SUMMER CAMP REGISTRATION FORM (one form per child) Child’s Name Parent’s Name 2nd-3rd Grade (7-9 year olds) Page 1 of 2 Please select the camps you wish to enroll your child in. More programming on page 2! General Unique Camps (see below for age specificaons): 5-7 year olds June 8-11, M-F | 12-3pm | Cool Construcon Camp | Ages 5-7 | SPRC |$72 (N/R $102) | Code 3211222-01 June 15-19, M-F | 9:30am-1:30pm | “Nothing But Sports” Camp | Ages 5-7 | SPRC |$87 (N/R $117) | Code 3211221-01 NEW! June 22-26, M-F | 9-11am | Test Track Camp | Ages 5-7 | SPRC |$49 (N/R $74) | Code 3211223-01 July 6-10, M-F | 9:30am-1:30pm | Prey Princess Camp | Ages 5-7 | SPRC |$93 (N/R $123) | Code 3211220-01 NEW! July 13-16, M-Th | 1-3pm | Super Hero Training | Ages 5-7 | SPRC |$49 (N/R $74) | Code 3211224-01 8-13 year olds June 8-11, M-Th | 10am-2pm | PARK Adventures | Ages 8-10 | SPRC |$127 (N/R $157) | Code 3211238-01 June 22-25, M-Th | 10am-3pm | Bowling Camp | Ages 8-13 | SPRC |$172 (N/R $202) | Code 3211237-01 NEW! July 13-17, M-F | 9am-12pm | Sports Around the World | Ages 8-13 | SPRC |$87 (N/R $117) | Code 3211243-01 July 20-24, M-F | 9:30am-1pm | Creave Campers | Ages 8-10 | SPRC |$104 (N/R $134) | Code 3211233-01 July 27-30, M-Th | 10am-2pm | Fun STEMs from Science | Ages 8-10 | SPRC |$103 (N/R $133) | Code 3211253-01 2 0 2 0 Explorer Camp (Entering 2 nd -3 rd grade) Locaon: Western Avenue School $151 (N/R $181) per week *Week 4 Fees: $135 (N/R $155) CAMP Hours (8:30am-3:30pm, M-F) Week 1: June 8-12 | Code 3211203-1A Week 2: June 15-19| Code 3211203-2A Week 3: June 22-26 | Code 3211203-3A *Week 4: June 29-July 2| Code 3211203-4A (no camp 7/3) Week 5: July 6-10 | Code 3211203-5A Week 6: July 13-17 | Code 3211203-6A Week 7: July 20-24 | Code 3211203-7A Week 8: July 27-31 | Code 3211203-8A Week 9: Aug. 3-7 | Code 3211203-9A Explorer Camp EXTENDED HOURS AM Locaon: Western Avenue School $20 (N/R $30) per week *Week 4 Fees: $16 (N/R $24) AM Hours (6:30-8:30am, M-F) Week 1: June 8-12 | Code 3211203-1B Week 2: June 15-19| Code 3211203-2B Week 3: June 22-26 | Code 3211203-3B *Week 4: June 29-July 2 | Code 3211203-4B (no camp 7/3) Week 5: July 6-10 | Code 3211203-5B Week 6: July 13-17 | Code 3211203-6B Week 7: July 20-24 | Code 3211203-7B Week 8: July 27-31 | Code 3211203-8B Week 9: Aug. 3-7 | Code 3211203-9B Explorer Camp EXTENDED HOURS PM Locaon: Western Avenue School $25 (N/R $38) per week *Week 4 Fees: $20 (N/R $30) PM Hours (3:30-6pm, M-F) Week 1: June 8-12 | Code 3211203-1C Week 2: June 15-19| Code 3211203-2C Week 3: June 22-26 | Code 3211203-3C *Week 4: June 29-July 2| Code 3211203-4C (no camp 7/3) Week 5: July 6-10 | Code 3211203-5C Week 6: July 13-17 | Code 3211203-6C Week 7: July 20-24 | Code 3211203-7C Week 8: July 27-31 | Code 3211203-8C Week 9: Aug. 3-7 | Code 3211203-9C Fun-2-Play! Camp – Ages 5-12 August 10-14, M-F (Between the last day of camp and the start of school) Camp Hours 8:30am-3:30pm | $122 (N/R $152) | Code 3211260-1A Extended Hours AM 6:30-8:30am | $20 (N/R $30) | Code 3211260-1B Extended Hours PM 3:30-6pm | $25 (N/R $38) | Code 3211260-1C Parents, check out our Spring/Summer Brochures for our Snow Day Trips! June 1 - 5 (Between the last day of school and the start of summer camps) 2nd—3rd Grade Camp Hours: 9am-noon Locaon: SCC Fee: $90 (N/R $110) per week Week 1: June 8-12,M-F | Code 3212179-01 Week 2: June 15-19, M-F | Code 3212179-02 Week 3: June 22-26, M-F | Code 3212179-03 Week 4: June 29-July 3, M-F | Code 3212179-04 NO CAMP July 6-10 Week 5: July 13-17, M-F | Code 3212179-05 Week 6: July 20-24, M-F | Code 3212179-06 Week 7: July 27-31, M-F | Code 3212179-07 Week 8: Aug. 3-7, M-F | Code 3212179-08 Parents! See page 2 for Payment Informaon & Parent Signature!
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SUMMER CAMP REGISTRATION FORM
(one form per child)
Child’s Name Parent’s Name
2nd-3rd Grade
(7-9 year olds) Page 1 of 2
Please select the camps you wish to enroll your child in.
More programming on page 2!
General Unique Camps (see below for age specifications):
5-7 year olds June 8-11, M-F | 12-3pm | Cool Construction Camp | Ages 5-7 | SPRC |$72 (N/R $102) | Code 3211222-01 June 15-19, M-F | 9:30am-1:30pm | “Nothing But Sports” Camp | Ages 5-7 | SPRC |$87 (N/R $117) | Code 3211221-01 NEW! June 22-26, M-F | 9-11am | Test Track Camp | Ages 5-7 | SPRC |$49 (N/R $74) | Code 3211223-01 July 6-10, M-F | 9:30am-1:30pm | Pretty Princess Camp | Ages 5-7 | SPRC |$93 (N/R $123) | Code 3211220-01 NEW! July 13-16, M-Th | 1-3pm | Super Hero Training | Ages 5-7 | SPRC |$49 (N/R $74) | Code 3211224-01 8-13 year olds June 8-11, M-Th | 10am-2pm | PARK Adventures | Ages 8-10 | SPRC |$127 (N/R $157) | Code 3211238-01 June 22-25, M-Th | 10am-3pm | Bowling Camp | Ages 8-13 | SPRC |$172 (N/R $202) | Code 3211237-01 NEW! July 13-17, M-F | 9am-12pm | Sports Around the World | Ages 8-13 | SPRC |$87 (N/R $117) | Code 3211243-01 July 20-24, M-F | 9:30am-1pm | Creative Campers | Ages 8-10 | SPRC |$104 (N/R $134) | Code 3211233-01 July 27-30, M-Th | 10am-2pm | Fun STEMs from Science | Ages 8-10 | SPRC |$103 (N/R $133) | Code 3211253-01
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Explorer Camp (Entering 2nd-3rd grade) Location: Western Avenue School $151 (N/R $181) per week *Week 4 Fees: $135 (N/R $155)
CAMP Hours (8:30am-3:30pm, M-F) Week 1: June 8-12 | Code 3211203-1A Week 2: June 15-19| Code 3211203-2A Week 3: June 22-26 | Code 3211203-3A *Week 4: June 29-July 2| Code 3211203-4A (no camp 7/3) Week 5: July 6-10 | Code 3211203-5A Week 6: July 13-17 | Code 3211203-6A Week 7: July 20-24 | Code 3211203-7A Week 8: July 27-31 | Code 3211203-8A Week 9: Aug. 3-7 | Code 3211203-9A
Explorer Camp EXTENDED HOURS AM Location: Western Avenue School $20 (N/R $30) per week *Week 4 Fees: $16 (N/R $24) AM Hours (6:30-8:30am, M-F) Week 1: June 8-12 | Code 3211203-1B Week 2: June 15-19| Code 3211203-2B Week 3: June 22-26 | Code 3211203-3B *Week 4: June 29-July 2 | Code 3211203-4B (no camp 7/3) Week 5: July 6-10 | Code 3211203-5B Week 6: July 13-17 | Code 3211203-6B Week 7: July 20-24 | Code 3211203-7B Week 8: July 27-31 | Code 3211203-8B Week 9: Aug. 3-7 | Code 3211203-9B
Explorer Camp EXTENDED HOURS PM Location: Western Avenue School $25 (N/R $38) per week *Week 4 Fees: $20 (N/R $30) PM Hours (3:30-6pm, M-F) Week 1: June 8-12 | Code 3211203-1C Week 2: June 15-19| Code 3211203-2C Week 3: June 22-26 | Code 3211203-3C *Week 4: June 29-July 2| Code 3211203-4C (no camp 7/3) Week 5: July 6-10 | Code 3211203-5C Week 6: July 13-17 | Code 3211203-6C Week 7: July 20-24 | Code 3211203-7C Week 8: July 27-31 | Code 3211203-8C Week 9: Aug. 3-7 | Code 3211203-9C
Fun-2-Play! Camp – Ages 5-12 August 10-14, M-F (Between the last day of camp and the start of school)
Camp Hours 8:30am-3:30pm | $122 (N/R $152) | Code 3211260-1A
Extended Hours AM 6:30-8:30am | $20 (N/R $30) | Code 3211260-1B
Extended Hours PM 3:30-6pm | $25 (N/R $38) | Code 3211260-1C
Parents, check out our Spring/Summer Brochures for our
Snow Day Trips! June 1 - 5
(Between the last day of school and the start of summer camps)
2nd—3rd Grade
Camp Hours: 9am-noon
Location: SCC
Fee: $90 (N/R $110) per week
Week 1: June 8-12,M-F | Code 3212179-01
Week 2: June 15-19, M-F | Code 3212179-02
Week 3: June 22-26, M-F | Code 3212179-03
Week 4: June 29-July 3, M-F | Code 3212179-04
NO CAMP July 6-10
Week 5: July 13-17, M-F | Code 3212179-05
Week 6: July 20-24, M-F | Code 3212179-06
Week 7: July 27-31, M-F | Code 3212179-07
Week 8: Aug. 3-7, M-F | Code 3212179-08
Parents!
See page 2 for Payment
Information & Parent Signature!
Peck Farm Park Camps (see below for age/grade specifications):
Payment Authorization Credit/Debit: MasterCard Visa Discover Am-Ex Card #
Print Name as it appears on card Expiration Date: CVV:
CASH CHECK
Signature of Parent/Guardian Date
Signature of Credit/Debit Cardholder: Date
For Office Use ONLY: Prepared by: ___________Date: ___________Amount: ___________Pmt Method: ___________
Copy for Special Needs Request given to:
Kelly (Traditional / Unique Camps) Ryan (Gymnastics Camps) Kim (PFP Camps)
Notes:
NEW! FULL-DAY Camp Coyote
(Grades K-2)
Monday—Friday
Location: PECK
Hours: 9am-4pm
Fee: $180 (N/R $210) per week
June 1-5 |Slippery Animals/Insects on the Prairie| Code 3212808-01
June 8-12 |Dinosaurs Lifecycle/Surrounded by Water| Code 3212808-02
June 15-19 |Slimy Experiments/Jurassic Dinosaurs| Code 3212808-03
June 22-26 |Fun with Water/Slime Up Close| Code 3212808-04
June 29-July 3 |Parade of Beetles/Carnivores Rule| Code 3212808-05
July 6-10 |Soaked in Science/Beautiful Butterflies| Code 3212808-06
July 13-17 |Insect Defenses/Gross Slime| Code 3212808-07
July 20-24 |Dinosaurs Unleashed/Science Explored| Code 3212808-08
July 27-31 |Flying Insects/Ocean Dinosaurs| Code 3212808-09
Aug. 3-7 |Serious Slime/Insect or Arachnoid?| Code 3212808-10
Aug. 10-14 |Big & Little Dinos/Experiments in Density| Code 3212808-11
NEW! Junior Naturalist Camp
(Grades 3-5)
Monday—Friday
Location: PECK
Hours: 9am-4pm
Fee: $300 (N/R $300) per week
June 15-19 | Code 3212806-01
July 20-24 | Code 3212806-02
Aug. 10-14 | Code 3212806-03
HALF-DAY Camp Coyote for children entering grades K-2
June 1-5, Mon-Fri | 9am-12pm | Slippery, Slimy Science | Grades K-2| PECK| $95 ($115) | Code 3212801-03
June 1-5, Mon-Fri | 1pm-4pm | Incredible Insects | Grades K-2 | PECK | $95 ($115) | Code 3212801-01
June 8-12, Mon-Fri | 9am-12pm | Dinosaurs Unleashed! | Grades K-2 | PECK| $95 ($115) | Code 3212801-07
June 8-12, Mon-Fri | 1pm-4pm | Soaked In Science | Grades K-2 | PECK| $95 ($115) | Code 3212801-31
June 15-19, Mon-Fri | 9am-12pm | Slippery, Slimy Science | Grades K-2 | PECK | $95 ($115) | Code 3212801-04
June 15-19, Mon-Fri | 1pm-4pm | Dinosaurs Unleashed! | Grades K-2 | PECK | $95 ($115) | Code 3212801-08
June 22-26, Mon-Fri | 9am-12pm | Soaked In Science | Grades K-2 | PECK | $95 ($115) | Code 3212801-32
June 22-26, Mon-Fri | 1pm-4pm | Slippery, Slimy Science | Grades K-2 | PECK | $95 ($115) | Code 3212801-05
June 29-July 3, Mon-Fri | 9am-12pm | Incredible Insects | Grades K-2 | PECK | $95 ($115) | Code 3212801-02
June 29-July 3, Mon-Fri | 1-4pm | Dinosaurs Unleashed! | Grades K-2 | PECK| $95 ($115) | Code 3212801-09
July 6-10, Mon-Fri | 9am-12pm | Soaked In Science | Grades K-2 | PECK | $95 ($115) | Code 3212801-33
July 13-17, Mon-Fri | 9am-12pm | Incredible Insects | Grades K-2 | PECK| $95 ($115) | Code 3212801-21
July 13-17, Mon-Fri | 1pm-4pm | Slippery, Slimy Science | Grades K-2 | PECK| $95 ($115) | Code 3212801-06
July 20-24, Mon-Fri | 9am-12pm | Dinosaurs Unleashed! | Grades K-2 | PECK | $95 ($115) | Code 3212801-22
July 20-24, Mon-Fri | 1pm-4pm | Soaked In Science | Grades K-2 | PECK| $95 ($115) | Code 3212801-34
July 27-31, Mon-Fri | 9am-12pm | Incredible Insects | Grades K-2 | PECK| $95 ($115) | Code 3212801-26
July 27-31, Mon-Fri | 1pm-4pm | Dinosaurs Unleashed! | Grades K-2 | PECK | $95 ($115) | Code 3212801-29
August 3-7, Mon-Fri | 9am-12pm | Slippery, Slimy Science | Grades K-2 | PECK| $95 ($115) | Code 3212801-28
August 3-7, Mon-Fri | 1pm-4pm | Incredible Insects | Grades K-2 | PECK| $95 ($115) | Code 3212801-27
August 10-14, Mon-Fri | 9am-12pm | Dinosaurs Unleashed! | Grades K-2 | PECK| $95 ($115) | Code 3212801-30
August 10-14, Mon-Fri | 1pm-4pm | Soaked In Science | Grades K-2 | PECK| $95 ($115) | Code 3212801-35
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