SUMMER CAMP REGISTRATION FORM
Name
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First Name
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Address
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Street Address
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Childs name:
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Email
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example@example.com
Childs DOB
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Month
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Year
Date
Elementary School child attends:
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Location
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Waterford
Salem
Niantic
T-Shirt size
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Youth X-Small
Youth Small
Youth Medium
Youth large
Youth X-Large
Adult Small
Adult Medium
Adult Large
Days child will attend (must be set schedule)
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Monday
Tuesday
Wednesday
Thursday
Friday
Drop off time
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Hour Minutes
AM
PM
AM/PM Option
Pick up time
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Hour Minutes
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PM
AM/PM Option
Please indicate which weeks your child will attend:
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TROPICAL PARADISE JUNE 19TH -23RD (BEACH THURSDAY)We are excited to kick off the summer with Tropical Paradise week! We are saying Aloha to Summer 2023 on Wednesday with our Hawaiian spirit day! We will enjoy a tasty “Beach in a Bucket” pudding treat as a snack. The campers will also be able to make their own tie dye t-shirt! Thursday we will splash at the beach for our first field trip of the summer.
SUMMER SAFARI JUNE 26TH - 30TH ( ZOO THURSDAY)Join us as we answer the call of the wild in this summer’s animal-themed adventure! We will be able to visit furry, scaly, and feathery friends on our Field trip to the Roger Williams Zoo. This camp week is perfect for every animal lover. With animal-themed projects, games, and crafts all week long. This is sure to be a wild time!
AMERICAN PRIDE JULY 3RD - 7TH (CLOSED TUESDAY)Oh, say can you see... another amazing summer week of summer camp! This week we will be jumping into the roots of being American. Campers will celebrate our nation's birthday by exploring our unique traditions and landmarks across our country.
TREASURE HUNTERS JULY 10TH- 14TH (BEACH THURSDAY)Ahoy mates! It’s time to sail the seven seas in search of treasure! We will have a week full of pirate themed activities. We will search for treasure, make our own treasure maps, have a whole day of talking like pirates, and building boats. Thursday we will have fun looking for buried treasure at the beach.
COLOR WARS JULY 17TH - 21ST (BEACH THURSDAY)Explore the wonderful world of color! From painting, sculpting, drawing and more, campers mix colors and let their creativity run wild. We will take a trip to the Beach and create our own sand art! Wednesday will be a festive color war. Be sure to wear clothes that can get messy!
TIME TRAVELERS JULY 24TH -28TH (MASHANTUCKET PEQUOT MUSEUM THURSDAY)Fasten your seatbelt, and get ready for a trip through the ages! Campers will travel through time and explore the time of the dinosaurs, Ancient Egypt, and Colonial America! Time travelers will engage in themed activities such as making homemade catapults and having a toga party. Come join us as we have a blast through time! Thursday we will take a trip to the Mashantucket Pequot Museum.
CREEPY CRAWLY JULY 31ST - AUGUST 4TH (BEACH THURSDAY)If creepy crawlers fascinate your child, then this camp is for you! Come learn and discover all about creepy, crawly bugs this summer. Campers will build their own bug, create their own bug slime, make buggy treats, investigate the bugs outdoors, and much more! There is so much fun to explore! Join us for a beach trip on Thursday as we explore some of the creepy crawly sea creatures!
UNDER THE SEA AUGUST 7TH - 11TH ( MYSTIC SEA AQUARIUM THURSDAY)In this week of fun we’ll be exploring the deep blue sea. We will have many sea creature themed art activities. We’ll watch sea creatures grow and make pretty ocean scenes. Join us while we discover ocean life with a field trip to the Mystic Sea Aquarium.
MAD SCIENCE AUGUST 14TH - 18TH (BEACH THURSDAY)The campers will use this week to find their inner scientist! Campers will discover a magical place where science, technology, engineering, art and math come together to ignite curiosity and problem solving. We will explore the science of waves with our field trip to the Beach. Our campers get their hands dirty to create homemade play dough, we will learn how to make solar ovens and we will bake a yummy treat!
MISSION IMPOSSIBLE AUGUST 21ST- 25TH Welcome secret agents! During this camp, you will complete various daily missions including decoding morse code, spy missions, and much more! All missions aim to teach agents teamwork in a fun way. Campers will work together towards a common goal, allowing them to appreciate everyone’s unique talents and strengths!
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I give my child permission to participate in the listed field trips as indicated. I understand that all children will be traveling by school bus to all above locations. I understand that field trips may be cancelled or rescheduled at anytime. I further understand that all money is non refundable.
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Beach Field trip - 6/22/23
Pleasure beach Waterford Ct
$
15.00
Beach Field trip - 7/13/23
Pleasure Beach Waterford CT
$
15.00
Beach Field trip- 7/20/23
Pleasure Beach Waterford CT
$
15.00
Beach Field Trip 8/3/23
Pleasure Beach Waterford CT
$
15.00
Beach Field Trip - 8/17/23
Pleasure Beach Waterford CT
$
15.00
Roger Williams Zoo Field Trip - 6/29/23
Children ages 5 -12 can attend - Children ages 3 & 4 need director approval
$
30.00
Mashentucket Pequot Museum 7/27/23
Children ages 5-12 can attend- Children ages 3&4 need director approval
$
30.00
Mystic Sea Aquarium 8/10/23
Children ages 5-12 can attend- Children ages 3&4 need director approval .
$
30.00
Facility Fee
includes: one t-shirt, sunscreen, and all on site activities
$
50.00
Additional t-shirt
$
10.00
Swim shirt
$
25.00
I would like to chaperone the following field trips:
My Child has permission to participate in the above indicated field trips and all on site activities.
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Amount due will be invoiced to ProCare on receipt of permission slip. If you are signed up for automatic payment this will automatically be charge to your card on file
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Ballestrini's Child Care Centers staff has permission to apply Banana Boat Sport Sunscreen to my child. I understand that I am responsible for applying sunscreen in the morning. Ballestrini's will reapply sunscreen in the afternoon to all areas exposed to sun.
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