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Port Jefferson Athletic Camp Registration 2025
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* Indicates required question
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student Grade for the 24-25 school year
K
1
2
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5
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8
Student Grade for the 25-26 school year
K
1
2
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5
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8
Parent/Guardian First and Last Name
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Your answer
Parent/Guardian Email
*
Your answer
Parent/Guardian Phone Number
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Your answer
Emergency Contact Name (other than parent/guardian)
*
Your answer
Emergency Contact Phone Number
*
Your answer
Please list any student allergies, medical conditions and medications the camp instructor needs to be aware of.
*
Your answer
Select All Camps your child is registering for
*
Boys/Girls Soccer
Boys/Girls Lacrosse
Boys/Girls Tennis
Baseball
Boys/Girls Track
Girls Volleyball
Football
Boys/Girls Basketball
Cheerleading
MultiSport Session 1
MultiSport Session 2
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