14 Street Y President's Week Enrollment Form 2023

EASY ENROLLMENT FORM

Please submit this form one time for each child that you are enrolling.

CAMPER INFORMATION
CAMPER INFORMATION
Camper Name*

First NameLast Name
Current Grade*
Camper Date of Birth*

MonthDayYear
Date
Does this camper need any special accommodations? (i.e. allergies, abilities, etc.) Please note: Camp is nut-free!*
What is your child's swim level? If there are any special notes regarding your child's swim level or you prefer not to have your child swim, please indicate here. *
We will have a general free swim period in the shallow end of the indoor pool on select days of mini-camp in which you will be notified.
Is there anything else you'd like us to know about this camper?

PARENT INFORMATION
PARENT INFORMATION
Parent/Guardian Name*

First NameLast Name
Parent/Guardian E-mail*
Parent/Guardian Phone Number*

Area CodePhone Number
How did you find out about this camp?*

14 Street YNew Country Day CampmainstagesFacebookInstagramWeb SearchWord of Mouth/Referral
I would be interested in a similar camp option for Spring Break

ENROLL NOW*

Enrollment

5 Days- President's Week Mini Camp 2/20-2/24$649.00

4 Days- President's Week Mini Camp 2/21-2/24$575.00

After Care

Tuesdays Early Drop Off/After Care 9:00-9:30AM, 4:30-5:30PM$30.00

Wednesdays Early Drop Off/After Care 9:00-9:30AM, 4:30-5:30PM$30.00

Thursdays Early Drop Off/After Care 9:00-9:30AM, 4:30-5:30PM$30.00

Fridays Early Drop Off/After Care 9:00-9:30AM, 4:30-5:30PM$30.00

Enter coupon

Total $0.00

EASY ENROLLMENT FORM