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About Badger
- About Badger
- Our Team
- Gallery
- News
Programs
Activities
Resources
Contact
Register

2018 Camper Form

1 Camper Information

2 Parent Information

Camper Information
Camper Name*
First Last
Choose your program*
Choose your weeks*
Choose your weeks*
- Week One Jun 25 - Jun 29
- Week Two Jul 2 - Jul 6
- Week Three Jul 9 - Jul 13
- Week Four Jul 16 - Jul 20
- Week Five Jul 23 - Jul 27
- Week Six Jul 30 - Aug 3
- Week Seven Aug 6 - Aug 10
- Week Eight Aug 13 - Aug 17
Name of School (Fall 2018)*
Grade (Fall 2018)*
Gender*
Birth Date*
Age*
Camper Address
Camper Address*
Street Address City State ZIP Code
Transportation
Do you require transportation?*
Please select car seat options*
- None
- Car Seat
- Booster
Camper Allergies
Does your camper suffer from any allergies?*
Allergies
You will be asked to provide more details on allergies on the Health Form
- Seasonal
- Insect Stings
- Latex
- Milk
- Eggs
- Peanuts
- Tree Nuts
- Wheat
- Soy
- Shellfish
- Other
If you selected other, please describe what other allergies your child has?
Special Requests
(Optional) Group Placement: If possible, this request will be honored. This must be done before May 1st. I would like my child in the same group as:
Camper Permissions
I give permission for my child to participate in all camp activities (including swimming). I give permission for my child to carry and use sunscreen at camp and to use it throughout the day. If my child needs help re-applying sunscreen, I give permission for camp staff to provide my child with assistance if he/she requests it. I give permission to release addresses, email and phone numbers to other parents for parties, play dates, etc. I give permission to release my address: I understand all photographs, videos and interviews taken at camp may be used for promotional or advertising purposes. I give consent for my child to be taken to and from camp on field trips by means of transportation used by Badger. In the event that I cannot be reached by phone in an emergency, I hereby give permission to my family physician, any local physician or hospital and to Badger to administer emergency treatment to my child.
Permissions*
Please describe your permissions requests and we will follow up with you to discuss*

Parent 1 Information
Parent 1 Name*
First Last
Parent 1 Email*
Parent 1 Cell Phone*
Parent 1 Secondary Phone*
(###)###-####
Does parent 1 live at the same address as camper?*
Parent 1 Address*
Street Address City State ZIP Code
Parent 2 Information
Parent 2 Name*
First Last
Parent 2 Email*
Parent 2 Cell Phone*
Parent 2 Secondary Phone*
Does Parent 2 live at the same address as Parent 1?*
- Yes
- No
Parent 2 Address*
Street Address City State ZIP Code
Section 3: Emergency Contact Information
Emergency Contact Name*
First Last
Relation to Camper*
Primary Phone*
(###)###-####
Terms of Service*
- I accept Badger Day Camp's Terms of Service
- I am a returning Badger Camper

OVERVIEW

Badger Day Camp is Westchester’s premier summer day camp for kids ages 3-12. Badger Day Camp provides door to door supervised transportation, daily hot lunch, towel service, exceptional counselor to camper ratio, sports activities including world class swim instruction, a nature program, art & crafts and even yoga!

Contact Info

Badger Day Camp
119 Rockland Avenue
Larchmont, New York 10538

Phone: 914.834.1084
Email: info@badgerdaycamp.com

@BadgerDayCamp

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