Melody Pines Day Camp
is a family owned
business currently operating in its

67th SEASON

About MPDC Parents Campers Links Camp Store Contact Home

Hours of Operation

7am-9am Drop-Off
9am-3:45pm Daily Program
3:45pm-5:30pm Pick up

Visiting Hours June, July and August by appointment only

Quicklinks

REGISTRATION 2017 - Customer Log-In
Director's Message
2017 Session Dates
Directions to Camp
Daily Program
Get Cool Camp Gear!

Registration | Medical Forms

Each camper must have a comprehensive insurance policy in effect at all times when enrolled at Melody Pines. A copy of the insurance card for Camper (front and back) must be submitted with your application.

In addition, the State of New Hampshire REQUIRES that we have a statement on file, prior to your child's start at camp, signed by your physician and indicating the following:

1. That your child has had a complete physical within the last 2 years (must be dated after Sept. 1st, 2015).

2. That your child's immunizations are up to date.

3. The date of your child's most recent tetanus shot.

If your doctor's office does not provide you with such a statement or record at your child's physical, please download the Universal Health Form for Camp and bring it to your doctor's office to be completed.

In addition, doctor's orders must be provided in order for all prescription and non-prescription medications to be administered.

Failure to provide all required medical forms will result in the cancellation of your child's registration.

You will need Acrobat Reader in order to download this PDF document. To get Acrobat, click here.

Universal Health Form for Camp