All 4 days: 9am-4pm
BRUNSWICK PARKS AND RECREATION DEPARTMENT
Winter 2016
February 16th - February 19th
Grades K - 6
9:00 a.m. to 4:00 p.m.
*10 sibling discount for additional siblings in
same household (week only)
$99Res /$131 Non-Residents
Individual Days
TUESDAY
$40 Res/ $53 Non-Resident
WEDS, THURS, FRIDAY
$30 Res/ $40 Non-Resident
Before Care 8am-9am
$10/week Res/$13 week Non-Resident
After Care 4pm-5pm
$10/ week Res/$13 week Non-Resident
Register
now!
Enrollment
is limited.
Extended AM and PM Care 8am-5:00pm
At the Brunswick Jr High School
This Vacation Camp enrichment program will consist of games, sports, arts & crafts, theme days and special events. We will provide a safe, fun,
nurturing environment for your child to enjoy vacation. Our caring and enthusiastic staff is experienced in working with kids and are certified in first
aid & CPR. Zach Lavoie will run the camp with help from our Summer Vacation Camp program staff.
The February Vacation Program is open to boys & girls enrolled in grades K-6. CHILDREN WILL NEED TO BRING 2 SNACKS, LUNCH AND
DRINKS WITH THEM EACH DAY. Children are encouraged to wear sneakers and dress appropriately for the weather, as well as sports
and craft activities. We will outdoor space and enjoy the snow if weather and conditions permit.
DAILY THEMES:
SIGN UP FOR 1 DAY OR ALL 4 DAYS!!
TUESDAY, FEBRUARY 16th – SNOW TUBING!! At Seacoast Snow Park. We will travel for an exciting day of snow
tubing at Seacoast Snow Park. We will leave at 10:30am and return for 3:30pm. A concession is available to purchase hot drinks and
snacks. There will be activities and free play in the gym before and after the trip.
**IMPORTANT- Seacoast Snow Park Rules: For safety reasons, all riders have to be at least 3 feet tall. Please remember
that a snow tuber must be 4 feet tall to ride by themselves. Guests between 3 feet and 4 feet tall are required to ride with an adult (age 16 or older) in a
double tube or shall link two single tubes together. (If your child is 36-47 inches tall they will have to ride the tube with one of our staff members.)
WEDNESDAY, FEBRUARY 17th –- MOVIE , DRINK & POPCORN at the Evening Star Cinema We will board a bus and
head to Maine Street to enjoy Hotel Transylvania 2 with friends at the Evening Star Cinema.
THURSDAY, FEBRUARY 18th – ROLLODROME. We will be traveling to RolloDrome in Auburn for some roller skating fun.
Roller skates will be provided for free. Roller blades may cost extra money. Participants are welcome to bring their own skates or
blades. If participants wish to bring additional money, there are arcade games and a concession stand available.
FRIDAY, FEBRUARY 19th – BOWLING at the Bowling Bowl. We will start the morning off with camp
activities and art projects at the Jr. High School. In the afternoon we will head downtown to the Bowling Bowl for 2 hours of
Candlepin Bowling at the Bowling Bowl.
Please complete form on reverse side and return with fee, to the Recreation Center, 220 Neptune Drive. Registrations will not be accepted at
the schools. Office hours are Monday - Friday, 8:00 a.m. to 4:30 p.m. The Parks and Recreation Department encourages individuals with
disabilities to register for this program. Should you desire further information, contact us at 725-6656.
For a copy of our refund policy, please visit our website at www.brunswickme.org/parkrec.
BRUNSWICK PARKS & RECREATION FEBRUARY VACATION DAY CAMP Winter 2016
FOR GRADES K-6
Please check appropriate boxes: *10 sibling discount for additional siblings in same household (week only)
 ALL 4 DAYS
 Tuesday, February 17th
 Wednesday, February 18th
 Thursday, February 19th
 Friday, February 20th
 BEFORE CARE  AFTER CARE -
9am - 4pm
9am - 4pm
9am - 4pm
9am - 4pm
9am - 4pm
8am - 9am
4pm - 5pm
FOR OFFICE USE
Date____________
Amt$___________
 Computer
#323080
$99 Resident/$131 Non-Resident (save $31!)
$40 Resident/$53 Non-Resident (Snow Tubing)
$30 Resident/$40Non-Resident (Movie)
$30 Resident/$40 Non-Resident (RolloDrome)
$30 Resident/$40 Non-Resident (Bowling)
$10 Resident/$13 Non-Resident (Same Fee for 1 or all 4 days)
$10 Resident/$13 Non-Resident (Same Fee for 1 or all 4 days)
Please Print
NAME__________________________________________________ DATE OF BIRTH______________AGE __________ MALE  FEMALE 
SCHOOL______________________________________GRADE, in fall 2015_________HEIGHT (for Snow Tubing trip only) _____Feet ____Inches
STREET ADDRESS________________________________________________TOWN_______________________________ZIP_______________
TOWN OF RESIDENCE____________________________________EMAIL__________________________________________________
MOTHER’S NAME:_________________________________FATHER’S NAME_________________________________
MOTHER’S HOME PHONE:________________MOTHER’S WORK PHONE:________________MOTHER’S CELL PHONE:___________________
FATHER’S HOME PHONE__________________FATHER’S WORK PHONE:________________FATHER’S CELL PHONE:________________
LEGAL GUARDIAN IF APPLICABLE: _______________HOME PHONE:______________WORK PHONE:_______________CELL PHONE________
PHYSICIAN'S NAME______________________________________________________________PHONE____________________________________
IN CASE OF ACCIDENT OR EMERGENCY, we will first attempt to contact a parent. However, in the event we are unsuccessful, please provide
another person (grandparent, neighbor, trusted friend) whom we might reach:
NAME______________________________________RELATIONSHIP___________________________HOME PHONE_________________________
WORK PHONE_______________________CELL PHONE _______________________ADDRESS__________________________________________
*ALLERGIES/PHYSICAL OR EMOTIONAL LIMITATIONS_______________________________________________________________
__________________________________________________________________________________________________________________________
PHYSICAL OR BEHAVIORAL CONCERNS OF WHICH YOU WANT US TO BE AWARE: ______________________________________________
__________________________________________________________________________________________________________________________
ARE THERE ANY SITUATIONS THAT MAY TRIGGER THIS CONCERN IN YOUR CHILD? ____________________________________________
__________________________________________________________________________________________________________________________
PARENTS RECOMMENDATIONS FOR US TO HELP YOUR CHILD: _______________________________________________________________
PEOPLE (i.e., PARENTS, BABYSITTER, NEIGHBOR, GRANDPARENTS, ETC.) WHO WILL BE PICKING UP YOUR CHILD DURING
THE CAMP. ANYONE NOT LISTED BELOW WILL BE PROHIBITED FROM PICKING UP YOUR CHILD UNLESS THE CAMP
SUPERVISOR IS OTHERWISE NOTIFIED IN WRITING. PLEASE LIST RELATIONSHIP TO CHILD.
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
 MY CHILD WILL BE WALKING HOME AFTER CAMP
As a parent, I give my child permission to participate in the Brunswick Parks and Recreation Department Winter Vacation Camp.
I understand that photographs taken of Parks and Recreation Programs may be used by the Parks and Recreation Department
for promoting programs, classes or events to include brochures, posters or web page postings.
Signature of Parent/Guardian_________________________________________________________________
Names of Parents/Guardians_______________________________________________________(PLEASE PRINT)