1600 Ken Thompson Pkwy.

Sarasota, FL 34236

Phone: 941.388.4441 ext 348

Fax: 941-388-4381


MOMMY and ME at MOTE – Summer Camp 2016

Important Information:Our camp is limited to 15 children (ages 2-5). Pre-registration is required. Please meet us in our classroom at 9:50 a.m.each day of camp. Camp will be held in our Mommy and Me classroom located on the 3rd floor of the Keating Marine Education Center and will run from 10:00 – 12:00 p.m. Camp will run three days a week, Tuesday, Wednesday, and Thursdays. Kids and their favorite adults will learn about marine science through games, stories, role plays, and special visits to Mote Aquarium and the Goldstein Marine Mammal and Sea Turtle Center. Thursday will be our Exploring the Bay Day where families will explore Sarasota Bay with buckets and dip nets to learn all about our local critters. For more information please contact Miranda Wrobel at 941-388-4441 ext. 264 or .

Participating Children: Name(s) Age:

Age:

Age:

Participating Parent/ Guardian: Name(s) Relationship to child:

E-mail (required):

Phone Number: Best ( )Alternate ( )

Billing Address: City: State: Zip:

Mote Membership #: Expiration Date:

Date of Camp: (Circle Choice(s))

Theme: Hide and SEAkWeek of June 14th – Tuesday, Wednesday, Thursday

(Camp curriculums will repeat Week of June 21 – Tuesday, Wednesday, Thursday

each week for these themes)

Week of June 28 – Tuesday, Wednesday, Thursday

Week of July 5 – Tuesday, Wednesday, Thursday

Theme: The Coast Counts Week of July 12 – Tuesday, Wednesday, Thursday

Week of July 19 – Tuesday, Wednesday, Thursday

Week of July 26 – Tuesday, Wednesday, Thursday

Week of August 2 – Tuesday, Wednesday, Thursday

Pricing Per Week: Members $135 per week/ $30 for extrachild Non-memb.$145 per week/ $39 extra child. Total: ______
Pricing Per Day: Members $40 per day/$10 per extra child Non-memb.$45 per day/ $13 extra child. Total: ______
T-shirt Size: (Circle One) Toddler - 2T, 3T, 4T Youth – Small, Medium, Large / Adult – Small, Med., Large, XL

Cash Amount: ______
Check Please make checks payable to Mote Marine Laboratory. Amount: ______Check #: ______

Credit Card Please circle your credit card of choice. VISA MASTER CARD AMERICAN EXPRESS DISCOVER

Card #: ______Expiration Date: ____/____ (mm/yy) Amount: ______

Name as it appears on card: ______Signature:______

MAIL:Mote Marine Laboratory, Attn: Miranda Wrobel, 1600 Ken Thompson Parkway, Sarasota, FL34236

FAX (Credit Card payment only): (941) 388-4381

Cancellation Policy: There are no refunds for Mote Education programs unless Mote cancels the program. If you provide notice of cancellation more than 24 hours before the program begins, we will credit your payment to a future Mommy & Me program. If you cancel within 24 hours of the program or fail to show up without giving notice, you will be charged in full for the program.