Super Science Summer Camp 2017 at the Village School of Naples
Location: The Village School of Naples - 6000 Goodlette-Frank Rd, Naples, FL 34109
Camps Running: Summer 2017 between June 5 - July 28
Room: Mr. Glen's Classroom Room #330 in the back of the Preschool
Instructors: Mr. Glen - Monday, Wednesday, Thursday, and Friday; Ms. Marina - Tuesdays (with guest speakers)
Time: Monday – Friday 9AM - 4PM
Ages: Entering 1st Grade through 6th Grade
More Information: http://supersciencefl.com/camps.html
Contact us at (407) 466-0287 or Allison@SuperScienceFL.com
Email address
Build it! ($250)
Kitchen Chemistry ($250)
Flight! ($250)
Video Game Design ($250)
3D Design & Print ($250)
Movie Making: **now one week only
Child's Name
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Child's Grade in Fall
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Guardian's Name
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Guardian's Phone
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Guardian's Email
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Emergency Contact 1 Name
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Emergency Contact 1 Phone
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Emergency Contact 2 Name
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Emergency Contact 2 Phone
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Does your child need any medications administered while in our care? Yes or No (If yes, please write the details of your child’s medication needs below.)
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Does your child have any allergies? Yes or No (If yes, please write the details below.)
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Does your child requires special accommodations or additional assistance to be successful in this program. Yes or No (If yes, please write the details below.)
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Custodial Parent/ Legal Guardian Release:I have enrolled the above named child and my signature below indicates that I release Southwest Florida Performing Arts Center, Super Science and Amazing Art, and Educational Entertainment LLC, and any persons connected with the said organizations from blame or responsibility in case of accident or injury incurred during the operations of this program. There is no medical coverage included in this registration for any program offered by Super Science and Amazing Art. By participating in these programs, I assume medical insurance responsibilities. I understand that in the case of a medical emergency, 911 will be called and I hereby authorize the doctors at the designated hospital to treat my child for any injury or illness occurring during any Super Science and Amazing Art program. Super Science and Amazing Art and Southwest Florida Performing Art Center reserves the right to deny registration to any program and to charge fees where applicable. Further, I give full permission to any and all of the foregoing to use photographs, video tapes, recordings or any other record of this event for legitimate purposes. I understand refunds are available only if the class/program is changed or cancelled, excluding those cancelled due to an act of nature. Refunds will not be issued once a program has begun, unless accompanied by a medical excuse. NO refunds/credits will be given for missed days within a session. All requests must be submitted in writing and approved by administrative staff.
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I understand that I will have to pay $250 per week upon arrival to Educational Entertainment, Mr. Glen's company. Or pay by credit card here: http://www.steamcubed.com/
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