Save & Return Account (optional)
CLICK HERE to setup an account or to return to your account for this form.
We recommend creating an account so that any information you enter will be saved so that you may complete it at another time.
All your information is securely stored, we will not give out your information to anyone.

Camper Information

Gender *
Did you attend our camp last year? *

Does your child have a prescription for an Epipen?
Epipen information: *
Please list all known allergies here.
Does your camper receive any special education
services, have any special needs we should
be aware of, or an IEP? We want to help your 
camper have a successful summer and all
information is kept confidential.

Please be sure to click 'upload' before proceeding.
I give permission for my child to sign him/herself out of camp at the end of the day AND from the bus stop by him/herself if they take the bus home on any given day (available for 6th - 8th graders only - written note or email also required).
Self Dismissal:
* * * * *
Parent/Guardian Signature: *

*You have two options for when to provide proof of full vaccination status to Manhattan Youth as follows: You may use the link below to upload vaccination card proof now, or, you may complete the rest of this registration form without uploading proof now and submit proof of vaccination to us as no later than April 1, 2022, unless to your child will not be eligible to become fully vaccinated until after that date, in which case you will submit proof as soon as possible.  

Vaccine Upload Form
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