The Rinx ~ Hidden Pond Day Camp

Enrollment Application

In order to enroll for this program you must log-in. If you have not yet registered at this site, you may do so by going here.

Return Camper Rates apply to all enrollments for Summer 2011 at this time.

All enrollments must be accompanied by a non-refundable $200 deposit. Thank you!

LINK DISENGAGED UNTIL EARLY BIRD ENROLLMENT!

To print enrollment applicationfor ??? Campers click here .

EARLY BIRD REGISTRATION FOR ALL NEW CAMPERS AND THOSE WHO HAVE NOT YET ENROLLED WILL BEGIN ON SEPTEMBER 17, 2010. AT THAT TIME, ENROLLMENTS WILL BE AVAILABLE TO PRINT ON LINE AND ON-LINE ENROLLMENT WILL BE ACTIVE. THANK YOU!

You will need Adobe®Reader® to view and print forms.

WE ARE SPONSORING A SERIES OF

OPEN HOUSES

ON THE FOLLOWING

SATURDAYS

FROM

10AM UNTIL 2PM:

OCTOBER 16, 2010

DECEMBER 4, 2010

JANUARY 15, 2011

MARCH 12, 2011

APRIL 9, 2011

AND

MAY 14,2011

COME AND JOIN US FOR A TOUR!

***These documents are NOT available at this time to print except Lunch Menu.

* Lunch Menu*

* Medical Form*

* Permission to Pick Up*

* Dear Parent letter

* Medication Drop Off Instructions

* Gratuity Letter

* ADMINISTRATION OF MEDICATION

***The Camp Nurse will only be available to accept medications and Administration of Medication forms (medicine must be accompanied by Administration of Medication form) on June 12, 2010 and June 19, 2010 from 10:00am until 2:00 pm.

Please do not send Administration of Medication forms through the mail. You must bring them in with the medication and speak with a nurse. Thank you.

If you have any questions before enrolling your child/children on line, please feel free to contact the office Monday through Friday from 9:00AM until 5:00pm at 631-232-3222 Ext. 201.

Fax number 631-232-3228

Registration Begins: August 22, 2009
June 27 - August 19 9:00 A.M. - 4:00 P.M.	One child per application Based on Availability	Final Payment Due April 27, 2010
Returning Camper Rate Expires 9/17/2009	Early Bird Camper Rate Expires 1/14/2010	Regular Camper Rate Effective 1/15/2010

Select child for enrollment

Weeks in Camp	Returning Camper		Early Bird Camper		Regular Camper
Weeks in Camp	5 DAYS	4 DAYS	5 DAYS	4 DAYS	5 DAYS	4 DAYS
8	$3815	$3395	$3985	$3540	$4150	$3690
7	$3500	$3135	$3650	$3265	$3800	$3400
6	$3190	$2820	$3325	$2930	$3465	$3055
5	$2750	$2445	$2855	$2535	$2975	$2645
4	$2315	$2075	$2400	$2145	$2500	$2235
3	$1815	$1635	$1870	$1675	$1945	$1745

Weeks child will be
attending camp:

Wk #1 (6/27-7/1)	Wk #2 (7/4-7/8)
Wk #3 (7/11-7/15)	Wk #4 (7/18-7/22)
Wk #5 (7/25-7/29)	Wk #6 (8/1/-8/5)
Wk #7 (8/8/8/12)	Wk #8 (8/15/8/19)

Camp will be closed on Sunday, July 4. There will be a $0.00 reduction in tuition for those registered for that day.

Program Type

	FULL DAY 9:00 A.M. - 4:00 P.M.
	MINI DAY (K) 11:00 A.M. - 4:00 P.M. (85% of tuition)
	C.I.T. (9^th grade) (95% of tuition)
	C.I.T. (10^th grade) (90% of tuition)

A.M. Extended
(7:00 A.M. - 8:30 A.M.)
FREE

P.M. Extended
(4:30 P.M. - 6:00 P.M.)
$50 per week or $10 per day

Town of Islip residents with a valid recreation card will receive a 5% discount on tuition.

Expiration Date: / /

Card must be presented to The Rinx staff by April 1st to keep discount.

Multi-child discount *
$80 - 8 weeks , $75 - 7 weeks , $70 - 6 weeks , $65 - 5 weeks , $60 - 4 weeks , $55 - 3 weeks .

* Will be calculated during checkout

Payment Worksheet

After the date below, all tuitions must be paid in full at the time of sign up. Thank you.
April 17, 2010.

Tuition for this child

- 4th of July

- Program Discount

- TOI Discount

+ P.M. Extended

Subtotal

The Rinx · 660 Terry Road, Hauppauge, New York 11788 · Phone: 631.232.3222 · Fax: 631.232.3266 · email: info@therinx.com