SUMMER CHALLENGE CAMP FORM 2009

 

 Eight Week Super Saver

Eight Weeks (Prior to 4/1) $3,300

Eight Weeks (Prior to 5/1) $3,520

 Seven Week Super Saver

Seven Weeks (Prior to 4/1) $3,273

Seven Weeks (Prior to 5/1) $3,465

 Six Week Super Saver

Six Weeks (Prior to 4/1) $3,036

Six Weeks (Prior to 5/1) $3,135

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.

June 29 - July 3 July 6 - July 10 July 13 - July 17 July 20 - July 24July 27 - July 31

August 3 - August 7 August 10 - August 14 August 17 - August 21 

 

 

 

 

Select Program

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

IF you chose Summer School, 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