Mother-Daughter Weekend Registration 2024
We are so excited for our 2024 Mother-Daughter Weekends, and we can't wait for you to join us! Please choose between two weekends, the first beginning Friday, May 10 through Sunday, May 12, 2024 and the second beginning Friday, May 17 through Sunday, May 19, 2024. To assist with your travel planning, Friday afternoon will tentatively kick off around 4:00 pm and Sunday will conclude with lunch.

Tuition is $875 for one mother and one daughter. Each additional daughter is $300. Your tuition includes all meals, snacks, accommodations, and program activities. Your spot is secured upon completion of this application and the receipt of a $300 deposit (invoiced via PayPal within three business days of your application). You will receive a confirmation email from office@keystonecamp.com within three business days once your spot is secured. Remaining tuition is due by April 10, 2024.

Historically, our Mother-Daughter Weekends fill very quickly (in 2023, we were full within 36 hours of releasing the application!). We process applications on a first come, first served basis. We highly recommend submitting your application as soon as possible once the application is released. Once we reach capacity, applicants will be placed on a waitlist for the weekend for which they've applied.

We ask for payment in full if you are applying after April 10, 2024. Full refunds are provided for any cancellations made in writing before April 10, 2024.

During a Mother-Daughter Weekend, you and your daughter(s) will sleep in a cabin, eat meals in the dining hall, enjoy s'mores around our campfire, and together try out many of the activities we offer during our summer camp season. Mothers and daughters will sign up for activities jointly, and travel together throughout the day. It's a perfect way to bond, experience camp alongside your child, and to make lifelong memories while riding horses, ziplining, creating something special in arts & crafts, or a host of other fun adventures!

If you have any questions while completing this registration form, please email office@keystonecamp.com or call our office at 828-884-9125. We look forward to seeing you in May!

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Weekend Preference *
Mother's First Name *
Mother's Last Name *
Did mom or any other family members attend Keystone Camp?
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Required
If yes, what were the names of the Keystone alums when they attended camp?
Mother's Date of Birth *
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Full Mailing Address:
Street and Number, City, State, Zip *
Mother's Email *
Mother's Phone Number *
Mother's T-Shirt Size *
Daughter One First and Last Name *
Daughter One Date of Birth *
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Daughter One Current Grade (2023-2024 school year) *
Daughter One Shirt Size *
Daughter One currently enrolled session if she is joining us at Keystone for summer 2024: *
Daughter Two First and Last Name (skip if only one daughter is attending)
Daughter Two Date of Birth
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DD
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Daughter Two Current Grade (2023-2024 school year)
Daughter Two Shirt Size
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Daughter Two currently enrolled session if she is joining us at Keystone for summer 2024:
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Daughter Three First and Last Name
Daughter Three Date of Birth
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/
DD
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YYYY
Daughter Three Current Grade (2023-2024 school year)
Daughter Three Shirt Size
Clear selection
Daughter Three currently enrolled session if she is joining us at Keystone for summer 2024:
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Tuition Charge *
We will email you an invoice for both your $300 tuition deposit and final balance payment via PayPal. Please note your spot isn't confirmed until we receive the $300 deposit. Please enter your PayPal email address below. If you prefer to send a check, please mail it to: Keystone Camp, 101 Keystone Camp Rd, Brevard, NC 28712 and send an email to office@keystonecamp.com so we know to watch for it! *
If you and/or your daughter(s) are between 40 and 225 lbs, are you interested in zip lining? *
Total number of family members planning on zip lining: *
If you and/or your daughter(s) are between 40 and 225 lbs, are you interested in the high ropes course? *
Total number of family members planning on participating on the high ropes course *
Are you and/or your daughters interested in horseback riding? *
Total number of family members planning on horseback riding? *
Do you have a bunk request (other families you would like to share a cabin with)? Please list their names. *
Allergy and Health Information
As part of our registration process, for both you and your daughter(s), please describe any known allergies or health conditions requiring treatment, restriction, or other accommodations while at Keystone Camp. This information is required for participation. Anything you share with us will be held in the strictest of confidence and only used for your health and safety.
Please list any known food allergies or dietary needs for you and your family during Mother Daughter (enter N/A if none). Please also describe the type of allergic reaction typically associated with the allergy (anaphylactic, gastrointestinal symptoms, etc). 
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Please list any health conditions for you and your family we should be aware of (enter N/A if none): *
Name, phone number, and relationship to you of Emergency Contact 1: *
Name, phone number, and relationship to you of Emergency Contact 2: *
ACTIVITY EXPECTATIONS
I understand that Mother-Daughter Weekends are designed to be an opportunity to give my daughter(s) and I a taste of what camp is about and see what Keystone has to offer before attending a full summer session. I acknowledge the structure of the weekend is intentionally designed for us to bond and experience camp—together. As such, I acknowledge my daughter(s) and I are expected to sign up for activities jointly, and travel together throughout the weekend.  *
Required
MEDICAL ATTESTATION
Answers to the health questions are correct and complete as far as I know. The persons herein named have permission to engage in all camp activities except as noted. It is my intention that the camp be treated as acting in loco parentis if the person herein named is a minor. Further, it is my intention that the appropriate representatives of the camp be treated as “personal representatives” for the purposes of disclosing protected health information pursuant to the privacy regulations promulgated pursuant to the Health Insurance Portability and Accountability Act of 1996. I hereby agree (pursuant to 45 CFR § 164.510(b)) to the disclosure to camp representatives of the protected health information of the person herein described, as necessary: (i) to provide relevant information to the camp representatives related to the person’s ability to participate in camp activities; and(ii) in the case of minors, to provide relevant information to the camp representatives to keep me informed of my child’s health status. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the camp to secure and administer treatment, including hospitalization, for the person named above. This completed form may be photocopied for trips out of camp. I understand that part of the Camp 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 Camp’s rules, and my child and I both agree that he or she is familiar with these rules and will obey them. I hereby give permission to the camp to provide, seek, and consent to routine health care and emergency treatment for me/my child, as may be necessary, including, but not limited to x-rays, routine tests and treatment, and/or hospitalization. I also give permission for the camp to arrange related transportation. I agree to the release of any records necessary for treatment, referral, billing, or insurance purposes. *
Required
RELEASE/CONSENT/ACKNOWLEDGMENT ASSUMPTION OF RISK
By my execution of the application, I acknowledge that I have given Keystone Camp full disclosure of any pre-existing physical or mental defects, challenges or problems, which I or my camper may have. I further acknowledge that I am aware of the types of activities which I and my camper will be participating in during our attendance at Keystone Camp on or off the premises of said camp and the inherent dangers related thereto, including but not limited to swimming, canoeing, hiking, backpacking, camping, rock climbing, high ropes, zip line, horseback riding, gymnastics, and athletic events. Keystone Camp cannot be responsible for the consequence of the failure of myself or my camper to obey employees and to abide by the rules and regulations established by the Camp, or from incidents involving my or my camper’s negligence. I also acknowledge that I have been given ample opportunity to ask any question which we may have about the environment in which we will live and the activities in which we will participate. If outside medical services (x-rays, lab tests, etc.) should be needed we understand that we are financially responsible. I give permission for photographs or video footage of myself and my daughter(s) to be used by the Camp for promotional purposes. I also grant permission for Keystone to use my comments and testimonials in promotional materials. By checking "I Agree" below, I understand this is binding and constitutes my legal signature.  
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Required
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