Junior Ranger Explorer Camp 2016
F. D. Roosevelt State Park
June 1-3, 2015 (ages 8 -12)
REGISTER NOW! Space is limited
Campers will discover the natural wonders of the park from 8:00 AM to 2:00 PM Wed. thru Fri. $75 fee includes swimming on 3 days, art projects, camp journal, t-shirt, special citizen science activities, outstanding instructors, and a parking pass for parents on Friday. Camp meets in the Group Shelter below Lake Delanor Dam in the campground. For more information and registration forms, go online to gastateparks.org drop search F. D. Roosevelt State Park. Contact the park at (706)663-4858 or email Amy Waite at .
Experience this Hands-on, Outdoor Adventure
Camp is limited to 20 campers and is based on a first-come, first-served, space available basis.
After 20 participants are registered then a wait-list will begin. If a registered camper is withdrawn before camp begins there is a $25 non-refundable fee charged. If a camper is withdrawn after camp begins, there is no refund.
Schedule
Drop off: 8:00 AM Group Shelter
Pick up 2:00 PM front of Liberty Bell Pool on Highway 354.
Do not be late!
What campers should bring each day
Picnic lunch, drink,snack , water bottle
swimsuit, towel, and change of clothes
Wear tennis shoes and old play clothes that can get dirty
Bring backpack (not a carry bag)
Sunscreen
Insect repellent
No flip flops, crocs, or sandals!
No cell phones or electronic devices!
Jr. Ranger Explorer Camp 2014Registration Form
Please return this 2 page form ASAP to : FAX: 706-663-8906; email: r
In person or mail to: F. D. Roosevelt State Park 2970 GA Highway 190 Pine Mountain, GA 31822
Phone: (706)663-4858. Campers are not registered until payment is received.
Camper’s Name:______
Age: ______Grade(2015-2016 year): ______
Parent/Guardian:______Home Phone:______
Cell:______Address: ______
City: ______State:______Zip: ______
Email:______
Campers will design own T-shirt, but they will be provided one for each participant. Circle size:
Youth S Youth M Youth L Adult Small Adult Med. Adult Large Adult X-Large
Please list contact information of authorized adults with permission to pick-up your child.
Name:______Relation:______
Phone:______
Name:______Relation:______
Phone:______
Name:______Relation:______
Phone:______
Please list 2 contacts other than parent/guardian to contact in case of an emergency:
Name:______Relation:______
Phone:______
Name:______Relation:______
Phone:______
Jr. Ranger Explorer Camp 2016 Registration Form
My child has the following known allergies, medications, and significant medical history:
Anything else Park Staff should know about your child to help him or herhave a better camp experience:
______
Camper Release Form
I understand that the F. D. Roosevelt State Park and the Georgia State Park Service are not responsible for any camper’s personal items (money, clothing, electronics. etc.). I have discussed appropriate behavior with my child and understand that inappropriate behavior and/or not following rules may result in dismissal from theprogram with no monetary refund. I also give the Park permission to use photographs of my child either online, in the newspaper, or in print to promote Georgia State Parks’ programming.
Print Name______Relation to Camper______
Signature ______
Date ______
For Park Use Only
Date received: ______By: FAX email In person
Complete registration? Yes or No Missing:______
Confirmed:______
PAID:______By: CC check cash