2020 Evergreen Summer Camp Registration
Welcome! Registration has begun! There are a limited number of students that we can accept so don't forget to fill out the forms. We are so excited for this year's summer camp!
If you have any questions, please contact at camp@nyevergreen.com or 516-822-6900 (email is preferable).
Thank you!

www.nyevergreen.com/summer-camp
https://www.facebook.com/nyevergreencamp
REGISTRATION FORM
6/29/2020 - 8/7/2019 (MON to FRI)
8:30 am to 3:00 pm

Important Dates:
Feb 29 - Open House (10 am- 12 am)
June 29- First Day of Camp
July 3th- - Camp Closed for 4th of July
August 7- Last Day of Camp

If you have any question, please contact at camp@nyevergreen.com or 516-822-6900.
First Child
Required
Child's Name *
First and last name
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Grade *
Entering in Sept.
Your answer
Gender
Current School
Your answer
The 1st Child T-shirt size *
Second Child
Optional
Child's Name
First and last name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Grade
Entering in Sept.
Your answer
Gender
Current School
Your answer
The 2nd Child T-shirt size
Third Child
Optional
Child's Name
First and last name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Grade
Entering in Sept.
Your answer
Gender
Current School
Your answer
The 3rd Child T-shirt size
Parent/Guardian Information
Home Address
Your answer
Parent's (Guardian) Name *
First and last name
Your answer
Parent's (Guardian) Cell # *
Your answer
Primary Emergency Contact #
Your answer
Secondary Emergency Contact #
Your answer
Parent (Guardian) Email Address *
Your answer
Child Allergies
Please be specific:
Your answer
How did you hear about us?
Payment & Refund Policy
*** 6 WEEKS: $1,200
Sibling discount 50$
* Trip fees not included


A $100 DEPOSIT is required.
This is a non-refundable deposit!
FULL TUITION must be submitted by MAY 1st to secure your child's spot at our camp.
NO REFUND or CREDIT starting June 1st.
* Check payable to: Evergreen Church
* Address: 20 Andrews Road, Hicksville, NY 11801

To ensure a low teacher-to-camper ratio, we will only accept a limited number of campers. So hurry and register now before the camp is filled!


4/1~4/30 Regular registration ($100 deposit)
5/1 Full Tuition must be submitted
5/1 ~ 5/31 Full refund available
6/1 ~ No refund, or credit given
After you submit, we will contact you soon. Thank you!
If you have any question, please contact at camp@nyevergreen.com or 516-822-6900.
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