Stony Kill Summer Explorers Camp 2019
Please complete one registration form per camper. Once payment has been received, registration will be complete and you will receive a confirmation email. IMPORTANT INFORMATION: Please verify last day of school dates before registering as the first week of our camp, Project Discovery runs June 17 - 21 and the second week runs June 24 - 28.
Email address *
Child's Name *
Your answer
Child's Birthdate *
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Child's Age at start of camp (child must be 4 years old by start of camp)
Your answer
Parent/Guardian's First and Last Name *
Your answer
Parent/Guardian's Email *
Your answer
Address *
Your answer
Parent/Guardian's Home Phone number *
Your answer
Parent/Guardian's Cell number *
Your answer
Parent/Guardian's Work number
Your answer
Second Parent/Guardian's First and Last Name
Your answer
Second Parent/Guardian's Home number
Your answer
Second Parent/Guardian's Cell number
Your answer
Second Parent/Guardian' Work number
Your answer
Emergency Contact Name and relationship to child *
Your answer
Emergency Contact Phone Number *
Your answer
Choose your summer camp(s) below: *
Required
Do you need before or after care? There is an additional charge of $25 per day.
Are you a current member of Stony Kill Foundation?
There is a discount camp rate for members, are you interested in becoming a Family member for $40?
Does your child have any allergies? (food, environmental, etc.) Please indicate any medication that you will be leaving with your child.
Your answer
Does your child have any special needs? Please explain.
Your answer
Our Camp Director and staff will be taking pictures each week and would love to post them on Stony Kill Foundation's social media accounts and website! We will also email all parents/guardian's photos at the end of the camp. Please indicate the following: *
How did you hear about Stony Kill's Summer Explorers Camp?
Your answer
Payment options: Once your form is submitted, you will receive an email confirmation from our Program Director with the amount due and payment options. Registration is complete once payment has been received. A full refund will be granted if we are notified by May 17, 2019. After this date, no refunds will be issued. *
A copy of your responses will be emailed to the address you provided.
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