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CAMP NEOFA
Youth Summer Camps
1-week camps
Boys & Girls ages 8-14
July - August
Camp NEOFA is open to all boys and girls ages 8-14. Campers stay in one of 12 cabins (two of which are handicapped accessible). Each cabin houses 10 people.
Typical camper activities include:
- Swimming taught by a water safety instructor qualified under Red Cross standards along with a float for diving
- Fishing Derbies
- Arts & Crafts
- Baseball, volleyball, archery, soccer, pool and other sports
- Land and water Olympics
- Dances
- Campfire singing, hot dog and marshmallow roasting
Scroll down to get the application
Can be printed and sent to the camp Directors
Your child will have a week of fun will meet new kids their age
and spend the week camping with supervision.
2009 Camp NEOFA Application
CAMP NEOFA
of the
CAMPER APPLICATION 2009
Ages 8 - 14
All questions MUST be answered and the application signed. PLEASE TYPE OR PRINT.
Name _________________________________________________ Age ____ DOB____ School Grade _____
(Last) (First) (Initial)
Address _________________________________________________________________________________
(Street Number and Name) (Apt. Number)
__________________________________________________ ________________Telephone #____________
(City/Town) (State/Province) (Zip/Postal Code)
Parent/Guardian ________________________________________________ Telephone # ________________
Name/Address of Lodge or
Individual Paying Fee_______________________________________________________________________
Contact Person _________________________________________________ Telephone # ________________
Address _________________________________________________________________________________
J J J J J J J J J J J J J J J J J J J J J J J
RESERVATIONS
A CAMPING WEEK begins SUNDAY AT NOON, after lunch – ends SATURDAY AT NOON
A fee of $10 per day for early drop off, late pick up, or date change
CAMP NEOFA is open for three (3) weeks
CHECK THE WEEK(S) THE CAMPER WISHES TO ATTEND
FOR 8 – 14 YEAR OLDS
2nd ( ) July 5 - 11 3rd ( ) July 12-18 4th ( ) July 19 - 25
CAMP NEOFA RESERVES THE RIGHT TO REUSE ANY CHILD WHOSE MEDICAL/BEHAVIORIAL NEEDS CANNOT BE MET
CAMPER FEE FOR WEEKLY SESSIONS IS $275.00
A transferable but Non-refundable fee of $75.00 must accompany application
INDIVIDUAL CAMPER FEES MUST BE PAID BY BANK CHECK OR MONEY ORDER
(see reverse side)
HEALTH INFORMATION
Home Physician _______________________________________ Telephone # _____________
Physician’s Address ____________________________________________________________
Name of Insurance Company: ____________________________________________________
Camper’s Insurance/Medicare Number: ____________________________________________
IN THE EVENT OF ACCIDENT OR ILLNESS,
INDIVIDUAL’S INSURANCE WILL TAKE PRIORITY OVER CAMP NEOFA’S INSURANCE
X__________________________________________________________________________
(Parent/Guardian Signature)
PLEASE INCLUDE A COPY OF CAMPER’S MEDICAL CARD WITH APPLICATION
PARENT / GUARDIAN CONSENT
My permission is granted herewith for the attendance of my ( )Son, ( ) Daughter, ( ) Ward, at Camp NEOFA, Montville, Maine. Should any accident or illness befall them, I understand that proper medical attention will be given and if further participation at Camp NEOFA is restricted by the Attending Physician, I am willing that he/she be returned home at my expense. Should he/she be unwilling to cooperate and become irresponsible and/or disruptive, I authorize that he/she be returned home before the session is concluded, at my expense.
IN THE EVENT OF AN EMERGENCY, IF YOU ARE NOT AVAILABLE, PLEASE NOTIFY:
Name ___________________________________________ Relationship: ______________________________
Address __________________________________________________________________________________
Work Phone: ( ) _________________________________ Home Phone: ( )__________________________
Signed Parent/Guardian ______________________________________________Date____________________
Signed Emergency Contact ___________________________________________Date ____________________
Send completed application, holding fee ($75) or registration ($275), and copy of camper’s medical card to:
Carla Messer, Director of Camping
35 Hillside Av
Keene NH 03431 4360
ADDITIONAL COMMENTS
ACA Accreditation assures parents that the camp has had a regular, independent safety audit that goes beyond regulations in most states. For more information, Click here!