Day Camp Registration

Camper Information

Child's First Name

Child's Last name

Child's Date of Birth

Age as of July 1st

Grade Entering in September

School

Has Child Attended Camp Before?

If YES, Name of Camp

List Child's Special Hobbies, Interests, Skill etc...

T-Shirt Size

Member or Guest ?

Cabana or Locker Number (If the camper is a guest or employee camper, please indicate)

Safety and Health

Does your child have any allergies?

If Yes, Please explain.

Does your child have any medical conditions that we need to be aware of?

If Yes, Please explain.

Do you give your child permission to swim in our pool?

Parent Information

1a. Parent Full Name

1b. Cell Number

1c. Email

2a. Parent Full Name

2b. Cell Number

2c. Email

Address (Include Apt. Number, if applicable)

Town \ City

State

Zipcode

Group Assignments

Please group my child with the following campers:

(It is understood that the children are in the same grade and the request is mutual)

LOWER CAMP (Campers born in 2021, 2022, 2023)

Campers will be assigned to a co-ed Nursery or Kindergarten group based on their age.

MIDDLE CAMP (1st through 4th grade)

UPPER CAMP (5th grade through 9th grade): Campers will be assigned to groups based on their gender and the grade they will be entering in September of 2026.

Emergency Contacts

In case of emergency, the following numbers may be used (include yourself)

1a. Emergency Contact 1 - Full Name

1b. Cell Number

1c. Relationship to Child

2a. Emergency Contact 2 - Full Name

2b. Cell Number

2c. Relationship to Child

3a. Emergency Contact 3 - Full Name

3b. Cell Number

3c. Relationship to Child

Release (Pickup) Information

The following people are authorized to pick up my child (include yourself)

1a. Pickup Person 1 - Full name

1b. Relationship to Child

2a. Pickup Person 2 - Full Name

2b. Relationship to Child

3a. Pickup Person 3 - Full Name

3b. Relationship to Child

I give my child permission to be dismissed by him/herself at 4:00pm (Middle and Upper Camp ONLY)

Yes

I understand that in between 11:00 am and 4:00 pm only those names listed above can sign out my child after receiving authorization from the Camphouse office. If there are any changes, I will contact the camp in writing or by calling (516) 239-1906.

Media Permission

I give permission and consent for Silver Point Beach Club Day Camp (SPBCDC) to allow photographs/videos to be taken during camp session activities. I further give permission and consent that any such photographs/video may be published and used by SPBCDC to illustrate and promote the SPBC day camp experience.

Payment and Refunds

To ensure enrollment, a payment for the full amount of tuition ($2,100) must accompany this application no later than June 1. There will be an additional non-refundable $50 charge for an application received after June 1. LATE APPLICATIONS PRESENT PROBLEMS WHEN CAMPER GROUPINGS AND STAFF PLACEMENTS ARE ALREADY DETERMINED SOON AFTER JUNE 1ST. 

Management reserves the right to expel any camper that presents a problem. Refunds will be pro-rated. If a camper is removed from camp after the first week, there will be an additional $50 service charge. There will be absolutely no other refunds.

Health Inspection

Silver Point Beach Club Day Camp is required to be permitted to operate by Nassau County Department of Health; Silver Point Beach Club Day Camp is required to be inspected twice yearly; and the inspection reports concerning Silver Point Beach Club Day Camp is filed at: 200 County Seat Drive, Mineola, New York 11501

Camper Medical Forms

A current medical report must be submitted prior to the child's first day of camp.  No camper will be admitted without an updated medical form. The medical form must include a list of allergies, updated immunizations, medications taken, etc. (Please note that the camp staff cannot dispense medication or perform medical procedures.)

Please download and print the Camper Medical Form and return it to the main or camp office before the first day of camp.

Parent or Guardian Acknowledgment

By checking the box below, I acknowledge that I have carefully read and fully understand all information provided in this application form, the Parent’s Guide, and on the Silver Point Beach Club website, including all policies, procedures, and program details. I certify that all information submitted is accurate and complete to the best of my knowledge. I understand that submission of this application constitutes my agreement to comply with all camp rules, policies, and guidelines as stated. I further agree to submit the required camper medical form to the main or camp office prior to the first day of camp and acknowledge that full camp tuition is due upon submission of this application.

I acknowledge all the above.

Signature of Parent or Guardian

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Full Name of Parent or Guardian

Camper Medical Form

Payment Information

The 2026 camp fee is $2,100 per camper. If you are enrolling multiple campers, please complete all camper form registrations before submitting payment. Once all campers have been entered, you may then submit one combined payment for the total amount due.

At this time a check payment can be mailed to our main office at*:

Silver Point Beach Club

PO Box 100

Atlantic Beach, New York 11509

*Please indicate (in the memo section) the account holder's name, accommodation and account number on the check so we can apply the payment to the correct account.

Please call our main office if you have any questions about registration at (516) 239-4500.

If you have any quesions about the camp operations please email the directors at silverpointdaycamp@gmail.com