2024 Summer Program Registration “Eagles” Ages 12-14 (CIT’s) Camper's Name * First Name Last Name Camper's DOB + Grade Entering * Second Camper's Name First Name Last Name Second Camper's DOB + Grade Level Entering Parent / Guardian Name * First Name Last Name Parent / Guardian Phone (mobile preferred) * (###) ### #### Parent / Guardian Email * Allergies. medications, special concerns ... * Emergency Contact Name * First Name Last Name Emergency Contact Phone * (###) ### #### Camp week(s) * Week 1: July 1-5 SOUTHOLD Week 2: July 8-12 SOUTHOLD Week 3: July 15-19 MATTITUCK Week 4: July 22-26 MATTITUCK Week 5: July 29-Aug 2 TBA Week 6: August 5-9 TBA Week 7: August 12-16 CUTCHOGUE Week 8: August 19-23 CUTCHOGUE T-shirt Size * Adult Small Adult Medium Adult Large Adult XL Social Media Photographs * May we use photos of your child in promotional pamphlets, website pages, and/or social media posts? YES NO Notes Thank you for registering your child in the 2024 Turtleback Summer Program. Please be aware that registration is not complete until a 50% deposit is made via cash, check, Zelle, Venmo or credit card. We will pencil your child onto the roster. Please be advised that the spot is not secure until a payment is made. A copy of your registration form and a payment confirmation will be emailed to you. Welcome letters will be sent out a few days before the start of the camp week chosen. We are looking forward to a fabulous summer! Thank you! Make a PaymentJennifer Murray631.520.1528
