CAMPER PRE-ARRIVAL FORM

CAMPER PRE-ARRIVAL FORM

Please complete this form by May 1. It includes acknowledgment of the camper agreement, permissions, activity preferences, and optional trip sign-ups. Please complete one form per camper.
Section 1: About Your Camper
Your Camper's Name *

First NameLast Name
Parent/Guardian #1 Email
example@example.com
Your Camper's Preferred Name / Nickname (if applicable)
Camper's DOB*

MonthDayYear
Date
Attending these sessions: *
Emergency Contact (other than parent)

First NameLast Name
Emergency Contact Phone Number
Emergency Contact Relation to Camper
Please upload a recent photo of your camper.

Cancelof
Section 2: Camper Agreement Acknowledgment

These guidelines ensure a safe, fun, and respectful camp environment. Please read each section carefully and acknowledge your understanding.
Behavior & Community Expectations
- Campers must treat all members of the camp community with kindness and respect.
- Physical violence, bullying, or discriminatory language will not be tolerated.
- Campers must follow all program area safety rules (e.g., waterfront, circus, stables).
I understand
Prohibited Items & Activities
- Possession or use of alcohol, tobacco, marijuana, or any illegal substances is strictly prohibited.
- Fireworks, weapons, and dangerous items are not allowed.
- Cabin raids or theft of personal property are prohibited.
I understand
Cabin & Privacy Rules
- Campers must respect their own and others' personal space.
- Campers are not permitted in other cabins without permission.
- Photography inside cabins is prohibited.
I understand
Technology & Communication
- Camp is a device-free experience—cell phones must be turned in upon arrival.
- Parents can communicate via Bunk1 messages and phone calls. Phone calls are permitted after the 3rd day of camp.
- Any necessary calls due to emergencies will be facilitated by camp staff.
I understand
Personal Items
- All medications, both presecription and over the counter, must be stored at the Health Center and administered by medical staff.
- Valuables should be left at home or stored in the camp office.
I understand
Section 3: Permission to Leave Camp

Complete this section to authorize trusted individuals to pick up your camper or take them off camp property.
Do you give permission for your camper to leave camp with someone other than a parent/guardian?*

No, my camper can only leave camp with a parent/guardianYes, I'd like to add some additional names to my camper's pick-up list
Please include any name(s) of individuals authorized to pick up your camper and their relation to your camper.
Please sign to acknowledge that you understand that Camp Med-o-lark is not responsible for any occurrences once my camper has left camp property with these authorized individuals. Individuals picking up your camper should bring their photo ID.

Powered by Jotform SignClear
Is there anyone who should NOT have access to your child during pick-up (e.g., due to custody agreements or safety reasons)?

NoYes
Please list their name and any relevant details:*
Section 4: Out-of-Camp Trips & Special Activities

We're thrilled to offer some out-of-camp trips this summer. If you'd like your camper to participate in any of these optional out-of-camp trips, please indicate your interest below and we will update your invoice accordingly.
Would your camper like to participate in any of the following day trips? Transportation and lunch is included. (Check all that apply)

🌊 White Water Rafting ($125) - July 3, July 17, July 31, or Aug 14⚾ Portland Sea Dogs Baseball Game ($50) - July 13 or Aug 3🌲 Acadia National Park ($50) - July 6 or Aug 10⛳️ Moose Mountain Mini Golf & Adventure Park ($50) - July 10🦞 Maine Foodie Tour ($125) - July 27
Horseback riding 🐴 Would you be interested in having your camper participate in horseback riding as an elective this summer? We're hosting horseback riding as a daily activity at Lupine Farms, 30 minutes from camp. Transportation is included.

4 Days ($300)8 Days ($600)12 Days ($900)16 Days ($1,000)
Section 5: Camper Spending Account - NEW!

Campers can use spending money in the camp store, on out-of-camp trips or for incidentals like prescriptions. Having a spending account for your camper is optional. We recommend families provide campers with $100 in spending money per week. Please mark below if you would like us to add a camper spending account to your family invoice this year.
Would you like us to add a Camper Spending Account to your invoice this year? All funds not spent will be returned to you.

YesNo
Section 6: Camper Health Insurance Card

Please upload a photo (front and back) of your camper's health insurance so we can keep it on file at the health center. If your camper needs any treatment or examination at our health center, that is covered in your tuition. Camp will only use an insurance card in case of an emergency where your camper is needed to be seen off campus.
Please upload the front/back of your camper's health insurance.*

Cancelof
Should be Empty:

CAMPER PRE-ARRIVAL FORM

Section 1: About Your Camper

Section 2: Camper Agreement Acknowledgment

Section 3: Permission to Leave Camp

Section 4: Out-of-Camp Trips & Special Activities

Section 5: Camper Spending Account - NEW!

Section 6: Camper Health Insurance Card