2026 Summer Camp Registration

2026 Summer Camp Registration

Manhattanville University and TOEC/Camp Echo

Electronic payment is required at the time of registration.

Please complete the information below and submit your credit card information.

The cost for each camp week is $105 ($80 for lunches and a $25 registration fee). If you are bringing your own lunch for day camp, the cost is $25 per week.

Eligibility Requirements:
- Participant must live at home with their family.
  Participant must be eligible for OPWDD Respite Services.
  Participant must have approved Respite Units.
New Participants:

Will receive a New Participant Application and Medical Form via email shortly after completing this registration request.
Will receive an email request for their Care Manager’s contact information.
The Care Manager will be asked to provide the participant’s Life Plan, Level of Care
.
Salesforce > Interest Record > Program Interest Area
*Hidden Field* Pre-populated with default value
Salesforce > Respite Camp Year
*Hidden Field* Pre-populated with default value
Parent/Guardian Contact Information
Parent/Guardian Name: *

First NameLast Name
Relationship to Applicant*
Parent/Guardian Cell Phone *
Format: (000) 000-0000.
Parent/Guardian Email Address*
example@example.com
Applicant Information
Applicant First Name*
First Name
Applicant Last Name*
Last Name
Applicant Date of Birth*

MonthDayYear
Date
Gender*

FemaleMale
Is the applicant currently in High School?*

YesNo
Name of High School currently attending *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Funding Information
Name of Care Manager*

First NameLast Name
Care Coordination Organization (CCO)*
Based on your response above, you are not working with a Care Coordination Organization and may not meet the funding requirements to participate in summer camp. Please contact the Recreation & Respite Department at 914.495.4467 or email mpingryn@arcwestchester.org so we may assist you further.
Care Manager's Phone Number:*
Format: (000) 000-0000.
Care Manager's Email*
example@example.com
Does the applicant have self-direction?*

YesNo
Broker's Name*

First NameLast Name
Broker's Email*
example@example.com
Broker's Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
DAY Camp at Manhattanville University (Purchase, NY) Monday-Friday
- Drop-Off is at 9am: Pick-Up is at 4pm. All transportation is the responsibility of the Family (or Paratransit). Pre-paid (non-refundable) fee: $105/week ($80 Lunch Fee including $25 Registration Fee) The prepaid (non-refundable) registration fee is $25 per week if the camper bring their lunch all week.
OVERNIGHT Camp at Manhattanville University (Purchase, NY)
- Selecting Overnight Camp week/s below includes Day Camp. Drop-Off is Monday at 9am: Pick-Up is Saturday at 10am. All transportation is the responsibility of the Family (or Paratransit). Pre-paid (non-refundable) fee: $105/week ($80 Includes Lunch and $25 Registration Fee)
OVERNIGHT Camp at Taconic Outdoor Education (Cold Spring, NY)
- Drop-Off is Monday at 9am: Pick-Up is Saturday at 10am. All transportation is the responsibility of the Family. Pre-paid (non-refundable) fee: $105/week ($80 Includes Lunch and $25 Registration Fee)

Thank you.

Disclaimer: Filling out this form does not guarantee your acceptance in the program. If you have questions, please contact the Recreation Department at 914.495.4467 or email mpingryn@arcwestchester.org
Should be Empty:

Parent/Guardian Contact Information

Applicant Information

Funding Information

Credit Card

Thank you.