Dennis Humphrey
408 Wildwood Drive
Edgewater, Florida 32132
----------------------------------------------------------------------------------------------------

Student's Name_______________________________________________

Parent/Guardian's Name________________________________________

Address ____________________________________________________

____________________________________________________

Email address ________________________________________

Phone: (day)____________________ (evening)_____________________

Student's Age________  Current Grade__________     Boy   Girl    (circle)

School ___________________________________________

Will your child need extended care, 3:30pm - 5:00pm? ($20/week) Yes____No____

Tuition: $150 per student for the week. This includes all materials and two daily snacks. Each student will need to bring their own lunch and drink daily.

Click on the links below for Camp Information inclucing daily itinerary, directions to camp, and the Parent Consent form. Please feel free to contact us with any questions at: (386) 846-3932 or info@floridasciencecamp.com