Maine Golf and Tennis Academy
www.golfcamp.com
1907 - 2012

ENROLLMENT FORM
for
2012

1. Summer Sessions
2. Family Camp
3. Over 50's Camp

"Building OUR Camp Family with YOUR Friends for Over 100 Years"

To Enroll, please fill out this form completely:
Please print out a copy for your records.

Camper Information

Email: (required)
Name:
Nickname:
Gender:	Male Female
Street Address:
City:
State:		Zip:
Birthday:	Month / Day / Year		Age on July 1st of the current camp year:

School:			Grade completed by the current camp summer:
Please check this box to let us know that you plan to download the Parent's Information Packet in the "Parent's" FAQ's Section with all the necessary forms. Download the Parents Information Packet click here (will open in a new window)

Parent Information

Mother's Name:
Home Phone:
Cell Phone:
Business Phone:
Email:
Father's Name:
Home Phone
Cell Phone
Business Phone:
Email:

Billing Address (If Different from Above):
If both parents do not live with camper, should both receive information?	Yes: No:
Name of Emergency Contact:
Relationship to Camper:
Telephone Number:
Program Information
Enrolling for: 1.) Golf or Tennis 2.) Serve & Turf - Combo Tennis & Golf 3.) Golf Lite or Tennis Lite 4.) Elite Travel Tournament Program 5.) Family Camp (with kids) 6.) Over 50's Camp (without kids) Please write appropriate program, in the box on the right
Level of Play - Beg.- Intermed. - Advance - HS Team
Country/Golf/Tennis Club or Team name where you play
NOMINATION SECTION Advanced Programs Only Name of Pro, Coach or Teachers who may be willing to Nominate you for an ADVANCED PROGRAM (required)
Telephone Number of Pro, Coach or Teacher who may be willing to Nominate you for an ADVANCED PROGRAM (Required)

Check for Early Enrollment Discounts that apply
Note:
Only one discount per camper. Please choose the one which is best for your family.

Check all that apply:
Camp Sessions

FULL Season
$9500 6/24 through 8/17

BIG Session
$8,500
6 weeks 6/24 through 8/3

Session 1
$6,400 6/24 through 7/20

Session 2
$5,800 7/22 through 8/17

Half-Sessions

Half-Session 1A $3.995	6/24 through 7/6
Half-Session 1B $3,995	7/8 through 7/20
Half-Session 2A $3,800	7/22 through 8/3
Half-Session 2B $3,600	8/5 through 8/17

Ask about our monthly INSTALLMENT PLAN for Tuition Payments
Call 1 207 465 3226 or write to fun@golfcamp.com

Addit'l Week - $1,995

Parent/Child - $2,995 for Two People, each additional person $600

Over 50's Camp up to 4 people per cabin $4,995

8/19- 8/24

826 - 8/31

Optional Fees: (Only arrangements submitted on Transportation Form in the
Parents Information Packet will be honored for any and all transportation requests.
(Check all that apply)

Linens	$150 for full session
Airport Pickup Portland (PWM)	Included between 11 AM and 3 PM on scheduled days
Airport Drop Off Portland (PWM)	Included between 11 AM and 3 PM on scheduled days
Airport Pickup Boston (BOS)	$175 between 11 AM and 3 PM
Airport Drop Off Boston (BOS)	$175 between 11 AM and 3 PM
Darien VAN TO CAMP	$200 available only as scheduled, for session 1 or 2
Camp VAN To DARIEN	$200 available only as scheduled, for session A or B
Club Rentals	$125 per session
Whitewater Rafting	$125
ESL English Classes	Included

SPECIALTY PROGRAMS
(Optional):
(Check all that apply)

_____________________________ Jr. or Sr ADVANCED GOLF 10-12 or 13 -17 Nomination Required by Coach, Pro or Teacher - See Nomination Information below _____________________________		$395 Additional Fee $695 for four weeks - Limited Space
TOURNAMENT TRAVEL TEAM Nomination Required by Coach, Pro or Teacher - See Nomination Information below _____________________________		$300 Additional to Advanced Fee a per week Fee - Limited Space
Serve and Turf Combination of Golf and Tennis (Tennis and Golf Shirts required) _____________________________		No Additional Tuition Fee except for uniform shirts, for Serve and Turf
ELITE TRAVEL TENNIS Team Week Nomination Required by Coach, Pro or Teacher - See Nomination Information below _____________________________		$400 - Limited Space
Golf Lite		Golf Lite
Tennis Lite		Tennis Lite
CIT See details		CIT

Nomination Information

If you HAVE already been nominated by your teacher (or counselor, principal or head of school), please provide their name and contact information in the Nomination Section of the application above.

We will let your teacher know that you have applied.

If you HAVE NOT yet been nominated, we have streamlined the recommendation process for your convenience. Simply provide the name, email address and phone number of your teacher (or counselor, principal or head of school) in the Nomination section of the application.

We will seek a recommendation on your behalf.

Confirmation
We will confirm receipt of your application within 48 hours via email or mail.

Recommend a Friend: Camper Referral Program
Building Our Camp with Your Friends for Over 100 Years

Payment Schedule Information

Deposit:

Due upon enrollment:

$2,000 per session
$1,500 Family Camp or Over 50 Camp

2nd Payment:
Due on December 15th

3rd Payment:
Due on March 1st

All Final Payments due on April 30th

Ask about our monthly INSTALLMENT PLAN for Tuition Payments
Call 1 207 465 3226 or write to fun@golfcamp.com

Payment Method:
Credit Card Number: 2.9% Surcharge added to all Credit Card Charges
Personal ID Code: (found on back of credit card)
Expiration Date:
Name on Card:
Amount of Payment: (Deposit All Sessions $2,000 Deposit: Family Camp or Over 50's Camp $1,500)

WIRING INSTRUCTIONS: For Wiring Information Click Here (will open in a new window)

For All Credit Card Transactions please download this
Credit Card Authorization Form (will open in a new window)
and submit it to us for any charges.

Terms and Conditions (Listed below as well):

TERMS and CONDITIONS: FULL Session Tuition includes, all greens fee, meals, room and board, medical first aid attention, (does not include medicine, prescriptions, doctor or hospital visits, medical treatment, medical operations or procedures, x-rays or anything that can not be handled by our Medical Staff on duty); A transportation Fee of $100 one way for transportation to and from Portland Airport if arrival or departure is not between 11:00 AM and 3:00 PM on our scheduled arrival and departure Fridays and Sundays listed on the application form, whitewater rafting, lobster feast, mountain climbing, rock climbing, whale watching and camp activities that have been scheduled. Deposit Due upon enrollment $2,000 per session 2nd Payment: Due on December 15th $2,000 per session $1,500 Family Camp of Over 50 Camp All Final Payments due on April 30th All campers must have adequate medical insurance to cover all medical expenses, medical procedures, doctors visits, medicines, x-rays and any medical tests incurred while at camp. All and final payments are due on April 30th of the current camp year. All refunds, where applicable will be paid on or about April 30th. Current Camp REFUNDS Full refunds for the withdrawal or cancellation, if received in writing, of a Maine Golf and Tennis Academy (MGTA) camper, or of Family Campers prior to April 30th of the current camp year, will be allowed, less the $1,000 administrative fee, which is non-refundable and non-transferable. refund will be paid on April 30th. If withdrawal or cancellation is received in writing before January 1st of the current camp year there will be a refund for amounts paid less a $600 administrative fee paid on April 30th. There is NO REFUND of any kind, for any reason, after April 30th of the current camp year. Please note there will be no refunds of any kind for early departure or late arrivals. Refunds for withdrawal or change in arrangements of any kind that have been submitted in writing before April 30th, of the current camp year, will be given for amounts paid less a $1,000 administrative fee, paid on or about April 30th. If withdrawal or cancellation is received in writing before January 1st of the current camp year, there will be a refund for amounts paid less a $600 administrative fee, paid on or about April 30th. Maine Golf and Tennis Academy, its owners and directors reserve the right to dismiss for cause any camper whose conduct or influence is unlawful, in violation of camp policy, or is deemed unsatisfactory to the camp community. In such event, there will be no reduction or refund of camp fees. MGTA, its owners and directors reserve the right to use any individual or group photographs, video, digital, and/or audio recordings, taken at Camp or elsewhere, documenting campers in Camp activities, for publicity and public relations purposes, including publication on the MGTA web site, both now and in the future. Canteen Fee is added except for White Water Rafting Trips ($125) and special senior trips. Canteen enhancement is used by the camp management on behalf of the camper for several things: pizza, outings, day trips, food. It is also used for special activities outside normal camp programs such as: bowling, ice skating, amusement parks, miniature golf, day trip excursions, movies, etc. Bedding and linen are available to rent for an additional charge ($125 per month). This service includes blankets, sheets, pillows. Sleeping bags are not included. Club Rentals are $100 for two weeks and $125 for four weeks. Transportation: We are happy to provide transportation to and from designated locations and airports. The fee for this transportation will be calculated by time of day and location of the arrival or departure of your child and then, only upon receipt of your request in writing on our Transportation Form, by April 15th of the current year. Please take advantage of our Pick Up and Drop Off service from Portland Maine's Airport. We will provide, for no extra charge of $100, if transportation to or from Portland International Airport ( PWM), Portland, Maine, for campers scheduled to arrive or depart between 11:00 AM and 3:00 PM on the scheduled arrival Sundays and departure Fridays. Other times, dates, places or special transportation needs: Any other transportation that we provide, must be arranged in writing by the parents on our Transportation Form and submitted no later than April 15th of the Current Camp Year. If the camper will require transportation that will be at times, dates or places other than the above schedule for (PWM) there will be an extra charge based on time, date, and place. Campers fees must be paid in full before they will be permitted to attend camp. By filling out this application form and sending it to the Maine Golf Academy, I agree that submitting this application for enrollment form is my electronic signature and agree to the all the Terms and Agreements, and there will be no charge backs for any reason, or any amount and I consent to allow all scheduled payments to be charged on the credit card submitted, if any payments have made by credit card, to be charged on my credit card on the payment Schedule listed below: Upon enrollment there is $2,000 for Deposit. 2nd Payment due December15th of $2,000 for Full session deposit, or $1500 for Half Session . Final Payments due on April 30th of the current year. I give permission for my child to participate in all in- and out-of-camp sponsored activities including but not limited to: waterskiing, white water rafting, sailing, rock climbing, ropes course, sports, waterfront activities, trips, golf, tennis, and travel in vehicles. I understand these activities might have risks and dangers connected with them; however, I release Kennebec Boys Camp, Inc., dba Maine Golf Academy, its Directors, and all its agents and staff from any legal actions or claims that my child, I, or the legal guard- ian might have for the damage or injury to the child named above or any personal property arising from being a camper at or participating in any activity in the Maine Golf and Tennis Academy Program(s). This agreement, and any disputes or claims against the Directors, employees, agents or the Kennebec Boys Camp, Inc. dba Maine Golf Acad- emy, shall be interpreted, governed and constrained by laws and courts of The State of Maine and all legal actions shall be under the jurisdiction of The State of Maine. This agreement, and any and all disputes or claims, including but not limited to: credit card charges or payments, wire transfers payments and check payments, against the Directors, the employees, agents or the Kennebec Boys Camp, Inc. dba Maine Golf Academy shall be interpreted, governed and constrained by laws and courts of The State of Maine, Kennebec County, and all legal actions shall be under the jurisdiction of The State of Maine in Kennebec County. 

Please make a copy for your records

Ready? Ok, but before you click 'Send Form' please insert the same letters and numbers you see in this image into the box below.

By submitting this form it is my electronic signature and I agree to all the terms and conditions, including those written below. Please submit my form when I push the Send Form button below:

Reminder:
1. Bring your country's flag for us to display
2. Please send us a digital head shot of your child for our staff preparation
and safety identification system.
3.Make sure everything, everything, everything has your name on it.
4. Please protect your tuition fee paid, with one of the many Tuition Refund Insurance policies that you can purchase for a nominal fee, found on the web.

FREE

Set of US Kids GOLF CLUBS or Head Tennis Racquet!

With every new enrollment for upcoming summer, if paid in full by the Early Enrollment Date, you will receive your choice of a FREE revolutionary style Tennis Racquet; or a Free set of Golf Clubs, appropriate for your child's ability and size. Good while the supply lasts! Request to the Maine Golf and Tennis Academy on the completed application form for the appropriate size and color code of the set of U.S. Kids Golf Golf Clubs when you enroll. Please note the Gold set is reserved for the MGTA enrolled Advanced Golf Program.
Please click here to see US Kids Golf web site to learn about the different sizes and clubs. Extra clubs are an extra fee. Each US Kids Golf is a set in which we provide 5-8 clubs, depending on level, plus golf bag. If you have any questions about the right size ask our Director of Golf or Director of Tennis at 1-800-465-3226.

We request that you use, David's Travel, to coordinate all the travel plans, to insure the maximum convenience for both your camper and the camp. Flights and accommodations will be arranged at the lowest available rates while still fitting into the most convenient and appropriate times, dates and locations for safe, smooth and convenient travel for your campers arrival and departure at camp.

DAVID'S TRAVEL a Carlson-Wagonlit Travel Agency
1 800 542 2791
USA 860-233-1218
860-233-4209-fax
Email: travel@sprynet.com

TERMS and CONDITIONS: Please print out a copy for your records before you submit.

4 Week Session Tuition includes, all greens fee, meals, room and board, medical first aid attention, (does not include medicine, prescriptions, doctor or hospital visits, medical treatment, x-rays or any medical treatment that can not be appropriately supervised or administered by our Medical Staff on duty, as determined by the Director of the Maine Golf and Tennis Academy); Also includes trips i.e. lobster feast, mountain climbing, rock climbing, whale watching, sea kayaking, and camp activities that have been scheduled. A transportation feeis included, to and from Portland Airport if arrival or departure is between 11:00 AM and 3:00 PM on our scheduled arrival days and our departure days, listed on the application form. To and from (BOS) Boston Logan Airport is $175,00 per person each way on the same days and times as normaly scheduled above.

All campers must have adequate medical insurance to cover all medical expenses incurred while at camp and a credit card on file to cover any medical expenses incurred while at camp.

All and final payments are due on April 30th of the current camp year.

REFUNDS

Full refunds, for the amounts paid, for the withdrawal or cancellation of a Maine Golf and Tennis Academy (MGTA) camper, or of Family Campers, if received in writing prior to April 30th of the current camp year, will be allowed, less the $1,000 administrative fee, which is non-refundable and non-transferable. All refunds will be paid on or about April 30th. If withdrawal or cancellation is received in writing before January 1st of the current camp year there will be a refund for amounts paid less a $600 administrative fee, refunded on or about April 30th.

Withdrawals, additions, and cancellations of MGTA campers, or their changes of their status,optional fee or arrangements, regardless of when, must be in writing prior to April 30th. No reductions, allowances or credits against fees will be made for late arrival, early withdrawal, or dismissal of any camper. Campers that convert from one length session to another, will pay the fee quoted of the shorter time charged calculated at the time of the change, and will forfeit all early-enrollment credits.

There are no refunds of any kind on or after April 30th of the current camp year.
All refunds will be paid, where applicable on or about April 30th.

Maine Golf and Tennis Academy, its owners and directors reserve the right to dismiss for cause any camper whose conduct or influence is unlawful, dangerous, in violation of camp policy, or is deemed unsatisfactory to the camp community. In such event, there will be no reduction or refund of camp fees. MGTA, its owners and directors reserve the right to use any individual or group photographs, video, digital, and/or audio recordings, taken at Camp or elsewhere, documenting campers in Camp activities, for publicity and public relations purposes,
including publication on the MGTA website, both now and in the future.

Canteen enhancement includes greens fees, tournaments, daily snacks, out of camp trips, laundry, video yearbook, video analysis, pizza, outings, day trips, food and snacks. It is also used for special activities outside normal camp programs such as: bowling, ice skating, amusement parks, miniature golf, day trip excursions, movies, etc.

Bedding and linens are available to rent for an additional charge ($125 per month). This service includes blankets, sheets, pillows. Sleeping bags are not included.

Club Rentals are $100 for half session and $125 for full sessions.

Transportation:
We are happy to provide transportation to and from designated locations and airports. The fee and pick up or drop off service for your child will be calculated by time of day and location of the arrival or departure of your child and then, only, upon receipt of your request in writing on our Transportation Form, by April 15th of the current year.

Any other times, dates, places than our scheduled days and times will be considered special transportation needs:
Any other transportation that we provide, must be arranged in writing by the parents on our Transportation Form and submitted no later than April 15th of the Current Camp Year. If the camper will require transportation that will be at times, dates or places other than the above schedule for (PWM) of (BOS), there will be an extra charge based on time, date, and place. *All requests for changes, additions, or deletions must be submitted only on our Transportation Form for the camp to provide the service requested. Emails are not a substitute

All camper's fees and amounts due must be paid in full before they will be permitted to attend camp.

By filling out this application form and sending it to the Maine Golf and Tennis Academy, I agree, that by submitting this application for enrollment form, it is my electronic signature and my agreement to the all the Terms and Agreements, and there will be no charge back for any reason or any amount, and I consent to allow all scheduled credit card payments to be made on the credit card submitted, unless paid otherwise and in the event that payment has not been received by the camp upon or before the scheduled payment dates. The fees may be charged on my credit card at the time of and on the payment Schedule listed below:

Deposit
Due upon enrollment

$2,000 per session

2nd Payment:
Due on December 15th

$2,000 per session
$1,500 Family Camp

All Final Payments due on April 30th

I give permission for my child to participate in all in- and out-of-camp sponsored activities including but not limited to: waterskiing, white water rafting, sailing, rock climbing, ropes course, sports, waterfront activities, trips, golf, tennis, and travel in vehicles. I understand these activities might have risks and dangers connected with them; however, I release Kennebec Boys Camp, Inc., dba Maine Golf and Tennis Academy, its Directors, and all its agents and staff from any legal actions or claims that my child, I, or the legal guard- ian might have for the damage or injury to the child named above or any personal property arising from being a camper at or participating in any activity in the Maine Golf and Tennis Academy Program(s).

This agreement, and any and all disputes or claims, including but not limited to: credit card charges or payments, wire transfers payments and check payments, against the Directors, the employees, agents or the Kennebec Boys Camp, Inc. dba Maine Golf and Tennis Academy shall be interpreted, governed and constrained by laws and courts of The State of Maine, Kennebec County, and all legal actions shall be under the jurisdiction of The State of Maine in Kennebec County.

Please contact us at: 1-800-GOLF-CAMP or 1 207 465 3226