AHF Summer Camp Registration
Camp will be held 9am-12pm each day of the week, Monday June 27th through Friday July 1st. Camp is for kids ages 5-12 and is offered free to Melbourne Village AHF member kids/grandkids. Teens 12+ are encouraged to participate as camp helper volunteers (this is a great way to earn Brightfuture volunteer hours.) Camp will be held in the AHF hall, on the surrounding trails/fields, and at the pool. Deadline to register is June 1st.

The theme of this year is “Better Together” and all about connecting and serving our community. We will have arts and craft activities, speakers, team activities, games and time for free play.  Coach Reed will be back doing another obstacle course, field day, and water games on Wednesday. In addition to having fun connecting with each other, the kids will also help create care packages for older members of our community who are homebound. We will have a cooking day on Thursday where we will create treats for these care packages. Friday will be our usual pool and pizza party at the AHF pool.  

Please submit a separate form for each child. If you have a 12+ child who would like to volunteer please fill out this form also.
Sign in to Google to save your progress. Learn more
Email *
Child's First Name
Child's Last Name
Age of Child (Camp is for kids 5-12) *
Name of Parent/Caregiver
Parent/Caregiver daytime phone number
Emergency Contact Name and Phone Number
How will the child be transported to camp? Note children should not arrive prior to 8:45am and be picked up no later than 12:15pm.
Clear selection
Please add any other information about transportation to camp we should know
Does your child have any of the following dietary needs/allergies/restrictions? (Check all that apply)
Add any additional information about your child's dietary needs:
Does your child have any health issues that would limit her/his/their participation in physical activities? Does your child use an Epi pen? If so, please explain the allergy and anything we should know.
Would you like to help be a parent volunteer during the camp days and/or will you be accompanying your child? If so please list which days.
Parents are welcome to accompany kids to camp any of the days if they wish to; however, they do not need to. If you would like to stay and help be a parent volunteer that is always great too. Send questions to Nasima Pfaffl, Education Committee Chair npfaffl@gmail.com.
If you have a 12+ teen who would like to volunteer and earn brightfuture volunteer hours, please indicate the days they are available to help? (Check all that apply)
Friday Pool Party
I give my child permission to swim at the Melbourne Village Pool, Friday July 1st, 2022
Will you be attending the pool party with your child(ren)?
Clear selection
Although there will be a professional lifeguard in attendance, we would like to know if there are any concerns about your child's swimming ability that we should be aware of. If so, please explain.
Permissions and Waivers
Please print and sign the following Covid waiver: https://drive.google.com/drive/u/0/my-drive. Copies of the form can also be picked up at the AHF office. Please bring or send this completed form with the child on the first day of camp. We will be following the AHF Board of Trustees rules for masks in the AHF hall.  Currently, masks are not required as long as the positivity rate for Brevard County remains under 5%. If you or your children prefer to mask, please feel free to do so. During morning check in we will take temperatures and ask health screening questions. Whenever practical, we will also incorporate handwashing, distancing, and cleaning.  We ask that children (or adults planning to attend camp with a child) who have any symptoms of Covid-19 (cough, fever, shortness of breathe, gastrointestinal upset, etc) or who have been exposed to anyone who may have or has been confirmed to have covid-19 during camp or in the week prior not attend camp.  If you have questions please call the AHF office. *
Please visit https://drive.google.com/file/d/1QLGR7JLkEbV59-6x44Nj_C_0wflw-BOV/view?usp=sharing and print the  AHF Summer Camp Accident Waiver and Release of Liability Form. Copies of the form can also be picked up at the AHF office. Please bring or send this completed form with the child on the first day of camp they attend. *
As the above child's Parent or Guardian, please enter your name and date. This serves as a signature on this registration and permission form.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms