Online Enrollment Form

We do accept online enrollment with payment of a $400 deposit. If you'd prefer to mail a check, please use our offline enrollment form.

Step 1 of 4

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ABOUT THE FAMILY
Where does the camper live?*
- Within the United States
- Outside the United States
With whom does the camper live?*
- Father
- Mother
- Both (Together)
- Other
Family Address*
This is the address we will use to mail camper correspondence.
Street AddressCityStateZip Code
Family Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Please explain the details of the child's guardianship and specify the address, phone, and email for the child's primary guardian.*
Father's Name*
FirstLast
Father's Address*
Street AddressCityState / Province / RegionZip / Postal CodeCountry
Father's Phone*
Father's Email*
Enter EmailConfirm Email
Father's Occupation*
Mother's Name*
FirstLast
Mother's Address*
Street AddressCityState / Province / RegionZip / Postal CodeCountry
Mother's Phone*
Mother's Email*
Enter EmailConfirm Email
Mother's Occupation*
Is there anything else we need to know about the family that might affect the camper's stay at Chop Point? Please include custody arrangements, if necessary.
Please also list camper's siblings and ages, and anything else that might help make the camper's stay with us more enjoyable.
MEDICAL INFORMATION
You must have your physician complete and sign an American Camping Association health form before camp starts.
Please enter your medical insurance company's name and address:*
Policy Number*
Name of Policy Holder*
FirstLast
Emergency Contact Name*
FirstLast
Emergency Contact Phone*
Relationship to Camper*

TERMS OF ENROLLMENT
Each camper and his/her parent or guardian must sign this form in order for the camper to be enrolled.
Technology Policy

Chop Point realizes the value of modern communication and technologies. We depend on it to communicate with campers, staff and parents throughout the year. It is integral in how we advertise and communicate with those interested in Chop Point. In the camp setting, however, we find the constant ability for campers to stay in touch with everyone via cellular phones, texts and social services (such as Facebook, Twitter, and MySpace) to be detrimental. We have seen campers so engrossed in what is happening or not happening hundreds or thousands of miles away, that they are unable to make connections with those who share a cabin, meal, or trips with them at camp. To allow campers to unplug, get fully involved, and enjoy their summer experience, we do not allow campers to use cell phones or other communication devices while at camp. We do allow and encourage campers to stay in touch with family and friends via: mail, camp landline phone, or email. Campers may call home using a phone in the lodge or receive calls to the camp line during meals. Email can be received on personal accounts or can be sent to camp@choppoint.org with the camper name in the subject line (it will then be printed and delivered with traditional mail). Campers may sign up for email time directly after lunch and dinner to send messages from web-based personal accounts to family and friends.

Campers may use a cell phone while traveling to/from camp, especially if they are using public transportation. The cell phone must be stored in the camp office until it is needed for the trip home. We appreciate your understanding and help with this issue.
Technology Policy Acceptance*
- I understand and agree to abide by Chop Point's technology policy.
All of the following terms must be accepted for enrollment.*
- A $400.00 nonrefundable deposit must accompany this enrollment form. Remainder of the fee is due two weeks before the camper arrives. There is no refund for early withdrawal, cancellation, or dismissal.
- My child will abide by the rules and regulations set forth by Chop Point Summer Camp, for the health, safety, and welfare of the campers. Chop Point reserves the right to dismiss a camper whose conduct or influence, in the opinion of Chop Point, is unsatisfactory or not in the best interest of the camp. The use of illegal drugs or alcohol will result in immediate dismissal. In such event, there will be no refund of any part of the camp fee. Any damages to camp property, staff property, or other campers property as a result of my child's actions is my financial responsibility. If my child breaks of damages something beyond normal ware, I will pay for it.
- In the event I cannot be reached, in an emergency, I hereby give permission to the physician selected by the camp director to hospitalize, secure proper treatment for, and to order injection, anesthesia for surgery for my child named on this enrollment form.
- I give permission for my child to participate in all camp sponsored activities. I am aware that certain camp activities (such as, but not limited to, the zip line, waterskiing and water sports, mountain-biking, white water rafting, etc.) are inherently dangerous. I accept all risks of injury to my child and release and agree to indemnify Chop Point, its principals, agents, and employees from all liability that I or my child have for injury resulting from my child's participation in such activities.
- I give permission for my child to participate in all camp sponsored activities. I am aware that certain camp activities (such as, but not limited to, the zip line, waterskiing and water sports, mountain-biking, white water rafting, etc.) are inherently dangerous. I accept all risks of injury to my child and release and agree to indemnify Chop Point, its principals, agents, and employees from all liability that I or my child have for injury resulting from my child's participation in such activities.
- Chop Point is not responsible for articles of clothing or personal belongings lost or damaged by fire, theft, laundry, etc.
- I give permission for my camper to be transported by staff members during out-of-camp excursions, including those that may travel to Canada.
- I give permission to use my child's picture in Chop Point promotional materials.
Camper Signature*
I have carefully read this agreement and fully understand its contents. I sign it of my own free will. I understand that typing my name in the signature space is considered a legal signature.
FirstLast
Parent/Guardian Signature*
I have carefully read this agreement and fully understand its contents. I sign it of my own free will. I understand that typing my name in the signature space is considered a legal signature.
FirstLast
To help prevent spam, please type the characters in the space below.

Payment
A non-refundable $400 deposit is required to enroll a camper at Chop Point. This deposit can be made via VISA, AMEX, or Mastercard, or by electronic check. Please complete the information below, then click the submit button to finish the enrollment.
Amount being paid now*
Amount being paid now*
Specify amount of additional fees*
There is a $100 per day charge for those who, because of travel arrangements, must come before or remain beyond the official session dates. Transportation to and from Portland on other than opening and closing dates if $50/each way. Transportation to and from Boston or Manchester, NH is $100/each way.
Total being paid now
Any remaining fees are due two weeks before the camper arrives.
$0.00
Please specify the email address where we should send confirmation of enrollment*
Enter EmailConfirm Email