CIT or Camper Registration Request
Event Timing: Wednesday, August 12 through Saturday, August 15, 2020
Event Address: Our camp is located in Hunt, NY.
Contact us at 585.230.0363 or CeliacStrongCamp@gmail.com

We are pleased to be hosting Celiac Strong Camp for our 7th year!
Before registering, please know that the camp fee is non-refundable.
Campers must be between the ages of 7 through 16 by start date of camp to register as a camper.

Cabins are rustic and do not have air conditioning.

To be a CIT (Counselor in training), you must be outgoing, responsible, able to adapt, self-starter, like to work with children, willing to accept different tasks from cleaning, assisting in program and anything to help keep camp fun, safe and clean. You will take direction from the Program Director.

We need volunteers, both men and women, as this camp is run strictly by volunteers. No one is paid.
If you are 21 years or older & wish to be considered to be a camp counselor or 18 and older, you may be an activities counselor, please complete a Volunteer Registration. We will contact volunteers based on registration needs. We will be required to perform background check as well as a phone interview, completed application, references and camper’s packet.

​Thank you for your interest in volunteering & assisting in making this camp a success.
Email address *
Last Name of Camper or CIT *
Your answer
First Name of Child *
Your answer
registering as a camper (7-16 years old) or cit (17) *
Child's Date of Birth (Camper must be 7-16 at start date of camp or 17 for CIT) *
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DD
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Child's Gender *
Street Address *
Your answer
City *
Your answer
State or Province *
Your answer
Zip Code *
Your answer
Country *
Your answer
Phone Number with area code *
Your answer
T-shirt size for child *
Will child have any family members at camp? *
If none, please write "none"; if yes, example: Susie Smith, sister; Carl Jones; father; Tracy Blue, aunt
Your answer
This will be my child's____ year at camp *
Would like to bunk with - first and last name: (not guaranteed, but will do our best to try to accommodate) We assign cabins by age & gender
Your answer
Is a lactose free diet required for Camper? Please note: We will not be able to accommodate any other diet other than gluten free & lactose free *
Required
Celiac Strong Camp will not be able to accommodate any other dietary needs, intolerance, allergies and / or sensitivities (other than gluten and lactose free). Please know we will not assume responsibility for any other dietary constraints. We regret the inconvenience that this poses to attendees and appreciate your understanding of our policy. By typing your name, you agree and understand this policy *
type yes to agree, name of parent or guardian (yes, Christina Flinstone)
Your answer
I agree: ​Release of (Hold Harmless Agreement) Liability and Assumption of Risk Agreement: 1. The risk of injury from the activities involved in this program, Celiac Strong Camp, Inc., is sufficient, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and. 2. I, KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my participation; and. 3.1, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Celiac Strong Camp Inc., its officers, officials, agents and/or employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event ("Releases") .WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASES OR OTHERWISE, to the fullest extent permitted by law. *
type yes to agree, name of parent or guardian (yes, Christina Flinstone)
Your answer
How did you hear about camp? *
Facebook, Google, Instagram, Friend, Rochester Celiac Support Group, etc.
Your answer
Child resides with? *
How would you like to pay for camp? *
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