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2025 Summer Camp Registration Form - Miller Place Friends of the Arts
If enrolling more than one student, one registration form must be submitted for EACH student. All camps take place at LADSBS. Enrollment is based on student's entering grade for September 2025. Tuition cost per student per 4-day session is $130. Sibling discount offered when enrolling multiple students during the same week. See below for tuition details.*
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* Indicates required question
Email
*
Your email
Participant First Name
*
Your answer
Participant Last Name
*
Your answer
Participant's Entering Grade (Sept 2025)
*
Choose
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Parent(s)/Guardian(s) First and Last Name(s)
*
Your answer
Home Address
*
Your answer
Cell Phone
*
Your answer
Home Phone
Your answer
Emergency Contact Name and Number
(may be same as above and/or additional contact(s)
*
Your answer
Week 1 (July 7th- 10th) CLOSED
REGISTRATION CLOSED: DRAMA (GR 3-5)
REGISTRATION CLOSED: DRAMA (GR 6-8)
REGISTRATION CLOSED: ART (GR K-2)
ENROLL FROM WAITLIST (IF POSSIBLE).
Not registering for this week
Clear selection
Week 2 (July 14th - 17th) CLOSED
MUSIC (entering K-2), 9AM - 12PM
ART (entering 3-5) 9AM-12PM
DRAMA (entering 9-12), 9AM-12PM
Not registering for this week
Clear selection
Week 3 (July 21st - 24th)
*
DRAMA (entering K-2) 9AM-12PM
MUSIC (entering 3-5) 9AM-12PM
ART (entering 6-8) 9AM-12PM
Not registering for this week
How many camp sessions/weeks is THIS CAMPER participating in?
*
one 4-day session (1 of 3 weeks)
two 4-day sessions (2 of 3 weeks)
three 4-day sessions (all 3 weeks)
Other:
Registration Form AND tuition payment must be submitted for EACH camper. Each participant will be enrolled ONLY upon receipt of that camper's tuition payment AND registration form. Total amount paid for THIS CAMPER =
*
Your answer
*SIBLING DISCOUNT* If registering 2 or more siblings during the same week, a $10 discount will be applied to additional siblings' tuition ($120) AFTER payment of first camper's full tuition fee
($130).
What will be your TOTAL tuition payment amount?
Register 2 siblings for session(s) during the same week ($250 for that week).
Register 3 siblings for session(s) during the same week ($370 for that week).
Register 4 siblings for session(s) during the same week ($610 for that week).
Other:
Please indicate your payment method:
*
I will pay today at
https://mpfota.ptboard.com/formvw?store=5734&form=7
I will pay today via Venmo (MP Friends of the Arts @MPFOTA).
I will send check today (made out to: MPFOTA). Mail to: MPFOTA at PO Box 1404, Miller Place, NY 11764.
Confirm your online payment - if applicable,
Click here to make online tuition payment
*
I paid tuition fees on the MPFOTA website at Forms and Payments link (above).
I submitted a different form of payment.
Other:
Required
Confirm your Venmo payment, if applicable -
T
ype payment date and your Venmo contact info below. (Write N/A if you paid another way.)
*
Your answer
Confirm your payment by check, if applicable - Type check # and date check was mailed. (Write N/A if you paid a different way.)
*
Your answer
Allergies/Medical Info
*
No medical concerns to report
Allergies/restrictions or medical info - Include details below (Additional Information)
Other:
Required
Additional Information - provide important relevant information about your child as needed:
Your answer
Photo Consent/Release - I grant permission for MPUFSD and MPFoTA staff/volunteers to use photographs and or video of my child taken at summer camp in district publications, news/announcements, school website and or social media, only as related to the mission of MPFoTA and MPUFSD.
*
I grant permission, and will sign below to indicate this.
I do NOT grant permission, and will type "N/A" below.
Parent/Guardian: Please type your full name to grant permission for photo consent/release.
*
Your answer
Any additional questions or comments?
Your answer
IF considering registering for small-group instruction (lesson-based sessions), which section is of interest to your child?
Click here if your child is entering 4th grade
Band instrument
Not interested in this option
String instrument
Chorus/Voice
Other:
IF interested, please indicate student's entering grade and instrument/session?
Your answer
A copy of your responses will be emailed to the address you provided.
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