Summer 2021
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Summer 2021
Donate
Blog
Staff and Alumnae
Learn More
About
Mission
Our History
Meet the Staff
Dates & Rates
Try It Days
Big & Little Weekend
Blog
Calendar
Parents
Log In
Schedule a Visit
Parent FAQ
Arrival Info
Packing List
Testimonials
Tuition Assistance
Calendar
Campers
Typical Day at Camp
Camper FAQ
Packing List
Shop
Calendar
Counselor in Training Program
Circle
Enroll
Thinking about visiting camp with your family during this time? Please read our current visitor guidelines before heading out to camp.
[READ MORE]
90th Registration Form
POSTED 3.12.19
Blog
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Name
*
First
Last
Reunion Stay Length
*
Full Weekend
Saturday Day
Sunday Day
Meal
All tickets should have been purchased on square prior to filling out this form.
Phone Number
Email
*
Mailing Address
Street City, State Zip
Emergency Contact Information
*
Name - Number - Relationship
Years Attended Camp and Positions Held
Example: 2000-2007 Camper 2007 Queen 2008-2009 CT 2010-2014 Field Staff 2015 Mid Unit Head
Tent or Cabin Preference
90th Committee will do it's very best to get you back in a tent or cabin. Please know that we can not guarantee where or who you will be with for the overnight stay.
Tent/ Cabin Mate Request
The 90th committee will be working hard to make cabin/ tent lists for all in attendance. If there is someone that you would like to share a tent or cabin with for the 90th please leave their full name below and we will do our best to keep you together.
Dietary Resrictions
Vegetarian
Vegan
Gluten Free
Dairy Free
Other
Please mark all that apply
Other Information
Is there any other information regarding dietary restrictions, allergies, sleeping habits, etc. that you would like the committee to know prior to your arrival at camp?
Volunteer - during the reunion
Yes
No
If availability is limited (I.e needing to arrive late, leave early, etc.) please let us know.
Treatment Release: I hereby give permission to the physician selected by the camp to secure and administer treatment, including hospitalization, for the person named above. I understand that part of the Camp experience involves activities and group living arrangements and interactions that may be new to me, and that they come with certain risks and uncertainties beyond what I may be used to dealing with at home. I am aware of these risks, and I am assuming them for myself. I realize that no environment is risk-free, and so I know the importance of abiding by the Camp’s rules, I agree that I am familiar with these rules and will obey them. I hereby give permission to the camp to provide, seek, and consent to routine health care, administration of prescribed medications, and emergency treatment for me, as may be necessary, including, but not limited to x-rays, routine tests and treatment, and/or hospitalization. I also give permission for the camp to arrange related transportation. I agree to the release of any records necessary for treatment, referral, billing, or insurance purposes.
*
Accept
Decline
Photo & Video Release: I acknowledge that Fleur de Lis Camp may take photographs and videos of me engaged in various aspects of the camp program, both on and off Fleur de Lis property, for both the benefit of promoting Fleur de Lis Camp and to preserve the summer's memories for campers and their families. I understand that Fleur de Lis would like to post these pictures and videos to its website, www.fleurdeliscamp.org, and on Fleur de Lis' social media sites, to share these memories with the parents, guardians, and families of the campers. Fleur de Lis Camp may also use photographs and/or videos of campers in camp publications such as the camp website, camp Facebook page, camp brochure, camp clothing catalog, camp newsletters (either in print or electronic), in the camp calendar, commemorative/recruitment DVDs, YouTube clips, and other print or electronic materials used to promote Fleur de Lis Camp. All pictures and videos taken are taken and used for Fleur de Lis Camp purposes only. I understand that these photographs and/or videos will not be sold or distributed to third parties or third party companies, or placed on any other internet web sites without my written permission, except as described in this release. Photos and DVDs may be purchased, but exclusively by campers and their families (NOT the general public).
*
Accept
Decline
Full Name
*
By typing your name here you agree that the information you entered above is accurate.
Birthdate
*
month/date/year
Comment
Submit
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