Say Yes Buffalo Camp Flyer

FREE Camp for Elementary Age Kids

Dates: Jul. 10th – Aug. 18th

Time: 8am-12pm

For: Students entering Grades 1-6th

Includes:

  • BREAKFAST
  • LUNCH
  • SNACKS
  • FIELD TRIPS!

Registration Deadline: JUNE 16

SUMMER CAMP SITES:

MACHNICA CENTER – 1799 Clinton Street

HENNEPIN CENTER – 24 Ludington St.

Martha Mitchell Community Center – 175 Oakmont Ave.

Seats are limited!

Complete the Registration Form below. Or download and complete forms and mail in with required documents.

Camp Forms

DROP or MAIL to PAL Administrative Offices:
65 Niagara Sq. 21st Fl. Buffalo, NY, 14202
attn.: Summer Camp 

 

Separate forms must be submitted for each child attending camp!

Enrollment Form

  • Student Information

  • Student Medical Information

  • Next 1 / 3
  • Parent/Guardian Information

  • Emergency Contact

  • Next 2 / 3
  • Permissions and Consent

  • Dismissal

  • This person must present a valid photo ID before the student will be released.
  • Authorization

  • Therefore, as the guardian I will assume all risks, injury or illness for my child that may occur during the participation in camp activities.I certify that my chld is fully covered by medical insurance and/or that I am financially responsible for costs associated with any medical/dental treatment as deemed necesary by camp staff and/or medical professionals. I agree to hold harmless Say Yes to Education, Buffalo Public School District, Buffalo Board of Education, partnering organizationsoperating summer camp programs, their respective subsidiaries or affiliates, or their respective management, agents, employees, directors, officers, and other representatives in the event of injury to my child. I do further release, absolve, indemnify, and hold harmless the same parties against any claim of injury or death to my child in connection with any and all camp activities. I HAVE READ AND I UNDERSTAND THIS AGREEMENT AND VOLUNTARILY SIGN THIS INDEMNITY AGREEMENT.
 

Verification

  • 3 / 3
 

 

One Registration and Health forms are complete, please also submit a Client Characteristics form for Each Child attending camp.

Say Yes Summer Camps Buffalo PAL