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Punta Gorda Summer Camp Registration Form
Please fill out entire form, submit and pay online.
Parent/Guardian's First Name
Parent/Guardian's Last Name
Parent/Guardian's Email
Phone
Address
Camper's Name
Select camper's age
*
Age 6
Age 7
Age 8
Age 9
Age 10
Age 11
Age 12
Date of Birth
T-Shirt Size
*
None
Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Camp Topic and Dates
Week 1 - Park Ranger Bootcamp - 9 am - 3 pm - June 3 - 7, 2024
Week 2 - Survival Adventure - 9 am - 3 pm - June 10 - 14, 2024
Week 3 - Wild Things - 9 am - 3 pm - June 17 - 21, 2024
Week 4 - Nautical Explorers - 9 am- 3 pm - June 24 - 28, 2024
Choose your pre and post-care days as necessary. Calculate the cost separately and pay at beginning of camp week(s) at CHEC Punta Gorda.
Pre-Care Days - Week 1 - $10.00 per day, 8 am - 9 am
Monday
Tuesday
Wednesday
Thursday
Friday
Pre-Care Days - Week 2 - $10.00 per day, 8 am - 9 am
Monday
Tuesday
Wednesday
Thursday
Friday
Pre-Care Days - Week 3 - $10.00 per day, 8 am - 9 am
Monday
Tuesday
Wednesday
Thursday
Friday
Pre-Care Days - Week 4 - $10.00 per day, 8 am - 9 am
Monday
Tuesday
Wednesday
Thursday
Friday
Post-Care Days - Week 1 - $10.00 per day, 3 pm - 4 pm
Monday
Tuesday
Wednesday
Thursday
Friday
Post-Care Days - Week 2 - $10.00 per day, 3 pm - 4 pm
Monday
Tuesday
Wednesday
Thursday
Friday
Post-Care Days - Week 3 - $10.00 per day, 3 pm - 4 pm
Monday
Tuesday
Wednesday
Thursday
Friday
Post-Care Days - Week 4 - $10.00 per day, 3 pm - 4 pm
Monday
Tuesday
Wednesday
Thursday
Friday
Select an item ($)
*
One week of camp - $195.00
Two weeks of camp - $390.00
Three weeks of camp - $585.00
Four weeks of camp - $780.00
*You MUST click the hyperlink to the Waiver Requirements Document below. Read, agree to, and submit the document, then put a check in the checkbox.
*
Waiver Requirements Document
"Signature" required
Checkout & Pay
Thanks for submitting!
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