Camper
Application

Our Summer Address

226 Hilltop Rd • Monticello, NY 12701
tel: (845) 794-7620

Our Winter Address

633 Saw Mill River Rd • Ardsley, NY 10502
tel: (914) 479-0435

WINSTON DAY CAMP

Please complete the camper application below using the "Tab" key or your mouse to move through the fields.


Camper Info

* Denotes Required Field
* Last Name:
* First Name:
* Permanent Address:
* Telephone Number:
* Gender: Male Female
* E-mail Address:
* Birthday (month/day/year):
* Age as of June 30, 2010:
* Grade your child is completing in June:
* Summer Address:
* Summer Telephone Number:
T-Shirt Size:
* This is my child's: year at Winston Day Camp
 
 
Father's Name:
Business Name:
Business Phone:
Cellular/Beeper:
 
Mother's Name:
Business Name:
Business Phone:
Cellular/Beeper:
 
 
Please enroll my child in the following session:
Tuition   Transportation
8 Weeks - $1575   6-8 Weeks - $350  
7 Weeks - $1425   5 Weeks - $225  
6 Weeks - $1275   2-4 Weeks - $175  
5 Weeks - $1125    
4 Weeks - $975      
3 Weeks - $875      
2 Weeks - $600      
       
Extended Day Program
Dates Attending
2-4 Weeks $175  
* Start Date: Select Date
5 Weeks $225  
* End Date: Select Date
6-8 Weeks $350      
 
How did you hear about Winston Day Camp?:
Additional Comments:
 
This Camper Application will be submitted directly to Winston Day Camp's Winter Office:
633 Saw Mill River Road; Ardsley, NY 10602; (914) 479-0435

By submitting this online camper application, I understand that this is a contract with Winston Day Camp, Inc. By agreeing to this contract, I will be responsible for payment of the tuition, transportation fee and/or Extended Day Program fee (where applicable). I understand that an invoice will be mailed to me upon receipt of this contract by Winston Day Camp. At least 50% of my balance is due by February 1, 2010 with the remainder due no later than June 1, 2010. The camp reserves the right to dismiss a camper whose conduct is unsatisfactory and is detrimental to the camp program without a fee refund. Said fee is not refundable in the event of an early departure from camp based on a decision by the camp or parent/guardian. The camp tuition includes a hot lunch daily, afternoon snack, camp t-shirt, and group photograph. The camp may use any pictures or videos of the camper in any camp promotional materials or advertising related to Winston Day Camp. If, in the judgement of the camp, that outside medical or dental attention is needed for the camper's health and welfare, this gives the camp permission to do so. This gives permission for the camper to attend any age-appropriate trips including, but not limited to: Kelder's Farm, Forestburgh Playhouse, rafting on the Delaware, Splashdown Beach Water Park, Valley Cone, intercamp games at local camps, Mountain Creek Water Park, nature hiking at Neversink Gorge or Stone Arch Bridge, or bowling at a local bowling alley. Parents will be notified in advance of any trips through the camp newsletter, calendar, or a letter home. Winston Day Camp is licensed by the New York State Department of Health which inspects the camp at least twice yearly. Copies of these reports are available at the Monticello Office of the Department of Health. Any fees paid are refundable until June 15, 2010.
* I Agree To The Terms Above.
* Submitted By    Relationship To Camper