York Wild Kingdom

Child’s Name:___________________________________
(Please do not separate these
PO Box 310 , Milton NH 03851
603-652-4501 ext. 8 /652-7308 / 834-0279
Week # 1 Registration & York Wild Kingdoms Permission Slip June 23rd - June 26th (Trip June 27th)
Full Time Camper (5 day week)
Part-Time Camper (daily)
$100.00 per week (non-resident)
$95.00 per week (6 weeks or more)
___________
$85.00 per week (Resident)
$80.00 per week (6 weeks or more)
___________
$15.00 pre care (7:00 - 8:00 am)
$15.00 post care (4:30 - 5:30 pm)
___________
___________
___________
Deduct $5.00 if a sibling is attending
Sibling’s Name:________________________
York Wild Kingdom
Trip Fee: $23.00
Checks Payable to: Milton Recreation
Check #___________
Total Due:
$40.00 per day
$35.00 sibling rate
__________
$30.00 per day
$25.00 sibling rate
__________
__________
__________
___________
$3.00 pre care (7:00 - 8:00 am) __________
$3.00 post care (4:30 - 5:30 pm) __________
___________
Deduct $5.00 if a sibling is attending
Siblings Name: _______________
___________
___________
York Wild Kingdom
Trip Fee: $23.00 __________
Checks To: Milton Recreation
___________
Check#_________ Total Due: __________
Cash: a receipt will be provided
Cash: a receipt will be provided
York Wild Kingdom
Friday, June 27th 8:45 - 4:00
Camp Three Ponds will be going to York Wild Kingdom. The
bus leaves Milton at 8:45 am and returns at 4:00 pm.
Please have your child wear their Camp 3 Ponds Shirts
Although your child will have a chance to visit the park store for lunch/snacks, it can be expensive to purchase an
entire lunch. Please monitor the amount of money that your child is bringing with them. Their money is their
responsibility, the camp will not be responsible for lost money or items while on field trips.
The fee is 23.00 which includes transportation. Please
include the $23.00 fee with this weeks registration form. Registration slips & money are due on
Thursday, June 19, 2014.
No On-Site Camp on Fridays, If your child does not attend the trip, you will need alternative daycare
Child’s Name: _____________________________________
By signing below, I give my child permission to attend the above mentioned trip to York Wild Kingdom on Friday, June 27,
2014. I understand that he/she will be traveling on a Milton School Bus to and from our destinations. The bus will leave
promptly at 8:45 and will return at 3:45. Children should bring lunch if not buying it at the park .They are also welcome to
bring money to spend in the gift shop, but their money is their responsibility. Please dress your child appropriately for the
weather, and make sure that they have an adequate water supply with them.
Parent/Guardian Signature: ________________________________________ Date: _________________
(please do not separate this form)
Child’s Name:__________________________
PO Box 310 , Milton NH 03851
603-652-4501 ext. 8 /652-7308 / 834-0279
Week # 2 Registration & Strawbery Banke Museum
Full Time Camper (5 day week)
Part-Time Camper (daily)
$100.00 per week (non-resident)
$95.00 per week (6 weeks or more)
___________
$85.00 per week (Resident)
$80.00 per week (6 weeks or more)
___________
$15.00 pre care (7:00 - 8:00 am)
$15.00 post care (4:30 - 5:30 pm)
___________
Deduct $5.00 if a sibling is attending
Sibling’s Name:____________________
Strawbery Banke
Trip Fee: $23.00
___________
___________
$40.00 per day
$35.00 sibling rate
__________
$30.00 per day
$25.00 sibling rate
__________
__________
__________
___________
$3.00 pre care (7:00 - 8:00 am) __________
$3.00 post care (4:30 - 5:30 pm) __________
___________
If Attending Camp on Friday
Strawbery Banke
___________
Trip Fee : $23.00
Checks Payable to: Milton Recreation
Checks Payable to: Milton Recreation
Check #___________
Total Due:
Cash: a receipt will be provided
June 30th—July 2rd & Trip July 3rd (no camp 7/4)
___________
__________
Check#_________ Total Due: __________
Cash: a receipt will be provided
Strawbery Banke Museum & Workshop
Archeology or Hearth Cooking Workshop
Children’s Choice
Camp Three Ponds will be going to Strawbery Banke Museum & participating in your child’s choice of workshops.
The bus leaves Milton at 9:15 am and returns at 4:00 pm. Please have your child wear their camp shirts that day!!
Although your child will have a chance to visit the Museum store, they should bring their lunch with them that day.
Please monitor the amount of money that your child is bringing with them. Their money is their
responsibility, the camp will not be responsible for lost money or items while on field trips.
The fee is $23.00 which includes transportation.
Please include the $23.00 fee with this weeks registration form if your child will be attending the trip. Registration
slips & money are due no later than: Thursday, June 26, 2014.
No On-Site Camp on Fridays, if your child does not attend the trip, you will need alternative daycare!
Child’s Name: _____________________________________
By signing below, I give my child permission to attend the above mentioned trip to Strawbery Banke Museum on Friday,
July 3, 2014. I understand that he/she will be traveling on a Milton School Bus to and from our destinations. The bus will
leave promptly at 9:15 and will return at 4:00. Children should bring lunch. They are also welcome to bring money to spend
in the gift shop, but their money is their responsibility. Please dress your child appropriately for the weather, and make sure
that they have an adequate water supply with them.
Workshop Choice (Please Circle One):
Archeology
Hearth Cooking
Parent/Guardian Signature: ________________________________________ Date: _________________
Child’s Name:_______________________
(please do not separate these forms)
PO Box 310 , Milton NH 03851
603-652-4501 ext. 8 /652-7308 / 834-0279
Week # 3 Registration & Funtown/Splashtown USA
Full Time Camper (5 day week)
Part-Time Camper (daily)
$100.00 per week (non-resident)
$95.00 per week (6 weeks or more)
___________
$85.00 per week (Resident)
$80.00 per week (6 weeks or more)
___________
$15.00 pre care (7:00 - 8:00 am)
$15.00 post care (4:30 - 5:30 pm)
___________
___________
___________
Deduct $5.00 if a sibling is attending
Sibling’s Name:____________________
FunTown/SplashTown -Trip Fee: $34.00:
Lunch Package: $11.00 extra:
Checks Payable to: Milton Recreation
Check #___________
(July 7th - 10th) & (July 11th Trip)
Total Due:
$40.00 per day
$35.00 sibling rate
__________
$30.00 per day
$25.00 sibling rate
__________
__________
__________
___________
$3.00 pre care (7:00 - 8:00 am) __________
$3.00 post care (4:30 - 5:30 pm) __________
___________
If attending on a Friday.
___________
___________
___________
Cash: a receipt will be provided
FunTown/ST - Trip Fee: $34.oo: __________
Lunch Package: $11.00 extra: __________
Checks Payable to: Milton Recreation
Check#_________ Total Due: __________
Cash: a receipt will be provided
FunTown - SplashTown USA
Friday, July 11th 8:45 - 5:00
Amusement & Water Park
Camp Three Ponds will be going to Funtown/Splashtown. The bus leaves Milton at 8:45 am and returns at 5:00 pm.
Please have your child wear their camp shirts that day!!
Your child may purchase a lunch ticket or bring their lunch with them that day. Please monitor the amount of money
that your child is bringing with them. Their money is their responsibility, the camp will not be responsible for lost
money or items while on field trips. The fee is $34.00 for gate entry, lunch tickets are and additional $11.00. If not
purchasing lunch children must bring their lunch. Please include the fees with this weeks registration form if your child
will be attending the trip. Registration slips & money are due no later than: Thursday, July 3rd, 2013.
No On-Site Camp on Fridays, if your child does not attend the trip, you will need alternative daycare!
Child’s Name: _____________________________________
By signing below, I give my child permission to attend the above mentioned trip to FunTown/Splashtown USA on Friday,
July 11, 2014. I understand that he/she will be traveling on a Milton School Bus to and from our destinations. The bus will
leave promptly at 8:45 and will return at 5:00. Children should bring lunch if not purchasing a lunch ticket. They are also
welcome to bring money to spend in the gift shop, but their money is their responsibility. Please dress your child
appropriately for the weather, and make sure that they have an adequate water supply with them.
Parent/Guardian Signature: ________________________________________ Date: _________________
Child’s Name:___________________________
(please do not separate these forms)
PO Box 310 , Milton NH 03851
603-652-4501 ext. 8 /652-7308 / 834-0279
Week # 4 Registration & White Lake State Park Trip July 14th - 17th & (July 18th trip)
Full Time Camper (5 day week)
Part-Time Camper (daily)
$100.00 per week (non-resident)
$95.00 per week (6 weeks or more)
___________
$85.00 per week (Resident)
$80.00 per week (6 weeks or more)
___________
$15.00 pre care (7:00 - 8:00 am)
$15.00 post care (4:30 - 5:30 pm)
___________
___________
___________
Deduct $5.00 if a sibling is attending
Sibling’s Name:____________________
White Lake Trip Fee: $12.oo
Checks Payable to: Milton Recreation
Check #___________
Total Due:
$40.00 per day
$35.00 sibling rate
__________
$30.00 per day
$25.00 sibling rate
__________
__________
__________
___________
$3.00 pre care (7:00 - 8:00 am) __________
$3.00 post care (4:30 - 5:30 pm) __________
___________
If attending on a Friday.
White Lake Trip Fee: $12.oo
___________
Checks Payable to: Milton Recreation
___________
Check#_________ Total Due: __________
Cash: a receipt will be provided
__________
Cash: a receipt will be provided
White Lake State Park
Friday, July 18, 2014
8:45 - 4:00
Camp Three Ponds will be going to White Lake State Park on Friday, July 18th 2014. The bus leaves
Milton at 8:45 am and returns at 4:00 pm.
Please have your child wear their camp shirts that day!!
Your child should bring their lunch with them that day. There is a camp store for children to purchase snacks & gifts
from. Please monitor the amount of money that your child is bringing with them. Their money is their responsibility,
the camp will not be responsible for lost money or items while on field trips.
The Trip fee is $12.00. Please include the fees with this weeks registration form if your child will be attending the trip.
Registration slips & money are due no later than: Thursday, July 10th, 2014.
No On-Site Camp on Fridays, if your child does not attend the trip, you will need alternative daycare!
Child’s Name: _____________________________________
By signing below, I give my child permission to attend the above mentioned trip to White Lake State Park on Friday,
July 18, 2014. I understand that he/she will be traveling on a Milton School Bus to and from our destinations. The bus will
leave promptly at 8:45 and will return at 4:00. Children should bring lunch. They are also welcome to bring money to spend
in the gift shop, but their money is their responsibility. Please dress your child appropriately for the weather, and make sure
that they have an adequate water supply with them.
Parent/Guardian Signature: ________________________________________ Date: _________________
Child’s Name:____________________________________
(Please do not separate these forms)
PO Box 310 , Milton NH 03851
603-652-4501 ext. 8 /652-7308 / 834-0279
Week # 5 Waumbeck Park Permission Slip
(Trip July 23rd)
Waumbeck Park, Main Street, Milton Mills NH
Waumbeck Park
Wednesday, July 23, 2014
9:15 - Through Lunch Time!
Camp 3 Ponds will be traveling to Waumbeck Park in Milton Mills to see the “Arts in the Park”
presentation of “Magic of Science”!
The Magic of Science is a show for children ages 5-12 that shows children some of the science used by
magicians to perform their tricks. It is an interactive and engaging 1 hour performance where everyone in
the audience gets to participate.
Thank you for sharing your children with us this week! All wk# 6 camp fees should have been paid by
Thursday, July 17th.
Camp Three Ponds will be going to the Waumbeck Park in Milton Mills - to see “Magic of Science”
The bus leaves Milton at 9:15 am and returns after lunch.
This program is presented by the Milton Free Public Library and a grant from the NH State Libraries “Kids, Books and
the Arts” Grant. There is limited seating in the park, so children can bring a blanket or use their towel to sit on while
they eat! Please pack your child’s lunch in a container that will keep it cool, there is no refrigeration at the park.
Child’s Name: _____________________________________
By signing below, I give my child permission to attend the above mentioned trip to Waumbeck Park in Milton Mills on
Wednesday, July 23, 2014. I understand that he/she will be traveling on a Milton School Bus to and from our destinations.
The bus will leave promptly at 9:15 and will return after lunch. Please dress your child appropriately for the weather, and
make sure that they have an adequate water supply with them.
Parent/Guardian Signature: ________________________________________ Date: _________________
(please do not separate these forms)
Child’s Name:_________________________________
PO Box 310 , Milton NH 03851
603-652-4501 ext. 8 /652-7308 / 834-0279
Week # 5 Registration & Seacoast Science Center
Full Time Camper (5 day week)
Part-Time Camper (daily)
$100.00 per week (non-resident)
$95.00 per week (6 weeks or more)
___________
$85.00 per week (Resident)
$80.00 per week (6 weeks or more)
___________
$15.00 pre care (7:00 - 8:00 am)
$15.00 post care (4:30 - 5:30 pm)
___________
___________
___________
Deduct $5.00 if a sibling is attending
Sibling’s Name:____________________
Seacoast Science Ctr & Odiorne State Park
Trip Fee: $16.00
Total Due:
$40.00 per day
$35.00 sibling rate
__________
$30.00 per day
$25.00 sibling rate
__________
__________
__________
___________
$3.00 pre care (7:00 - 8:00 am) __________
$3.00 post care (4:30 - 5:30 pm) __________
___________
If attending on a Friday
___________
Seacoast Science Ctr. & Odiorne
Trip Fee $16.oo __________
Checks Payable to: Milton Recreation
Checks Payable to: Milton Recreation
Check #___________
July 21st - July 24th, 2014 - (Trip July 25th)
___________
Cash: a receipt will be provided
Check#_________ Total Due: __________
Cash: a receipt will be provided
Seacoast Science Center & Odiorne State Pk
Friday, July 25th, 2014
8:45 am - 4:00 pm
Camp Three Ponds will be going to the Seacoast Science Center & Odiorne State Park on
Friday, July 25th 2014. We will be participating in a “Sharks Alive” Program where participants will learn all about
these amazing creatures, and be able to both observe and touch a live shark. We will also be tide pooling in search
of crabs and sea life. The bus leaves Milton at 8:45 am and returns at 4:00 pm.
Please have your child wear their camp shirts that day!!
Your child should bring their lunch with them that day. There is a gift shop for children to purchase snacks & gifts
from. Please monitor the amount of money that your child is bringing with them. Their money is their responsibility,
the camp will not be responsible for lost money or items while on field trips.
The Trip fee is $16.00. Please include the fees with this weeks registration form if your child will be attending the trip.
Registration slips & money are due no later than: Thursday, July 17th, 2014.
No On-Site Camp on Fridays, if your child does not attend the trip, you will need alternative daycare!
Child’s Name: _____________________________________
By signing below, I give my child permission to attend the above mentioned trip to the Seacoast Science Center on Friday,
July 25, 2014. I understand that he/she will be traveling on a Milton School Bus to and from our destinations. The bus will
leave promptly at 8:45 and will return at 4:00. Children should bring their lunch. They are also welcome to bring money to
spend in the gift shop, but their money is their responsibility. Please dress your child appropriately for the weather, and
make sure that they have an adequate water supply with them.
Parent/Guardian Signature: ________________________________________ Date: _________________
(please do not separate these forms)
Child’s Name:______________________________
PO Box 310 , Milton NH 03851
603-652-4501 ext. 8 /652-7308 / 834-0279
Week # 7 Registration & Wentworth-Coolidge Mansion & Beach
Full Time Camper (5 day week)
Part-Time Camper (daily)
$100.00 per week (non-resident)
$95.00 per week (6 weeks or more)
___________
$85.00 per week (Resident)
$80.00 per week (6 weeks or more)
___________
$15.00 pre care (7:00 - 8:00 am)
$15.00 post care (4:30 - 5:30 pm)
___________
___________
___________
Deduct $5.00 if a sibling is attending
Sibling’s Name:____________________
Wentworth-Coolidge Mansion Fee: $15.oo
Total Due:
$40.00 per day
$35.00 sibling rate
__________
$30.00 per day
$25.00 sibling rate
__________
__________
__________
___________
$3.00 pre care (7:00 - 8:00 am) __________
$3.00 post care (4:30 - 5:30 pm) __________
___________
If attending on a Friday
___________
Wentworth-Coolidge Mansion Fee: $15.00
Checks Payable to: Milton Recreation
Checks Payable to: Milton Recreation
Check #___________
Aug. 4th - Aug. 7th - (Trip Aug. 8th)
___________
Cash: a receipt will be provided
__________
Check#_________ Total Due: __________
Cash: a receipt will be provided
Wentworth-Coolidge Mansion
Friday, August 8, 2014
8:45 am - 4:00 pm
Camp Three Ponds will be going to The Wentworth-Coolidge Mansion & Beach on
Friday, August 8, 2014. The bus leaves Milton at 8:45 am and returns at 4:00 pm.
Please have your child wear their camp shirts that day!!
Your child should bring their lunch with them that day. There is no gift shop or store on sight. The Trip fee is $15.00.
Please include the fees with this weeks registration form if your child will be attending the trip. Registration slips &
money are due no later than: Thursday, August 1, 2014
No On-Site Camp on Fridays, if your child does not attend the trip, you will need alternative daycare.
Child’s Name: _____________________________________
By signing below, I give my child permission to attend the above mentioned trip to The Wentworth-Coolidge Mansion on
Friday, August 8, 2014. I understand that he/she will be traveling on a Milton School Bus to and from our destinations. The
bus will leave promptly at 8:45 and will return at 4:00. Children should bring their lunch. There is no on-site store or gift
shop. Time permitting, we may stop for an ice cream on the way home. If your child would like to purchase ice cream, please
send them with no more than $5.00. Please dress your child appropriately for the weather the activities they will be participating in. Please make sure that they have an adequate water supply with them.
Parent/Guardian Signature: ________________________________________ Date: _________________
Child’s Name: ______________________________
(please do not separate these forms)
PO Box 310 , Milton NH 03851
603-652-4501 ext. 8 /652-7308 / 834-0279
Week # 8 Registration Canobie State Park
Aug. 11th - Aug. 14th - (Trip Aug. 15th)
Full Time Camper (5 day week)
Part-Time Camper (daily)
$100.00 per week (non-resident)
$95.00 per week (6 weeks or more)
___________
$85.00 per week (Resident)
$80.00 per week (6 weeks or more)
___________
$15.00 pre care (7:00 - 8:00 am)
$15.00 post care (4:30 - 5:30 pm)
___________
Deduct $5.00 if a sibling is attending
Sibling’s Name:____________________
Can0bie Lake Trip Fee: $36.00
Food Voucher:$9.25
Checks Payable to: Milton Recreation
Check #___________
Total Due:
___________
___________
$40.00 per day
$35.00 sibling rate
__________
$30.00 per day
$25.00 sibling rate
__________
__________
__________
___________
$3.00 pre care (7:00 - 8:00 am) __________
$3.00 post care (4:30 - 5:30 pm) __________
___________
If attending on a Friday
___________
___________
___________
Cash: a receipt will be provided
Canobie Lake Trip Fee: $36.oo __________
Food Voucher:$9.25 __________
Check#_________ Total Due: __________
Cash: a receipt will be provided
Canobie Lake Park
Friday, August 15, 2014
8:45 am - 5:00 pm
Camp Three Ponds will be going to Canobie Lake Park on
Friday, August 15, 2014. The bus leaves Milton at 8:45 am and returns at 5:00 pm.
Please have your child wear their camp shirts that day!!
Your child can purchase a lunch voucher or bring their lunch with them that day. There are several stores on site for
snacks & gifts. Please monitor the amount of money that your child is bringing with them. Their money is their
responsibility, the camp will not be responsible for lost money or items while on field trips.
The Trip fee is $36.00 and the food voucher is $9.00. Please include the fees with this weeks registration form if your
child will be attending the trip. Registration slips & money are due no later than: Thursday, August 7th, 2014.
No On-Site Camp on Fridays, if your child does not attend the trip, your will need alternative daycare
Child’s Name: _____________________________________
By signing below, I give my child permission to attend the above mentioned trip to Canobie Lake Park on Friday, August 16,
2014. I understand that he/she will be traveling on a Milton School Bus to and from our destinations. The bus will leave
promptly at 8:45 and will return at 5:00. Children should bring their lunch or buy a voucher. They are also welcome to bring
money to spend in the gift shop, but their money is their responsibility. Please dress your child appropriately for the weather
and activities they will be participating in. Please also make sure that they have an adequate water supply with them.
Parent/Guardian Signature: ________________________________________ Date: _________________
(Please do not separate these forms)
Child’s Name:___________________________________
PO Box 310 , Milton NH 03851
603-652-4501 ext. 8 /652-7308 / 834-0279
Week # Alternate Trip Cowabunga Permission Slip
In the event of rain - Date TBA
Cowabunga’s - 1328 Hookset Road, Hookset NH - (603) 625-8008
Indoor Activities
What to Bring
45’ Racetrack
Children are invited to
either buy a
snack/lunch there or
can bring their own.
The Tidal Wave
The Launch Pad
42’ Obstacle Course
18’ Super Slide
12’ Mini Slide
Full Size Boxing Ring
Blasted Ball Cannons
Hover Basketball
Arcade Zone
Café Cowabunga
Cowabunga is a “Nut”free facility and the
staff there asks that
you please do not send
anything that contains
nuts in order to
accommodate other
children or staff that
might have nut
allergies.
The arcade games are
not included in the
price of admission.
Cowabunga - Hookset, NH
Alternative Trip Date:_______________
This trip is only an alternative trip in the event we need to
cancel because of inclement weather
Camp Three Ponds will be traveling to
Cowabunga Indoor Inflatables Gym in Hookset, NH
The bus leaves Milton at 8:45 am and returns after lunch.
Children may bring their lunch/snacks, or may purchase something to eat at the gym. There is also arcade machines
that children can play if they bring money to do so. Please do not send any items that contain “Nuts” as this is a
nut-free facility. Please have children wear appropriate footwear, easy on-easy off, socks are required. As with most
inflatable equipment, shoes are not typically allowed on the equipment, and socks are required.
Child’s Name: _____________________________________
By signing below, I give my child permission to attend the above mentioned trip to Cowabunga, in Hookset NH on Friday,
_______________________ in the event that our original trip is cancelled because of inclement weather. I understand that I
will be notified before we change our destination. I understand that he/she will be traveling on a Milton School Bus to and
from our destinations. The bus will leave promptly at 8:45 and will return after lunch. Please dress your child appropriately
for the weather, and make sure that they have an adequate water supply with them. Please also make sure they have
appropriate shoes & socks.
Parent/Guardian Signature: ________________________________________ Date: _________________
(Please do not separate these forms)
Child’s Name:___________________________________
PO Box 310 , Milton NH 03851
603-652-4501 ext. 8 /652-7308 / 834-0279
Week # Alternate Trip Smitty’s Cinema Permission Slip
In the event of rain - Date TBA
Smitty’s Cinema - 630 West Main Street, Tilton NH 03276 - (603) 286-4444
Children will
This permission
Have a choice of
A PG Movie
slip is put in place
And the cost of the
in the event that
Trip will include
one of our Friday Trips
Their meal
And
gets cancelled
Entrance into
because of Inclement
The theater and
weather.
the cost of the bus!
Both the date of the
trip and the Movie
is TBA!
Smitty’s Cinema - Tilton, NH
Alternative Trip Date:_______________
Camp Three Ponds will be traveling to
Smitty’s Cinema, Tilton ,NH
The bus leaves Milton at 8:45 am and returns after the movie
Cost of the trip includes, the bus, entry into the movie theater and a kids lunch, usually consisting of Pizza, Fries, and
Soda / or Chicken Fingers, Fries and Soda, it will be the decision of the group. We can only choose either chicken or
Pizza, not both. The theater will make accommodations for any child that has food allergies . There are also arcade
machines that children can play if they bring money to do so. Please monitor how much money your child is bringing,
additional snacks are available for purchase. Your child is responsible for his/her own money, and Camp 3 Ponds will
not be responsible for lost money or items while on field trips.
Child’s Name: _____________________________________
By signing below, I give my child permission to attend the above mentioned trip to Smitty’s Cinema Tilton, on Friday,
_______________________. I understand that he/she will be traveling on a Milton School Bus to and from our destinations.
The bus will leave promptly at 8:45 and will return after the movie. Please dress your child appropriately for the weather,
and make sure that they have an adequate water supply with them.
Parent/Guardian Signature: ________________________________________ Date: _________________