Summer 2024

WELCOME FAMILIES!

We look forward to the creative outdoor adventures with your children this Summer!

Before registering, please familiarize yourself with our Summer Policies and Procedures and our COVID-19 Safety Policy. If you are a NEW FAMILY, please contact us for a welcome meeting upon registering.

Below is the registration form. After registering you will be directed to payment. For a printable version of the registration form, click here.

Please note: Your child(ren)’s space is not secured until we have received both registration form and deposit or full payment.

If you have any questions, please contact Joanna (845) 596-8171. Thank you!

IMPORTANT: Registration is now limited to no more than 2 sessions per child due to a growing number of children we are looking to accommodate. We thank you for your understanding.

Program Dates:
Monday – Thursday, 9:30am – 4:00pm
2-Week Sessions

Session 1: July 1 – July 11 – THIS SESSION IS FULL – Join wait list below
Session 2: July 15 – July 25
Session 3: July 29 – Aug. 8 – THIS SESSION IS FULL

Tuition: $1380/Session
10% Sibling Discount

"*" indicates required fields

Application ID

Hidden

Today's Date*

Information About Your Child(ren)

Please Tell Us About Your Child(ren).

Child #1 Name*

First Middle Last

Date of Birth*

Age (at the time the summer program begins)*

Gender*

Female

Male

School

Grade

Is your child*

Please tell us of your child’s special skills, talents, interests:*

Please tell us of other nature places and experiences you and your child have enjoyed*

What is Child / Participant comfort level outdoors?*

What is your child's swim level?*

Non-swimmer

Beginner swimmer

Intermediate swimmer

Advanced swimmer

We have the opportunity to swim in the pool with a certified lifeguard on duty. He/she will administer swim tests to each child to determine their swimming ability.

Any traits we should know of -- strong preferences, behaviors, concerns or notable events your child experienced this year?

ie: If your child is upset, how do they present, and what is helpful for them? (This helps us to help your child have the best experience with us)

Child #1 Medical (confidential)

Important : Are there any medical conditions, medical history, medications or allergies we should be aware of?

If allergies, please describe in detail the severity of the reaction.

Is your child up to date on the tetanus shot?

Yes

No

Month of Last Tetanus Shot

Year of Last Tetanus Shot

Has your child ever been stung by a bee?*

Yes

No

Did s/he present a life-threatening allergic reaction? Please describe.

Child #1 Photo

Photo of Child

Drop files here or

Accepted file types: jpg, jpeg, gif, png, tif, pdf, Max. file size: 5 MB, Max. files: 2.

Please upload a headshot of your child. We prefer an image of the child's face, up to 5x7.

I’m having trouble uploading the photo, and/or I prefer to email it to info@strawtownstudio.org after I submit the form.

Yes I will email my child's photo

No I was able to upload

Register a Second Child?

Yes

Child #2 Info

Child #2 Name*

First Middle Last

Date of Birth #2*

Age #2 (at the time the summer program begins)*

Gender #2*

Female

Male

School #2

Grade #2

Is your child #2*

Please tell us of your Child / Participant special skills, talents, interests #2:*

Please tell us of other nature places and experiences that your child has enjoyed #2:*

What is Child comfort level outdoors #2?*

What is your child's swim level? #2*

Non-swimmer

Beginner swimmer

Intermediate swimmer

Advanced swimmer

We have the opportunity to swim in the pool with a certified lifeguard on duty. He/she will administer swim tests to each child to determine their swimming ability.

Any traits we should know of -- strong preferences, behaviors, concerns #2?

ie: If your child is upset, how do they present, and what is helpful for them? (This helps us to help your child have the best experience with us)

Child #2 Medical (confidential)

Important : Are there any medical conditions, medical history, medications or allergies we should be aware of #2?*

If allergies, please describe in detail the severity of the reaction.

Is your child up to date on the tetanus shot #2?

Yes

No

Month of Last Tetanus Shot #2

Year of Last Tetanus Shot #2

Has your child ever been stung by a bee? #2*

Yes

No

Did s/he present a life-threatening allergic reaction? Please describe. #2

Child #2 Photo

Photo of Child #2

Drop files here or

Accepted file types: jpg, jpeg, gif, png, tif, pdf, Max. file size: 5 MB, Max. files: 2.

Please upload a headshot of your child. We prefer an image of the child's face, up to 5x7.

I’m having trouble uploading the photo, and/or I prefer to email it to info@strawtownstudio.org after I submit the form. #2*

Yes I will email my child's photo

No I was able to upload

Family Information

Enter information about your family.

Parent / Guardian Info#1

Parent/Guardian Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Cell Phone*

Work Phone

Home Phone

Email*

Second Parent / Guardian?

Yes

Parent / Guardian Info #2

Parent/Guardian Name #2

First Last

Address #2

Street Address Address Line 2 City State ZIP Code

Cell Phone #2*

Work Phone #2

Home Phone #2

Email #2

Non-Registered Sibling's Info

Please tell us the name's of your child's siblings who are not registrants.

Sibling's Name

First Last

Sibling's Age

Add a Second Sibling?

Yes

Sibling's Info #2

Sibling's Name #2

First Last

Sibling's Age #2

Add a Third Sibling?

Yes

Sibling's Info #3

Sibling's Name #3

First Last

Sibling's Age #3

Add a Fourth Sibling?

Yes

Sibling's Info #4

Sibling's Name #4

First Last

Sibling's Age #4

People Authorized to Pick Up Your Child(ren)

We take Security very seriously. Please enter information about those who are authorized to pick up your child(ren) from the Program.

Authorized Pick-Up

Other than parents, who is authorized to pick your child up at the end of the program?

Authorized Pickup Name

First Last

Relationship to Child

Phone

Add another Authorized Pick-up?

Yes

Authorized Pickup Name #2

First Last

Relationship to Child

Phone

Emergency Contacts (OTHER than parents/guardians)

People we should contact in the event of an emergency

Emergency Contact Name*

First Last

Relationship*

Address*

Street Address Address Line 2 City State ZIP Code

Emergency Cell Phone*

Emergency Home Phone

Add another Emergency Contact?

Yes

Emergency Contact Name #2

First Last

Relationship

Address

Street Address Address Line 2 City State ZIP Code

Emergency Cell Phone

Emergency Home Phone

Email Postcards

We send a daily email postcard to parents during the Summer Program and mini-camps. Enter additional email addresses for more postcard recipients.

Is there anyone else you would like to receive the daily Summer email ‘postcards’?

Yes

Additional Email Recipient Name #1

First Last

Additional Email Recipient Email #1

Additional Email Recipient Name #2

First Last

Additional Email Recipient Email #2

Photo Release

Please indicate your permission here.

I give permission for photographs or videos with my child(ren)’s image to be used in connection with studio publicity, educational materials, or published in connection with Strawtown Art & Garden Studio, Inc. and/or the creative work of the lead artists.*

Yes

No

Swimming Release

Please indicate your permission here.

Potassium Iodide (KI) Release

Please indicate your permission here.

In the event of an emissions emergency related to the Indian Point nuclear power plant, potassium iodide (KI) may be provided to inhibit the uptake of radiation by the thyroid.*

I give permission for my child to be administered potassium iodide, which inhibits the uptake of radiation by the thyroid

I do not give permission for my child to be administered potassium iodide, which inhibits the uptake of radiation by the thyroid.

Strawtown Studio Policies

Please acknowledge our Policies here.

Personal Property: Please dress your child(ren) in clothing and footwear that is appropriate for the outdoor weather, nature exploration, and studio art (ie: clothing/shoes/outerwear that may get wet, dirty or stained). We are not responsible for lost, missing or damaged clothing or items brought to the program.

Please check the box below*

I agree to the Personal Property policy

Refund Policy: Withdrawal prior to June 1st will be refunded minus 25% of total program fee for administrative costs. No refund for any reason after June 1st. If Strawtown cancels a day or more of the Summer Program, every effort will be made to reschedule a make-up day on that week’s Friday. If your child is unable to attend the make-up day, Strawtown will refund a prorated portion of the program’s fee. If Strawtown cancels any part of the program due to COVID-19 restrictions, you will be refunded the prorated amount minus 25%.

Please check the box below*

I agree to the Refund Policy

Release Statement: I hereby release all employees and staff of Strawtown Studio from all claims of liability for any damages or injuries that may be sustained while my child(ren) is in this program.

Please check the box below*

I agree to the General Release Statement policy

COVID-19 Safety Policy: Please read the COVID-19 Safety Policy carefully, and check the box below.

Please check the box below*

• I agree to abide by the COVID-19 Safety Policy

Payment Details

Instructions for paying for the Summer Program

Strawtown’s Summer Program is $1,380 per camper for each two-week session.
A 10% discount is offered on sibling’s tuition
All weeks in each session are Monday - Thursday 9:30am - 4:00pm

Session 1:
July 1 - July 11 (first week is Mon - Wed, skip 4th of July)

Session 2:
July 15 - 25

Session 3:
July 29 - August 8

Select session

Session 1

Session 1 - sibling (-10%)

Session 2

Session 2 - sibling (-10%)

Session 3

Session 3 - sibling (-10%)

Session 1

Sorry, this session is full. Click here to add your name to the Wait List on our contact form.

July 1 - July 11 (first week is Mon-Wed, Fri, skip 4th of July)

Session 1 - sibling

Sorry, this session is full. Click here to add your name to the Wait List on our contact form.

July 1 - July 11 (first week is Mon-Wed, Fri, skip 4th of July)

Session 2

Price:

July 15 - July 25

Session 2 - sibling

Price:

July 10 - 13
July 17 - 20

Session 3

Sorry, this session is full. Click here to add your name to the Wait List on our contact form.

July 29 - Aug. 8

Session 3 - sibling

Sorry, this session is full. Click here to add your name to the Wait List on our contact form.

July 24 - 27
July 31 - Aug. 3

Payment Method*

Check or Cash Payment

Credit Card Payment

Please mail your payment to:

Strawtown Studio,
PO Box 263,
Garnerville, NY 10923

A second child registered for the program is 10% off that child's tuition.
Deposit payments allowed for Credit Cards only.

You may pay the full amount now:
$1,380 x number of sessions
or
Pay 50% deposit now:
$690 x number of sessions

and Pay 50% balance by June 1st
(We’ll send you the link to pay the balance before June 1st).

Credit Card Payment Selection*

Pay in full now

50% Deposit

Subtotal

$0.00

Deposit

$0.00

Deposit -50%

Total

Comments

This field is for validation purposes and should be left unchanged.

WELCOME FAMILIES!

Information About Your Child(ren)

Child #1 Medical (confidential)

Child #1 Photo

Child #2 Info

Child #2 Medical (confidential)

Child #2 Photo

Family Information

Parent / Guardian Info#1

Parent / Guardian Info #2

Non-Registered Sibling's Info

Sibling's Info #2

Sibling's Info #3

Sibling's Info #4

People Authorized to Pick Up Your Child(ren)

Authorized Pick-Up

Emergency Contacts (OTHER than parents/guardians)

Email Postcards

Photo Release

Swimming Release

Potassium Iodide (KI) Release

Strawtown Studio Policies

Payment Details

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