Camp Civitan Payment and Info Center






Camp Civitan 2019

Application Check List

OUR OFFICE MUST RECEIVE ALL OF THE FOLLOWING ITEMS BEFORE ANY GUEST CAN CHECK-IN FOR A VACATION STAY:

  1. Civitan Acres Summer Vacation Application 2019 – This application can be completed online (below) or via downloadable PDF.
  2. Medication Authorization Form(s) – Be sure to complete one of these forms per each medication sent, even over the counter meds.
  3. Medical Form – must be less than one year old from date of camp session requested and completed by a physician
  4. $125 Non-refundable deposit. Will be applied towards program fee. Payments may be made online here.
  5. Copy of Medical Insurance Card(s)

You may submit items 1 and 4 and turn in items 2, 3, and 5 prior to or at check-in. However, if you submit a completed application in full before May 1st you will receive a $50 discount on the program fees.