Homeschoolers 9 – noon Winter Drop-off Camp

Homeschoolers 9 – noon Winter Drop-off Camp

Calusa Winter Camp Especially for Homeschoolers

A drop-off Earth & Space Nature & Science camp from 09:00 to noon, Mon – Thurs Dec 18-21

Monday – Tuesday, Dec 18 – 19: theme: Earthlings
Learn about the interconnectedness of life on our Big Blue Marble, planet Earth! We’ll use fun activities and games to learn about water cycles, life cycles, energy from the sun, plants, animals, food chains, and spend a lot of time learning about nature in our beautiful SW Florida environment. This will make you proud to call yourself an Earthling!

Wednesday – Thursday, Dec 20 – 21: theme: Spacelings
We’ll explore space and other planets and what it would take for us to visit or even settle on some of them! With fun activities and age-appropriate demonstrations from NASA, and with the aid of our “spaceship” (the planetarium) for visiting and learning about other environments, this will be “one small step” into Space for each camper.

All camps run from 9 am – 12 noon, to keep your camper from missing any of the fun, please drop off your camper between 8:30 and 9 am.

Pricing (it is totally worth your while to become a member! Membership runs a full year from the day you join and includes camp discounts all year and free admission to the nature center and regularly-scheduled planetarium shows all year.)
Mon-Thurs camp: $20/day members, $30/day non-members

If you will be using the discounted Member Rates, you must enter your (non-expired) Calusa Nature Center & Planetarium Member Number here. If not, please enter 000. (required for member discount: If you have just purchased membership but do not yet have a number, please enter "just purchased" -- we will be able to verify your membership. If you do not know your member number, please call 239-275-3435 between 11 am and 4 pm daily.)
Member Number

Camper's First Name (required)

Camper's Last Name (required)

Camper's Birth Date YYYY-MM-DD (required)

Which days will your camper be attending? (required)(Click while holding down CTRL key to select more than one!)

Please remember your camper's place will NOT be assured until you complete the payment (link will follow completion of this form).


First Parent/Guardian's Name (required)

Phone Number where you can be reached in case of emergency (required)

Cell Phone (optional)

First Parent/Guardian's Full Address (required)
Street Address:
City:
State:
Zip:

Second Parent/Guardian's Name (optional)

Phone Number where you can be reached in case of emergency

Cell Phone

Second Parent/Guardian's Full Address
Street Address:
City:
State:
Zip:

EMERGENCY CONTACT INFORMATION (required)
Name (First, Last):
Relationship to Camper:
Phone:

MEDICAL INFORMATION (required)
In order to provide the best possible handling of certain situations, please complete the following medical information: Does your camper have any:
• Allergies (if yes, please describe; if none, enter None):

• Other mental or physical health condition that may affect your camper’s participation in any part of the program? (This includes behavioral issues, so that we can determine appropriate staffing in advance. If yes, please describe; if none, enter None):


If your camper will be dropped off and/or picked up by someone other than those listed above, please fill out the authorization for pickup:
I authorize my camper to be picked up by the following person(s):
Name (First, Last):
Relationship to Camper:
Cell Phone:
Name (First, Last):
Relationship to Camper:
Cell Phone:


CONSENT (required for form submission)
I have read the description of the Winter camps offered at Calusa Nature Center & Planetarium and understand that drop-off time is between 8:30 and 9:00 am, pickup time 12:00 noon, and that late pickups will be charged in 5-min increments (please be on time). I also understand that activities will be involved in my child's camp program; I find them acceptable for my child’s participation. Recognizing the educational benefits of this program to my child, and acknowledging that it is completely voluntary, I, the parent/guardian, do hereby agree to release, indemnify and hold harmless the Calusa Nature Center & Planetarium for any loss, injury or damage resulting directly or indirectly from my child's participation in this program. My acceptance and submission of this form constitutes my digital signature (paper waiver will be signed on the first day of camp).

Submitter's Name (one of the Parents/Guardians)(required)

Submitter's Email (required)

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