Stony Kill Foundation · Summer Explorers Camp Application 2023

Parent/Guardian Information

Parent/Guardian Name

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First Name

Last Name

Daytime Phone

*

Parent/Guardian

Alternative Phone (if applicable)

Parent/Guardian

Email

*

Parent/Guardian

Verify Email

*

Opt out from Stony Kill Foundation email updates

I would not like to receive email updates about other Stony Kill Foundation programs and events

Parent/Guardian Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Camper Information

Number of children you are applying for camp

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Would your children be attending the same week(s) of camp?

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Yes

No, I would like to sign them up for separate weeks.

Child's Name

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First Name

Last Name

Child's Birthdate (must be age 4 by their first camp week)

*

(mm/dd/yyyy)

Select Camp Weeks - Child 1

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You may request up to 8 weeks. Camp fee is $325 per child per week. Camp is closed on July 4, so the fee on Week 3 is $260. Also note that Camp Week 1 is held on the last week of school for many public schools.

1) June 19-23: Project Discovery

2) June 26-30: Life on the Farm 1

3) July 3-7: Life on the Farm 2 (No camp July 4)

4) July 10-14: Farm to Forest

5) July 17-21: Young Naturalist

6) July 24-28: Outdoor Adventurer

7) July 31-Aug 4: Junior Environmentalist

8) Aug 7-11: Nature Makers

Would you like to include Before Care and/or After Care for this child? - Child 1

*

Before Care starts at 8:30 am and After Care runs until 5:00 pm. The flat rate for before and/or after care is $25/day.

Before Care Only - All Days

After Care Only - All Days

Both - All Days

Before Care Only - Some Days

After Care Only - Some Days

Both - Some Days

None

I am not sure at this time

Does your child have any medical conditions, allergies, emotional, behavioral, or learning needs, etc. that relate to their time at camp? - Child 1

*

Yes

No

Please list any medical conditions, allergies, emotional, behavioral, or learning needs, etc. that relate to their time at camp - Child 1

Please note, Stony Kill Foundation is not able to administer meds

If your child has any medical conditions, allergies, emotional, behavioral, or learning needs, please describe what you think your child needs and how you envision that our camp staff accommodate those needs. - Child 1

2nd Child's Name

*

First Name

Last Name

2nd Child's Birthdate (must be age 4 by their first camp week)

*

(mm/dd/yyyy)

2nd Child - Select Camp Weeks

*

You may request up to 8 weeks. Camp fee is $325 per child per week. Camp is closed on July 4, so the fee on Week 3 is $260. Also note that Camp Week 1 is held on the last week of school for many public schools.

1) June 19-23: Project Discovery

2) June 26-30: Life on the Farm 1

3) July 3-7: Life on the Farm 2 (No camp July 4)

4) July 10-14: Farm to Forest

5) July 17-21: Young Naturalist

6) July 24-28: Outdoor Adventurer

7) July 31-Aug 4: Junior Environmentalist

8) Aug 7-11: Nature Makers

2nd Child - Would you like to include Before Care and/or After Care?

*

Before Care starts at 8:30 am and After Care runs until 5:00 pm. The flat rate for before and/or after care is $25/day.

Before Care Only - All Days

After Care Only - All Days

Both - All Days

Before Care Only - Some Days

After Care Only - Some Days

Both - Some Days

None

I am not sure at this time

2nd Child - Does your child have any medical conditions, allergies, emotional, behavioral, or learning needs, etc. that relate to their time at camp?

*

Yes

No

2nd Child - Please list any medical conditions, allergies, emotional, behavioral, or learning needs, etc. that relate to their time at camp

Please note, Stony Kill Foundation is not able to administer meds

2nd Child - If your child has any medical conditions, allergies, emotional, behavioral, or learning needs, please describe what you think your child needs and how you envision that our camp staff accommodate those needs.

3rd Child's Name

*

First Name

Last Name

3rd Child's Birthdate (must be age 4 by their first camp week)

*

(mm/dd/yyyy)

3rd Child - Select Camp Weeks

*

You may request up to 8 weeks. Camp fee is $325 per child per week. Camp is closed on July 4, so the fee on Week 3 is $260. Also note that Camp Week 1 is held on the last week of school for many public schools.

1) June 19-23: Project Discovery

2) June 26-30: Life on the Farm 1

3) July 3-7: Life on the Farm 2 (No camp July 4)

4) July 10-14: Farm to Forest

5) July 17-21: Young Naturalist

6) July 24-28: Outdoor Adventurer

7) July 31-Aug 4: Junior Environmentalist

8) Aug 7-11: Nature Makers

3rd Child - Would you like to include Before Care and/or After Care?

*

Before Care starts at 8:30 am and After Care runs until 5:00 pm. The flat rate for before and/or after care is $25/day.

Before Care Only - All Days

After Care Only - All Days

Both - All Days

Before Care Only - Some Days

After Care Only - Some Days

Both - Some Days

None

I am not sure at this time

3rd Child - Does your child have any medical conditions, allergies, emotional, behavioral, or learning needs, etc. that relate to their time at camp?

*

Yes

No

3rd Child - Please list any medical conditions, allergies, emotional, behavioral, or learning needs, etc. that relate to their time at camp

Please note, Stony Kill Foundation is not able to administer meds

3rd Child - If your child has any medical conditions, allergies, emotional, behavioral, or learning needs, please describe what you think your child needs and how you envision that our camp staff accommodate those needs.

4th Child's Name

*

First Name

Last Name

4th Child's Birthdate (must be age 4 by their first camp week)

*

(mm/dd/yyyy)

4th Child - Select Camp Weeks

*

You may request up to 8 weeks. Camp fee is $325 per child per week. Camp is closed on July 4, so the fee on Week 3 is $260. Also note that Camp Week 1 is held on the last week of school for many public schools.

1) June 19-23: Project Discovery

2) June 26-30: Life on the Farm 1

3) July 3-7: Life on the Farm 2 (No camp July 4)

4) July 10-14: Farm to Forest

5) July 17-21: Young Naturalist

6) July 24-28: Outdoor Adventurer

7) July 31-Aug 4: Junior Environmentalist

8) Aug 7-11: Nature Makers

4th Child - Would you like to include Before Care and/or After Care for this child?

*

Before Care starts at 8:30 am and After Care runs until 5:00 pm. The flat rate for before and/or after care is $25/day.

Before Care Only - All Days

After Care Only - All Days

Both - All Days

Before Care Only - Some Days

After Care Only - Some Days

Both - Some Days

None

I am not sure at this time

4th Child - Does your child have any medical conditions, allergies, emotional, behavioral, or learning needs, etc. that relate to their time at camp?

*

Yes

No

4th Child - Please list any medical conditions, allergies, emotional, behavioral, or learning needs, etc. that relate to their time at camp

Please note, Stony Kill Foundation is not able to administer meds

4th Child - If your child has any medical conditions, allergies, emotional, behavioral, or learning needs, please describe what you think your child needs and how you envision that our camp staff accommodate those needs.

Additional Information

Medical history/immunizations

*

The NYS Department of Health requires camp facilities obtain the most current immunization records for all campers before they attend camp. Please indicate that you will provide Stony Kill Foundation with current immunization records for each camper before June 1, 2023.

Yes, I understand and will submit current immunization records before June 1

Is there anything else you would like us to know at this time?

How did you hear about Summer Explorer's Camp?

*

I am on your mailing list

My child attended camp in previous years

My child attends Stony Kill Foundation education programs

Open Barn

Social Media

A Little Beacon Blog

A friend or relative

Other

Would you like to apply for a sliding scale / scholarship discount?

A limited number of need-based scholarships are available for families for whom full tuition presents a financial hardship.

Yes

No