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Camp Pee Dee Pride Application

Childs gender
Male
Female
Childs birthday
Month
Day
Year
Please select which session you would like your child to attend. You may select one week or two weeks. (If selecting the two week option it must be the same month). Perfect attendance is required to participate in field trips.
Has your child attended camp before?
Yes
No
Childs shirt size
I understand my child cannot miss a day of camp unless it is an emergency.
I understand
I understand my child may not have their personal cell phone or electronics of any kind. (Camp director and main counselor will always be avaliable to get in contact with your child).
I understand
I understand if my child receives 3 strikes they will be asked to not return to camp.
I understand
I agree and give permission for my child or ward to receive any emergency or routine medical attention in the event it becomes necessary.
I agree
I agree and give permission for my child or ward to ride in vehicles for transporting my child to and from camp for necessary transportation.
I agree
I agree and give permission for the media to publish reports on my child's activities at camp. I understand and agree the media may publish my child's name and picture on social media. My permission is granted to promote positive community services.
I agree
I agree to hold harmless the participating SC agencies, agents and employees against any action, claim, demand, lawsuit or inequity whatsoever kind of nature by child or any person acting on the childs behalf for their benefit arising from participation.
I agree
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Date application was submitted
Month
Day
Year

CONTACT

Thanks for submitting!

Contact us!

Delaine Martin: (843)731-1387

McKenzie Gallo: (843)694-6368

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