Colonial Kids` Camp Colonial Kids` Camp 2011

Colonial Kids’ Camp 2011
What was it like to be a kid in 18th century colonial Bridgehampton? Come spend five days with
us to find out! Tour the Corwith House Museum and see how you would have dressed, played,
and lived in Colonial times. Learn to decorate a floor cloth, stencil designs, and how to eat, play
and dance like you’re living in 18th century New York! This year’s camp is a collaboration
between the Bridgehampton Presbyterian Church and the Bridgehampton Historical Society, but
of course a traditional field trip to Splish Splash Water Park in Riverhead will also be included.
July 11-15 and August 29-Sept. 2
9am-2pm
Children Grades K-6
$140 per child
Scholarships and discounts for multiple children available.
Snacks, drinks, crafts, and field trips included.
Please pack a bag lunch each day.
www.bridgehamptonpc.org, [email protected], 631.537.3521
www.bridgehamptonhistoricalsociety.org, [email protected], 631.613.6730
Colonial Kids’ Camp 2011
Registration:
Child’s First and Last Name:______________________________________________________
Child’s Age: _______________________ Child’s Birth date: ____________________________
Parent’s Name(s): _______________________________________________________________
Parent’s Email: _________________________________________________________________
Mailing Address: _______________________________________________________________
(Mom) Home Phone: _________________Work: _______________Cell: __________________
(Dad) Home Phone: __________________Work: _______________Cell: __________________
Medical Information:
Does your child have any allergies or special needs that we should be aware of? _____________
______________________________________________________________________________
Emergency Contact, other than parents (name and phone):_______________________________
______________________________________________________________________________
In case of an Emergency, we the Bridgehampton Historical Society is authorized to seek medical
attention from emergency services and/or:
Doctor: _____________________________Phone: ____________________________________
Address: ______________________________________________________________________
Dentist: _____________________________Phone: ____________________________________
Address: ______________________________________________________________________
As parent, legal guardian or agency representing the child named above, I hereby give consent to enroll my child in the
specified program(s) operated by the Bridgehampton Historical Society (BHHS) and the Bridgehampton Presbyterian Church
(BPC). I recognize that my child must follow safety instructions, remain in areas designated by staff, and refrain from
behavior that is harmful to him/her or others. Failure to do so will result in dismissal from the program without refund. The
BHHS and BPC staff will do its best to ensure a safe experience, however I understand that accidents do occur. I hereby
release BHHS and BPC from any and all responsibility and liability of any nature resulting in my child’s participation in any
program accident including claims for any injury, illness, death, loss or damage. I have informed camp staff of my child’s
medical conditions/needs. All information given is accurate and true to the best of my knowledge.
Signature: ______________________________________ Date: _________________________
www.bridgehamptonpc.org, [email protected], 631.537.3521
www.bridgehamptonhistoricalsociety.org, [email protected], 631.613.6730