Naples Botanical Garden 2016 Summer Camp

Thank you for your interest in the Naples Botanical Garden Summer Camp program! Below is information about our camps for children entering 1st through 6th grades in Fall 2016, followed by a registration form. When you have completed the application, you can return it to us by mail (4820 Bayshore Drive, Naples, FL, 34112) or email (education@naplesgarden.org). Once we have reviewed your completed application, we will contact you with a confirmation. For more information about Summer Camp, call us at 239-325-1356 or visit www.naplesgarden.org.

Summer Camp Programs (See the following page for which weeks camps are available)

Gardeners in the Kitchen: Does your child have a green thumb? Young chefs and gardeners will follow the journey of a plant from a small seed to a meal on their plate, all while having fun. Campers will grow their own seeds, harvest a bounty of fruits and vegetables from the garden, and create their own gourmet recipes.

Botanical Artists: This camp caters to blossoming artists, both experienced and those just getting interested. Paint, draw, design, and more! There is no shortage of beautiful blooms, butterflies, and scenery to inspire young artists at the Garden.

Wild Florida Wanderers: For adventurous campers interested in art, exploration, and connections to the beautiful natural world around us. Get up-close and personal with a butterfly, follow marsh rabbit tracks through the garden, investigate the walking mangrove tree, and discover the natural wonders that Florida has to offer.

Science Explorers: Calling young scientists! Science Explorers will investigate chemistry, physics, alternative energy, and other fields of science. Build a solar-powered machine, learn more about products that come from plants like perfume and rubber, and meet professional scientists in this exciting camp.

Snacks and meals: Healthy breakfast, lunch, and snacks are provided for children each day.

What to wear and bring: Campers should wear comfortable clothing suitable for outdoor activities. Close-toed shoes are required; a change of clothes is recommended. If your child needs sunscreen, be sure to apply it before camp and give it to teachers at sign-in. If your child needs prescription medication administered, please give these to the teacher at sign-in. We can only administer medications that have been prescribed to your child by a doctor.

Rain days: We have both indoor and outdoor activities for the campers, so camp is on rain or shine!

Camp safety: All of our camp teachers are experienced educators who have had background checks before the start of camp. To keep all campers safe, we cannot tolerate inappropriate behavior. Camp teachers reserve the right to dismiss a child from camp for disruptive, abusive, or inappropriate behavior.

Pick-up/Drop-off information: A parent or guardian must arrive between 7:50am-8:15am and between 2:45pm and 3pm each day to sign children in and out of camp. Sign-in does not begin until 8am. We will not release a child to anyone not listed on the pick-up permission form.

Cancellations: Space in each camp is limited. To give other children the opportunity to attend, please call us with as much advance notice as possible in the event that your child needs to cancel.

Payment/Discounts/Refunds: Camp cost is $250 per child/per week for Garden members and $300 for non-members ($200/Member, $240/Non-member for week of July 5-8). A 10% discount is available for registration of siblings or multiple weeks. Only one discount is available per child. Payment is due in full when you register your child for camp. 50% of the camp fee will be refunded in the event of a cancellation 10 days or fewer prior to camp start date. Cancellations after camp is in session are non-refundable.

Naples Botanical Garden 2016 Summer Camp Application

Camp is filled on a first-in, first-served basis. Submission of form does not guarantee space in camp.

Complete a separate form for each child. All 5-year-olds must have completed Kindergarten to enroll in Summer Camp.

Child’s name: Click here to enter text.

Age: Choose an item.	Date of birth (mm/dd/yr): Choose an item./Choose an item./Choose an item.

Current school: Click here to enter text.	Grade completed in June 2016: Choose an item.

Parent/Guardian Name(s): Click here to enter text.	Relationship to child: Click here to enter text.

Mailing address: Click here to enter text.	City: Click here to enter text.	ZIP: Click here to enter text.

Home phone: Click here to enter text.	Work phone: Click here to enter text.

Cell phone: Click here to enter text.	Email: Click here to enter text.

Additional daytime emergency contact (other than parent/guardian):

Name: Click here to enter text.	Relationship: Click here to enter text. Daytime phone: Click here to enter text.

Medical information: Child’s physician and/or health care facility: Click here to enter text.

Food or other allergies: Click here to enter text.

Prescribed or other medications: Click here to enter text.

Please share any other information that will help us provide a better camp experience for your child: Click here to enter text.

If your child has special medical concerns such as allergies, seizures, or other concerns, a note from a physician is required to participate in summer camp. If your child requires medication, we may only dispense it under the specific written direction of a licensed physician. All campers must be able to use bathroom facilities independently.

Preferred Camp Week(s) Space will be filled in the order that applications are received. We will contact you if your preferred choice is not available.

☐	June 13 – June 17	Gardeners in the Kitchen	☐	July 11 – July 15	Gardeners in the Kitchen
☐	June 20 – June 24	Botanical Artists	☐	July 18 – July 22	Botanical Artists
☐	June 27 – July 1	Wild Florida Wanderers	☐	July 25 – July 29	Wild Florida Wanderers
☐	July 5-8	Science Explorers

The form on the next page must be completed to register for Summer Camp 

Naples Botanical Garden 2016 Summer Camp Application

LEGAL RELEASE

I, the undersigned, in my individual capacity as parent or guardian of Click here to enter text., age Choose an item., being a minor child, hereby release and hold harmless Naples Botanical Gardens, Inc., its governing board, officers, agents, employees, from and against any and all liability for any harm, injury, damage, claims, demands, actions, causes of action, costs, and expenses of any nature whatsoever which participant may have or which may hereafter accrue to the participant, arising out of or related to any loss, damage or injury, including, but not limited to suffering and death, that may be sustained by participant or by any property belonging to participant, while in, on, upon, or participating in any activity in a Naples Botanical Garden facility. I give permission to Naples Botanical Gardens, Inc., its officers, employees, instructors, and supervisors to provide routine health care, administer prescribed medications, and seek emergency medical treatment of my child for illness or accident if I cannot be contacted. The Naples Botanical Garden shall, without accepting fiscal responsibility, seek such medical services, as it deems necessary and appropriate through EMS/911 and/or local hospitals.

I acknowledge awareness and give permission for my child’s photograph to be taken and/or for my child to be included in a video for promotional or news coverage purposes. I understand that photos and/or videos taken by Naples Botanical Garden become property of the organization and may be used for future promotional materials. I also agree no compensation will be paid for any of the aforementioned.

I certify that I have read this document, understand the provisions, thereof, and agree to be bound hereby. I hereby give my child permission to attend the Naples Botanical Garden Summer Camp program.

Name of Parent or Guardian: Click here to enter text.

Signature of Parent or Guardian _______________________________________	Date: Click here to enter a date.

PERMISSION TO PICK-UP CHILD

Please provide the names and relationship for those who are authorized to drop-off and pick-up your child. Remember to include yourself. We will NOT release your child to anyone, including you or a relative, unless the name is listed below. Those people who are picking up the child will be asked to provide identification. A parent or guardian must arrive between 7:50am-8:15am and between 2:45pm and 3pm each day to sign children in and out of camp. Campers will only be released to persons over the age of 14.

Name: Click here to enter text.	Relationship: Click here to enter text.	Phone: Click here to enter text.

Name: Click here to enter text.	Relationship: Click here to enter text.	Phone: Click here to enter text.

Name: Click here to enter text.	Relationship: Click here to enter text.	Phone: Click here to enter text.

Name: Click here to enter text.	Relationship: Click here to enter text.	Phone: Click here to enter text.

Name: Click here to enter text.	Relationship: Click here to enter text.	Phone: Click here to enter text.