Submit Completed Application Form Below and Tuition ($650) Payment on Next Page
Application Deadline: July 1
Please complete the fields below. Each camper must have this form on file with the camp director.
I hereby authorize the camp officials to have my son or daughter or myself treated by local medical personnel for any medical problems which may arise white attending any Alan Keown, Scott Reese or Scott Reese Leadership Summer Camp. I also authorize the appropriate medical personnel to admit my son or daughter or myself to the local hospital.
I agree to hold Scott Reese and Camp Serene free from any liability for any injury, accident, or property loss of any kind while my son or daughter or I am in attendance at Scott Reese Leadership Camp. I give permission to have my son/daughter treated medically.
I hereby grant Scott Reese Leadership Camp permission to use my likeness in a photograph, video, or other media in any and all of its publications, including website entries, without payment or any other consideration. I understand and agree that these materials will become the property of the Scott Reese Leadership Camp.
I hereby authorize the Scott Reese Leadership Camp to edit, alter, copy, exhibit, publish or distribute any photos, video, or other media obtained during the week of camp for purposes of publicizing theScott Reese Leadership Camp’s programs.
I have read this release before signing below and I fully understand the contents, meaning, and impact of this release.
Below are the general rules and policies of the camp. Violation of these may result in expulsion from camp and forfeiture of all tuition and fees. Please read carefully and sign to signify your acceptance of these rules. The parent/guardian and camper should sign if the camper is under 18, just the camper is required to sign if over 18.
The Scott Reese Leadership Camp will not tolerate discrimination on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, disability, age, or genetic information (including family medical history). Any incidents should be reported to a counselor immediately.
We have read these rules, fully understand them, and agree not to violate any of them while at any camp administered by Scott Reese.
Parent or Guardian Signature if the camper is under 18.