Camper Dismissal Change Procedure

All dismissal changes (bus changes, early dismissals, carpool changes, etc.) must be submitted on this form. Calls and emails are not accepted. We will only accept dismissal changes via this form. Please complete ALL parts of the form in order to ensure clarity.

Download the form here.

We will also have tear off packs of this form available by request. Email to request a pack.

North Salem Day Camp at Mt. Lakes Park

201 Hawley Road

North Salem, NY 10560


Recreation Department Office

270 Titicus Road

North Salem, NY 10560