Muscular Dystrophy Association
MO - Pinecrest Camp & Retreat Center
6/14/2020 - 6/19/2020
Ages 8 - 17
Registration for this session will begin on 1/28/2020 at 12:00 AM
We appreciate your interest in MDA Summer Camp. It is important to read all the information below thoroughly.

Please complete the requested information in each section carefully and completely. A RESPONSE IS REQUIRED IN EACH FIELD. If a question does not apply to your child, you will must enter N/A to be able to move forward and complete the application.

When filling out the application for the first time, you must go through all prompted forms for the application to connect with the Summer Camp session to which your child is applying. It is encouraged to complete the application in one sitting. If this is not possible, to ensure the work is saved, please follow these steps:

1. Scroll to the bottom of the form where it states Completion Status and check the box next to ‘No, this information is not complete. I will return to my account at a later time and complete it.’
3.Click Save on the bottom-right of the form.

If you don’t follow these steps, your work will not be saved, and you will have to complete the entire application again.

As a reminder, MDA Summer Camp opportunities are in high demand. 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. MDA must receive your child’s completed camper application no later than eight (8) weeks prior to the start of the camp session in order to be considered for summer camp.

A completed application consists of:

1. A recent photo of your child uploaded in UltraCamp
2. An electronically signed camper application and MDA Legal Agreements and Camp Policies online form on UltraCamp
3. A copy of your child’s insurance card (front and back)
4. Your child’s immunization record
5. The Camper Physical form completed and signed by a physician

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