Summer Camp Registration Form - The Country School

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631.537.2255

SUMMER CAMP 2026 REGISTRATION FORM

Name *

Birthday *

Gender *

Parent 1 Name *

Parent 1 Phone *

Parent 1 Email

Parent 2 Name

Parent 2 Phone

Parent 2 Email

There is a $1500 non-refundable deposit required to secure your child a place in the camp. If your child’s total tuition is less than $1500, please submit the full amount when enrolling. You can drop weeks anytime before April 15th. Camp balances are due on May 1st, 2026. Due to limited space, the camp does not offer make-up days for absences. Campers need to be fully toilet trained to partake in our swim program, which is offered for campers ages 3-8. There is a 2 week minimum enrollment for campers enrolled at our junior campus. For children who are under 3, we require a 3 week minimum. September 4th is a half day.

Credit Card Information - Secure *

First

Last

Senior Camp AGES 4-8 Located at EHIT 174 Daniels Hole Road, East Hampton

Age 7 & 8 Sharks 9:00-3:00
Age 6 Porpoises 8:45-2:45
Age 5 Sealions 9:00-3:00
Age 4 Dolphins 8:45-2:45

Full Day Tuition

2-5 Weeks $1475/Week
6-7 Weeks $1425/Week
8-11 Weeks $1350/Week

Junior Camp Full Day AGES 2-5 Located at The Country School 7 Industrial Road, Wainscott

Age 4-5 Stingrays 9:00-3:00
Age 3 1/2-4 Seahorses 8:45-2:45
Age 3 Starfish 8:40-2:40
Age 2 Jellyfish 9:00-2:50

Full Day Tuition

2-5 Weeks $1475/Week
6-7 Weeks $1425/Week
8-11 Weeks $1375/Week

Junior Camp Half Day AGES 2-4 Located at The Country School 7 Industrial Road, Wainscott

Age 3-4 Minnows 8:30-12:30
Age 3 Starfish 8:40-12:40
Jellyfish 9:00-12:00
Guppies 8:40-11:40

Half Day Tuition

2-5 Weeks $1375/Week
6-7 Weeks $1325/Week
8-11 Weeks $1250/Week

First Friends Ages 18-36 months This class requires a parent or caregiver to stay. (No Group Swim Instruction)

Mon/Wed/Fri 9:15-10:45 $395/Week
Tues/Thurs 9:15-10:45 $275/Week

Please check the weeks your child will be attending *

Pre-Camp June 22nd - 26th
Pre-Camp June 29th - July 3rd
Week 1 July 6th - 10th
Week 2 July 13th - 17th
Week 3 July 20th - 24th
Week 4 July 27th - 31st
Week 5 August 3rd - 7th
Week 6 August 10th - 14th
Week 7 August 17th - 21st
Week 8 August 24th - 28th
Post Camp August 31st - Sept 4th

Check boxes below to indicate if your child has any allergies, special needs/services, or medical conditions:

Allergies
Asthma
Medical Conditions
Special Education
Occupational/ Physical Therapy
Speech/Language Delay

Agreements

I consent to emergency medical treatment for my child

Agreements

I give my permission for the camp staff to apply sunscreen, diaper cream, and/or insect repellant that is provided by the parent

Agreements

I understand my child may not attend camp if he/she has one or more of the following symptoms. Fever over 100.4, vomiting, diarrhea, undiagnosed rash, has started antibiotics in the past 24 hours, congestion/coughing. We kindly ask that you keep sick children home for minimum of 24 hours.

Agreements

I understand that I am responsible for ensuring my child is covered by health insurance and that any injury or illness incurred at camp is the financial responsibility of the parent and not that of The Country School

Agreement

I give my permission for my child’s photograph to be used on social media or for advertising purposes

Agreements

Arrival/Dismissal- Please do not arrive at camp earlier then your scheduled drop off time and implement curbside drop off and pick up procedures. Please be prompt when picking up your camper.

Agreements