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.
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