Camper Name: 2 Week Sessions: 2A: June 22 – July 5 2B: July 5 – July 18 2C: July 20 – August 2 2D: August 2 – August 15 4, 6, 8 Week Sessions: First Session: Friday, June 22 – Wednesday, July 18 Second Session: Friday, July 20 – Wednesday, August 15 Six Week Session: Friday, June 22 – Thursday, August 2 Eight Week Session: Friday, June 22 – Wednesday, August 15
Attention 2 and 6 week campers. Please note there is no charter bus service July 5th or August 2nd. Option 1: BY CAR: Driven to camp by family/friend Option 2: BY BUS: On a chartered camp bus chaperoned by Medolark counselors from New York City, NY: Lincoln Center, DEPARTS 8 AM () Darien, CT: Northbound I-95 at Exit 12/13 Service Area, DEPARTS 9:15 AM () New Haven, CT: Exit 46 off I-95 Parking Area across from Long Wharf Theater, DEPARTS 10:00 AM () Glastonbury, CT,: Somerset Square, DEPARTS 11:00 AM () Newton, MA: Duck Feeding Pond behind the Newton Marriott, DEPARTS 1:00 PM () Option 3: BY PLANE: On one of the following flights Camp Chaperoned Flight (contact Camp Office for more information) Arriving into Boston, MA (BOS) (On Thursday for International Campers) Arriving into Portland, ME (PWM) (On Friday for Domestic Campers) Independent Flight: Airline: Flight #: Arrival Time:
Option 1: BY CAR: Driven from camp by family/friend Option 2: BY BUS: On a chartered camp bus chaperoned by Medolark counselors to New York City, NY: Lincoln Center, ARRIVES 4:30 PM () Darien, CT: Southbound I-95 at Exit 9/10 Service Area, ARRIVES 2:30 PM () New Haven, CT: Exit 46 off I-95 in IKEA Parking Area, ARRIVES 1:45 PM () Glastonbury, CT: Somerset Square, ARRIVES 12:30 PM () Newton, MA: Duck Feeding Pond behind the Newton Marriott, ARRIVES 12:00 PM () Option 3: BY PLANE: On one of the following flights Camp Chaperoned Flight (contact Camp Office for more information) Departing from Boston, MA (BOS) Departing from Portland, ME (PWM) Independent Flight: Airline: Flight #: Departure Time:
This form is very important for the camp administration to as a way to clearly record in advance your preferences concerning your child’s permission to leave camp, particularly when a relative arrives, a friend’s parent(s) arrive, or if there is a custodial issue in a family. If you have checked off the portion indicating your child is not permitted to leave camp, or if we do not have a signed form on file, Camp Medolark will not permit your child to leave camp with anyone except the child’s parent(s) or legal guardian(s), or with our own camp staff.
I hereby authorize that restrictions and length of stay out of camp for my child may be determined by the person(s) whom I have authorized above.
I understand that Camp Medolark assumes no liability for any injury, illness, or other circumstances that may occur off of the camp’s property under the supervision of these appointed adult(s). I also grant that it is not necessary for the camp or any individual to contact either myself or any other legal guardian(s) of my child prior to my child’s departure from the camp property with these appointed adult(s). I understand that by checking this box, I agree to the above paragraphs.
The following guidelines are designed to ensure that camp is a happy, safe, and productive community for everyone. Experience has shown that it is very unlikely that these issues will affect you. However, it is necessary that we have this agreement for mutual understanding. These are the conditions under which we accept your participation. Read them carefully. On the first full day in camp, we will have a meeting with you and your cabin where you will be asked to reaffirm your commitment to these guidelines.
Violation of the following guidelines will result in the immediate dismissal from camp without a refund of the tuition. Transportation costs and arrangements will be the responsibility of parents or parental appointed guardians.
Med-O-Lark is a supportive environment that seeks to encourage the personal growth of campers. Directors and staff are experienced in helping campers correct negative behaviors with reminders, discussions and positive alternatives. Repeated or multiple violations of the following guidelines, however, will result in dismissal from the camp. Transportation costs and arrangements for early dismissals will be the responsibility of parents or parental appointed guardians.
I understand that by checking this box, I am expressing my willingness to support and abide by the above Med-O-Lark guidelines.
Name of Legal Parent or Guardian:
If you have not already signed up for horseback riding or whitewater rafting and you would like to, please check the appropriate boxes. We will include the extra charge(s) on your camp invoice. If you have already paid your camp tuition and did not previously sign up for these extras, please send payment.
Horseback Riding Lessons: None 2 weeks $350 4 weeks $700 6 weeks $1050 8 weeks $1400
Whitewater Rafting: $100 per trip * Senior campers get a free rafting trip which is included in their camp fees
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