Summer Camp 2019 Registration OPEN!
Camp Registration Form
Choose ONE of these options:
- Register Online! Complete and submit the online form on the left – instructions below.
- Call 781-860-0200 to inquire about registration form.
Completing the Online Camper Registration Form:
For more information on any form section, please expand the corresponding section below.
Camper Information Section
Please fully complete all fields that apply to your child.
Please be sure to include camper’s age at the start of his/her camp session along with current grade at school.
Please make sure to fill in a correct camper's Date Of Birth as camper cabin assignments are done based on that date!
The more complete information you provide the faster we will be able to process your form and confirm your spot.
Parent Information Section
Please provide full information for Primary Parent/Guardian. Others are optional.
Primary Parent/Guardian must be the parent or legal guardian who will be signing this form.
If Foster Parent is completing the form, please indicate so in the relationship field.
Please provide working phone numbers and email addresses. Primary Parent/Guardian email in this section will be used as primary form of contact. (Please notify camp if any of the contact information changes).
Emergency Contacts Section
This section must be completed IN FULL.
All contacts in the section MUST BE DIFFERENT from the ones listed in Parent Information section.
Please provide working phone numbers. (Please notify camp if any of this contact information changes).
Family Information Section
Please complete your household information fully and provide family background information – household size, siblings, language, ethnicity, etc.
Please indicate how did you hear about us (list agency/organization or individual referral if applicable). It is important for us to have that information as we sometimes have specific funding options available for such referrals.
If your tuition (and/or deposit) will be paid by an agency/organization or individual, please indicate that and include contact information for that agency/organization or individual.
TRANSPORTATION: Agassiz Village provides bus transportation to and from camp for all campers on the first and last day of each session. Indicate in this section, if you would like to use AV transportation. You are also welcome to drive your child to camp (please mark 'No' in the transportation question in that case). Directions and detailed Transportation information can be found in Parent Information Booklet.
FINANCIAL AID: please indicate if you will be applying for financial aid rates in this section (i.e. our sliding scale rates). If you are not applying for financial aid rates, your rate will automatically be at $1200/session as that is our full rate for a two-week session (in which case, please skip Financial Aid section and go to Additional Camper Information section).
Financial Aid Application Section
We provide Full Camperships and Partial Financial Aid based on household annual income or extenuating circumstances.
Please read instructions carefully and fully complete all required fields. The more complete information you provide, the faster we will be able to approve you for a financial aid rate (for more information please visit our Tuition page). We will use information provided here to assess your reduced tuition rate. Income verification will be necessary to confirm the financial aid rate (see Tuition page for more details).
If a camper has been exposed to violence or abuse, homelessness, or refugee situations, we might have additional funding available for his/her camp tuition. Please indicate "Yes" in this question and we will send you an additional form to complete to confirm eligibility.
Additional Camper Information Section
All information in this section is extremely important as it helps us tremendously in providing your child with a positive camp experience. Please review all the questions in this section and complete fully all that apply. All information shared in this section will be kept confidential.
Please indicate if your child has attended Agassiz Village in the past and include years attended.
If your child is (or has been) in therapy please make sure to complete fully all relevant fields (including therapist/social worker name and contact information). Such information is vital for us to make sure your child will be successful at camp.
Please include any further information that would help us see to your child’s needs while at camp.
Deposit/Payment Form
Deposits & Payments
Registration Deposit
We MUST receive a $100 registration deposit to reserve a spot for your child.
A deposit is required for EACH camper registration. This deposit will be refunded to you if:
- you are approved for Full Campership (after your child attends camp); or
- you cancel your registration at least 30 days prior to the start of the session.*
* Due to increasingly high demand:
- If you cancel within 30 days of your session start, you will forfeit your deposit.
- If you cancel within 2 weeks of your session start, you will forfeit all fees paid.
Payments
Please submit your balance due payments no later than 30 days prior to the start of your camp session. Campers with outstanding balances risk losing their spot at camp.
* Please Note: these deadlines are subject to change depending on the volume of registrations received. We will notify you of any such changes.
Payment Types
PAY ONLINE - pay using our secure online payment system (see left)
PAY BY MAIL - mail a Check / Money Order to:
Agassiz Village
Attn. Camper Registration
238 Bedford St. Suite 8
Lexington, MA 02420
Camp Paperwork
If Applying For Financial Aid
To be eligible for Financial Aid Rate please submit ALL of the following below (in addition to financial aid section completed in your camper registration form):
• Proof Of Income. Proof of income documentation is to confirm your financial aid rate (i.e. a copy of your last year’s tax return, W2 form, or three consecutive pay-stubs for all household adults receiving income).
• Free/Reduced Meal (FRM) Form. Please DOWNLOAD and complete the form, and send it back to us at the address below.
If applying for Full Campership, please go to the Tuition section for additional Full Campership information.
Once we receive the above paperwork and forms, we will confirm your financial aid rate.
After your registration form is accepted and your rate is confirmed, we will EMAIL you your confirmation packet. The packet will contain:
• Health History and Physical Exam Forms - to complete and submit at least two weeks prior to your session start.
• Confirmation of session rate (including any balance due).
• Parent Information Handbook with details about your child’s stay at camp.
Please Note: All confirmation packets are emailed by default, please contact us with any further questions!
Submit the above Health History and Physical Exam forms to complete your registration process. These forms along with any balance due must be submitted no later than two weeks prior to your session start. If any of the above is missing on camp registration day, your child may not be allowed to attend camp.
Camp Mailing Address:
Agassiz Village
Attn. Camp Registration
238 Bedford Street, Suite 8
Lexington, MA 02420
Please note that you can also access all necessary forms directly in the Camp Forms section below.
If Not Applying For Financial Aid
After your registration form is accepted and your rate is confirmed, we will EMAIL you your confirmation packet. The packet will contain:
• Health History and Physical Exam Forms - to complete and submit at least two weeks prior to your session start.
• Confirmation of session rate (including any balance due).
• Parent Information Handbook with details about your child’s stay at camp.
Please Note: All confirmation packets are emailed by default, please contact us if you would rather receive it by mail instead of email!
Submit the above Health History and Physical Exam forms to complete your registration process. These forms along with any balance due must be submitted no later than two weeks prior to your session start. If any of the above is missing on camp registration day, your child may not be allowed to attend camp.
Camp Mailing Address:
Agassiz Village
Attn. Camp Registration
238 Bedford Street, Suite 8
Lexington, MA 02420
Please note that you can also access all necessary forms directly in the Camp Forms section below.
Camp Forms & Parent Information Handbook
Free/Reduced Meal (FRM) Form – Agassiz Village participates in the State of Maine Summer Food Service Program which helps us to cover some of our summer food costs and, hence, keep our tuition rates low. We are asking all applying for financial aid to complete this form so we can comply with requirements of this program. Please download this form, print, complete, sign and send it back to us to go along with your deposit and camper registration form. (One form per family)
Health History Form – After your camper registration is completed, submit this form no later than two weeks prior to your session start date. Please also be sure to have it reviewed by your doctor/physician. Please note that if Health History and/or Physical Exam forms are missing on camp registration day, your child may not be able to attend the camp session.
Physical Exam Form – Please have this form completed and signed by your doctor/physician and sent to us at the address provided on the form no later than two weeks prior to your session start date. Please note that if Health History and/or Physical Exam forms are missing on camp registration day, your child may not be able to attend the camp session.
Parent Information Handbook – This handbook will provide you with important information and details about your child’s stay at Agassiz Village - contact information while camp is in session, what-to-bring and what-not-to-bring lists, general policies and procedures, and a lot of other pertinent information. Please read through it carefully and let us know if you have any further questions.
Summer Camp Schedule
Tuition Information & Financial Aid
Frequently Asked Questions
Summer Camp Schedule 2019
Session 1: Monday, July 8 – Friday, July 19
Session 2: Monday, July 22 – Friday, August 2
Session 3: Monday, August 5 – Friday, August 16
Camp Tuition & Financial Aid
Tuition Information
Our goal is to ensure that every child has the opportunity to attend Agassiz Village overnight camp! Thanks to the generocity of our supporters, we are able to offer further reduced financial aid rates this summer!
FAIR-SHARE FINANCIAL AID RATES
All rates below are based on your ANNUAL Household Income AND your Household Size.
a. Find your household size in the left column.
b. Follow that line until you reach your annual household income.
c. Find your rate at the bottom of that column.
If your Household Income is beyond this scale, please see ALTERNATIVE TUITION RATES section below.
ALL CAMPERS receive a subsidized rate thanks to the generosity of many individuals, corporations, and foundations. Our fees are based on a sliding scale that offers up to 90% discounts on the cost of camp.
PLEASE NOTE:
To secure your discounted rate, you MUST submit a $100 refundable deposit as soon as you submit your Camper Registration Form. A full refund of your deposit will be granted if:
• cancellation is made 30 days prior to your child’s camp session start date OR
• you receive a full campership, in which case the deposit will be refunded after your child returns from camp (please note that if a camper needs to leave early due to behavior, all paid fees will be forfeited).
The 4-week INSTEP program for select group (ages 16-17) is an internship program and is not subject to tuition fees. If interested, please review the program description on the Programs Page and contact the Camp Director at 781-860-0200.
Full Camperships
Every summer we offer a limited number of full camperships for those families with the greatest need.
To Apply for a Full Campership:
Submit your Camper Registration Form and check the Full Campership box in the Financial Aid section (also make sure you complete fully the financial aid section of the form).
Upon receipt of the registration form, we will send you an additional Full Campership Application Form with further instructions.
Eligibility:
Your eligibility is based on the information you provide in your registration form. We will contact you within two weeks after receiving your registration with further information. You MUST submit your $100 refundable deposit for consideration. This deposit will be reimbursed to you after your child returns from camp (please note that if a camper needs to leave early due to behavior, all paid fees will be forfeited).
Alternative Tuition
The following tuition rates are for those families with incomes above the maximum allowable in the Fair-Share Tuition Discount table.
Base Camper:
This tuition is still a subsidized rate, but covers our basic cost to have a camper attend one two-week session of residential summer camp at Agassiz Village. We provide this rate for families that are not eligible for the Fair-Share Tuition Discount rate.
Villager:
This tuition comes closer to reflect the actual cost of having a camper at Agassiz for a two week session. It allows Agassiz Village to purchase additional supplies for camp and offset direct costs, such as transportation and food. We believe “it takes a Village” to make Agassiz what it is today. We ask those more fortunate to consider paying this rate as a way of giving back and helping Agassiz to keep camp affordable.
If you are experiencing an unexpected economic hardship, please call us at 781-860-0200 or email Camp Director at tsemeta@agassizvillage.org to discuss options available to you.
Frequently Asked Questions
How will I know when my child is ready for sleep away camp?
Most families consider sleep away summer camps for children 8 years and older. However, age is not the only factor in determining when a child is ready for sleep away camp. Consider your child’s level of interest and desire to explore this summer camp option. What are your child’s experiences away from home without you—sleeping over a friend’s house or spending a weekend with a relative? Always be positive and talk with your child about the benefits of going to sleep away camp.
How many children are there at camp each session?
Each session will have an average of 135 campers—about half boys and half girls.
What is camper to staff ratio?
Campers are grouped according to their age and gender into cabin groups. Each cabin group has an average of up to 14 campers and 2 counselors. Cabin counselors live in their assigned cabins with kids. We do allow friends to bunk together, but encourage all campers to meet new people and make new friends.
What are the cabins like?
Our cabins are rustic, but all have indoor bathrooms and electricity. Each cabin has separate counselor quarters plus two sides that hold up to 4 bunk beds. All cabins have porches to relax in the fresh Maine air and some are handicap accessible.
Will my child be safe and secure?
Absolutely! Agassiz Village has over 75-years of success. Once a camper checks in on registration day, they are supervised by our highly trained staff at all times. There are also counselor quarters in each cabin with at least two counselors for every cabin group. There always is more the one camper with any staff at all times. Besides counselors, there is a dedicated team of leadership staff providing constant support and direction.
All staff and all volunteers receive extensive background checks.
Who are Agassiz Village Staff?
Applicants are selected for summer positions on the basis of their experience, maturity, personality, attitude, and certifications. All staff are interviewed by the Summer Camp Director. Reference checks and a criminal background checks are conducted on all applicants (even volunteers). The majority of our staff have CPR and First Aid certifications, and all aquatic activities are supervised by certified Lifeguards. Many of our cabin counselors are also graduates of our own leadership training programs.
What if my child doesn’t get along with the other campers?
Our programs focus on life skills, communication, team building and leadership skills, which are reinforced by our staff throughout your child’s stay. We provide positive reinforcement to encourage campers to see the good in everyone and everything they do. The counselors continually work to promote healthy interaction, and teach skills that support cooperation, tolerance and friendship. Staff also set consistent limits, uphold standards of behavior, and translate these standards into concrete expectations for each camper. Destructive or violent behavior is not tolerated and could result in expulsion.
How do you help my child adjust to camp?
Children that may be ill-at-ease during the first few days of camp are given personal attention. Since camp has quite a rich and varied program, "homesickness" is often short-lived.
What about medication?
There is a full-time nursing staff working all summer. Our staff takes meticulous care of every medical situation, especially when dispensing medications. A Health History Form and Physical Exam Form is required for every child that attends camp. Please make sure when you arrive on registration day that all medications are in original packaging. Please do not separate in plastic bags or pill holders.
What are the meals like?
Mealtime is a relaxed time. Each cabin eats together with their counselors. Each child is encouraged to eat a nutritious assortment of foods, including a daily yogurt bar and salad bar at every meal. We serve our meals buffet style with campers offered an option of seconds and sometimes thirds.
What about laundry?
All campers should bring enough clothing for at least 7 days. Camp laundry is done by designated camp staff midway through the session. We do recommend that you label all articles of clothing clearly with your camper's name. Please do not bring any clothing that requires special care or is delicate or expensive. Clean bedding is provided upon request, if necessary. A recommended list of clothing will be provided upon registration.
YEAR ROUND
Agassiz Village 238 Bedford St, Suite 8, Lexington, MA 02420 Tel: (781) 860-0200 Fax:(781) 860-0352
Agassiz Village is one of 100 nonprofits to receive a $100K grant through the $100K for 100 programs in 2015!
