June 4 - August 10. Ages 5 (or entering Kindergarten in 2018) - 15

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June 4 - August 10 Ages 5 (or entering Kindergarten in 2018) - 15 Revised May 31, 2018 Palm Beach Recreation Department 340 Seaview Avenue Palm Beach FL 33480 561-838-5485 www.palmbeachrecreation.com

General Information (Spaces are not reserved without payment - payment is required at time of registration.) Camp Dates: June 4 - August 10, ten (10) one week sessions. Camp will not be held on Wednesday, July 4. Early Drop-Off: 8:00am-9:00am Time: 9:00am- 3:30pm Extended Camp: 3:30pm 6:00pm Resident Nonresident Groups & Fees: Dolphins: Ages 5-7 or entering Kindergarten 2018 $147/wk $182/wk Stingrays: Ages 8-10 $147/wk $182/wk Club Teen: Ages 11-15 $168/wk $208/wk Early Drop-Off: $22/wk $27/wk Extended Camp: includes two, 1/2hr group tennis lessons each week $55/wk $61/wk Registration Fee: Nonrefundable $30/child $30/child Field Trip Fee: (Long Distance /ORLANDO for Club Teen only) $45/trip $45/trip Camp T-Shirts: Required for field trips $10.70each $10.70each Town of Palm Beach Resident Registration: Begins March 26 (proof of residency is required.) Nonresident Registration: Begins April 16 When enrolling your child, payment must be made for camp sessions your child is attending. We accept Visa, MasterCard, Discover Card, American Express and Debit Cards bearing a credit card symbol. Registration can be done in person, over the phone, or online at palmbeachrecreation.com. Phone registration will require a major credit card. Appropriate forms will be required before your child can begin camp, they are listed below: Camp Information & Release Form * Copy of the child s birth certificate * Medication Form: (if applicable) Proof of Residency: Tax Bill, Drivers License/State issued ID Card, Voter Registration, Utility Bill, Credit Card/Bank Mail, Unexpired Town Employee I.D., Retired Employee (verified by HR), Deed showing TOPB Property Ownership, Lease or Purchase agreement (6 months or more). Items must list individuals name and valid Town of Palm Beach address. Transfer & Refund Policy: A $10 fee will be applied to all transfers. To qualify for a refund, you must cancel no later than one week prior to the start of the camp week. A refund minus $25 per refunded week will be given for all cancellations made before the deadline. No refunds will be given after this deadline. Special Notes: A confirmation along with camp details and important forms will be emailed to you upon registration. Campers are required to bring a non-perishable lunch every day. Refrigeration and/or heating is not available. Camp Palm Beach T-Shirts are required to be worn on field trip days. Participants will receive either one camp shirt, a camp bag and a water bottle or two camp shirts and a water bottle. Extra shirts may be purchased at the front desk. Campers should wear light comfortable clothing, sneakers and socks daily. Please review the Camp Connection to ensure your child is dressed appropriately (i.e. sun screen, bathing suit (no bikinis allowed), and towel on water days). Please apply sun screen each day as your child will be outside at some point during the day. Sign up for email or text alerts through for changes or updates to field trips and activities. Campers should leave all valuables at home. All items brought from home should be labeled with your child s name. 2

Registration Form (please use a separate form for each child) Child's Last Name: First Name: Address: City: State: Zip: Age: D.O.B. Phone/cell phone: Email (Required): Group: (Check One) Dolphin: ages 5-7 or entering Kindergarten in Fall 2018 Stingray: ages 8-10 Club Teen: ages 11-14 Resident Status (Check One) Town of Palm Beach (Proof Provided) Nonresident Please check all weeks you would like your child to attend. (Space is limited so all weeks may not be available.) Camp - Sessions Early Drop Off Extended Camp - Sessions Week 1 (June 4 - June 8) Week 1 (June 4 - June 8) Week 2 (June 11 - June 15) Week 2 (June 11 - June 15) Week 3 (June 18- June 22) Week 3 (June 18 - June 22) Week 4 (June 25 - June 29) Week 4 (June 25- June 29) Week 5 (July 2 - July 6) No camp July 4 Week 5 (July 2- July 6) Week 6 (July 9 - July 13) Week 6 (July 9 - July 13) Week 7 (July 16 - July 20) Week 7 (July 16- July 20) Week 8 (July 23 - July 27) Week 8 (July 23- July 27) Week 9 (July 30 - August 3) Week 9 (July 30 - August 3) Week 10 (August 6 - August 10) Week 10 (August 6- August 10) Club Teen ORLANDO Field Trips June 29 Universal s Volcano Bay July 21 SeaWorld, Orlando Camp Kit: Included (Check One) Shirt Size: (Check One) Camp Bag, Shirt & Water Bottle Youth Small 6-8 Adult Small 2 Camp Shirts, Water Bottle Youth Med 10-12 Adult Med Number of extra T-Shirts ($10.70 each) Youth Large 14-16 Adult Large I hereby authorize the Town of Palm Beach to charge the credit card account number listed below for the total cost of the camp weeks that I have chosen plus any additional fees (i.e. registration, field trip fees and additional merchandise). I certify that I am an authorized signer on this card and that the credit card number and signature below are the same as those on file with the credit card issuer. Credit Card # Expiration Date CVV# Name as it appears on Card (Please Print) Signature of Card Holder Signature 3

Town of Palm Beach Recreation Department 2018 Information & Release Form Participant Last Name: First: M.I. Address: City: State: Zip: Age: D.O.B. Phone/cell phone: Proof of Age is required for youth programs (i.e. birth certificate, passport) E-mail address: Participant/Parent City of Employment: Child s School: Parent/Guardian Name: Daytime Phone: Parent/Guardian Name: Daytime Phone: Person to contact in case of emergency when parent/guardian cannot be reached: Name: Daytime Phone: Relation: Name: Daytime Phone: Relation: Please list any special medical issues, allergies or instructions you feel staff should be aware of. A medical form (available at the Recreation Department main office) must be filled out by your physician in order to dispense any medication. Program Waiver and Release of All Claims: (All Participants Sign) I agree to waive all claims my minor child/ward or myself may have as a result of participating in the Town s Recreation Program(s). I further agree to fully release and discharge the Town of Palm Beach, its officers, employees, and representatives from and against any and all losses, damages, injuries of any kind as a result of either myself or my minor child/ward s participation in such Recreation Program(s). In the event of an emergency, I authorize the Town of Palm Beach officials to secure from any licensed hospital, physician, and /or medical personnel any treatment deemed necessary for my minor child/ward s immediate care and agree that I will be responsible for payment of all medical service rendered. I give consent to use any photograph taken of me or my minor child/ward during recreation activities, classes or programs for future recreation brochures and promotional material. Signature of Participant/Parent/Guardian Date Camp/After School Program Participants Only I have read and fully understand the Town of Palm Beach Policies & Discipline Procedures and the Program Waiver and Release of All Claims. I also understand payment is due in full at time of registration to guarantee space for my child and a late fee may be charged if my child is picked up after program conclusion. (please initial) My child has permission to sign themselves in/out of the Recreation Center Programs (please initial)

Week 1: June 4-8 Week 2: June 11-15 Week 3: June 18-22 D Monday: Summer Journals Monday: Paper Crafts Tuesday: All About Amphibians Monday: Rock Art Tuesday: Chuck E Cheese Wednesday: Squirt Bottle Art Thursday: Ice Zone Tuesday: Monkey Joe s Wednesday: Calypso Bay Wednesday: Kermit the Newf Thursday: Gumbo Limbo O Friday: Mad Science Thursday: Mad Hatter Party Friday: Wacky Water Day Friday: P.B. Zoo Week 4: June 25-June 29 Week 6: July 9-13 L Monday: Disney Trivia Tuesday: Build A Bear Week 5: July 2-6 Monday: Patriotic Windsocks Monday: Bubble Bonanza Tuesday: Chocolate Fun P Wednesday: Creepy Crawly Insects Tuesday: Picnic in the Park Wednesday: Calypso Bay Thursday: Lighthouse Cove MiniGolf Wednesday: CLOSED JULY 4 Thursday: Pajamas & Pancakes Friday: Gaga Ball Tourney Thursday: Ice Zone Friday: Chuck E. Cheese Friday: Boca Children's Museum H Week 7: July 16-20 Week 8: July 23-27 Week 9: July 30-Aug 3 I Monday: Ice Cream Social Tuesday: Fun Depot Wednesday: Scales & Tails Thursday: Revolutions Friday: Mid-Town Beach Monday: Celebrity Chefs Tuesday: Science Ctr. & Aquarium Wednesday: Bottle Cap Bugs Thursday: Lighthouse Cove MiniGolf Friday: Nerf Wars Monday: Outrageous Obstacles Tuesday: Sandoway Discovery Ctr. Wednesday: Police/Fire Tour Thursday: Calypso Bay Friday: Fun Depot N S Week 10: Aug 6-10 Monday: Clay Play Tuesday: Monkey Joe s Ages Wednesday: Costume Party Thursday: Talent Show 5-7 Friday: Camp Fun Day Schedule of activities is subject to change. Check Camp Connections for updates. Campers MUST wear sneakers on a daily basis. 5

Week 1: June 5-9 4-8 Week 2: June 12-16 11-15 Week 3: June 19-23 18-22 S Monday: Chocolate Fun Monday: Lighthouse Cove MiniGolf Tuesday: Summer Journals Monday: All About Amphibians Tuesday: Mad Science Wednesday: Fun Depot Thursday: Gaga Ball Tourney Tuesday: Okeeheelee Canoe/Kayak Wednesday: Arm Pit Fudge Wednesday: Planet Air Thursday: Revolutions Bowling T Friday: Science Center & Aquarium Thursday: Crab Soccer Friday: Cellphone Scavenger Hunt Friday: Rapids Water Park I Week 4: June 25-June 29 Monday: Sea Shell Art Tuesday: Marine Life center Wednesday: Nerf Wars Thursday: P.B. Zoo Friday: Gumbo Limbo Week 5: July 2-6 Monday: Slime Time Tuesday: Ice Zone Wednesday: CLOSED JULY 4 Thursday: Creepy Crawly Insects Friday: Hakuna Matata Snorkeling Week 6: July 9-13 Monday: Foot Golf Tuesday: Fun Depot Wednesday: Rapids Water Park Thursday: Build A Bear Friday: Mid-Town Beach N G Week 7: July 16-20 Week 8: July 23-27 Week 9: July 30-Aug 3 R Monday: Science Ctr. & Aquarium Tuesday: Food Science Fun Wednesday: Funky Fish Snorkeling Thursday: Water Wars Friday: Ice Zone Monday: Celebrity Chefs Tuesday: Okeeheelee Canoe/Kayak Wednesday: Mid-Town Beach Thursday: Scales & Tails Friday: Boomers Monday: Lighthouse Cove MiniGolf Tuesday: Newcomb Wednesday: Marine Life Center Thursday: Fun Depot Friday: Amazing Race A Y Week 10: Aug 6-10 Monday: Sand Mosaics S Tuesday: Hakuna Matata Snorkeling Wednesday: Rapids Water Park Thursday: Talent Show Friday: Camp Fun Day Ages 8-10 Schedule of activities is subject to change. Check Camp Connections for updates. Campers MUST wear sneakers on a daily basis. 5

Week 1: June 4-8 Week 2: June 11-15 Week 3: June 18-22 C Monday: Popsicle Stick Art Monday: Slime Time Tuesday: Lighthouse Cove MiniGolf Monday: Marine Life Center Tuesday: Gumbo Limbo Wednesday: P.B. Zoo Thursday: Foot Golf Tuesday: Minute to Win It Wednesday: Rapids Water Park Wednesday: Planet Air Thursday: Mad Science L Friday: Fun Depot Thursday: Okeeheelee Canoe/Kayak Friday: Hakuna Matata Friday: Gross Grub U Week 4: June 25-June 29 Week 6: July 9-13 Monday: Ice Zone Tuesday: Water Wars Week 5: July 2-6 Monday: Ice Zone Monday: Marine Life Center Tuesday: Okeeheelee Canoe/Kayak B Wednesday: Revolutions Bowling Tuesday: Fun Depot Wednesday: Gaga Ball Tourney Thursday: Cellphone Scavenger Hunt Wednesday: CLOSED JULY 4 Thursday: Nerf Wars Friday: Islands of Adventure, Orlando Thursday: Funky Fish Snorkeling Friday: Rapids Water Park Friday: Ultimate Frisbee Week 7: July 16-20 Week 8: July 23-July 27 Week 9: July 30 Aug 3 T Monday: Revolutions Bowling Monday: Fun Depot Tuesday: Amazing Race Wednesday: Build A Bear Monday: Celebrity Chefs Tuesday: Scooter Hockey Tuesday: Marine Life Center Wednesday: Funky Fish Snorkeling E Thursday: Mid Town Beach Wednesday: Okeeheelee Canoe/Kayak Thursday: Food Science Fun Friday: Hakuna Matata Thursday: Movie & Pizza Party Friday: Science Ctr. & Aquarium Friday: SeaWorld, Orlando E Week 10: Aug 6-10 Monday: Lighthouse Cove MiniGolf N Tuesday: Glow Lights Party Wednesday: Rapids Water Park Thursday: Talent Show Friday: Camp Fun Day Ages 11-15 Schedule of activities is subject to change. Check Camp Connections for updates. Campers MUST wear sneakers on a daily basis. 5

Junior Jams Tennis Camps 340 Seaview Avenue, Palm Beach Seaview Park Tennis Center June 11 - August 10 Monday-Friday 9:30AM - 11:30AM Young Stars (4-6 yrs) Quick Start Specialists Futures (7-8 yrs) Some instruction / stroke development Fees: $196/week, $180/multiple weeks $50/daily ATP Challenger (7-10 yrs) Almost ready for ATP I ATP I / ATP II (10-16 yrs) High Performance Training Resident Registration begins March 26 Nonresident registration begins April 16 For more information or to register for camp, call the Seaview Park Tennis Center Pro Shop at 561-838-5404. Receiving updates for the Palm Beach Recreation Department programs and facilities has never been easier. When we make a call you ll know! Sign up for email or text alerts, download a FREE app, view current statuses online or call a dedicated phone line 561-299-3636. Subscribe at: https://rainoutline.com/subscribe/notify/5612993636/0 Town of Palm Beach Recreation PO BOX 2029 Palm Beach FL 33480 561-838-5485