We are looking for qualified boys and girls entering into their sophomore - senior year of high school to be join our CIT program!  

The cost for each child to attend camp as a CIT is $100.   This includes travel from Philadelphia, lodging, meals, and a special off campus trip.  For more information on our program visit our website.

A $75 deposit is needed to hold all CITs' spots. This fee is non-refundable. 

July 17 - 21, 2017
July 17, 2017 12:01am [Eastern Time]
INFO:   Please note that this form contains limited capacity items which are sold out. They are displayed grayed out and/or are not selectable. You may choose alternate options or join the waiting list.



Please click the button below to finalize your registration.



Registration inquiries:
rutkowski@campjamison.org
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CIT Information

  

Guardian Information


Income Information (To be kept confidential)


CIT Medical History
This information is used to help campers have a safe and fun experience, not to exclude anyone.

Asthma
Constipation
Diarrhea
Bedwetting
Sleep Problems
Frequent Stomach Aches
Frequent Headaches
Vision Loss
Hearing Loss
Depression
Anxiety
OC Behaviors
Other
None of the above
Wheelchair
Walker/ Crutches
Split/ Brace
Contact Lenses
Glasses
Other
None of the above

Please note:  Swimming at Camp Jamison takes place under the supervision of highly trained lifguards and instructors.  No child is ever left unsupervised or alone in or near the water.


For female CITs


School Information
This information is used to help CITs have a safe and fun experience, not to exclude anyone.

Physical Therapy
Ocupational Therapy
Speech Therapy
Extra Counseling
None of the above
PARENT/ GUARDIAN CONSENT FORM


CONSENT FOR MEDICAL TREATMENT

I, the undersigned parent/guardian hereby grant permission to the medical staff or consulting physician at Camp Jamison. to administer medications and provide medical care for the attending camper. I also give consent for any emergency transportation deemed necessary. I understand that all attempts will be made to reach an emergency contact or me before any action is taken. If no contact is available, the decision to treat my child will be made by the camp director. I also understand that Camp Jamison will treat all information pertaining to my child as confidential, however, I agree that said information may be shared with /released to appropriate personnel and/or third parties for the purpose of treating and/or supervising my child.


ASSUMPTION OF RISK

I understand that part of the camping experience involves activities and group living arrangements and interactions that may be new to my child, and that they come with certain risks and uncertainties beyond what my child may be used to dealing with at home. I am aware of these risks, and I am assuming them on behalf of my child. I realize that no environment is risk-free, and so I have instructed my child on the importance of abiding by the campís rules, and my child and I both agree that he or she is familiar with these rules and will obey them.


RELEASE OF LIABILITY

In consideration of the opportunity afforded my child to participate on a voluntary basis in the Camp Jamison program organized by Camp Jamison Corporation. I hereby waive any right or cause of action arising as a result of my childís participation in said camp program from which any liability may or could occur against Camp Jamison Corporation. or its officers, directors, agents, employees, donors and/or volunteers, either collectively or individually.


PHOTO RELEASE

I hereby grant to Camp Jamison Corporation and assigns the right to photograph my dependent and use the photo and or other digital reproduction of him/her or other reproduction of his/her physical likeness for publication processes, whether electronic, print, digital or electronic publishing via the Internet.
Check this box to indicate that you have read and agree to all of the above terms & conditions