome to pay by check or ACH at no additional cost. All refunds for payments made by credit card will incur an additional 3% fee on the amount refunded.As parents/guardians, we sign below, understanding the risks involved in rural, woodland, outdoor camp activities. We realize that no environment is risk-free, and we accept responsibility and grant permission for our child to participate in all activities, program excursions, and special outings. Knowing that the orderly operation of the program is of utmost importance, we have instructed our child on the importance of, and we agree to comply with, all Camp policies and procedures, including enrollment, withdrawal of campers, and all policies as outlined here, in the Parent Handbook. Further, we shall defend, indemnify, and hold harmless SAR United LLC (d/b/a Camp Thousand Miles), its officers, officials, employees and volunteers from and against any and all claims, suits, actions, or liabilities for injury or death of any person, or for loss or damage to property, which arises out of my child's camp experience.We fully understand that Camp Thousand Miles reserves the right to dismiss, at its sole discretion, a camper whose condition, conduct, influence, or behavior is deemed by the Camp to be unsatisfactory or detrimental to the best interests of the Camp or any child who violates Camp Policies and Regulations without any refund. In these cases, parents are responsible for any costs incurred with dismissal (such as, but not limited to, hotel nights, meals and transportation)We hereby consent to and authorize the reproduction, publication, and use by Camp Thousand Miles and their successors and assignees for advertising, commercial, or any other purposes, use of any photograph, picture, or likeness of my/our child.We agree that any dispute or cause of action arising between the camper, parent/guardian, Camp, or any other parties involved can only be brought in a court of competent jurisdiction located in Essex County, NY, and shall be construed in accordance with the laws of the State of New York.

Signature*

Camp Thousand Miles Registration Form

Camper Information

Parent Information

Emergency Contact

Terms and Conditions

I agree to the terms and conditions and enroll my camper(s) at Camp Thousand Miles