Civitan Acres 2019 Application
Application Check List
OUR OFFICE MUST RECEIVE ALL OF THE FOLLOWING ITEMS BEFORE ANY GUEST CAN CHECK-IN FOR A VACATION STAY:
- Civitan Acres Summer Vacation Application 2019 – This application can be completed online (below) or via downloadable PDF.
- Medication Authorization Form(s) – Be sure to complete one of these forms per each medication sent, even over the counter meds.
- Medical Form – must be less than one year old from date of camp session requested and completed by a physician
- $125 Non-refundable deposit. Will be applied towards program fee. Payments may be made online here.
Copy of Medical Insurance Card(s)
You may submit items 1 and 4 now, and turn in items 2, 3, and 5 prior to or at check-in.
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