East End Arts : School : Summer Camp : Summer Camp Registration

2021 Summer Camp Registration

Please read each selection carefully before selecting a quantity. If you are registering more than one child, there is a 10% discount for subsequent children and that must be an additional selection when registering. There is morning care and after care available for each day that camp runs. If you would like morning care or after care, please select the quantity of days next to the morning care/after care option. Once all of your selections are made, click the purple "SUBMIT" button at the very bottom. Please only click this button once and wait until a display response pops on the screen. Please make sure you have entered in all required information, including an upload of a current physical (within the year) and immunizations given to date.

If you have any questions or are having trouble completing registration, please contact the East End Arts school registrar at education@eastendarts.org. The registrar is able to be reached via e-mail and phone at 631.369.2171. E-mail will be monitored Monday - Friday from 10 a.m. - 4 p.m. and any questions or inquiries will receive a response within a 24-hour period or sooner during these business hours.

*Please keep in mind that each child will be required to wear a mask while indoors at camp. Please send a sealable bag or container for your child's mask to be stored when not in use. East End Arts follows all NYS executive orders and social distancing protocols and requirements.

Please check the camp information page by CLICKING HERE for important information about packing lunch and snacks, attire, schedule and activities, and more.

Not a member? Want the discounted rate for your family?
CLICK HERE to become an East End Arts Member! >>

*Credits can be used for any program or workshop held by EEA
*Credits expire one-year from enrollment date
*Exclusions include EEA's special events - Questions? Contact the School Registrar at 631.369.2171 or education@eastendarts.org

Guardian Name #1

First Name *

Last Name *

Guardian #1 Email Address (Required)

Guardian #1 Phone Number (Required)

Guardian #1/Registrant's Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Guardian Name #2

First Name

Last Name

Guardian #2 Email Address

Guardian #2 Phone Number

Guardian #2 Address (if different from Guardian #1)

Country

Address Line 1

City

State/Province

Postal Code

Child #1 First & Last Name

First Name *

Last Name *

Child #1 Date of Birth (Required)

Child #1 Age (Required)

Child #1 Immunizations (if any) (Required)

If your child does not have any immunizations, please upload a form stating that. This upload field accepts multiple forms, if needed. Your child is not required to have vaccinations to attend our camps, but EEA needs to have medical records on file as to what they do or do not have.

No file selected

Click or drag here to add files

Child #1 Current Physical (within the year) (Required)

Please upload your child's current physical within the year. This upload form can accept multiple files if necessary.

No file selected

Click or drag here to add files

OPTIONAL for statistical purposes only: Camper Ethnicity

Hispanic
Non-Hispanic

OPTIONAL for statistical purposes only: Camper Race

White
Black
Asian
Other
Alaskan/Native American
Hawaiian/Pacific Islander

Child #2 First & Last Name

First Name

Last Name

Child #2 Date of Birth

Child #2 Age

Child #2 Immunizations

No file selected

Click or drag here to add files

Child #2 Current Physical (within the year)

Please upload your child's current physical within the year. This upload form can accept multiple files if necessary.

No file selected

Click or drag here to add files

OPTIONAL for statistical purposes only: Camper Ethnicity

Hispanic
Non-Hispanic

OPTIONAL for statistical purposes only: Camper Race

White
Black
Asian
Other
Alaskan/Native American
Hawaiian/Pacific Islander

Child #3 First & Last Name

First Name

Last Name

Child #3 Date of Birth

Child #3 Age

Child #3 Immunizations

No file selected

Click or drag here to add files

Child #3 Current Physical (within the year)

Please upload your child's current physical within the year. This upload form can accept multiple files if necessary.

No file selected

Click or drag here to add files

OPTIONAL for statistical purposes only: Camper Ethnicity

Hispanic
Non-Hispanic

OPTIONAL for statistical purposes only: Camper Race

White
Black
Asian
Other
Alaskan/Native American
Hawaiian/Pacific Islander

It's a Small World: Arts, Music, & Theatre Camp
FULL DAY | MEMBER ONLY
Ages 5 - 7 years & 8 - 10 years

It's a Small World! Camp Registration FIRST CHILD: Full Day: EEA Member ONLY

1 WEEK - $349
2 WEEKS - $698
3 WEEKS - $1047
4 WEEKS - $1396
5 WEEKS - $1745
6 WEEKS - $2094
7 WEEKS - $2443
8 WEEKS - $2792
N/A

It's a Small World! Camp Registration SECOND CHILD: Full Day: EEA Member ONLY

It's a Small World! Camp Registration THIRD CHILD: Full Day: EEA Member ONLY

It's a Small World: Arts, Music, & Theatre Camp
FULL DAY | NON-MEMBER ONLY
Ages 5 - 7 years & 8 - 10 years

It's a Small World! Camp Registration FIRST CHILD: Full Day: Non-Member ONLY

1 WEEK - $399
2 WEEKS - $798
3 WEEKS - $1197
4 WEEKS - $1596
5 WEEKS - $1995
6 WEEKS - $2394
7 WEEKS - $2793
8 WEEKS - $3192
N/A

It's a Small World! Camp Registration SECOND CHILD: Full Day: NON-Member ONLY

It's a Small World! Camp Registration THIRD CHILD: Full Day: Non-Member ONLY

It's a Small World: Arts, Music, & Theatre Camp
HALF DAY | MEMBER ONLY
Ages 5 - 7 years & 8 - 10 years

It's a Small World! Camp Registration FIRST CHILD: Half Day (am or pm): EEA Member ONLY

1 WEEK - $175
2 WEEKS - $350
3 WEEKS - $525
4 WEEKS - $700
5 WEEKS - $875
6 WEEKS - $1050
7 WEEKS - $1225
8 WEEKS - $1400
N/A

It's a Small World! Camp Registration SECOND CHILD: Half Day (am or pm): EEA Member ONLY

It's a Small World! Camp Registration THIRD CHILD: Half Day (am or pm): EEA Member ONLY

It's a Small World: Arts, Music, & Theatre Camp
HALF DAY | NON-MEMBER ONLY
Ages 5 - 7 years & 8 - 10 years

It's a Small World! Camp Registration FIRST CHILD: Half Day: Non-Member ONLY

1 WEEK - $199
2 WEEKS - $398
3 WEEKS - $597
4 WEEKS - $796
5 WEEKS - $995
6 WEEKS - $1194
7 WEEKS - $1393
8 WEEKS - $1592
N/A

It's a Small World! Camp Registration SECOND CHILD: Half Day: Non-Member ONLY

It's a Small World! Camp Registration THIRD CHILD: Half Day: Non-Member ONLY

Arts & Music Camps
FULL DAY | MEMBER ONLY
Ages 9 - 14 Years

Arts & Music Camp: FIRST CHILD: MEMBERS ONLY

1 WEEK - $349
2 WEEKS - $698
3 WEEKS - $1047
4 WEEKS - $1396
5 WEEKS - $1745
6 WEEKS - $2094
7 WEEKS - $2443
8 WEEKS - $2792
N/A

Arts & Music Camp: SECOND CHILD: MEMBERS ONLY

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Arts & Music Camp: THIRD CHILD: MEMBERS ONLY

Arts & Music Camps
FULL DAY | NON-MEMBER ONLY
Ages 9 - 14 Years

Arts & Music Camp: FIRST CHILD: NON-MEMBERS ONLY

1 WEEK - $399
2 WEEKS - $798
3 WEEKS - $1197
4 WEEKS - $1596
5 WEEKS - $1995
6 WEEKS - $2394
7 WEEKS - $2793
8 WEEKS - $3192
N/A

Arts & Music Camp: SECOND CHILD: NON-MEMBERS ONLY

Arts & Music Camp: THIRD CHILD: NON-MEMBERS ONLY

Before care and after care price is per day or per week and is inclusive of care before and after summer camp operating hours. Before care begins at 8:30 am and after care is from 3:00 pm - 5:00 pm. If you have any further questions about before care and after care, please contact the registrar at 631.369.2171 or education@eastendarts.org

Select the amount of days you would like for morning & after care for WEEK ONE

1 DAY - $30 (One Child)
2 DAYS - $60 (One Child)
3 DAYS - $90 (One Child)
5 DAYS - $100 (One Child)

Select the amount of days you would like for morning & after care for WEEK TWO

Select the amount of days you would like for morning & after care for WEEK THREE

Select the amount of days you would like for morning & after care for WEEK FOUR

Select the amount of days you would like for morning & after care for WEEK FIVE

Select the amount of days you would like for morning & after care for WEEK SIX

Select the amount of days you would like for morning & after care for WEEK SEVEN

Select the amount of days you would like for morning & after care for WEEK EIGHT

SECOND CHILD: Select the amount of days you would like for morning & after care for WEEK ONE

1 DAY - $30 (SECOND CHILD)
2 DAYS - $60 (SECOND CHILD)
3 DAYS - $90 (SECOND CHILD)
5 DAYS - 100 (SECOND CHILD)

SECOND CHILD: Select the amount of days you would like for morning & after care for WEEK TWO

Custom Amount

SECOND CHILD: Select the amount of days you would like for morning & after care for WEEK THREE

THIRD CHILD: Select the amount of days you would like for morning & after care for WEEK ONE

1 Day - $30 (THIRD CHILD)
2 Days - $60 (THIRD CHILD)
3 Days - $60 (THIRD CHILD)
5 Days - $60 (THIRD CHILD)

THIRD CHILD: Select the amount of days you would like for morning & after care for WEEK TWO

THIRD CHILD: Select the amount of days you would like for morning & after care for WEEK THREE

Select the specific camps and weeks you are registering for your FIRST child

Select the specific camps and weeks you are registering for your SECOND child

Select the specific camps and weeks you are registering for your THIRD child

My child(ren) listed in the above registration form has/have permission to participate in all camp activities scheduled by the East End Arts School during the week(s) he/she/they are in attendance. If my child(ren) has/have any underlying condition(s) or special need(s), I have listed those condition(s)/special need(s)/activity restriction(s) below and specified which child(ren) each special need(s)/condition(s)/restriction(s) pertains to.

By checking the box below, you are agreeing to the above text

I AGREE
I DO NOT AGREE

Electronic Signature

First Name *

Last Name *

By electronically signing my name in the above boxes, I agree and understand the above permissions. I have listed any condition(s), restriction(s), and special need(s) in the boxes provided below.

Please list any special need(s)/condition(s)/activity restriction(s) per registered child. Be sure to list their name in each box. (Required)

Please list any special need(s)/condition(s)/activity restriction(s) per registered child. Be sure to list their name in each box.

East End Arts will not release any student to any person without proper photo identification and their name listed in the appropriate sections of this registration form (Guardians & Emergency Contacts). Please enter up to 3 emergency contacts that can be contacted in the event GUARDIAN #1 or GUARDIAN #2 listed can not be reached. The people you list below will have permission to pick up your child(ren) from the East End Arts School. All students are required to be signed out at the registrar’s office prior to release at the conclusion of each day. Please contact the Education Director at kruscick@eastendarts.org if there are any special circumstances or pick-up restrictions pertaining to your child(ren).

Emergency Contact #1 - Name & Phone Number

First Name

Last Name

Emergency Contact #2 - Name & Phone Number

First Name

Last Name

Emergency Contact #3 - Name & Phone Number

First Name

Last Name

Do any of your registered children above have any allergies (environmental, food, medications)?

If yes, please list ANY & ALL allergies in the below boxes, the reaction, and the severity of the reaction to the allergen. Please be specific and if registering multiple children, include name(s) of child(ren) which allergies and whether or not they have a doctor prescribed epi-pen for their reaction.

Please list any & all allergies per registered child. Be sure to list their name in each box. If they have allergies, please list the allergen, reaction, and severity of reaction.

CHILD ONE: Please list any & all allergies. If they have allergies, please list the allergen, reaction, and severity of reaction.

CHILD TWO: Please list any & all allergies. If they have allergies, please list the allergen, reaction, and severity of reaction.

CHILD THREE: Please list any & all allergies. If they have allergies, please list the allergen, reaction, and severity of reaction.

Image/Likeness Release

I am the parent or legal guardian of the above registered child(ren), participant(s) of the East End Art Summer Camp Programs (“Programs”), programs by East End Arts and Humanities Council held at East End Arts Main Campus Recreation Center (“Recreation Center”), located in Riverhead, New York. I hereby consent to the publication and use of my child’s/children’s name(s) and/or my child’s/children’s likeness(‘) (“Likeness(‘)”) for the purpose of promotion, publicity, advertising, or other manner or media by East End Arts & Humanities Council, Inc., or any other representative authorized to act on behalf of the afore-mentioned entity. Likeness(‘) shall include, but not be limited to, photographs, sound and/or video recordings, films, broadcasts, brochures, publications, reports, web pages, promotional materials or any other audio-visual, electronic, printed, tangible work in any media or format, now known or hereafter to become known, and/or reproductions of any of these. I agree that the actual material involved is and shall continue to be the property of the East End Arts & Humanities Council, Inc. and that neither I, nor my child(ren), shall have any right of review or approval regarding the use of my child’s/children’s name(s) and/or Likeness(‘) in such material. I hereby release and hold harmless, East End Arts & Humanities Council, Inc., along with their respective employees, agents, affiliates, sponsors, or other representatives from any and all claims, demands, or causes of action arising out of the use of my child’s name(s) and/or Likeness(‘), in accordance with the terms of this release. I understand and agree that neither I, nor my child(ren), will be compensated in any way for the use of my child’s/children’s name(s) and/or Likeness(‘) by East End Arts & Humanities
Council, Inc..

I AGREE
I DO NOT AGREE

Electronic Signature

By electronically signing my name, I agree to the above release/waiver for all children listed in this registration..

First Name *

Last Name *

LOCATION
All camps are held at the East End Arts School, located at 141 East Main Street in Riverhead, NY. The School offers professional studios with comfortable air
conditioned rooms and scenic grounds for outdoor breaks and lunch.

EARLY MORNING & AFTERCARE
Early morning care is available between 8:30 - 9:00 AM
and aftercare between 3:00 - 5:00 PM.
Aftercare consists of modified camp activities.
Early Morning Care 8:30 - 9:00 AM & Aftercare 3:00 - 5:00 PM: $30 p/day or $100 p/week

STAFF
Counselors are chosen for their expertise, dedication, and enthusiasm with children. Unexpected Discoveries Creative, Arts, Music, & Theater 1-Week Summer Camp maintains a comfortable ratio of 1:6 counselors to children. Unexpected Discoveries Weekly Summer Arts & Music Camps maintain a comfortable ratio of 1:10. Our small group sizes provide for in-depth learning with personal attention and an encouraging arts camp experience.

SNACK & LUNCH
Campers bring their own snacks & lunch in an insulated container.

CAMP PERFORMANCE & ART SHOW
On the last day of each camp, campers show off their creations to family and friends. Details provided at camp.

TRANSPORTATION
Transportation is the responsibility of the parent/guardian.

SCHOLARSHIPS
A limited number of partial scholarships are available, based on financial need. An application can be requested by calling the School at 631-369-2171, email education@eastendarts.org or download a scholarship form. Deadline for application is June 1, 2021.

PLEASE NOTE: Camps have limited space. Campers will be registered on a first-come first-served basis. East End Arts School will maintain a waiting list for any camp that becomes full. Each camper will receive a call confirming their spot in camp a week prior to the beginning of camp.

CAMP REFUND & CREDIT POLICY

If you notify East End Arts before May 15, you can receive a 75% refund, less an administration fee of $15.00.
If you notify East End Arts less than one month (30 days) but at least two weeks (14 days) before the start of that specific camp week, you can receive 50% refund, less an administration fee of $15.00.
If you notify East End Arts less than two weeks (14 days) before the start of that specific camp week, you may receive a 50% credit on your East End Arts account.
Once a program begins, we cannot make any adjustments or offer any credit.

I have read and understand all the aforementioned camp information. I understand that I must have all of my child’s/children’s forms and appropriate signed releases in to the registrar 2 weeks prior to the beginning of camp.

I AGREE
I DO NOT AGREE

According to New York State Law, East End Arts Camp Staff is not permitted to administer medication to any camper without a physician’s order. It is the policy of Unexpected Discoveries Camp to allow the parent to bring and administer medication to their child during the day as necessary.

EMERGENCY AUTHORIZATION & INDEMNIFICATION

To the best of my knowledge, the health history and participation restrictions for each child registered above; including any and all allergy information is correct, and the person(s) described has permission to engage in all camp activities except as noted. While every precaution will be taken to ensure the safety and good health of all children and the protection of each child’s property, I understand and hereby agree that East End Arts & Humanities Council, Inc. and the directors, and employees of East End Arts & Humanities Council, Inc. and Unexpected Discoveries Summer Camps, are released from any and all liability in the event of an illness, accident, or misfortune that may occur to the child(ren) or damage to the child’s/children’s property while on East End Arts & Humanities Council Inc.’s property or during a time in which your child(ren) are under the care and supervision of East End Arts' Staff off-premises.

I AGREE
I DO NOT AGREE

By Electronically Signing my name below, I agree to the above emergency authorization & indemnification

First Name *

Last Name *

I GIVE MY PERMISSION 1)FOR PERSONNEL, SELECTED BY THE CAMP DIRECTOR, TO SECURE PROPER MEDICAL TREATMENT IN THE EVENT OF AN EMERGENCY AND 2)FOR THE CAMP DIRECTOR/ADULT STAFF TO TREAT MINOR INJURIES OR ILLNESS AS DIRECTED BY ORDERS OF A LICENSED PHYSICIAN.

By electronically signing my name below, I have read and understand all terms, conditions, indemnifications, and disclosures regarding this registration form and will abide by any and all regulations pertaining to East End Arts' Unexpected Discoveries Summer Camps

First Name *

Last Name *