Middle School Summer Camp 2018
Safety Harbor Montessori Academy (Ages 12 - 14)

Six exciting weeks of summer fun! Each week will include a variety of new activities: STEM, arts, health & wellness, educational reinforcement, field trips and volunteer work. Fill your child’s summer with exciting new activities, community service and summer homework support.

Once the online registration is submitted a statement will be emailed to you. Registration is complete when payment has been received.

Child's Name *
Your answer
Age *
DOB *
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Home Phone
Your answer
Parent's Name *
Your answer
Home Address *
Your answer
Cell Phone *
Your answer
Business Phone
Your answer
Email Address *
Your answer
Parent's Name
Your answer
Home Address
Your answer
Cell Phone
Your answer
Business Phone
Your answer
Email Address
Your answer
Allergies or other health information
Your answer
Emergency Contact 1 (Name & Number) *
Your answer
Emergency Contact 2 (Name & Number) *
Your answer
Camp Fees
Registration (includes camp T-shirt) - $30.00
Full camp week - $195.00
Week 4 (four days extended care only) Closed July 4th - $130.00
Weekly AM extended care - $30.00
Weekly PM extended care - $40.00


Once this registration form is submitted an invoice will be emailed to you. Payment can be made by clicking on the payment link, or submitted to the office by cash or check.

Camp registration isn't complete until payment has been received.

Emergency Medical Release Forms
Please print two forms. Both forms will need to be signed and notarized. Forms are required to be submitted to the office prior to the first day of camp. (One will be on file in the office and the other kept with camp staff.)

http://www.safetyharbormontessori.com/documents/EmergencyMedicalRelease_rev13.pdf

Required Health Forms
A School Entry Health Exam form and Florida Certification of Immunization form must be submitted for each camper. Forms are required to be submitted to the office prior to the first day of camp.
5 Days of Camp Hrs. (10:00 AM - 3:00 PM)
AM Extended Care (7:30 AM - 10:00 AM)
PM Extended Care (3:00 PM - 5:30 PM)
Week 1 (6/11 - 6/15)
Week 2 (6/18 - 6/22)
Week 3 (6/25 - 6/29)
Week 4 Camp is closed in observance of Independence Day (extended care is available 7/2, 7/3, 7/5, & 7/6)
Week 5 (7/9 - 7/13)
Week 6 (7/16 - 7/20)
Week 7 (7/23 - 7/27)
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Required
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