Summer Camp Registration Form

Thank you for your interest in a summer camp provided by the St. Lucie County Sheriff's Office School Resource Unit.  To register, 
 
  1. Click on the two forms below and download them.  You MUST turn those in on the first day of the camp.  
  2. Complete the registration form below and proceed to the payment screen.  If you wish to pay in person, you may come into the Sheriff's Office at 4700 West Midway Road.  Please bring a copy of your email confirmation with you.
If you have any questions about the summer camps, please email Shirley Randazzo at randazzos@stluciesheriff.com.
 

Summer Camp Registration Form

Please select which camp you are registering for.
Please enter your child's first name.
Please enter your child's last name.
Please enter your home address.
Please enter your city.
Please enter your state.
Please enter you zip code.
Please enter the age of this child.
Please indicate if this child is male or female.
Please indicate the race of this child.
Please enter the first name of this child's parent/guardian.
Please enter the last name of this child's parent or guardian.
Please enter a phone number where this child's parent/guardian can be reached.
Please enter an emergency contact name.
Please enter a phone number for this emergency contact.
Please indicate if this child can swim.
Please select the shirt size for this child.
Please list any special medical needs or allergies for this child.
By checking this box, you agree to that this child will follow all rules and regulations concerning conduct and dress. Should this child violate these rules, you understand that the child may be subject to expulsion from the program and will be required to be picked up by a parent or guardian