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Summer Camp Registration

This document is a registration form for High View Farms summer camp. It requests information such as the camper's name, age, medical information, emergency contacts, and which camp sessions they would like to attend. The parent or guardian must also sign a disclaimer acknowledging potential risks of injury and agreeing not to hold the camp responsible for any personal injuries that may occur. The form should be returned to Rosanne Oblen at the specified address or email by the given date to complete registration.

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ronindj
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58 views1 page

Summer Camp Registration

This document is a registration form for High View Farms summer camp. It requests information such as the camper's name, age, medical information, emergency contacts, and which camp sessions they would like to attend. The parent or guardian must also sign a disclaimer acknowledging potential risks of injury and agreeing not to hold the camp responsible for any personal injuries that may occur. The form should be returned to Rosanne Oblen at the specified address or email by the given date to complete registration.

Uploaded by

ronindj
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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HIGH VIEW FARMS

SUMMER CAMP REGISTRATION FORM


(Please Print)

Today’s date:      


CAMPER’S INFORMATION
Child’s last name: First: Middle: Interests or Hobbies:
                       
Medications: List Medications:      Allergies:      Birth date: Age: Sex:

Yes M
           
No F

Street address: Home phone no.:


      (      )      -     
P.O. box: City: State: ZIP Code:
                       
July 11 – 15th th
 July 18th – 22nd (CLOSED) July 25th – 29th
Camp Session (please check box)
August 1th – 5th
August 8th – 12th August 15th – 19th

August 22nd – 26th


August 29th – September 2nd
Times available for each week
(please check box)
9am – 12pm 12pm -3pm 9am – 3pm

OTHER INFO

Parent or Guardian: Birth date: Address (if different): Home /Cell phone no.:
                  (     )      -     
Child participated in summer
Yes No
camp at High View before?
Occupation: Employer: Employer address: Employer phone no.:
                  (     )      -     
Is this child covered by insurance? Yes No

IN CASE OF EMERGENCY
Name of local friend or relative (not living at same address): Relationship to child: Home /Cell phone no.: Work phone no.:
            (     )      -      (     )      -     
Summer Camp Program Disclaimer Form for Summer Camp Program
(I) (We), the parents of, do hereby consent to our child(ren)’s participation in the summer camp program offered at High View Farms.
(I) (We) understand that learning within the summer camp program could require athletic and artistic discipline, and as such, my child(ren) will be
working physically, emotionally, and socially to develop strength, teamwork building skills, artistic talents, etc. The summer camp programs are
generally non-competitive and non-aggressive discipline; however, there is always a risk of injury when trying something for the first time.
Your child(ren)’s safety is a top concern within our program.
(I) (We) understand such risks and will not hold any instructors, counselors, coaches, assistants, faculty of High View Farms responsible for personal
injuries that may occur during the summer camp program.

Patient/Guardian sign Date

Return Completed form to: Rosanne Oblen 416 Sand Shore Rd. Hackettstown, NJ 07840
(908) 303-0010 or email to: [email protected]
Visit us our website www.highviewfarms.net

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