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Adaptive Recreation
Summer Camps
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Summer 2009 Information
More Summer Fun
Day Camps
Please print the pages below for Wilderness Camping Adventures ONLY, Please call to register for DAY CAMPS. For WILDERNESS CAMPING print and return to Challenge Mountain by mail to 01158 M-75 South, Boyne City, MI 49712. It is important to mail them as soon as you have been accepted. Registration fees should be included. Please call if you need a limited scholarship. Challenge Mountain Wilderness Camping
Congratulations! Your camper has been accepted to participate in Challenge Mountain Wilderness Camping. Your camping has been accepted to the following dates:
If you need to cancel any scheduled camp date, please do so as soon as possible so that we may fill the spot from the waiting list. Thank you!
Preparing Your Camper: Camper’s shoes should not be brand new; they should fit well and be “broken in”. If you are purchasing new shoes for camp, have your camper wear them for 2-3 weeks before camp to break them in. We will be walking everywhere and this will help prevent blisters.
Please go over the Camper Pledge carefully with your camper. Both you and your camper must agree to and sign the form. This is an important tool in helping your camper take responsibility for his/her actions and learn to control their behavior.
Medications will be dispensed on the following schedule: Morning Meds/8am Noon Med/12 noon Afternoon Meds/4pm Evening Meds/8pm Your camper should have their arrival day morning meds prior to arriving at camp. You may want to think about “easing” your campers’ medication times to match ours if there could be adverse reactions to sudden changes in medication times.
All meds must be in pill form other than creams. We are not equipped to store or dispense liquids or injections. If you camper is on liquid medications, please speak to your Doctor or Pharmacist about having it changed to pill form. If this is not possible, you should consider wilderness camping inappropriate for your camper at this time. There will be no exceptions possible.
We will be walking everywhere; it may be a good idea to start your camper on a walking program if they are not already exercising. There are no exceptions to this policy available. Motorized vehicles are only for emergency use and not available at other times.
If your camper is ill at the time of camp or becomes sick at camp, you will be called to pick them up. We do not want to spread illness to the rest of the campers and staff. If your camper is on antibiotics (pill form only) for illness, they must have been on them for a minimum of one (1) week to be eligible to participate. Simply call us and we will try to fit them into another camp.
See you at camp! _____________________________________________________________________________________ Challenge Mountain Wilderness Camping
Camper Pledge
I am a CAMPER: I am here to meet new friends, learn new challenges, and to have fun.
I am in charge of my behavior.
I am responsible for my actions.
I am not a camp counselor. I am not in charge of activities or of other campers. I will not tell others what to do.
I will not hit, fight, or use inappropriate or hurtful words.
I am not a romantic friend: I understand that there is no handholding, hugging, or kissing allowed.
I will respect other people, their space, and their property.
I will respect camp counselors by speaking appropriately to them.
I understand if I cannot keep my pledge I will be sent home.
I understand I may apply for camp again when I am ready to keep my pledge.
Signed: ________________________________________ Camper
Witness:_______________________________________ Caregiver
Date:________________________________
______________________________________________________ Challenge Mountain Wilderness Camping What to Bring
Forms: Medication Form
Medications: Medications placed in daily pill box. Please use one that designates different daytime spots if taken more than once per day.
Clothing: These should be in a backpack. Socks (2) Undergarments (2) Sweat pants (1) Sweatshirt (1) Short sleeved T-shirt (1) Shorts (1) Lightweight jacket (1) Toothbrush (1) Hairbrush or comb Deodorant Pillow (pillows must be clean and in a pillow case that has been laundered with no detergents, these create smells wildlife are attracted to) Items in italics should be in a plastic bag; these will not go to campsites.
Arrive wearing: Long pants Short sleeve T-shirt Socks Undergarments Sturdy shoes OPTIONAL: Rescue inhaler if applicable Hat Watch, Medical ID, jewelry (jewelry not recommended) Belt Sunglasses Challenge Mountain will provide all other items needed.
DO NOT BRING: Sandals, flip
flops, PJs, Sleeping bags, blankets, stuffed animals, dolls, suitcases, duffel
bag, purse, cell phones, radios, electronics, toys or games, candy, gum,
toothpaste, makeup, perfume, or food of any kind, knives, or weapons of any
kind.
If your camper arrives with any of these items, they will be sent home at check-in.
______________________________________________________________________________________________ Challenge Mountain of Walloon Hills, Inc. 2205 Springbrook Rd. Boyne Falls, MI 49713 (231)535-2141, Lodge
Permission for Emergency Care Date____________________________
Volunteer / Client (circle one) Name__________________________________________ Address_________________________________________________________________ City______________________________State___________Zip____________________ DOB________________________Age____________Height_________ Weight_______ Shoe Size____________________
Parent/Guardian Name_____________________________________________________ Address if different than above______________________________________________ Phone______________________________Alternate Phone_______________________
Emergency Contact Person_____________________________ Relationship__________ Medical Insurance Information/ID#___________________________________________ Known Allergies__________________________________________________________ Current Medications_______________________________________________________ Any reactions to prescribed medication, (ex: sun sensitive, drowsiness, cannot eat certain foods___________________________________________________________________ Name of Physician_____________________________Phone______________________
I _________________________________hereby give my permission for emergency care to be sought and/or given to myself or above named individual in the event that I cannot be contacted or am incapacitated.
Release of Liability/Consent I am aware that injury or event death may occur to participants in this event. Some of the dangers involved in this activity include terrain changes, tree location, hill machinery and/or possible physical exertion. There are inherent risks involved with any Challenge Mountain activities. ____________________ Initial you have read and understand.
This event involves physical activity and exertion. I submit that the participant is in sound physical condition with no health problems that could be aggravated by participation in this event. I release and discharge Challenge Mountain and their agents from all claims for damages arising directly or indirectly from applicant’s participation in such activity. ___________________________ Initial
I may or may not have inspected the equipment, site, and facilities. Nevertheless, I assume all risk associated with this event, participation in it, including but not limited to the conditions of the equipment, site(s), facilities, and the unknown ability of other participants. ___________________Initial (Over) I give permission for the participants photograph to be used for media relations, fundraising, and identification of client for medical purposes. ________________Initial
Furthermore, Challenge Mountain maintains volunteers of staff that have received citizen level CPR and first aid training. There volunteers act solely on their own accord and Challenge Mountain will not be held liable for their actions. The acts of volunteers are covered under the theory of Good Samaritan, which releases them from liability. Challenge Mountain will maintain infection control, first aid, and barrier protection.
It is my express intent, by signing this release and participating in this event, to waive, relinquish, and release any claims, which I might have against any and all volunteers, directors, executive directors, officers, agents, and employees of both Challenge Mountain of Walloon Hills, Inc. and also the organizations called Challenge Mountain of Walloon Hills, Inc. I intend this release of liability to be effective against me, my spouse, my heirs, successors, and assignees.
By signing the Release of Liability, I signify that I have read and understand it. I also understand that my participation is dependent upon my knowing and voluntary execution of this Release of Liability.
Print Name______________________________________
Signature__________________________________________________
Date___________________________________
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