Camp Menominee Family Camp 2017 Enrollment Form
Welcome to Family Camp 2017! Please fill out all the information below and do not hesitate to call or email with any questions. Jason@campmenominee.com, 847-306-2267
Dates: Saturday August 12 - 19
See http://campmenominee.com/special-events/family-camp/ for Rate information
Your Name:
Your answer
Email Address:
Your answer
Phone Number:
Your answer
Address:
Your answer
Your T-shirt Size:
Spouse's Name (if applicable):
Your answer
Spouse's Email:
Your answer
Spouse T-shirt Size:
Others in Your Party. (Name, Age, T-shirt Size for each Person):
Your answer
Please list any other pertinent information below (i.e. dietary requests, cabin requests, late arrival/early departure, etc.):
Your answer
Terms and Conditions:
By submitting this form, you are agreeing to the following terms and conditions:

TERMS AND CONDITIONS

Camp Menominee accepts checks and credit cards. Please include a $500 deposit upon completion of enrollment. You can mail checks to Camp Menominee, PO Box 171, Highwood, IL 60040. Please call our office at 847-306-2267 for credit card payments. The remaining balance will be paid upon arrival to Camp.

Camp Menominee, Inc. is not responsible for any lost or damaged personal belongings.
In the event of an emergency, the undersigned authorizes Camp to secure from any licensed hospital, physician, and/or medical personnel any treatment deemed necessary for my child/ward. Campers will be sent for medical evaluation/treatment at the discretion of Camp medical staff. The undersigned agrees that he/she will be responsible for payment of any and all medical services required, and understands that Camp does not carry health insurance for injuries sustained by Campers. Therefore, the undersigned and the camper should look to their own health insurance policy for any injuries sustained in connection with or arising out of this event. The absence of health insurance coverage does not make Camp responsible for payment of medical expenses.

Medical and dental expenses requested by the undersigned, including prescription medications, for treatment of camper are not included in the tuition and remains the responsibility of the parent/guardian. Complete medical history, insurance, participation and hospital forms will be provided by Camp and must be completed by parents or guardian of the camper prior to the beginning of the camp season.

WAIVER/RELEASE OF CLAIMS AND INDEMNIFICATION: As a participant in Camp, the undersigned, on behalf of himself/herself and on behalf of his/her child/ward, agrees to assume the full risk of any injuries in any way associated with participation in Camp (except, to the extent caused by the gross negligence or reckless disregard of Camp). The undersigned, on behalf of himself/herself and his/her child/ward, agree to (1) waive and relinquish all claims that he/she may have as a result of participation in Camp against Camp and its directors, officers, trustees, agents, servants and employees and do hereby fully release and discharge Camp and its directors, officers, trustees, agents, servants and employees (collectively, “Camp Agents”) from any and all claims for injuries, including death, damage or loss, regardless of severity sustained by either or both of us arising out of, connected with, or in any way associated with this event (except, to the extent caused by the gross negligence or reckless disregard of Camp), and (2) indemnify and hold harmless Camp and the Camp Agents for the same. If any provision herein is held invalid, or unenforceable, for any reason, the remaining provisions will remain in full force and effect.

Submit
Never submit passwords through Google Forms.
This form was created inside of Camp Menominee. Report Abuse - Terms of Service - Additional Terms