Camp Challenger Winter Registration Form
Camp Information
COST
Day Camps are $40 per day which includes lunch and materials. No sibling discounts apply to day camps. Active family membership holders receive a 10% discount ($36 per day).

REGISTRATION
This form (online or hard copy) should be completed in its entirety and returned no later than one week before the camp date. Within one week of a camp start date, we will accept registration forms, including walk-ups, if space permits. Please register as early as possible, as most camps often reach capacity. Camps are limited in size; therefore, registration applications will be processed on a first come, first serve basis. Registration is complete and confirmed on receipt of full payment. Spots will not be held without payment. If payment is not received and a camp reaches capacity, your child will be placed on a waiting list for that camp and you will be notified if and when a space becomes available. You will be asked for payment at that time.

CANCELLATIONS/ REFUNDS
Requests for cancellation must be received in writing by the Challenger Learning Center prior to camp session start date. Full refunds will be allowed for written requests received two weeks in advance of the camp’s start date. Half refunds will be allowed for written requests received one week in advance of the camp’s start date. No refunds will be granted after the camp session start date. Please allow approximately 30 days for refunds to be processed. Payment received by credit card will be credited back within one week.

CAMP ADMINISTRATION
Camps will be conducted at the Challenger Learning Center on Kleman Plaza from 9:00 a.m. until 4:00 p.m., unless
enrolled in extended care. Parents/guardians must designate on this registration form authorized individuals
to drop off/pick up campers if parents/guardians are unable to do so. Parents/guardians and/or authorized
individuals must accompany campers into the building and sign them in and out every day. Parents/guardians
and/or authorized individuals must always have photo ID with them and be listed as an authorized individual. We
are located at 200 South Duval St., on the corner of College Ave. and South Duval St.

EXTENDED CARE
Extended Care is available to accommodate busy schedules. Campers arriving earlier than 8:45 a.m. or departing
later than 4:10 p.m. MUST be enrolled in Extended Care. Campers enrolled in AM Extended Care may sign in as
early as 7:45 a.m. For PM Extended Care, campers may be signed out any time before 6:00 p.m. to avoid a $1/
minute late charge. AM Extended Care, 7:45 a.m. to 9:00 a.m., is $5/day. PM Extended Care, 4:00 p.m. to 6:00 p.m.,
is $5/day. You must indicate on the registration form that you plan to participate in Extended Care and include
the cost in your camp payment. Extended Care is supervised play. Campers will not be participating in additional
camp curriculum during this time. Campers are authorized to bring their own toys, books, electronic devices, etc.
for use during Extended Care.

LUNCH
Lunch is provided daily and includes an entree and at least one side. Water is provided throughout the day. You
may provide a lunch from home. Please choose one lunch selection for each day on the registration form.

CONCESSIONS/SNACKS
Kindergarten to 3rd graders will be able to purchase concessions at check-in each day. 4th & 5th graders will
have time to visit the concessions stand. You may also provide snacks from home.

PARKING
Camper pick-up/drop-off parking is available in the Kleman Plaza parking garage or at metered street spots.
Bring your Kleman Plaza parking ticket into the CLC with you and CLC staff will validate tickets obtained within 30
minutes. Please note: you could be ticketed or towed for parking at the U.S. Post Office or in the loading zone on
College Ave.

CAMPER CONDUCT
Camps are designed for the enjoyment and benefit of all campers enrolled, and campers are expected to abide
by camp rules. Our goal is to be educational as well as entertaining. With that as the objective, we anticipate that
no camper is here who does not want to be. Should any disciplinary problems occur, we will contact the parent/
guardian to discuss the misbehavior and/or to pick up their camper.

CONTACT INFORMATION
Should you need additional information, please call our Sales Coordinator at (850) 645-7777 or cthornton@challengertlh.com. For content/curriculum and questions, contact our Education Manager at (850) 645-7787 or sborland@challengertlh.com.
Camper Information
First Name *
Your answer
Last Name *
Your answer
Gender *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Street Address *
Your answer
Zip Code *
Your answer
School Attending *
Your answer
Parent/Guardian Information
Parent/Guardian Name #1 *
Your answer
Parent/Guardian #1 Phone Number(s) *
Your answer
Parent/Guardian #1 Email Address *
Your answer
Parent/Guardian Name #2
Your answer
Parent/Guardian #2 Phone Number(s)
Your answer
Parent/Guardian #2 Email Address
Your answer
Pick-Up Authorization
If any individual(s) other than the parent/guardian(s) listed above are authorized to pick up your child from camp, please list their names and contact information below.

Please note all parents/guardians and additional authorized individuals must present photo identification when picking up your camper. Campers must be signed in and out every day.

My child may be transported from the Challenger Learning Center by:
Authorized Individual #1
Your answer
Authorized Individual #1 Phone Number(s)
Your answer
Authorized Individual #2
Your answer
Authorized Individual #2 Phone Number(s)
Your answer
Authorized Individual #3
Your answer
Authorized Individual #3 Phone Number(s)
Your answer
Authorized Individual #4
Your answer
Authorized Individual #4 Phone Number(s)
Your answer
Camper Information Electronic Signature *
Your answer
Camp Selection
Grade: *
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