CAMPERS 12 & YOUNGER Camp COLEY 2017 Registration Packet August 6-12, 2017 TO REGISTER FOR CAMP COLEY 2017, ALL 4 PAGES OF THIS REGISTRATION PACKET MUST BE COMPLETED. INCOMPLETE REGISTRATIONS WILL NOT BE ACCEPTED. This packet replaces previous versions of the Registration, Post, and 3 Strikes forms. Camp COLEY is a weeklong overnight camp open to girls and boys entering grades 3-12. The camp offers a fully supervised day and night program. Age appropriate activities include swimming, boating, first aid, ecology, outdoor skills, hiking, crafts, rock climbing, all terrain vehicles, shooting sports, COPE (challenging outdoor personal experience),

When: Sunday, August 6th through Saturday, August 12th, 2017. Where: Mount Allamuchy Scout Reservation 750 Waterloo Road , Stanhope, NJ 07874

with a DJ.

Who: Campers: boys & girls entering grades 3-12. Counselors-in-Training: 10th grade through freshman in college with one year of Camp COLEY experience.

PRICES:

PLEASE COMPLETE:

Programs, meals, lodging, awards, patches, beads, t-shirt, pizza party and 1 site photo included in fee.

Camper Name:

sports, games, songs, campfires and a Thursday night dance

_______________________________________________

CAMPERS $380 paid in full by March 15, 2017 $390 paid in full by May 15, 2017 $400 paid in full after May 15, 2017

Camper Age on 8/7/2017: ___________________ This registration packet is for campers 12 & younger.

CITS

Is your child a first time camper? _____Yes

$370 paid in full by January 31, 2017

How did you find out about Camp COLEY?

LEADERS

_______________________________________________

$100 fee paid in full by May 15, 2017 Your leader fee is waived if your child comes to camp!

Gender: _______________________

Grade Camper Entering 9/1/2017: _____________ _____No

Food Allergies or Dietary Restrictions: _______________ $10 discount per NEW camper you bring to camp. NO REFUNDS AFTER JULY 1, 2017.

_______________________________________________ _______________________________________________ Shirt size (children's medium to adult XXXL): __________

Make checks payable to Camp COLEY and mail with completed registration packet to Camp COLEY, PO Box 231, Abington, PA 19001 For your convenience, we accept payment via PayPal. Use email [email protected].

Were you referred by a friend? If yes, who: _______________________________________________ COMMENTS: ____________________________________ _______________________________________________ _______________________________________________ 2017 Camper 12 and younger ● page 1 of 4

CAMPER 12 & YOUNGER Camp COLEY 2017 ● August 6-12, 2017 INFORMED CONSENT, RELEASE AGREEMENT AND AUTHORIZATION

CAMPER NAME: ______________________________________________

TO BE READ AND SIGNED BY PARENT/GUARDIAN: I am familiar with the time, place, leadership and other

TO BE READ AND SIGNED BY PARTICIPATING YOUTH:

circumstances of the Camp COLEY, Learning for Life,

forms and will assume responsibility for restricting any activities

Patriots’ Path Council, Post 229, Group 229, and Group 2402

agreed upon and listed on the camp forms. I will exercise good

program. My child has my permission to participate in these

judgment in regards to my own health, safety, and well being,

activities. He/She is in good physical condition.

while participating in the Camp COLEY program.

I waive and release the Camp COLEY, Learning for Life

The use of drugs/alcohol is prohibited on the grounds of the

program and the group leaders and staff members from any

camp at any time. I understand that any evidence of use or

and all possible claims for injury to person or property

possession of alcoholic beverages, and/or illegal or controlled

which might arise in connections with my child’s

substances, and any type of smoking materials is cause for

participation in this program, except in the case of gross

immediate dismissal. Parents and proper authorities will be

negligence.

notified.

I understand that reasonable measure will be taken to

In addition, any weapons found will be confiscated, the

safeguard the health and safety of my child, and that I will

authorities notified, and is grounds for immediate dismissal.

With my parents, I have completed the camp information

be notified as soon as possible in case of an emergency. In the event of sickness or accident, I authorize consultation

I understand that the use of cell phone at Camp COLEY is

with the doctor and the provision of such medical services

prohibited. If the Camp COLEY staff discovers my cell phone,

as necessary. I will underwrite all expenses involved which

they will confiscate my cell phone immediately and return it to

are not covered by the insurance. I hereby authorized this

my parent or legal guardian at the time of departure.

in the event I cannot be reached in an emergency. YOUTH SIGNATURE: PARENT/GUARDIAN NAME: _________________________________________________

_________________________________________________

SIGNATURE: _________________________________________________ DATE:___________________________

2017 Camper 12 and younger ● page 2 of 4

THREE STRIKES RULE Dear Parent, Your child’s time at camp will be a fun filled, memorable learning experience. Making new friends, while having fun in the outdoors, is a central goal of Camp COLEY. It is our goal as a staff that each camper has a chance to enjoy this opportunity. One factor, which may create difficulty for campers to fully enjoy their camping experience, is poor discipline. Our hope is to address this concern ahead of time to avoid any difficulties. As a camp staff, we want every camper to have a positive experience. Therefore, we would like to outline our discipline policy for you to review with your child. Should an infraction occur, we act on a “three-strikes” rule. The first strike involves a Camp COLEY Leader and / or Staff explaining the broken rule and why it is important for that rule to be followed. The second strike involves the Camp Director and the camper discussing the rule infraction. Should inappropriate behavior continue, the third strike is notification of the camper’s parents. If this situation should occur the Camp Director and camper’s parents will work together to decide on the next step. This step may be another chance or immediate dismissal from camp. Any further actions necessary at that time will also be discussed between the Camp Director and parent. Should your child be sent home, Camp COLEY will not refund any remaining fees for the week. Although few cases ever reach the third strike it is important to have this policy in place to ensure a fun and safe experience for all. All discipline actions are presented in a positive manner and are aimed at helping make Camp COLEY a most positive camping experience. Thank you for your cooperation and we know with parents and camp staff working together – we will have a great week at camp!

We have read and discussed the Camp COLEY “THREE STRIKES RULE” and agree to abide by it. Print: ______________________________________ (Parent or Guardian)

_________________________________ (Camper/CIT)

Sign: ______________________________________ (Parent or Guardian)

_________________________________ (Camper/CIT)

Camp COLEY, Post 229

2017 Camper 12 and younger ● page 4 of 4