The New York Aquarium Summer Camp 2011 Registration Request Form
Thank you for choosing the New York Aquarium for your child's SUMMER ADVENTURE!  Please read all of the information below before completing and submitting this form.

REGISTRATION PROCESS
• Registration for camp is on a first come, first serve basis so sign up early.  Please refer back to the website for camp descriptions and dates.  

• To submit a request to register your child for one of the summer camp sessions, please fill in the fields below.  We will need your first and second choices for camp selection, your contact information, and information about your child.  All fields marked with an asterisk (*) require you to fill them in.  Also, you can complete and print this form, then mail it to us at The New York Aquarium, Education Department-Summer Camp, Surf Avenue at West 8th Street, Brooklyn, NY, 11224. Once you submit this request form, we will contact you within 3-5 business days to confirm your registration and to arrange for your payment either by credit card or money order.  No personal checks will be accepted.

• A confirmation of your registration will be sent to you after your payment has been received. Along with your confirmation, you will receive important information about camp logistics, a camper release form (which can be downloaded from our summer camp website), and directions to complete the NYC Dept. of Health medical form.  All campers MUST SUBMIT A COMPLETED MEDICAL FORM and VACCINATION RECORD BY THE 1ST DAY OF CAMP.  Your child will not be admitted into the camp without the completed and signed form. A copy of this form is available for download also on our summer camp website.  

• Questions regarding registration, please call (718) 265-3457.

CANCELLATION POLICY
• Be advised that camp will be conducted rain or shine. A 50% refund for withdrawls or cancellations from camp will be provided if requests are received 4 weeks prior to the scheduled date of the registered session.  There will be no refunds for cancellations from programs made less than four weeks.  All cancellation requests must be made in writing either by email (NYAregistrar@wcs.org) or fax (718-265-3451). There will be a $15 per person service charge for each change made to the original registration.

• We reserve the right to cancel a program due to insufficient registration.  In that case, a full refund will be made.

Thank You!

The NY Aquarium Education Team
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First Choice Summer Camp and Session Selection (All camp sessions are from 9am to 2pm, EXCEPT AQUATIC ESSENTIALS SESSION A 9AM TO 3:15PM) *
What camp session would you like your child to attend?
Second Choice Summer Camp and Session Selection (All camp sessions are from 9am to 2pm) *
If your first choice is closed, what other sesion would your child like to attend?
Parent or Guardian's First Name *
Parent or Guardian's Last Name *
Child's First Name *
Child's Last Name *
Child's Birthday
e.g. 1/1/2000
Home Address *
e.g. 610 Surf Avenue, Apt. 2D
Home City *
e.g. Brooklyn
Home State *
e.g. NY
Home Zip Code *
e.g. 11224
Daytime Telephone Number *
e.g. 718-265-3457
Email Address
WCS Membership Number
How did you find out about summer camp at the New York Aquarium?
Check all that apply.
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