I am: (Please check one) New to WMI Returning to WMI
*First Program Choice:
Second Program Choice:
*Applicant's Name:
First Last Nickname
*Applicant's Gender:  Male      Female
Applicant's Email:
Applicant's Address: Street
  Street 2
  City
 
State      Zip
     
  Country
*Home Phone:
Home Fax:
*Applicant's Birthday: / /
*Applicant's Grade Level:
Name of School:
(Optional) Please upload a recent photo of the applicant to help us identify the student upon arrival:
*Applicant lives with: Mother    Father    Both    Other:   
Please note; if applicant lives with a legal guardian other than mother or father, the legal guardian should fill in his or her information in the "mother's" section below and check off "other" above.
Mother's Name:
First Last
Mother's Email:
Mother's Work Phone:
Mother's Mobile Phone:
Mother's Work Fax:
Mother's Occupation:
Name of Employer:
Father's Name:
First Last
Father's Email:
Father's Work Phone:
Father's Mobile Phone:
Father's Work Fax:
Father's Occupation:
Name of Employer:
Preferred email: Mother's    Father's    Either
YES, WMI may share our contact information with WMI students enrolled in the same program prior to the      program start.
NO, please do NOT share our contact information with other families prior to the program start.
Siblings:
Name Age Name Age
How did you hear of us:
*In order to reserve a space in one of our programs you will need to place a deposit of $850:
I have already paid my deposit to reserve my space.
I will call the Windsor Mountain office with my credit card information within 48 hours
(603-478-3166).
I would like to pay online using my credit card OR using my PayPal account. (This choice will allow you to log on to your PayPal account, OR simply make a secure credit card payment without a PayPal account).
I will mail a check to the following address within 48 hours; and understand that my space will not be confirmed until the check has been received.

Windsor Mountain International
One World Way
Windsor, NH 03244

Note; This application is only valid when completed by the parent or legal guardian of the student for whom it is being submitted. A hard copy of the PROGRAM CONTRACT stated below will also be mailed to you for your signature. To download a copy of this application that can be signed and mailed in
click here.

PROGRAM CONTRACT · This is a legal document. Please read and understand before signing

Your child's participation in a WINDSOR MOUNTAIN INTERNATIONAL (WMI) program is contingent upon receipt of all mandatory forms, which include signed Program Contract, signed Family Information/Health Form, Teacher Reference (new students only), Travel Form and Parent and Student Questionnaires. These forms will be mailed in January, or upon receipt of your application for later enrollments. Certain travel programs will also require Activity Release Forms and Personal ID forms, which will be mailed to you in May. You may reserve a space in any WMI program by filling out this application and sending it to our address with your $850 deposit. WMI applications are accepted on a rolling basis throughout the year and are subject to space availability. In our screening process, we seek to ensure that students are capable of meeting the physical and emotional demands of an intensive, small group program . WMI reserves the right to refuse and/or rescind acceptance to a student at any point if we believe he/she is unsuitable for our programs for any reason including: health, physical ability, or behavioral history.

Conditions for participation

An emphasis on rules runs contrary to the spirit of WMI. Our approach is to offer learning, adventure and a group experience within the boundaries of safety, common sense and the law. Living within a small group is challenging, and students will be expected to actively participate and possibly compromise some of their own needs for the common goals of the group. While participating in program activities, students must follow the stated instructional sequence and safety standards including but not limited to the wearing of helmets, lifejackets and seatbelts. Unsafe actions taken by any participant are grounds for dismissal. Possession or use of tobacco products, weapons, alcohol or unprescribed drugs, as well as sexual activity, exclusive relationships, and unauthorized absence from the group are against our rules, and we are inflexible about them. WMI reserves the right to dismiss participants who we believe have violated any of these conditions for participation in our programs. Participants who are dismissed or who withdraw will be sent home at their own expense, without tuition refund, even in the case of medical conditions. In the event of homesickness, our staff is here to help children and parents complete their summer experience. If you and your child make the decision to leave camp or a travel program for reasons of homesickness or any other cause, your decision cannot be reversed. There will be no tuition refund as a result of early departure.

Tuition information

Tuition balances are due in full according to the Payment Information on the reverse side of this form, or with your application if applying after April 1st. We will not continue to reserve the space of any participant whose tuition payment is more than 30 days late. Tuitions cover all program activities. Tuitions do not cover transportation to and from the starting or ending points of programs, personal spending money, or expenses for professional medical care or personal needs. The camp store fee (for summer campers) or contingency fee (for travel students) will be included on your bill. Unused camp store or contingency funds will be returned by the end of September.

Deposit and tuition refunds

Your $850 deposit includes a $250 non-refundable processing fee. WMI is not obligated to refund any tuition paid after February 1st. Trip cancellation insurance is available through some insurance companies and may reimburse you for non-refundable tuition and/or travel costs.

Health forms

Each participant must submit a completed WMI Family Information and Health form which has been signed by a physician within one year of the start of the program, based on a physical received within two years prior to the program. Participation in a program is contingent upon our approval of the health form. All students must be covered by medical insurance. In case of illness or injury, WMI shall have the right to administer first aid and/or take the injured student to medical services. The cost of these services, including expenses for both the student and accompanying staff person, are the responsibility of the parent or guardian. WMI will help obtain standard medical insurance forms from health care providers to aid in any insurance claims. Students who leave the program for medical reasons are not eligible for a tuition refund.

Transportation

Transportation to and from the starting point of each program is the logistical and financial responsibility of the parents/guardians. Detailed information will be sent after receipt of your application. Regardless of transportation mode, travel arrangements and the travel information form must be submitted to WMI.

Bus Arrangements

For a fee, WMI bus transportation is available from New York, Boston and Manchester for the International Summer Camp and selected Travel programs.

Air Arrangements

All air transportation can be arranged through our travel agent. All students travelling abroad are encouraged to fly with their group from the U.S. gateway airport.

Program Development

Program development continues throughout the year after the catalog description is complete. As new opportunities arise or practical considerations require, the itinerary, destinations or other aspects of a trip may change. Parents and students will be informed about substantive changes before the summer begins. WMI reserves the right to cancel any program which does not enroll a minimum number of students.

Risk Management

Safety management is our priority, and we have an exceptional record to prove it. The physical and emotional well-being of our participants is the primary concern of our leaders. WMI uses care in the selection of our leaders, transportation companies, outfitters, facilities and services, and takes proactive steps to identify, analyze and manage risk to all participants and their personal property. Our risk management protocol cannot remove all risk; parents and participants must understand the nature of our programs and accept the inherent risks involved in such activities.

Equipment

WMI will provide equipment needed for group travel and living (e.g. tents, stoves, cooking utensils, first aid equipment, vans, etc.); participants are expected to care for equipment. If a student damages or loses any equipment belonging to WMI, the student and/or parent will be held responsible (normal wear and tear excluded). WMI insurance does not cover the personal property and equipment of participants; parents should check with their own insurance policy to ensure their child's personal property and equipment are covered against loss, theft or damage.

FINANCIAL AID

Since its inception in 1961, WMI has been committed to providing an enriching educational summer experience to the widest possible spectrum of students. Recipients of financial aid give as much as they gain from their experience. They enrich the group of which they are a part and gain immeasurably in terms of personal growth, skills and a new perspective on themselves, their own home and the world beyond. In the 2005 season, WMI gave financial assistance to more than 100 students. Look for 2006 details and information on how to apply for financial aid on our website at http://www.windsormountain.org/general/financial-aid-for-summer-camp.html.

ASSUMPTION OF RISK, WAIVER OF LIABILITY AND INDEMNIFICATION AGREEMENT

I have read and understand the program descriptive materials for which my son or daughter is applying, and the above contract, and I agree to these terms and conditions. There are certain risks inherent in a number of Windsor Mountain International (WMI) activities and programs; I understand the nature of these programs and accept the risks involved. I, or my child, my heirs and assigns, agree to release, waive, covenant not to sue, indemnify and hold harmless WMI and their agents of any and all liability from negligence and responsibility of any nature for any loss or damage to property or personal injury, including death or illness, incurred by my child while participating in a WMI program. Jurisdiction for all legal action will be in Hillsborough County, New Hampshire. I understand that any individual upon bringing legal action against WMI which results in a decision in favor of WMI will be responsible for all legal fees, court costs, and out of pocket expenses of WMI. I also understand that WMI will dismiss without tuition refund and at parent(s) expense any student who disrupts the group or who violates the Conditions for Participation. I give permission to WMI to use photography and video of my child and to use his/her creative writing in promotional, documentary, and other educational publications.

* I hereby confirm that I have read and accept the terms listed above and that I am the legal guardian of the student for whom this application is being completed.
*Guardian's Name:
First Last