AFA Mine Camp Registration

Summer Camp

Five Weeks: May 30-June 2; June 5-9; June 12-16; June 19-23; June 26-30, 2023
Hours: 8a-3p
Aftercare is available for grades 4-5 until 5:30p
Price:
- Rising 4th-7th graders: $596-week 1; $745-week 2-5
- Sign up for all 5 weeks and get one week free!
- Session enrollment max per week: 18
- 5% sibling discount

AFA Mine Camp is the perfect combination of physical activity, technology, and discovery. Activities include gemstone and fossil mining, treasure hunting (metal detecting), and outdoor technology like drone piloting and plastic forging. Afternoons will be spent exploring the Educational version of Minecraft and learning how to engineer Redstone.”

"*" indicates required fields

AFA Mine Camp Registration Form

How did you hear about this camp?*

Attended Previous Camp

Child(ren) Attend Farragut

Recommendation or Referral

Drove by School/Live in the Area

Online Search (Google, Bing, etc)

Social Media (Facebook, Twitter, etc)

Magazine/Newspaper/Brochure

School Fair or Farragut Staff

Other

Please explain / Provide name(s)*

Can we add you to our monthly email which includes happenings at Farragut?

Yes

Please list the school(s) your child(ren) attend.*

How many children are you registering?*

One Child

Two Children

Three Children

Assign Camper(s) to the Sessions

$596-week 1; $745-week 2-5

A 5% sibling discount is offered for the second and additional siblings attending any day camp during the same session. Please be sure to choose the correct session(s) and session dates.

*Sign up for all 5 weeks and get one week free!

Hidden

Session 1

Price:

Session 1: May 30-June 2, 2023

Hidden

Session 2

Price:

Session 2: June 5-9, 2023

Hidden

Session 3

Price:

Session 3: June 12-16, 2023

Hidden

Session 4

Price:

Session 4: June 19-23, 2023

Hidden

Session 5

Price:

Session 5: June 26-30, 2023

Camper Information

First Child

Child Name*

First Last

Child Gender*

Female

Male

Child Birth Date*

Child is entering _____ after this summer.*

Youth t-shirt size*

x-small

small

medium

large

Please list any allergies.*

Second Child

Second Child Name*

First Last

Second Child Gender*

Female

Male

Second Child Birth Date*

Second Child is entering _____ after this summer.*

Second Child Youth t-shirt size*

x-small

small

medium

large

Second Child Allergies*

please list any allergies

Third Child

Third Child Name*

First Last

Third Child Gender*

Female

Male

Third Child Birth Date*

Third child is entering _____ after this summer.*

Third Child Youth t-shirt size*

x-small

small

medium

large

Third Child Allergies*

please list any allergies

Contact Information

Primary Contact Name*

First Last

Relationship to Child(ren)*

Primary Contact Phone*

Primary Contact Email*

Enter Email Confirm Email

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Secondary Contact Name

First Last

Relationship to Child(ren)

Secondary Contact Phone

Secondary Contact Email

Enter Email Confirm Email

After the camp my child(ren) will go to:*

Aftercare is available until 5:30pm and only for grades 4-5, no extra charge

Additional persons allowed to pick up child(ren).

Include each individuals first and last name, relationship to child(ren), and phone number.

Additional Information

if you have any additional information, please put it below

Message

Parent Electronic Signature

Camper Behavior*

All camp attendees must demonstrate appropriate behavior during the summer camp and/or after care. If any camp attendee's behavior is deemed inappropriate, they may be dismissed from the camp or after care with no refund.

Yes, I understand these conditions and this is my electronic signature.

Responsibility and Liability*

By signing below, you agree to indemnify and hold harmless Admiral Farragut Academy, its directors, counselors, and employees from any and all liability for personal injuries or damages sustained while participating on the school grounds in general. Whether such personal injuries or damages are caused by negligence on the part of released parties or otherwise, to the full extent permitted by law. You also understand that there are inherent risks in participating in these activities.

Yes, I understand these conditions and this is my electronic signature.

Media Release Permission*

By choosing "Yes" you are approving for your child(ren)’s name, picture, artwork, written work, voice, or portrait (video or still), to appear in school publicity and publications.

Yes, I understand these conditions and this is my electronic signature.

Parent Electronic Signature*

First Last

Signature

Cost and Payment

Hidden

5 Weeks Discounts

Price:

One Child 5 weeks discount

-$596.00

Second Child 5 weeks discount

-$566.00

Third Child 5 weeks discount

-$566.00

Total Due

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

*Please be patient, summer camp registrations can be slow to process. Please do not double click "Submit Registration" button, neither refresh your browser or start over"

Need Help?

Questions About Summer Camps

Email: summer@farragut.org

Phone: 727-384-5500 ext 222

Payment Not Working?

If you are receiving a “credit card error”, here are common issues with transactions:

This credit card has been declined by your bank. Please use another form of payment.
The credit card has expired.
The merchant does not accept this type of credit card.
The address provided does not match the billing address of the cardholder. Please verify the information and try again.
The transaction amount is greater than the maximum amount allowed.
There was an error processing your credit card. Please verify the information and try again.

Still not working? You can call our Webmaster at 727-384-5500 ext 266