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  > Actvities
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  > Schedule
  > Enrollment Form (html)
  > Enrollment Form (pdf)

Membership Form





























































HNA Home Page

Summer Camp Home
  > Mission
  > Actvities
  > Food & Equipment
  > Campership Fund
  > Schedule
  > Enrollment Form (html)
  > Enrollment Form (pdf)

Membership Form

Hazen's   Notch   Association
Children's Summer Nature & Adventure Day & Resident Camp
 _______________  Enrollment  ________________

 

     To enroll for a camp session, complete this application form and mail it with your deposit.  We will confirm your place in the program(s) and session(s) that you have chosen.  Your confirmation package will include an acknowledgement of receipt of your deposit, a clothing and equipment checklist, a medical form and travel directions.  Please use a separate Enrollment Form for each child.

Camper's Information:

Day Camp Session # ____  Dates ____________

Overnight Camp Session # ____  Dates ____________

Name ___________________________________

Address _________________________________

Town ___________________________________

State/Province ____________________________

Zip/Postal Code ___________________________

Birth date: ____________________________

Grade you will be entering this Fall: ________

How did you hear about HNA Summer Camps?:

_______________________________________

Parent's or Guardian's Information:

Name ___________________________________

Address _________________________________

Town ___________________________________

State/Province ____________________________

Zip/Postal Code ___________________________

Telephone: Work/Home _____________________

Email ____________________________________

Parent's or Guardian's Information:

Name ___________________________________

Address _________________________________

Town ___________________________________

State/Province ____________________________

Zip/Postal Code ___________________________

Telephone: Work/Home _____________________

Email ____________________________________

I/We have enclosed our payment as follows:

Camp Deposit/Fee: ______

Membership Dues: ______

Additional Contribution: ________
(please check applicable fund below)

Campership Fund ___
Trails Fund ___
Stewardship Fund ___
Total Amount Enclosed: _________



Deposits: When submitting your application for summer camp, please include a deposit for each camper as follows:

Day Camp: Please send $50 for each child for the first session; no deposit is necessary for each additional session.

Overnight Camp: Please send $75 for each child and for each session.

Balance of Camp Fee: The balance of the camp fee is due as follows: Day Camp - 1st Day of the camp session. Overnight Camp - 7 Days before the start of the camp session.

Refunds: If not accepted for a program, the deposit will be returned. A cancellation by the applicant less than 14 days before the start of the program will result in the loss of the deposit. In the event that the space can be filled in the remaining time, the deposit will then be refunded. Refunds after the session has begun will only be made if, due to inclement weather or other unforseen circumstances, the Association is unable to conduct the program.

(Link to Summer Camp Enrollment form in ".pdf "format.)  

You will need Adobe's Acrobat Reader software to view and print this form.
If you need the Adobe software please visit www.Adobe.com.

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Copyright 2001-2017 Hazen's Notch Association for the Environment, Inc.  All Rights Reserved.

  Hazen's Notch Association  l  P.O. Box 478  l  Montgomery Center VT 05471  l  info@hazensnotch.org  l  802.326.4799