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2019 Summer Camp Application

Please use a separate application for each camper.

* Indicates required field

Camper's Information

* Home Phone: () -

Contact Information - Parent or Guardian (Required)

* Work Phone: () -
* Cell Phone: () -

Contact Information - Parent or Guardian (Optional)

Work Phone: () -
Cell Phone: () -

Terms of Agreement

  • A non-refundable deposit of $100 per child must accompany your application. A link to the payment portal will be provided after submitting this application.
    • Those wishing to pay camp tuition by check or money order should contact Mike Reddington at
  • No refunds will be issued after the first day of camp (see #4 below).
  • All campers must register and pay in full by Thursday of the prior week of attendance. There will be no Monday sign-up.

Conditions of Acceptance and Enrollment

  1. An Iona Day Camp Medical form must be completed and submitted by July 1, 2019.
  2. The camp does not allow usage of cell phones, MP3 players or handheld video games during camp hours and will not be responsible for these items if brought to camp.
  3. Campers, parents and/or guardians agree to abide by camp rules and regulations.
  4. It is understood that no part of the tuition fee, or deposit, will be refunded after the first day of camp.
  5. It is understood that camp days may not be substituted due to illness or any other absence. This is strictly enforced.
  6. I give permission for my child to participate in all camp-related activities, which includes swimming.
  7. 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 Iona College Day Camp to administer emergency treatment to my child.
  8. It is understood that all photography, videos and interviews taken at camp may be used for promotional/advertising purposes.
  9. Camp hours are Monday-Friday from 9 a.m. - 4 p.m. If your child is dropped off before 8:30 a.m. or picked up after 4:30 p.m. and extended care arrangements have not been made, a $10 charge for every 15 minutes will be added on to your bill.
  10. In the event that this agreement is executed by one parent, the signer acknowledges that he/she is also acting as agent of the other parent with the authority to enroll the child at camp and to execute this agreement on his or her behalf.
  11. This contract constitutes the full understanding of the parties hereto and no change, modification or waiver of any of the terms shall be effective unless in writing and signed by both parties.
  12. If a child is disciplined 3 times , the camp reserves the right to dismiss the child for inappropriate behavior with NO refund.
  13. I give permission to the day camp staff to apply a sunscreen product that I have supplied. I understand that sunscreen may be applied to exposed skin, including but not limited to the face, neck, shoulders, arms and legs.

Parent or Guardian Signature

* By checking this box, I acknowledge and accept the above terms and conditions and that all information entered is correct and accurate to the best of my knowledge.