2025 Camper Enrollment Application
Fill out the camper application below and click "Update Changes" at the bottom of the form to continue.
Last:
First:
Birthdate:
Street:
City:
State:
Zip:
Home Phone:
Gender:
Boy
/
Girl
Grade 2024-25:
N (Preschool or not yet Kindergarten)
K (Kindergarten)
1
2
3
4
5
6
7
8
9
10
11
School 2024-25:
Grade 2025-26:
N (Preschool or not yet Kindergarten)
K (Kindergarten)
1
2
3
4
5
6
7
8
9
10
11
School 2025-26:
Special Placement Requests: Camper/Friend:
Grade Level (if different from above):
Allergies, Medications, or Medical Concerns:
Choose your program!
Camp runs for 8 weeks from Monday June 30th to Thursday August 21st, 2025
Full Day
9am - 4pm
Cost:
$990 per week
$300 discount applied to 8 Week Full Day enrollments.
Eligibility:
All Campers
Mini Day
9am - 1:45pm(Preschool)
9am - 2pm(Kindergarten)
Cost:
$885 per week
Eligibility:
Children entering Kindergarten & younger
AM
9am - 12:30pm
Cost:
$780 per week
Eligibility:
Pre-K Only, 3 by December 31, 2025
Choose Which Weeks You Want - Check Each Week Requested
A minimum of 3 weeks is required.
Week 1:
Mon Jun 30 - Thu July 3
Week 2:
Mon Jul 7 - Fri Jul 11
Week 3:
Mon Jul 14 - Fri Jul 18
Week 4:
Mon Jul 21 - Fri Jul 25
Week 5:
Mon Jul 28 - Fri Aug 1
Week 6:
Mon Aug 4 - Fri Aug 8
Week 7:
Mon Aug 11 - Fri Aug 15
Week 8:
Mon Aug 18 - Thu Aug 21
Choose Your Add Ons!
If taking the bus, please see where transportation is available
here
.
AM Extended Hours
(from 7:45am)
$35/Week
PM Extended Hours
(to 5:30pm)
$35/Week
(only available to PM campers)
Lunch Program $60/Week
(Not available to AM campers)
AM Bus $95/Week
PM Bus $95/Week
(Only available to Full Day campers)
Midday Bus
(2 pm camp departure)
$95/Week
(Only available to Mini Day campers)
Mother or Guardian Contact Information:
Name:
Cell Phone:
Address (if different from camper):
Home Phone (if different from camper):
Business Phone:
Email Address:
Father or Guardian Contact Information:
Name:
Cell Phone:
Address (if different from camper):
Home Phone (if different from camper):
Business Phone:
Email Address:
Approve Release Form
I agree to all the conditions in the
Release
document below. (Click to enlarge)
Approve Enrollment Policies
I agree to all the conditions in the
Enrollment Policies
document below. (Click to enlarge)
Parent Name (for application signature):
3095 Purchase Street
Purchase, NY 10577
© by Purchase Day Camp
914.949.2636
camp@purchasehouse.com
