PCA Sponsors

    Reduced Registration Single Session 2017

    Summer Arts Camp - Reduced Registration Form for a Single Sessions - 2017

    In order to qualify for reduced registration, please check the appropriate box if your gross annual income is at or below the limits listed below, according to the number of people in your household. For income level verification, you will need to attach a copy of your 2016 Form 1040 below.

    If your income level does not fall below these limits, please click back and fill out the Non-member/Full Registration or PCA Member Registration form.

    Reduced Registration Household Income Verification:

      Household size is 2 persons: Household Income is below $40,650
      Household size is 3 persons: Household Income is below $45,750
      Household size is 4 persons: Household Income is below $50,800
      Household size is 5 persons: Household Income is below $54,900
      Household size is 6 persons: Household Income is below $58,950
      Household size is 7 persons: Household Income is below $63,000

    Parkside Summer Arts Registration Form

    Please complete one form for each child participating in program.

    Complete this registration form online and fill out payment after the form is complete.   

    If you rather print and fill out the form, and send in payment by mail click here. You can send the form and payment to Parkside Community Association, 2318 Main Street, Buffalo, NY 14214.  Please note, your spot will not be held until both the form and payment have been received.

      Session I (July 11 - July 28)
      Session II (July 31 - August 18)

    Please Note:

    • If you choose to sign you child up for both Session I and II, they contain very similar programming.
    • Sessions are scheduled Monday-Friday from 9:00AM - 3:00PM with early drop-off and late pick-up options available.
    • More information can be found in our 2017 Parent Packet document.
    • Spaces will be held on a first come/first serve basis, and cannot be held without payment.

      Male
      Female

    Camp Sign Out Information

      My child will be signed in/out by parent/guardian only.
      My child will sign themselves in/out (only for children in the 9-12 age group and must have written permission)
      My child will be signed in/out by parent/guardian and I also give my permission for the following individuals to sign in/out my children:

    Emergency Medical Information

    Field Trips and Mini Field Trips

      My child may participate in walking field trips (nature walks) within 2 miles of the program site.
      My child may participate in field trips using public transportation (if applicable, more information will be provided before the program start date)
      I do NOT give permission for my child to go on field trips.

    Consent

    By selecting the box below, I give my child consent to participate in the 2017 Summer Arts Camp. I understand that participation in the Summer Arts Camp involves a certain degree of risk; I have carefully considered that risk and have given consent for my child to participate in this program. As a participant of the Summer Arts Camp, I consent to the Parkside Community Association of Buffalo, Inc. (“Parkside”) administering first aid to my child, and in the event of an emergency to take my child to the nearest medical facility as may be needed and in the sole discretion of Parkside. I further hereby consent to my child, his/her photograph, name, likeness, or image being included in future program promotional, marketing and publicity materials of Parkside, including but not limited to websites, social media pages, newsletters, videos, and photographs. I attest that the above information is accurate and complete. By submitting this Agreement, I represent that I am a parent and/or legal guardian of my child and have the legal authority to execute this consent agreement.

      I consent
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    Sign Up to Volunteer!

    Would you like to Volunteer with the PCA's events? Take a look at which events the PCA needs assistance with by clicking below! Thank you! 

    Click to View Volunteer Opportunities on SignUp.com

    Annual Appeal

    Please consider donating to Parkside Community Association Annual Appeal!


    All money raised helps support continuing non-profit programs of the Parkside Community Association—among them are the Summer Arts Camp for kids, Aging in Place, Crime Prevention, Housing Advocacy, Arts and Crafts Show, Traffic Safety, the renowned Parkside Tour of Homes and Garden & Architecture Tour, and the popular free summer “Movies in the Meadow” series.