Camp Squanto: Register

Please download and read the Camper Health Form.

A completed form and full deposit must be received in order to make each reservation.
One registration form per camper.
Once we receive your registration, you'll receive a confirmation letter with additional information.

Special Discounts

Please read carefully and check one of the following if you are eligible.

Early Bird Special - Pay entire camp fee by March 1, 2010 and receive $25 off your camp fee. (Pathfinders receive a $15 discount.)

Family Pack - Families with 2 or more children attending camp can save! 1st child pays full price and any additional child will receive a $50 discount.

New Buddy - When a camper who has previously attended Camp Squanto brings someone new, the new buddy pays full price and the experienced camper receives $25 off the camp fee. Please send in both forms together. See misc. info below.

Please Fill In The Blanks. All fields with a * are required.
Your information will not be shared.

Camper's First and Last Name *

Grade the camper will be going in to in Fall 2010 *

Gender *

Parent's Names *

Address *

City / State / Zip *

Date of Birth (dd/mm/yyyy)*

Home Phone *

Cell Phone

Family Email Address

Cabin Mate request (only 2 cabin mates can be listed, we will try as best we can to honor these, but cannot guarantee any requests)

Introducing Tiered Pricing

Pilgrim Pines realizes that families have differing abilities to pay for camp and has introduced a voluntary tiered pricing program so that all families have the opportunity to attend camp. You will find three tiers of pay below. Tier A is a ministry enabling rate. Tier B is the 2010 full-session rate (actual cost), and Tier C is a partially subsidized rate to help families that cannot afford the full rate. Since each rate provides for the same level of Camp Squanto excellence, simply choose to pay the rate that is appropriate for your family. While we would encourage you to pay as high a tier as your family is capable, our primary concern is that your child(ren) be able to attend camp.

Dates & Rate *	Tier A	Tier B	Tier C
Pathfinders:June 30-July 3 Entering grades 2 and 3	$240	$210	$190
Trailblazer 1: July 4-10 Entering grades 4, 5, and 6	$460	$420	$380
Trailblazer 2: July 18-24 Entering grades 4, 5, and 6	$460	$420	$380
Junior High 1: July 11-17 Entering grades 7, 8, and 9	$470	$430	$390
Junior High 2: July 25-31 Entering grades 7, 8, and 9	$470	$430	$390
Navigators: August 1-7 Entering grades 8, 9 and 10	$480	$440	$395
Senior High: August 8-14 Entering grades 10, 11, and 12	$500	$450	$400
LIT Program: July 4-31 Entering grades 11 and 12	$840	$750	$660
Voyager 1: July 11-17 Entering grades 7, 8, and 9	$550	$500	$455
Voyager 2: July 18-24 Entering grades 10, 11, and 12	$550	$500	$455

Parent or Guardian Agreement
I give full permission for my child to attend camp and to participate in all phases of the program. I do understand that my $75 deposit is nonrefundable and nontransferable. I also agree to pay the balance of my child's camp fee no later than June 1, 2010. I understand that a physician must have completed a health history form in the past year and a physical within the past two years. I understand that, on occasion, campers may participate in off-site field trips. I understand that Camp Squanto will provide transportation to and from said field trip sites, and every effort will be made to protect and safeguard all campers. Therefore, I agree not to hold the East Coast Conference or its agents liable for any illness or any mishap from any cause whatsoever which may be sustained. I also give the camp authority to deal with problems of discipline. I understand that any camper disregarding camp rules is subject to being sent home with no refund of their camp fee. Likewise, any camper who willfully destroys or defaces any property will be held responsible and charged accordingly. I authorize Camp Squanto to take and use photographs, slides and videotape of my child without compensation for the purpose of promotion.

I Agree

If there is anyone this child should NOT be released to, please indicate here

Pilgrim Pines Conference Center

Camp Squanto: Register

Special Discounts