Songadeewin of Keewaydin General Form

2016 Camp General Form

Camper Name (First and Last)*
Parent 1 First Name*
Parent 1 Last Name*
Parent 2 First Name
Parent 2 Last Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email parent 1
Cell Phone parent 1
Work phone parent 1
Email parent 2
Cell Phone parent 2
Work Phone parent 2
Has your contact information changed?*
- Yes this form contains new address/phone or email information
- No- all contact information is the same as my child's application.
Summer Address
(only if summer mailings should be sent here)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Travel: Songadeewin offers two services to help your child get to and from camp:*
If you are NOT driving your daughter to camp, Songadeewin offers two transportation alternatives at the start of the season: (See Parent Manual for details and cost.) 1. A chaperoned BUS picks up at 86th Street in Manhattan & in Tarrytown at the Eldorado West Diner (no bus at midseason July 24th). 2. AIRPORT pick up at the Burlington International Airport. We can pick up your child who is flying unaccompanied at the Burlington International Airport. Attach e-ticket confirmation and/or flight itinerary (or send ASAP). See Parent Manual for pickup/delivery and cost. OUR TRAVEL PLAN TO CAMP:
- Car- we will drive her to camp
- Bus from Manhattan
- Bus from Tarrytown
- Airplane with pick up at the Burlington Airport
Travel: Songadeewin offers two services to help your child get home from camp:*
There is no bus at midseason on July 24th. 1. A chaperoned bus on August 20th with drop off at 86th Street in Manhattan and in Tarry Town. For drop off at the Burlington International Airport. send camp your e-ticket confirmation and/or flight itinerary (or send ASAP). See Parent Manual for pickup/delivery and cost. OUR TRAVEL PLAN FROM CAMP:
- Car- we will drive her to camp.
- Bus toManhattan
- Bus to Tarrytown
- Airplane (transportation to the Burlington Airport)
Linen rental: this includes sheets, pillow cases, Pillow and 3 blankets. Towels are not included.*
- Yes- I will rent linen
- No- I will bring my own
Emergency contact Name
Please give the names and addresses of two (2) people to contact in case of an emergency if parents cannot be reached. We will always try to contact the parents first in the case of an emergency. Please be sure one of the contact people is outside of your own regular calling area. DO NOT PUT THE PARENTS’ INFORMATION IN THE BLANKS LISTED BELOW
First Last
Emergency Contact 1: relationship*
Emergency contact 1Phone
Cell Phone
Emergency contact 2 Name*
We will always try to contact the parents first in the case of an emergency, however, if we can not reach you, please give the names and addresses of two (2) people to contact in case of an emergency if parents cannot be reached. Please be sure one of the contact people is outside of your own regular calling area. DO NOT PUT THE PARENTS’ INFORMATION IN THE BLANKS LISTED BELOW Name
First Last
Emergency Contact 2: relationship*
Emergency contact 2 Phone
Name
This field is for validation purposes and should be left unchanged.