6520 Richies Way Apollo Beach, Fl. 33572 (813)-641-1922

2009 Summer Camp

Boys and Girls ages 5 and up can participate in an action packed summer camp.
Activities include Basketball, Soccer, Flag-Football, Arts and Crafts, Swimming, Kickball,
Racquetball, Dodge ball, Tennis, Canoeing, Horseback Riding, field trips,
movies, games, and much, much, more!!! 6am-6:30pm

Children should bring Sun Screen, a swim suit, towel, small plastic bag to put the
wet suit in, lunch (or $5.00 to purchase lunch), smooth soled tennis shoes,
a tennis racquet (if you have one). PUT YOUR NAME ON EVERYTHING!!

Cost is $95 per week for members $99 per week for non-members

(registration fee of $25 per child or $35 per family)

Childs Name______________________________Age___________Sex_________________________

Medical Limitations(physical and/or mental) No__ Yes____(if yes please explain)______________________

School_________________ Parents Name(s)  Mother_______________ Father______________________  Address______________________________________________City______________ Zip Code_________
Home Phone___________________________________________
Work Phone(Mother)_________________________Work Phone (Father)_______________________

Cell Phone (Mother)__________________________Cell Phone (Father)________________________

Emergency Contact (Name/  Relationship/Number)_____________________________________________

Doctor’s Name_______________________________Phone_____________________________________

Name of person(s) authorized to pick up child_________________________________________________

                                                                 
Summer Schedule

Please circle the date/ dates the child will be attending.

Session I-June 8th-June 12th / Session II-June 15th -June 19th
 Session III-June 22nd -June 26th / Session IV-June 29th-July 3rd
 Session V-July 6th-July 10th / Session VI-July 13th –July 17th

 Session VII-July 20th -July 24th / Session VIII-July 27th-July 31st
  Session IX-August 3rd –August 7th. / Session X- August 10th-August 14th
Session XI August 17th-August 21st           

             Friday only Program - All Summer cost ($253.00) to be paid in full prior to summer.