as a camper at Pok-O-MacCready Camps for the season of 2010 and pay a registration fee of $900!

A registration fee of $900 is due immediately and is included in tuition prices.  Tuition must be paid in U.S. Dollars.  A 10% tuition reduction is made on the third child from one household in the same year.

Special Billing Name(s), if applicable

Address, City, State, Zip, Country

Check here if you DO NOT want a Camp Portrait and Section Photo sent home ($7 additional charge.)

BILLING SCHEDULE: Please choose the billing schedule you prefer.  If you need a specialized payment plan, please contact Financial Director, Scott McIntyre.

PAYMENT OF REGISTRATION FEE: You may remit the $900 registration fee by check, payable to Pok-O-MacCready Camps or pay by VISA/Mastercard on the next page.  Credit card transactions will be charged
2% of the amount to cover processing fees.

TERMS OF ENROLLMENT

Registration is official only when this SIGNED FORM as well as a DEPOSIT of $900 has been received.  The balance of tuition is due on or before June 1, 2010 (see above).  Tuition includes room and board for the desired session length, laundry, linens, as well as all regular camp activities, including but not limited to, wilderness trips, mountain bikes, kayaking, and all 1812 Homestead activities. Horseback riding, the camper’s Blue Boar Bank Account, Horse Show entrance fees, camp apparel, and other out-of-camp field trips are not included in tuition.  Transportation to and from camp is also an extra cost. Pok-O-MacCready Camps proudly admits children of any race, color and national or ethnic origin.  Pok-O-MacCready is not responsible for lost, misplaced, or forgotten items.

REFUND POLICY: Registrations fees are refundable if notified by April 1, 2010 that a camper will not attend camp.  After May 15, 2010, neither the registration fees nor any portion of tuition is refundable. Additionally no refund will be granted for late arrival, early departure, withdrawal, or dismissal from camp.

BUS/VAN INFORMATION
Bus/van transportation is available from the following locations for a set fee of $85.00 each way.  Buses return to the same locations at the end of each session.  If you already know your child will be taking the bus to or from camp, please check the appropriate boxes below.  If you do not know, you will have an opportunity to reserve bus space at a later date, and will be billed separately.

CABIN ASSIGNMENT REQUESTS: We will do out best to honor cabin requests received before June 1, 2010, but no cabin requests can be guaranteed.  My child’s cabin requests are:

PERMISSION FORM and PHOTO RELEASE (REQUIRED)
I understand and certify that my child's participation at Pok-O-MacCready Camps and its activities is voluntary, and I have familiarized myself with the camp's programs and activities.      

I recognize that certain hazards and dangers are inherent in camping activities and particularly, but not limited to, the activities of horseback riding, swimming, boating, contact sports, mountain biking, ropes course, rock climbing, and wilderness hiking and canoe trips (where children may be several hours from medical services). I further acknowledge that Pok-O-MacCready Camps has taken safety measures to minimize the risk of injury to camp participants and that Pok-O-MacCready Camps cannot insure or guarantee that the participants, equipment, premises, and/or activities will be free of hazards, accidents, and/or injuries.

I give permission for my child to swim during off-site camp trips to regulated swimming areas.  Pok-O-MacCready campers have numerous opportunities to swim at state regulated swimming areas during the summer.  These areas include across Long Pond, Ausable Point Beach, and the Great Escape Amusement Park in Lake George, NY.  Each of these areas will be formally notified in advance of Camp’s attendance on that day in order to prepare their on-duty lifeguards for our campers.  Camp will also provide one lifeguard for every 75 Pok-O-MacCready swimmers as well as non-lifeguard supervisory staff in order to meet New York State Health Code and ensure the highest level of safety.  If no lifeguards are provided, 1 Pok-O-MacCready lifeguard will go on duty for every 25 swimmers.    Check here if you DO NOT give consent.

I give permission for my child to swim while on wilderness trips during the summer.  These areas may include rivers or lakes that meet acceptable guidelines as regulated by the Department of Health and assessed by trained staff members.  In accordance with New York State Health Code, Pok-O-MacCready will delineate boundaries of swim areas and provide appropriate numbers of lifeguards and non-lifeguard supervisory staff per number of campers to ensure the highest level of safety.      Check here if you do NOT give consent.

I further grant permission to Pok-O-MacCready Camps to photograph or videotape my child and use his or her likeness in publicity materials.  I acknowledge that the camp may choose to use my child’s likeness in the future without notice, and that the camp may discontinue the use of any likeness without notice.  I am aware that my child’s name and photo may be available online in an open domain available for general viewing.     Check here if you do NOT give consent.

    By checking this box I am providing an electronic signature giving  my (our) consent that my camper is allowed to participate in all activities, except the following:    

    By checking this box I am providing an electronic signature certifying that I acknowledge and agree to the TERMS OF ENROLLMENT above, as well as the camp’s refund policy.

Thanks to FormM@ailer!