PLEASE NOTE: If you need to pay the remaining balance for camp please CLICK HERE.

To learn more about Camp Mount Michael, visit our camp website at: Camp Mount Michael

QUESTIONS: Please contact Tom Maliszewski, Camp Director at (402) 238-1457 or camp@mountmichael.org

Each session is $350 per week. A $50 deposit is due along with the application.
The entire $350 can be paid at this time if you wish to do so.


In placing my son in your care, I agree to all terms, regulations and activities of Camp Mount Michael. I agree to bear the burden of any expense arising from accident or illness, which is not covered by the camp insurance policy while my son is under the authorities of the camp. I understand that the $50 deposit will be applied towards the total camp fee and is non-refundable even in case of disciplinary action and/or homesickness. Please be aware that each session will cap at 85 campers.

SESSION FEES
Qty
Description
Amount
Total

$50.00
---

$350.00
---

$350.00
---

$350.00
---

$350.00
---

$350.00
---
Total: $0.00
Future Commitment: $0.00
Camper Information
Health History:
The health history is correct to the best of my knowledge and the person described herein has permission to engage all prescribed camp activities except noted by me. In the event that I cannot be reached in an emergency, I hereby give permission to the physician selected by the Camp Director to hospitalize, secure proper treatment, and to order injection, anesthesia or surgery for my child as named above.

I understand that the purpose of this is to totally relieve Camp Mount Michael and its owners, agents, and employees from any and all liability for injuries, deaths or loss of property sustained by me or by my child by any person in my charge as a result of participation in a Camp Mount Michael activity.
In placing my son in your care, I agree to all terms, regulations and activities of Camp Mount Michael. I agree to bear the burden of any expense arising from accident or illness, which is not covered by the camp insurance policy while my son is under the authorities of the camp.
Parent Information:
Please note: Events arise where Mount Michael campers may be photographed or recorded for television, newspaper, web-site, or radio coverage. If the parents object to this they must notify the camp director in writing prior to the beginning of their child’s camp session.
Emergency Information
Payer Information
This is the address where your credit card statements are mailed.
A receipt will be e-mailed to this address.
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