Historical Museum of Southern Florida Graphic
 
Tropical Explorers Summer Camp Registration Form 2008

Pleace complete the form below and click the Submit button. If you are registering more than one child you will need to register each child separately.

If you have any questions please call 305-375-1492 or e-mail education@hmsf.org.
Student's Information
First Name
Last Name
Gender Male Female
Date of Birth
Age
Home Phone Ex. 305-555-1234
Home Address 1
Home Address 2
City State Zip
Parent/Guardian’s Information
First Name
Last Name
Work Phone Ex. 305-555-1234
Cell Phone Ex. 305-555-1234
Home Phone Ex. 305-555-1234
Email
Same as Student Information above (This is for billing purposes.)
Address 1
Address 2
City State Zip
Country
Medical Information
List Any Medications
List Any Allergies
Special Needs
Emergency Contact
Phone
Physician’s Name
Phone
Please List Any Other Person(s) Authorized to Pick up Your Child (Separate names by commas)
Dates Information
  HMSF members Non-members   HMSF members Non-members   HMSF members Non-members

June 6
Gallery Quest
Single Day Camp

 $30 $35 June 9–June 13
Many Faces of Miami		 $120 $125

June 16–June 20
Native American Nations

 $120 $125
June 23–June 27
Weather and Climate Essentials		 $120 $125 June 30–July 4
America Coast to Coast		 $120 $125

July 7–July 11
Caribbean Contacts

 $120 $125
July 14–July 18
The South Florida Wilderness		 $120 $125 July 21–July 25
Miami Beach Memoirs		 $120 $125 July 28–August 1
Journey through Latin America 		$120 $125
August 4–August 8
Old-Time Florida		 $120 $125 August 11–August 15
Seven Seas Explorers 		$120 $125      
Save $5 per week by registering for multiple weeks
 
Total fee includes one T-shirt, snacks, and fieldtrips. Children must bring their own lunch.
 
I will not be registering a child but wish to make a contribution to the Historical Museum in the amount of $

If you prefer to mail this form to us please complete the registration form (please print) and send with full payment to:

Education Department,
Historical Museum of Southern Florida
101 West Flagler St.
Miami, FL 33130.

Confirmation letters will be mailed upon receipt of your registration form and full payment.

For additional registrations, please photocopy this form. For more information, call 305-375-1492.