Blueberry Season (7/15 – 7/21)

2021 Summer Registration

  • Family Information

  • The safety and welfare of all members of each family group, (that is, both family and non-family members coming to camp with you) is of our utmost concern. It is with this in mind that we require the following information for all individuals in your family group. It is important to emphasize that the answers to the questions are kept completely confidential, and do not affect whether or not one can participate in camp activities. They are simply used by the camp nurse so we can be prepared.

    Because of insurance and accreditation requirements, we need to have assurance that each adult member (18 and over) in each family group approves the terms of our Permission to Provide Medical Treatment, Covid and Activities Waiver. Also, should they provide approval of use of their photo and statements (optional), such approval must also be acknowledged. Adult parents/guardians can acknowledge approval on behalf of their children and/or other minors (i.e. children under 18).

    To accomplish approvals electronically, each of the adults must enter their name as an acknowledgement that they have read and approve the terms of camp policy. If each adult is not available to personally enter their name on the form, the person completing the form may enter other adults' names, with their approval, after discussing the purpose and content of the respective statements with them. Entry of names in this way acknowledges that the adult has been made fully aware of the policy, and that they agree to such terms.

  • Please enter a number from 1 to 10.
  • Family Representative

    For Registration Purposes
  • Family Names

  • Family Member Full Name*
    (include both family and non-family members)
    Age*
    (at time of attendance)
    Sex*
    List Food, Insect Sting, and/or Medication Allergies.
    (We recommend campers with Epi-Pens carry them at camp)
    Food Allergies
    Insect Sting Allergies
    Medication Allergies
    Vegetarian?*
    Date of last tetanus shot*
    Last Complete Physical within 12 months?*
  • Family Member 1

  • MM slash DD slash YYYY
  • $0.00
  • $0.00
  • $0.00

Pay a 4% deposit per item (100% payable over 5 months)

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