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: Boy / Girl

Grade 2026-27: N (Preschool or not yet Kindergarten) K (Kindergarten)

School 2026-27:

Special Placement Requests: Camper/Friend:

Grade Level (if different from above):

Toilet Trained? (Preschool Only) Yes / No

Does your child have an IEP or 504 Plan? Yes / No 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? Yes / No

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.

Week 1: June 8-12 $825 (Mini Day 9am - 1pm) $960 (Full Day 9am - 3pm) $585 (Mini Day 9am - 1pm with camper discount) $720 (Full Day 9am - 3pm with camper discount) Not Attending

Week 2: June 15-18 (no camp 6/19) $825 (Mini Day 9am - 1pm) $960 (Full Day 9am - 3pm) $585 (Mini Day 9am - 1pm with camper discount) $720 (Full Day 9am - 3pm with camper discount) Not Attending

Week 3: June 22-26 $825 (Mini Day 9am - 1pm) $960 (Full Day 9am - 3pm) $585 (Mini Day 9am - 1pm with camper discount) $720 (Full Day 9am - 3pm with camper discount) Not Attending

Mother or Guardian Contact Information:

Name:

Home Phone (if different from camper):

Address (if different from camper):

Cell Phone:

Business Phone:

Email Address:

Father or Guardian Contact Information:

Name:

Home Phone (if different from camper):

Address (if different from camper):

Cell Phone:

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

© by Purchase Day Camp