9:00am – 12:30pm – For children ages 4-12

Child's First Name (required)

Child's Last Name (required)

Child's Age (required)

Child's Grade Completed By June 2018 (required)

Parent or Guardians First Name (required)

Parent or Guardians Last Name (required)

Your Email (required)

Phone Number (required)

Address (required)

City (required)

State (required)

Zip Code (required)

Emergency Contact Name (required)

Emergency Contact Phone Number (required)

Relationship To Child (required)

Shirt Size - No Cost For T-Shirt (required)

How did you hear about Camp (required)

Allergies (if any)

Any additional information you would like to provide

There is NO COST for Kids Camp however if you would like to make a donation it’s appreciated, thank you.
For your convenience you can TEXT TO GIVE
How It Works
Send a text message with a dollar amount (e.g., “$25”) to (631) 657-2253 add the word KIDS after the dollar amount ($25 KIDS) and your gift will go directly to Kids Camp. If it is your first time giving this way, you will have to fill out a short form with your billing info. After the initial setup, however, giving is as easy as sending a text.
You can also use electronic giving by setting up an account here