Overlook Summer Camp Registration
There are two parts to this on-line registration:
1. Complete the registration information and submit.
2. Pay your registration fee by Visa/MasterCard. See the button at the top of the registration form.
Registration will be complete after both parts are received. Confirmation will be sent by Email.
Last Name *
Your answer
First Name *
Your answer
Gender *
Completed Grade *
Grade completed June of current year.
Height *
Your answer
Weight *
Your answer
Birth Date *
Sample 10/14/2002
Your answer
Street Address *
Your answer
City *
Your answer
State *
2 letter form
Your answer
Zip Code *
Your answer
Name of Parent or Guardian *
Your answer
Preferred Phone *
Your answer
Email *
Your answer
Secondary Phone *
List a phone contact when we cannot reach you
Your answer
Church Camper Attends
Helpful but not required.
Your answer
Church District
For those attending a United Methodist Church.
First Choice Event to Attend *
Select from the drop down list the camp you want to attend
First Choice Event Date *
Second Choice Event
Select from the drop down list your second choice event should your first choice not be available. Many camps are offered more than once but on different dates. You might select the same event but a different date for your second choice.
Second Choice Event Date
Should your first choices not be available you may choose a different date the same program is offered, or a different event for your age on your first choice date.
Is this the camper's first time away from home for a week? *
Has camper attended Overlook before? *
If camper would like to be grouped with ONE friend of the SAME program we will try to place them together.
Friends Name
Your answer
Important or Helpful Information
(Allergies, Fears, Restrictions, etc.)
Your answer
Legal Consent & Release *
* I verify the information on this registration and authorization form is correct and complete as far as I know. I hereby give permission to the camp to provide routine health care, administer prescribed medicines as listed herein and provided, administer over-the-counter medications as listed herein, and seek emergency medical treatment. I agree to the release of any records necessary for emergency purpose. I give permission to the camp to arrange necessary emergency medical transportation for my child. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the camp to secure and administer treatment for my child including ordering x-rays, administering tests, and admittance to a hospital. I understand that Overlook provides only limited secondary medical insurance coverage for participants. I understand that my child will be participating in many physical activities (including, but not limited to those listed in the program descriptions) and the potential for accidents exists, and give permission for my child to participate fully and to engage in all camp activities unless otherwise noted in the RESTRICTIONS section of this form. I indemnify and hold harmless Camp Overlook, Inc., the United Methodist Church, and its staff and officers from any and all liability, claims, damage, injury or illness sustained by my child. Should it become necessary for my child to return home because of illness or other reason, I will abide by the Camp's decision and arrange for transportation. I understand there are no refunds for partial camp attendance or early departure. By registering my child into a program which includes transportation off site (i.e.: adventures, trips, service projects), if applicable, I permit my child to leave the grounds of Camp Overlook accompanied by authorized camp personnel for approved out-of-camp activities. I permit camp photos, video and audio of activities or interviews that may include my child to be used in camp promotion without liability or remuneration. + + + By checking the following box your are digitally signing this application.
Required
T-Shirt Size
Choose your Registration Fee *
The actual costs for a week at camp are identified in the first column. It is the desire of the United Methodist Church for every child to have fun, faith forming experiences at Overlook. If it is helpful, you may elect to receive the UMC Subsidized rate and use any of the appropriate discounts. (Individuals who would like to assist other children financially may make a donation online. See the Invest menu.)
Required
Additional Discounts *
Check each discount that you qualify for and would like applied to your registration fee.
Required
Compute your TOTAL Camp Fee *
Using the costs and discounts table, compute your total camp fee. A deposit of $100 for overnight campers or $75 for day campers is required with this registration. The balance is due on arrival. You are welcome to pay the full amount with the registration if you prefer. We will confirm your balance due with the other confirmation materials.
Your answer
Deposit is required to complete this registration. *
Your application is not complete until payment is made. After completing all of the registration data, click the SUBMIT BUTTON at the bottom of the form and then proceed to the payment buttons in the blue field to the right. You will need to scroll toward the top of the page to see your registration submission has been sent and to select your payment button. The payment buttons take you to secure servers where your personal information is protected. The camp does not see your actual credit card number but is notified by the financial institution that your payment has been made. + + + Please check the box below to indicate you have read these instructions.
Required
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