2021 LIT Application

2021 LIT 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: E-mail: @ Please make a copy of these Parent’s name: Cell: pages for your records. Office: Thank you for enrolling E-mail: @ your teen for the summer of Twenty-Twenty. Parent’s name: Cell: Office: E-mail: @ PARENTS: □ Married □ Live Separately □ Sole Parent □ Divorced Child lives with: Duplicate mailings sent to (address): Please Check one: I have read and agree to the terms outlined above and on th th the reverse side of this re-enrollment form. □ Full Season: June 25 - Aug 9 : $12,900 Montréal, Canada and Vermont Parent Signature (s): Two-day tour of Boston area universities and more! Tour of Maine Colleges (Bowdoin, Colby and Bates) Tuition includes transportation, lodging Friends of Casco Bay and meals for overnight trips. Community service opportunities and much, much more! Itinerary is subject to change. Transportation to and from camp additional fee. Please check: 10th Grade in fall 2020 □ Yes □ No Current School: _____ I enclosed a check deposit of $2,000.00 for above LIT. _____ I signed the Visa/MasterCard authorization below for the deposit of $2,000.00 for LIT and for all future payments. _____ I will pay in full. _____ I will pay monthly. _____ I will pay by wire. Please charge my: Visa / MasterCard (American Express is NOT accepted) Name on Card: Number: Exp. Date: CCV #: Please make checks payable to Camp Wekeela and send to our FL address below. Emergency Contact (other than parent): Telephone Numbers: Home Phone: Cell: Relationship to camper: Off-season: www.campwekeela.com Summer: 8793 Valhalla Drive [email protected] 1750 Bear Pond Road Delray Beach, FL 33446-9571 @camp_wekeela 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 I am served with legal papers by certified mail, return receipt Camp Wekeela, for your convenience, runs a 7 week session, and a requested, or if such service is attempted and refused, and legal 4 week session - for LIT’s. In any selected session a camper will papers are then sent to me through the ordinary United States mail, experience a program of varied and engaging activities, permitting that will constitute valid personal service upon me so as to confer growth and skill development in his or her area of interest. There personal jurisdiction over me. are also optional program elements, like trips, and some age If you withdraw your child prior to Dec 15th, you will receive a full requirements, which incur separate charges. refund less a $600 administrative fee. There are no refunds after CAMP FEES December 15th. Due to fixed costs and expenditures based on The camp fee covers the costs to the camper for basic enrollment, definite enrollment and date, no refunds or reductions can be made room and board, individual portrait and bunk photo, for campers arriving at camp late or departing early. This includes yearbook, field trips and rain day trips such as movies and/or campers who leave or are asked to leave due to the social behavior bowling, bussing and laundry. Wekeela provides linens for contracted being broken. Campers changing from one program to international campers only. another, space permitting, after December 15th will be charged a The camp does not provide coverage of medical costs. Each change of session fee of $600. camper must have medical/accident insurance as a prerequisite RESPONSIBILITY AND LIABILITY for enrollment to Camp Wekeela. My child has permission to participate in all camp programs, Fees for all programs, including optional special programs, like camp trips and special outings planned and supervised by Camp horseback riding, ice skating lessons, surf and golf trips are found Wekeela. on the optional camper program form. I understand that part of the camping experience involves activities METHODS OF PAYMENT and group interactions that may be new to my child, and that they We honor current MasterCard and VISA credit cards, as well as come with uncertainties beyond what my child may be used to payment by checks drawn on American banks only (or by dealing with at home. Such risks include uneven terrain, standing travelers’ cheques). We do not honor American Express card. The and moving water, forested and other areas that may result in application provides space for supplying all necessary current wildlife encounters including mammals, reptiles, insects and charge card information. Be sure to include camper’s name in arachnids that could result in infections and various insect-or all transactions. For wire transfer information please contact the arachnid-transmitted diseases. I am also aware that my child may Camp. *Note that any declined or expired charges will be participate in off-campus activities that involve additional risks. In assessed a penalty fee of $75 per transaction. addition, there are certain unavoidable risks associated with various REFUNDS AND SESSION CHANGES game and play activities such as collisions, wayward objects such as The camp’s duties and obligations under this contract shall be balls and other equipment and other risks. I am aware of these suspended immediately without notice during all periods that the risks, and I am assuming them on behalf of my child. I realize that camp is closed because of force majeure events including, but not no environment is risk-free, and I have instructed my child on the limited to, any fire, act of God, hurricane, war, governmental importance of abiding by the camp's rules, and my child and I both action, act of terrorism, epidemic, pandemic, or any other event agree that he or she is familiar with these rules and will obey them. beyond the camp’s control. If such an event occurs, the camp’s I understand that there might be risks and dangers connected duties and obligations in this contract will be postponed until such with some of the activities that are conducted at MaineWekeelaCo, time as the camp, in its sole discretion, may safely reopen. In the LLC. However, I release MaineWekeelaCo, LLC and its event that the camp cannot reopen due to an event under this Directors, staff and all employees from any legal actions or clause, the camp is under no obligation to refund any portion of claims which the child or I, as parent or guardian, have, or might the tuition paid. have, for any damage or injury to my child or loss or damage of Camp Wekeela reserves the right in its discretion to cancel personal property as a result of being a camper at Camp Wekeela enrollment if it deems cancellation to be in the best interests of or from participating in any activity that results in damage or the Camp or of the camper. I realize that no environment is injury to my child or loss or damage of personal property unless risk-free and I have instructed my child on the importance of caused by the negligence or willful misconduct of MaineWekeelaCo, abiding by the Camp’s rules. My child and I both agree that my LLC. I also give MaineWekeelaCo, LLC, permission to child is familiar with these rules and will obey them. I understand reproduce and publish and photograph, video or record any and agree to abide by the applicable pricing as noted on likeness of my child for advertising and promotional purposes. the enclosed date and fee card. The Director reserves the right Any dispute concerning this contract, the brochure, or any other to withdraw any camper whose influence or actions are deemed advertising materials concerning the program itself, will be unsatisfactory to the Camp or who will not live within the rules resolved exclusively by arbitration in the State of Maine pursuant and policies of the Camp. I agree that, if such expulsion occurs, to the then current rules of the American Arbitration Association. I will not be entitled to a refund or reduction of fees. I agree that, Maine substantive law will apply to all issues concerning if I do not pay the fees as spelled out in this agreement, and any such dispute. according to the terms hereof, and it becomes necessary for Camp MEDICAL AUTHORIZATION Wekeela to seek collection, I will be responsible for the payment In the event I cannot be reached in an emergency when my child is of any additional costs for collection, including such reasonable under Camp Wekeela supervision, I hereby give permission to the legal fees and court costs as might be incurred. I also agree that, if physician selected by the MaineWekeelaCo, LLC, files any action against me arising out of Camp Wekeela Directors to this agreement, and if service of suit papers is made on me as hospitalize, secure proper hereafter provided, the courts of basic jurisdiction of Oxford treatment for, and or order County, Maine shall have personal jurisdiction over me, and medications, injections, Oxford County, Maine shall be a place or proper venue of any anesthesia, or surgery for my such action. child. .

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