2025

VOU Summer Camp

Registration & Health Form

First name

Last name

Camper's Age

Camper's Gender

Camper Shirt Size

Country/Region

Address

City

Zip / Postal code

Dropdown

Camper is a VOU Resident if they have pool pass.

Select the Week of Registration

Select the # of camp weeks.

Full Day Camper VOU Resident $395/wk Discounted$375

Full Day Camper Non Resident $415/wk Discounted$395

1/2 Day Camper VOU Resident $300/wk Discounted$290

1/2 Day Camper Non Resident $310/wk Discounted$300

GENERAL CONSENT & RELEASE: Parent(s)/Guardian(s) agree and grant permission for my child (or ward) to participate in the ITC Tennis Camp Program. I understand and agree that my child will abide by the Camp Rules and realize that any breach of those rules may result in immediate expulsion from camp without refund, which is at the sole discretion of the Camp Director. I agree to pay the amount specified for the type of service rendered, and if I pay by credit card, I agree to pay the amount specified according to the card issuer agreement. I authorize ITechCo LLC, or its authorized agents, at its or their discretion to place my child in a medical facility in the care of licensed health care providers at my sole cost and expense. I authorize my child to participate in the special activity of swimming and acknowledge that I recognized the potential risk, by participating in this activity, is drowning. I agree to indemnify and hold harmless, per the laws of Maryland, ITechCo LLC, the Villages of Urbana, and their respective officers, agents and employees from all loss, claims, and liabilities with respect thereto in the event of injury to my child in the course of instruction or free time, without fault of ITechCo LLC. I agree that ITechCo LLC retains the rights to and use of photographs of my child that it has taken at camp in marketing and/or advertising camp and tennis activities.

TERMS & CONDITIONS: By entering your name and date below, the applicant agrees to the following terms and conditions. You agree to make payment on the listed cost of the service at the time of payment. You agree and understand that the structure or schedule of camp may limited or altered due to government regulation or weather conditions and accept said altered structure or schedule. You agree the full amount of payment can be refunded, if a request for refund is made within 90 days prior to the listed start of the camp season, which is the first day of camp of the first session. If a request for refund is made within 60 days of the listed start date of the camp season, which is the first day of camp of the first session, a 50% refund will be issued. A refund will not be issued, if a request for refund is made within 59 days of the start of the camp season. In any case, if a refund is issued a $50 administrative fee will be required.

By stating your name and submitting this form online on the stated date, you acknowledge you have read and understand the GENERAL CONSENT & RELEASE and the TERMS & CONDITIONS, as well as the policies and procedures, as stated and posted by ITC Tennis and ITechCo LLC.

Short answer

Date picker

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VOU Summer Camp

Camper Health History

Camper's Emergency Contact #1 Information. In case of an emergency, this person may be contacted.

Short answer

Email

2nd Emergency Contact

Short answer

Email

Camper's Physician/Practice

Short answer

Health History

Are there any health problems including physical, psychiatric or behavioral problems of which we need to be aware?

If yes, explain health problems and considerations

Are there any medications, dietary restrictions, allergies or special needs that we need to be aware of to ensure that your child's camp experience is positive.

If Yes, please explain

Immunization Information

For campers who reside within the United States, a United States territory or the District of Columbia:

1. State/territory in which child resides:

2. Is child exempt form any immunizations?

If yes, list them

For campers who reside outside the United States, a United States territory or the District of Columbia:

1. Country in which camper resides

Attach Department form DHMH-896 9record of vaccination or immunity.

By entering my name and date below, I acknowledge the information is true and correct.

Date picker

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To process the registration and pay for the selected weeks of camp click the submit button below.