MECEC Application for Summer Camp
Camp hours 8:30 am - 1:00 pm.  $375 per week.

Children should bring a swimsuit, towel, snack & lunch daily.
A current medical history, immunization record, summer emergency release and other forms are required on file before your child may begin camp.

If you are applying for more than one child, EACH camper needs their own application.
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Email *
Child's Full Name (and nickname) *
Child's Date of Birth (Please note campers need to be at least 2 years 9 months by their first day of camp). *
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Parent/Guardian #1 Name: *
Address: *
Home Phone Number: *
Active Cell Phone Number: *
Parent/Guardian #2 Name: *
Parent/Guardian #2 Address: (if different than above) *
Active Email: *
Child's Primary Residence:
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Does your child have any allergies or special health concerns? *
If yes, please explain:
Has your child been enrolled in a school or camp program before? *
If so, where? *
Is there any information you would like to share with us to help us better support your child? *
Is your child potty trained? *
Which weeks you would like to enroll your child? *
MECEC utilizes a third party app, Brightwheel, in order to collect camp tuition and communicate with families. By checking below, you agree to download the app for those purposes. *
MECEC is licensed by the NY State Office of Children and Family Services (OCFS).  Upon receiving notification that your child's camp enrollment is confirmed, you understand that your child will need appropriate documentation, medical forms from your pediatrician with up to date vaccination records and physical examination within the last year.  You also agree to follow any MECEC policies and health guidance. *
A copy of your responses will be emailed to the address you provided.
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