ENROLL NOW FOR SUMMER 2024! FALL RATES IN EFFECT UNTIL DECEMBER 21ST! Enroll Now Camper's InformationName First Last Gender Male Female Camper's Birthdate MM slash DD slash YYYY September 2024 Grade Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home PhoneShirt SizeXS (2-4)S (6-8)M (10-12)L (14-16)Adult SmallAdult MediumAdult LargeAdult Extra LargeNumber of years at Ivy League including 2024 season 2023 Camp Group Parent InformationParent NameWork PhoneCell Phone Email* Parent NameWork PhoneCell Phone Email* ProgramsPlease check weeks attending: Week of Monday 1 - June 24 2 - July 1 3 - July 8 4 - July 15 5 - July 22 6 - July 29 7 - August 5 8 - August 12 (No Camp on Thursday, July 4th)Program SelectedSelect from the following options:Mini Day: Preppys - 2 & 3 Year OldsMini Day: 3 Days - Pre-SchoolMIni Day: 5 Days - Pre-SchoolFull Day: 3 Days - Pre-School - 2nd GradeFull Day: 4 Days - Pre-School - 2nd GradeFull Day: 5 Days - Pre-School - 2nd GradeFlex Schedule: 19 out of 39 Days - Pre-School - 2nd GradeFull Day: 5 Days - 3rd Grade - 6th GradeTeen: Travel Program - 6th, 7th & 8th GradeTeen: LIT Program - 9th & 10th GradeI would like my child placed with: (This must be with mutual consent by both parties, same school grade and enrolled in same program. No more than 2 camper requests and no negative requests please.)Mini Day Program ChoicesPreppysSelect from the following options:8 Weeks - $18907 Weeks - $17906 Weeks - $16905 Weeks - $14904 Weeks - $1290T/TH 9:30AM-12:30PM. 2 & 3 Year Olds. Do not need to be toilet trained. NO TRANSPORTATION.3 Mini DaysSelect from the following options:8 Weeks - $36907 Weeks - $34906 Weeks - $32905 Weeks - $28904 Weeks - $2490Pre-School - M/W/F - 9:00AM - 1:15PM. AM TRANSPORTATION ONLY.5 Mini DaysSelect from the following options:8 Weeks - $39907 Weeks - $37906 Weeks - $35905 Weeks - $31904 Weeks - $2790Pre-School - 9:00AM - 1:15PM. AM TRANSPORTATION ONLY.Full Day Program ChoicesFlex Schedule ProgramSelect from the following options:19 Days - $4390Choose any 19 out of 39 Days Pre-School - 2nd GradeIf you know the 19 dates please write them here. If you do not know yet we will contact you. 3 Full DaysSelect from the following options:8 Weeks - $48907 Weeks - $46906 Weeks - $44905 Weeks - $38904 Weeks - $3290M/W/F Pre-School - 2nd Grade. Consistent for summer.3 Full Day Choices Monday Tuesday Wednesday Thursday Friday Choose 3 Days4 Full DaysSelect from the following options:8 Weeks - $53907 Weeks - $52906 Weeks - $50905 Weeks - $45904 Weeks - $3990Choice Days; consistent for summer. Pre-School - 2nd Grade.4 Full Day Choices Monday Tuesday Wednesday Thursday Friday Choose 4 Days5 Full Days Pre-School - 2nd Grade.Select from the following options:8 Weeks - $56907 Weeks - $54906 Weeks - $52905 Weeks - $44904 Weeks - $40905 Full Days - 3rd Grade - 5th GradeSelect from the following options:8 Weeks - $62907 Weeks - $60906 Weeks - $58905 Weeks - $52904 Weeks - $4690Teen Program ChoicesTravel ProgramSelect from the following options:8 Weeks - $71907 Weeks - $69906 Weeks - $67905 Weeks - $56904 Weeks - $50906th, 7th & 8th Grade. 8-10 trips over 8 weeksLIT Program (Leaders In Training)Select from the following options:8 Weeks - $35907 Weeks - $33906 Weeks - $31905 Weeks - $28904 Weeks - $24909th & 10th Graders. Counselor training and camp activities with LITs.TransportationCENTRAL PICK UP OPTION - Locations based on enrollment (Jersey Strong Marlboro, RainTree Freehold, Old Bridge Shops, CVS Manalapan - Woodward Road, Meadow Creek, Battleground, ACME Rt 9 Freehold, Best Buy Manalapan, Food Emporium Marlboro Rt 79 & 520, Strathmore Matawan, Monroe location, Holmdel location).Central Pick Up Check here if interested If using Central Pick Up; Choose one locationNot using bus transportationJersey Strong - MarlboroRainTree - FreeholdOld Bridge ShopsCVS - Manalapan/Woodward RdMeadow Creek - ManalapanBattleground - ManalapanACME - Rt 9 FreeholdBest Buy - ManalapanFood Emporium - Marlboro - Rt 79 & 520Tinton Falls OutletsStrathmore - MatawanMonroe LocationMiddletown LocationHolmdel Location*Subject to change. Locations based on enrollment.Bus pick up location if NOT same as home: Street Address Town Bus drop off location if NOT same as home Street Address Town If you have chosen a program rate with parent transportation or central pick up, please let us know which one you have chosenSelect from the following options:Parent TransportationCentral Pick UpDiscounts & Add OnsPlease DEDUCT the following applicable Discounts PAY IN FULL - Full Day & Teen - $200 off 8/7/6 weeks - $100 off 5/4 weeks PAY IN FULL - Mini Day - $100 off 8/7/6 weeks - $50 off 5/4 weeks PAY IN FULL - Preppy & LIT - $50 off 8/7/6/5/4 weeks RETURNING CAMPER DISCOUNT - $100 off SIBLING DISCOUNT - 10% off 2nd child; 15% off 3rd child or more. (discount will be deducted from lowest tuition) ENROLLED IN IL PRE-SCHOOL 2023-2024 - 20% off (full year 2 or more days; not to be combined w/ sibling discount) IVY LEAGUE PUBLIC SCHOOL PROGRAM- 5-10% OFF Please ADD the following options to the campers tuitionDoor to Door Transportation FULL DAY & TEEN - $900 8/7/6 weeks -$600 5/4 weeks- 50% off Siblings MINI DAY (AM only) - $400 8/7/6 weeks -$300 5/4 weeks- 50% off Siblings Before and After Care AM & PM - $500 8/7/6- $350 5/4 weeks- 50% off Siblings I want my child in the before camp program from 7:15 - 8:30AM I want my child in the after camp program from 4:15 - 6PM Before Camp Program Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Choose Weeks AttendingAfter Camp Program Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Choose Weeks AttendingTerms and ConditionsI understand all payments are refundable until March 15, 2024, less a $200 per camper processing fee and any credit card fees paid. Between March 15, 2024 and June 1, 2024, NO tuition will be refunded for any reduction in weeks attending and no refund for program changes; these changes will result in a credit towards summer 2025. After June 1, 2024, no credits will be issued. There are NO refunds for camp closings, incidental absences, late arrival, early departure, withdrawals or dismissal from camp. In the event that your child is absent from camp due to an accident or sickness (as certified by a physician), we will refund as follows: Payment shall be made after the 5th consecutive absence from camp. After the 5th consecutive absence a refund of $40 per day will be paid to you for each days consecutive absence. Camp is not responsible for clothing or personal belongings lost on premises or on trips. Parents hereby grant permission for the Ivy League Day Camp to photograph and video his/her child and use these pictures for website, brochure, and display purposes. I also give permission for Ivy League to release my address and phone number to other children in the group for socializing. Tuition includes daily lunch (lunch not included everyday for Travel program), transportation, shirt, and bag. The camp reserves the right to evaluate any child with physical, mental or emotional disabilities prior to camp. For the general welfare of campers, the camp reserves the right to dismiss any camper whose conduct or influence is inimical to the camp's best interest. I hereby give permission to Ivy League Day Camp to take my child, (2nd grade or older) on trips outside of camp. The directors will exercise every reasonable precaution consistent with safety, health and care. Furthermore, in the event that I, or my family physician, cannot be contacted in an emergency, I hereby grant permission to Centra-State Hospital in Freehold, or the nearest medical facility when on a trip, to provide a physician and to give emergency treatment to my child. I agree that any dispute concerning, relating, or referring to this contract, any representation concerning my child's camping experience, or the camping experience itself shall be resolved exclusively by binding arbitration in NJ, according to the then existing commercial rules of the American Arbitration Association and the substantive laws of NJ. If you choose less than 8 weeks, and add weeks after the camp starts, you will be billed at a weekly rate. (No discounts will apply). Any program changes made after registration will be prevailing rate. I understand that if I have not paid my child's balance in full by the due date, my child's enrollment is subject to cancellation. Tuition is 100% refundable if camp is not able to open for Summer 2024.Terms* I accept these Terms and Conditions. Payment OptionsPlease check one payment option below: Pay in Full Upon Registration **Credit Cards are subject to a 3% non-refundable convenience fee**Payment Method: AUTO PAY - For non-pay in full customers. Funds will be deducted from your bank account or Credit Card on 1/15/24 and 3/15/24. Please charge my Visa, Master Card, Discover Card or American Express Mailing in Check Checks should be made payable to Ivy League Day CampCredit Card Account # Expiration Date AmountSecurity Code By initialing in this box you are in essence providing your signature Untitled First Choice Second Choice Third Choice