Camps

Camps

Calusa Camp Registration


Dr. Martin Luther King Day Kids’ Camp: Monday 1/15 from 9 am – 4 pm

 

(coming soon: Spring 2018 Calusa Camp; on the horizon: Summer 2018 Calusa Camp)

Campers participating in the Dr. Martin Luther King Day Kids’ Camp will experience the best of the days’ excellent presentations and activities, as well as having their own special activities as campers. Ages 6-12, please send a water bottle, snack and lunch with your camper in the morning. Register below, choosing “Dr. Martin Luther King Day Kids’ Camp” in the selection box, and remember, your camper’s registration is not complete until you have made payment. Link below.

To register your child for camp, please choose the option(s) you want and use the button corresponding to those options. Each child will need a separate registration.

IMPORTANT: The Camper Information Form (included below) must be filled out and submitted first — just one Camper Information Form is required per camper, whether your child is attending one camp session or all of them: This is where you will reserve space in specific camps, but reservations are not complete until payment is received.  Campers will not be able to start camp if their information form has not been processed or full payment in agreement with membership status has not been received, so this form should be filled out and sent the same day as payment. Here is the link to the Payment Page (link opens in new browser tab).

When your registration form (below) has been submitted, you must complete the payment process at that time to ensure your student/camper’s place in a Calusa Camp session.

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 or week(s) will your camper be attending? (required field)(Click while holding down CTRL key to select more than one!) If you are paying for individual days during Earthlings or Spacelings week, please specify which days in the text box below.

Please remember your camper's place will NOT be assured until you complete the Camp payment (payment link, above this registration form, opens in new browser tab).


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 4 pm unless early drop-off (08:00 - 08:30) or after-care has been purchased. After-care ends at 6 pm and pickups after the end of the day will be charged by the 5-min increment. 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. I also give permission for my child's picture to be included in camp update posts and/or camp promotional images without name identification. 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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