2025 Summer Camp Field Trip Form SMART Kidz Go Green
Week #1 - Week #7
Name
First Name
Last Name
Activity: SkyZone Date: Wednesday 6/11/2025 Departure Time: 830am Cost: $0 Make sure to complete waiver at: https://waiver.haveablast.roller.app/skyzonecutlerbay/ Lunch will be provided after we return to Colonial Drive Park
*
Yes
No
Activity: Chuck E Cheese Date: Wednesday 6/18/2025 Departure Time: 830am Cost: $0 Lunch will be provided after we return to Colonial Drive Park
*
Yes
No
Activity: Bird Bowling Date: Wednesday 6/25/2025 Departure Time: 830am Cost: $0 Bring socks and lunch will be provided after we return to Colonial Drive Park. Lunch packages are available at parent's cost of: $5 (1 slice pizza & 1 soda) or $7 (2 slices pizza & soda) **Lunch packages must be ordered and paid for by Monday, June 23rd
*
Yes
No
Yes, please add $5 pizza package (1 slice and soda)
Yes, please add $7 pizza package (2 slice and soda)
Activity: C.B. Smith Park Paradise Cove Date: Wednesday 7/2/2025 Departure Time: 830am Cost: $0 Bring towel, swimwear, sunscreen, at least one (1) bottle of water with your child's name printed on it and a change of clothes. Cold lunch will be provided at water park.
*
Yes
No
Activity: Venetian Pool or Grapeland Water Park Date: Wednesday 7/9/2025 Departure Time: 830am Cost: $0 Bring towel, swimwear, sunscreen, at least one (1) bottle of water with your child's name printed on it and a change of clothes. Cold lunch will be provided at water park.
*
Yes
No
Activity: Miami Roller Rink Date: Wednesday 7/16/2025 Departure Time: 830am Cost: $0 Wear socks - Cold lunch will be provided at the skating rink Make sure to complete waiver at: https://waiver.roller.app/miamirollerrink/
*
Yes
No
Activity: Urban Air Date: Wednesday 7/23/2025 Departure Time: 830am Cost: $0 Wear socks - Each camper will receive two hours of trampolines, battle beams, drop zone, wipe-out, pro-zone, basketball, dodge ball, runway track and socks. Pizza and water will be provided at Urban Air. Cold lunch will be provided at water park. Complete and sign waiver at: https://my.urbanairparks.com/waivers/7a98cbef-855b-4628-ab38-f834ffd34f22?_ga=2.195960942.354623094.1714507655-1140439212.1714507650
*
Yes
No
I do hereby release Knowledge Builders of Florida, Inc. from all Liability for any accident or injury that might be sustained through my child’s participation in this activity. I authorized medical treatment for my child in case of an accident or illness while on trip.
*
List any Allergies
*
Yes
No
Other
List any Medical Conditions
Parent's Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Alternate Phone Number
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
OTHER CONTACT PERSON IN CASE OF EMERGENCY:
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Alternate Phone Number
*
Please enter a valid phone number.
Submit
Should be Empty: