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TRIPS/PROGRAM PERMISSION FORM Please complete and return this Form by May 1st so we can make the appropriate arrangements. Thank you.

Camper’s Name: _________________________ Age: _____ Session Attending: ________

TRIPS PERMISSION: Please check all that apply and sign below

My child is coming for two weeks and has permission to participate on the following trip(s): _____ Day Trip: Samples include Lobster Pound, Hiking Mt. Battie, Smalls Falls Beach, etc. _____ White Water Rafting - NOTICE: this trip may run during scheduled instruction and/or play time; therefore, attending this trip may decrease your childs instruction/play time by one full day. Additional Fee of $125.00

My child is coming for more than 2 weeks and has permission to participate on the following trip(s): _____ Day Trip: samples include Lobster Pound, Hiking Mt. Battie, Smalls Falls Beach, etc. _____ White Water Rafting - NOTICE: this trip may run during scheduled instruction and/or play time; therefore, attending this trip may decrease your childs instruction/play time by one full day. Additional Fee of $125.00 FOUR WEEK CAMPERS ONLY: _____ Overnight Camping Trip: Samples include Bar Harbor, Castle Island _____ Recreational/Shopping Trip: Samples include LL Bean, Freeport, Portland Sea Dogs Game Fees: Some trips may incur an additional fee for late registraion - See website for most current information

Parent/Guardian Signature* ______________________________________

Date: _____________

*In signing above I give permission for my child to participate in the trips and activities I have indicated in full understanding that these activities might have risks and dangers connected with them; however, I release Kennebec Camps Maine Golf & Tennis Academy, its Directors, and all its agents and staff from any legal actions or claims that my child, I, or the legal guardian might have for damage or injury to the child named above or any personal property arising from participating in the trips and activities. I realize that No Refunds for Trip Fees will be given for any reason including Partial Attendance of Camp Session(s), and No Refunds will be given after May 1st.

SPECIALTY PROGRAMS: Please check all that apply and sign below

My child is requesting participation in the following Specialty Pogram(s) and/or Activities

_____ ADVANCED GOLF - GOLD: My child is 13 years or older and has a handicap of 16 or less Additional fees apply - $675.00 for Full Session (4 wks), $395.00 for Half Session (2 wks) _____ ADVANCED GOLF - BLACK: My child is 12 years or younger and has a handicap of 24 or less Additional fees apply - $675.00 for Full Session (4 wks), $395.00 for Half Session (2 wks) _____ ADVANCED GOLF - BLUE: My child is 12 - 17 years old has the desire & ability to focus fully on golf Additional fees apply - $675.00 for Full Session (4 wks), $395.00 for Half Session (2 wks) _____ TENNIS ELITE WEEK: My child is at least 12 years old has the equivalent to a 4.0 or higher NTRP Rating Additional fees apply - $600.00 Qualifications for each of the Programs listed above will be further assessed and verified upon arrival. _____ ICE HOCKEY ACADEMY: Additional fees apply - $500.00 for two weeks _____ GOLF LITE, TENNIS LITE or SERVE & TURF LITE: No additional fees apply _____ ESL LESSONS: 5 days/week, 1 hour/day during rest hour - tought by Professional Instructors Additional fees apply - $150.00 per week _____ PARENT/CHILD GOLF OUTING: Parent pick up Fridays play golf with your child at Belgrade Lakes Golf Course. Additional Fees apply - $150.00 per player. _____ TENNIS SKILLS DEMONSTRATION: Full Session Parent Pick Up Fridays from 9:00 to 10:00 am schedule your child to demonstrate his or her skills with one of our Pros. Additional fees apply, by special arrangement only. All Fees Subject to Change: See website for most current information

Parent/Guardian Signature* ______________________________________

Date: _____________

*In signing above I give permission for my child to participate in the activities I have indicated. I realize that No Refunds for Program and/or Activity Fees will be given for any reason including Partial Attendance of Camp Session(s), and No Refunds will be given after May 1st.

Š January 20, 2009 This form is accurate at the date of printing. The website www.golfcamp.com always has the most up to date and official dates, fees and information.

TripsProgPermForm2009  

http://www.golfcamp.com/assets/files/TripsProgPermForm2009.pdf