Muscular Dystrophy Association
NJ-Camp Merry Heart-Easter Seals-Camper (7/21/2019-7/26/2019)
7/21/2019 - 7/26/2019
Ages 8 - 17
Registration for this session is no longer available
We appreciate your interest in MDA’s summer camp program. It is important to read all the information below very thoroughly.
Application Instructions: Please complete the requested information in each section carefully and completely. ALL ANSWERS ARE REQUIRED. If a question does not apply to your child, you will need to enter N/A to be able to complete this application.

While we encourage you to complete the application in one sitting, if this is not possible, to ensure the work is saved, please follow these steps:
1. When filling out the application for the first time, you must go through all forms for your application to be connected with the summer camp your child is applying.
2. If you do not have time to complete all forms in one sitting, you will need to scroll down to the bottom of each form and select in the grey box the following option:
"No, this information is not complete. I will return to my account at a later time to complete it.” If you don’t make this selection, your work will not be saved, and you will have to complete it again.

MDA must receive your child’s completed camper application by the designated deadline in order to be considered for summer camp. As a reminder, MDA Summer Camp opportunities are in high demand, so we urge families to register early, as space is limited and is available on a first-come, first-served basis for those who are eligible.

A completed application consists of: the electronically signed camper application and MDA Legal Agreements and Camp Policies online form, your child’s immunization record, the physical form completed and sign by a physician, a recent photo of your child uploaded in UltraCamp and a copy of your child’s insurance card (front and back)

Thank you for completing the camp application for your child. If you have any questions or need to discuss your particular situation, please contact your local MDA office at...
161 N. Clark, Suite 3550 • Chicago • IL • 60601 • 800.572.1717 option 1
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