Lloyd Harbor, NY · Suffolk County

No notary required

Summer Camp Registration Form

Parents or guardians use this form to register a child for Lloyd Harbor’s Summer Club or Junior Recreation program and provide emergency and medical information.

What this form is

This form registers a child for Lloyd Harbor’s Summer Club or Junior Recreation program. It asks for the child’s and parent’s contact details, swim ability, camp choices and weeks, payment information, emergency contacts, and medical details; a parent or guardian also signs the program release. A separate form is required for each child.

Who needs it

A parent or guardian registering a child for Lloyd Harbor’s Summer Club or Junior Recreation program should complete a separate form for each child.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. Make checks payable to the Incorporated Village of Lloyd Harbor.

About notarization

This form is signed without a notary; the parent or guardian signs and dates the emergency information and program release.

How to submit this form

  1. 1

    Download The Form

    Download the Summer Camp Registration Form.

  2. 2

    Complete The Form

    Fill in the child’s and parent’s details, select camp options and weeks, and provide emergency and medical information.

  3. 3

    Review And Sign

    Complete the emergency contact information and have a parent or guardian sign and date the program release.

  4. 4

    Submit To The City

    Check the city website for current submission details. Make any check payable to the Incorporated Village of Lloyd Harbor.

Frequently asked questions

Do I need a notary for the Summer Camp Registration Form?
No. This form has parent or guardian signature fields for the emergency information and program release, but no notary is required.
How do I submit the Summer Camp Registration Form?
The form does not provide a submission address or method. Check the city website for current contact details. Make checks payable to the Incorporated Village of Lloyd Harbor.
Do I need a separate form for each child?
Yes. The form states that a separate registration form is required for each child.
What information does the form ask for?
It asks for child and parent details, camp choices and weeks, payment information, emergency contacts, medical information, and a parent or guardian signature on the program release.

Need something notarized?

This Summer Camp Registration Form doesn’t need a notary — but if you have another Lloyd Harbor form that does, a commissioned online notary can help.