Available Programs

Request Information

Participant First Name:
Participant Last Name:
Participant Date of Birth:
Parent/Guardian #1:
Parent/Guardian #2:
Address:
City:
State/Province:
Postal Code:
Country:
Phone:
Parent/Guardian Email:

Download Forms

File Name: Description:
Download this Form 5-SEMC All Immunization records.pdf Immunization Forms from Doctor
Download this Form 3-SEMC Acknowledgment of Risk 2018.pdf Risk Acknowledgement Waiver Form
Download this Form 1-SEMC General Forms 2018.pdf General Camper Information Form
Download this Form 2-SEMC Medical Form 2018.pdf Camper Medical Form
Download this Form 4-SEMC Photo Consent 2018.pdf Photo Consent Form
Download this Form SFEC Directions.pdf Directions to Sport Fishing Education Ce
Download this Form 2018 SEMC Parent Handbook - FAQs.pdf 2018 Parent Handbook & FAQs
Download this Form 6-SEMC Parking Pass 2018.pdf 2018 SFEC Parking Pass

Contact Us

Cornell Cooperative Extension of Suffolk County
Po Box 21
Babylon, NY 11702

Email: tm353@cornell.edu
Phone: 631-239-1800 x 28
Send Email to Program Director
Your Email:
Your Name: