2026 Beach Camp Overnight Program Application/Registration Form

Student Information

Parent - Primary Contact

Secondary Contact (If we can't reach the primary)

Informed Consent Waiver and Release

By signing below I acknowledge that I am the parent or legal guardian of the Student being registered, I have reviewed the materials on the Beach Camp website including activity videos and ackknowledge the risks and hazards associated with such activities and conditions including but not limited to: Communicable diseases, crossing parking areas, roadways and railroad crossings, swimming, diving, sailing, kayaking, canoeing, paddleboarding, outboard powered Zodiacs, biking, e-bikes, skateboarding, skimboarding, snorkeling, snuba/bubbleheads, ziplines, rope swings, ninja obstacle courses, team sports, clam digging, crabbing, fishing, boatbuilding, beach combing, creek walks, wilderness hikes, rock climbing, other outdoor and/or water related activities, wild and domestic animals, overnight accomodations, encounters with or actions by boaters or general public, food and refreshments. I hereby accept these risks to the Student as well as myself and family members, and give my permision and approval for the above referenced Student's participation and encountering of all risks associated with the Beach Camp program. 

In exchange for Beach Camp's acceptance of the Student's registration and attendance, I agree to assume all risks and hazards of accidents, bodily injury, and death, which may arise from any cause, including mistakes and errors or violation of laws or procedures, and I agree on behalf of myself, spouse, heirs, executors, and administrators, to waive and release any and all rights, claims, and causes of action, and to release from liability, as well as to defend and indemnify against such liability (to the extent of my available insurance), all persons and entities providing or involved with providing the Beach Camp programs, as well as the owners of property upon which program activities may be held. These released and indemnified persons and entities ("Releasees") include but are not limited to Beach Camp LLC, Sunset Bay Wharf, Save Our Shorelines, SSB Properties Inc., and each of the forgoing's owners, officers, employees, volunteers, helpers, guests, agents, representatives, and parent, subsidiary, successor and affiliated persons and organizations. I understand that the purpose of this clause is to help prepetuate the Beach Camp program by reducing over time the insurance costs and legal risks of providing the Beach Camp program to my children and others, by having my own insurance cover liablity costs from accidents which could occur to my children. I agree that the benefits of the Beach Camp program for my children and family substantially outweigh maximizing potential recovery in the event of an accident. I attest that I have read, fully understand, and agree to the assumption of risk, release of liability, and indemnification set forth in this agreement.

This application and registration for Beach Camp also constitutes permission for use of photo and video recordings of said Student by Beach Camp and its sponsors and affiliated entities in advertising and promotion of Beach Camp programs and related activites and events.

 

Medical Insurance, First Aid & Medical Authorization and Release

As Parent and/or Guardian of the named Student, and as a conditon to my child attending Beach Camp, I hereby agree to have full medical health insurance in place for my child, and I agree to waive any right that I or my medical insurance provider may have to recover medical costs from Beach Camp, and I agree to indemnify Beach Camp against any such claim.

I authorize Beach Camp to make decisions about the rendering of first aid to my child and in their best judgement to determine whether and to what extent first aid is necessary, and to render such first aid treatment or nontreatment as they believe is appropriate. This permision includes treatment and evaluation of incidents or suspected incidents of strains & sprains, bruises, blisters, rashes, cuts & scrapes, bites & stings, stubbed toes, bellyflops, head bumps, nausia, cramps, sand it eyes, sunburn, etc.

Permission is also hereby granted in the event of a true medical emergency for attending EMTs, lifeguards, first responders, doctors and medical professionals to proceed with medical treatment for said Student. I understand that in such cases every attempt will be made to contact me by text and phone and this authorization for major emergency treatment presumes reasonable efforts have been made to reach me if time permits.

This document is authorized and executed of my own free will, with the purpose of guaranteeing presence of medical insurance, and authorizing first aid and medical decionmaking and treatment for the Student in my absence.

Agreement Confirmation

BY SELECTING "SUBMIT FORM" AT THE BOTTOM OF THIS PAGE I AM AGREEING TO ALL TERMS AND CONDITIONS SET FORTH HEREIN, AND AGREE THAT THIS SUBMISSION CONSTITUTES DELIVERY OF AN ELECTRONIC SIGNATURE WHICH HAS THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE, AND THAT THIS ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Payment Section

 Pay with Credit Card: 

1. Select Credit/Paypal button below

2. Select box for Overnight Beach Camp

3. Select Debit or Credit Card button

4. Enter CC Info and Submit Form

 

Pay with Zelle: (Zelle payments needs to have been previously set up with your bank with permissions for over $500/day in transfers) 

1. Select Zelle button below

2. Use QR Code or our Zelle Tag: beachcampmma

    You will need to select "this is a business"

3. After completing Zelle payment enter Confirmation Number in this form and click Submit Form

Please note: If your Zelle payment does not go through it is due to a problem with your Zelle permissions with your own bank not with the Zelle tag or QR code as these are just an account numbers that do not perform processing functions. 

*Forms submitted without payment will not secure your spot*

**Final Payment and Camp Store Credit Links will be sent to you as your camp week approaches**

***This deposit is non-refundable. You must purchase separate trip cancellation insurance to obtain cash refunds. Week changes are accomodated on space available basis.

**** Final payment due the week before the start of your camp week is $1050.