Snowy Mountain Lodge Youth Camp Registration 2018

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Please fill out form completely. Please put N/A for any field that does not apply. Registration is open to youth grades 6th - 12th. Camp Dates are July 16-21. Limited space is available
 
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Registration fee is $200. If you need financial assistance for your camper to attend, please fill out the Scholarship Application Form found on the main camp page. You can pay online, or send a check to Laramie Valley Chapel / 4801 Quarter Horse Dr. / Laramie, WY 82070. Please write CAMP REGISTRATION in the memo line.
Camper Medical Survey

Please fill out this section as completely as possible. Campers are not singled out, made to feel embarrassed or treated differently because of information gathered from the health form. Rather, the more we know ahead of time, the easier it is to help your child have a successful experience at camp. This information will be shared with camp medical person(s), camp director, and their assigned camp counselor, in addition to any medical facility if necessary
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Insurance Information

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Medications & Restrictions

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Unless specific instructions are provided, camp health care staff will treat minor illnesses with over the counter medications. If illness persists, parents will be notified.
 
 
 
 
 
 
 
 
Allergies

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Health History

Please know that we value your privacy. Health history information is available only to the camp nurse, director, and camp counselor (if necessary). The more information you provide, the better we can serve them!
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Disclosure/Signature

Medical Disclosure: My child has permission to engage in camp activities except as noted above. I give permission for forms to be copied for activities occurring on camp property and National forest land. The information provided on this form is accurate to the best of my knowledge. I have indicated any special health conditions, including required medication and activity limitations which should be known to the camp staff and medical personnel. I hereby give permission to medical personnel selected by the camp director to seek emergency treatment for the minor including necessary transportation for my child if necessary. I agree to accept financial responsibility for the costs related to this emergency treatment. In the event I cannot be reached in an emergency, I hereby give permission to medical personnel to secure and administer emergency medical treatment, including hospitalization for my child. By typing my name below and clicking SUBMIT, I agree to the terms and conditions stated above
Laramie Valley Chapel and Snowy Mountain Lodge assume no liability for loss or damage to personal property. We, the undersigned Parent/Guardian of camper, hereby fully release and discharge Laramie Valley Chapel / Snowy Mountain Lodge, and all employees and persons whomsoever directly or indirectly liable from any and all claims or demands, damages, costs, property damage, injuries, or death related to any and all activities associated with the camp. We, the undersigned, are aware of all risks related to activities in and around Snowy Mountain Lodge and the dangers associated. I do hereby affirm that I have read the release statement and acknowledge this release as contractual, containing the entire agreement between parties, to which is also binding upon my heirs, devises, executors, administrators, and successors in interest. By electronically signing this document, and clicking SUBMIT, I agree to the terms and conditions stated above.
 
 
Please read confirmation email to complete registration fee. Thank you!

Description

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