Emergency Contact Information
Child Pick-Up Authorization
In the event that I am unable to pick up my child, I authorize the camp to release my child to the following people:
Please attach both the filled out "Authorization for Administration of Medication" and the "Youth Camp Health Exam/Record" forms below.
If you do not have the forms and will be submitting them at a later date, please check the box below the attachment spot.
Parent/Guardian Authorization for Application of Non-Prescription Topical Medications by Camp Nurse
I request that the below-mentioned non-prescription topical medications be administered to my child by the Camp Nurse.
I understand that I am responsible for supplying the camp the non-prescription topical medication in the original container clearly labeled with my child's name.
This is for insect spray and sunscreen that is provided by the camper or campers family.
If my child forgets their sunscreen and/or bug spray, I give permission to KPDC staff to provide sunscreen and/or bug spray.
Payment for KPDC is accepted in one of three forms:
1) Online payment through FCCB Giving
2) Mailed in check made out to First Congregational Church of Branford
3) Scholarship Application
Prices are as follows:
1 Week - $275 1 Week Sibling - $250
2 Weeks - $550 2 Weeks Sibling - $500
3 Weeks - $825 3 Weeks Sibling - $750
4 Weeks - $1100 4 Weeks Sibling - $1000
For Junior Counselors:
1 Week - $100
2 Weeks - $200
3 Weeks - $300
4 Weeks - $400
Please note that a $10 late fee will be charged for the first 15 minutes, or any part thereof, with an additional $15 for every 15 minutes thereafter that the child remains at the bus stop beyond the pick up time.
Habitual Late pickups (2 times) will result in the child's dismissal from the camp.
No refunds will be given for cancellations made after June 1, 2025.
Please select your desired payment method and follow the instructions below.
If you are paying online, please click the following link and follow the instructions:
https://www.firstcongregationalbranford.org/pages/give
If you are paying by check, please make out all checks to:
First Congregational Church of Branford
1009 Main Street
Branford, CT 06405
If you are requesting a scholarship application, please check the box below:
I give KPDC permission to call 911 in case of an emergency. I, the parent/guardian of minor participant, recognize the possibility of physical injury, associated with the activities at camp. I hereby release, discharge and/or otherwise indemnify Killam’s Point Day Camp, Killam’s Point Conference Center, all personnel, against claims by or on behalf of the registrants as a result of the registrant’s participation in camp programs.
If my child is ill or has a fever, I will not send my child to camp nor if he/she is exhibiting any known symptoms of or has recently been in contact with anyone who I reasonably believe has COVID-19. I agree that my child will follow reasonable precautions set up by staff, including frequent handwashing, and the like.
Killam’s Point Day Camp is located outdoors in a woodsy area on the ocean. During inclement weather, camp may be moved to the First Congregational Church or may have to be cancelled for the day to ensure everyone’s safety.
I fully understand that there are known and potentially unknown risks of utilizing the programs. Accordingly, I will not hold Killam’s Point Day Camp or its affiliates liable for any loss or damage relating to or resulting from an illness even if such loss or damage results from attendance at camp.
I HAVE READ AND VOLUNTARILY SIGN THIS ASSUMPTION OF RISK AND WAIVER OF LIABILITY. I understand the information above, and acknowledge that it is my responsibility to abide by Killam's Point Day Camp Policies.
By signing here, I also agree to all the above permissions, billing and waiver:
If you do not authorize the use of participant photos on Killam’s Point’s website, flyers, social media, brochures, and advertising, please type your initials below:
