There are two forms to complete and send to Spirit Camp before you arrive: The Parental Consent Form and the Rules and Regulations Form. Please read through each, print out a copy of each, and mail them to Spirit Camp in time for us to receive by June 15th. If not enough time, bring to camp and turn in when you register.

Spirit Camp - Parental Consent Form

Please attach a copy of your health insurance card (front and back) to this form. Please mail in time for us to receive by June 15th. If not enough time, bring to camp and turn in when you register.

This form must be completed and signed to complete a camper’s registration and for the camper to be allowed to check in and participate in camp activities.

School_________________________________________________________

Band Director (if applicable)_________________________________________

Camp Attending Spirit Camp Dates June 22-26, 2010

Student Name __________________________________________________

Social Security Number ______________ Birth date____________

Age on June 22______ Sex ______

Address ________________________________________________________

City ________________________________ State ____________ Zip _________

To accommodate individuals with special medical needs, please check all that apply:
_______ Use a C-PAP machine _______ Physical limitations
Other _________________________

Parent / Guardian / Other Emergency Contacts

Name___________________________Home Phone_____________________

Work Phone______________________Cell____________________________

Address________________________________________________________

Relationship_____________________________________________________

List the names and telephone numbers of two individuals to contact
in the event of emergencies (include home, work, and cell phone numbers)

 

List any medical alerts and/or prescription medication (with doses) currently taking

If you DO NOT have any medical alerts and/or you are NOT taking any prescription medication, initial this box: _________None

 

Health Insurance Provider__________________________________________

Policy Number___________________________________________________

If you do not have health insurance, please complete the following: I, ____________________________________ (Parent and/or Guardian’s Name) agree that I will be responsible, and pay for any and all medical procedures required for _____________________________ (student’s name), during the 2010 Spirit Camp (June 22-26, 2010).

I hereby give my permission for a qualified physician, athletic trainer and/or hospital emergency room to administer necessary healthcare in the case of an accident and/or emergency. In addition, I acknowledge that I have read and understand all information provided.

I hereby hold Huntingdon College and Spirit Camp, Inc., harmless for any/all injuries or damages for the above child’s participation in camp activities and I do, for myself, my heirs, executors and administrators, remise, release, waive and forever discharge Huntingdon College and all of its officers, agents and employees, acting officially or otherwise, and Spirit Camp, Inc., and all of its officers, agents and employees, acting officially or otherwise, from all claims demands, actions, or causes of action, on account of any injury, death or property damage which may occur at any time or for any cause during their participation in a Huntingdon College and Spirit Camp Inc., camp/event. It is agreed that this waiver of liability is submitted to Huntingdon College and Spirit Camp, Inc., as an inducement to include the said student in this event and that this agreement is signed as the undersigned’s free and voluntary act with full knowledge of the contents of the agreement.

Parent___________________________________ Date _____/_____/______

A signature by the student indicates a promise to attend the camp noted above and also to adhere to camp rules and regulations listed on this website. (http://www.spiritcamp.com)

Student__________________________________ Date _____/_____/______

NOTE: Photocopy or scan the front and back of your attendee's medical insurance form and send with this document!

Spirit Camp - Rules & Regulations

Please return (with Parental Consent form) in time for us to receive by June 15th. If not enough time, bring to camp and turn in when you register.
Student Name_____________________________________
School______________________________________
Students and Parent(s) must read the camp rules and regulations below and sign that they have been read and that the student will adhere to these rules. Signing means that the student and parent understand that a serious infraction of these rules may result in the parent being immediately called to pick up the student and his/her camp participation will be terminated.

  1. Each student must bring his/her own equipment (instrument, drum, flag, folding music stand if instrumentalist, etc.).
  2. All participants are to wear the camp badge at all times. Badge is your meal ticket. Don’t lose it!
  3. ALCOHOLIC BEVERAGES OR DRUGS OF ANY KIND ARE NOT PERMITTED! Prescription drugs which must be taken by the student need to be indicated on the Parental Consent Form.
  4. If a student becomes ill and cannot attend class, the dorm chaperone must be notified.
  5. CARS – If a student drives a vehicle to camp, upon registration, the car is to be parked in designated parking and not to be used until camp is over.
  6. A 10:30pm curfew (and 11:00pm “Lights Out”) will be in effect every evening.
  7. Students are not permitted to leave dorms in mornings before 6:30am.
  8. STUDENTS – ABSOLUTELY NO SMOKING PERMITTED!
  9. Shoes must be worn at all times when outside the dorms.
  10. Male and female students are allowed to visit each other in dorms only in the main dorm lobby areas. ABSOLUTELY NO MALE OR FEMALE STUDENTS WILL BE ALLOWED IN EACH OTHER’S ROOMS OR ON THE HALL FLOORS!
  11. Camp students, while on campus, will be held responsible for property damage including lost room keys. A $50 deposit per person for your room key is required. Bring this with you to camp (cash or separate check with your name & school in the memo field). This will be refunded to you when the key is returned on the last day of camp.
  12. On-Campus students will not be permitted to leave the campus without permission from a Camp Director and their school director or chaperone. If permission is granted, student must be picked up and returned by an adult.
  13. The college does not allow decorating of dorm room walls, doors and dorm hallways. DO NOT ATTACH ANYTHING to walls/doors or YOU WILL FORFEIT your $50 Dorm Key Deposit.
  14. All equipment and personal belongings should be labeled for security and identification purposes, especially instruments.
  15. The Camp Director(s) and Staff reserve the right to dismiss and send home any student who disobeys the above rules or whose general conduct and attitude toward the Camp and its participants is detrimental to the rest of the Camp.
Student Signature
Parent Signature