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Town of Marblehead
Abbot Hall
188 Washington Street
Marblehead, MA 01945



The Town of Marblehead has instituted the CodeRED Emergency Notification System. The CodeRED System will be used only to send critical communications.

To receive notifications, please register by clicking on the CodeRed Logo.If you have already registered and would like to change your contact phone number, please click on the CodeRed Logo and either log into your managed account (if you created one) or re-sign up for the notifications with your new phone number.

The CodeRed Mobile Alert app is also available by clicking on the logo below.

 
Application for a License to Conduct a Recreational Camp for Children

Leave This Blank:

Application for a License to Conduct a Recreational Camp for Children
Please fill in all information that is applicable to your camp.





























Required Documents

The following list of documents must be completed and submitted before your application for a license can be fully processed. You are strongly encouraged to complete these documents as soon as possible and submit them in advance. This will expedite the licensing process.

See the MA Regulations for Minimum Standards of Recreational Camps for Children, State Sanitary Code, Chapter IV-105 CMR 430.000 and the guidance documents issued by the Department of Public Health, Division of Community Sanitation for additional assistance with developing the following documents.

- Staff information forms (see below)
- Procedures for the background review of staff (105 CMR 430.090)
- Copy of promotional literature (105 CMR 430.190(C))
- Procedures for reporting suspected child abuse or neglect (105 CMR 430.093)
- Health Care Policy (105 CMR 430.159 (B))
- Discipline policy (105 CMR 430.191)
- Fire evacuation plan - approved by local fire department (105 CMR 430.210(A))
- Disaster plan (105 CMR 430.210(B))
- Lost camper plan (105 CMR 430.210(C))
- Lost swimmer plan (105 CMR 430.210(C))
- Traffic control plan (105 CMR 430.210 (D))
- Day Camps - contingency plan (105 CMR 430.211)
- Primitive, Trip or Travel Camps - written itinerary, including sources of emergency care, and contingency plans (105 CMR 430.212)
- Current certificate of occupancy from local building inspector (105 CMR 430.451)
- Written statement of compliance from local fire department (105 CMR 430.215)
- If applying for initial license after January 1, 2000 - lab analysis of private water supply (if applicable) (105 CMR 430.300.303)


Please note: If you are applying for an original camp license, that is, the original camp license in each community where the camp is located, you must file a plan showing the following with the board of health at least 90 days before your desired opening date (See MGL Ch.140 s. 32A):

- Buildings, structures, fixtures and facilities
- Proposed source of water supply
- Works for disposal of sewerage and waste water




Staff Information Forms

Camp Director






Health Care Consultant





Health Supervisor





Aquatics Director








Firearms Instructor




Horseback Riding Instructor







Supervisory Staff
Supervisory staff means those persons with the responsibility, authority and training to provide direct supervision to camper groups. This may include counselors, junior counselors, general activity leaders or other staff who provide supervision to campers without assistance.


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