Lake Champlain Maritime Museum (LCMM)
LCMM makes every effort to ensure a safe, positive, and enriching experience for all campers. We focus on safety and accident prevention, and we are trained and certified in CPR/First Aid to promptly respond in the unlikely event that an incident occurs.
Consent to Administer Non-Emergency First Aid
I understand and acknowledge that occasionally a non-emergency may develop which necessitates the administration of non-emergency First Aid to my child. Therefore, in the event of non-emergency injury or illness, which necessitates the administration of non-emergency First Aid, I hereby authorize LCMM and its staff to administer any necessary non-emergency First Aid. Non-emergency First Aid treatment may include, but is not limited to cleaning, applying anti-biotic ointment to, and bandaging cuts or abrasions; removal of ticks and splinters; and applying an ice pack to bites, stings, or an injury. The following substances may be used in the administration of non-emergency First Aid: water, ice pack, ACE bandage, antibacterial soap, alcohol swabs, anti-biotic ointment, and Band-Aids. No other medication will be administered unless authorized and directed by the child’s parent/guardian.
I understand that if I do not consent to the administration of non-emergency First Aid or to the administration of any of the substances listed above, I will give written notification to LCMM no later than seven business days before the camp session begins.
Acknowledgement of Risk
I hereby acknowledge that I have voluntarily chosen to allow my child to attend LCMM's Lake Adventure Camp. The activities in which my child may participate at camp may include, but are not limited to: games, exercise, aquatic activities, hiking, and outdoor activities. I understand the risks involved in these activities. I recognize that each camp activity involves risk of injury to my child and I agree to accept any and all risks associated with it. By voluntarily allowing my child to participate in camp activities and with the knowledge of the risks involved, I hereby agree to accept any and all inherent risks.
Good behavior is a key component to a successful fun-filled summer camp experience, and the Museum expects great things from its campers! Each camper will sign his/her own behavior agreement on the first day of camp. Lake Champlain Maritime Museum reserves the right, upon notification of parents, to dismiss any student during any session for conduct that is deemed detrimental to the well-being of other students, staff, or to the overall operation of the camp.
Weather & Other Changes
Camps are held rain or shine! Camp activities may change without notice due to inclement weather or other unforeseen events.
Please understand that the museum cannot be held responsible for the loss, destruction, or theft of any personal items (i.e. clothing, book bags or purses, toys, games, electronic devices, cellphones, or money) your child may bring to camp.
Cancellation notice given at least 30 days prior to camp session will receive a full refund minus a $25 administrative fee. Cancellation notice given within 30 days of your camp session will not receive a refund.
Commitment to Being Available
I commit to being available during camp hours to answer a phone call from LCMM and its staff. I have provided a phone number to LCMM where I can be reached at any time during camp hours. I also commit to being available or making arrangements for my child to be picked up for any reason and at any time during camp hours.
Consent to Administer Emergency First Aid
In the unlikely event of a life- or limb-threatening emergency, I give consent to LCMM and its staff to administer emergency First Aid as a first response until more advanced medical care is available. I understand that LCMM and its staff will use their best judgment, act in good faith, and will treat with the intention of not causing further harm.
Consent to Arrange Emergency Treatment
I understand and acknowledge that on rare occasions an emergency may develop which necessitates the administration of medical care, dental care, hospitalization, or surgery to my child. Therefore, in event of injury or illness to my child, which necessitates emergency medical or dental care, I hereby authorize LCMM and its staff to arrange any necessary emergency treatment including the administration of anesthetics and surgery to my child. I also understand that a parent/guardian will be contacted at the earliest possible moment in the event of an emergency relating to my child.
Medical, Dental, Health, and Insurance Responsibilities
I understand and acknowledge that LCMM cannot assume responsibility for determining the medical, dental, or health condition of my child. Therefore, I have consulted with a medical doctor and/or dentist, as I have deemed necessary, with regards to my child’s individual medical or dental issues or needs, and find my child physically and mentally fit to participate in the LCMM Lake Adventure Camp. If my child is required to receive medical, dental, or hospital services during camp, I am aware that LCMM cannot and does not assume legal responsibility for payment of such costs; rather, I hereby assure LCMM that I have assumed all risk and responsibility thereof and that my child has the necessary insurance to meet any and all needs for payment of these services during the LCMM Lake Adventures Camp.
In consideration of allowing my child to participate in LCMM's Lake Adventure Camp and to the fullest extent permitted by law, I agree to hold harmless LCMM, its employees, and its volunteers and assigns from and against all claims arising out of or resulting from my child’s participation in camp. I hereby voluntarily hold harmless and release LCMM, its trustees, officers, employees, agents and volunteers from any and all claims arising out of or incident to my child’s participation in LCMM's Lake Adventure Camp, which may be made on behalf of me, my child, my personal representatives and my heir or assigns.
By signing your child up for camp you authorize the Lake Champlain Maritime Museum to photograph and/or videotape your child for publicity purposes. If you do not want your child to be photographed, please notify the camp registrar.
Late Fees: Drop Off & Pick Up Understanding
Please be on time. Times to drop off and pick up your child are listed clearly in the program description, and they are important for a smooth program. For an additional weekly fee, LCMM offers early drop-off (as early as 8am) and late pick-up (as late as 5pm) supervision. If you are late for any reason (heavy traffic, weather conditions, flat tire, etc.) please call to let us know right away. Campers that are dropped off or picked up outside the program window will be charged accordingly. An automatic flat fee of $10 will be charged for the first five minutes outside the program window. After the initial five minutes, a $1/ minute late fee will be charged. Late fees will be collected promptly. LCMM reserves the right to dismiss campers for lack of payment of late fees. For safety reasons, campers will only be released to the individual(s) listed on the first page of this registration form or an Authorization for Release Form.