of Bergen, Morris, Passaic, Essex, Hudson & Rockland

Directors: Lynn Bonilla
& Angel Cora 201-281-0135 or

Contact Us

Please feel free to contact us with any questions or comments. You may also like to fill out our pre-enrollment form so we may get your information accurately.

Phone:: 1-800-DAY-CAMP or 201-281-0135
Email:: lynn@ypdc.com

Pre-Enrollment Form

To pay for pre-enrollment please call us at 1-800-DAY-CAMP or 201-281-0135 with your credit card information.

Parents/Guardian Information

First Name:

Last Name:

Address:

City:

State/County:

Zip Code:

Home Phone:
Use format: XXX-XXX-XXXX

Cell Phone:
Use format: XXX-XXX-XXXX

Work Phone:
Use format: XXX-XXX-XXXX

E-Mail:

Children Information

Child 1

Name:

Birthdate:

Grade/Fall:

Address:

Child 2

Name:

Birthdate:

Grade/Fall:

Address:

Child 3

Name:

Birthdate:

Grade/Fall:

Address:

Dates Attending

Weeks Your Children Will Be Attending:
(Minimum 2 Week Enrollment Per Child Required)

6/25 - 6/29
7/02 - 7/06
7/09 - 7/13
7/16 - 7/20

7/23 - 7/27
7/30 - 8/03
8/06 - 8/10
8/13 - 8/17

Additional Comments and/or Information