SUMMER CHALLENGE CAMP FORM 2010

 

Seven Week Super Saver

Seven Weeks (Prior to 5/18) $2,887.50

 

 Six Week Super Saver

Six Weeks (Prior to 5/18) $2,805.50

 

Five Week Super Saver

Five Weeks (Prior to 5/18) $2,530

 

Weekly  $550/wk

 

 

 

Participant's Age
 

Camper DOB
 

 

 

 

Doctor's Address
 
City                                             State       Zip
                    
Home Phone #
 
Business Phone #
 
Emergency
Name & Phone #
 
 


 

Parent's Name(s) - (Full names)
 
Doctor's Name
 


 

Address
 
City                                             State      Zip
                   
Participant's First Name
 
Participant's Last Name
 
Are there any limitations to the physical activity in which the participant can engage?  If yes, please describe.



 

Name of Current School:
 
Grade Entering in Sept.
 

 

Is Transportation Desired? (it is free)

 Yes

No

Please see disclaimer about transportation at bottom of form.

 

 

How did you hear about our Summer Challenge program?

 

 

Please check the desired weeks for Participation.  Please check ALL weeks you wish to attend.  If you chose eight weeks you may skip this section.

 July 6 - July 9 July 12 - July 16 July 19 - July 23July 26 - July 30

August 2 - August 6 August 9 - August 13 August 16 - August 20 

 

 

 

 

Select Program

Sports Fitness (Ages 8 - 14) Playschool (Ages 3-7) Summer School

IF you chose Summer School,  (July 12 - August 6) please indicate desired courses below
All Summer School subjects are $40 per hour     *     COMPLETE FULLY ACCREDITED COURSE - $900 (Limit of four (4) courses)
        

 

 

 

 

 

Privacy Policy and Information
Thornton-Donovan only uses this information for camp and summer school registrations only.  We will not sell, redistribute or contact you via any other method other than to arrange for services signed up for in this application.
 
You may expect a phone call 24-48 hours after submission to collect payment information or request further information.

Please fill out and submit a separate form for each participating child.
 

By Submitting this form you agree that:

TRANSPORTATION IS LIMITED TO SOUTHERN WESTCHESTER ONLY. Interested families should speak DIRECTLY to the Summer Challenge Director to be sure that buses are picking up in your area before signing up. Pick-up and drop-off times are based solely on location. Bus schedules and times can not revolve around parental convenience. Please do not ask or expect your bus driver to work around your work schedule. If that is the case, it may be better for you to provide your own transportation.

Snack and lunch will be provided by the CAMPER in an insulated bag with the camper's name on it and it should have an ice pack in it.

 The Staff of Thornton-Donovan will not administer or be responsible for the dispensation of any medication to any camper.

 

 

 

 

 

 

 

 


To contact us after you've submitted the form or to ask questions
Thornton-Donovan School
100 Overlook Circle
New Rochelle, NY 10804
Phone (914) 632-8836   Fax (914) 576-7936
Appointments on request after Open Houses provided there is still space available.
www.td.edu