Summer Camp Registration 2017

General Info for All Campers
Camper #1 Full Name: Nickname:
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Camp Option: Green School Art Farm on Wheels Riders/Watersports

Camper #2 Full Name: Nickname:
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Camp Option: Green School Art Farm on Wheels Riders/Watersports

Camper #3 Full Name: Nickname:
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Camp Option: Green School Art Farm on Wheels Riders/Watersports

Parent/Guardian #1: A value is required.
Permanent Address: A value is required.
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Summer Address: A value is required.
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Home Phone: A value is required.Invalid format. Cell Phone: A value is required.Invalid format.
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Are you interested in year-round weekend programming?  

Parent/Guardian #2: A value is required.
Permanent Address: A value is required.
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Summer Address: A value is required.
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Home Phone: A value is required.Invalid format. Cell Phone: A value is required.Invalid format.
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Emergency Contact: A value is required. Phone: A value is required.Invalid format.
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Family Doctor Name: A value is required. Phone: A value is required.Invalid format.
Insurance Coverage: Policy:


Allergies/Medical Information
Camper #1:
Camper #2:
Camper #3
List the names of anyone, other than yourself, that has your authorization to pick up your child:
A value is required.
Child Release Password: (your child will not be released to anyone, other than those listed above, without knowing this password)
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Special Instructions/Notes about your child(ren):
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The Green School
Ages 3-5yrs. • 9:00am - 1:00pm • June 12th - September 1st 2017

 
Camp Selection 5 days 3 days
(m/w/f)
2 days
(t/th)
Jr. Pony Camp
(m/w/f
$475 /wk
)
$375 if also
enrolled in camp
Riding Lessons
(t/th - $80/day)

Spring Camp          
Week 1: June 12th - 16th Tuesday Thursday
Week 2: June 19th - 23rd Tuesday Thursday

Summer Camp          
Week 1: June 26th - June 30th Tuesday Thursday
Week 2: July 3rd - 7th (no camp July 4th) Thursday
Week 3: July 10th - 14th Tuesday Thursday
Week 4: July 17th - 21st Tuesday Thursday
Week 5: July 24th - July 28th Tuesday Thursday
Week 6: July 31st - August 4th Tuesday Thursday
Week 7: August 7th - 11th Tuesday Thursday
Week 8: August 14th - 18th Tuesday Thursday
Week 9: August 21st - August 25th Tuesday Thursday
Week 10: August 28th - September 1st Tuesday Thursday

Weekly Tuition 5 days
Mon-Fri
3 days
Mon/Wed/Fri
2 days
Tue/Thu
Weekly $1,155 $720 $500
5 weeks $995 $615 $430
6 weeks $940 $570 $400
7 weeks $830 $515 $365
8+ weeks $745 $470 $330

Sibling Discount is applied to the lowest base tuition: -$50 per 5 day week; -$35 per 3 day week; -$25 per 2 day week

 

The Art Farm on Wheels
6-12 yrs. • 9:15am - 3:15pm • June 26th - September 1st 2017
Select the week(s) your child(ren) will attend camp

 
Camp Selection 5 days
Camp Week 1: June 26th - June 30th
Camp Week 2: July 3rd - 7th (no camp July 4th)
Camp Week 3: July 10th - 14th
Camp Week 4: July 17th - 21st
Camp Week 5: July 24th - July 28th
Camp Week 6: July 31st - August 4th
Camp Week 7: August 7th - 11th
Camp Week 8: August 14th - 18th
Camp Week 9: August 21st - 25th
Camp Week 10: August 28th - September 1st

Weekly Tuition
5 Days/week
(Mon-Fri)
Weekly
$1,200
5 weeks
$1,000
6 weeks
$900
7 weeks
$850

Sibling discount is applied to the lowest base tuition: -$50 per week

 

The Riders
6-15yrs. • Half Day: 9:00am - 12:00pm or 12:00pm - 3:00pm
Full Day: 9:00am - 3:00pm
June 26th - September 1st 2017
 
Select the days or week(s) your child(ren) will attend camp

  A.M. Session P.M. Session Full Day MON
(Boat)
TUE
(Boat)
WED
(Boat)
THU
(Boat)
FRI
(Boat)
Week 1: June 26th - 30th
Week 2: July 3rd - 7th (no camp July 4th)  
Week 3: July 10th -14th
Week 4: July 17th - 21st
Week 5: July 24th - 28th
Week 6: July 31st - August 4th
Week 7: August 7th - 11th
Week 8: August 14th - 18th
Week 9: August 21st - 25th
Week 10: Aug 28th - Sept 1st

Half Day:
9:00am - 12:00pm
OR
12:00pm - 3:00pm
Daily: $165 Weekly: $725 5+ weeks: $600/wk
Full day:
9:00am - 3:00pm
Daily: $275 Weekly: $1,200 5+ weeks: $995/wk

No sibling discount



Transportation: (Art Farm & Riders campers only)

Art Farm & Riders campers will be picked up & dropped off at a centralized pick-up and drop-off location on a first come, first served basis. Choose the closest stop to you:


West Route:
  Southampton: Firehouse 470 Hampton Road

 

Water Mill: Soul Cycle Parking Lot 760 Montauk Highway
  Bridgehampton: Bridgehampton Commons Parking Lot in front of TJ Maxx 1527 Montauk Highway
  Sagaponack: The Green School 287 Merchants Path
  Long Beach: 1001 Noyack-Long Beach Rd. Sag Harbor

 
Southampton
Water Mill
Bridgehampton
Sagaponack
Long Beach
Morning Pick up
8:00am
8:15am
8:30am
8:45am
9:00am
Afternoon Drop Off
4:00pm
3:45pm
3:30pm
3:15pm
n/a

East Route:
  Wainscott: Rest stop on Montauk Highway just east of Osteria Salina

 

East Hampton Village: Parking lot by John Papas Cafe
  East Hampton/Sag Harbor: Northwest Woods Trail Parking lot on 114
  Long Beach: 1001 Noyack-Long Beach Rd. Sag Harbor


 
Wainscott
East Hampton Village
East Hampton/Sag Harbor
Long Beach
Morning
Pick Up
8:10am
8:25am
8:45am
9:00am
Afternoon
Drop Off
3:25pm
3:45pm
4:00pm
n/a

Campers must be at their stop a minimum of 5 minutes prior to the scheduled pick up time. If the camper is not on time for the shuttle, the parent/caregiver is responsible to drive him/her to the first activity. Refunds will not be issued if a child misses the shuttle and a parent/caregiver cannot provide transportation. Parents must be present at the assigned drop off location a minimum of 5 minutes prior to the scheduled drop off time. Campers will not be dropped off without a parent/caregiver present.

Transportation is not provided for The Green School campers. If you have children in both programs you may bring your Art Farm camper to The Green School where they will depart promptly at 8:45am.

Door-to-door transportation add-on available through All Hampton Taxi: 631-287-2121. Call Jimmy directly to schedule and tell him you are an Art Farm camper. Morning drop off is always at Long Beach in Sag Harbor: 1001 Noyack-Long Beach Rd. (west corner closest to Noyac Rd.)


TERMS AND CONDITIONS

(1) Medical Forms and Watersports waiver are due by June 1st regardless of your child’s start date.

(2) No refunds will be granted for sick or absent days. There are no make-ups for missed days.

(3) I agree to the tuition charges for the programs that I signed up for.

(4) No child will be released to a non-family member without knowing the CHILD RELEASE PASSWORD indicated in this registration form.

(5) The legal guardian(s) hereby gives approval & consent for child's participation in the activities of The Art Farm/The Green School/The Riders.

(6) The legal guardian understands & acknowledges that his/her child’s participation in the activities of The Art Farm/The Green School/The Riders is completely voluntary and has familiarized him/her with the activities in which hazards and/or dangers are inherent. On a regular basis children interact with chickens, pigs, goats, sheep, horses (including pony rides), rabbits, and a donkey. Accordingly, The Art Farm/The Green School has taken safety measures to minimize the risk of injury to the participants in such activities.

(7) The Art Farm/The Green School/The Riders cannot ensure or guarantee that the equipment, premises and/or activities will be free of hazards, accidents or injuries.

(8) The child and legal guardian agree to abide by all rules and regulations established by The Art Farm/The Green School/The Riders for the health, safety and welfare of everyone involved.

(9) If in the judgment of the Program Director it is deemed necessary to use medical, surgical or dental aid for the child’s health, the legal guardian hereby permits the Program Director to do so.

(10) All photographs taken during the course of the program are the sole property of The Art Farm/The Green School/The Riders and may be used as deemed necessary, including but not limited to any/all for promotional purposes.

DEPOSIT AND REFUND POLICY

A 50% deposit is due at the time of registration to reserve your child(ren)'s space. The balance is due in full and must be received no later than May 1, 2017. A $25 service fee per child will be charged for changes made after we received your registration. Cancellations received before May 1, 2017 will be refunded less a $150 service fee per child. There are no refunds for cancellations after May 1, 2017. Payment is due in full at the time of enrollment for all registrations received after May 1, 2017.

In the event of serious illness or accident during or before camp, a prorated refund will be given when accompanied by a physician's letter minus the $150 service fee per child. There is a $25 service fee for any returned check. In the event that your balance has not been received by the deadline of May 1, 2017 your child's registration will be reduced to the amount of time equal to the deposit received. This will be calculated from the first week of their registration. Refer to the tuition rates posted on The Art Farm / The Green School / The Riders website.

 

I have read and fully understand the above terms and conditions.

Signed: A value is required. Date: Invalid format. (mm/dd/yy)

*By signing I authorize payment and my electronic signature is legal and binding.

A value is required.

Payment is acceptable in the form of check or credit card.Select payment type:
If paying by credit card an invoice with a secure link for payment will be sent within 2 business days after we receive your registration. Enrollment is not confirmed until we receive payment. Our experienced staff works diligently to care for your child and create a wonderful camp experience. As a convenience to our clients, a staff gratuity is added to your total camp tuition in the amount of $40 per child per week (prorated for 3 days & 2 days/week, pony camp and riding lessons). This additional charge will be reflected on your invoice.

(A) Please charge my credit card: American Express MasterCard Visa Discover

Name on Card:

Email to send invoice to: Invalid format.

(B) Payment also acceptable via check payable to: The Art Farm / The Green School / The Riders Mailing Address: PO Box 1976 Bridgehampton, NY 11932

 
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revision:2/9/17