Pensacola MESS Hall Summer Camp Registration

Summer Camp Registration 2024
Today's Date
Date for Airtable
Jotform Interaction
Student Name
First Name*
Last Name*
Child full name
Grade - Fall 2024*
Students will be grouped by age levels. During some periods all grades will be in the same room, while other times they will be divided. Activities will be scaled up for the older kids. Snacks and lunch will be combined.
School
Is anyone in your household active duty military? (optional)
Address*
Street Address
City
State
Zip Code
Parent/Guardian Information
Family Name
First Name*
Last Name*
Phone Number*
E-mail*
example@example.com
IMPORTANT

MESS Hall camps are a lot of fun. However, based on our experience, kids need some variety in their summer experience. If this is your first time registering for camp with us, we recommend no more than 3 weeks of camp this summer.

Summer Camp Themes and Grade Levels

Dates	Theme	Grade Level
5/28 to 5/31	Science Sampler	1-6	Single Day option
6/3 to 6/7	Games Unplugged	1-6
6/10 to 6/14	Blast Off	1-6
6/17 to 6/21	Rockin' Out	1-6
6/24 to 6/28	Wild World	1-6
7/1 to 7/3	Lego Builders	1-6	Single Day option
7/8 to 7/12	Lab Ratz	1-6
7/15 to 7/19	Inventor's Workshop	1-6
7/22 to 7/26	MESSlandia	1-6
7/29 to 8/2	Science Sampler	1-6	Single Day option

Pricing:

Single Day (only select weeks): Individual half days are $28.80/$36 member/nonmember. Full days are $56/$70 member/nonmember.

Week-long: Half days are $120/$150. Full days are $240/$300.

Times:

Half day is 9AM-12:30PM. Full day is 9AM - 4PM.

Are you a Annual Member of the MESS Hall?*

YesNo
Members: You have received a coupon code via email. If you do not know the code, please email us or call 1-877-937-6377 to receive it. Alternatively, go ahead and register, and we will refund the 20% discount. Please keep in mind that your membership must be active both when you register and for the camp in order for the discount to apply.
If you want to become a member, you will have a chance to join on the next screen.
Coupon Code
Employee Name and Number*
5/28 to 5/31 Science Sampler
Single Day Camps*
6/3 to 6/7 Games Unplugged
6/10 to 6/14 Blast Off
6/17 to 6/21 Rockin' Out
6/24 to 6/28 Wild World
7/1 to 7/3 Lego Builders
Single Day Camps*
7/8 to 7/12 Lab Ratz
7/15 to 7/19 Inventor's Workshop
7/22 to 7/26 MESSlandia
7/29 to 8/2 Science Sampler
Single Day Camps*
528 day
528name
529 day
529name
530 day
530name
531 day
531name
61 day
61name
62 day
62name
63 day
63name
66 week
66name
613 week
613name
620 week
620name
627 week
627name
71 day
71name
72 day
72name
73 day
73name
75 day
75name
76 day
76name
77 day
77name
78 day
78name
711 week
711name
718 week
718name
725 week
725name
729 day
729name
730 day
730name
731 day
731name
81 day
81name
82 day
82name
83 day
83name
84 day
84name
85 day
85name
Special Code Camps
Member
NavyFederal
NavyFederalEmail
GiftCardDiscount
Onsite
Total Week Camp slots
Total Single Day Camp slots
Total Camp Fee - not onsite
Total Camp Fee -member not onsite
Weeks Selected
Please select no more than 3 weeks of camp. If you would like to register for more, please contact our Education Director for more information.
Total Camp Fee

Summer Camp 2024 Registration (continued)
Member Savings
Member difference
Consider becoming a member today! You would save ${memberSavings} on just this registration! Membership is only $120 for a family of 4 (additional family members are only $12). For only ${memberDifference} more, your family of 4 will receive free admission year round to the MESS Hall and over 200 museums across the country, plus 20% off all other camps and workshops.
Add a membership?

Yes, please add a membership to my order to apply a 20% discount.No, not today.
Names for Membership

Please enter up to 4 family members in the same household (can include a grandparent, nanny, or other caregiver in membership). Please contact us to include additional members for $15 each.
Please ensure that all members in the family are named individually, including the camper listed above and at least one adult.
Family Member 1
First Name
Last Name
Grade Level (or Adult)
Family Member 2
First Name
Last Name
Grade Level (or Adult)
Family Member 3
First Name
Last Name
Grade Level (or Adult)
Family Member 4
First Name
Last Name
Grade Level (or Adult)
Would you like to add additional children, a grandparent, or another caregiver (nanny, babysitter)? Each additional person is $12. Please contact us with the additional names, and we will arrange payment.
Selected Camps

{528name}

{529name}

{530name}

{531name}

{61name}

{62name}

{63name}

{66name}

{613name}

{620name}

{627name}

{71name}

{72name}

{73name}

{75name}

{76name}

{77name}

{78name}

{711name}

{718name}

{725name}

{729name}

{730name}

{731name}

{81name}

{82name}

{83name}

{84name}

{85name}
Type a question
We will notify you as soon as possible if a spot opens for your child in one of the waitlisted camps.
Total for Camps
Total for Camps

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USDCamp Payment
Online payment for camps is processed via PayPal. A PayPal account is not required for payment. You may pay with credit or debit card or direct connection to your bank (limited banks participate in PayPal's program) without a PayPal account.
Is there any information our instructors should know about your child? If yes, please describe. Note that this form is not HIPAA compliant, so please do not share medical information.
Informed Consent and Acknowledgement

In consideration of my child’s participation in programs provided by the Pensacola MESS Hall and/or its program partners, I indemnify and hold Pensacola MESS Hall and its affiliates, employees and agents harmless from and against any and all liability for negligence or medical expenses resulting from my child’s participation in such programs or other activities. I further release Pensacola MESS Hall and its affiliates, employees and agents from any and all negligence or other claims resulting from my child’s participation. I further understand that Pensacola MESS Hall and/or its program partners does not provide medical insurance coverage for my child and that any medical expenses incurred will be paid by either my own medical insurance or myself. I hereby grant permission for my child to participate in all activities including walking to sites off the Pensacola MESS Hall property.

I give permission for my child’s photo and/or likeness to be retained and used by Pensacola MESS Hall and/or its program partners without any remuneration or compensation.

Cancellation Policy & Tuition Refund

If a cancellation occurs…	Amount Refunded
8 or more calendar days before a program is scheduled to start (includes the weekend)	100% less $15 registration fee
24 hours to 7 calendar days before a program is scheduled to start (includes the weekend)	50% less $15 registration fee
Due to a no-show on the day the program is scheduled to start or subsequent days	0%

Memberships are not refundable.

Confirmation

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

I UNDERSTAND THAT MY REGISTRATION IS NOT COMPLETE UNTIL I PAY THE AMOUNT DUE THROUGH PAYPAL OR ONSITE.
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Summer Camp Registration 2024