Week 3 Adventure Camp- 7/1-3 – Valley Mill Camper Forms

Camping at First Landing State Park

Location :

First Landing State Park

2500 Shore Drive

Virginia Beach, VA

757-412-2300

Nearest Hospital-

Sentara Virginia Beach General Hospital

1060 First Colonial RoadVirginia Beach, VA 23454

Trip Leaders:

Paul Diallo- +1 (240) 340-2871

Lia Johnston

Packing List

Tent

Sleeping Bag

Headlamp/ flashlight

Sunblock

Hat

Sleeping pad

Sleeping bag

Bug spray

Sandals

Towel

Hygiene bag

Change of clothes for 3 days

Monday July 1st

As kids arrive to camp, we will meet up at the main office. We will load all of our camping gear into the van and then head out for the trip. Along the way we will stop for lunch and for groceries for dinner. Our expected arrival time is about 3:30 pm, we will check in and set up camp. After we are all setup, the group will head to the bay, located on the First Landing property, and swim before preparing dinner. Dinner will be prepared and served about 6pm. The group will decide between swimming or field games as the evening activity. Lights out by 9:30

***All campers and staff will abide by all state park rules while on camp property. This includes wearing life jackets where required***

Tuesday July 2nd

As kids will Wake up, Paul will begin to cook breakfast. We will prep lunches and beach gear for the morning. For our morning activity the kids can decide between fishing/ crabbing or doing a hike at first landing. The hikes here are spectacular and very scenic. Then we will have lunch and spend the afternoon swimming.

At 4-5 pm we will head to camp for dinner.

We will have a bonfire and maybe go to an ice cream store so please make sure your kid has $$$

⁃ Lights out 9:30!

Wed July 3rd

As campers wake up, Paul will cook breakfast.

We will pack up camp and head back to Valley Mill to arrive to dismissal by 4 pm.

We will swim until it’s time to leave.

Campers will return home on the regular scheduled bus on Wednesday.

To Give Permission:
By signing this form, you give permission to Valley Mill Camp to take your child off camp property to participate in the Adventure Camp Trip. If you would like your camper to attend this trip, make sure to indicate this with your digital signature. If you do not want to give permission or if they cannot attend, or if you have any questions, please call 301-948-0220.
Child's Name*
First Last
Parent's Name
First Last
Parent's Email
Parent's Phone
Emergency Contact Name*
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MEDICAL RESTRICTIONS, AND ANYTHING YOU'D LIKE US TO KNOW
*
- My child has no physical, mental or medical condition that would adversely affect his/her ability to participate in the Valley Mill Camp program or that would affect his/her safety or the safety of the group. I agree to inform Valley Mill Camp of any such physical, mental, or medical condition should one develop in the future.
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- I understand and agree that in participating in the Valley Mill Camp program or using the equipment or facilities of Valley Mill Camp or receiving the instruction of Valley Mill Camp there is the possibility of accidental or other physical injury. I agree to assume the risk of such injury and further agree to indemnify Valley Mill Camp Inc., Seneca Joint Venture and all of their agents, employees, directors, officers, affiliates, successors, and assigns (collectively “Valley Mill Camp”) from any and all liability as a result of my or my camper’s use of the facilities, equipment and instruction offered by Valley Mill Camp.
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- I agree that I am the Parent or Legal Guardian of the Camper named above, that I am 18 years of age or older, and that I have the legal authority to grant this permission to Valley Mill Camp Inc
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- By checking the above checkbox, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.
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