Summer Application

Camper Information

Name*

Nickname

Date of Birth - must be 12 or entering 8th grade*

(MM/DD/YYYY)

Age*

Gender*

Height*

Weight*

T-Shirt Size*

City and Country of Birth*

Citizenship*

Add another camper?

Yes, I want to sign up a second camper

Camper 2

Name*

Nickname

Date of Birth - must be 12 or entering 8th grade*

(MM/DD/YYYY)

Age*

Gender*

Height*

Weight*

T-Shirt Size*

City and Country of Birth*

Citizenship*

Add another camper?

Yes, I want to sign up a third camper

Camper 3

Name*

Nickname

Date of Birth - must be 12 or entering 8th grade*

(MM/DD/YYYY)

Age*

Gender*

Height*

Weight*

T-Shirt Size*

City and Country of Birth*

Citizenship*

Family Information

Child lives with:*

If selected Other, please elaborate:

Parent / Guardian Name*

Relationship to Applicant*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Enter Email Confirm Email

Is there another parent / guardian?

Yes

Parent / Guardian 2

Parent / Guardian Name*

Relationship to Applicant*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Enter Email Confirm Email

Emergency Contact Name*

Emergency Contact Phone*

Relationship to Applicant*

Is your child a returning camper?

Yes
No

If yes, years attended

How did you hear about The Orme School Summer Camps?

What school will your child be attending in the fall?

Has your child ever been dismissed or suspended from a school, camp, or other program?

Yes
No

Camps Available

Please choose from Sessions offered below.

Summer Camp Sessions

Cost per Session - $1,200

July 13-19, 2022 Session 1 for ages 12-14
July 21-27, 2022 Session 2 for ages 15-17

Applicant's Name

If there is more than one applicant for this camp, click the + button and enter each person's name here.

Application Agreement

Please check the box below to accept the following application agreement.

I hereby make formal application to The Orme School Summer Programs for my child/children. I understand that this application is subject to acceptance by The Orme School’s Admissions Office.

I understand that submitting an application for my child/children to one or several of The Orme School Summer Programs does not alone guarantee a spot is held for my child/children. In order for a space to be reserved for any or all of the camps, I will mail for each child a $500 non-refundable deposit for each summer program to which we have applied. I understand that the balance of camp fees must be received by the Admissions Office no later than May 15, 2022. Past due balances in excess of 45 days will be charged a service fee of 1% per month.

I hereby authorize The Orme School reasonable use of any and all photographs and statements of/by/about the camper/student during the Summer Program for promotional purposes, both during and after Summer Program sessions.

In the event of serious emergency, where time is of the essence, I authorize The Orme School to administer such treatment and medications to my child/children as may be recommended by medical personnel deemed competent by The Orme School authorities. In the case of illness or accident, doctor or medical charges will be charged to the parent or guardian.

I understand the obligation to pay the fees, as outlined above, is unconditional and that no portion of such fees so paid or outstanding will be refunded or cancelled as a result of the subsequent absence, withdrawal, or dismissal of the applicant from the summer program, unless I have submitted in writing four weeks or more in advance of the Summer Program start date. While I may withdraw my child/children with at least four weeks’ notice prior to the camp(s) for which we have applied, I understand I will lose my $500 deposit for each camp.

Orme reserves the right to make changes to the program based on unforeseen circumstances. In the event a program is cancelled by The Orme School prior to the program start date, all camp fees will be refunded.

Do you accept?

Yes, I accept

Phone

This field is for validation purposes and should be left unchanged.

2022 Summer Camp Application

Camper Information

Camper 2

Camper 3

Family Information

Parent / Guardian 2

Camps Available

Application Agreement