Thursday, July 6th – Wednesday, July 19th
Friday, July 21st – Thursday, August 3rd
Thursday, August 3rd – Wednesday, August 16th
Friday, July 21st – Wednesday, August 16th
Thursday, July 6th – Wednesday, August 16th
For the following required medical questions type NONE in the fields if no medication is being taken.
By submitting this on-line registration, I understand and agree to all Med-O-Lark Camp policies terms, and conditions of enrollment, including the following: A .00 non- refundable deposit must accompany this registration form to guarantee a space for a camper. The balance of all fees is to be paid in full by April 1, 2015. Camp tuition does not include the cost of transportation to camp. The camp reserves the right to dismiss disruptive or abusive campers or campers who show signs of physical or emotional difficulties that the camp does not feel capable of supervising. There will be no refunds issued for early departure related to disciplinary problems. There may be a proportionate refund of payment for cancellation or early departure of campers with medical or family emergencies.
I hereby authorize any physician selected by the camp director to order x-rays, routine tests, and other medical treatment needed for the health of my child. In the event that I cannot be reached in an emergency, I give permission to the physician s elected by the camp director to hospitalize, secure proper treatment, and to order injections, anesthesia, and/or surgery for my child.
It is agreed that any dispute or cause of action arising between the parties, whether out of this agreement or otherwise, can only be brought in a court of competent jurisdiction located in Knox County, Maine, and shall be construed in accordance with the laws of Maine.
Permission is granted to Med-O-Lark, with no additional charge, for the use of photographs and/or video tapes of campers for promotional purposes or camp mailings after the camp season ends.
I give the camp permission to print our family’s contact information for a listing at the end of the summer to be given to all camp participants. I also give permission for my name and contact information to be given to other camper families.
Note: This information may be shared with the camper’s counselors and/or camp nurses and otherwise is considered confidential.
Payment: A $750 deposit is necessary to reserve a place at camp.
Payments may be made by check, Visa or MasterCard.
For payments by credit card, please fill out the information below or call the camp office (203) 927-8688 or (800) 292-7757 once you have completed this application.
For payments by check, please promptly mail it to the camp office once you have completed the application.
82 Med-O-Lark Road
Washington, ME 04574
I will pay by checkI will pay by credit card
Camp Med-O-Lark does not share any information with any other individuals or companies. Information you provide is not given or sold to any individuals or companies.
A 10% discount is given to each additional camper from the same immediate family.
Tuition covers room, board, laundry, all planned recreation (except Horseback riding) and limited sickness/accident insurance. A $750 non-refundable deposit per camper or full payment must accompany the reservation form. Any tuition balance will be due by May 1st. Any registrations after May 1st must be accompanied by full tuition.
Cancellations made prior to May 1st will be refunded less the $750 deposit. No refunds will be issued after May 1st.
Camp Med-O-Lark reserves the right to dismiss any camper whose conduct and/or behavior is detrimental to Camp. No refunds will be issued in the event of an early dismissal due to misconduct. Camp Med-O-Lark operates with the highest possible safety standards. However we cannot assume liability for accidents, illness or disease. In case of accidents or sickness, Camp Med-O-Lark is authorized to secure medical attention for the camper named below as is deemed necessary.
By clicking on the Submit Field you are agreeing that you have read the policies above and agree with the conditions stated and have provided your signature.
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