Enroll Now – Smithtown Summer Camp

Parent Guardian Information

Parent First & Last Name(Required)

Address(Required)

Street Address Address Line 2 City State Zip

Cell Phone(Required)

Email(Required)

How Did You Hear About Us?(Required)

How Many Children Are You Registering?(Required)

Child 1

Child 1 First Name(Required)

Child 1 Last Name(Required)

Child 1 Date Of Birth(Required)

Child 1 Shirt Size(Required)

Child 1 Allergies & Medical Notes

Child 1 Special Requests & Additional Information

Child 1 Before & After Care Needs

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Child 1 Payment Options(Required)

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Child 1 Payment Plan - Number of Weeks(Required)

Child 1 Pay In Full - Number of Weeks(Required)

Child 1 Week Selection(Required)

Child 1 - Week 1 June 27 to July 3

Child 1 - Week 2 July 8 to July 12

Child 1 - Week 3 July 15 to July 19

Child 1 - Week 4 July 22 to July 26

Child 1 - Week 5 July 29 to August 2

Child 1 - Week 6 August 5 to August 9

Child 1 - Week 7 August 12 to August 16

Child 1 - Week 8 August 19 to August 23

We know that plans can change, that's why we offer the added convenience of being able to rearrange your weeks later on, giving you the ultimate flexibility to make your summer plans perfect. Reach out to us as we approach summer if you need to rearrange your weeks.

Child 1 Camp Fee

Child 2

Child 2 First Name(Required)

Child 2 Last Name(Required)

Child 2 Date Of Birth(Required)

Child 2 Shirt Size(Required)

Child 2 Allergies & Medical Notes

Child 2 Special Requests & Additional Information

Child 2 Before & After Care

Hidden

Child 2 Payment Options(Required)

Hidden

Child 2 Payment Plan - Number of Weeks - 5% Sibling Discount On Future Payments(Required)

Child 2 Pay In Full - Number of Weeks - Includes 5% Sibling Discount(Required)

Child 2 Week Selection(Required)

Child 2 - Week 1 June 27 to July 3

Child 2 - Week 2 July 8 to July 12

Child 2 - Week 3 July 15 to July 19

Child 2 - Week 4 July 22 to July 26

Child 2 - Week 5 July 29 to August 2

Child 2 - Week 6 August 5 to August 9

Child 2 - Week 7 August 12 to August 16

Child 2 - Week 8 August 19 to August 23

Child 2 Camp Fee

Child 3

Child 3 First Name(Required)

Child 3 Last Name(Required)

Child 3 Date Of Birth(Required)

Child 3 Shirt Size(Required)

Child 3 Allergies & Medical Notes

Child 3 Special Requests & Additional Information

Child 3 Before & After Care

Hidden

Child 3 Payment Options(Required)

Hidden

Child 3 Payment Plan - Number of Weeks - 5% Sibling Discount On Future Payments(Required)

Child 3 Pay In Full - Number of Weeks - Includes 5% Sibling Discount(Required)

Child 3 Week Selection(Required)

Child 3 - Week 1 June 27 to July 3

Child 3 - Week 2 July 8 to July 12

Child 3 - Week 3 July 15 to July 19

Child 3 - Week 4 July 22 to July 26

Child 3 - Week 5 July 29 to August 2

Child 3 - Week 6 August 5 to August 9

Child 3 - Week 7 August 12 to August 16

Child 3 - Week 8 August 19 to August 23

Child 3 Camp Fee

Payment Form

Child 1 Total

Child 2 Total

Child 3 Total

Hidden

Processing Fee

Price: $0.00

Total

Credit Card(Required)

2024 Summer Camp Registration

Parent Guardian Information

Child 1

Child 2

Child 3

Payment Form

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