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APPLICATION
CAMPER APPLICATIONS ARE NOT OPEN YET. THIS SITE IS UNDER CONSTRUCTION.
Family Information
*
Indicates required field
Mother's Name
*
First
Last
Father's Name
*
First
Last
Mother's Cell #
*
Father's Cell #
*
Mother's Email
*
Father's Email
*
Emergency Contact
*
First
Last
Emergency Contact Tel #
*
Doctor's Name
*
Doctor's Phone Number
*
Summer Address/ Name of Colony (include Unit #)
*
Summer Home Phone #
*
Please fill out ALL fields for each child applying.
Child 1
Child 1 Name
*
Child 1 Date of Birth
*
Child 1 Age
*
.
2
3
4
5
6
7
8
9
10
11
12
13
14
Choose from this list
Child 1 Entering Grade
*
.
TinyTots (2 yr old)
Nursery (3 yr old)
Kindergarten (4 yr old)
Boy entering Pre1a
Boy entering 1st grade
Boy entering 2nd grade
Boy entering 3rd grade
Boy entering 4th grade
Boy entering 5th grade
Boy entering 6th grade
Boys entering 7th grade
Girl entering Pre1a
Girl entering 1st grade
Girl entering 2nd grade
Girl entering 3rd grade
Girl entering 4th grade
Girl entering 5th grade
Girl entering 6th grade
Girl entering 7th grade
Girl entering 8th grade (second half only)
Child 1 Division
*
TinyTots until 1:30 whole summer - $730
TinyTots until 4:00 whole summer - $1030
Nursery - Going into 6th (boys & girls) whole summer - $1030
Nursery - Going into 6th (boys & girls) first half - $570
Nursery - Going into 6th (boys & girls) second half - $570
Teen Camp (Going into 7th & 8th girls) second half - $750
Tiny Tots
All children born between Jan 2019 - Aug 2019
Nursery
All children born between Jan 2018 - Dec 2018
Kindergarten
All children born between Jan 2017 - Dec 2017
T-shirt Size
*
.
2T
3T
4T
Youth XS Short Sleeve
Youth XS Long Sleeve
Youth S Short Sleeve
Youth S Long Sleeve
Youth M Short Sleeve
Youth M Long Sleeve
Youth L Short Sleeve
Youth L Long Sleeve
Youth XL Short Sleeve
Youth XL Long Sleeve
Adult XS Short Sleeve
Adult XS Long Sleeve
Adult S Short Sleeve
Adult S Long Sleeve
Adult M Short Sleeve
Adult M Long Sleeve
Adult L Short Sleeve
Adult L Long Sleeve
Child 1 Allergies or Notes:
*
Child 2
Child 2 Name
*
Child 2 Date of Birth
*
Child 2 Age
*
.
2
3
4
5
6
7
8
9
10
11
12
13
14
Child 2 Entering Grade
*
.
Tiny Tots (2 yr old)
Nursery (3 yr old)
Kindergarten (4 yr old)
Boy entering Pre1a
Boy entering 1st grade
Boy entering 2nd grade
Boy entering 3rd grade
Boy entering 4th grade
Boy entering 5th grade
Boy entering 6th grade
Boy entering 7th grade
Girl entering Pre1a
Girl entering 1st grade
Girl entering 2nd grade
Girl entering 3rd grade
Girl entering 4th grade
Girl entering 5th grade
Girl entering 6th grade
Girl entering 7th grade
Girl entering 8th grade (second half only)
Child 2 Division
*
TinyTots until 1:30 whole summer - $730
TinyTots until 4:00 whole summer - $1030
Nursery - Going into 6th (boys & girls) whole summer - $1030
Nursery - Going into 6th (boys & girls) first half - $570
Nursery - Going into 6th (boys & girls) second half - $570
Teen Camp (Going into 7th & 8th girls) second half - $750
Tiny Tots Bunk
All children born between Jan 2019 - Aug 2019
Nursery
All children born between Jan 2018 - Dec 2018
Kindergarten
All children born between Jan 2017 - Dec 2017
T-shirt Size
*
.
2T
3T
4T
Youth XS Short Sleeve
Youth XS Long Sleeve
Youth S Short Sleeve
Youth S Long Sleeve
Youth M Short Sleeve
Youth M Long Sleeve
Youth L Short Sleeve
Youth L Long Sleeve
Youth XL Short Sleeve
Youth XL Long Sleeve
Adult S Short Sleeve
Adult S Long Sleeve
Adult M Short Sleeve
Adult M Long Sleeve
Adult L Short Sleeve
Adult L Long Sleeve
Child 2 Allergies or Notes
*
Child 3
Child 3 Name
*
Child 3 Date of Birth
*
Child 3 Age
*
.
2
3
4
5
6
7
8
9
10
11
12
13
14
Child 3 Entering Grade
*
.
Tiny Tots (2 yr old)
Nursery (3 yr old)
Kindergarten (4 yr old)
Boy entering Pre1a
Boy entering 1st grade
Boy entering 2nd grade
Boy entering 3rd grade
Boy entering 4th grade
Boy entering 5th grade
Boy entering 6th grade
Boy entering 7th grade
Girl entering Pre1a
Girl entering 1st grade
Girl entering 2nd grade
Girl entering 3rd grade
Girl entering 4th grade
Girl entering 5th grade
Girl entering 6th grade
Girl entering 7th grade
Girl entering 8th grade (second half only)
Child 2 Division
*
TinyTots until 1:30 whole summer - $730
TinyTots until 4:00 whole summer - $1030
Nursery - Going into 6th (boys & girls) whole summer - $1030
Nursery - Going into 6th (boys & girls) first half - $570
Nursery - Going into 6th (boys & girls) second half - $570
Teen Camp (Going into 7th & 8th girls) second half - $750
Tiny Tots Bunk
All children born between Jan 2019 - Aug 2019
Nursery
All children born between Jan 2018 - Dec 2018
Kindergarten
All children born between Jan 2017 - Dec 2017
T-shirt Size
*
.
2T
3T
4T
Youth XS Short Sleeve
Youth XS Long Sleeve
Youth S Short Sleeve
Youth S Long Sleeve
Youth M Short Sleeve
Youth M Long Sleeve
Youth L Short Sleeve
Youth L Long Sleeve
Youth XL Short Sleeve
Youth XL Long Sleeve
Adult S Short Sleeve
Adult S Long Sleeve
Adult M Short Sleeve
Adult M Long Sleeve
Adult L Short Sleeve
Adult L Long Sleeve
Child 3 Allergies or Notes
*
Child 4
Child 4 Name
*
Child 4 Date of Birth
*
Child 4 Age
*
.
2
3
4
5
6
7
8
9
10
11
12
13
14
Child 4 Entering Grade
*
.
Tiny Tots (2 yr old)
Nursey (3 yr old)
Kindergarten (4 yr old)
Boy entering Pre1a
Boy entering 1st grade
Boy entering 2nd grade
Boy entering 3rd grade
Boy entering 4th grade
Boy entering 5th grade
Boy entering 6th grade
Boy entering 7th grade
Girl entering Pre1a
Girl entering 1st grade
Girl entering 2nd grade
Girl entering 3rd grade
Girl entering 4th grade
Girl entering 5th grade
Girl entering 6th grade
Girl entering 7th grade
Girl entering 8th grade (second half only)
Child 4 Division
*
TinyTots until 1:30 whole summer - $730
TinyTots until 4:00 whole summer - $1030
Nursery - Going into 6th (boys & girls) whole summer - $1030
Nursery - Going into 6th (boys & girls) first half - $570
Nursery - Going into 6th (boys & girls) second half - $570
Teen Camp (Going into 7th & 8th girls) second half - $750
Tiny Tots Bunk
All children born between Jan 2019 - Aug 2019
Nursery
All children born between Jan 2018 - Dec 2018
Kindergarten
All children born between Jan 2017 - Dec 2016
T-Shirt Size
*
2T
3T
4T
Youth XS Short Sleeve
Youth XS Long Sleeve
Youth S Short Sleeve
Youth S Long Sleeve
Youth M Short Sleeve
Youth M Long Sleeve
Youth L Short Sleeve
Youth L Long Sleeve
Youth XL Short Sleeve
Youth XL Long Sleeve
Adult S Short Sleeve
Adult S Long Sleeve
Adult M Short Sleeve
Adult M Long Sleeve
Adult L Short Sleeve
Adult L Long Sleeve
Child 4 Allergies or Notes
*
Any additional children type all pertinent information here
*
Price includes nit checking and 1 bathing cap.
Payment Information
Credit Card
*
Expiration Date
*
Security Code
*
Billing Zip Code
*
Please email tribecadaycampoffice@gmail.com if you do not receive a confirmation text/email within 2 days of applying.
Your credit card will be processed fully once we have received your application. There will be a 2% processing fee for all credit cards.
If you would like to set up a payment plan or to pay by check, please email us immediately.
If we do not received payment or hear from you regarding a payment plan, we will not process your application and your child/ren will not be enrolled in camp.
If you would like to pay by check, please mail a check payable to Congregation Anshei Tribeca
to:
Tribeca Day Camp
2610 Nostrand Avenue
Brooklyn, NY 11210
Your child is considered registered once payment clears and all medical forms are received.
Payment must be completed in full by June 1st.
RELEASE OF LIABILITY
I release TRIBECA DAY CAMP, all
Tribeca staff, its principals, board, founders and camp committees,
and their families, from any liability of any sort. I do not hold TRIBECA DAY CAMP responsible for any injuries sustained while my children are in camp or on any camp trips.
Name (to serve as a signature for liability statement)
*
TRIP PERMISSION
I allow my children to attend all trips run by TRIBECA DAY CAMP.
Name (to serve as a signature for trip permission)
*
MEDICAL & IMMUNIZATION ACKNOWLEDGEMENT
P
lease be aware that your child's placement in Tribeca Day Camp is not confirmed until ALL necessary forms have been received. Any penalties issued by the NYS Board of Health will be charged to the families with delinquent accounts.
Name (to serve as a signature for medical forms acknowledgement)
*
Submit Application
If form is not submitting, please recheck that ALL starred items are filled in or have option(s) chosen.
Upload Medical Form & Immunization Records
New York State requires all camps to maintain updated records of campers' medical and immunization records. You can get these forms from your doctor's office. If your child has not been to the doctor since August 2021, you may need to schedule an appointment with your child's doctor to receive updated medical information. All forms must be submitted in order to complete camp registration.
Forms can be submitted by mail (
see CONTACT page
) or uploaded here.
*
Indicates required field
Child 1 Medical/Immunization Form
*
Max file size: 20MB
Child 3 Medical/Immunization Form
*
Max file size: 20MB
Child 2 Medical/Immunization Form
*
Max file size: 20MB
Child 4 Medical/Immunization Form
*
Max file size: 20MB
Comment
*
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Staff Applications - Girls
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