Keewaydin Foundation Keewaydin Way Our Mission & Tradition Our Team Calendar History The Story of Keewaydin Keewaydin Dunmore Keewaydin Temagami Songadeewin Keewaydin Environmental Education Center Together Again Alumni Ojibway Stay Connected! Update Your Contact Information Publication and Photo Archive Employment Camp Store Enroll 2021 Camp Registration PLEASE NOTE: This is a secure web page. Any information submitted on this page will be encrypted using SSL Select Organization Dunmore 2021 Keewaydin Dunmore Registration (for those who already left a $500 deposit for 2021) This application is for families who already left a $500 deposit for 2021. We now need you to provide information in this application form. Please submit as soon as possible to ensure your son's place at camp. Because you have already submitted your $500 deposit, you qualify for the $250 Early Bird Discount!Thank you for registering your child at Keewaydin Dunmore. Payment in full must be received by March 1, 2021. No refunds will be given after this date. Application is not valid unless Parent or Guardian has signed the Parent Agreement. PLEASE NOTE: This is a secure web page. Any information submitted on this page will be encrypted using SSL. This application is made and accepted in accordance with the provisions of the Keewaydin Dunmore brochure, its website and this application.Camper InformationName* First Last Nickname (if applicable)Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Home Phone*School*Current Grade*Age (in Years and Months as of July 1, 2021)*Birth Date* Height (inches)Weight (lbs)How well does your child swim?Parent InformationParent 1* First Last Parent 1 Work Phone NumberParent 1 Cell Phone NumberParent 1 Email* Parent 2Parent 2 Work Phone NumberParent 2 Cell Phone NumberParent 2 EmailHow did you hear about Keewaydin Dunmore?SessionsPlease select one:*8 weeks (June 27 - August 21) $10,1504 Weeks (June 27 - July 25) $7,8754 Weeks (July 25 - August 21) $7,875Wilderness Trip (Tentative Dates: June 27 - August 4) $8,500 - Ages 16 - 18Comments, Questions or Special Billing InstructionsPlease include name and address of second parent only if different from address of camper above. If you would like your final bill sent to a different address, please indicate that also as well as any special billing instructions.AgreementIn order that Keewaydin may provide each camper maximum opportunity for his personal development, I confirm that my child is physically and emotionally prepared to fully participate in the programs that Keewaydin Dunmore offers. I understand that while Keewaydin is prepared to make reasonable accommodations for the inclusion of any individual camper, it is not prepared to make an accommodation that will place an undue burden on the camp or result in a substantial or fundamental alteration in its program or facilities. Special circumstances as well as any requests for special accommodations must be brought to the attention of the Camp Director before the submission of this application. I understand that in signing this application I certify that my child is healthy and free of problems that could be deleterious to his happiness or that of other campers. I agree that in the event this application is accepted and a place is reserved for him in a program, he will remain in the program until the end of the period for which reservation has been made unless he is dismissed by the camp authorities for misconduct or if deemed in the best interest of the camp or boy. In case of voluntary withdrawal or dismissal, I understand that there will be no refund of program charges paid for the time reserved. No refund is made for campers arriving late or leaving early. I authorize the medical designates of the camp to administer health checks, routine care and any urgent or emergency treatment considered necessary by the camp physician or her assistants. I desire that notification of such illness be sent to me by prompt means of communication. I understand that I am responsible for any bills related to hospital or doctor visits. It is my desire that my child be enrolled, as indicated on the application, subject to the above conditions. I agree to pay his full tuition within the terms stated in the enrollment information. In signing this application I certify that my child is covered by health and accident insurance or Medicaid and I understand that I am obligated to provide the camp with the name of the carrier and policy number. By signing this registration I accept full responsibility for all incurred program fees and expenses. Permission is granted to use, for publicity purposes only, any photographic or video images in which this camper appears. I give permission for the Keewaydin Foundation and camps to communicate with me via electronic mail. * I agree to the terms for registration as indicated in the box Consent* I have read and agree to the Keewaydin Privacy Policy CAPTCHAPlease complete this math problem to prove you are not a robot.EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.