Register Now for Camp COLEY August 9 thru 15, 2015 and join us while we Celebrate the Holidays! Camp COLEY is a weeklong overnight camp open to girls and boys entering grades 3-12. We offer a fully supervised day and night program. Age appropriate activities include swimming, boating, first aid, ecology, outdoor skills, hiking, crafts, rock climbing, all terrain vehicles, shooting sports, COPE (challenging outdoor personal experience), sports, games, songs, campfires and a Thursday night dance with a DJ. Our campers are divided by grade level and gender, and are supervised by Camp COLEY counselors as well as Boy Scout staff as they visit the various program areas throughout camp. Campers sleep in 2 person tents on cots. Shower facilities are provided and hot meals are provided daily in the dining hall. Camp is held at Mt. Allamuchy Scout Reservation, Camp Somers in Stanhope, NJ. This summer we will celebrate the holidays and will celebrate a different holiday every day at camp. We have an awesome program planned and we hope your child (or children) will join us. For more information please visit our website www.campcoley.com, email us info@campcoley.com or call us at (973) 252-2949 or (215) 233-5709 . CAMP COLEY IS A NON-PROFIT ORGANIZATION Camp COLEY, Post 229 (973) 252-2949 or (215) 233-5709 campcoley@gmail.com ~ www.CampCOLEY.com ~ www.facebook.com/CampCOLEY Camp COLEY Create memories and friendships that last a lifetime! When: Sunday, August 9th through Saturday, August 15th, 2015. Where: Mount Allamuchy Scout Reservation 750 Waterloo Road , Stanhope, NJ 07874 Who: Campers: boys & girls entering 3rd grade through freshman in college. Counselors-in-Training: 10th grade through freshman in college with one year of Camp COLEY experience. Camp COLEY 2015 August 9—15 Prices: Programs, meals, lodging, awards, patches, beads, t-shirt, pizza party and 1 site photo (TBD whether paper or digital) included in fee. Campers: Camper fee $370 paid by in full by May 15, 2015. Camper fee $390 paid after May 15, 2015. Counselors-In-Training: CIT fee $350 paid in full by May 15, 2015. CIT fee $370 paid after May 15, 2015. Leaders: $90 (Your leader fee is waived if your child comes to camp!) No refunds after July 1, 2015. Register now and join us for a fun-filled adventure! Discounts Available: $10 discount per NEW camper you bring to camp. Leader fee waived if your child comes to camp. Make checks payable to Camp COLEY and mail with completed registration form to Camp COLEY, PO Box 231, Abington, PA 19001 CAMP COLEY IS A NON-PROFIT ORGANIZATION www.campcoley.com ● info@campcoley.com facebook.com/CampCOLEY Camp COLEY 2015 Registration Form Camper’s Name: ________________________________________________________ TO BE READ AND SIGNED BY PARENT/GUARDIAN: Street Address: _________________________________________________________ I am familiar with the time, place, leadership and other circumstances of the Camp COLEY, Learning for Life, Patriots’ Path Council, Post 229, Group 229, and Group 2402 program. My child has my permission to participate in these activities. He/She is in good physical condition. ______________________________________________________________________ City: __________________________________________________________________ Camper’s Birth Date: _____________________ I waive and release the Camp COLEY, Learning for Life program and the group leaders and staff members from any and all possible claims for injury to person or property which might arise in connections with my child’s participation in this program, except in the case of gross negligence. I understand that reasonable measure will be taken to safeguard the health and safety of my child, and that I will be notified as soon as possible in case of an emergency. In the event of sickness or accident, I authorize consultation with the doctor and the provision of such medical services as necessary. I will underwrite all expenses involved which are not covered by the insurance. I hereby authorized this in the event I cannot be reached in an emergency. Camper’s Age (as of 8/9/2015)# __________ Parent/Guardian Camper’s Grade entering 9/1/2015: ___________ Name:___________________________________________________________ State: ________________________ Zip Code: ______________________________ Home Phone # ______________-_________________-_________________________ Parent Cell # ________________-________________- _________________________ Contact Email Address: ____________________________________@ ________________________________ Is your child a first time camper? _____Yes _____No Signature:________________________________________________________ How did you find out about Camp COLEY? ______________________________________________________________________ Sex: _____Male Date:___________________________ _____Female Food Allergies or Dietary Restrictions: ______________________________________ TO BE READ AND SIGNED BY PARTICIPATING YOUTH: ______________________________________________________________________ With my parents, I have completed the camp information forms and will assume responsibility for restricting any activities agreed upon and listed on the camp forms. I will exercise good judgment in regards to my own health, safety, and well being, while participating in the Camp COLEY program. ______________________________________________________________________ Shirt size (children's medium to adult XXXL): _________________________ Were you referred by a friend? If so, who: ______________________________________________________________________ For more information about Camp COLEY visit our website at www.campcoley.com, call Gladys at 215-233-5709 or Karyn at 973-252-2949, or email us at info@campcoley.com Credit Card payment available, please call for more information. I understand that the use of cell phone at Camp COLEY is prohibited. If the Camp COLEY staff discovers my cell phone, they will confiscate my cell phone immediately and return it to my parent or legal guardian at the time of departure. Youth Signature: _________________________________________________ Date: _______________________ V.2