Member Anchor Camp Registration Form | LIYC
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Clubhouse and Pool

Anchor Camp Registration Form

Member

Long Island Yacht Club’s Anchor Day Camp -2023 Member Registration Form
PROGRAM DATES: JUNE 26, 2023 - AUGUST 11, 2023 (*No Camp on July 4)
No makeup days or refunds.

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PARENT OR GUARDIAN INFORMATION

CHILD INFORMATION

Program Enrollment
Pre-K

(* 3 week minimum & must be consecutive)

Program Enrollment
Pre-K

(* 3 week minimum & must be consecutive)

Program Enrollment
Pre-K

(* 3 week minimum & must be consecutive)

Member Fees Per Child (fees do not include NYS sales tax)

 

   (Early Bird, 10% Discount, expires January 2023) 

CHARGE AUTHORIZATION:





 
Payment Method:
 Long Island Yacht Club - Anchor Day Camp Terms & Conditions

• Any child who presents a risk to themselves or to others may be discharged from Anchor Day Camp at the discretion of the Directors. There will be no tuition refund.
• In the event I cannot be reached by phone, I hereby permit any local doctor, hospital, and LIYC to administer emergency treatment to my child.
• I permit LIYC to take my child on off-campus trips, including swimming or water activities. (not applicable to Pre-K program)
• I permit LIYC to use photographic or video images of my child for promotional purposes, including printed brochures, videos/DVDs, websites, and other marketing materials.
• I permit LIYC to give my email, address, and phone number to other LIYC families for birthday parties and play dates.
• I agree that LIYC will not be responsible for the loss of valuables or personal articles.
• The Anchor Day Camp Directors reserve the right to cancel this enrollment for any reason and refund a pro-rata amount of the tuition (based on the number of days attended).
• If Anchor Day Camp is unable to open or is forced to begin late or close early due to circumstances beyond LIYC’s control, including but not limited to weather, floods, utility failures, inaccessibility, communicable disease, civil unrest, governmental order or if camp chooses not to open for health and safety reasons, LIYC shall not be responsible for any costs, losses or other damages beyond a refund (or credit applied to next summer) of tuition or a proportionate share thereof in the event of a partial shutdown, minus any non-recoverable expenses and administrative costs spent in the performance of this agreement
• I understand that part of the camping experience involves activities and group interactions that may be new to my child. They come with uncertainties beyond what my child may be used to at home. This includes uneven terrain, extreme weather, standing and moving water, communicable diseases, forested and other areas that may result in wildlife encounters, including mammals, reptiles, and insects that could result in infections and various insect-transmitted diseases, such activities as field and court spots, playgrounds, waterfront, off-campus trips as well as other activities. I also know that my child may participate in off-campus activities involving additional risks. Knowing this, I grant permission for my child to engage in these activities. In addition, certain unavoidable risks are associated with various game and play activities such as collisions, wayward objects such as balls and other equipment, and other activities. I am aware of them and acknowledge them on behalf of my child. I realize that no environment is risk-free, so I have instructed my child on the importance of abiding by the camp’s rules, and my child and I agree that they are familiar with these rules and will obey them.
• During inclement weather, we reserve the right to treat Rainy Days like Snow Days during school, which we will only use if necessary. There will be 4 “rain days” built into our calendar, for instance, when the weather forces camp to be closed. After the 4th such closure, a pro-rated credit for a future summer will be issued for any additional days missed.
• the Suffolk County Region of the New York State Department of Health regulates LIYC’s Anchor Day camp. We meet or exceed all their health and safety standards. All campers and staff attending LIYC’s Anchor Day Camp must abide by the health and safety policies set forth by LIYC and/or the NYS Department of Health.
• Payment is due in full before registration is considered finalized. No refunds will be given after registration is finalized.
• There is a 3% service charge on all credit card payments.

Thank you for your registration. Can't wait for summer!​

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