Trilingual Summer Camp 2025

1
Summer Camp Student: First Name and Last Name
First Name
Last Name
2
Summer Camp Student: Date of Birth
Date
Year
Month
Day
3
Summer Camp Student: Current School Enrollment:Statistics Purposes Only
Please Select
Please Select
Panama City Trilingual School
Bay District Schools
Charter School
Private Preschool
Head Start
Homeschool
Other
4
Summer Camp Parent: Full Name
First Name
Last Name
5
Summer Camp Parent: Phone Number
Area Code
Phone Number
6
Summer Camp Parent Email:
example@example.com
7
Summer Camp Parent & Student: Residential Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
8
Summer Camp Student: T-shirt Size Registration fee include ONE t-shirt. T-shirts have to be wear every day!
Please Select
Please Select
Youth XS (2-4)
Youth S (6-7)
Youth M (10-12)
Youth L (14-16)
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
9
Summer Camp Student: Pick-up /Drop-off List It is important to mention that parents and visitors will be asked for ID before they take a child. Please notify other family members that they will be asked to provide ID at the school entrance. This is for safety reasons.
Huge
Large
Normal
Small
Ok
Ok
10
Summer Camp Student: In case of fever or allergic reactions, Do you authorize us to give your child medicine? Dosage based on Age*.Please select the medications that you authorize us to give to your child if needed. We will still contact you if your child is in need of medication.
Children's Tylenol (dye-free)
Children's Benadryl (dye-free)
Children's Motrin (dye-free)
I don't authorize PCTS to give my child medicine.
11
In case of Emergency, your child might need transportation to the Hospital. Please select the nearest hospital of your preference.
Bay Medical Center (nearest option)
HCA Florida Gulf Coast Hospital
Other (please, inform your choice to the camp director)
12
Summer Camp Student: Medical Concerns Please, list any allergies to food, medications, fauna or flora that your child has. What information we need to know in case of emergencies? List Medications that the child is taking on a daily basis. In case of emergencies, what do we need to report to Emergency Services?
Huge
Large
Normal
Small
Ok
Ok
13
Terms and Conditions* This field is required.
14
My Products* This field is required.
prevnext( X )
My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
REGISTRATION Fee
$100.00Edit
Back
Payment for ONE Week (REGULAR schedule)REGULAR Schedule: 8:00am - 3:00pm - Please specify the weeks you are interested in participating during summer camp in the next question.
$175.00Edit
Back
Payment for TWO Weeks (REGULAR schedule)REGULAR Schedule: 8:00am - 3:00pm - Please specify the weeks you are interested in participating during summer camp in the next question.
$350.00Edit
Back
Payment for THREE Weeks (REGULAR schedule)REGULAR Schedule: 8:00am - 3:00pm - Please specify the weeks you are interested in participating during summer camp in the next question.
$525.00Edit
Back
Payment for FOUR Weeks (REGULAR schedule) 5% DISCOUNTRegular Schedule: 8:00 AM - 3:00 PM - Please specify the weeks you are interested in participating during summer camp in the next question. The discount applies only if all four weeks are paid in full. If paid separately, the discount does not apply.
$665.00Edit
Back
Payment for ONE week (EXTENDED Schedule)EXTENDED Schedule: 7:30am - 5:00pm - Please specify the weeks you are interested in participating during summer camp in the next question.
$225.00Edit
Back
Payment for TWO weeks (EXTENDED schedule)EXTENDED Schedule: 7:30am - 5:00pm - Please specify the weeks you are interested in participating during summer camp in the next question..
$450.00Edit
Back
Payment for THREE Weeks (EXTENDED Schedule)EXTENDED Schedule: 7:30am - 5:00pm - Please specify the weeks you are interested in participating during summer camp in the next question..
$675.00Edit
Back
Payment for FOUR Weeks (EXTENDED schedule) 5% DISCOUNTExtended Schedule: 7:30 AM - 5:00 PM - Please specify the weeks you are interested in participating during summer camp in the next question. The discount applies only if all four weeks are paid in full. If paid separately, the discount does not apply.
$855.00Edit
Back
Summer Camp T-shirt100% Cotton T-shirt with Summer Camp Logo can be used during the school year or the next summer camp.
$15.00Edit
Back
Enter Coupon
Total cost $0.00
Payment Methods
Credit Card
First Name
Last Name
Cash App
After submitting the form, you will be redirected to the Cash App Pay to complete the payment process.
Google Pay
After submitting the form, you will be redirected to the Google Pay to complete the payment process.
Apple Pay
After submitting the form, you will be redirected to the Apple Pay to complete the payment.
15
Summer Camp Weeks: Please, list the weeks that you are interested in attending to PCTS Bilingual Summer Camp.
Week #1 - June 2-6, 2025
Week #2 - June 9-13, 2025
Week #3 - June 16-20, 2025
Week #4 - June 23-27, 2025
16
Signature
Clear
Should be Empty: