IRC Summer Camp for a Sustainable Future Application Form
Environmental Science Camp for incoming 6th-8th Graders
This is a five day camp Monday-Friday, at the Indian River County Admin Building, in Vero Beach.
9am-3pm
$100 Camp fee
Only 16 Campers per session
Application due by May 25th, 2017

***Session A has been cancelled***

Questions? Call Alexis Peralta at (772)226-1565

Camp sessions: (A)June 12 - 16 (cancelled) (B)July 31 - August 4
Please choose a Camp session for your 1st preference
In case your first preference is filled, please state if you are available for the other camp session.
Camper's Name:
Your answer
Which School are you ENTERING Fall 2016:
Your answer
Which Grade Level (Entering)
Camper's Gender
Required
Please state any medical conditions or allergies:
Your answer
Camper's requested shirt size (Adult sizes)
Parent(s) Name:
Your answer
Full Address:
Your answer
Phone Number(s):
Your answer
Email Address:
Your answer
Emergency Contact if Parent(s) unavailable:
Please include a name and phone numbers
Your answer
Adult(s) authorized to pick up child:
Your answer
These questions should be answered by the Camper
1. Please tell why you would like to participate in this summer camp.
Your answer
2. What does sustainability mean to you?
Your answer
3. Which of these sciences are you MOST interested in learning: (we will touch on each of these)
Applications must be submitted by July 25th. Campers will be notified of acceptance within 72 hours.
You will be notified by return email if your child has been accepted and will have 7 days to make payment ($100); failure to pay in time will remove your child from camp registration due to high demand. Please call 772-226-1565 for any questions.
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