Professional Documents
Culture Documents
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SUMMER 2017
SUMMER IS ALMOST HERE
Register
before February 1, 2017 to
HOLD your spot in Camp
917-573-3921 or 917-543-5975
2017 Projected Camp Sites
*Main Site: PS 114 located at
1077 Remsen Avenue
Bet Glenwood & Farragut Rd.
&
Bed Stuy Restoration Plaza
Fulton Street & New York Ave.
Pick up locations:
Brooklyn College Area
In front of BBQs in the Flatbush Junction
Every morning bet: 7:30am and 8:30am
*PS 233
on East 92nd st & Ave B
_________________________________________________________________________________________________________
Name Relationship Phone
Regular Rate: $200 per week plus one-time $50 registration fee
if you register BEFORE June 1, 2017. $225 per week after the date.
(Take additional10% off Special Rate for more than one camper in the family)
This enrollment form must be signed by a custodial parent or guardian. Signature confirms that the parent or
guardian agrees to the above financial terms and dates, and authorizes the child to attend camp. Furthermore, in
the event that your child needs immediate medical care and neither a parent nor legal guardian nor your child's
physician is available, the camp has permission to seek emergency treatment. Signature also authorizes the
camp to publish photos of the camper in marketing materials and on the camp's website. The signature on this
form also confirms that I am aware of all the trips and I agree to have my child participate. All camp paid fees
are non-refundable under any and all circumstances other than cancellation due to camper illness, which must
be verified by a physician with an official letter from the doctor. No Refunds or make up days will be granted.
_____________________________________________________________ ____________________
Parent's or Guardian's Full Signature Date
Send completed forms & One Weeks Payment & Registration fees to:
Camp Generations, 1010 East 92nd Street., Brooklyn, NY 11236 * 917-573-3921
Camp Generations
Summer Day Camp Trip
Permission Slip
Summer 2017
Age: _____________
Email Address:____________________________________________________________
Date: _________________________
Send completed forms & One Weeks Payment & Registration fees to:
Camp Generations, 1010 East 92nd Street., Brooklyn, NY 11236 * 917-573-3921
Parent /Guardian Agreement and Notice of Policies.
I hereby state that I am a custodial parent or legal guardian of the child I am enrolling and that the
child I am enrolling is healthy and fully able to participate in all camp activities. I agree to provide
Camp Generations with a properly completed medical form, based on an exam performed less than
one year of my childs last day at camp, as required by the City of New York and the Department of
Health & Mental Hygiene prior to my child attending camp.
I herby grant permission to Camp Generations to take my child on all scheduled trips and outings and
to photograph or record on video tape all camp activities and to use any photograph or video in
which my child appears in for promotional literature, displays or any other formant representing
Camp Generations to the community including the Camp Generations website. I release all rights to
such.
Payment Policy:
I agree and understand that there is a non-refundable $50 registration fee .
I understand and agree that all payments will be made in full on or prior to the payment due dates
and by the Tuesday of each week. If my payment is made after the due date I understand that the
payment must be paid by cash or money order and there will be a $25 late fee charge on all payments
made after Tuesday of each week in addition the camp balance. All camp paid fees are non-
refundable under any and all circumstances other than cancellation due to camper illness, which
must be verified by a Physican with an official letter from the doctor . No Refunds or make up days
will be granted.
Refund Policy:
I understand that no refunds or adjustments will be made for any and all absences including, but not
limited to, illness or failure to provide a medical form. Camp Generations reserves the right to
determine that you maybe eligible for a credit which can be used towards other various Camp
Generations programs ONLY. There are NO REFUNDS for any fees paid.
I have read and understand the above information and agree to its terms.
Send completed forms & One Weeks Payment & Registration fees to:
Camp Generations, 1010 East 92nd Street., Brooklyn, NY 11236 * 917-573-3921
_______________________________ _______________________________
Childs Name Parent signature
_______________________________ _______________________________
Parents Name Date
DAY CAMP SUPPLY LIST
Additionally: We do accept ACD & 1199, if you have ACD or 1199 please submit the forms
as early as possible so we can process your application.
Thank you.