What does SUMMER CAMP OFFER?    Children ages 2 – 7 will enjoy:  OUR Amazing Spray and Play Park, Outdoor playground and activity boards, New Sand Pit, relay races, arts and crafts, gardening, and Sensory Play under the supervision of a Safety Conscious Staff with ALL safety measures in place outside and inside our Preschool.   Our Camp is RATED #1 ON LONG ISLAND FOR THIS AGE GROUP IN NY LIFESTYLES MAGAZINE!

Click here to download the Summer Camp 2022 Program Form.

    Your Name (required):

    Your Email (required):

    Your Phone (required):

    Getting to Know You and Your Child

    Child’s Name:
    Nickname:

    Birthdate:

    Address:
    Address (apt. suite):
    City:
    State:
    Zip code:

    Parent’s (or legal guardian’s) Name:
    Phone:
    Email:

    Address:
    Address (apt. suite):
    City:
    State:
    Zip code:

    Parent’s (or legal guardian’s) Name:
    Phone:
    Email:

    (If same address, you may skip this)
    Address:
    Address (apt. suite):
    City:
    State:
    Zip code:

    Siblings Names and ages:

    1. Does your child have any allergies or medical conditions that would
    be relevant to providing care for your child?
    Please explain:

    2. Please describe your child’s personality:

    3. What types of toys or activities does your child enjoy?

    4. Is your child currently receiving services (speech, OT or counseling)?
    YesNo
    4a. If Yes, please explain:

    5. Does your child have any special needs (toileting, etc.)?

    6. Does your child have any specific fears?

    7. What is your child’s first language? Second language?

    Additional Authorized Pick-up People
    Who else can pick up your child?

    Name:
    Relationship to Child:
    Phone:

    Name:
    Relationship to Child:
    Phone:

    CLASSES

    How Many Weeks?
    3 Weeks6 Weeks9 Weeks

    Which Days?
    July 5 - July 21July 5 - Aug 11July 5 - Sept 1July 26 - Aug 11July 26 - Sept 1

    What Times?
    Mornings 1: 9:15 am - 11:45 amMornings 2: 9:30 am - 12:00 noonAfternoons: 12:30 pm - 3:00 pm

    Acknowledgements

    Please Read below and Acknowledge with your digital initials
    Please register my child for September 2022 ($95 registration fee)
    I understand and consent that once my child is registered, payments are due one month ahead (Aug - May). I understand in order to remove my child from the preschool, I must provide a written letter 30 days prior to dismissal. There are no refunds available for monthly fees paid prior to removal.

    I hereby agree to read and follow the policies and procedures of Miss Midgies Preschool located in Miss Midgies Preschool Parent Handbook. I understand that the rules are set for the protection of myself, my child and others in the school. I understand that I cannot hold anyone liable for accidental injury suffered during my child’s time at the preschool. I understand that the Preschool is a peanut free school and will not send any peanut items into the preschool at any time.

    I also understand that my tuition must be paid in full unless otherwise having written documentation from a doctor that a child must leave the school due to illness or injury with at least 30 days written notice.


    PARENT INITIALS: