Belleair Back to Rec Camp (Grades K-7)
The Town of Belleair Parks and Recreation Department will be offering childcare coverage starting on Monday, May 11. This form is to be completely filled out and submitted. Submission of this form does not guarantee admittance into the program. One of our Recreation staff members will contact you to confirm your status. Space is limited as we adhere to CDC guidelines for group sizes. Program participation will be first be given to Town of Belleair Residents followed by Front Line Responders/Law Enforcement and then Town Employees. If space remains, we will then allow current Recreation Members to register.

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Parent Name *
Address *
City *
Cell Phone Number *
Secondary Phone Number *
Email Address *
What is your occupation? *
Weeks Selection
Please select which weeks you are interested in registering for. Childcare will be available from 8:30am-5:00pm. At this time, we will only be doing remote drop off and pickup from the front parking lot. It is only available for full day/full week coverage.
Available Weeks *
Required
How many children will you be registering for childcare? *
Child's Name and Grade *
Child's Name and Grade
Child's Name and Grade
Child's Name and Grade
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