Passport NYC Camps > Participant Application

Participant Application

Registration for 2014 is now open!

Participant Information

Please complete the following application and deposit information (detailed in full at the bottom of this form) for submission to Passport NYC. For scholarship information, please send us an email. Click here for a PDF of the application.

*For information about the $1000 One Happy Camper Incentive visit

Molly Hott, Passport NYC
92nd Street Y
1395 Lexington Avenue
NY, NY 10128

* = required





Parental Guardian Information- Guardian 1

Does the applicant live with the Guardian?*:





Parental Guardian Information- Guardian 2

Does the applicant live with the Guardian?:





My Parent or guardian has given me permission to apply for this program.*:

Applicant Questionnaire - (must be filled out by the applicant)

Essay answers have a 250 word maximum limit. If your answers will exceed 250 words per question, please write "see email" in the appropriate essay field and submit your answers in the body of an email to

Have you participated in Passport NYC in the past?*:

Which specialty did you participate in?:

Have you ever been to sleepaway camp in the past?*:

Passport NYC Deposit

Enrollment is on a rolling, first come, first serve basis. Tuition is $5200 which includes room, board (3 Kosher meals a day), transportation around NYC and all program expenses. Tuition before Dec 1, 2013 is $5000. In order to reserve your space, please include a non-refundable $1000 deposit with this application. Upon acceptance of your application, a billing statement detailing the remainder of the Passport NYC fee will be mailed to you, and will include various payment options. Regardless of the payment option selected, all camp fees are payable in full by June 1, 2014. Tuition does not include airport transportation to/from 92nd Street Y. Please make checks payable to 92nd Street Y and reference Passport NYC 2014. Upon completion of this application you should expect to hear from our Passport NYC office in 72 hours. No payment will be processed until confirmed by the Director for space and availability.

Billing / Credit Card Information for Deposit

Please provide the billing address for your credit card. Your Credit Card will not be processed when you click submit.  All applications must be reviewed and if space is available your application will be processed. You will be notified by email that the $1000 charge will be applied.  Thank you.




Credit Card Information


Phone 212.415.5641