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REGENERATION SUMMER CAMP
Town Seal
Please use the form below to sign up your child for the Town of Brookhaven Youth Bureau ReGeneration Summer Camp. You may sign up your child for one of the following locations: Diamond in the Pines, Coram; Levitt Field Park, Centereach; Shirley Airport Park, Shirley. Please note, questions with a red asterisk require a response.
Our competent staff will provide a wide variety of activities, including outdoor athletics, arts and crafts, games, and social interaction. Through these well-planned activities, your child will develop sportsmanship, leadership, teamwork and cooperation. View ReGeneration Summer Camp Information Packet
In the event the camp cannot open due to COVID-19, the full payment made to the Town of Brookhaven for this year’s camp will be refunded.
Please note, this summer camp is hosted by the Town of Brookhaven Youth Bureau and is different than the Town of Brookhaven Parks's Department Summer Fun Camp.
REGISTRATION INFORMATION









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A receipt will be emailed to this account.



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CHILD'S MEDICAL INFORMATION







If your child has allergies and has an Epi pen, Inhaler, or over the counter antihistamine, please state above. We must also be provided with an Allergy Emergency Action Plan signed by your child’s physician. The Town will not be dispensing any medication to children.






PAYMENT INFORMATION







Subtotal:
Convenience Fee:
Total Cost: