2025 Camper Enrollment Application

Please note: The groups of Boys entering 2nd Grade and Boys entering 3rd Grade are both full for weeks 5 & 6. If you would like to be placed on a waiting list for these weeks, please call the camp office at 914-949-2636.

Returning Families Log In Here

or complete the Guest Application below.

Fill out the camper application below and click "Update Changes" at the bottom of the form to continue.

Last:

First:

Birthdate:

Street:

City:

State: Zip:

Home Phone:

Gender: Boy / Girl

Grade 2024-25: N (Preschool or not yet Kindergarten) K (Kindergarten) 1 2 3 4 5 6 7 8 9 10 11

School 2024-25:

Grade 2025-26: N (Preschool or not yet Kindergarten) K (Kindergarten) 1 2 3 4 5 6 7 8 9 10 11

School 2025-26:

Special Placement Requests: Camper/Friend:

Grade Level (if different from above):

Allergies, Medications, or Medical Concerns:

Will child require an Epipen at camp? Yes / No

Choose your program!

Camp runs for 8 weeks from Monday June 30th to Thursday August 21st, 2025

Choose Which Weeks You Want - Check Each Week Requested

A minimum of 3 weeks is required.

Week 1: Mon Jun 30 - Thu July 3
Week 2: Mon Jul 7 - Fri Jul 11

Week 3: Mon Jul 14 - Fri Jul 18
Week 4: Mon Jul 21 - Fri Jul 25

Week 5: Mon Jul 28 - Fri Aug 1
Week 6: Mon Aug 4 - Fri Aug 8

Week 7: Mon Aug 11 - Fri Aug 15
Week 8: Mon Aug 18 - Thu Aug 21

Choose Your Add Ons!

If taking the bus, please see where transportation is available here.

AM Extended Hours (from 7:45am) $35/Week

PM Extended Hours (to 5:30pm) $35/Week (only available to PM campers)

Lunch Program $60/Week (Not available to AM campers)

AM Bus $95/Week

PM Bus $95/Week (Only available to Full Day campers)

Midday Bus (2 pm camp departure) $95/Week (Only available to Mini Day campers)

Mother or Guardian Contact Information:

Name:

Cell Phone:

Address (if different from camper):

Home Phone (if different from camper):

Business Phone:

Email Address:

Father or Guardian Contact Information:

Name:

Cell Phone:

Address (if different from camper):

Home Phone (if different from camper):

Business Phone:

Email Address:

Approve Release Form

I agree to all the conditions in the Release document below. (Click to enlarge)

Approve Enrollment Policies

I agree to all the conditions in the Enrollment Policies document below. (Click to enlarge)

3095 Purchase Street
Purchase, NY 10577

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