SUMMER CAMPS

2022 SUMMER CAMPS

NEW ON-LINE REGISTRATION

SAVE THE DATES for 2022 Summer Camp

June 6-9^th

June 13-16^th

Audubon Park K-8 School

Leadership 4Girls provides opportunities for girls to practice inspiring and positively influencing others. Girls learn how body language, tone of voice and basic conversational skills affect their ability to build and maintain quality relationships. They create a team spirit by focusing on each other's strengths, encouraging each other and working together to accomplish a common goal.

NEW ON-LINE REGISTRATION

Summer 2022 Registration coming soon!

SUMMER 2022 Week 1 Audubon Park School

Audubon Park School

June 6 - 9th

8:30 a.m. - 3:30 p.m

Camper Information
Camp will be located at Audubon Park K-8
1500 Falcon Dr
Orlando, FL 32803
Hours are 8:30 AM - 3:30 PM
Camper's Name
First Last
Date of Birth
MM slash DD slash YYYY
School Name
Grade Completed 2021-2022*
Select the grade completed or completing for the 2021-2022 school year.
Shirt Size*
Please choose a shirt size for your camper.
Is This a Returning Camper?
Is the CAMPER registered as a MENTOR in TRAINING?
How will Camper(s) get home?
Add Additional Camper?
Camper 2 Name
First Last
Camper 2 Grade Completed 2021-22*
Select the grade completed or completing for the 2021-2022 school year.
Shirt Size - Second Camper*
Please choose a shirt size for your camper.
Parent / Guardian Information
Parent / Guardian Name
First Last
Phone Number
Email*

You will receive notifications regarding camp at this address.
Address
Street Address Address Line 2 City State ZIP Code
Additional Parent / Guardian Information
(optional)
Add Additional Parent/Guardian?
Name
First Last
Phone
Email
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Health Information
Pediatrician’s Name
Phone
Family Medical/Hospital Insurance
Policy Number
Group Number
Allergies
Emergency Contact in Parent’s Absence
Name
First Last
Emergency Number
Alternate Phone Number
Relationship to Participant
How Did You Hear About Us
Referral or Teacher Name
Our Policies
Permission/Waiver/Release I, the undersigned, as the parent or legal guardian of the participant, give permission for her to participate in activities offered by Leadership 4Girls. I know of no medical, physical, mental or emotional condition that would hinder or prevent her participation in the Leadership 4Girls program. I waive any claim of liability against, and agree to hold harmless Leadership 4Girls and any other officer, agent and/or employee thereof from any claim of injury to participant arising out of or in any way connected with any class or activity offered by Leadership 4Girls. Permission to Provide Necessary Treatment or Emergency Care If I cannot be reached in a medical emergency, I give permission to the medical care provider(s) selected by Leadership 4Girls to secure and administer all necessary treatment, including hospitalization, for the participant. Photography , Video Recording and Program Evaluation Any picture, recordings, video footage, any images moving or still and/or writings will belong to Leadership 4Grils and may be used for advertising and promotion. I understand that Leadership 4 Girls conducts evaluations to assess the quality of programs. I give permission for my daughter to be part of this program evaluation. I also understand that the information collected about my daughter will be kept confidential and her name will not be associated with the results. Refunds and Cancellations Written requests for cancellation may be made 21 calendar days prior to the camp, minus a $25 processing fee. Cancellations after this time will be honored when there are extenuating circumstances such as participant illness. I have read, understand and agree with the Permission/Waiver/Release, Consent for Emergency Medical Treatment, Photo and Video Recording, Program Evaluation and Refunds and Cancellation policies.
Camp
Price:
Camp will be held at Audubon Park School. If you have any questions, please call or text Cindy at 321-946-1629 or Email at cindy@leadership4girls.org
2 Campers ($30 Discount)
Price:
Camp will be held at Audubon Park School. If you have any questions, please call or text Cindy at 321-946-1629 or Email at cindy@leadership4girls.org
Camp - Mentor
Price:
Camp will be held at Audubon Park School. If you have any questions, please call or text Cindy at 321-946-1629 or Email at cindy@leadership4girls.org
2 Campers (Mentor + $30 Discount)
Price:
Camp will be held at Audubon Park School. If you have any questions, please call or text Cindy at 321-946-1629 or Email at cindy@leadership4girls.org
Total
$0.00

SUMMER 2022 Week 2 Audubon Park School

Audubon Park School

June 13 - 16th

8:30 a.m. - 3:30 p.m

Camper Information
Camp will be located at Audubon Park K-8
1500 Falcon Dr
Orlando, FL 32803
Hours are 8:30 AM - 3:30 PM
Camper's Name
First Last
Date of Birth
MM slash DD slash YYYY
School Name
Grade Completed 2021-2022*
Select the grade completed or completing for the 2021-2022 school year.
Shirt Size*
Please choose a shirt size for your camper.
Is This a Returning Camper?
Is the CAMPER registered as a MENTOR in TRAINING?
How will Camper(s) get home?
Add Additional Camper?
Camper 2 Name
First Last
Camper 2 Grade Completed 2021-22*
Select the grade completed or completing for the 2021-2022 school year.
Shirt Size - Second Camper*
Please choose a shirt size for your camper.
Parent / Guardian Information
Parent / Guardian Name
First Last
Phone Number
Email*

You will receive notifications regarding camp at this address.
Address
Street Address Address Line 2 City State ZIP Code
Additional Parent / Guardian Information
(optional)
Add Additional Parent/Guardian?
Name
First Last
Phone
Email
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Health Information
Pediatrician’s Name
Phone
Family Medical/Hospital Insurance
Policy Number
Group Number
Allergies
Emergency Contact in Parent’s Absence
Name
First Last
Emergency Number
Alternate Phone Number
Relationship to Participant
How Did You Hear About Us
Referral or Teacher Name
Our Policies
Permission/Waiver/Release I, the undersigned, as the parent or legal guardian of the participant, give permission for her to participate in activities offered by Leadership 4Girls. I know of no medical, physical, mental or emotional condition that would hinder or prevent her participation in the Leadership 4Girls program. I waive any claim of liability against, and agree to hold harmless Leadership 4Girls and any other officer, agent and/or employee thereof from any claim of injury to participant arising out of or in any way connected with any class or activity offered by Leadership 4Girls. Permission to Provide Necessary Treatment or Emergency Care If I cannot be reached in a medical emergency, I give permission to the medical care provider(s) selected by Leadership 4Girls to secure and administer all necessary treatment, including hospitalization, for the participant. Photography , Video Recording and Program Evaluation Any picture, recordings, video footage, any images moving or still and/or writings will belong to Leadership 4Grils and may be used for advertising and promotion. I understand that Leadership 4 Girls conducts evaluations to assess the quality of programs. I give permission for my daughter to be part of this program evaluation. I also understand that the information collected about my daughter will be kept confidential and her name will not be associated with the results. Refunds and Cancellations Written requests for cancellation may be made 21 calendar days prior to the camp, minus a $25 processing fee. Cancellations after this time will be honored when there are extenuating circumstances such as participant illness. I have read, understand and agree with the Permission/Waiver/Release, Consent for Emergency Medical Treatment, Photo and Video Recording, Program Evaluation and Refunds and Cancellation policies.
Camp
Price:
Camp will be held at Audubon Park School. If you have any questions, please call or text Cindy at 321-946-1629 or Email at cindy@leadership4girls.org
2 Campers ($30 Discount)
Price:
Camp will be held at Audubon Park School. If you have any questions, please call or text Cindy at 321-946-1629 or Email at cindy@leadership4girls.org
Camp - Mentor
Price:
Camp will be held at Audubon Park School. If you have any questions, please call or text Cindy at 321-946-1629 or Email at cindy@leadership4girls.org
2 Campers (Mentor + $30 Discount)
Price:
Camp will be held at Audubon Park School. If you have any questions, please call or text Cindy at 321-946-1629 or Email at cindy@leadership4girls.org
Total
$0.00