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(631) 499-8580 info@parkshoredaycamp.com |  450 Deer Park Road, Dix Hills, NY 11746 |   Park Shore Main |   Day Camp |   Extreme STEAM Science

School Forms

Health Screening Forms

Other Forms & Policies

*If you are unable to obtain a 2020 Physical Exam and Park Shore has your 2019 on file, Park Shore is able to accept the 2019 Physical Exam & Immunization Schedule, as long as all information remains the same. YOU the parent/guardian must sign the forms indicating that there are no changes from last year or make a note of any changes. If the change requires a physician’s order, such as a prescription (Written Medical Consent Form), Park Shore requires the healthcare provider (physician) to complete and sign an up to date Written Medical Consent form. Remember parent signature & camper information must be completed, as well.

How to Submit Forms

  • FAX: 631-499-6917
  • Email: dawn@parkshoredaycamp.com
  • Drop Off
  • Mail: Park Shore Country Day School, 450 Deer Park Road, Dix Hills, NY 11746. ATTN: Bookkeeping