Sanford Middle Summer Camp

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Pursuant to Rule 6A-10.089 (5), F.A.C., Seminole County Public Schools requires parental authorization prior to students participating in school sponsored events and activities. Each student participating in the event or activity listed below must have this form completed and submitted prior to participating.

Description of the Event or Activity: Sanford Middle School offers many opportunities for our students to participate in a variety of different events that enrich their middle school experience. These events support us in the schools vision of building a culture of excellence and success for every student.

Date(s) and Time(s): These activities include the following:

Basketball Camp; June 3-6; 8:30-12:30

Art for Animals; June 3-6; 8:30-12:30; June 10-13; 8:30-12:30

Craft Camp; June 3-6; 8:30-12:30; June 10-13; 8:30-12:30

Cooking Academy; June 3-6; 8:30-12:30; June 10-13; 8:30-12:30

The Robot Games; June 3-6; 8:30-12:30

Origami; June 3-6; 8:30-12:30

SECME: June 3-6; 8:30-12:30; June 10-13; 8:30-12:30

Garden Club; June 10-13; 8:30-12:30

Engineering/Makerspace; June 10-13; 8:30-12:30: June 24-27; 8:30-12:30

Stability Training; June 10-13; 8:30-12:30

Research Writing Skills; June 17-20; 8:30-12:30

RAMP CAMP INCOMING SIXTH GRADE; June 17th-20th; Pick either an AM or PM session

6th Grade Math Camp: June 24-27; 8:30-12:30

7th Grade Math Camp/RAMP; June 24-27; 12:30-4:30

Philosophy and Critical Thinking; June 24-27; 8:30-12:30

Price: $130

Location: Sanford Middle School

Sponsors/Guests: Sanford Middle School Staff

Student Supervision: Student supervision will be provided by school personnel commensurate to the attendance at the event.

Contact Information: Please contact Ms. Coursin for any questions: Jennifer_Coursin@scps.k12.fl.us

First 25 paid campers will be able to participate

Student Last Name *

Student First Name *

Grade Student is Entering August 2024 *

6th

7th

8th

School Student is Enrolled in for August 2024 *

Medical Release and History

Health Statement: (To be completed by Parent/Legal Guardian and /or Medical Doctor. Please note that we do not administer medications for summer camp.

Are there any medical or psychiatric conditions that SCPS staff should be made aware of in order to provide for the safety of your child?

Yes

Other:

Required

Please indicate if your child has any of the following medical problems: *

Respiratory Problems – Asthma, Persistent Cough, etc.

Heart Problems – High/Low Blood Pressure, Chest pain, etc.

Kidney, Stomach, Gall Bladder or Liver Problems

Diabetes, Hypoglycemia

Recent Fractures, Illness, Exposure to Contagious Disease, etc.

Eye, Ear, Nose, Throat Problems - Skin Disease

Allergies – Bee Stings, Ant Bites, Plants, Sun, Food, Penicillin, etc.

Nervous Disorders – Epilepsy, Convulsions, Dizziness, etc.

Emotional Disorders – Frequent Anxiety, Excessive Fears, etc.

Any hospitalization in the last two years?

My student does NOT have any of the following medical conditions listed above

Required

Please provide any additional medical information the staff on campus may need to know.

How will your student be going home? *

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