Request A Rookie Day! Please fill out the form below and one of our team members will be in touch shortly. HiddenNext Steps: Sync an Email Add-OnTo get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.About YouYour Name(Required) First Last Your Address(Required) Street Address Address Line 2 City ZIP Code Email Address(Required) Phone(Required)About Rookie CamperRookie Camper Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY Gender(Required) Male Female Grade Completed as of June 2023(Required) Preschool Pre-K Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade School attended in 2022-2023(Required) Has your child ever attended a Rookie Day at Park Shore?(Required) Yes No Program InformationI would like my child to attend a Rookie Day for(Required) Day Camp Extreme STEAM Science Morning Only Extreme STEAM Science Morning and Afternoon Day Camp How Can We Reach You?We would love to chat with you. How can we get in touch?Preferred Method of Contact(Required)EmailPhoneBest Time to Call You(Required)Select A Time12:00 am12:30 am1:00 am1:30 am2:00 am2:30 am3:00 am3:30 am4:00 am4:30 am5:00 am5:30 am6:00 am6:30 am7:00 am7:30 am8:00 am8:30 am9:00 am9:30 am10:00 am10:30 am11:00 am11:30 am12:00 pm12:30 pm1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm5:00 pm5:30 pm6:00 pm6:30 pm7:00 pm7:30 pm8:00 pm8:30 pm9:00 pm9:30 pm10:00 pm10:30 pm11:00 pm11:30 pmHow can we help you?Have a question for us? Ask away.Your Comments/QuestionsNameThis field is for validation purposes and should be left unchanged. Phone 631.499-8580 eMail info@parkshoredaycamp.com