Camp registration form

Young Buds
Age 5-6
SESSION 1
JULY 6-9: Insects

SESSION 2
JULY 12-15: Birds

SESSION 3
JULY 19-22: Reptiles 

SESSION 4
JULY 26-29: Plants & Trees

SESSION 5
AUG. 2-5: Water

WaterSESSION 6
AUG. 9-12: Mammals
______
Explorer
Camp
Age 7-12
THEME 1
July 6-9
July 12-15
Once Upon the Greenbelt

THEME 2
July 19-22
July 26-29
Weird Science

THEME 3
Aug. 2-5
Aug. 9-12
Earth, Sea & Sky

5-year-olds
must turn 6
by Dec. 31,
2009.

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

The Greenbelt Conservancy
Summer Day Camp 2010

Registrations for the Greenbelt Conservancy Summer Day Camp program
are accepted by mail - or by telephone, if you pay with a credit card,
on a first-come, first-served basis.
The fee for each week-long session is $90 for family-level Conservancy members
and $100 for non-members.

Young Buds & Explorer Camp
Register early and save!

Before May 1
Session		 Members
$80		 Non-members
$90		 May 1 or after
Session		 Members
$90		 Non-members
$100
Before May 1
6-week season		 $450 $500 May 1 or after
6-week season		 540 $600
Before May 1
Two siblings
6-week season		 $810 $900 May 1 or after
Two siblings
6-week season		 $990 $1,100

Teen Naturalist

Before May 1
Session		 Members
$40		 Non-members
$54		 May 1 or after
Session		 Members
$50		 Non-members
$60
Before May 1
6-week season		 $225 $250 May 1 or after
6-week season		 $324 $360

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 DATE OF BIRTH PROGRAM SESSION FEE
Jane Q. Example 4-8-99 Explorer July 20 $90
         
         
         
         

TOTAL AMOUNT ENCLOSED $________________________

PARENT'S NAME:_______________________________________________________

ADDRESS:____________________________________________________________

CITY:__________________________________ STATE:_____ ZIP:_________________

DAYTIME TELEPHONE NUMBER:__________________________________________

E-MAIL ADDRESS:_____________________________________________________

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_______________