Camper Application OLD

Mother's Name *

First

Last

Father's Name *

First

Last

Mother's Cell *

Father's Cell *

Mother's Email *

Father's Email *

Emergency Contact *

First

Last

Emergency Contact Tel *

Doctor's Name *

Doctor's Tel *

Summer Address/ Name of Colony (include Unit #) *

Summer Home Tel *

Campers Applying

Nursery All children born between Jan 2019 - Dec 2019
Kindergarten All children born between Jan 2018 - Dec 2018

Please fill out ALL fields for each child applying.

Child 1 Name *

First

Last

Child 1 Age *

Child 1 Division *

Nursery-6th grade....$725 first half Nursery-6th grade....$725 second half Nursery-6th grade....$1450 whole summer Girls TCs: 7th-9th.....$1025 second half only

*** LUNCH INCLUDED! ***

Child 1 Date of Birth *

Child 1 Entering Grade *

Child 1 Allergies or Notes *

Child 1 T-shirt Size *

Child 2 Name *

First

Last

Child 2 Age *

Child 2 Division *

Nursery-6th grade....$725 first half Nursery-6th grade....$725 second half Nursery-6th grade....$1450 first half Girls TCs: 7th-9th.....$1025 second half only

*** LUNCH INCLUDED! ***

Child 2 Date of Birth *

Child 2 Entering Grade *

Child 2 Allergies or Notes *

Child 2 T-shirt Size *

Child 3 Name *

First

Last

Child 3 Age *

Child 3 Division *

Nursery-6th grade....$725 first half Nursery-6th grade....$725 second half Nursery-6th grade....$1450 whole summer Girls TCs: 7th-9th.....$1025 second half only

*** LUNCH INCLUDED! ***

Child 3 Date of Birth *

Child 3 Entering Grade *

Child 3 Allergies or Notes *

Child 3 T-shirt Size *

Child 4 Name *

First

Last

Child 4 Age *

Child 4 Division *

Nursery-6th grade....$725 first half Nursery-6th grade....$725 second half Nursery-6th grade....$1450 whole summer Girls TCs: 7th-9th.....$1025 second half only

*** LUNCH INCLUDED! ***

Child 4 Date of Birth *

Child 4 Entering Grade *

Child 4 Allergies or Notes *

Child 4 T-shirt Size *

Payment Information

Please email [email protected] if you do not receive a confirmation text/email within 2 days of applying.
A $500 non-refundable registration fee per child will be processed once your application is approved and your child is accepted.
This fee will be applied towards your balance.
To pay by check or Zelle, please email us immediately.
Your child is considered registered once payment clears and all medical forms are received.
Payment must be completed in full by May 15, 2022.