Fill out this form to register for a 2008 winter family camp ( January 81 - 21 ). You may use the SUBMIT button to send this registration via e-mail or print it out and mail or fax it to Camp Pinewood. Fax number (231) 821-0487.
A nonrefundable deposit of $100 will be charged. Any registration form received without credit card information will not be guaranteed a spot. If you prefer you may call in your credit card information after submitting this registration form. Phone number (231) 821-2421.
A MINIMUM $100 DEPOSIT IS REQUIRED TO RESERVE EACH PERIOD AND MUST ACCOMPANY THIS APPLICATION. There will be no refunds when a child goes home early in case of disciplinary action. We or I (parents) approve this application and certify that our child is in good health. Acceptance of this application is contingent upon the camper passing a physical exam by the family physician within one year before leaving for camp.
The YMCA does not furnish accident/illness medical insurance. Medical bills, including prescription drugs, will be the responsibility of the parents. YMCA Camp Pinewood has my permission to use any photographs taken of my child in its annual camp promotion. In the event I cannot be reached in an EMERGENCY, I do hereby give my permission to transfer child named above off the camp property for the purpose of medical care or program activities as deemed appropriate by the Director. I hereby give my permission to the physician selected by the Camp Director, to hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery for my child as named above. We or I (parents) have read and agree to all the conditions of this application.
I (We) Agree and submit registration
