Online CFC Form​
    ​I would like to attend Chauncy Fiddle Camp! 

    This form must be submitted and payment must be mailed by June 17, 2020.
      By submitting this form you agree to the following:
    My child has permission to attend Chauncy Fiddle Camp sponsored by Elizabeth Anderson, held at 7 Chauncy St. in Westborough, June 24-26 2020 (rain date June 27), from 9:00 a.m. to 2:00 p.m. (4:00 p.m. for extended day). I shall make sure s/he does not attend if s/he is not feeling well or if s/he exhibits symptoms associated with COVID-19.  I will familiarize myself with and abide by camp policies for the prevention of COVID-19.  Parents will be REQUIRED to sign a form at drop-off each day attesting that the child does not have any of a specific list of COVID-19 symptoms and has not been exposed to a person known to be infected with COVID-19.  I understand that my child may be sent home if s/he exhibits symptoms or behaviors that are deemed to put other campers at risk.
    1. In case of medical emergency, the adult in charge will attempt to contact a parent/guardian.  Your electronic signature below grants permission to the physician selected by the adult in charge to hospitalize, secure proper treatment for, and order injection, anesthesia, or surgery for your child if we cannot contact you.  Your signature waives any responsibility for personal injury from Elizabeth, Benjamin, Janet, or Warren Anderson.  Please indicate all medical information and restrictions on this form.

    2. Water activities are programmed daily for camp participants.  Please indicate below if you grant permission for your child to swim and boat with a American Red Cross certified lifeguard present.  Every precaution is taken to eliminate any injury to our campers; however, water activities carry certain risks, including drowning and death.  Your electronic signature hereby waives, releases, and holds harmless from any liability or claims for damages which may arise in connection to swimming or boating on Lake Chauncy, against Elizabeth, Benjamin, Janet, or Warren Anderson.
    3. Photos from camp may be posted for viewing online or used for promotional purposes.  Please indicate below if you grant permission for photos of your child to be used.
    Cost of camp is $190.
    ​Please add $40 for Extended Camp and/or payment for projected extra supervision time.

    To complete your registration, mail check payable to Elizabeth Anderson to:
    Elizabeth Anderson
    7 Chauncy St.
    Westborough, MA 01581