FALLSVIEW DAY CAMP
Home
Contact
Pricing/Dates
Camper Application
Staff Application
Camp Photos
Camp Photos 2017
Camp Photos 2018
Home
Contact
Pricing/Dates
Camper Application
Staff Application
Camp Photos
Camp Photos 2017
Camp Photos 2018
1st Trip June 29 - July 24
2nd TriP July 27 - August 21
*
Indicates required field
$500 non-refundable deposit per camper due with registration.
Please use Zelle (aka Chase Q
uickPay) to send this deposit to
[email protected]
.
Please
mark in the memo "Fallsview DC Deposit (your child's name)"
Remaining balance due by April 30, 2020
If your payment is not received by this date we cannot guarantee that your child will have a spot in day camp.
Please let us know how you will be sending your payments
*
Check mailed to Fallsview Day Camp
Zelle Payment to
[email protected]
Fallsview Daycamp
c/o
Mrs. Pearl Shapiro
1456 East 26th Street
Brooklyn New York 11210
Note for Fallsview Families:
Please submit online application by March 1, 2020.
Note for non-Fallsview Families:
Registration for off-ground campers is subject to spaces remaining, on a first come first serve basis. If there is no space left, your registration fee will be returned.
Upload/fill out
Medical Form, Immunization Form and Emergency Form here
See
Lunch Form
here
To apply for additional campers, reload this page after submitting the form. You will see a confirmation message when form is successfully submitted.
Camper Application
Family Information
On or Off Ground Camper
*
On-Grounds Camper
Off-Grounds Camper
Father's Name
*
First
Last
Mother's Name
*
First
Last
Home Address
*
Line 1
Line 2
City
State
Zip Code
Country
Home Tel
*
Email
*
Bungalow Colony & Unit #
*
Summer Home Tel
*
Camper Information
Child's Name
*
Child's School
*
Age (choose from list)
*
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Grade Entering
(choose from list)
*
Tiny Tots (2 y.o.)
Nursery (3 y.o.)
Kindergarten (4 y.o.)
Boy entering P1A
Boy entering 1
Boy entering 2
Boy entering 3
Boy entering 4
Boy entering 5
Boy entering 6
Boy entering 7
Boy entering 8
Girl entering P1A
Girl entering 1
Girl entering 2
Girl entering 3
Girl entering 4
Girl entering 5
Girl entering 6
Girl entering 7
Girl entering 8
Girl entering 9
Applying For:
*
1st Half
2nd Half
Whole Summer
Fee (please hover over the (?) to see fees, and type the correct amount in this box)
*
On Grounds
Tiny Tots: $460 Half; $800 Whole
Girls Nursery - 6th : $660 Half; $1200 Whole
Boys Nursery - 1st: $660 Half; $1200 Whole
Boys 2nd-8th w/Rebbeim: $705 Half; $1300 Whole
TC (girls grade 7-8) 2nd Half: $1085
Off-Ground Campers:
Girls Nursery - 6th : $735 Half; $1350 Whole
Boys Nursery - 1st: $735 Half; $1350 Whole
Boys 2nd-8th w/Rebbeim: $780 Half; $1450 Whole
TC (girls grade 7-8) 2nd Half: $1185
Notes
*
Release of Liability
I release FALLSVIEW DAY CAMP, all
Fallsview staff, its principals, board, founders and camp committees,
and their families, from any liability of any sort. I do not hold FALLSVIEW DAY CAMP responsible for any injuries sustained while my children are in camp or on any camp trips.
Name (to serve as a signature for liability statement)
*
Trip Permission
I allow my children to attend all trips run by FALLSVIEW DAY CAMP.
Name (to serve as a signature for trip permission)
*
Medical & Immunization Acknowledgement
P
lease be aware that your child's placement in Fallsview Day Camp is not confirmed until ALL necessary forms have been received. Any penalties issued by the NYS Board of Health will be charged to the families with delinquent accounts.
Name (to serve as a signature for medical forms acknowledgement)
*
Submit Camper(s) Application
If form is not submitting, please recheck that ALL starred items are filled in or have option(s) chosen.
