Camp registration form
SESSION 1
JULY 7-11:
Native Americans and how they lived.

SESSION 2
JULY 14-18:
Waterways of New York, and their inhabitants.

SESSION 3
July 21-25:
Explorers - Study them and then become one. 

SESSION 4
July 28 - August 1
The ancient forests of New York.

SESSION 5
AUG 4-8
How the first settlers survived.

___

The
Greenbelt
Conservancy
Summer
Day Camp
program is
for children
ages 5-12.

5-year-olds
must turn 6
by Dec. 31,
2008.

QUESTIONS?
Call
1-718-667-2165 
or e-mail us

The Greenbelt Conservancy Summer Day Camp

Registrations for the Greenbelt Conservancy Summer Day Camp program
are accepted only by mail on a first-come, first-served basis.
The fee for each week-long session is $110 for Conservancy members
and $125 for non-members. Each camper will receive a free T-shirt!
Extra T-shirts are available for $5 each.

Camp headquarters is High Rock Park, 200 Nevada Avenue, off Rockland Avenue.
Camp hours are 9:30 a.m. - 12:30 p.m. Monday through Friday.

Please print this page and fill out the form below.
Mail the completed form, with your check or money order, to:

The Greenbelt Conservancy
Summer Day Camp
200 Nevada Avenue
Staten Island NY 10306

Summer Day Camp is for youngsters ages 5-12. For younger children, see our Mini Camp program.
Please print clearly

CHILD'S NAME RETURNING CAMPER? DATE OF BIRTH SESSION NUMBER FEE
Jane Q. Example Yes 4-8-99 1,2 $220
         
         
         
         

TOTAL AMOUNT ENCLOSED $________________________

PARENT'S NAME:_______________________________________________________

ADDRESS:____________________________________________________________

CITY:__________________________________ STATE:_____ ZIP:_________________

DAYTIME TELEPHONE NUMBER:__________________________________________

E-MAIL ADDRESS:_____________________________________________________

List special group requests (cannot be guaranteed)

____________________________________________________________________

Attach copy of birth certificate (Ages 5-7 only). Make checks and money orders payable to
The Greenbelt Conservancy. Please do not send cash.

The Greenbelt Conservancy and NYC Parks and Recreation have my permission to use photos/video recordings of my child for promotional purposes. 

SIGNATURE:____________________________________________DATE_______________