The Silver Gull Club - New York City's Premier Beach Resort!

Silver Gull Club Online Daycamp Registration Form
Fill out this form for each child. Do not list more then one child per form.
* Denotes required field.

Parent Information
Last Name:	*
First Name:	*
Home Phone:
Cell Phone:
Emergency Contact Number:	*
E-mail:	*
Accommodation Number:	your cabana, cabanette or bath cabin number (example: LP-46)
SGC Account #:	located on your bill or membership application
Child Information
Last Name:	*
First Name:	*
Date of Birth:	* month / day / year
Sex:	*
Grade Entering in Fall 2010:	*
T-Shirt Size:	*
Are there any medical conditions concerning your child?
	*
If Yes, Please Explain:

Please rate your child's swimming ability:
	*
Please list any interests or activities that your child would enjoy most during camp:

* I acknowledge that I am registering my child in camp and allow him/her to participate in all camp activities. I also understand that I am required to be on Club premises at all times when my child is attending camp.