City of Fort Myers S.T.A.R.S.

Parents must provide breakfast and lunch for their child.

March 16-20

Monday–Friday:
7:30 a.m. – 5:30 p.m.

Regristration:

$40 City Residents

$50 Non-City Residents

Authorizations- Please read carefully 
Participation 
I give permission for my child to participate in all activities, including field trips to be transported as authorized by the City of Fort Myers S.T.A.R.S. Division. 

Medical Treatment 
 
I hereby give permission for my child to be given cardiopulmonary resuscitation (CPR) and first aid treatment by a qualified staff member of the City of Fort Myers S.T.A.R.S. Division in the event of emergency, I also give permission for my child to be transported by ambulance or aid car to an emergency center for treatment. I further consent to the disclosure of health information and to the medical, surgical and hospital care treatment and procedures (including, but not limited to, administration of necessary anesthetics, tests, x-ray examinations, transfusions, injections, drugs) to be performed for my child by a licensed physician or hospital selected by the City of Fort Myers S.T.A.R.S. Division Manager when deemed immediately necessary or advisable by the physician to safeguard my child’s health. 
Release from Liability 
As a participant in the City of Fort Myers S.T.A.R.S. Program(s), I acknowledge that there are certain risks of physical injury and I agree to assume the full risk of any injuries including loss of life, damages or loss which my child may sustain because of participating in any and all activities connected with or associated with such program. I agree to waive and relinquish all claims, fully release and discharge and agree to indemnify and hold harmless and defend the City and its officers, agents, and servants and employees from any and all claims resulting from injuries, including loss of life, damages and losses sustained by me arising out of, connected with, or in any way associated with the activities of the program. I have read the City of Fort Myers S.T.A.R.S. Division Program Rules and Regulations. I realize that my child may be suspended or expelled for failing to follow the rules. 

Assumption of the Risk and Waiver of Liability 
  
 I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my minor child(ren) or myself including, but not limited to, personal injury, disability, death, illness, damage, loss, claim, liability, or expense, of any kind, that I or my minor child(ren) may experience or incur in connection with use of City of Fort Myers S.T.A.R.S and Recreation facilities, and/or while participating in its programs. On my behalf, and on behalf of my minor child(ren)s, I hereby release, covenant not to sue, discharge, and hold harmless the City of Fort Myers, its officers, employees, agents, and representatives, of and from any and all Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the City of Fort Myers, its officers, employees, agents, and representatives, whether before, during, or after participation in any the City of Fort Myers S.T.A.R.S. and Recreation Department program or the use of its facilities. Nothing herein shall be construed to waive or alter the City’s sovereign immunity or the limits, rights, or requirements of Section 768.28, Florida Statutes. 
 By signing my name below I certify that: (1) I am the Parent/Guardian of the Child participant(s) listed on this 
Registration Agreement or I am an adult participant over 18 years of age; (2) I have fully read and understand the above terms and conditions and they apply to Child participant(s) or myself; (3) I understand that I am waiving important legal rights to recover damages for injury and/or property damage; (4) I agree I have been encouraged to seek the advice of my own attorney prior to signing this agreement; (5) I have read and voluntarily signed this agreement; and (6) no oral representations, statements or inducements apart from the foregoing written agreement have been made. 

Photo Release: 

The applicant hereby gives permission for the City of Fort Myers S.T.A.R.S Division  to use, without limitation or obligation, photographs or other media that may include the members’ image or voice to promote or interpret City of Fort Myers S.T.A.R.S. Division 
 

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

THE STAFF AT THE City of Fort Myers S.T.A.R.S. Division IS VERY CONCERNED WITH THE WELFARE OF OUR CHILDREN. WE NEED YOUR HELP IN INFORMING US OF ANY ILLNESS OR SPECIAL NEEDS THAT YOUR CHILD WILL HAVE. City of Fort Myers S.T.A.R.S. STAFF DOES NOT ADMINISTER MEDICATIONS OF ANY KIND. Please check any of the following medical conditions that may apply to your child.

I, {primaryParent}____________ the parent/ guardian of the above named student recognizes that as a result of participation in activities, medical treatment in an emergency may be necessary and further recognize that the S.T.A.R.S. personnel may be unable to contact me for my consent for emergency medical care. I do hereby consent in advance to such emergency care, including hospital care, as may be deemed necessary under then existing circumstances. Please make notation of my son/ daughter’s records below.

PLEASE NOTE: BY SUBMITTING THIS APPLICATION IT DOES NOT GUARANTEE A SPOT FOR YOUR CHILD. WE MUST RECEIVE YOUR PAYMENT. Payments can only be made in person at the S.T.A.R.S Administrative Offices located at 2980 Edison Avenue, Ft Myers, FL  33916. The Registration begins February 17, 2026 until all space is filled. Please call (239) 321-7545 ext# 5 with any questions

• Camp Registration fee is $40 per week for City Residents with proof and $50 per week non resident.  This fee includes a non-refundable administrative fee of $15.00
• We do not accept partial payments for registration fees
• Refunds requests must be submitted to STARS@cityftymyers.com prior to the student attending the program.
• There are no refunds for of any kind once the students attends the program or after the first day of the program
• A $15 Non-Refundable Administrative Fee will be deducted from total refund amount.