2025 Summer Camp Enrollment

Summer Camp Registration

Please fill out a separate form for each child you are registering
Select which camp(s) your child will attend
Select which camp(s) your child will attend:*

WAITLIST: June 16-20 Day Camp: rising 2nd-3rd graders 10am-3pm $250WAITLIST: June 23-27 Day Camp: rising 4-5th graders 10am-3pm $250June 30, 10am - July 3, 11am OVERNIGHT Camp: rising 6-7th graders $450WAITLIST: July 7-11th Day Camp: rising 3rd-5th graders 10am-3pm $250
Camp Registration Fee

All camps require a $50 NON-REFUNDABLE. The entire camp balance is due two weeks before your session of camp begins. Cancellation for camps must be made at least one week before the camp session begins. Cancellations made within one week of the session start day will be non-refundable. Scholarships are limited. If needed, select which one your family needs. We will do our best to accommodate everyone in need but will contact you if we run out of scholarships.
Does your child NEED a scholarship in order to attend camp?

Yes, my child can only attend camp if they receive a scholarship.No
The Native Village of Eyak may provide camp scholarships. Priority will go to tribal beneficiaries. Is your child a tribal beneficiary?

YesNo
The Eyak Corporation may provide camp scholarships. Priority will go to tribal shareholders and descendant. Is your child a shareholder or descendant of a shareholder?

YesNo
The Cordova Community Foundation (CCF) has provided funding for camp scholarships. Does your child reside in Cordova year-round AND are you willing to write a thank you to the CCF board if awarded a scholarship? This letter can be anonymous or not.

YesNo
Please select the size scholarship your family needs:*

NO Scholarship: You pay 100% of camp registrationSmall Scholarship: $50 off registration of each campMedium Scholarship: $100 off registration of each campLarge Scholarship: $200 off registration of each campX-Large Scholarship: for overnight camp ONLY! $350 off registration
Payment

You’ll be emailed an invoice within 48hrs of submitting this form. All programs require a $50 NON-REFUNDABLE deposit with registration. The entire camp balance is due two weeks before each session of camp begins. Cancellation for camps must be made at least one week before the session begins. Cancellations made within one week of the session start day will be non-refundable. Payment can be made via credit card or by mailing a check. A 4% fee will be added to credit card payments. Please contact Gabby at gb@mavisisland.org or 907-280-8400 if you have any questions or you need more time to submit your payment. MIP tries to ensure every kid has the opportunity to attend camp!
I would like to pay via *
At this time, I'd like to pay *
CHILD INFORMATION:
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
Your child's grade for the 2025-26 school year:

2nd3rd4th5th6th7th
Allergies
Other Medical Information
Other Special Accommodations
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
E-mail*
Secondary Emergency Contact
Name*
Relation to Camper*
Phone Number*
Liability
I Parent/Guardian * understand that my child's participation in camp involves inherent risks associated with recreation in the outdoors. Serious injuries can result from hiking over uneven terrain, being in and around water, and using tools for camp activities.

Minor injuries such as cuts, bruises, scrapes, and burns may occur. Risk of serious bodily injury is low but also present.

I assume these risks and agree to not hold Mavis Island Project and its employees and volunteers responsible if injury may occur at camp.

I certify that I have knowingly and voluntarily signed this agreement with the intent that it be a legally binding document designed to protect the Mavis Island Project , Prince William Sound Economic Development District, and Great Alaska Council from any and all claims which could be brought by myself or anyone else on account of injury or death to me or my camper regardless of cause or fault.
Signature*

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Date*

MonthDayYear
Date
Consent for Medical Care

I agree to allow the Mavis Island camp staff and volunteers to administer basic first aid in the event that my child needs medical care. I understand that I will be contacted immediately if further medical care is needed. Staff and volunteers may transport my child to the emergency room at Cordova Community Medical Center (CCMC) if a major emergency may occur. I agree that CCMC may provide care in the event that I cannot be reached. I understand that I will be financially responsible for any costs related to care with or without insurance.
Signature*

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Date*

MonthDayYear
Date
Media Release

I give permission for my child to be interviewed, photographed, or videotaped by camp staff for use in web-based, printed news media, or promotional materials and documentation.
Signature

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Date

MonthDayYear
Date
Should be Empty:

Summer Camp Registration

Select which camp(s) your child will attend

Camp Registration Fee

Payment

CHILD INFORMATION:

PARENT/GUARDIAN INFORMATION:

Secondary Emergency Contact

Liability

Consent for Medical Care

Media Release