1. Parent/Guardian acknowledges that Parent/Guardian has read and agrees to the terms of payment, cancellation, and late pick-up fees.
  2. Parent/Guardian gives permission for Camper to be photographed by Melody Pines and for those photographs to be reproduced for any purpose that Melody Pines deems proper.
  3. This application has Parent/Guardian’s approval and consent. Parent/Guardian authorizes Melody Pines to act for Parent/Guardian according to Melody Pines best judgment in any emergency, including but not limited to having Camper treated by a certified physician.
  4. Parent/Guardian realizes fully that even after reasonable precautions are taken some activities such as but not limited to swimming, boating, water skiing, bb-guns and archery, may involve inherent risks for which Melody Pines cannot be held responsible and Parent/Guardian, on behalf of themselves and Camper, hereby releases Melody Pines from claims arising therefrom.
  5. Parent/Guardian has accurately completed this Application and has read, understands and agrees to the terms outlined herein. Parent/Guardian agrees to review all program materials sent and to complete all required forms. Parent/Guardian gives Camper permission to participate in all activities and programs at Melody Pines, unless Parent/Guardian has provided detailed written limitations to Melody Pines that have been accepted by Melody Pines. Parent/Guardian agrees that all aspects of this relationship with Melody Pines are governed by New Hampshire Law.
  6. Parent/Guardian and Camper agree to abide by all of the rules and regulations established by Melody Pines, from time to time, including without limitations, those relating to enrollment and withdrawal of Campers.
  7. Melody Pines reserves the right to dismiss, in its sole discretion, any Camper whose condition, conduct, influence or behavior is deemed unsatisfactory or detrimental to the best interests of Melody Pines or his/her fellow campers or who violates Melody Pines rules and regulations, in which case no refunds will be made.
  8. If tuition, fees or other monies due and owing to Melody Pines are not paid in full for Camper when due, Parent/Guardian will be liable for all costs of collection, including attorney’s fees and costs.
  9. Each Camper must have a comprehensive insurance policy in effect at all times while enrolled at Melody Pines. A copy of the insurance card for Camper (front and back) must be submitted with this Application. In addition, each Camper must provide a record of a current physical (within 2 years), as well as his/her immunization records. Compliance with this Section to the satisfaction of Melody Pines is an absolute prerequisite to each Camper’s acceptance at Melody Pines.
  10. In the event any claim is brought against Melody Pines, in which Melody Pines prevails, Melody Pines shall be entitled to an award equal to all attorneys’ fees, court costs and out-of-pocket expenses of Melody Pines and its staff.
  11. Parent/Guardian understands and acknowledges that this form is a legally binding New Hampshire Contract/Agreement.

Session Dates

All camp sessions fill up quickly. Please be sure to call or email the office early for registration information! Click here to view the details of our campers' daily program.

  • Week 1 | June 15 - June 19 CANCELLED
  • Week 2 | June 22 - June 26 CANCELLED
  • Week 3 | June 29 - July 3 CANCELLED
  • Week 4 | July 6 - July 10 CANCELLED
  • Week 5 | July 13 - July 17 CANCELLED
  • Week 6 | July 20 - July 24 FULL
  • Week 7 | July 27 - July 31 FULL
  • Week 8 | August 3 - August 7 FULL
  • Week 9 | August 10 - August 14  FULL
  • Week 10 | August 17 - August 21 FULL

What to Pack!

  1. Sweatshirt – some mornings start off a little chilly at the lake.
  2. Bathing Suit and Towel – for every day.
  3. Lunch – Please pack your child's lunch in a labeled bag or box (no coolers), so that it may be refrigerated. Cans and glass containers are not allowed.
  4. Snack – Please pack a dry morning snack in your child's backpack (not lunch!) or change for the Snack Shack.
  5. Sunscreen – Please apply sunscreen heavily in the morning. If your child is sensitive to the sun, you may wish to pack additional sunscreen for his/her use.
  6. Wear Play Clothes – including sneakers. Sandals or open-toes shoes are not allowed.
  7. Water Bottles are optional. We do have water fountains here at camp.

Remember: Please LABEL EVERYTHING with your child's first and last name.

What Not to Pack

  1. Cell Phone
  2. Computer, I-Pad, Electronic Devices
  3. Toys
  4. Cans or Glass Bottles
  5. Anything that you do not mind not coming back should it get lost or damaged.

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 at the time of registration.

In addition, the State of New Hampshire REQUIRES that we have a statement on file, 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, 2018).
  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, medication orders, signed by the parent/guardian and physician, must be provided in order for all prescription and non-prescription medications to be administered.

All medical forms are due at the time of registration.  Failure to provide all required medical forms, within 2 weeks, 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.


  1. Registration will be available online for the summer of 2020! Registration for Returning Families will begin on Monday, February 3, at 6:00am.  Registration for 2019 Wait Listed Families will begin on Tuesday, February 4, at 6:00am.  Registration for New Families will begin on Wednesday, February 5, at 6:00am.
  2. In order to complete your child's registration, you must submit a copy of your child's most recent physical (which must be dated after Sept. 1, 2018), a copy of his most recent immunization record, and a copy of his health insurance card. Failure to supply all required paperwork within 2 weeks, will cause your child's registration to be cancelled.
  3. Melody Pines does not hold registration spots. Registration takes place on a first come first serve basis. As in years past, we anticipate the majority of our weeks will fill up fast, so be sure to act quickly.
  4. All registered campers for the Summer of 2020 will receive a Melody Pines T-Shirt!