Marannook 2018 Summer Camp Registration

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INSTRUCTIONS

INSTRUCTIONS

This form will take a few minutes. It must be completed by the camper's parent/guardian. Be sure to completely fill out each part. Please do not put more than one child on a form. At the end, you will be required to make a deposit online with your credit/debit card or PayPal account.

GENERAL INFORMATION

GENERAL INFORMATION

Camper's Full Name:

Camper's Full Name: *

Camper's Preferred Name (if different from above)

Camper's Preferred Name (if different from above)

Emergency Contact (other than parents)

Emergency Contact (other than parents) *

MEDICAL INFORMATION

MEDICAL INFORMATION

If you do not carry medical insurance please enter NONE in the fields below.

Please specify the reason. If needed, include sample menu or special food list.

Please specify the medication name(s) and reason(s).

Please provide the doctor's name plus office and home phone numbers.

Please provide the doctor's name plus office and home phone numbers.

Authorization for treatment and release of medical information.

Authorization for treatment and release of medical information.

The following is a complete list of oral over­-the­-counter medications available at Marannook to treat temporary discomforts that might occur. Please check any medication you DO NOT want given to your child during their stay at camp

Please note: medications are given only if appropriate for the child’s age, and dosages are based upon the child’s age and weight.

I hereby authorize the administration of any of the above medications, with the exception of those checked, to my child as deemed appropriate and necessary by the Marannook medical staff.

In the event of any emergency, I authorize camp officials to secure from any licensed hospital, physician, and/or medical personnel any treatment deemed necessary for my or my camper’s immediate care and agree that I will be responsible for payment of any medical services rendered.

I also authorize the release of any personal or health information from Marannook to its employees or outside medical personnel, as they deem necessary to insure complete and quality medical care for my camper or myself.

CAMP SELECTION

CAMP SELECTION

Please select one of the options below:

Select camp according to grade entering Fall 2018.

Select camp according to grade entering Fall 2018. (Lunch is included.)

Cabin Placement Policy:

We have found it best to group campers by their birth dates. One of the benefits of the camp experience is the opportunity to meet new people and make new friends from different areas. It is a joy to see friendships form and grow from the moment the children arrive and get settled in their cabins. Our counselors are specially trained to draw their campers together, foster those relationships from the very beginning and discourage cliques. If you have twins, we ask you to note if you would like them to be together or separated. We fully understand the desire for friends to come to camp together. If campers are not in the same cabin they will have many opportunities throughout the day to interact with one another. They will see each other at meal times, Bible Time, swim time and during many of the camp activities. If you have any specific questions about our cabin placement please call the office at (334) ­864—­7504.

Liability Waiver and Release:

Marannook requires the execution of the following liability Waiver and Release. Marannook strives to conduct its camping programs and activities in a safe manner and holds the safety of all participants in the highest regard. Parents registering children for camp must recognize, however, that there is an inherent risk of injury when choosing to participate in camp. Marannook continually strives to reduce such risks and insists that all staff and campers follow safety rules and instructions which have been designed to protect the campers.

Please read this form carefully and be aware that in registering your camper for camp you will be waiving and releasing all claims for injuries, damages, or loss you or your camper might sustain through participation while at Marannook. Please call if you have questions about any of the following activities.

  • Archery (all campers)
  • Bible Time (all campers)
  • Campfire (all campers)
  • Canoeing (all campers)
  • Maze (all campers)
  • Pool Waterslide (all campers)
  • Swimming (all campers)
  • Carnival (1st-4th campers & 3rd-5th campers)
  • Crafts (1st-4th campers, 3rd-5th campers & 5th-7th campers)
  • Field Games (1st-4th campers, 3rd-5th campers & 5th-7th campers)
  • Fishing (1st-4th campers & 3rd-5th campers)
  • Gem Find (1st-4th grades & 3rd-5th campers)
  • Lake Waterslide (1st-4th campers, 3rd-5th campers & 5th-7th campers)
  • Nature Trail (1st-4th campers & 3rd-5th campers)
  • ­Wood Challenge (1st-4th grades & 3rd-5th campers)
  • Campout in Tents (5th-7th campers)
  • ­Channel Challenge (5th-7th campers & 7th-9th campers)
  • High Elements Course (5th-7th campers)
  • Slip-­N-­Slide (5th-7th campers)
  • Climbing & Rappelling Tower (7th-­9th campers)
  • Genesis Game (7th-­9th campers)
  • ­High Ropes Course (7th-­9th campers)
  • Low Ropes Course (7th-­9th campers)
  • Square Dance (7th-­9th campers)
  • ­Storm the Beach (7th-­9th campers)
  • Ultimate Frisbee ­(7th-­9th campers)

As a parent/guardian of a camper at Marannook, I recognize and acknowledge that there are certain risks of physical injury, and I agree to assume the full risk of any injuries, damages, or loss which I or my camper may sustain as a result of participating in any and all activities connected with, or in any way associated with Marannook.

I further agree to indemnify, hold harmless, and defend Marannook, its board members, executive officers, staff, and employees from any and all claims for injuries, damages, or loss sustained by me or my camper arising out of, connected with, or in any way associated with Marannook.

I give permission to use any photographs, video tape recordings, and/or sound recordings of the minor named below for promotional purposes. If this is an issue please contact us directly.

PAYMENT

PAYMENT

A non-refundable deposit of $100 is required to hold your reservation for camp. Deposits are deducted from the total fee. Balance is due by the first day of camp. If you would like to go ahead and pay for this years t-shirt please select that option below.

Discounts

Discounts

If you register for Overnight Camp on Family Night and complete the balance due by October 31st you will receive the Super Early Bird price of $725. Day Camp Super Early Bird price is $380 if you register on Family Night and complete the balance due by October 31st. We also have a Referral Program in place. If you refer a new camper you will receive a $100 credit toward your camper's balance.

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