The New York Aquarium Summer Camp 2012 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 served 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.  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.

• You will receive an electronic confirmation stating that your reservation and payment have been processed.  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 from our summer camp website.  

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

CANCELLATION POLICY
• 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).

• 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 Summer Camp Session Selection (All camp sessions are from 9am to 3pm) *
What camp session would you like your child to attend?
Second Summer Camp Session Selection (All camp sessions are from 9am to 3pm) *
What camp session would you like your child to attend?
Child's First Name *
Child's Last Name *
Child's Birthday *
e.g. 1/1/2000
Parent or Guardian's First Name *
Parent or Guardian's Last Name *
Home Street Address *
e.g. 610 Surf Avenue, Apt. 2D
Home City or Town *
e.g. Brooklyn
Home State *
e.g. NY
Home Zip Code *
e.g. 11224
Email Address *
e.g. e.g. you@yahoo.com
Daytime Telephone Number *
e.g. e.g. 718-265-3457
WCS Membership Number (if applicable)
How did you find out about summer camp at The New York Aquarium?
Check all that apply.
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