FPP Summer Camp Registration Form--2017
________Week 1 June 12-15 Diver, Diver! What Do You See?
________Week 2 June 26-29 Giddy Up! It’s the Wild, Wild West!
_______ Week 3 July 10-13 Appreciating and Creating Art
_______ Week 4 July 24-27 Living Under the Canopy of the Rainforest
Camp Fee is $65.00 per week!
Mom’s phone:__________________Dad’s phone:___________________
Child’s special needs, fears, things you want us to know:
Persons authorized to pick up your child:
Child’s Physician:__________________________ Phone:_____________
Does child have any allergies? Any medical condition we need to be aware of?
Persons to contact in the event of an emergency and parents cannot be reached:
In the event a parent cannot be reached for a medical emergency, the Playschool staff has permission to pursue medical treatment for my child.
**Disclosure: Occurrence of each of these camps is contingent on number enrolled and the availability of the staff!