Camper Registration Form

Camper Registration Form

Each camper needs to fill out this form along with a signed release form in order to attend. Please have this form filled out prior to arriving to camp.

In order to ensure a reservation, a $200 Non-refundabe deposit is required.

  • Skiing experience in years

  • Enter your parent/guardian's name.

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    Enter your home phone number.

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    Enter your parent/guardian's mobile phone number.

  • Enter your parent/guardian's e-mail address.

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    Enter your emergency contact's phone number.

  • Click Yes or No.

  • Enter the name of the person whose name appears on your insurance card.

  • Enter the name of your insurance carrier

  • Enter your insurance policy/group number.

  • Enter the name of your family physician.

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    Enter the phone number for your family physician.

  • List any allergies or special needs a camper may have.

  • Authorization for Treatment: I hereby give permission to the medical personnel selected by the camp director to order X-rays, routine tests, treatment; to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation for me/or my child. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the camp director to secure and administer treatment, including hospitalization, for the person named above. This completed form may be photocopied for trips out of camp.
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