Note:  Please fill out the following application, print and sign it, then send to:
 Mr. and Mrs. Peter P. Rice, Jr., Echo Hill Camp, 13655 Bloomingneck Road, Worton, MD 21678-0194

In addition to the application, please be sure to submit a completed health form.
Download a .pdf copy of the Health Form (3 pages). 
Download a .pdf copy of the Application (2 pages). 

Please allow time for all pages to download.

ECHO HILL CAMP
APPLICATION (online version)
13655 BLOOMINGNECK ROAD
WORTON, MARYLAND 21678-0194

Camper's Name:     Nickname:

CAMP SEASON    FULL SESSION          FIRST 2 WEEKS CAMP    FIRST HALF                SECOND 2 WEEKS    SECOND HALF          THIRD 2 WEEKS                                               LAST 2 WEEKS

SAIL  * SKI                  Camp       FISHING AND            CRABBING CAMP

Parent's Name:

Address:

City:   State:   Zip:

Telephone:   Camper's e-mail address:

Date of birth of camper:    Age as of July 1st, 2006  Years:    Months:

School:  

Grade next September:   Number of seasons at Echo Hill:   Adult T-shirt size:

Father's business: 

Business Address:   Telephone:
                                 

Mother's business:

Business address:    Telephone:  
                                 

Parents' summer address:  
                                              

Parents' summer phone:
 
                                               
If you will be traveling, please send dated itinerary to camp office.

In case of emergency, and the director cannot reach the family, contact:

Name:   

Address:
                  

Telephone:
 
Echo Hill was referred to me by:

My child   may   may not  participate in "Ropes" - a physical obstacle course designed to
increase personal confidence and teamwork utilizing basic techniques used in rock climbing.

Please recommend friends whom you believe would be interested in receiving the
camp brochure:

Name:    

Address:
                            
                                                                   

Name:    

Address:  
              
                     

 

STANDARD CONDITIONS OF ENROLLMENT RECOMMENDED BY THE  AMERICAN
CAMPING ASSOCIATION  
 

I have read and agree to the terms stated on all pages.

I desire my child to participate in the complete camp program and all activities unless I advise
you otherwise in writing.

 

The camp has an exciting trips and travel program. Sometimes campers will travel by camp
van or contracted bus service (school bus and coach style) for day trips and overnight trips to
locations which could be several hours from camp.

 

I agree that having taken such precautions  as in your discretion are deemed advisable, the
Camp shall not be held responsible for any sickness or accident to my child.  If for any reason
my child requires medical attention beyond that  furnished by the Camp, or covered  by the
Health and Accident insurance provided, I agree to be responsible for any additional
expenses incurred.

 

I agree that the camp has the right to use whatever pictures or videos which may be taken of
my child at camp for the purpose of enhancing camper enrollment and/or advertising the camp.

 

In the event I cannot be reached in an EMERGENCY I hereby give permission to the physician
selected by the Camp Director to hospitalize, secure proper treatment for and to order injection,
anesthesis or surgery for my child.

 

Visiting parents sometimes take their children out of Camp for a meal.  If my child is
asked to accompany a fellow camper with his parents or guardians, he  may
  May NOT  accept the invitation.

 

Parent or Guardian signature:
 

 

This application has my approval: _______________________________  Date: __________                          

 

Note:  Please fill out application, print and sign it.  Mail application with a $600 deposit to:

 

 

Mr. & Mrs. Peter P. Rice, Jr. Echo Hill Camp 13655 Bloomingneck Road Worton, MD 21678-0194    410-348-5800  Home  410-348-5303  Camp  410-348-5406  Barb (Camp Secretary)

To be filled in by directors: Application Received: ______________________ Application Accepted: ______________________ Deposit Received: _________________________ Group: __________________________________

 

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Download a .pdf copy of the Health Form (3 pages). 
Download a .pdf copy of the Application (2 pages). 
 
Please allow time for all pages to download.

Download Adobe Acrobat Reader (free!)
 

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