Kids Camp Signup

Kids Camp Signup Form

Join us for a fun summer at Kids Camp!

Member's Name *

How many campers are you signing up?

Camper's Name *

Campers Age *

2nd Camper's Name

2nd Campers Age

3rd Camper's Name

3rd Campers Age

4th Camper's Name

4th Campers Age

5th Camper's Name

5th Campers Age

Member's Accommodation and Account Number *

Member's Phone Number *

Member's Email *

Emergency Contact Name *

Emergency Contact Phone Number *

1st Camper's Shirt Size

2nd Camper's Shirt Size

3rd Camper's Shirt Size

4th Camper's Shirt Size

5th Camper's Shirt Size

Camper's Allergies

Contact

(718) 634-1500
1 Beach 193rd Street
Breezy Point, NY 11697

Menu