Camp Chippewa Online Enrollment Step 1
Camper Information
Camper's name   
Name to be used at camp
Camper's birth date mm/dd/yyyy    
School attending  
Religious preference  
Grade in school, September 2012    
Number of prior years at Chippewa  
 
Home Address for All Communication
Name  
Address  
City  
State  
Zip  
Country
Phone    
Cell phone
Fax
Email address    
Billing Address
   Copy the information entered above for "Home Address"
Name
Address
City
State
Zip
Country
Phone
Cell phone
Fax
Email address

 

Father
Name
Business/profession
Work phone
 
Mother
Name
Business/profession
Work phone
 
Camp Tuition and Dates
Session Dates Tuition Deposit**
8-week session June 20 - Aug 13 $8,400 $900
4-week session 1 June 20- July 16 $4,900 $900
4-week session 2 July 18 - Aug 13 $4,900 $900
Badger Camp I* 2-week session 1 June 20 - July 3 $2,850 $600
Badger Camp II* 2-week session 2 July 18 - July 31 $2,850 $600
My son has permission to take any optional Canadian/Lake Superior adventures for which he qualifies.

Yes 

 *

 Badger Camp is a 2-week introductory session available for boys entering 3rd, 4th, 5th or 6th grades.
** Please Note:  The deposit is required at the time of this application for enrollment and is considered as the first installment on the total tuition. The tuition is due and payable according to the payment schedule which is described in the in the 2012 Information Bulletin.

 

Pictures and video are taken of camp activities. They will be shown at reunions or on the camp website to other families that may be interested in Camp Chippewa.
Is it agreeable with you that your child’s photograph be shown by the Camp?       Yes
Is it agreeable with you that your child’s name be used by the Camp?       Yes

 

The initials below verify that the information is correct and that the terms are understood. It also denotes knowledge and acceptance of the rules of Camper Conduct Policy as set forth in the 2012 Information Bulletin.

Initials:     Date:    

Release and Assumption of Risk
While safety measures are carefully exercised, we cannot safeguard against all illness or injury. As a result, parent/guardian signature on the Application for Enrollment expressly assumes such risks and waives/releases Camp Chippewa Foundation from any claim of liability. The parent is responsible for all costs for medical treatment that exceed those provided by the mandatory camper insurance policy. Unless exclusion of an activity is specifically requested by the parent, the entire program will be presented to the camper.
Please choose from one of the following payment options below and continue to the payment page: