nd
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e-mail: [email protected]
William B. Haynes & Judy O. Haynes
Owners/Executive Directors
e, N
nvill
o
s
r
e
rolina
Ca
orth
www.camptonawandah.com
Telephone: (828) 692-4251
Founded in 1933 by the Haynes Family
“Our 84th
75th Year of Sharing a Camping Experience”
Fax: (828) 692-9780
Garrett Graham/Bonnie Nichols
Directors
2017
AND ENROLLMENT
2008 TERMS
Girls from 5 to 15 years of age, inclusive, are eligible.
Girls from 6 to 15 years of age, inclusive, are eligible.
16 year old C.I.T. Program
16 year old C.I.T. Program
The enrollment is limited and early application is recommended.
The enrollment is limited and early application is advisable.
2017 Session Dates and Fees
2008
Session Dates and Fees
Regular Session available for campers ages 6-16.
Regular Session available for campers ages 6-16.
1st Session . . . . . . . . . . . . Sunday, June 4, 2017 to Friday, June 23, 2017. . . . . . . . . . . . . $3850
Session . . . . . . . . . .Sunday,
Sunday,June
June25,
8, 2017
2008–Friday,
2008 . . . . . . . . $2,900
2nd1st
Session. . . . . . . . . . . . to Friday,June
July 27,
14, 2017. . . . . . . . . . . . . $3850
Session . . . . . . . . . .Sunday,
Sunday,July
June
2008–Friday,
July 18,4,2008
. . . . . . . . $2,900
3rd2nd
Session. . . . . . . . . . . . 16,29,
2017
to Friday, August
2017. . . . . . . . . . . . $3850
3rd Session . . . . . . . . . . Sunday, July 20, 2008–Friday, August 8, 2008 . . . . . . $2,900
Short Session available to first year campers ages 6-11 (limited enrollment)
1st Session
. . . . . . . . . . . . Sunday,
Junecampers
4, 2017 to
Saturday,
17, 2017. . . . . . . . . . . $2850
Short
Session
available to
first year
ages
6-11 (noJune
exceptions–limited
enrollment)
2nd Session. . . . . . . . . . . . Sunday, June 25, 2017 to Saturday, July 8, 2017. . . . . . . . . . . $2850
1st Session . . . . . . . . . . Sunday, June 8, 2008–Saturday, June 21, 2008 . . . . . . $2,000
3rd Session. . . . . . . . . . . . Sunday, July 16, 2017 to Saturday, July 29, 2017. . . . . . . . . . . $2850
2nd Session . . . . . . . . . . Sunday, June 29, 2008–Saturday, July 12, 2008 . . . . . $2,000
CampJuly
is for
campersAugust
ages 5-11.
3rd Session . . . . . .Starter
. . . . Sunday,
20,first-year
2008–Saturday,
2, 2008. . . . $2,000
Starter Camp. . . . . . . . . . Sunday
August
6, 2017
to Friday,
August
All fees include
canteen,
laundry,
and Sliding
Rock 11, 2017. . . . . . . . . . $1200
All fees include canteen, laundry, and Sliding Rock
Traditional Camping Program
Traditional
Camp
Program
This
program offers
instruction
in more than twenty areas including archery,
This
program
instruction
in more riding,
than twenty
areas including
riflery,
riflery,
tennis,offers
swimming,
horseback
canoeing,
arts and archery,
crafts, drama,
tennis,
swimming, soccer,
horseback
riding, kayaking,
canoeing, outdoor
arts andcooking,
crafts, drama,
dance,
dance, basketball,
volleyball,
mountaineerbasketball,
soccer,
volleyball,
outdoor cooking, mountaineering, high
ing, high ropes,
rock
climbing,kayaking,
and more.
ropes, rock climbing, and more.
Ton-A-Wandah Trips Program
Ton-A-Wandah Trips Program
The trips program provides an excellent opportunity for campers to broaden
The trips program provides an excellent opportunity for campers to broaden their
their camp experience. Typical trips will include backpacking in Pisgah National
camp experience. Typical trips will include backpacking in Pisgah National Forest,
Forest, whitewater rafting the Nantahala, Pigeon, or Chatooga Rivers, day
whitewater rafting the Nantahala, Pigeon, or Chatooga Rivers, day trip hikes in the
trip hikes in the wilderness areas, rock climbing, rappelling, and visits to the
wilderness areas, rock climbing, repelling, and visits to the Biltmore Estate and the
Biltmore Estate and the Carl Sandburg Home. There is an additional charge for
Carl Sandburg Home. There is an additional charge for those trips that require a
those trips that require a fee. Should a camper reserve a space and withdraw or
fee. Should a camper reserve a space and withdraw or miss the trip for any reason
miss the trip for any reason other than illness, the extra fee will be forfeited.
other than illness, the extra fee will be forfeited.
Daily
Program
RidingRiding
Program
Horseback
other
dayday
as part
of the
Horseback Riding
riding is
is offered
offeredtotoallallcampers
campersevery
every
other
as part
of traditional
the tradicamp
and the
is fee
included
in the in
regular
camp camp
fee. There
is a daily
tional program,
camp program
andfeethe
is included
the regular
fee. There
is a
riding
program
six
days
a
week
for
an
additional
$400
per
session.
Please
prespecial daily riding program six days a week for an additional $375 per session.
register
the pre-register
enclosed application.
Should
a camper
decide
to drop daily
ridinga
Parents on
must
the camper
on the
enclosed
application.
Should
camper decide to drop daily riding during the camp session, NO REFUND WILL
BE
MADE.
We will
not be NO
responsible
for WILL
campers
riding
during
the camp
session,
REFUND
BEenrolled
MADE.in the
We daily
will not
be
program
whofordocampers
not rideenrolled
six days
week riding
due toprogram
out-of-camp
trips,
responsible
in per
the daily
who do
not weather
ride six
conditions,
Enrollment
in this
is limited toetc.
25Enrollment
campers per
sesdays a week etc.
due to
out-of-camp
trips,program
weather conditions,
in Daily
sion.
for thistoprogram
are due
full at time
of camper’s
enrollment.
RidingFees
is limited
15 campers
per in
session.
Please
call the camp
office if you
have questions about our riding program.
Laundry
Laundry
Clothing should be sturdy and practical. Laundry will be sent out once a week
Clothing
Laundry
will bebelongings
sent out once
a week
by cabin should
groups.beBesturdy
certainandthatpractical.
all of your
daughter’s
– clothing
by
cabin
groups.
Be
certain
that
all
of
your
daughter’
s
belongings
–
clothing
and equipment – are clearly marked with her name. THE CAMP ASSUMES
and
equipmentNO
– are
clearly marked with
name.
THE CAMP ASSUMES
ABSOLUTELY
RESPONSIBILITY
FOR her
LOST
ITEMS.
ABSOLUTELY NO RESPONSIBILITY FOR LOST ITEMS.
What To
to Bring
bring/What
What
/ Whatnot
Notto
Tobring
Bring
items to bring
to to
camp,
visitplease
www.campercargo.com
click
For a list of suggested
items
bringplease
to camp,
see attached page. and
Campers
on “What
to Bring.”
Campers
may not
bring
to camp games,
any food,
candy, electronic
may
not bring
to camp
any food,
candy,
electronic
televisions,
cellular
games, televisions,
cellularIPODs
telephones,
video
players,
IPODsIforthese
similar
telephones,
video players,
or similar
electronic
devices.
itemselecare
tronic devices.
If these
items
brought
camp,
theycamp
will be
confiscated
and
brought
to camp,
they will
be are
collected
andtoheld
in the
office
until closing
held These
in the items
camp disrupt
office until
closing
itemsthat
disrupt
spirit and
the
day.
the spirit
andday.
theThese
experience
camptheprovides
to our
experience
that
camp
provides
to
our
campers.
Please
help
us
by
leaving
these
campers. Please help us by leaving these items at home. Cell phones for travel
itemscamp
at home.
Cellbephones
travel
from camp
be turned
in to the
camp
from
should
turnedfor
in to
the camp
officeshould
to be held
until closing
day.
office to be held until closing day.
Registration and Fees
Registration
Camp Ton-A-Wandah enrollment is limited to 200 campers per session.
Applications will be processed in the order that they are received. EARLY
APPLICATION IS RECOMMENDED. Enrollment can be made for one, two,
or three sessions. All applications must be filled out completely and mailed
with a $600 registration fee. Checks should be made payable to “Camp TonA-Wandah.” The fee for each session includes all living expenses, services of
the infirmary, horseback riding every other day, riflery ammunition, laundry
services, some out of camp trips, and canteen.
Tuition Payment Schedule
Camp fees are payable $600 with the application, ¼ of the balance by September
1st, ¼ of the balance December 1st, ¼ of the balance March 1st, and the
remainder by June 1st unless other arrangements have been made. We will
send an invoice prior to the payment’s due date. A monthly payment plan by
credit card only is available and may be set up for your convenience. Please call
the camp office for payment arrangements. Camp reserves the right to turn over
unpaid balances to a debt collection agency.
Early / Late Arrivals
Campers should arrive no later than noon on opening day and should depart no
later than noon on closing day. Due to the importance of counselor orientation
and staff leave time between sessions, it is inconvenient for any camper to
arrive before her session begins or to remain at camp after her session has
ended. When no other choice is available, arrangements must be made well in
advance with the camp office. Early arrivals and late departures will be charged
a minimum of $150 per day per child.
Refund Policy
If cancellation is necessary before February 1st, $250 of the $600 reservation
fee will be refunded upon written notification to the camp office. After this date
the entire reservation fee will be forfeited. Cancellation on or after April 1st will
result in a forfeit of the entire tuition paid. There will be no reduction of fees for
late arrivals or early withdrawals, including early departures for homesickness.
Only in case of early withdrawals due to serious illness will a refund be
considered. The right is reserved to dismiss any girl whose presence, in the
Director’s judgment, is detrimental to the best interest of the camp, and in such
case, there will be no reduction in fee.
Travel
Airline connections can be made to Asheville-Hendersonville (AVL) or to
Greenville-Spartanburg (GSP) on opening and closing days. We cannot
accommodate travel from other airports. In making your daughter’s plane
reservations, allow the flight arrival time to be between the hours of 9:00 AM
and 2:00 PM. Please schedule departures between the hours of 9:00 AM and
2:00 PM. If you have any questions about this, please consult the camp office.
Opening Day / Visitation
Visitation day is considered opening day of the camp session. At this time,
parents are encouraged to meet staff and enjoy the facility. A camp experience
provides an opportunity for campers to gain independence, self reliance and
self confidence, which are all essential to a young girl’s development. Our
experience has shown that visitation by parents and relatives during camp
creates interruption of the camp program, and we appreciate support of this
policy by parents.
Cabin Arrangements
Campers are assigned to cabins according to the camper’s rising grade.
We recognize that there may be reasons for exception to this policy such as
maturity beyond, or not up to, a camper’s chronological age. Where such is
the case, parents should inform us at the time of enrollment so that a proper
cabin assignment can be made. Actual cabin arrangements are made as deemed
necessary by the camp. We cannot guarantee placement in any particular cabin.
Campers frequently want to be in the same cabin with a friend. Requests must be
made on the application by May 1st and cannot be guaranteed.
Camper Cargo
Camper Cargo is the camp supply store which offers campers clothing, surprise
packages, camp gear and other specialty items. Campers may buy through
Camper Cargo with the parent’s permission. Gift cards may be purchased by
calling Camper Cargo at (828) 693-7782 or by visiting the store on opening day
of camp.
Money
Campers do not need additional money with them at camp. However, if campers
do bring money with them, all personal money should be placed in the office
safe. CAMPERS SHOULD HAVE NO CASH IN THEIR POSSESSION. THE
CAMP ASSUMES NO RESPONSIBILITY FOR MONEY NOT DEPOSITED
IN THE OFFICE.
Health Certificate
Campers must have an updated form signed by a physician within 12 MONTHS
OF THE CAMPER’S ARRIVAL AT CAMP. Health forms will be available online
after registration. This time frame is a Camp Ton-A-Wandah and North Carolina
state requirement. We must have a current form filed at camp, completely filled
out and signed by parents and your physician prior to arriving at camp. OUR
CAMP PHYSICIANS WILL NOT SEE CAMPERS UNLESS A CURRENT HEALTH
FORM IS ON FILE AND SIGNED BY PARENT AND PHYSICIAN. PARENTS ARE
RESPONSIBLE FOR MEDICAL EXPENSES INCURRED DURING CAMP.
Canteen Accounts
Drinks and snacks are offered six days a week in the canteen. PURCHASES
FROM THE CANTEEN ARE INCLUDED IN THE CAMP FEE.
Mail/Packages
Mail and packages should be sent to: 300 West Ton-A-Wandah Road,
Hendersonville, NC 28739. It is helpful to include your camper’s name and
cabin on the envelope and/or package. Packages containing clothing or reading
materials are welcomed. Campers look forward to receiving packages and letters.
We ask that NO FOOD, CANDY OR GUM be given or sent to the campers.
North Carolina State regulations forbid food and candy in cabins. Frequent
snacks are available to our campers. Please discourage friends, grandparents
and other relatives from mailing these items.
Telephone
The camp telephone numbers are (828) 692-4251 or (800) 322-0178. Campers
may not use the telephone except to return emergency calls to their immediate
family. We prohibit phone calls to campers, as this is extremely disruptive to
their camp experience. CAMPERS’ CELL PHONES ARE NOT ALLOWED.
Lost and Found
Please be sure to clearly and permanently label all your daughter’s belongings
with her first and last name. Camp Ton-A-Wandah does not assume responsibility
for any lost articles. We make every effort to ensure your daughter returns home
with her belongings. Valuables found after camp’s close will be returned only
upon parent request. If lost items are located, postage will be charged to the
camper’s account. Lost and found is returned for two weeks after the session
closes. After that, all unclaimed items are donated to a local charity.
NEW CAMPERS:
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and
early
application
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advisable.
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Camping
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The
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is
limited
and
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advisable.
PARENTSPARENTS
are
requested
tofrom
complete
the
entire
application
and
with deposit check
Girls
6
to
years
of
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are
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complete
entire
application.
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The
enrollment
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forPARENTS
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made
out
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Camp
Ton-A-Wandah
of
Hendersonville,
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are
requested
to
complete
the
entire
application.
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enrollment
isrequested
limited to
and
early
application
isapplication.
advisable.
PARENTS
PARENTS
areare
requested
to
complete
complete
thethe
entire
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application.
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is
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and
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advisable.
when
you
arrive
when
you
arrive
Mail to Camp
Ton-A-Wandah,
300 W. to
Ton-A-Wandah
Road,
Hendersonville,
PARENTS
are requested
requested
complete the
the
entire
application.NC 28739
PARENTS
are
to complete
entire
application.
2008
APPLICATION
FOR
ENROLLMENT
2008
APPLICATION
FOR
ENROLLMENT
2008
2008
APPLICATION
APPLICATION
FOR
FOR
ENROLLMENT
ENROLLMENT
2017
APPLICATION
FOR
ENROLLMENT
2008 APPLICATION
FOR
ENROLLMENT
2017 Session Dates and Fees
Fill out completely and send with deposit check for $400.00 made out to Camp Ton-A-Wandah of Hendersonville, Inc.
Fill
out
completely
and
send
with
deposit
check
for
$400.00
made
out
to
Camp
Ton-A-Wandah
of
Hendersonville,
Inc.
Mail to
Camp
Ton-A-Wandah,
300
W.for
Ton-A-Wandah
Road,
NC 28739
FillFill
outout
completely
completely
and
and
send
send
with
with
deposit
deposit
check
check
for
$400.00
$400.00
made
made
outout
toHendersonville,
to
Camp
Camp
Ton-A-Wandah
Ton-A-Wandah
of of
Hendersonville,
Hendersonville,
Inc.Inc.
Mail
to
Camp
Ton-A-Wandah,
300
W.
Ton-A-Wandah
Road,
Hendersonville,
NC
28739
Fill
out
completely
and
send
with
deposit
check
for
$400.00
made
out
to
Camp
Ton-A-Wandah
of
Hendersonville,
Mail
Mail
to
to
Camp
Camp
Ton-A-Wandah,
Ton-A-Wandah,
300
300
W.
W.
Ton-A-Wandah
Ton-A-Wandah
Road,
Road,
Hendersonville,
Hendersonville,
NC
NC
28739
28739
Fill out completely and send with deposit check for $400.00 made out to Camp Ton-A-Wandah of Hendersonville, Inc.
Inc.
Regular Session
for campers
6-16.
Mail
300
W.
Road,
Hendersonville,
NC
Mail to
to Camp
Camp Ton-A-Wandah,
Ton-A-Wandah,
300available
W. Ton-A-Wandah
Ton-A-Wandah
Road,ages
Hendersonville,
NC 28739
28739
2008 Session Dates and Fees
2008
Session
Dates
and
Fees
Regular
Session
available
campers
ages
6-16.
2008
2008
Session
Session
Dates
Dates
and
and
Fees
Fees
1st Session. . . . . . . . . . . . . . . Sunday,
June
4,
2017for
to
Friday,
June
23,
2017. . . . . . . . . . . . . . . . $3850
Regular
Session
available
for
campers
ages
6-16.
2008
Session
Dates
and
Fees
Regular
Regular
Session
Session
available
available
for
for
campers
campers
ages
ages
6-16.
6-16.
1st Session . . . . . . . . Sunday, June 8,
June
. . . . . . . . $2,900 $3850
2nd Session. . . . . . . . . . . . . . 25,2008–Friday,
2017 to Friday,
July27,
14,2008
2017. . . . . . . . . . . . . . . . Regular
Session
available
for campers
ages
6-16.
1stSession.
Session
June
8,2008–Friday,
2008–Friday,
June
2008
Session
available
campers
ages
6-16.
Session
.. .. ..Sunday,
.. .Sunday,
. Sunday,
June
8,
2008–Friday,
June
27,
2008
.. . $2,900
. $2,900
2nd
. .. .. .. ..Regular
June
29,
July
18,27,
2008
. . .. .. .. .. .. .. .. $2,900
3rd Session. . . . . . . . . . . . . . July
16,
2017
tofor
Friday,
August
4,
2017. . . . . . . . . . . . . . . $3850
1st1st
Session
Sunday,
June
8,
2008–Friday,
June
27,
2008
$2,900
2nd
Session.
.. ..Sunday,
. Sunday,
June
2008–Friday,
July
18,
2008
.. .. .. .. .. .. .. $2,900
. $2,900
1st
Session
Sunday,
June
8,
2008–Friday,
June
27,
2008
2nd
2nd
Session.
Session.
. Sunday,
June
29,
29,
2008–Friday,
2008–Friday,
July
July
18,
18,
2008
2008
. $2,900
3rd
Session
. . .. ... ... ... ... available
July
20,29,
2008–Friday,
August
8,(limited
1stShort
Session
8,
2008–Friday,
June
27,
2008
$2,900
. . .. .Sunday,
June
. enrollment)
. . . . . . .. . $2,900
Session
to
first
year
campers
ages
6-11
3rd
Session
.. .. .. .. .. .. .. .. .Sunday,
July
20,
2008–Friday,
August
8,
2008
. . . . .. .. . $2,900
2nd
Session.
June
29,
2008–Friday,
July
18,
2008
3rd
3rd
Session
Session
Sunday,
. Sunday,
July
July
20,
2008–Friday,
2008–Friday,
August
8,
2008
2008
$2,900
. $2,900
2nd
Session.
June
29,
2008–Friday,
July
18,
2008
.. .. . . . .enrollment)
Short
Session
available
toSunday,
first
year
campers
ages
6-11 (noAugust
exceptions–limited
1st
Session. . . . . . . . . . . . . . . June
4,20,
2017
to Saturday,
June
17,8,
2017. . . . . . . . . . . . . . $2850
Short
Session
available
to
first
year
campers
ages
6-11
(no
exceptions–limited
enrollment)
3rd
Session
.
.
.
.
.
.
.
.
Sunday,
July
20,
2008–Friday,
August
8,
2008
.
.
.
.
.
.
$2,900
3rd
Session
.
.
.
.
.
.
.
.
Sunday,
July
20,
2008–Friday,
August
8,
2008
.
.
.
.
.
.
$2,900
Short
Session
Session
available
available
to
to
first
first
year
year
campers
campers
ages
ages
6-11
6-11
(no
(no
exceptions–limited
exceptions–limited
enrollment)
enrollment)
2ndShort
Session. . . . . . . . . . . . . . Sunday,
June
25,
2017
to
Saturday,
July
8,
2017. . . . . . . . . . . . . . 1st Session . . . . . . . . Sunday, June 8, 2008–Saturday, June 21, 2008 . . . . . . $2,000 $2850
Short
Session
available
to
first year
year
campers
ages
6-11 (no
(no
exceptions–limited
enrollment)
1st
Session
June
2008–Saturday,
June
2008
Session
available
to
campers
6-11
exceptions–limited
3rdShort
Session. . . . . . . . . . . . . . July
16,
2017
toages
Saturday,
July
29,
2017. . . . . . . . . . . . . . $2850
1st
1st
Session
Session
.. .Sunday,
Sunday,
.first
Sunday,
June
June
8,
8,
2008–Saturday,
2008–Saturday,
June
June
21,2008
21,
2008
2008
..enrollment)
. $2,000
$2,000
. $2,000
2nd
Session.
. .. .. .. .. .. .. ..Sunday,
June
29,8,
2008–Saturday,
12,21,
. .. .. .. .. .. $2,000
2nd
Session.
.
.
.
.
.
.
.
Sunday,
June
29,
2008–Saturday,
July
12,
2008
.
.
.
.
.
$2,000
1stSession
Session
8,2008–Saturday,
2008–Saturday,
June
21,
2008
2nd
2nd
Session.
Session.
. .Sunday,
.(please
Sunday,
June
June
29,
29,
2008–Saturday,
2008–Saturday,
July
July
12,
2008
2008
. . $2,000
. $2,000
3rd
. . .. . . . . . .Sunday,
July
20,this
2,12,
2008.
$2,000
CIT. . . . . . . . . . . . . . . $2850
check
box
in addition toAugust
the
applicable
box(es)
if daughter
1st
Session
8,
2008–Saturday,
June
21,
2008
.. . . . .above
3rd
Session
.. .. .. .. .. .. ..All.. .Sunday,
Sunday,
July
20,
2008–Saturday,
August
2,
2008.
. .. ..rising
$2,000
would
like
to
be
a
CIT)
Note:
CIT
application
is
only
available
to
11th graders.
2nd
Session.
June
29,
2008–Saturday,
July
12,
2008
.
.
.
fees
include
canteen,
laundry,
and
Sliding
Rock
3rd
3rd
Session
Session
.
Sunday,
July
July
20,
20,
2008–Saturday,
2008–Saturday,
August
August
2,
2,
2008.
2008.
.
$2,000
.
$2,000
2nd Session. .
Sunday,
Junecanteen,
29, 2008–Saturday,
July
12, 2008 . . . .
All fees
include
laundry,campers
and Slidingages
Rock 5-11.
Starter
Camp
is
for
first-year
All
All
fees
fees
include
include
canteen,
canteen,
laundry,
laundry,
and
and
Sliding
Sliding
Rock
Rock
3rd
Session
.
.
.
.
.
.
.
.
Sunday,
July
20,
2008–Saturday,
August
2,
2008.
.
.
.
$2,000
3rd Session . . . . . . . . Sunday,
July 20,INFORMATION
2008–Saturday, August 2, 2008. . . . $2,000
GENERAL
All
include
canteen,
laundry,
and
Rock
Starter Camp . . . . . . . . . . . . Sunday
6, 2017
to Friday,
August
All fees
fees August
include
canteen,
laundry,
and Sliding
Sliding
Rock11, 2017. . . . . . . . . . . . . $1200
GENERAL
INFORMATION
GENERAL
INFORMATION
INFORMATION
Camper First Name:
_______________________________ GENERAL
Camper
Last Name:
__________________________ Nickname: _________________________
GENERAL
INFORMATION
Camper First Name:
_______________________________
Camper
Last
Name:
__________________________ Nickname: _________________________
GENERAL
INFORMATION
Date
Camper
of
Camper
Birth:
First
First
Name:
Name: _______________________________
_______________________________
_______________________________
Camper
Camper
Last
Last
Name:
Name:
__________________________
__________________________
Nickname:
Nickname:
_________________________
_________________________
Date
of
Birth:
_______________________________
Camper
First
Name:
_______________________________
Camper
Last
Name:
__________________________
Nickname:
_________________________
Parents’
Date
First
of
Birth:
Name:
_________________________________________________
_______________________________
Parents’ Last Name: ________________________________________
Date
Camper
of
Birth:
First
Name:
_______________________________
Camper Last Name: __________________________
Nickname: _________________________
Parents’
First Name:
_________________________________________________
Parents’ Last Name: ________________________________________
Date
of
_______________________________
Mailing
Parents’
Parents’
Address:
First
First
Name:
Name: ________________________________________________________________________________________________________________
_________________________________________________
_________________________________________________ Parents’
Parents’
Last
Last
Name:
Name:
________________________________________
________________________________________
Date
of Birth:
Birth:
_______________________________
Mailing
Address:
________________________________________________________________________________________________________________
Mother’s
First
Name: _______________________________
Mother’s
Last Name:
Name: ________________________________________
Parents’
First
_________________________________________________
Parents’ Last
________________________________________
City:
Mailing
Mailing
Address:
Address:
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
State: ______________________________________
Zip: _______________________________
Parents’
First
Name:
_________________________________________________
Parents’
City:
_______________________________
State:
______________________________________
Zip: _______________________________
Mailing
Address:
________________________________________________________________________________________________________________
Email
City:
City:
Address:
_________________________________________________
_______________________________
_______________________________
State:
State:
______________________________________
______________________________________
Zip:Zip:
_______________________________
_______________________________
Mailing Address:
________________________________________________________________________________________________________________
Email
Address:
_________________________________________________
City:
_______________________________
State:
______________________________________
Zip:
_______________________________
Home
Email
Phone:
Address:
_________________________________________________
_________________________________________________
Business Phone: ___________________________________________
Email
City:
Address:
_________________________________________________
_______________________________
State: ______________________________________
Zip: _______________________________
Home
Phone:
_________________________________________________
Business Occupation:
Phone: ___________________________________________
Mother’s
_______________________________________
Email
Address:
_________________________________________________
Fax:
Home
Home
Phone:
Phone:
_________________________________________________
_________________________________________________
_________________________________________________Mobile
Business
Business
Phone:
Phone:
______________________________________________
Phone:
___________________________________________
___________________________________________
Email
Address:
Fax:
_________________________________________________
Mobile
Phone:
______________________________________________
Home
Phone: if a Second
_________________________________________________
Business
Phone:
___________________________________________
Please
Fax:
Fax:
Complete
_________________________________________________
Parent
_________________________________________________
or Guardian needs to be Added:
Mobile
Mobile
Phone:
Phone:
______________________________________________
______________________________________________
Home
Phone:
Business
Phone:
___________________________________________
Please
Complete
if
a
Second
Parent
or
Guardian
needs
to
be
Added:
Fax:
_________________________________________________
Mobile
Phone:
______________________________________________
Parents’
Please
Please
First
Complete
Complete
Name:
if
a
if
Second
_________________________________________________
a
Second
Parent
Parent
or
or
Guardian
Guardian
needs
needs
to
be
to
be
Added:
Added:
Parents’
Last
Name:
________________________________________
Fax:
_________________________________________________
Mobile Phone: ______________________________________________
Parents’
First Name:
_________________________________________________
Parents’ Last Name: ________________________________________
Please
Complete
if
a
Second
Parent
or
Guardian
needs
to
be
Added:
Mailing
Parents’
Parents’
Address:
First
First
Name:
Name:
________________________________________________________________________________________________________________
_________________________________________________
_________________________________________________
Parents’
Parents’
Last
Last
Name:
Name:
________________________________________
________________________________________
Father’s
First
Name:
Father’s
Last
Name:
Please
Complete
if a Second
Parent or Guardian needs to be Added:
Mailing Address:
________________________________________________________________________________________________________________
Parents’
First
Name:
_________________________________________________
Parents’
City:
Mailing
Mailing
Address:
Address:
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
State: ______________________________________
Zip: _______________________________
Parents’
First
Name: _______________________________
_________________________________________________
Parents’ Last
Last Name:
Name: ________________________________________
________________________________________
City:
_______________________________
State: ______________________________________ Zip: _______________________________
Mailing
Address:
________________________________________________________________________________________________________________
Email
City:
City:
Address:
_________________________________________________
_______________________________
_______________________________
State:
State:
______________________________________
______________________________________
Zip:Zip:
_______________________________
_______________________________
Mailing
Address:
________________________________________________________________________________________________________________
Email
Address:
_________________________________________________
City:
_______________________________
State:
______________________________________
Zip:
_______________________________
Home
Email
Email
Phone:
Address:
Address:
_________________________________________________
_________________________________________________
_________________________________________________
Business
Phone:
___________________________________________
Father’s
Occupation:
________________________________________
City:
_______________________________ State: ______________________________________ Zip: _______________________________
Home
Phone:
_________________________________________________
Business Phone: ___________________________________________
Email
Address:
_________________________________________________
Fax:
Home
Phone:
_________________________________________________
_________________________________________________Mobile
Business
Phone:
______________________________________________
Phone:
___________________________________________
Home
Email
Address:
Phone:
_________________________________________________
Business
Phone:
___________________________________________
Fax:
_________________________________________________
Mobile Phone:
______________________________________________
Home
_________________________________________________
Phone:
___________________________________________
Fax:
Fax:Phone:
_________________________________________________
_________________________________________________ Business
Mobile
Mobile
Phone:
Phone:
______________________________________________
______________________________________________
Home
Phone:
Business
Phone:
___________________________________________
EMERGENCY CONTACT INFORMATION (other
than
parent/guardian)
Fax:
_________________________________________________
Mobile
Phone:
______________________________________________
Fax:
_________________________________________________
Mobile
Phone:
______________________________________________
EMERGENCY
CONTACT
INFORMATION
(other
than
parent/guardian)
EMERGENCY
EMERGENCY
CONTACT
CONTACT
INFORMATION
INFORMATION
(other
(other
than
than
parent/guardian)
parent/guardian)
Name:
_________________________________________________
Relationship: _______________________________________________
EMERGENCY
CONTACT
INFORMATION
(other
than
parent/guardian)
_________________________________________________
Relationship:
_______________________________________________
Name: ___________________________________________________________
Name:
___________________________________________________________
EMERGENCY CONTACT INFORMATIONWork
(other
than
parent/guardian)
Home
Name:
Name:
Phone:
_________________________________________________
_________________________________________________
_________________________________________________
Relationship:
Relationship:
Phone:
_______________________________________________
_______________________________________________
_______________________________________________
Relationship:
Relationship:
______________________________________________________
Home
Phone:______________________________________________________
_________________________________________________
Work
Phone: _______________________________________________
Name:
_________________________________________________
Relationship:
_______________________________________________
Home
Phone:
_________________________________________________ Relationship:
Work
Phone:
_______________________________________________
Home
Name:
Phone:
_________________________________________________
Work
Phone:
_______________________________________________
Home Phone: _____________________________________________________
Home Phone: _____________________________________________________
CAMPER INFORMATION
Home
_________________________________________________
Work
Phone:
_______________________________________________
Home Phone:
Phone:
_________________________________________________
Work
Phone:
_______________________________________________
CAMPER
INFORMATION
Work Phone: ______________________________________________________
Work Phone: ______________________________________________________
CAMPER
INFORMATION
CAMPER
INFORMATION
School Attending:
___________________________________
Grade Entering:
___________ Church Preference: _______________________________
CAMPER
INFORMATION
School Attending:
___________________________________
Grade
Entering:
___________
Church Preference: _______________________________
(Grade
Entering
in Fall
2008)
CAMPER
INFORMATION
School
School
Attending:
Attending:
___________________________________
___________________________________
Grade
Grade
Entering:
Entering:
___________
___________
Church
Preference:
Preference:
_______________________________
_______________________________
(Grade Entering in
Fall
2008) Church
(Grade
(Grade
Entering
Entering
in
Fall
in
Fall
2008)
2008)
Height:
______________________
Weight:
_______________________
T-Shirt
Size:_________________
School
Attending:
___________________________________
Grade
Entering:
___________
Church
Preference:
_______________________________
School
___________________________________
Grade Entering: ___________
Church Preference: _______________________________
Height: Attending:
______________________ Weight: _______________________
T-Shirt
Size:_________________
(Grade
in
2008)
2017)
Height:
Height:
______________________
______________________
Weight:
_______________________
_______________________
(Grade
Entering
in Fall
Fall
T-Shirt
2008)
T-Shirt
Size:_________________
Size:_________________
Attended
Ton-A-Wandah Before?
Yes
No
If Weight:
Yes,
how
many
terms?Entering
__________________________________________________________________
Attended
Ton-A-Wandah Before?
Yes
No Weight:
If Yes, _______________________
how many terms? __________________________________________________________________
Height:
______________________
T-Shirt Size:_________________
Size:_________________
If returning
Height:
Attended
Attended
camper:
Ton-A-Wandah
Ton-A-Wandah
What
Before?
______________________
Before?
tribe? (check
YesYes
one) NoNoWeight:
If Mohawk
Yes,
If Yes,
_______________________
how
how
many
many
Cherokee
terms?
terms?
__________________________________________________________________
__________________________________________________________________
Navajo
T-Shirt
What cabin assigned in 2007? _________________
IfAttended
returningTon-A-Wandah
camper:
What
tribe?
(check
one)
Mohawk
Cherokee
Navajo
What cabin assigned in 2007? _________________
(Red)
(Blue)
(Purple)
Before?
Yes
No
If
Yes,
how
many
terms?
__________________________________________________________________
If returning
If returning
camper:
camper: Before?
What
What
tribe?
one) If Yes,
Mohawk
Mohawk
Cherokee
Cherokee
Navajo
Navajo What
What
cabin
cabin
assigned
assigned
in 2007?
in 2007?
_________________
_________________
2016
Attended
Ton-A-Wandah
tribe?
(check
Yes(check
one)
No
how
many terms?
__________________________________________________________________
(Red)
(Blue)
(Purple)
New
Campers:
How did youWhat
become
interested
in Camp Ton-A-Wandah?
(Red)
(Red)
(Blue)
(Blue)
(Purple)
(Purple) What cabin assigned in 2007? _________________
IfIf returning
camper:
tribe?
(check
one)
Mohawk
Cherokee
Navajo
returning
camper:
What
tribe?
(check
one)
Mohawk
Cherokee
Navajo
What
cabin
assigned
in
2007?
_________________
New Campers: How did you become interested in Camp Ton-A-Wandah?
(Red)
(Blue)
(Purple)
New
Name
New
Campers:
ofCampers:
Friend: How
________________________________________________
How
diddid
youyou
become
become
interested
interested
in Camp
in Camp
Ton-A-Wandah?
Ton-A-Wandah?(Blue)
Internet: Name
of Website: _______________________________________
(Red)
(Purple)
Name
of Friend:
________________________________________________
Internet: Name of Website: _______________________________________
New
Campers:
How
did
you
become
interested
in
Camp
Ton-A-Wandah?
Advertisement:
Name
Name
of
Friend:
of
Friend:
Name
________________________________________________
of
________________________________________________
Publication:
______________________________
Other:
Internet:
Internet:
Please
Name
Specify:
Name
of Website:
of___________________________________________
Website:
_______________________________________
_______________________________________
New Campers: How did you become interested in Camp Ton-A-Wandah?
Advertisement:
Name
of Publication: ______________________________
Other:
Please
Specify:
___________________________________________
Name
of
Friend:
________________________________________________
Internet:
Name
of
Website:
_______________________________________
Advertisement:
Advertisement:
Name
of Publication:
of Publication:
______________________________
______________________________
Other:
Other:
Please
Please
Specify:
___________________________________________
___________________________________________
Name
of Friend:Name
________________________________________________
Internet:
Name
ofSpecify:
Website:
_______________________________________
DAILY RIDING
Advertisement:
Other:
Advertisement: Name
Name of
of Publication:
Publication: ______________________________
______________________________
Other: Please
Please Specify:
Specify: ___________________________________________
___________________________________________
DAILY RIDING
DAILY
DAILY
RIDING
RIDING
RIDING
Please indicate if your daughter would like to take daily riding:
Yes
No PROGRAM
(please
circle one)
DAILY
RIDING
(please
circle
one)
Please indicate if your daughter would like to take($375
daily additional
riding:
Yes
No
(please circle
one)
(over)
fee
due
with
completed
application)
DAILY
RIDING
Please
Please
indicate
indicate
if your
if your
daughter
daughter
would
would
likelike
to take
to take
daily
daily
riding:
riding: Yes
Yes NoNo
(please
(please
circle
circle
one)
one)
(over)
($375
additional
fee
due with
completed
application)
Please
indicate
if
your
daughter
would
like
to
take
Daily
Riding
:
Yes
No
($400
additional
fee
due
with
completed
application
for
Daily
Riding)
(over)
(over)
($375
($375
additional
additional
due
due
with
with
completed
completed
application)
application)
Please
riding:
Yes
No
(please
circle
one)
Please indicate
indicate ifif your
your daughter
daughter would
would like
like to
to take
take daily
daily
riding:
Yesfeefee
No
(please
circle
one)
(over)
($375
(over)
($375 additional
additional fee
fee due
due with
with completed
completed application)
application)
(names and ages)
4. Does she have sisters? ______________________________________________________________________________________________________________
CONFIDENTIAL INFORMATION
(names and ages)
1.
comeeasily?
to camp?
____________________________________________________________________________________________
CONFIDENTIAL INFORMATION
5. Does
Does your
your daughter
daughter want
meet to
people
_______________________________________________________________________________________________
PERSONAL
INFORMATION
CONFIDENTIAL
INFORMATION
2. Has she been a camper elsewhere? ________________________
When?
________________________
Where? ___________________________________
6. Does
What your
is your
daughter
looking
forward
to most
in her camping experience? _________________________________________________________________
1.
daughter
want
to come
to camp?
____________________________________________________________________________________________
3.
Does
she
have
brothers?
_____________________________________________________________________________________________________________
1.
your
daughter
wantelsewhere?
to come to________________________
camp? ____________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
2. Does
Has
she
been
a camper
When?and
________________________
Where? ___________________________________
(names
ages)
1.
Does
she
have
any
brothers?
___________________________________________________________________________________________________________
2.
Has
she
been
a
camper
elsewhere?
________________________
When? ________________________ Where? ___________________________________
__________________________________________________________________________________________________________________________________
3. Does
brothers?______________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
4.
she have sisters?
(names and ages)
andaware
ages) of? If so, please give a brief explanation: ________________________
3.
_____________________________________________________________________________________________________________
7. Does
Does she
she have
have brothers?
any learning,
physical, or emotional skills that we (names
should be
(names
and ages)
4.
Does
she
have
sisters?
______________________________________________________________________________________________________________
2.
she
have
any
sisters?_____________________________________________________________________________________________________________
5. Does
your
daughter
meet
people
easily?
_______________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
(names(names
and ages)
4. Does she have sisters? ______________________________________________________________________________________________________________
and ages)
8. What
What is
activities
at camplooking
shouldforward
be avoided?:
____________________________________________________________________________________________
(names and_________________________________________________________________
ages)
6.
your
daughter
to _______________________________________________________________________________________________
most
in her camping experience?
5. Does your
daughter
meet people
easily?
3.
your
__________________________________________________________________________________________________________________________________
5. Does
Does
yourdaughter
daughtermeet
meetpeople
peopleeasily?__________________________________________________________________________________________________
easily? _______________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
6.
What
is your
daughter
forward
most in needs
her camping
experience?
_________________________________________________________________
9. Does
Will
your
daughter
needlooking
special
medication?_________
Ifthat
so,we
what?
________________________________________________________________________
4.
she
have
any learning,
physical,
or to
emotional
should
be aware
of? If so, please give a brief explanation:__________________________
__________________________________________________________________________________________________________________________________
6. What
is your daughter looking forward to most in her camping experience? _________________________________________________________________
__________________________________________________________________________________________________________________________________
Is
yourshe
daughter
allergic
to any
medications,
food, etc.?
_________
If so,be
what?
_____________________________________________________________
10.
7. ____________________________________________________________________________________________________________________________________
Does
have
any
learning,
physical,
or
emotional
skills
that
we
should
aware
of? If so, please give a brief explanation: ________________________
__________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
11.
Will
your
daughter
need
a
special
diet?
_________
If
so,
what?
____________________________________________________________________________
__________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
7. Does
Does
she
have
any learning,
physical, or emotional skills that we should be aware of? If so, please give a brief explanation: ________________________
12.
your
daughter
swim?
___________________________________________________________________________________________________________
8.
What
activities
camp
should
____________________________________________________________________________________________
5.
your
daughter
swim?
q be
Yesavoided?:
q No
If yes,that
at what
level?_____________________________________________________________________
7. Does
Does
she
have at
any
learning,
physical,
or emotional
skills
we should
be aware of? If so, please give a brief explanation: ________________________
__________________________________________________________________________________________________________________________________
13. Does
your daughter have one special friend in the same grade with whom she would like to share a cabin? _____________________________________
__________________________________________________________________________________________________________________________________
6. Does
your daughter have one special friend in the same grade with whom she would like to share a cabin?_________________________________________
__________________________________________________________________________________________________________________________________
8. What
activities at camp should be avoided?: ____________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
Will
your
daughter
need should
specialbe
medication?_________
If so, what? ________________________________________________________________________
9.
8. ____________________________________________________________________________________________________________________________________
What
activities
at camp
avoided?: ____________________________________________________________________________________________
(see information regarding cabin requests)
__________________________________________________________________________________________________________________________________
10. Is__________________________________________________________________________________________________________________________________
your daughter allergic to any medications, food, etc.? _________ If so, what? _____________________________________________________________
9. Will your daughter need special medication?_________ If so, what? ________________________________________________________________________
11.
your
daughter
need
special
diet? _________ If so,Ifwhat?
____________________________________________________________________________
PARENTS’
COMMENTS
9. Will
Willyour
yourdaughter
daughterallergic
need a
special
medication?_________
so, what?
________________________________________________________________________
10.
Is
to any medications,
food, etc.? _________
If so, what? _____________________________________________________________
12.
Does
your
daughter
swim?
___________________________________________________________________________________________________________
10.
Is
your
daughter
allergic
to
any
medications,
food,
etc.?
_________
If
so,
what? _____________________________________________________________
Please
indicate
any
special
needs
(bed
wetting,
traumatic
changes:
i.e.
new
location,
school, separation, death in family) or medical conditions of which we
11. Will your daughter need a special diet? _________ If so, what? ____________________________________________________________________________
13.
Does
your
daughter
haveafor
one
special
friend
the same
grade
with
whom
to share
a cabin? in
_____________________________________
need
to be
aware
in preparing
the
care
of
yourinchild.
Any
suggestions
that willshe
be would
helpfullike
to the
staff members
giving your daughter a happy, worthwhile
11.
Will
your
daughter
need
special
diet?
_________
If
so,
what?
____________________________________________________________________________
12. Does your daughter swim? ___________________________________________________________________________________________________________
camping
experience are greatly appreciated.
__________________________________________________________________________________________________________________________________
12.
Does
your
daughter
swim?
___________________________________________________________________________________________________________
13. Does your daughter have one special friend in the same
with whom
she cabin
wouldrequests)
like to share a cabin? _____________________________________
(see grade
information
regarding
_______________________________________________________________________________________________________________________________________
13. Does
your daughter have one special friend in the same grade with whom she would like to share a cabin? _____________________________________
__________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
COMMENTS
(see PARENTS’
information regarding
cabin requests)
__________________________________________________________________________________________________________________________________
(see information regarding cabin requests)
Please indicate any special needs (bed
wetting, traumatic
changes:
i.e.
new location, school,
death in family) or medical conditions of which we
RELATIVES
WHO
HAVE
ATTENDED
CAMPseparation,
TON-A-WANDAH
PARENTS’
COMMENTS
need to be aware in preparing for the care of your child. Any suggestions
thatCOMMENTS
will be helpful to the staff members in giving your daughter a happy, worthwhile
PARENTS’
(attachi.e.
extra
if necessary)
camping
experience
are greatly
appreciated.
Please
indicate
any special
needs
(bed wetting, traumatic changes:
newsheet
location,
school, separation, death in family) or medical conditions of which we
Name:
______________________________________________________________________________________________________________________________
Please
indicate
any
special
needs
(bed
wetting,
traumatic
changes:
i.e.
new
location,
school,
death inin family)
medical
conditions
which we
need
to
be
aware
in
preparing
for
the
care
of
your
child.
Any
suggestions
that
will
be
helpful
to separation,
the staff members
giving or
your
daughter
a happy,ofworthwhile
_______________________________________________________________________________________________________________________________________
need
to be
aware in preparing
the care of your child. Any suggestions that will be helpful to the staff members in giving your daughter a happy, worthwhile
camping
experience
are greatlyfor
appreciated.
Address:
______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
camping experience are greatly appreciated.
_______________________________________________________________________________________________________________________________________
City:
_____________________________________________ State: ______________________________________ Zip: _______________________________
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
Year:
_____________________________________________
Tribe: _______________________________________
RELATIVES WHO HAVE
ATTENDED CAMP TON-A-WANDAH
_______________________________________________________________________________________________________________________________________
(attach extra sheet if necessary)
RELATIVES WHO HAVE REFERRALS
ATTENDED CAMP TON-A-WANDAH
Name:
______________________________________________________________________________________________________________________________
RELATIVES WHO HAVE
ATTENDED CAMP TON-A-WANDAH
(attach extra sheet if necessary)
recommend Ton-A-Wandah
Ton-A-Wandah to:
to:
IAddress:
would like______________________________________________________________________________________________________________________________
to recommend
(attach
extra
sheet if necessary)
Name:
______________________________________________________________________________________________________________________________
Parent’s
Name:
___________________________________________________
Full Address: ______________________________________________________
City:
_____________________________________________
State: ______________________________________
Zip: _______________________________
Parent’s
Name:__________________________________________________________________________________________________________________________
Name:
______________________________________________________________________________________________________________________________
Address: ______________________________________________________________________________________________________________________________
Parent’s
Name:
___________________________________________________
Full
Address:
______________________________________________________
Year:
_____________________________________________
Tribe:
_______________________________________
Address:________________________________________________________________________________________________________________________________
Address:
______________________________________________________________________________________________________________________________
City:
_____________________________________________ State: ______________________________________ Zip: _______________________________
City: ______________________________________________________________
State: __________________________ Zip:
Zip:_______________________________
_____________________________________________
State:
______________________________________
_______________________________
PAYMENT
INFORMATION
Year:
_____________________________________________
Tribe: _______________________________________
REFERRALS
Year:
_____________________________________________ Tribe: _______________________________________
Parent’s
Name:__________________________________________________________________________________________________________________________
A Deposit ofREFERRALS
$400 Is Due with Application
I would like
to recommend Ton-A-Wandah to:
We
will
be
paying
by:
Check
Credit
Card
REFERRALS
Address:________________________________________________________________________________________________________________________________
Parent’s Name: ___________________________________________________
Full Address: ______________________________________________________
would
like
to recommend
IfICity:
Credit
Card,
which
CreditTon-A-Wandah
Card will you beto:using? ____________________________________________
______________________________________________________________
State:
__________________________
Zip:_______________________________
Parent’s
Name:
___________________________________________________
Full Address:
______________________________________________________
I would like
to recommend Ton-A-Wandah to:
Parent’s
Full Address: ______________________________________________________
Name
onName:
Card: ___________________________________________________
__________________________________________________________________________
Parent’s Name:
Name: ___________________________________________________
Full Address:
Address: ______________________________________________________
______________________________________________________
Parent’s
Full
PAYMENT INFORMATION
Card
Number: ___________________________________________________
__________________________________________________________________________
Expiration Date: ______________________________
Parent’s Name: ___________________________________________________
Full Address: ______________________________________________________
Please charge my credit card for the following:
Deposit
Only
($400)
Full with
Tuition
(includes deposit) – Amount: ________________________________
A Deposit
$600INFORMATION
is Due
Application
A
of $400
Is
Application
PAYMENT
PAYMENT
upon INFORMATION
receipt of application) and scheduled payments (to be charged
We will be paying by:
by: o Check
Check o Credit
CreditCard
Card Deposit (charged
A Deposit of $400 Is Due with Application
1st, February 1st, and May 1st) *See page 2.
If Credit Card, which Credit
Credit Card
Card will
will you
you be
be using?______________________________________________
using? November
____________________________________________
A Deposit of $400 Is Due with Application
We will be paying by:
Check
Credit Card
on Card: ____________________________________________________________________________
Name
__________________________________________________________________________
We
will be
paying
by:CreditCheck
Credit
Card ____________________________________________
PARENT SIGNATURE
If Credit
Card,
which
Card will you
be using?
Number: _____________________________________________________________________________
Expiration Date:
Card
__________________________________________________________________________
Date: ______________________________
IfName
CreditonCard,
which
Credit
Card
will
you
be
using?
____________________________________________
Card: __________________________________________________________________________
I give Camp Ton-A-Wandah
permission to use in its catalogue or on its website any camp picture in which the likeness of my daughter appears. Also, I hereby give permission to the physician selected by the Camp
Please
card
for
the
following:
Deposit
Only
($400)
Full
–
Amount:
________________________________
charge
my
credit
card
for
the
following:
o
Deposit
Only
($600)
o
Tuition
(includes
deposit)
Amount________________________________
Name
on Card:
__________________________________________________________________________
Administrator
to hospitalize,
secure proper treatment for, and to order injections, anesthesia, and surgery as needed for my child named above.
Card
Number:
__________________________________________________________________________
Expiration Date: ______________________________
ICard
that
there
are
a
number
of
inherent
risks
involved
in
summer
camp
activities.
I,
my
spouse,
my
child,
and
my
heirs,
successors,
assigns
and
personal
representatives,
hereby,
release and
discharge Camp
Deposit
(charged
upon
receipt
of
application)
and
scheduled
payments
(to
understand
o
Deposit
(charged
upon
receipt
of
application)
and
scheduled
payments
(tobe
becharged
charged
September
1st,
Number:
__________________________________________________________________________ Expiration Date: ______________________________
Ton-A-Wandah,
their my
representative
agents,for
employees,
officers, directors,Deposit
volunteers,Only
and successors
to individually
or collectively
as “Releases”)
from any liability or causes of action
Please
charge
credit card
the following:
($400) and assigns
Full(hereinafter
Tuition referred
(includes
deposit)
– Amount:
________________________________
November
1st,
February
1st,
and
May
1st)
*See
page
2.
December
1st,
March
1st,
and
June
1st)
whatever rising
from,my
or oncredit
accountcard
of, property
damage,
economic loss, Deposit
personal injury
or death,
related to myFull
child’sTuition
participation
in the camp,
including,
without limitation,
any liability or causes of action based on,
Please
charge
for the
following:
Only
($400)
(includes
deposit)
– Amount:
________________________________
(charged
upon receipt
of application)
and
scheduled
payments
(to be charged
asserting,
or cause by the negligence of Releasees or other persons. o Deposit
Deposit(charged
(chargedupon
upon receipt
receipt of
of application)
and
monthly
scheduled
payments
to be charged until June 1
Deposit
application)
and
scheduled
payments
(to
There will be no reduction of fees for late arrivals or early withdrawals, including
homesickness.
Only in cases
of early
due *See
to serious
illness
Thecharged
right is reserved to dismiss any girl
PARENT
SIGNATURE
November
1st,
February
1st,
andwithdrawal
May 1st)
page
2.will a refund be considered.be
whose presence, in the Director’s judgment, is detrimental to the best interest
of
the
camp,
and
in
such
case
there
will
be
no
reduction
in
reservation
fee.
If
cancellation
is
made
on
or
before
February 1, $200 of the $400
November 1st, February 1st, and May 1st) *See page 2.
reservation will be refunded upon written notification to the camp office. After this date, the entire reservation fee will be forfeited. Cancellation on or after the 14th day before opening day of camp will result in a forfeit of
I give Camp Ton-A-Wandah permission to use in its catalogue or on its website any campPARENT
picture in which the
likeness of my daughter appears. Also, I hereby give permission to the physician selected by the Camp
SIGNATURE
the entire tuition.
Administrator
to hospitalize, secure proper treatment for, and to order injections, anesthesia, and surgery as needed for my child named above.
PARENT
SIGNATURE
II have
read
and
agree
with
the
terms
of
enrollment
as
stated
with
this
application.
understand
that there are a permission
number of inherent
involved or
in summer
camp any
activities.
I, my spouse,
mythe
child,
and my
heirs,
successors,
assigns
personal
hereby,
release
and discharge
Camp
I give
Camp Ton-A-Wandah
to use inrisks
its catalogue
on its website
camp picture
in which
likeness
of my
daughter
appears.
Also, and
I hereby
give representatives,
permission to the
physician
selected
by the Camp
Ton-A-Wandah,
representative
employees,
directors,
volunteers,
and successors
and assigns
(hereinafter
referred
individually or collectively as “Releases”) from any liability or causes of action
Administrator
to their
hospitalize,
secure agents,
proper
treatment
for,officers,
and toororder
injections,
anesthesia,
and surgery
needed
for my
child
namedto
above.
I give Camp
Ton-A-Wandah
permission
to use
indamage,
its catalogue
onloss,
its
website
any
camporpicture
inrelated
whichastothe
likeness
of my
daughter
appears.
Also,
I hereby
give permission
to the
physician
selected
by thebased
Campon,
whatever
rising
from, or on account
of,
property
economic
personal
injury
death,
my
child’s
participation
in
the
camp,
including,
without
limitation,
any
liability
or
causes
of
action
Signed:
____________________________________________________
Date:
______________________________
IAdministrator
understand
there
are negligence
a number
ofofinherent
risks
involved
summer
camp activities.
I, my
child, and
successors,
and personal representatives, hereby, release and discharge Camp
to hospitalize,
secure
proper
treatment
andpersons.
toinorder
injections,
anesthesia,
andspouse,
surgery my
as needed
for my
my heirs,
child named
above.assigns
asserting,
or that
cause
by the
Releasees
orfor,
other
(parent
or guardian)
Ton-A-Wandah,
their
agents,
employees,
officers,indirectors,
volunteers,
and successors
andmyassigns
(hereinafter
to individually
or collectively
as “Releases”) hereby,
from anyrelease
liability
or discharge
causes of Camp
action
I understand
that
thererepresentative
are of
a number
oflateinherent
risks
involved
summer
camp
activities.
I, my spouse,
child,
and
my heirs,referred
successors,
assigns
and
personal
and
There
will
be
no
reduction
fees
for
arrivals
or
early
withdrawals,
including
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Only
in
cases
of
early
withdrawal
due
to
serious
illness
will
a refundrepresentatives,
be considered.
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is reserved
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any
whatever
rising from,
or on account agents,
of, property
damage,officers,
economic
loss, personal
injury
death, related
toassigns
my child’s
participation
in the
camp, including,
without
limitation,
any liability
or liability
causes
of action
based
on, girl
Ton-A-Wandah,
their
representative
employees,
directors,
volunteers,
andorsuccessors
and
(hereinafter
referred
toreservation
individually
or collectively
as is
“Releases”)
from
any
or
causes
ofthe
action
whose
presence,
in
the
Director’s
judgment,
is
detrimental
to
the
best
interest
of
the
camp,
and
in
such
case
there
will
be
no
reduction
in
fee.
If
cancellation
made
on
or
before
February
1,
$200
of
asserting,rising
or cause
byortheonnegligence
ofproperty
Releasees
or othereconomic
persons.loss, personal injury or death, related to my child’s participation in the camp, including, without limitation, any liability or causes of action based $400
whatever
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of,
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reservation will be refunded upon written notification to the camp office. After this date, the entire reservation fee will be forfeited. Cancellation on or after the 14th day before opening day of camp will result in a forfeit
There
will tuition.
be cause
no reduction
of fees for late
arrivals ororearly
asserting,
or
by the negligence
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otherwithdrawals,
persons. including homesickness. Only in cases of early withdrawal due to serious illness will a refund be considered. The right is reserved to dismiss any girl
the
entire
whose
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in the Director’s
judgment,
is detrimental
to the best interest
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camp, and inOnly
suchincase
there
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If cancellation
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$200
$400girl
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rightFebruary
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I have will
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the
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entire
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Cancellation
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after
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opening
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camp
will1,result
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the Director’s
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Ifthe
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$400
the
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reservation will be refunded upon written notification to the camp office. After this date, the entire reservation fee will be forfeited. Cancellation on or after the 14th day before opening day of camp will result in a forfeit of
Ithe
have
readtuition.
and agree with theSigned:
terms of enrollment
as stated with this application.
entire
____________________________________________________
Date: ______________________________
(parent or guardian)
I have read and agree with the terms of enrollment as stated with this application.
Signed: ____________________________________________________
(parent or guardian)
Signed: ____________________________________________________
(parent or guardian)
Date: ______________________________
Date: ______________________________