Registrations
Send a text to 516-527-9235 if you have any questions about completing this form. Deposits are no longer being accepted. Payment in full must be made, either by choosing "pay discounted tuition later" below or paying by credit card when registering. Thank you.
Camper's Name
*
First Name
Last Name
Street Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email address (Primary)
*
example@example.com
Email address (Secondary)
example@example.com
Cell Phone(Primary)
*
Please enter a valid phone number.
Cell Phone (Secondary)
Please enter a valid phone number.
Camper's Grade (September 2022)
*
Camper’s School (September 2022)
Gender
*
M
F
Other
Tee Shirt Size
*
YM
YL
AS
AM
AL
AXL
Recommended by:
Please click the box next to the sessions you would like to register for:
*
Session 5 [Aug 1-5] - $425.00
Session 6 [Aug 8-12] - $425.00
Session Calculator
Please click the box next to the optional items you wish to register for:
Lunch [per week] - $35.00
*
Yes
No
Number of lunch
Transportation [limited/first come/first served - price TBA]
Yes
No
Extra Camp Shirt - $10.00
YM
YL
AS
AM
AL
AXL
Please tell us how you heard of the camp
(Previous camper, coach, Google, etc...)
Select payment method
*
Pay discounted tuition later by Zelle or check
Pay by credit/debit card now
TOTAL AMOUNT DUE
CASH DISCOUNTED PRICE (pay later via check)- Hidden
CASH DISCOUNTED PRICE (pay later via Zelle or check)
TOTAL AMOUNT DUE (includes lost 3.5% cash discount)
PAY NOW BY CREDIT/DEBIT (forfeit cash discount)
*
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