2020 Re-Enrollment Application
Total Page：16
File Type：pdf, Size：1020Kb
2020 Re-enrollment Application Camper’s Name: Please attach photo □ Boy □ Girl Present Age: Date of birth: Prior Years at Wekeela: here of the camper being enrolled. Complete Address: Home Phone: Parent’s name: Cell: Please make a copy of these Office: pages for your records. E-mail: @ Thank you for enrolling Parent’s name: Cell: your teen for the summer Office: of Twenty-Twenty. E-mail: @ PARENTS: □ Married □ Live Separately □ Sole Parent □ Divorced Child lives with: Duplicate mailings sent to (address): 2019 rates available until Sept 1, 2019. A deposit secures your child’s space. Please check one: I have read and agree to the terms outlined above and th th on the reverse side of this re-enrollment form. First Session - Kids Camp: June 27 - July 25 $7,700 First Session - Teen Camp: June 27th - July 25th $8,700 Parent Signature (s): (includes Boston, Bar Harbor or Montréal/VT overnight trip) Date: Second Session - Kids Camp: July 26th - Aug 15th $5,900 Second Session - Teen Camp: July 26th - Aug 15th $6,300 (includes whitewater rafting trip) Rates include all transportation, lodging Full Session - Kids Camp: June 27th - Aug 15th $11,000 and meals for overnight trips. Transportation to and from camp additional. Full Session - Teen Camp: June 27th - Aug 15th $12,200 (includes all overnight trips) Grade in Sept ‘19: Current School: _____ I enclosed a check deposit of $2,000.00 for above camper (please make checks payable to Camp Wekeela). _____ I signed the Visa/MasterCard authorization for the deposit of $2,000.00 and for all future payments. _____ I will pay by wire. Future payments will be made: _____ in full. _____ monthly. _____ in December, March and May. Please charge my: Visa / MasterCard (American Express is NOT accepted) Name on Card: Number: Exp. Date: CCV #: SIBLING(S): I have other children who will attend Camp Wekeela in the future: Name: Birth date: Grade in Sept ‘19: School: Name: Birth date: Grade in Sept ‘19: School: Emergency Contact (other than parent): Telephone Numbers: Home Phone: Cell: Relationship to camper: Off-season: www.campwekeela.com Summer: 979 Allison Court [email protected] 1750 Bear Pond Road Ridgewood, NJ 07450-2201 Hartford, ME. 04220-5527 Phone: 201.612.5125 Phone: 207.224.7878 Fax: 201.612.9927 Fax: 207.224.7999 Enrollment Terms and Conditions CAMP PROGRAMS If you withdraw your child prior to Dec 15th, you will receive a full Camp Wekeela, for your convenience, runs a 7 week session, a refund less a $600 administrative fee. There are no refunds after 4 week session, a 3 week second session, and three separate December 15th. Due to fixed costs and expenditures based on rookie camp sessions (for first time campers) - for boys and girls, definite enrollment and date, no refunds or reductions can be made ages 7 to 16. In any selected session a camper will experience a for campers arriving at camp late or departing early. This includes program of varied and engaging activities, permitting growth and campers who leave or are asked to leave due to the social behavior skill development in his or her area of interest. There are also contracted being broken. Campers changing from one program to optional program elements, like trips, and some age requirements, another, space permitting, after December 15th will be charged a which incur separate charges. change of session fee of $600. CAMP FEES RESPONSIBILITY AND LIABILITY The camp fee covers the costs to the camper for basic enrollment, My child has permission to participate in all camp programs, room and board, individual portrait and bunk photo, camp trips and special outings planned and supervised by Camp yearbook, field trips and rain day trips such as movies and/or Wekeela. bowling, bussing and laundry. Wekeela provides linens for I understand that part of the camping experience involves activities international campers only. and group interactions that may be new to my child, and that they The camp does not provide coverage of medical costs. Each come with uncertainties beyond what my child may be used to camper must have medical/accident insurance as a prerequisite dealing with at home. Such risks include uneven terrain, standing for enrollment to Camp Wekeela. and moving water, forested and other areas that may result in Fees for all programs, including optional special programs, like wildlife encounters including mammals, reptiles, insects and horseback riding, ice skating lessons, surf and golf trips are found arachnids that could result in infections and various insect-or on the optional camper program form. arachnid-transmitted diseases. I am also aware that my child may METHODS OF PAYMENT participate in off-campus activities that involve additional risks. In We honor current MasterCard and VISA credit cards, as well as addition, there are certain unavoidable risks associated with various payment by checks drawn on American banks only (or by game and play activities such as collisions, wayward objects such as travelers’ cheques). We do not honor American Express card. The balls and other equipment and other risks. I am aware of these application provides space for supplying all necessary current risks, and I am assuming them on behalf of my child. I realize that charge card information. Be sure to include camper’s name in no environment is risk-free, and I have instructed my child on the all transactions. For wire transfer information please contact the importance of abiding by the camp's rules, and my child and I both Camp. *Note that any declined or expired charges will be agree that he or she is familiar with these rules and will obey them. assessed a penalty fee of $75 per transaction. I understand that there might be risks and dangers connected REFUNDS AND SESSION CHANGES with some of the activities that are conducted at MaineWekeelaCo, Camp Wekeela reserves the right in its discretion to cancel LLC. However, I release MaineWekeelaCo, LLC and its enrollment if it deems cancellation to be in the best interests of Directors, staff and all employees from any legal actions or the Camp or of the camper. I realize that no environment is claims which the child or I, as parent or guardian, have, or might risk-free and I have instructed my child on the importance of have, for any damage or injury to my child or loss or damage of abiding by the Camp’s rules. My child and I both agree that my personal property as a result of being a camper at Camp Wekeela child is familiar with these rules and will obey them. I understand or from participating in any activity that results in damage or and agree to abide by the applicable pricing as noted on injury to my child or loss or damage of personal property unless the enclosed date and fee card. The Director reserves the right caused by the negligence or willful misconduct of MaineWekeelaCo, to withdraw any camper whose influence or actions are deemed LLC. I also give MaineWekeelaCo, LLC, permission to unsatisfactory to the Camp or who will not live within the rules reproduce and publish and photograph, video or record any and policies of the Camp. I agree that, if such expulsion occurs, likeness of my child for advertising and promotional purposes. I will not be entitled to a refund or reduction of fees. I agree that, Any dispute concerning this contract, the brochure, or any other if I do not pay the fees as spelled out in this agreement, and ac- advertising materials concerning the program itself, will be cording to the terms hereof, and it becomes necessary for Camp resolved exclusively by arbitration in the State of Maine pursuant Wekeela to seek collection, I will be responsible for the payment to the then current rules of the American Arbitration Association. of any additional costs for collection, including such reasonable Maine substantive law will apply to all issues concerning legal fees and court costs as might be incurred. I also agree that, if any such dispute. MaineWekeelaCo, LLC, files any action against me arising out of MEDICAL AUTHORIZATION this agreement, and if service of suit papers is made on me as In the event I cannot be reached in an emergency when my child is hereafter provided, the courts of basic jurisdiction of Oxford under Camp Wekeela supervision, I hereby give permission to the County, Maine shall have personal jurisdiction over me, and Ox- physician selected by the Camp Wekeela Directors to hospitalize, ford County, Maine shall be a place or proper venue of any such secure proper action. If I am served with legal papers by certified mail, return treatment for, and receipt requested, or if such service is attempted and refused, and or order medica- legal papers are then sent to me through the tions, injections, ordinary United States mail, that will consti- anesthesia, or tute valid personal service upon me so as to surgery for my confer personal jurisdiction over me. child. .