SUMMER 2014 (Forms Avaliable Below)
OPEN REGISTRATION BEGINS, MARCH 3rd, 2013
- Ø Complete Registration Form & Emergency Contact Sheet,for EVERY participant.
- Ø Please Print all information, and make certain it is accurate.
- Ø Return: Completed Registration Form & Emergency Contact Form, Check and/or Money Order: ***Payable to: FPCHS***
Mail or Deliver To: Flagler County Youth Center
5500 East Highway
Palm Coast, Fl 32164
(Youth Center: Open M-F, School Days, from 2:00pm -7:00pm.)
Registration Fees: 1st Camper: $150. Every additional family member, add $125.
- Ø Additional Photo-Copies can be made of this application, to register other children. 1 form is required for EVERY child.
- Ø Please include a photocopy of one parents/guardians most recent Florida Drivers License.
- Ø New participants to the program are required to provide a copy of their Birth Certificate.
- Ø Call: 386-437-7540X5101, for additional information.
Any questions please email me at [email protected]