Buccaneers Bash Registration

📍 Salty Sam's Marina - 2500 Main Street, Fort Myers Beach, FL 33931
🗓 Saturday, May 2, 2026
🕚 11:00 AM Departure

All aboard for the Buccaneers Bash, a swashbuckling adventure on the high seas for pirates of all ages! This event is open to children of all ages with an active dependency case and their caregiver, one adult per child.

This special Heartfelt Hangout invites children to step into a world of fun, imagination, and connection as they set sail on a real pirate cruise. Designed for all ages, this interactive experience includes pirate training, games, treasure hunts, and water cannon battles, creating an unforgettable morning filled with adventure and shared memories.

Each child in attendance will receive an eye patch, pirate hat, mini cutlass, and pirate booty bag with coins, everything they need to feel like part of the crew.

Arrival and Parking Information
The cruise departs promptly at 11:00 AM. Late arrivals will not be able to board and will miss the experience.

We recommend arriving 45 minutes before departure for check-in. Boarding begins 30 minutes prior to departure. Upon arrival, please head to the pirate store/cruise office to check in and receive your tickets.

Parking is free at Salty Sam’s Marina:
2500 Main Street, Fort Myers Beach, FL 33931

You may park anywhere in the main parking lot, the one with the large yellow building. If that lot is full, additional free parking is available across the street in the grass lot.

Important Information
-This event is open to children of all ages with an active dependency case and their caregiver, one adult per child.
-A caregiver must remain present with the child throughout the event.
-Space is extremely limited, and advance registration is required.
-Please only register children who are confirmed to be available to attend.

Person Filling Out Form*

First NameLast Name

Email of Person Filling Out Form

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Address of Person Filling Out Form

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number of Person Filling Out Form

Please enter a valid phone number.Format: (000) 000-0000.

GAL Office - Staff or Guardian ad Litem VolunteerCase ManagerFoster Placement/CaregiverOther - please specify below, also please provide name of GAL and/or case manager

Other Connection

Yes

Caregiver Contact Full Name*

First NameLast Name

Caregiver Contact E-mail*

example@example.com

Caregiver Contact Phone Number*

Format: (000) 000-0000.

Caregiver Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Guardian ad Litem Volunteer's Name*

First NameLast Name

Case Manager's Name*

First NameLast Name

Foster Child's Full Name*

First NameLast Name

Child's Date of Birth*

Date

YesNo

Foster Child's Full Name

First NameLast Name

Child's Date of Birth

Date

Foster Child's Full Name

First NameLast Name

Child's Date of Birth

Date

Foster Child's Full Name

First NameLast Name

Child's Date of Birth

Date

County with Legal Jurisdiction *

Date Child/Children Was/Were Placed in the Home*

Date

Total number of foster youth attending:

Total number of other children in the Home (under 18) attending:

Number of adults/caregivers attending **Space is limited, and our priority is ensuring as many foster children as possible can attend. For this reason, attendance is limited to no more than one adult per child. Additional adults may not be accommodated due to space restrictions.**:*

Please share with us a bit about why this child should be selected to participate in this event (one or two sentences is fine!): *