FUNCAMPS APPLICATION FORM 2025

Paget Island July 25ᵗʰ-27ᵗʰ 2025

Drop off: 5:30pm SHARP Friday July 25th at Albouy's Point

Pick Up: 1:00pm Sunday July 27th at Albouy's Point

Please complete and return this form along with full payment of $250 per camper to:

[HSBC ACCOUNT: T.BEAN 010-754620-013]

Please send payment screenshots to: info@funcampsbda.com

You will receive a confirmation upon receipt of this registration form and full payment.

Campers Full Name

Date of birth

Date

Age at start of camp

Address

Current School Attending

Parent/Guardian Name

Parent/Guardian Email

example@example.com

Cellular

Format: (000) 000-0000.

Work Phone

Format: (000) 000-0000.

Relationship to Camper

Second Parent/Guardian Name

Second Parent/Guardian Email (if needed to be included on correspondence)

Cellular

Format: (000) 000-0000.

Work Phone

Format: (000) 000-0000.

Relationship to Camper

Emergency Contact IF BOTH PARENTS/GUARDIANS CANNOT BE CONTACTED

Name

Cellular

Format: (000) 000-0000.

Work Phone

Format: (000) 000-0000.

Relationship to Camper

Please list all prescribed medications currently taking and time/dosage (if needed while on the island)

I give my child permission to self-administer their prescription medicationI wish for the camp counselors to administer my childs prescription medication

TylenolBenadrylTums

Camper Allergies: (please write 'N/A' if none)

PARTICIPATION AGREEMENT & REFUND POLICY PLEASE READ & SIGN THIS STATEMENT

I am choosing to enroll my child in FunCamps Weekend Camping Excursion. In signing this application, I certify that I am not sending my child to camp with any signs of illness, including but not limited to fever, cough, fever, sore throat, cold, flu-like symptoms, or any other contagious condition. I understand that this is to ensure the safety and well being of all participants and staff. I understand that reserved space may not be held without full payment. REFUND/CANCELATION POLICY: A full refund is available if canceled 48 hours before the start of camp. There will be no refunds if canceled after this time. Extenuating factors may be considered. I grant permission for the applicant to participate in all planned camp activities. I grant FunCamps and it's counselors full authority to take whatever actions they deem necessary regarding my child's health and safety, and I fully release FunCamps from any liability in connection there within. In the event of an emergency, I understand that prudent attempts will be made to contact the undersigned immediately. I understand that my child must comply with the camp's rules and standards of conduct and that if deemed necessary, FunCamps may terminate my child's participation in the camp program if he does not maintain these standards. I understand that FunCamps is not responsible for lost, stolen, or damaged personal articles. I authorize FunCamps to own and have full right of disposition to any video film, footage, sound recordings, and photo reproductions of the camper named on this contract. I acknowledge that with participation carries risk of physical injury. I agree that FunCamps, and its employees shall not be liable for any injury or damage, howsoever caused, resulting directly or indirectly from my child's participation in FunCamps.

Parent/Guardian Signature

Date

FUNCAMPS ADVENTURE CAMP