Teen Co-ed 2025
August 10-15 at Camp Wegesegum

Ages 13 - 15

Sunday Drop-Off at 4pm
Friday Pick-up at 11am

Cost : $375
We ask for a $50 deposit to be sent to ensure your spot. e-transfers can be made to campwegie@gmail.com. 

Contact us at Campwegie@gmail.com

We will be sending out a letter 2 weeks before camp with all the details. 

Payment can be made via E-transfer to Campwegie@gmail.com or by cash or cheque at Camp Wegesegum.
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Email *
Full name of Camper *
Preferred name 
Gender *
Address
Birthday *
MM
/
DD
/
YYYY
Age at time of Camp *
Name of Parent/Guardian *
Parent/Guardian's Relationship to Camper 
Contact Phone Number *
Emergency contact name and phone number other than yourself  *
Medicare Number *
Permission is given to provide my child with the following non-prescription medication as necessary during camp:
I give Camp Wegesegum permission to seek medical treatment if necessary during camp. *
Does you child have any allergies or take any medication that would be administered at Camp? 

Please outline any special instructions. (We ask that medication is sent to camp in a plastic bag with instructions for administration and/or dosages).
Dietary restrictions
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Is this your child's first time attending Camp Wegesegum?
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Photo Release: I hereby give consent to Camp Wegesegum Inc. to photograph and/or record my child through audio or video and to use this material in whole or in part through television, film, web page, multi-media presentation, radio, audiotape, videotape, display or in printed form for the promotion of Camp Wegesegum. I transfer any and all rights, including copyright, which my child or I may have in this material to Camp Wegesegum. *
Does your child have any behavioral concerns we should be aware of?  
Is there anything else you would like us to know about your camper? 
We will try our best to pair you up with your buddy, Preferred cabin mate?
I understand that I will have to pay a $50 deposit to secure a spot at Camp and I also understand that I need to pay the remaining balance before the first day of camp and sign to confirm this information *
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A copy of your responses will be emailed to the address you provided.
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