Summer Play Camp at Blue Rock- Camper Registration Form
Camp Session: July 1-August 1, 2019
Hours: Monday-Friday 9:30am-3:00pm
Registration due: May 1, 2019
Payment & Heath Forms due: June 1, 2019

We are so happy your child would like to join us this summer! Please fill out this form, taking care to spell e-mail addresses and phone numbers correctly. To hold your child's spot, please mail a deposit check for $150 to: Summer Play Camp at Blue Rock, 100 Demarest Mill Road, West Nyack NY 10994. Checks MUST be made out to "Blue Rock School."

There is no need to print out and mail in this form along with your check. We receive and process it electronically, which saves some trees! :)

Registrations received after May 1 will incur a $50 late registration fee. Full payment, health form, and immunization records are due by JUNE 1, including for campers attending later sessions. We offer the ability to pay by credit card, but credit card payments will include a 5% service charge. If you want to pay by card, please call us at 845-627-0234.

We hire our experienced staff well in advance of the start of camp, and therefore cannot offer refunds for days missed due to illness or other reasons.

When selecting weeks, please note that we have a 5 and 4 day option for campers, with the rates adjusted accordingly. Most campers come five days, but some families choose to have their child come Monday-Thursday. We offer early drop off starting at 9am.

Camp is closed July 4 and 5 for the Independence Day Holiday. Also please note that Week 5 is Monday-Thursday only.

Please feel free to reach out with any registration questions: summerplaycamp@bluerockschool.org
Email address *
Camper's Name *
Your answer
Camper's Gender *
Camper's Age (on July 1, 2019) *
Camper's Date of Birth *
MM
/
DD
/
YYYY
Grade entering in fall *
Weeks Attending. *
Required
Would you like to sign up for Early Drop-off? Early drop-off begins at 9am (no earlier). The cost is $40/week
Please add up your subtotal for tuition for the weeks your child is attending, plus early drop-off if applicable. *
Your answer
Are you eligible for any discounts?
Total Amount Due *
Your answer
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