2026 Mini Camp Enrollment Application

Please keep in mind that your child is not accepted into the program until you receive a detailed confirmation of acceptance by email.


Returning Families Log In Here

or complete the Guest Application below.





Fill out the Mini 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: /

Grade 2026-27:

School 2026-27:

Special Placement Requests: Camper/Friend:

Grade Level (if different from above):

Toilet Trained? (Preschool Only) /

Does your child have an IEP or 504 Plan? / If so, we would appreciate a copy be provided to camp.

Allergies, Medical Conditions, or Special Needs if any?

Will child require an Epipen at camp? /

Does your child receive any services during the school year (Speech, OT, PT, etc.), If so, please specify:

2026 Mini Camp Fees:

Mini Camp
2026 Fees
Discounted Fees for Enrolled
2026 Purchase Day Campers
Program
Mini Day
Full Day
Mini Day
Full Day
Hours
9am-1pm
9am-3pm
9am-1pm
9am-3pm
Weekly Fee
$825
$960
$585
$720
All 3 Weeks
$2,325
$2,730
$1,605
$2010


Please select Program for each week below.

A $150 discount will be applied if attending for all 3 weeks.

If not attending for a specific week, select "Not Attending" for that week.

If you are choosing a "camper discount" option, this child must be enrolled in the 2026 Purchase Day Camp.










Mother or Guardian Contact Information:
















Father or Guardian Contact Information:














Approve Release Form



Approve Enrollment Policies





Total: $0

Full payment of $0 is required with this application.







3095 Purchase Street
Purchase, NY 10577

© by Purchase Day Camp

914.949.2636
camp@purchasehouse.com