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Camp Pa-Qua-Tuck Forms

For your convenience, Camp Pa-Qua-Tuck Forms can be downloaded by clicking the links below. (Adobe Acrobat Reader is required.)

 

Eastport South Manor Lady Sharks Lacrosse 5K Run/Walk Registration Form
(download form)

Eastport South Manor Lady Sharks Lacrosse 5K Run/Walk to benefit Camp Paquatuck. To be held on April 18 at 9AM.

 

Eastport South Manor Lady Sharks Lacrosse 5K Run/Walk Sponsor Form
(download form)

Eastport South Manor Lady Sharks Lacrosse 5K Run/Walk to benefit Camp Paquatuck. To be held on April 18 at 9AM.

 

2010 Camper Application Form (download form)

Affix a recent wallet size photo of your child where indicated. All campers MUST have a photo.Application form should be completed by the parent as accurately as possible so that we may best serve the needs of your child.

 

2010 Camper's Medical Form (download form)

This must be completed by the campers physician and returned at least two months prior to check-in day. You will notice the over-the-counter medications must be signed by both the physician and the parent. If it is not, we will not be able to dispense over-the-counter medications.

 

2010 Camp Pa-Qua-Tuck Registration Invoice (download form)

DEPOSIT: A nonrefundable deposit of $150 per session will be required to register your child. If you wish to register for 3 sessions, you will need a $450 deposit.

Attach your $150 deposit or $685 full payment check to invoice card and return as part of a completed registration package. This fee also includes the Trading Post and Camp Shirt expenses.

Camp Pa-Qua-Tuck is owned and operated by the Rotary Club of the Moriches with an annual budget of more than $500,000. We are a group of 28 business and professional people who believe in SERVICE ABOVE SELF. Needless to say, the $685 registration and Trading Post Fee does not come close to covering the budget. Our cost is more than $1,600 per camper per session. We do not receive any GOVERNMENT FUNDING. The money we get to defray the cost of running the camp comes from special events, private and corporate donations, and Rotary Clubs in Nassau and Suffolk Counties.

We ask that you help the camp by supporting our annual Duck BBQ and Duck Race. Tickets will be available on check-in day. Thank You. Of course, your tax-deductible donation would be greatly appreciated.



2010 Release Forms (download form)

This page contains your required Photo Release, Consent for Emergency Medical Treatment, Swimming and Boating Release as well as medical insurance information.

 

2010 Camper's Personal Supplies ( Remember that registration is on a first come first served basis... so act now... and avoid possible disappointment this summer.

Please note: there are seven (9) sessions this year.