Girls inc of sarasota county

summer camp

enroll now for summer camp sessions
Learn about our Summer Camp program!

Campers will explore the community, join microsociety, participate in sports, stretch their creativity, acquire valuable life skills, join clubs, learn about the environment, make new friends and have fun. Each girl will participate in activities that involve them in our nationally researched and developed programs. Themes include: Culture and Heritage, Operation S.M.A.R.T., Sport and Adventure, and more!

Submit your information in the form below.

Girls are separated into age groups:

  • Age 5
  • Age 6
  • Age 7
  • Age 8
  • Age 9
  • Age 10
  • Age 11
  • Ages 12-14
  • Fee Schedule
  • $250 per 2 week session
  • Pay for the entire summer in advance and receive the last week free!
  • $25 registration fee (non-refundable)
  • Financial Assistance and sibling discounts available.
Membership Application and Information Form
2017 - 2018
What program(s) are you interested in?
After School Summer Programs
 
How did you hear about our program?
Friend     Family     School     Staff    
 
Do you need financial aid?
Yes No

Member Information:

 
First Name:
Last Name:
Birthdate:   Age:
  
Race:
Address:
City:
State:   Zip:
  
School:
Grade:
 
NEXT

Parent Information:

 
Mother's Name:
Phone:
(Work)
(Cell)
Address:
City:
State:   Zip:
  
Place of Employment:
Occupation:
Email:

 

 
Father's Name:
Phone:
(Work)
(Cell)
Address:
City:
State:   Zip:
  
Place of Employment:
Occupation:
Email:

 

 
Legal Guardian: (if applicable)
Phone:
(Work)
(Cell)
Address:
City:
State:   Zip:
  
Place of Employment:
Occupation:
Email:
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Household Income and Information:

Does your child receive Lunch Assistance?
Free Reduced
 
Who does this child live with?
Parents     Mother     father     Grandparent(s)
 
Household Income:
 
Do you speak another language other than English at home:
Spanish

Member Information:

 
Doctor's Name:
Doctor's Phone:
 
Should participant’s activities be limited because of any health problem(s) such as allergies, previous surgery, etc? If so, please list and describe:
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Special Needs and Concerns:

(Please Check if Applicable)
 
Custody issues:
Yes No
 
Special Medical:
Yes No
 
Special Disabilities:
Learning Development Emotional
Mobility Visual Hearing
Physical Multiple
Are there any particular situations/events etc. that "set off" behaviors that cause concern, such as hiding, tantrums, biting, pants wetting, hitting, etc.?
Yes No
 
If yes, please describe
 
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Emergency Contact Information:

If parent(s) / guardian cannot be reached in case of emergency, who should be contacted:
 

Emergency Contact 1

Name:
Relation:
Phone:
(Work)
(Cell)
 

Emergency Contact 2

Name:
Relation:
Phone:
(Work)
(Cell)
 

Release Information:

 
MY CHILD MAY BE RELEASED TO:
 
MY CHILD MAY NOT BE RELEASED TO:
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*Notice: Girls Inc. of Sarasota County will not share your personal information with outside parties.



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