SUMMER ADVENTURE 2026 | REGISTRATION 343 Jerusalem Ave, Hicksville, NY 11801 July 20-31, 2026 | Grades 3-8 $300 per week / $50 Sibling Discount 1 Registration per FamilyHow Many Kids Are You Registering?(Required)12345$50 Sibling DiscountHow Many Weeks?(Required)Both Weeks [July 20-31]1st Week Only [July 20-24]2nd Week Only [July 27-31]First Child(Required) First Last First Child's Date Of Birth(Required) MM slash DD slash YYYY First Child's Allergy(Required)First Child's Grade(Required)3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeThe grade they will be entering in September 2026Second Child(Required) First Last Second Child's Date Of Birth(Required) MM slash DD slash YYYY Second Child's Allergy(Required)Second Child's Grade(Required)3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeThe grade they will be entering in September 2026Third Child(Required) First Last Third Child's Date Of Birth(Required) MM slash DD slash YYYY Third Child's Allergy(Required)Third Child's Grade(Required)3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeThe grade they will be entering in September 2026Fourth Child(Required) First Last Fourth Child's Date Of Birth(Required) MM slash DD slash YYYY Fourth Child's Allergy(Required)Fourth Child's Grade(Required)3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeThe grade they will be entering in September 2026Fifth Child(Required) First Last Fifth Child's Date Of Birth(Required) MM slash DD slash YYYY Fifth Child's Allergy(Required)Fifth Child's Grade(Required)3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeThe grade they will be entering in September 2026Parent's Name(Required) First Last Parent's Phone Number(Required)Email(Required) Emergency Contact Name(Required) First Last Emergency Contact Number(Required)Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Total Please see the Treasurer in the Church Office For Payment
