About this Program for Kirtland Residents

The Kirtland Recreation Adventure week is a co-ed day camp, great for residents looking for a short-term, traditional camping experience within Kirtland. Activities include archery, challenge course, canoeing, wall climbing, cooking, games, fishing, hiking, swimming and tennis. To receive the discounted resident rate, use this form to register. THIS YEAR MAKE CHECKS PAYABLE TO RED OAK CAMP.

Date: June 4 to 8 , 9:00am-4:00pm

Cost: $250 (residents)

$235 (additional resident siblings)

Nonresidents, including Kirtland Hills must register using the General Adventure Day Camp Form.

Ages: 7-12

In addition to this form, all parents must complete the camps Health History Form.

Contact:

David Roskos, Executive Director

Red Oak Camp

9057 Kirtland-Chardon Rd.

Kirtland, Ohio 44094

440-256-0716

email: redoakcamp@redoakcamp.org

Camper Information and Additional Siblings

Camper Information

* First Name

* Last Name

Birth Date

School Name

Grade

* Male/Female

* Age at start of camp

Sibling 1

Sibling 1 First Name

Last Name

Birth Date

Age at start of camp

School Name

Grade

Male/Female

Sibling 2

Sibling 2 First Name

Last Name

Birth Date

Age at start of camp

School Name

Grade

Male/Female

Sibling 3

Sibling 3 First Name

Last Name

Birth Date

Age at start of camp

School Name

Grade

Male/Female

Parent Information

Mother's First Name

Mother's Last Name

Father's First Name

Father's Last Name

Family Status

Custody

Primary Address for Contacting You About Camp Information

* Address 1

Address 2

* City

* State

* Zip

* Phone

Mother's Cell Phone

Father's Cell Phone

* Primary Email Address

Secondary Email Address

Shirt Sizes

Adventure Week Campers should have at least one shirt for the week. Use the boxes below to specify the number of shirts. Shirts normally cost $12.00 each, but Red Oak is giving Kirtland Residents a 50% discount off its normal shirt price.

	Shirt - YTH Small 6-8
	Shirt - YTH Medium 10-12
	Shirt - YTH Large 14-16
	Shirt - Adult SM 34-36
	Shirt - Adult MED 38-40
	Shirt - Adult LG 42-44
	Shirt - Adult XL 46-48
	Shirt - Adult XXL 50-52

Enrollment Confirmation

* Use the check boxes below to confirm that you are Kirtland resident registering one or more campers for the Red Oak Kirtland Recreation Department Adventure Week, August 1-5. The cost for the first Kirtland Camper is $250, and each additional sibling is $235. The normal charge for this program is $275.00.

Camper 1

Sibling 1

Sibling 2

Sibling 3

Refunds: Your deposit and tuition paid are refundable by sending Red Oak written notice 30 days prior to the start of camp, minus a $45.00 administrative fee. There are no refunds within 30 days of the start of your program, unless the camper cannot attend because of documented health reasons. We must have a letter from a licensed physician. There are no refunds for campers who are dismissed from our program or withdrawn by the parent for any reason.

*

To reserve your camper's spot, we must receive a $100.00 deposit for each camper 10 days upon receipt of invoice. Monthly payment plans are available, but tuition must be paid in full by May 15.

Please select your invoicing option below:

Lunch

* Daily Lunch Service? Campers can get a lunch each day prepared by Kandy, the camp cook. What are we serving? Lunches vary each week, but you can get a copy of a sample menu by contacting the Executive Director. The weekly cost is $25.00. If your child has special dietary needs, we recommend that you pack your child's lunch.

Yes add lunch for $25.00

No lunch camper will pack

* Does your camper have any food allergies?

* Please describe food allergies here:

Before and After Care

Red Oak does not have a formal before or after care program, but we can help you with early drop off or late pickup arrangements. Please let us know if we need to help you with this, and we will contact you.

Terms and Conditions

*

By checking this box, parents agree that prior to the start of camp, they will complete all forms required for their camp, including but not limited to the Camp’s Statement of Activities, which includes provision for out of camp trips; all required Health Forms; and other forms specific to their program, such as riding. The camp is not responsible for loss or damage to any camper’s property during the camping season.

Yes, I agree

*

I give Red Oak or its designee permission to take my child’s photo/video and use it on the camp’s website. Red Oak does not publish children’s name or other specific data that could be used to identify campers.

*

By checking this box, I have signed and agree to the terms of this enrollment form.

I agree

* Indicates Response Required