Stony Kill Summer Explorers Camp 2020
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 your child's last day of school before registering.
Email address *
Today's date
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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)
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Parent/Guardian's First and Last Name *
Your answer
Parent/Guardian's Email *
Your answer
Address *
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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 weekly summer camp(s) below:
Choose summer day camp(s) below:
Do you need before or after care? Before care starts at 8:00 am and after care runs till 5:00 pm. 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. Please note, the staff are unable to administer any medications.
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Does your child have any special needs? Please explain and indicate any strategies you use to help us better accommodate your child's needs.
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, website and our annual report! Please indicate the following: *
How did you hear about Stony Kill's Summer Explorers Camp?
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Payment options: Once your form is submitted, you will receive an email confirmation from our Program Director with the amount due and your chosen payment option. Registration is complete once payment has been received. A full refund will be granted if we are notified by May 18, 2020. After this date, no refunds will be issued. IMPORTANT!!: We must receive current immunization records by their first day of camp. *
Please check the boxes below to verify you have read and understand our registration policies: *
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A copy of your responses will be emailed to the address you provided.
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