CAMP TAPAWINGO
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Registration Information
*
Indicates required field
Camp Selection
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Primary Camp July 5-8 (boys are full)
Junior Camp July 10-15
Intermediate Camp July 17-22
Teen Camp July 24-29
Primary Camp August 2-5
Junior Camp August 7-12 (boys are full)
Intermediate Camp August 14-19
Senior Camp August 21-26
Day Camp
Camper Information
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First
Last
[object Object]
Gender
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Male
Female
Other
Birthday
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Age
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Cabin Mate Request (maximum 2)
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Secondary Phone Number
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Email
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Name of Physician
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Hospitalization Number
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Date of last tetanus shot
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Chronic Conditions (check all that apply):
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Allergies
Illness
Asthma
Diabetic
Bedwetting
Hay Fever
Epilepsy
Nightmares
Heart Ailment
Sleepwalking
ADD/ADHD
Other Conditions:
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Details of Condition(s)
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Camp Tapawingo staffing levels do not enable us to provide for all special circumstances. Therefore we reserve the right to refuse campers whose medical or supervisory care is beyond our ability to meet. When dropping campers off on the first day of camp, all campers and parents must report to the camp medic to ensure we have all current information about the camper.
Choose One
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Yes
No
I give my permission for any photographs or videos of my child participating in camp activities to be used in camp brochures, websites and promotional materials which includes the slide show at the end of camp..
Waiver and Release of Liability and Indemnity Agreement
In CONSIDERATION of the camper's being permitted to participate in the camp operated by Camp Tapawingo Committee (here in 'The camp')
1. I,
( Name of Parent/Guardian listed below)
, for myself, my spouse, the camper
( Name of Camper listed above )
, the camper's heirs, personal representatives, and assigns, hereby release, discharge and agree to hold harmless and indemnify the camp, its officers, directors, managers, counsellors and any and all of its personnel of any from all liability, loss, damage, or injury to person or property in any way resulting from or arising in connection with or related to the camper's participation at the camp. It is fully understood that this means that the camp cannot be sued if any personal injury is suffered during the camp or if any property is damaged, lost, or stolen while the camper is at camp.
2. FURTHERMORE, I, on behalf of the camper, as well as for myself hereby undertake to indemnify the camp against any and all liability, loss or damage from which the camp may be found liable as a result of claims, demands or judgments against the camp arising from any act or failure to act on the part of the camper during the course of the camp, for which act or failure to act either I or the camper may be found liable at law. It is fully understood that this means that if a camper causes injury to another person or damages another person’s property while at the camp, and the camp has to pay an amount to that person, the camp can recover the amount paid from me.
3. FURTHERMORE, I give my permission for consent for medical treatment for my camper in an emergency or life-threatening situation requiring urgent care. I give permission for any pertinent camper medical information be given to those providing emergency care. I understand that in the event of an accident requiring medical attention, I, the parent/guardian, will be notified as soon as possible.
I HEARBY DECLARE THAT I HAVE READ THIS RELEASE AND INDEMNITY AGREEMENT AND ACCEPT THE SAME IN FULL ON BEHALF OF MYSELF, MY SPOUSE, THE CAMPER, THE CAMPER'S HEIRS, PERSONAL REPRESENTATIVES AND ASSIGNS.
Registration will not be fully completed until payment has been received.
Choose One
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Yes
No
I agree with the terms and conditions presented in the above waiver.
Parent/Guardian Full Name:
*
PLEASE LEAVE YOUR CAMPER'S NAME IN THE NOTES SECTION WHEN YOU CHECK OUT AND PAY
(the Notes section shows up after you enter your credit card information and hit 'Next')
Submit
Home
About Tapawingo
Camp Dates and Registration
What to Bring
Employment
Contact Information
Directions
Photo Gallery/slideshow
Camper Sponsorship
History
Online Store
Vespers by Glen Scrimshaw