Please Select Location

Southold 

Sag Harbor 

South Hampton 

 Greenport  July 14-18  Mon - Fri     1-3pm 

      For registration payments and information call:  631-477-2100 at the East End Seaport Museum

Name Of Kidd 

Age  6   7   8   9   10   11   12   (Years Old)

Boy   Girl

Name Of Parent/Guardian 

Address 

                 City    State   Zip Code

Mailing Address (if different)

                 City    State   Zip Code

E-Mail Address 

Phone 

Cell Phone 

Emergency Information 

Additional/Other Information 

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