Camp Nessie Registration Form

Camp Nessie Registration and Consent
As of June 27th Camp Nessie is now FULL for the rest of the 2022 summer.

For any questions, please contact Recreation Manager John Schroeder at jschroeder@innisbrookresort.com, 727-942-5518, or 727-942-2000 x5987. You may also contact Dan Kilbride at dkilbride@innisbrookresort.com, or 727-942-2000 x 5987.

*Please note that a 48-hour notice is required to register your child and no walk-ins will be accepted.
Please select all that apply:

Camp Nessie - All Day Camp Nessie - AM only (9am-1pm) Camp Nessie - PM only (12pm-4:45pmn Pool time only) Tennis Signup (9am-12pm)
Parent/Guardian Information
Parent/Guardian Name *

First Name Last Name
Relationship *
Phone Number *
Please enter a valid phone number.
Primary Email *
*Important camp information and updates will be sent to the email address on file.
Parent/Guardian Name

First Name Last Name
Relationship
Phone Number
Please enter a valid phone number.
Email
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Child Information
Child's Name *

First Name Last Name
Child's Gender *
Child's Date of Birth *

Month Day Year
Child's Age *
Swimming Ability *
(Children that are over 48" and a proficient swimmer may ride the slides. Children that are 42”– 48” must have a signed waiver on file and child must be proficient a swimmer. No flotation devices are permitted on the slides.
If you are registering more than one child, please fill out the fields below for each child.
Child's Name

First Name Last Name
Child's Gender
Child's Date of Birth

Month Day Year
Child's Age
Swimming Ability
(Children that are over 48" and a proficient swimmer may ride the slides. Children that are 42”– 48” must have a signed waiver on file and child must be proficient a swimmer. No flotation devices are permitted on the slides.
Child's Name

First Name Last Name
Child's Gender
Child's Date of Birth

Month Day Year
Child's Age
Swimming Ability
(Children that are over 48" and a proficient swimmer may ride the slides. Children that are 42”– 48” must have a signed waiver on file and child must be a proficient swimmer. No flotation devices are permitted on the slides.
Child's Name

First Name Last Name
Child's Gender
Child's Date of Birth

Month Day Year
Child's Age
Swimming Ability
(Children that are over 48" and a proficient swimmer may ride the slides. Children that are 42”– 48” must have a signed waiver on file and child must be a proficient swimmer. No flotation devices are permitted on the slides.
Any Known Allergies? *

Yes No
If yes, please list below:
Any Medications? *

Yes No
If yes, please list below:
Other Known Conditions *
*If none, please type N/A
Emergency Contact

The person(s) listed below are authorized to pick up my child from Camp Nessie
Name *

First Name Last Name
Phone Number *
Please enter a valid phone number.
Relationship *
Name

First Name Last Name
Phone Number
Please enter a valid phone number.
Relationship
Camp Dates

*A 48-hour notice is required for all camp dates
Please select the camp portion you are signing up for *
Please select the camp week(s) you are signing up for *

Week 1: May 31 - June 3 (Closed May 30) Week 2: June 6 - June 10 Week 3: June 13 - June 17 Week 4: June 20 - June 24 Week 5: June 27 - July 1 Week 6: July 5 - July 8 (Closed July 4) Week 7: July 11 - July 15 Week 8: July 18 - July 22 Week 9: July 25 - July 29 Week 10: August 1 - 5
Please select which day(s) you would like to attend *

Monday Tuesday Wednesday Thursday Friday Full Week
Additional Camp Information

The following questions are regarding purchases at The Grill at Loch Ness
If you are not a member and you would like your child to be able to order food or ice cream, we highly encourage you to purchase a gift card online and provide the gift card information to our Recreation Team.

VIEW GRILL MENU HERE

Gift cards can be purchased here: https://www.innisbrookgolfresort.com/#gift-cards
Do you give permission for your child to order from The Grill at Loch Ness? *

Yes No
Is your child allowed to order for their friends? *

Yes No
If yes, how much can your child spend per day?
Will your child be attending the morning Tennis Camp? (requires separate registration) *

Yes No
Waivers and Releases
Release statement: The undersigned parent or legal guardian of the child/children listed above hereby consents and authorizes participation in Innisbrook, A Salamander Resort’s Recreation, Golf, and Tennis Department's Youth Program. I understand that my child/children will engage in a number of sports and activities that require physical exertion and acknowledge that there is a risk of personal injury to my child/children. In consideration for Innisbrook Resort recreation accepting the above names children into the Youth Program, I do hereby for myself, my spouse, my children, my heirs, personal representatives and assigns, forever discharge Innisbrook Resort, its agents, servants, associates, officers, directors, affiliates, sureties, successors, and either in law or equity, arising from or as a result of my child/children's participation in Innisbrook, A Salamander Resort’s Recreation, Golf, and Tennis Department's Youth Program.
Name *

First Name Last Name
Signature *

Clear
Photo/Video Waiver: I knowingly give consent for the release of any photographic images that may be taken during my child’s participation in Camp Nessie for the use by Innisbrook Resort, A Salmander Resort for use by Innisbrook Resort for its publications, promotional materials, website, social media, advertisement, press releases, and/or any other sanctioned materials. I hereby grant permission to the rights of my child’s image, likeness and without payment or any other consideration. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.
Name *

First Name Last Name
Signature *

Clear
Payment Information
To complete your camp payment, please see below:

Full-Week Sessions - Please click here to pay

Full-Day Sessions - Please click here to pay

Half-Day Sessions - Please click here to pay

Innisbrook Staff - Please click here to pay
Member Number
*For Innisbrook Members Only
Staff Department
*For Innisbrook Service Professionals Only
Any additional notes or requests for the recreation team?
Should be Empty:

Camp Nessie Registration and Consent

Parent/Guardian Information

Child Information

Emergency Contact

Camp Dates

Additional Camp Information

Waivers and Releases

Payment Information