2022 SUMMER CAMP PROGRAMS - CITYFUN
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Summer
Program
Registration Forms
Inside
parks.wpb.org
2022
Summer Camp
Programs
CityFun
FOR EVERYONE
FOR EVERYONE
The City of West Palm Beach Department of Parks and
Recreation is ready and waiting to welcome your child
to a summer full of safe, yet fun, activities. The safety
of our campers and staff is our highest priority and we
are committed to following all current City and CDC
guidelines in each facility such as:
• Face coverings to be worn inside all City of West Day Camp Information 3
Palm Beach facilities
Sports & Specialty Camp
• Smaller groups Information 5
• Frequent handwashing, increased sanitation Summer Swim Lessons 9
of commonly touched surfaces, and social Summer Sailing 10
distancing
Resident Only
• Fewer off-site field trips Payment Worksheet 13
• A COVID-19 waiver that must be signed by Non Resident
parents/guardians Payment Worksheet 15
Sports & Specialty Camp
Come and join in on the CityFun this year, where Payment Worksheet 17
your child will make new friends, have fun, and
create a lifetime of memories. Registration Form 19
Day Camp Information
Enrollment is Available Online at parks.wpb.org
RESIDENT NON RESIDENT
Your Registration begins March 1, 2022 Your Registration begins April 1, 2022
Registration will be accepted online and by postmarked mail. Registration will be accepted online and by postmarked mail.
Spaces will be filled on a first come, first served basis. Resident Spaces will be filled on a first come, first served basis. Non-
registration cannot be postmarked prior to March 1, 2022. resident registration cannot be postmarked prior to April 1,
Envelopes with a postmark prior to March 1, 2022 will not be 2022. Envelopes with a postmark prior to April 1, 2022 will not be
processed. processed.
Proof of City of West Palm Beach residency required. For Summer Day Camp, a minimum payment of 50% of the total
must be submitted with your registration. For all other programs, full
Enclose a copy of your City of West Palm Beach water bill for proof of payment is required with registration.
residency. If you live in an apartment or condominium, enclose a letter
PBC SCHOLARSHIPS
from your association or rental agency, or a copy of your lease.
For Summer Day Camp, a minimum payment of 50% of the total
must be submitted with your registration. For all other programs, full Summer Camp Scholarships from Palm Beach County Youth Services
payment is required upon registration. are accepted.
Register on-line at pbcgov.org/youthservices. You must include 50%
payment for the first session of day camp. Payment will be refunded
when we receive the award letter from Palm Beach County Human
Services. For further information please call (561) 242-5700.
Fee Assistance*, Summer Camp Scholarships, and Early Learning Coalition must register by mail.
Make checks or money orders payable to City of West Palm Beach.
Visa, MasterCard and American Express are also accepted.
See payment worksheet for credit card information.
NO Cash will be accepted.
No priority or special delivery will be accepted.
Walk-ins will only be accepted after April 1, 2022, at your local Community Center
Or City Center, 401 Clematis St., 3rd floor.
FOR MORE INFORMATION CALL (561) 804-4900 (TTY: 800-955-8771)
*If you do not qualify for Early Learning Coalition (ELC) or a PBC Summer Camp Scholarship, fee assistance may be available for City of West
Palm Beach Residents ONLY; written proof from ELC or PBC will be required.
Applications are available at City of West Palm Beach Community Centers.
CityFun Summer Camp 2022 - 3 - parks.wpb.org
Day Camp Information
Session 1: June 6 - July 1 (No Camp on June 20) TEEN DAY CAMP
Session 2: July 5 - July 29 (No Camp on July 4) Sessions 1 & 2 • Grades 6 - 8
Children enrolled in 6th, 7th or 8th grades, with a maximum age of 14,
when camp begins.
DAY CAMP 7:30 a.m. - 5:30 p.m.
Sessions 1 & 2 • Grades K - 5
Children currently in Kindergarten through 5th grade at time of Gaines Park Community Center
registration. 1501 North Australian Avenue
Proof may be required upon request.
7:30 a.m. - 5:30 p.m. Vedado Park Community Center
3710 Paseo Andalusia
Gaines Park Community Center WebTrac# 312102
1501 North Australian Avenue
South Olive Community Center SUMMER CAMP
345 Summa Street Swim Lessons
WebTrac# 312102 Swim Lessons are available for children that attend the City of West
Palm Beach Summer Camp K–5 programs. Lessons are held during
CITYFUN 2022 SCHOLARSHIP ASSISTANCE the weekly visit to the Aquatic Center.
PROGRAM
The City of West Palm Beach Department of Parks and Recreation Children will be placed in levels according to their swimming ability,
believes that all kids should have the opportunity to go to camp. assessed on their first visit to the pool.
Would you like to help children with fewer resources spend their Lessons will begin on June 13 and end on July 21. Cost is $35 for six
summer in a safe, supervised environment while learning new skills 40-minute lessons. Please call the Aquatic Center, (561) 804-4961,
and having fun? with questions.
We gladly accept and appreciate all donations of any amount to our
Children must register for both summer camp sessions to participate
CityFun 2022 Scholarship Assistance Program. For more information
in all swim lessons.
on how to donate, contact our Administrative office at (561) 804-
4900 (TTY: 800-955-8771).
WebTrac# 314135
denotes lunch site
CityFun Summer Camp 2022 - 4 - parks.wpb.org
Sports & Specialty Camps
Enrollment is Available Online at parks.wpb.org
RESIDENT NON RESIDENT
Your Registration begins March 1, 2022 Your Registration begins April 1, 2022
Registration will be accepted online and by postmarked mail. Registration will be accepted online and by postmarked mail. Spaces
Spaces will be filled on a first come, first served basis. Resident will be filled on a first come, first served basis. Non-resident
registration cannot be postmarked prior to March 1, registration cannot be postmarked prior to April 1, 2022.
2022. Envelopes with a postmark prior to March 1, 2022 will not be Envelopes with a postmark prior to April 1, 2022 will not be processed.
processed.
Payment of 100% must be enclosed with your registration form.
Proof of City of West Palm Beach residency required.
For more information, call Parks and Recreation Administration
Enclose a copy of your City of West Palm Beach water bill for proof of at (561) 804-4900 (TTY: 800-955-8771).
residency. If you live in an apartment or condominium, enclose a letter
from your association or rental agency, or a copy of your lease.
Payment of 100% must be enclosed with your registration form.
Sports and Specialty Camps are specialized one week,
Two week, or daily camps and clinics. Programming and fees vary.
Make checks or money orders payable to City of West Palm Beach.
Visa, MasterCard and American Express are also accepted.
See payment worksheet for credit card information.
NO Cash will be accepted.
No priority or special delivery will be accepted.
Walk-ins will only be accepted after April 1, 2022, at your local Community Center
Or City Center, 401 Clematis St., 3rd floor.
CityFun Summer Camp 2022 - 5 - parks.wpb.org
Sports & Specialty Camps
COUNSELOR IN TRAINING PLEASANT CITY – YOUTH
PROGRAM (CIT) EMPOWERMENT DAY CAMP
The Counselor In Training Program is designed to offer young people Day camp activities include sports, academic activities, enrichment
an opportunity to gain experience and skills for their future success. programs, and field trips. Lunch is provided during this camp. For
Application, interview and selection into the program is a prerequisite more information or to register, contact Pleasant City at (561)
to registration. 804-4930 (TTY: 800-955-8771).
Grades: 9 - 12* Grades: 6 - 12
Days: Monday - Friday Days: Monday - Friday
Mandatory Session 1: June 6 - July 1 (No Camp on June 20)
Training: May 31 - June 3 Session 2: July 5 - July 29 (No Camp on July 4)
CIT Assignments: Time: 10:00 a.m. - 6:00 p.m.
Session 1: June 6 - July 1 Location: Pleasant City Youth
Session 2: July 5 - July 29 Empowerment Center,
Time: 9:00 a.m. - 4:00 p.m. 501 21st Street
Fees: $100 Resident/ *Children enrolled must have completed 6th grade,
$125 Non-Resident with a minimum age of 12, when camp begins.
*Student must be entering the 12th grade for the 2022 –
2023 school year.
WebTrac# 311970
ELITE SOCCER ACADEMY CAMP
This fun and inspiring soccer camp will provide the highest
methodology level in developing your soccer player! The camp will
BALLET/JAZZ/HIP-HOP DANCE feature technical development, ball mastery, healthy nutritional
CAMP choices, smoothie making, and motivational videos to understand
the importance of commitment in achieving life goals.
Come and learn the art of dance through expression and movement.
This camp is great for the novice dancer as well as the seasoned Ages: 8 - 18
dancer. This camp will work on combinations of basic ballet steps, Session 1: June 6 - June 10
body alignment, conditioning, stretching and strengthening in jazz and Session 2: July 13 - June 17
the vibrant styles and uniqueness of hip-hop. This course is taught by Session 3: June 21 - June 24
the renowned Odinni Jones, owner of Beast Makers Studios Inc. Session 4: June 27 - July 1
Ages: 6 - 13 Half Day Time: 9:00 a.m. - 12:00 p.m.
Days: Tuesday - Friday Half Day Fee: $65 Resident/
Dates: May 31 - June 3 $75 Non-Resident
Time: 9:00 a.m. - 4:00 p.m. Full Day Time: 9:00 a.m. - 3:00 p.m.
Fees: $125 Resident/ Full Day Fee: $80 Resident/
$175 Non-Resident $90 Non-Resident
Site: South Olive Dance Room Site: Howard Park Softball Field
WebTrac#: 311128 WebTrac#: 311134
CityFun Summer Camp 2022 - 6 - parks.wpb.org
Sports & Specialty Camps
FISHING CAMP PRESCHOOL SUMMER CAMP WITH
Fishing camp will consist of 5 days of fun, fishing and spending time
with friends. Campers will learn how to tie fishing knots, bait a hook,
MS. ANGIE
Campers will work at centers and work with the teacher one on
cast a line, and identify different saltwater fish of Florida. Participants one, based on their ability level. They will participate in whole group
must bring their own fishing rod but bait will be provided. There will reading and math lessons, small group learning activities, crafts and
be a fishing tournament on the last day of camp. hands-on activities, eat lunch and visit the playground daily. Curious
Ages: 8 - 12 about what you can expect? Check out Ms. Angie at
Session 1: June 13 - June 17 www.earlychildhoodadventures.net
Session 2: August 1 - August 5 Ages*: 3-5
Time: 9:00 a.m. - 12:00 p.m. *Child must be fully potty trained, no accidents.
Fees Per Days: Monday, Wednesday, and Friday
Session: $65 Resident/ Session 1: June 6 - July 1 (No Camp on June 6 & June
$75 Non-Resident 20)
Site: Currie Park Session 2: July 5 - July 29 (No Camp on July 4)
WebTrac#: 311110 Time: 9:30 a.m. - 12:30 p.m.
Fees Per
KINDERGARTEN BOOTCAMP WITH Session: $360 Resident/
MS. ANGIE Site:
$450 Non-Resident
Howard Park Community Center
Campers will be introduced to a typical Kindergarten classroom
setting. Campers will participate in a whole group lesson for reading, WebTrac#: 372102
writing and math. This is a great introduction to kindergarten and will
get your little one ready for independence! Curious about what you
can expect? Check out Ms. Angie at
www.earlychildhoodadventures.net
Ages: Children Entering Kindergarten in
August 2022
Days: Tuesday and Thursday
Session 1: June 7 - June 30
Session 2: July 5 - July 28
Time: 9:30 a.m. - 12:30 p.m.
Fees Per
Session: $240 Resident/
$300 Non-Resident
Site: Howard Park Community Center
WebTrac#: 372102
CityFun Summer Camp 2022 - 7 - parks.wpb.orgSports & Specialty Camps
SK8BOARD CAMP SKATER QUEST CAMP
at Phipps Park Skate instruction and trips to other skate parks—what more can
4715 S. Dixie Hwy, Phone (561) 835-7170 a young skater ask for? Participants will need to bring their own
This camp is for both beginner and experienced skateboard skateboard and helmet. Please pack a lunch, snack and drinks
enthusiasts. each. Additional waivers will need to be filled out along with the
registration form.
Grinders (Beginner): Ages: 8 - 14
For the future ripper with less than one month of skateboarding Days: Monday - Friday
experience, Grinders camp will focus on the basics of skateboarding, Dates: May 31 - June 3
including pushing, turning, and going down banked ramps. Further Time: 7:00 a.m. - 5:30 p.m.
curriculum will include proper use of skateboarding equipment and Fees: $120 Resident/
basic terminology. This camp will also highlight basic tricks for more $180 Non-Resident
advanced participants. Site: Phipps Skate Park
WebTrac#: 316203
Thrashers (Intermediate):
For the skater with more than one more of skateboarding experience, SUNSHINE EXPLORERS
who can demonstrate board control and confidence with speed. Explore real Florida fun with this weeklong camp. Your camper will
During the week, Thrashers participants will focus on learning new be visiting different locations in South Florida and learning all about
tricks such as drop-in’s and ollies, as well as discuss park etiquette our unique slice of paradise.
and skateboard maintenance. Grades: K-5
Ages: 6 - 14 Days: Tuesday - Friday
Days: Monday - Friday Dates: May 31 - June 3
Session 1: June 6 - June 10 Time: 7:30 a.m. - 5:30 p.m.
Session 2: June 13 - June 17 Fees: $120 Resident/
Session 3: June 21 - June 24 $180 Non-Resident
Session 4: June 27 - July 1 Site: South Olive Community Center
Session 5: July 11 - July 15 WebTrac#: 312102
Session 6: July 18 - July 22
Session 7: July 25 - July 29
Time: 9:00 a.m. - 12:00 p.m.
Fees Per
Session: $50 Resident/
$70 Non-Resident
WebTrac#: 316203
CityFun Summer Camp 2022 - 8 - parks.wpb.orgSummer Swim Lessons
WARREN HAWKINS Learn To Swim
AQUATIC CENTER
Please call the Aquatic Center for specific class offerings during
each time slot. You will be registering for a class that meets Monday
at Gaines Park through Thursday for 30 minutes each day for two (2) weeks or a
1501 N. Australian Avenue, Phone (561) 804-4961 class that meets every Saturday for 30 minutes for eight (8) weeks.
Please contact the Aquatic Center for placement or scholarship
Summer Operating Hours: information.
Monday - Thursday: 9:00 a.m. – 7:00 p.m.
Saturday: 9:00 a.m. – 1:00 p.m. Weekday Courses
Friday and Sunday: Closed Ages: 6 months - adult
Days: Monday - Thursday
Summer Camp Swim Lessons Times: 4:50 - 5:20 p.m., 5:30 - 6 p.m.,
Swim lessons are available for children that attend the City of West 6:10 - 6:40 p.m., 6:50 - 7:20 p.m.,
Palm Beach CityFun Summer Camp program. Lessons are held during 7:30 - 8 p.m.
their weekly visit to the Aquatic Center. Children will be placed in Fees: $35 Resident
levels according to their swimming ability, assessed on their first visit $44 Non-resident
to the pool. Children must register for both summer camp sessions to (8 classes total)
participate in all swim lessons.
Sessions Registration Deadline
Dates: June 13 - July 21 May 30 - June 9 May 26
Fees: $35 for six 40-minute lessons June 13 - 23 June 9
WebTrac#: 314135 June 27 - July 28 July 11
August 1 - 11 July 28
Saturday Courses
(Registration Deadline June 9)
Ages: 6 months - adult
Day: Saturday
Dates: June 11 - July 30
Times: 9:00 - 9:30 a.m., 9:30 - 10 a.m.,
10:00 - 10:30 a.m., 10:30 - 11 a.m.,
12 p.m. - 12:30 p.m.
Fees: $35 Resident
$44 Non-resident 8 week session
Please Call (561) 804-4961 for more information.
(TTY: 800-955-8771)
CityFun Summer Camp 2022 - 9 - parks.wpb.orgSummer Sailing
FRANKLIN SAILING CAMPS BASIC SAILING - This camp is geared toward beginners. Campers
on Lake Mangonia will master sailing’s most essential skills: how to capsize and right
a small boat, how to steer and trim it’s sail, and execute sailing
Meet the Instructors maneuvers of tacking and jibing. Campers will also learn to tie several
Martin Stephan – Coach Stephan has literally sailed and raced knots, rules of the road on inland waters, and water safety.
around the world! He has raced in Block Island, Newport, Key West, Ages: 8 - 11
Antigua, Hawaii, all over the Mediterranean, and Auckland New Days: Monday - Friday
Zealand. Martin was a member of the winning America’s Cup Team Time: 9:00 a.m. - 3:00 p.m.
in 1992 on William Koch’s Team America! He has helped start high Session 1: June 6 - June 10
school sailing teams and was previously the sailing director at 3 Session 2: June 13 - June 17
different yacht clubs. Session 3: June 20 - June 24
Session 4: June 27 - July 1
Carrik Seemann – Coach Seemann started his sailing at age 11 Session 5: July 18 - July 22
in the Franklin Sailing Camp! At age 15 he began to give back to the Session 6: July 25 - July 29
program by volunteering and later became an instructor. Carrick Location: Lake Mangonia
sailed for the University of West Florida and was the Fleet Captain. Fees Per
He continued to teach sailing at the Franklin Sailing Camp during his Session: $125 Resident/
summer breaks from college. In 2005, Carrick became the director of $150 Non-Resident
the Franklin Sailing Camp after Al Franklin retired. Maximum
Campers: 8
Requirements – Sailors are not expected to have any sailing skills
WebTrac#: 311122
in order to attend camp, but they must be a proficient swimmer. Each
sailor, regardless of age or number of years participating in the summer
INTERMEDIATE SAILING CAMP - Sailors are taken to the next
camp program, must pass a simple swim test the first day of camp.
level while keeping an emphasis on safety and fun! More advanced
What to Bring: sailing skills are covered on faster, more challenging sailboats.
• Life Jackets: All sailors are required to wear a Type 3 US *Intermediate Sailing gets you ready to sail at Currie Park on the
Coast Guard approved life vest. These are available at Target, Intercoastal. All US Sailing Small Boat Sailor Certification skills will
Walmart, and West Marine. Campers are encouraged to purchase be taught and assessed during the week of camp. One of the skills
a comfortable vest, as sailors will always wear one. The camp does covered is capsizing, be prepared to pass a capsize drill during your
have a limited supply on hand. week of camp. Prerequisite: Basic Sailing
• Non-Skid Water Shoes (not crocs or open sandals) Ages: 10 - 17
• Hat Days: Monday - Friday
• Bagged Lunch Time: 9:00 a.m. - 3:00 p.m.
• Sunglasses Session 1: June 6 - June 10
• Sunscreen Session 2: June 13 - June 17
• Refillable water bottle Session 3: June 20 - June 24
• Towel Session 4: June 27 - July 1
Session 5: July 18 - July 22
Location: Session 6: July 25 - July 29
Lake Mangonia – 2957 N. Australian Avenue, West Palm Beach, Location: Lake Mangonia
33407 Fees Per
Session: $125 Resident/
$150 Non-Resident
Maximum
Campers: 8
WebTrac#: 311123
CityFun Summer Camp 2022 - 10 - parks.wpb.orgSummer Sailing
ADVANCED SAILING CAMP - Learn basic racing techniques.
Knowledge brings confidence when you’re riding the wind in a high-
performance Laser. Prerequisite: Passing Intermediate Sailing camp
or U.S. Sailing small boat sailing standards.
Ages: 12 - 17
Days: Monday - Friday
Time: 9:00 a.m. - 3:00 p.m.
Session 1: June 6 - June 10
Session 2: June 13 - June 17
Session 3: June 20 - June 24
Session 4: June 27 - July 1
Session 5: July 18 - July 22
Session 6: July 25 - July 29
Location: Lake Mangonia
Fees Per
Session: $125 Resident/
$150 Non-Resident
Maximum
Campers: 8
WebTrac#: 311124
CityFun Summer Camp 2022 - 11 - parks.wpb.orgResident Only Payment Worksheet
City of West Palm Beach Department of Parks & Recreation
please print clearly
DAY CAMP (Grades K* – 5) WebTrac#: 312102
Session 1: June 6 – July 1 (No Camp June 20)
VERY IMPORTANT
*Children currently in Kindergarten must provide current report card.
Camper’s Name/s:___________________________________________________________
Residents: 1st Child:_________________________$350 = $________________________ Select your top three (3) sites.
Mark 1, 2, and 3 next to the
# of additional children:_______________ X $262.50 = $________________________
location for each age group you
are registering.
TEEN CAMP (Grades 6 – 8) WebTrac#: 312102
Children currently in 6 – 8 grades, with a maximum age of 14, at the time of registration.
If registering multiple children, write
Camper’s Name/s:___________________________________________________________ their names next to the site.
Residents: 1st Child:_________________________$350 = $________________________
# of additional children:_______________ X $262.50 = $________________________
Session 1 Summer Camp Total: = $________________________ SUMMER
CAMP (Grades K – 5)
____________ Gaines Park
DAY CAMP (Grades K* – 5) WebTrac#: 312102
____________ South Olive Park
Session 2: July 5 – July 29 (No Camp on July 4)
*Children currently in Kindergarten must provide current report card.
Camper’s Name/s:___________________________________________________________ TEEN
Residents: 1st Child:_________________________$350 = $________________________ CAMP (Grades 6 – 8)
# of additional children:_______________ X $262.50 = $________________________
____________ GainesPark
TEEN CAMP (Grades 6 – 8) WebTrac#: 312102 ____________ Vedado Park
Children currently in 6 – 8 grades, with a maximum age of 14, at the time of registration.
Camper’s Name/s:___________________________________________________________
Residents: 1st Child:_________________________$350 = $________________________
# of additional children:_______________ X $262.50 = $________________________
Session 2 Summer Camp Total: = $________________________
Swim Lessons June 13 – July 21 WebTrac#: 314135
Swim lessons are available for children that attend both sessions of the City
of West Palm Beach Summer Camp program, grades K – 5. Lessons are
held during your child’s weekly visit to the Aquatic Center. Children will be
placed in levels according to their swimming ability assessed on their first
visit to the pool.
Camper’s Name/s:___________________________________________________________
# of children:_______________________________ x $35 = $________________________
Swim Lessons Total = $________________________
IMPORTANT: RETURN THIS PAGE
CityFun Summer Camp 2022 - 13 - parks.wpb.orgResident Only Payment Worksheet
City of West Palm Beach Department of Parks & Recreation
please print clearly
Total Day Camp
Total camp fees Session 1, 2 and Swim Lessons: = $__________________________________
Annual per family Registration Fee: =$ 25.00
First Payment Amount Enclosed: (minimum 50%) = $__________________________________
Final Balance Payment Due by May 6, 2022: = $__________________________________
A minimum payment of 50% of your total Summer Camp registration fees must be enclosed with:
a) Registration form for each child
b) Payment Worksheet
c) Proof of Residency
You are responsible for ensuring summer camp payment is paid in full by May 6, 2022.
Proof of City of West Palm Beach Resident is required. This means a water bill from the City of West Palm Beach or a letter from your
condominium or landlord stating that they pay the water bill and that you reside at the address on your application.
Resident Registration ONLINE REGISTRATION
begins March 1, 2022 Enrollment is available online at parks.wpb.org
beginning March 1, 2022.
Resident Registration Forms The annual $25 registration fee must be paid prior to
cannot be postmarked prior to camp enrollment at your nearest community center.
March 1, 2022.
Envelopes with a postmark prior to Registration is
March 1, 2022 will not be processed. first come, first served
No priority or special delivery
will be accepted. Walk-ins
will only be accepted after April 1, 2022.
Mail Day Camp registration forms, payment worksheet and payment to:
City of West Palm Beach, CityFun 2022
1302 Parker Avenue, West Palm Beach, FL 33401
METHOD OF PAYMENT:
Please Print Clearly
Check/Money Orders: payable to City of West Palm Beach
Credit Card Payments: Visa ❑ MasterCard ❑ American Express ❑
Card Number:______________/______________/_____________/_____________Expiration Date:__________/__________CVV: �������������������
Name on Card:_______________________________________________________________________________________________________________________
Signature:___________________________________________________________________________________________________________________________
Phone Number:______________________________________________________________________________________________________________________
IMPORTANT: RETURN THIS PAGE
CityFun Summer Camp 2022 - 14 - parks.wpb.orgNon-Resident Only Payment Worksheet
City of West Palm Beach Department of Parks & Recreation
please print clearly
DAY CAMP (Grades K* – 5) WebTrac#: 312102
Session 1: June 6 – July 1 (No Camp June 20)
*Children currently in Kindergarten must provide current report card.
Camper’s Name/s:___________________________________________________________
# of children:______________________________ x $576 = $________________________
VERY IMPORTANT
Select your top three (3) sites.
Mark 1, 2, and 3 next to the
TEEN CAMP Grades 6 – 8) WebTrac#: 312102
location for each age group you
Children currently in 6 – 8 grades, with a maximum age of 14, at the time of registration.
are registering. If registering
Camper’s Name/s:___________________________________________________________ multiple children, write their
# of children:_____________________________ x $576 = $________________________ names next to the site.
Session 1 Summer Camp Total: = $________________________
SUMMER
CAMP (Grades K – 5)
DAY CAMP (Grades K* – 5) WebTrac#: 312102 ____________ Gaines Park
Session 2: July 5 – July 29 (No Camp on July 4) ____________ South Olive Park
*Children currently in Kindergarten must provide current report card.
Camper’s Name/s:___________________________________________________________
# of children:_____________________________ x $576 = $________________________ TEEN
TEEN CAMP (Grades 6 – 8) WebTrac#: 312102
CAMP (Grades 6 – 8)
Children currently in 6 – 8 grades, with a maximum age of 14, at the time of registration. ____________ GainesPark
Camper’s Name/s:___________________________________________________________ ____________ Vedado Park
# of children:_____________________________ x $576 = $________________________
Session 2 Summer Camp Total: = $________________________
SWIM LESSONS June 13 – July 21 WebTrac#: 314135
Swim lessons are available for children that attend both sessions of the City
of West Palm Beach Summer Camp program, grades K – 5. Lessons are held
during your child’s weekly visit to the Aquatic Center. Children will be placed
in levels according to their swimming ability assessed on their first visit to
the pool.
Camper’s Name/s:___________________________________________________________
# of children:_______________________________ x $35 = $________________________
Swim Lessons Total = $________________________
IMPORTANT: RETURN THIS PAGE
CityFun Summer Camp 2022 - 15 - parks.wpb.orgNon-Resident Only Payment Worksheet
City of West Palm Beach Department of Parks & Recreation
please print clearly
Total Day Camp
Total camp fees Session 1, 2 and Swim Lessons: = $__________________________________
Annual per family Registration Fee: =$ 25.00
First Payment Amount Enclosed: (minimum 50%) = $__________________________________
Final Balance Payment Due by May 6, 2022: = $__________________________________
A minimum payment of 50% of your total Summer Camp registration fees must be enclosed with:
a) Registration form for each child
b) Payment Worksheet
You are responsible for ensuring summer camp payment is paid in full by May 6, 2022.
Non-Resident Registration ONLINE REGISTRATION
begins April 1, 2022 Enrollment is available online at parks.wpb.org beginning April 1, 2022.
The annual $25 registration fee must be paid prior to camp enrollment at
Envelopes with a postmark prior to your nearest community center.
April 1, 2022 will not be processed
Registration is Walk-ins
will only be accepted after April 1, 2022.
first come, first served.
Mail Day Camp registration forms, payment worksheet and payment to:
City of West Palm Beach, CityFun 2022
1302 Parker Avenue, West Palm Beach, FL 33401
METHOD OF PAYMENT:
Please Print Clearly
Check/Money Orders: payable to City of West Palm Beach
Credit Card Payments: Visa ❑ MasterCard ❑ American Express ❑
Card Number:______________/______________/_____________/_____________Expiration Date:__________/__________CVV: ������������������
Name on Card:______________________________________________________________________________________________________________________
Signature:___________________________________________________________________________________________________________________________
Phone Number:______________________________________________________________________________________________________________________
IMPORTANT: RETURN THIS PAGE
CityFun Summer Camp 2022 - 16 - parks.wpb.orgSports/Specialty Payment Worksheet
City of West Palm Beach Department of Parks & Recreation
please print clearly
# of Non Res. Total Camp
Res.Fee
Children Fee Fee
May 31 – June 3
Ballet/Jazz/Hip-Hop Dance Camp 311128 x $125 or $175 =$ Name/s:
Counselor in Training (CIT) 311970 x $100 or $125 =$ Name/s:
Skater Quest Camp 316203 x $120 or $180 =$ Name/s:
Sunshine Explorers 312102 x $120 or $180 =$ Name/s:
June 6 – June 10
Elite Soccer Academy Camp Half Day 311134 x $65 or $75 =$ Name/s:
Elite Soccer Academy Camp Full Day 311134 x $80 or $90 =$ Name/s:
Sk8board Camp 316203 x $50 or $70 =$ Name/s:
June 13 – June 17
Elite Soccer Academy Camp Half Day 311134 x $65 or $75 =$ Name/s:
Elite Soccer Academy Camp Full Day 311134 x $80 or $90 =$ Name/s:
Fishing Camp 311110 x $65 or $75 =$ Name/s:
Sk8board Camp 316203 x $50 or $70 =$ Name/s:
June 21 – June 24
Elite Soccer Academy Camp Half Day 311134 x $65 or $75 =$ Name/s:
Elite Soccer Academy Camp Full Day 311134 x $80 or $90 =$ Name/s:
Sk8board Camp 316203 x $50 or $70 =$ Name/s:
June 27 - July 1
Elite Soccer Academy Camp Half Day 311134 x $65 or $75 =$ Name/s:
Elite Soccer Academy Camp Full Day 311134 x $80 or $90 =$ Name/s:
Sk8board Camp 316203 x $50 or $70 =$ Name/s:
July 11 - July 15
Sk8board Camp 316203 x $50 or $70 =$ Name/s:
July 18 - July 22
Sk8board Camp 316203 x $50 or $70 =$ Name/s:
July 25 - July 29
Sk8board Camp 316203 x $50 or $70 =$ Name/s:
August 1 - August 5
Fishing Camp 311110 x $65 or $75 =$ Name/s:
Kindergarten Bootcamp
Session 1 (June 7 - June 30) 372102 x $240 or $300 =$ Name/s:
Session 2 (July 5 - July 28) 372102 x $240 or $300 =$ Name/s:
Preschool Summer Camp
Session 1 (June 7 - June 30) 372102 x $360 or $450 =$ Name/s:
Session 2 (July 5 - July 28) 372102 x $360 or $450 =$ Name/s:
Franklin Sailing Camps
Beginner (June 6 - June 10) 311122 x $125 or $150 =$ Name/s:
Beginner (June 13 - June 17) 311122 x $125 or $150 =$ Name/s:
Beginner (June 20 - June 24) 311122 x $125 or $150 =$ Name/s:
Beginner (June 27 - July 1) 311122 x $125 or $150 =$ Name/s:
Beginner (July 18 - July 22) 311122 x $125 or $150 =$ Name/s:
Beginner (July 25 - July 29) 311122 x $125 or $150 =$ Name/s:
Intermediate (June 6 - June 10) 311123 x $125 or $150 =$ Name/s:
Intermediate (June 13 - June 17) 311123 x $125 or $150 =$ Name/s:
Intermediate (June 20 - June 24) 311123 x $125 or $150 =$ Name/s:
Intermediate (June 27 - July 1) 311123 x $125 or $150 =$ Name/s:
Intermediate (July 18 - July 22) 311123 x $125 or $150 =$ Name/s:
Intermediate (July 25 - July 29) 311123 x $125 or $150 =$ Name/s:
Advanced (June 6 - June 10) 311124 x $125 or $150 =$ Name/s:
Advanced (June 13 - June 17) 311124 x $125 or $150 =$ Name/s:
Advanced (June 20 - June 24) 311124 x $125 or $150 =$ Name/s:
Advanced (June 27 - July 1) 311124 x $125 or $150 =$ Name/s:
Advanced (July 18 - July 22) 311124 x $125 or $150 =$ Name/s:
Advanced (July 25 - July 29) 311124 x $125 or $150 =$ Name/s:
IMPORTANT: RETURN THIS PAGE
CityFun Summer Camp 2022 - 17 - parks.wpb.orgSports/Specialty Payment Worksheet
City of West Palm Beach Department of Parks & Recreation
please print clearly
Total Sports & Specialty Camp
Specialty Camps = $__________________________________
Sailing Camps = $__________________________________
Per Family Annual Registration Fee =$ 25.00
Total Enclosed = $__________________________________
100% Payment must be made in full.
IF RESIDENT
Proof of City of West Palm Beach Resident is required. This means a water bill from the City of West Palm Beach or a letter from your
condominium or landlord stating that they pay the water bill and that you reside at the address on your application.
Resident Registration ONLINE REGISTRATION
begins March 1, 2022 Enrollment is available online at parks.wpb.org.
The annual $25 registration fee must be paid prior to
camp enrollment at your nearest community center.
Non-Resident Registration
begins April 1, 2022
Walk-ins
Envelopes with a postmark prior to appropriate will only be accepted after April 1, 2022.
dates will not be processed.
Registration is first come,
first served.
Mail Day Camp registration forms, payment worksheet and payment to:
City of West Palm Beach, CityFun 2022
1302 Parker Avenue, West Palm Beach, FL 33401
METHOD OF PAYMENT:
Please Print Clearly
Check/Money Orders: payable to City of West Palm Beach
Credit Card Payments: Visa ❑ MasterCard ❑ American Express ❑
Card Number:______________/______________/_____________/_____________Expiration Date:__________/__________CVV:__________
Name on Card:_____________________________________________________________________________________________________________
Signature:___________________________________________________________________________________________________________________________
Phone Number:______________________________________________________________________________________________________________________
IMPORTANT: RETURN THIS PAGE
CityFun Summer Camp 2022 - 18 - parks.wpb.orgDay Camp Registration Form 2022
City of West Palm Beach Department of Parks & Recreation
Registration Form | One Form per Child please print clearly
Child’s Name:_______________________________________________________________________________________________________________ Sex: M ❑ F ❑
Date of Birth:_________________________________________________________________ Age (As of June 6, 2022):_____________________________________
School Currently Enrolled in:__________________________________________________ Grade Presently In:____________________________________________
Child’s Home Address:________________________________________________________________________________________________________________________
city/state/zip
Primary Guardian:____________________________________________________________ Secondary Guardian:___________________________________________
Cell Phone #:_________________________________________________________________ Cell Phone #:__________________________________________________
Work Phone #:________________________________________________________________ Work Phone #:_________________________________________________
Home Phone #:_______________________________________________________________ Home Phone #:________________________________________________
Email:________________________________________________________________________ Email:_________________________________________________________
In case of emergency, call:____________________________________________________ at______________________________________________________________
Will anyone other than you pick up the child? Yes ❑ No ❑
If yes, please identify:________________________________________________________ Relation:_______________________________________________________
Child’s T-shirt Size: Youth S ❑ Youth M ❑ Youth L ❑ Adult S ❑ Adult M ❑ Adult L ❑ Adult XL ❑
Does your child have special needs? Yes ❑ No ❑ If yes, indicate disability or diagnosis:________________________________________________
______________________________________________________________________________________________________________________________________________
Does your child currently have an IEP or 504 plans? Yes ❑ No ❑
Does your child take any medications? Yes ❑ No ❑ If yes, list medications:_________________________________________________________
______________________________________________________________________________________________________________________________________________
Does your child have any allergies? Yes ❑ No ❑ If yes, list allergies:__________________________________________________________________
______________________________________________________________________________________________________________________________________________
ALL CHILDREN MUST BE COMPLETELY POTTY TRAINED (NO LONGER HAS ACCIDENTS)
I hereby declare that I am the parent/guardian of __________________________________________________________________and give my consent for
his/her participation in all activities at the 2022 CityFun Day Camp Program. In consideration of my child being permitted to participate in
this program, I hereby release, waive and discharge the City of West Palm Beach, its agents, employees and volunteers from all liability for
all injury, loss or damage, and any claim of damage to the person or property of my child during his/her participation. It is understood that
my child/ren may be photographed during the course of this program and the photographs may be used in official City of West Palm Beach
publications. It is further understood that any false information provided for in this registration form will be cause for immediate termination
based on participation safety and ratios. A service fee of $20 per child will be deducted from your refund if cancellation of your registration is
made. No cancellations will be accepted after May 31, 2022.
________________________________________________________________________________________________
Signature of Parent/Guardian - date
In accordance with the Americans with Disabilities Act (ADA), persons in need of special accommodations to participate in the proceeding shall, within three business days prior to any
proceeding, contact the West Palm Beach Department of Parks and Recreation at 401 Clematis Street, W.P.B., FL 33401, or call (561) 804-4900 (TTY 800-955-8771).
OFFICE USE ONLY
1ST Payment Receipt #:__________________ Date:_______ /_______ /_______ Check #:______________Credit: Amount Paid: $_______________ Staff Initials:_____________
2nd Payment Receipt #:__________________ Date:_______ /_______ /_______ Check #:______________Credit: Amount Paid: $_______________ Staff Initials:_____________
Site Location:________________________________________________________________________________________ Camp: ❑ K - 5 ❑ Teen | Session: ❑ 1 ❑ 2
IMPORTANT: RETURN THIS FORM
CityFun Summer Camp 2022 - 19 - parks.wpb.orgDay Camp Registration Form 2022
City of West Palm Beach Department of Parks & Recreation
Registration Form | One Form per Child please print clearly
Child’s Name:_______________________________________________________________________________________________________________ Sex: M ❑ F ❑
Date of Birth:_________________________________________________________________ Age (As of June 6, 2022):_____________________________________
School Currently Enrolled in:__________________________________________________ Grade Presently In:____________________________________________
Child’s Home Address:________________________________________________________________________________________________________________________
city/state/zip
Primary Guardian:____________________________________________________________ Secondary Guardian:___________________________________________
Cell Phone #:_________________________________________________________________ Cell Phone #:__________________________________________________
Work Phone #:________________________________________________________________ Work Phone #:_________________________________________________
Home Phone #:_______________________________________________________________ Home Phone #:________________________________________________
Email:________________________________________________________________________ Email:_________________________________________________________
In case of emergency, call:____________________________________________________ at______________________________________________________________
Will anyone other than you pick up the child? Yes ❑ No ❑
If yes, please identify:________________________________________________________ Relation:_______________________________________________________
Child’s T-shirt Size: Youth S ❑ Youth M ❑ Youth L ❑ Adult S ❑ Adult M ❑ Adult L ❑ Adult XL ❑
Does your child have special needs? Yes ❑ No ❑ If yes, indicate disability or diagnosis:________________________________________________
______________________________________________________________________________________________________________________________________________
Does your child currently have an IEP or 504 plans? Yes ❑ No ❑
Does your child take any medications? Yes ❑ No ❑ If yes, list medications:_________________________________________________________
______________________________________________________________________________________________________________________________________________
Does your child have any allergies? Yes ❑ No ❑ If yes, list allergies:__________________________________________________________________
______________________________________________________________________________________________________________________________________________
ALL CHILDREN MUST BE COMPLETELY POTTY TRAINED (NO LONGER HAS ACCIDENTS)
I hereby declare that I am the parent/guardian of __________________________________________________________________and give my consent for
his/her participation in all activities at the 2022 CityFun Day Camp Program. In consideration of my child being permitted to participate in
this program, I hereby release, waive and discharge the City of West Palm Beach, its agents, employees and volunteers from all liability for
all injury, loss or damage, and any claim of damage to the person or property of my child during his/her participation. It is understood that
my child/ren may be photographed during the course of this program and the photographs may be used in official City of West Palm Beach
publications. It is further understood that any false information provided for in this registration form will be cause for immediate termination
based on participation safety and ratios. A service fee of $20 per child will be deducted from your refund if cancellation of your registration is
made. No cancellations will be accepted after May 31, 2022.
________________________________________________________________________________________________
Signature of Parent/Guardian - date
In accordance with the Americans with Disabilities Act (ADA), persons in need of special accommodations to participate in the proceeding shall, within three business days prior to any
proceeding, contact the West Palm Beach Department of Parks and Recreation at 401 Clematis Street, W.P.B., FL 33401, or call (561) 804-4900 (TTY 800-955-8771).
OFFICE USE ONLY
1ST Payment Receipt #:__________________ Date:_______ /_______ /_______ Check #:______________Credit: Amount Paid: $_______________ Staff Initials:_____________
2nd Payment Receipt #:__________________ Date:_______ /_______ /_______ Check #:______________Credit: Amount Paid: $_______________ Staff Initials:_____________
Site Location:________________________________________________________________________________________ Camp: ❑ K - 5 ❑ Teen | Session: ❑ 1 ❑ 2
IMPORTANT: RETURN THIS FORM
CityFun Summer Camp 2022 - 21 - parks.wpb.orgSports / Specialty Camp
Registration Form 2022
City of West Palm Beach Department of Parks & Recreation
Registration Form | One Form per Child please print clearly
Child’s Name:_______________________________________________________________________________________________________________ Sex: M ❑ F ❑
Date of Birth:_________________________________________________________________ Age (As of June 6, 2022):_____________________________________
School Currently Enrolled in:__________________________________________________ Grade Presently In:____________________________________________
Child’s Home Address:________________________________________________________________________________________________________________________
city/state/zip
Primary Guardian:____________________________________________________________ Secondary Guardian:___________________________________________
Cell Phone #:_________________________________________________________________ Cell Phone #:__________________________________________________
Work Phone #:________________________________________________________________ Work Phone #:_________________________________________________
Home Phone #:_______________________________________________________________ Home Phone #:________________________________________________
Email:________________________________________________________________________ Email:_________________________________________________________
In case of emergency, call:____________________________________________________ at______________________________________________________________
Will anyone other than you pick up the child? Yes ❑ No ❑
If yes, please identify:________________________________________________________ Relation:_______________________________________________________
Does your child have special needs? Yes ❑ No ❑ If yes, indicate disability or diagnosis:________________________________________________
______________________________________________________________________________________________________________________________________________
Does your child currently have an IEP or 504 plans? Yes ❑ No ❑
Does your child take any medications? Yes ❑ No ❑ If yes, list medications:_________________________________________________________
______________________________________________________________________________________________________________________________________________
Does your child have any allergies? Yes ❑ No ❑ If yes, list allergies:__________________________________________________________________
______________________________________________________________________________________________________________________________________________
ALL CHILDREN MUST BE COMPLETELY POTTY TRAINED (NO LONGER HAS ACCIDENTS)
I hereby declare that I am the parent/guardian of __________________________________________________________________and give my consent for
his/her participation in all activities at the 2022 CityFun Day Camp Program. In consideration of my child being permitted to participate in
this program, I hereby release, waive and discharge the City of West Palm Beach, its agents, employees and volunteers from all liability for
all injury, loss or damage, and any claim of damage to the person or property of my child during his/her participation. It is understood that
my child/ren may be photographed during the course of this program and the photographs may be used in official City of West Palm Beach
publications. It is further understood that any false information provided for in this registration form will be cause for immediate termination
based on participation safety and ratios. A service fee of $20 per child will be deducted from your refund if cancellation of your registration is
made. No cancellations will be accepted 7 days prior to program start date..
________________________________________________________________________________________________
Signature of Parent/Guardian - date
In accordance with the Americans with Disabilities Act (ADA), persons in need of special accommodations to participate in the proceeding shall, within three business days prior to any
proceeding, contact the West Palm Beach Department of Parks and Recreation at 401 Clematis Street, W.P.B., FL 33401, or call (561) 804-4900 (TTY 800-955-8771).
OFFICE USE ONLY
1ST Payment Receipt #:__________________ Date:_______ /_______ /_______ Check #:______________Credit: Amount Paid: $_______________ Staff Initials:_____________
2nd Payment Receipt #:__________________ Date:_______ /_______ /_______ Check #:______________Credit: Amount Paid: $_______________ Staff Initials:_____________
Site Location:________________________________________________________________________________________ Camp: ❑ K - 5 ❑ Teen | Session: ❑ 1 ❑ 2
IMPORTANT: RETURN THIS FORM
CityFun Summer Camp 2022 - 23 - parks.wpb.orgFOR EVERYONE
2022
SUMMER CAMP PROGRAMS
Return all forms to:
City of West Palm Beach, CityFun 2022
1302 Parker Avenue
West Palm Beach, FL 33401
(561) 804-4900
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