Forms

After completing your camp purchase(s), please submit the following forms to finish registration:

  1. Camper Information

  2. Emergency Medical Treatment Authorization

  3. Media Authorization

  4. Health Forms

Please submit the following form if you would like to allow your child(ren) to take the Vineyard Transit Authority (VTA) bus home at the end of camp each day:

  1. Public Transportation Permission Form

After completing your tennis purchase, please submit the following form to finish registration:

  1. Tennis Registration

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Camper Information

Please provide your family and emergency contact information.

Emergency Medical Treatment Authorization

I understand that every effort will be made to contact me in the event of an emergency requiring medical treatment for my children, who are enrolled in the Chilmark Community Center Summer Program and listed below. However, if I cannot be reached to make arrangements for emergency medical attention at the time of an illness or accident, I hereby authorize the Chilmark Community Center staff to contact the local Emergency Medical Technicians and, if the situation requires it, have them transport my child(ren) to the Martha’s Vineyard Hospital Emergency Room, or to any medical facility that is deemed appropriate for necessary treatment by the attending staff. Your consent is required for camp participation.

Media Authorization

I have completed my membership application online at www.chilmarkcommuntycenter.org. I hereby grant The Chilmark Town Affairs Council, Inc. the right to use the name, image, voice, and likeness of me, my child (or any member of my family attending a Chilmark Community Center event) in a still photograph, video, or other form on its website and otherwise on the internet. I waive any approval rights or right to compensation for such use and understand that The Chilmark Town Affairs Council, Inc. has the right, but not the obligation to use such material.

Health Forms

Please upload copies of your child’s/children’s immunization/health records at the following link https://www.dropbox.com/request/UWRXFOYVbiypuCxw3ENJ using the format Lastname_Firstname_Health.pdf.

Health records must demonstrate compliance with 2019 Massachusetts Camp Health Requirements.

Public Transportation Permission Form

Please fill out the following form to allow your child(ren) to leave the Community Center via the Vineyard Transit Authority (VTA) bus at the end of the camp day.

Tennis Registration

I hereby authorize The Chilmark Town Affairs Council, Inc. (d/b/a Chilmark Community Center) to charge my credit card for any tennis clinics, round robins, or other goods and/or services for which payment remains due at the time the service is rendered for myself and those individuals included in my Chilmark Community Center Membership(s).