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 718-701-3600
Email:: keith@ypdc.com
Address:: 3465 Victory Boulevard, Staten Island, NY 10314
View Map/Get Directions; Nansen Park, 3464 Victory Blvd, SI, NY 10314
View Map/Get Directions

Pre-Enrollment Form

To pay for pre-enrollment please call us at 1-800-DAY-CAMP or 718-701-3600 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)

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
8/20 - 8/24

Additional Comments and/or Information