BRUNSWICK PARKS & RECREATION th July 20 th

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Session I: June 25 BRUNSWICK PARKS & RECREATION th July 20 th 4 9am - 4pm *$348Res/$463 Non-Residents *$15 Discount for additional siblings per session (discount not available for online registrations; please register at our office for discount) Before Care 7:30am-9am $70 per session Res/$93 Non-Resident After Care 4pm-5:30pm $70 per session Res/$93Non-Resident Session II: July 23 rd - August 16 th (Thursday) 9am- 4pm *$348Res/$463 Non-Residents Before Care 7:30am-9am $70 per session Res/$93 Non-Resident After Care 4pm-5:30pm $70 per session Res/$93 Non-Resident *WEBTRAC ONLINE REGISTRATION NOW AVAILABLE!! Junior Camper Division - Entering Grade 1-3 Senior Camper Division - Entering Grade 4-6 (Grade as of fall of 2018) Held At Harriet Beecher Stowe School! TWO 4-WEEK SESSIONS WITH BEFORE & AFTER CARE! SIGN UP FOR 1 SESSION OR BOTH! Parents are welcome to join the children during lunch on the playground. Children are encouraged to wear sneakers and dress appropriately for the weather, as well as sports and craft activities. This summer s special trips/activities include: Aquaboggan and Splash Town Water Parks, Coffin Pond, Maine Wildlife Park, Yankee Lanes, Boothbay Railway Village, Mini Golf, Happy Wheels, Portland Sea Dogs and more! Camp visits from: Brunswick Police & Fire Departments. (Trips are subject to change based on availability and weathercheck our camp website for calendar of proposed trip dates) * Lunch Program-The Mid Coast Hunger Prevention Program (MCHPP) is offering a Summer Feeding Program for those children who qualified for free or reduced lunch during the 2017/2018 school year. This would provide a daily snack & lunch option for children who meet certain eligibility requirements. Please check the box on the reverse side if you would like to participate. For more detailed information contact Mary Turner at MCHPP at 725-2716, ext. 306. Please complete form on reverse side and return with fee, to the Recreation Center, 220 Neptune Drive. Registrations will not be accepted at the Harriet Beecher Stowe School. 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 SUMMER VACATION DAY CAMP SUMMER 2018 FOR GRADES 1-6 (grade as of fall 2018) Please check appropriate boxes: WEBTRAC ONLINE REGISTRATION NOW AVAILABLE!! SESSION 1: June 25 th July 20 th, 9am - 4pm $348* Resident/$463 Non-Resident *$15 Discount for additional siblings per session (discount not available for online registrations; please register at our office for discount) BEFORE CARE - 7:30am - 9am $70 Resident/$93Non-Resident (PER 4-WEEK SESSION) AFTER CARE - 4pm 5:30pm $70 Resident/$93 Non-Resident (PER 4-WEEK SESSION) FOR OFFICE USE Date Amt$ Computer #123001 SESSION 2: July 23 rd August 16 th, 9am - 4pm $348* Resident/$463Non-Resident *$15 Discount for additional siblings per session (discount not available for online registrations; please register at our office for discount) BEFORE CARE - 7:30am - 9am $70 Resident/$93 Non-Resident (PER 4-WEEK SESSION) AFTER CARE - 4pm 5:30pm $70 Resident/$93 Non-Resident (PER 4-WEEK SESSION) *Did your child participate in the free/reduced Lunch Program for the 2017/2018 school year? If so, would you like to take part in the Summer Feeding Program offered by Mid Coast Hunger Prevention? Yes No (We will confirm eligibility with the school department.) Please Print CHILD S NAME DATE OF BIRTH AGE MALE FEMALE 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 STREET ADDRESS TOWN ZIP TOWN OF RESIDENCE EMAIL SCHOOL GRADE, in fall 2018 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 PHYSICIAN'S NAME PHONE *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? *WOULD YOU LIKE TO BE CONTACTED BY OUR THERAPEUTIC RECREATION COORDINATOR REGARDING THE ABOVE? YES NO 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 Summer Vacation Camp and all field trips. 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)

BRUNSWICK PARKS AND RECREATION DEPARTMENT Summer 2018 MINI-CAMP Ages 3 to 5 (by the start of camp) Tuesdays, Wednesdays & Thursdays from 9am 11:30am* SESSION I: July 10 th - July 26th th SESSION II: July 31 st August 16 th FEE: Brunswick Residents $147.00 Per Session Non-Residents - $195.00 Per Session WEBTRAC ONLINE REGISTRATION NOW AVAILABLE!! This Camp will be again held at Coffin School! Allowing for playground use & a chance for entering Coffin Kindergarten students a chance to familiarize with the school The Brunswick Parks and Recreation Department is offering a summer Mini-Camp for preschool age children at Coffin School. The site is staffed with a caring, enthusiastic adult teacher and teachers assistant(s). Preschool Mini-Camp is for children who are ages 3 to 5 by the start of camp (your child must be toilet trained). A valid birth certificate is required to verify child s age. Activities will include arts and crafts, songs, games, playground, stories, nature activities, etc. Two sessions will be held. Each session will run for three weeks on Tuesday, Wednesday and Thursdays, from 9:00-11:30 a.m. There is a limit of 20 children per session. This program fills quickly!! The Parks and Recreation Department encourages individuals with disabilities to register for this program. Should you desire further information, contact the Recreation Department at 725-6656. PLEASE COMPLETE FORM ON REVERSE SIDE AND RETURN WITH FEE AND A COPY OF YOUR CHILD S BIRTH CERTIFICATE TO 220 NEPTUNE DRIVE. REGISTRATIONS WILL NOT BE ACCEPTED AT THE MINI-CAMP SITE. OFFICE HOURS ARE MONDAY - FRIDAY, 8:00 a.m. to 4:30 p.m. Visit us online at www.brunswickme.org to see a complete list of our current programs, print registration forms, and see our refund policy. Check back often!

BRUNSWICK PARKS & REC DEPT FEE: Brunswick Residents $147.00 per Session PRESCHOOL MINI-CAMP Non-Residents $195.00 per Session Summer 2018 Please Print FOR OFFICE USE Date Amt$ Birth Certificate Computer PLEASE CHECK ( ) SESSION(S): - WEBTRAC ONLINE REGISTRATION NOW AVAILABLE!! Children may attend one or both sessions. SESSION I: July 10 th - July 26 th SESSION II: July 31 st August 16 th NAME BOY GIRL SCHOOL AGE, by start of camp DATE of BIRTH STREET ADDRESS TOWN ZIP TOWN OF RESIDENCE HOME PHONE WORK PHONE CELL PHONE EMAIL EMERGENCY CONTACT (other than parent): Relationship DAY PHONE CELL *ALLERGIES/PHYSICAL or EMOTIONAL LIMITATIONS *WOULD YOU LIKE TO BE CONTACTED BY OUR THERAPEUTIC RECREATION COORDINATOR REGARDING THE ABOVE? YES NO As a parent, I give my child permission to participate in the Brunswick Parks and Recreation Department Mini-Camp Program. I understand that photographs taken of Parks and Recreation Programs may be used by the Parks & Recreation Department for promoting programs, classes or events to include brochures, posters or web page postings. Signature of Parent/Guardian DATE PARENT/GUARDIAN NAME (S) Please Print www.facebook.com/brunswickparksandrecreation

BRUNSWICK PARKS AND RECREATION DEPARTMENT SUMMER 2018 American Red Cross SWIM LESSONS Ages 5 & older as of start of session Levels I to VI at BOWDOIN COLLEGE, GREASON POOL at FARLEY FIELD HOUSE SESSION I: SESSION II: July 2 to July 13 July 16 to July 27 Monday Friday (No Class on 4 th ) Monday - Friday Classes at 8:00 or 9:00 a.m. Classes at 8:00 or 9:00 a.m. Brunswick Residents $59.00 Brunswick Residents $65.00 Non-Residents $78.00 Non-Residents $86.00 The Brunswick Parks and Recreation Department is offering American Red Cross Swim Lessons this summer at the Bowdoin College, Greason Pool. Historically, this program has been extremely popular. The pool at Bowdoin is suited for both shallow and deep water instruction. The 10-lesson program* offers instruction in Levels I through VI. Levels 5 & 6 will be offered only at 8am each session. Participants must arrange for their own transportation. Health Insurance is a requirement in order to participate in this program. Policy information must be filled out below. Registrations are accepted at the Brunswick Recreation Center, 220 Neptune Drive. For more information call 725-6656. Visit us online at www.brunswickme.org/departments/parks-recreation/ The Parks and Recreation Department encourages individuals with disabilities to register for this program. Should you desire further information, contact the Recreation Department at 725-6656. To see our refund policy, visit us at www.brunswickme.org/parkrec Detach & return with fee to the Recreation Center, 220 Neptune Dr., by June 28, 2018. Office hours Mon-Fri, 8:00 a.m. to 4:30 p.m. BRUNSWICK PARKS & REC DEPT. FEE: Session I $59 Brunswick Res. / $78 NR Session II $65 Brunswick Res. / $86 NR SWIM LESSONS, at BOWDOIN 2018 Please Print NAME BOY GIRL AGE as of start of session STREET ADDRESS TOWN ZIP HOME PHONE WORK PHONE CELL/PAGER EMAIL SCHOOL GRADE DATE OF BIRTH HEALTH INSURANCE CARRIER GROUP # POLICY # EMERGENCY CONTACT (other than parent): DAY PHONE CELL PLEASE CHECK ( ) PREFERRED SESSION/TIME(S): SESSION I 8:00 a.m. (121176-01) [ ] Level I [ ] Level II [ ] Level III [ ] Level IV [ ] Level V [ ] Level VI SESSION I 9:00 a.m. (121176-02) [ ] Level I [ ] Level II [ ] Level III [ ] Level IV SESSION II 8:00 a.m. (121176-03) [ ] Level I [ ] Level II [ ] Level III [ ] Level IV [ ] Level V [ ] Level VI SESSION II 9:00 a.m. (121176-04) [ ] Level I [ ] Level II [ ] Level III [ ] Level IV *ALLERGIES/PHYSICAL or EMOTIONAL LIMITATIONS *WOULD YOU LIKE TO BE CONTACTED BY OUR THERAPEUTIC RECREATION COORDINATOR REGARDING THE ABOVE? YES As a parent, I give my child permission to participate in the Brunswick Parks and Recreation Department American Red Cross Swim Program at Bowdoin College, Greason Pool. I understand that photographs taken of Parks and Recreation Programs may be used by the Parks and Recreation Department for promoting programs, classes or events to include brochures, posters or web page postings. Signature of Parent/Guardian DATE PARENT/GUARDIAN NAME (S) Please Print Date Amt$ Rec# Computer NO

BRUNSWICK PARKS AND RECREATION DEPARTMENT Summer 2018 LEARN TO SWIM AMERICAN RED CROSS SWIM INSTRUCTION (Levels I, II & III) at Coffin Pond Family Recreation Area, River Road AGES 4 to 14 (as of start of program) FEE: Brunswick Residents - $60.00 July 30th- August 10th Non-Residents - $80.00 Monday through Friday (10 lessons) Certified Water Safety Instructors (WSIs) & Swim Aides Time: 9-9:50 a.m. The Brunswick Parks and Recreation Department is offering one session of American Red Cross Swim lessons at Coffin Pond this summer. (Levels I, II & III) Children with previous experience will be placed in the class offering the next higher level of instruction. Children wishing to enroll in Levels II & III must show the ability to pass all required skills of the previous level. Classes are held Monday through Friday morning from 9:00 to 9:50 a.m. for two consecutive weeks. Class size is limited, so register early. Coffin Pond is an outdoor swimming facility and has a separate shallow area for beginner instruction. The lessons are open to all Brunswick and area children ages 4 14 as of the start of the program. The Parks and Recreation Department encourages individuals with disabilities to register for this program. Should you desire further information, contact the Recreation Department at 725-6656. Registrations will be accepted at the Recreation Center, Monday through Friday, on a first come, first served basis. Return to the Recreation Center at 220 Neptune Drive. with fee, by July 27. Office hours Mon.-Fri., 8:30 a.m. to 4:30 p.m BRUNSWICK PARKS & REC DEPT. FEE PER CHILD, PER SESSION LEARN-TO-SWIM/COFFIN POND 2018 Brunswick Residents $60 Please Print Non-Residents $80.00 NAME STREET ADDRESS TOWN ZIP TOWN OF RESIDENCE SCHOOL GRADE (FALL 2018) DATE OF BIRTH AGE as of August 1, 1018 BOY GIRL HOME PHONE WORK PHONE CELL/PAGER EMAIL EMERGENCY PERSON, other than Parent: RELATIONSHIP DAY PHONE CELL/PAGER SESSION I (Check one) (7/30-8/10) (121177-01) LEVEL I/II, Water Exploration/Primary Skills (Beginner) 9:00 a.m. LEVEL III, Stroke Readiness (Advanced Beginner) 9:00 a.m. Date Amt$ Rec.# Computer *ALLERGIES/PHYSICAL or EMOTIONAL LIMITATIONS *WOULD YOU LIKE TO BE CONTACTED BY OUR THERAPEUTIC RECREATION COORDINATOR REGARDING THE ABOVE? YES NO As a parent, I give my child permission to participate in the Brunswick Parks and Recreation Department American Red Cross Learn to Swim Program at Coffin Pond. 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 PARENT/GUARDIAN NAMES(s) Please Print: Visit us online at http://www.brunswickme.org/departments/parks-recreation for a complete list of our current programs, to obtain registration forms, and to view our refund policy.

Brunswick Parks & Recreation Department KIDS ON THE FIELD K, 1 ST & 2 ND GRADE COED INSTRUCTIONAL BASEBALL/SOFTBALL The first three nights the whole group will be introduced to and practice fundamental skills of the game. The group will then be split into five rotating stations, where kids will work on throwing, catching, running the bases, defense and batting. Each night we will repeat the same format with time spent teaching the kids the various positions and terms of the sport, gradually teaching the kids what they need to be able to play a game starting on the fourth night. The games will be very controlled, providing a safe, positive learning experience to all players. IMPORTANT-We need MANY volunteers to help provide a safe, successful program. Please volunteer, no previous baseball or softball experience is necessary. We will provide all the guidance the volunteers need! K, 1 st & 2 ND Grade Boys & Girls (grade entering in fall of 2018) 3- Nights of Practices - proper instruction of fun damentals 4- Nights of Controlled Instructional Games All Practices and Games at Edwards Field Mondays & Wednesdays for 7 Nights! June 4-25. Each player will have a team, coach and team t-shirt! The Parks and Recreation Department encourages individuals with disabilities to register for this program. Should you desire further information, contact the Recreation Department at 725-6656. For a copy of our refund policy, please visit our website at www.brunswickme.org/parkrec. --- ----Detach here and return to the Brunswick Recreation Center, 220 Neptune Drive by June 1. ------ Brunswick Parks & Recreation Department Fee: Brunswick Residents: $42; Non-Res: $56 2018 K, 1 st & 2 nd Grade Kids on the Field Baseball/Softball League Child s Name Address Town Zip Date of Birth Male Female School Grade Email Day Phone Evening Phone Cell Phone Allergies/Physical or Emotional Limitations Person to call in case of emergency: Name Phone As a parent, I give my child permission to participate in the Brunswick Parks and Recreation Department Kids on the Field K, 1 st & 2 nd Grade Baseball/Softball League. 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 Parent(s) Name (Please Print) Monday & Wednesdays June 4 25 5:30 pm - 6:30 pm Grades K, 1 & 2 Coed (grade as of fall 2018) Edwards Field (Rain location is the Recreation Center) Fee: $42 Brunswick Res. $56 Non-Res. Date Amt$ Computer 121060-01 Yes, I would like to volunteer coach with this program. Our staff will provide instruction at practices and be on hand to help with controlled games Name Day Phone

BRUNSWICK PARKS AND RECREATION DEPARTMENT Summer 2018 Sanctioned by Maine Association of USA Track & Field Boys & Girls ages 6 to 14, as of Dec. 31, 2018 Program Fee: *$90 Brunswick Residents *$119 Non Residents Mondays & Tuesdays at Brunswick High School track, June 18 th - August 11 th.* Ages 6-10 practice from 5:00pm to 6:00 p.m. Ages 11-14, practice from 6:00pm to 7:00 p.m. The Brunswick Parks & Recreation Department is offering Track & Field this summer. Participate in track meets, develop skills and have fun! Emphasis will be placed on developing and improving technique and performance in different events (i.e., sprints, distance runs, relays, hurdles, long & high jumps, shot put, discus, race walking & turbo javelin) Children are encouraged to participate in different events according to their age, interest and ability. This year practices will be held on Mondays & Tuesdays at the Brunswick High School track, beginning June 18 th through August 11 th. Led by second year track coach Catherine Schofield! Adult and student volunteers are welcome and needed to assist track staff. On Thursdays, children may participate in organized track meets that compete at Poland or Edward Little. Bus transportation will be provided. All meets start at 11am unless noted. At Poland: June 28th and July 26 th ; Edward Little: July 5th TBD July 12 th ; At Lisbon High School: July 19 th. All dates are subject to change (2018 schedule of meets not finalized yet). The registration fee covers the cost of a track shirt, membership in U.S.A. Track & Field and other costs associated with running the program. (i.e.staffing, equipment, bus transportation, etc.) The State Meet is Saturday, August 11th* at Cony High School in Augusta at 9am. Registrations are accepted at the Brunswick Recreation Center, 220 Neptune Drive. For more information call 725-6656. Visit us online at http://www.brunswickme.org/departments/parks-recreation/ A copy of birth certificate is required by the Maine USATF for age verification. The Parks and Recreation Department encourages individuals with disabilities to register for this program. Should you desire further information, contact the Recreation Department at 725-6656. -Detach & return to the Brunswick Recreation Center, 220 Neptune Drive by June 15 t.h Office hours Mon.-Fri., 8:00 a.m. to 4:30 p.m. - BRUNSWICK PARKS & RECREATION DEPT. *FEE: $90 RES; $119 NR *(2018 USATF members, reduce fee by $15 with membership #) FOR OFFICE USE YOUTH TRACK & FIELD PROGRAM - Summer 2018 Date Amt$ Please Print Rec.# NAME DATE OF BIRTH AGE, as of 12/31/18 6-10 yrs. 121351-01 11-14 yrs. 121351-02 Do you have a current 2018 Maine USA Track & Field Membership YES NO If yes, membership# Computer STREET ADDRESS TOWN ZIP TOWN OF RESIDENCE SCHOOL GRADE, in fall 18 HOME PHONE WORK PHONE CELL PHONE EMAIL SHIRT SIZE, Check One: Youth Lg. Adult Sm. Adult Med. Adult Lg. Adult XLg. EMERGENCY PERSON, other than parent: RELATIONSHIP DAY PHONE CELL PHONE *ALLERGIES/PHYSICAL OR EMOTIONAL LIMITATIONS *WOULD YOU LIKE TO BE CONTACTED BY OUR THERAPEUTIC RECREATION COORDINATOR REGARDING THE ABOVE? YES NO As a parent, I give my child permission to participate in the Brunswick Parks and Recreation Department Youth Track & Field Program and all meets. 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)

THE BRUNSWICK PARKS AND RECREATION DEPARTMENT Summer 2018 Home & Away Games built into the schedule! July 9 th - July 13 th FEE: Brunswick Residents - $99 for the week Non-residents - $131 for the week Before Care $10/week Residents; $13 Non-Residents After Care $10/week Residents; $13 Non-Residents Boys Entering Grades 4 9 as of Fall 2018 The Parks and Recreation Department in conjunction with Brunswick High School Varsity Boys Basketball Coach Todd Hanson is offering Dragon Basketball Camp at Brunswick High School. The Dragon Basketball Camp will run on Monday, July 9 th through Thursday, July 12 th from 9am to 3pm each day, Friday July 13 th will run 9am- 1pm (no after care Friday) There will be before and after care available for an extra fee from 8-9am( Mon-Fri) and 3-4pm( Monday- What to bring: Sneakers, several t-shirts to change during the day, bag lunch each day, water, and snacks. Thursday). The camp will focus on fundamental skill development with a home game day and away game day with Lewiston/and or Edward Little. Todd Hanson will be running the camp 8:45am: 9:00am: 10:00am: 11:00am 11:45am: 12:30pm: 1:30pm: 2:15pm: 3:00pm: Daily Schedule Check In Offensive Stations Shooting Series Games Lunch Defensive Stations Transition routes Games Pick-up assisted by 3 other coaches. Emphasis will be placed on safety, fun and skill development. Kids should also bring their own lunch, drinks and snacks. Come and join us for a fun filled week and improve your game! Detach & return w/fee by July 6 to the Brunswick Recreation Center, 220 Neptune Dr. Office hours Mon-Fri 8am 4:30 pm. BRUNSWICK PARKS & RECREATION DEPT Dragon Basketball Camp - Summer 2018 Please Print FEES: $99 Residents, $131 Non-Residents NAME Before Care $10 Res, $13 Non-Res After Care $10 Res, $13 Non-Res DATE OF BIRTH AGE SCHOOL GRADE IN FALL OF 2018 STREET ADDRESS TOWN ZIP TOWN OF RESIDENCE The Parks & Recreation Department encourages individuals with disabilities to register for this program. Should you desire further information, contact us at 725-6656. For a copy of our refund policy, visit our office or website at www.brunswickme.org HOME PHONE WORK PHONE CELL ALLERGIES/PHYSICAL/EMOTIONAL LIMITATIONS EMERGENCY CONTACT other than parent Relationship EMERGENCY PHONE As a parent, I give my child permission to participate in the Brunswick Parks and Recreation Department Dragon Basketball Camp. I understand that photographs taken of Parks and Recreation Programs may be used by the Parks and Recreation Department for promoting programs, classes or events to include brochures, posters or web page postings. Signature of Parent/Guardian Names of Parents/Guardians (PLEASE PRINT) Date Amt$ 121000-05

BRUNSWICK PARKS & RECREATION DEPARTMENT Summer 2018 Dragons GIRLS BASKETBALL CAMP Lead by Sam Farrell, Head Coach - Brunswick High School Varsity Girls Basketball Entering grades 3 through 8 9:00am-11:30am @ Brunswick High School Gymnasium Sam Farrell, Head Coach of the Brunswick High School Varsity Girls Basketball program, will be leading our Summer Basketball Camp for girls entering Grades 3 8. Coach Farrell has been coaching basketball for the last 17 years (13 years at the varsity level, Undefeated Regular Season in 2017-18 season). Emphasis will be on skill development, fundamentals, games and having fun. Join Coach Farrell to improve your game over the summer! This 4-day clinic will run July 16 th July 19 th, at the Brunswick High School Gymnasium. For a copy of our refund policy please visit our office at 220 Neptune Drive or our website at www.brunswickme.org/parkrec The Parks and Recreation Department encourages individuals with disabilities to register for this program. Should you desire further information, contact the Recreation Department at 725-6656 Detach & return with fee to the Brunswick Rec. Center, 220 Neptune Drive by July 11th. Office Hours Mon-Fri 8 a.m.-4:30 p.m. BRUNSWICK PARKS & REC DEPT. LADY DRAGONS SUMMER BASKETBALL CAMP 2018 FEE: $42 Residents $56 Non Residents (Please Print) NAME DATE OF BIRTH STREET ADDRESS TOWN ZIP TOWN OF RESIDENCE SCHOOL GRADE, in Fall 2018 HOME PHONE MOM S WORK PHONE DAD S WORK PHONE MOM S CELL PHONE DAD S CELL PHONE EMAIL EMERGENCY PERSON, other than parent: NAME RELATIONSHIP EMERGENCY HOME PHONE EMERGENCY CELL PHONE *ALLERGIES/PHYSICAL OR EMOTIONAL LIMITATIONS *WOULD YOU LIKE TO BE CONTACTED BY OUR THERAPEUTIC RECREATION COORDINATOR REGARDING THE ABOVE? YES NO As a parent, I give my child permission to participate in the Brunswick Parks and Recreation Department Grade 3-8 Girls Summer Basketball Camp. I understand that photographs taken of Parks and Recreation Programs may be used by the Parks and Recreation Department for promoting programs, classes or events to include brochures, posters or web page postings. Signature of Parent/Guardian Date Names of Parents/Guardians (PLEASE PRINT) Date Amt$ (121001-01) Computer

THE BRUNSWICK PARKS AND RECREATION DEPARTMENT Summer 2018 Directed by Bowdoin Baseball Coach Mike Connolly Held at Lishness Field FEE: Brunswick Residents - $99 for the week Non-residents - $132 for the week 9am-12pm Boys & Girls ages 7-9 and ages 10-12 (age as of May 1, 2018) Limit of 20 per age group. The Parks and Recreation Department in conjunction with Bowdoin College Baseball Coach Mike Connolly is offering the Polar Bear Baseball Camp at Lishness Field. The Camp will run on Monday, June 25 th through Thursday, June 28 th from 9:00am to noon each day. It will focus on fundamental skill development and game simulation. Mike Connolly, Bowdoin s Head Baseball Coach, will be What to bring: Glove, cleats, clothes for warm and cool weather, t k Daily Schedule 8:45am: Check In 9:00am: Skills & Drills 10:00am: Games Noon: End of Camp running the clinic assisted by 3 other coaches. Emphasis will be placed on safety, fun and skill development. Please bring a glove and wear cleats for outdoor play. Come and join us for a fun filled week and improve your game! For a copy of our refund policy, visit our office or website at www.brunswickme.org/parkrec The Parks & Recreation Department encourages individuals with disabilities to register for this program. Should you desire further information, contact us at 725-6656. Detach & return w/fee to the Brunswick Recreation Center, 220 Neptune Dr. Office hours Mon-Fri 8am 4:30 pm. BRUNSWICK PARKS & RECREATION DEPT Polar Bear Baseball Camp - Summer 2018 Please Print Fee: Brunswick residents: $99 Non-residents: $132 NAME MALE FEMALE SCHOOL GRADE DATE OF BIRTH AGE as of May 1, 2018 STREET ADDRESS TOWN ZIP TOWN OF RESIDENCE HOME PHONE WORK PHONE CELL ALLERGIES/PHYSICAL/EMOTIONAL LIMITATIONS EMERGENCY CONTACT other than parent Relationship EMERGENCY PHONE As a parent, I give my child permission to participate in the Brunswick Parks and Recreation Department Polar Bear Baseball Camp. I understand that photographs taken of Parks and Recreation Programs may be used by the Parks and Recreation Department for promoting programs, classes or events to include brochures, posters or web page postings. Signature of Parent/Guardian Names of Parents/Guardians (PLEASE PRINT) Date Amt$ 121055-01 Age 7-9 Age 10-12 Computer

Brunswick Parks and Recreation Department Summer 2018 NOW! REGISTER ONLINE! EXCITING NEW LOCATION! Now Meets at the Brunswick Golf Club This premier golf course offers an outstanding teaching facility: driving range * chipping area * pitching area putting green * sand play * course management Ages 9 15 (age as of start of program) Tuesdays, July 10 th July 31st, 11:00am-12:00pm Learn to play the fun way with Mt. Ararat Varsity Golf Coach GERRY CARON! 2016 & 2017 KVAC Coach of the Year! Classes Include: Grip, Stance, Iron Play, Chipping, Putting, and Golf Etiquette. Equipment available. Each class is limited to 20 golfers and early registration is strongly encouraged! Registrations are accepted at the Brunswick Recreation Center, 220 Neptune Drive. For more information call 725-6656. For a copy of our refund policy visit www.brunswickme.org The Parks and Recreation Department encourages individuals with disabilities to register for this program. Should you desire further information, contact the Recreation Department at 725-6656. -Detach & return to the Recreation Center, 220 Neptune Drive, by July 6. Office hours Mon.-Fri., 8:00 a.m. to 4:30 p.m. - Brunswick Parks and Recreation Department Brunswick Residents: $66.00 Golf for Beginners - Summer 2018 Non-Residents: $88.00 NAME BOY GIRL STREET ADDRESS TOWN HOME PHONE WORK PHONE CELL PHONE SCHOOL GRADE, fall 2018 DATE of BIRTH AGE at start of program EMAIL TOWN OF RESIDENCE EMERGENCY CONTACT (other than parent): RELATIONSHIP DAY PHONE CELL *ALLERGIES/PHYSICAL or EMOTIONAL LIMITATIONS *WOULD YOU LIKE TO BE CONTACTED BY OUR THERAPEUTIC RECREATION COORDINATOR REGARDING THE ABOVE? YES NO GOLF for KIDS As a parent, I give my child permission to participate in the Brunswick Parks and Recreation Department Golf for Kids program. I understand that photographs taken of Parks and Recreation Programs may be used by the Parks and Recreation Department for promoting programs, classes or events to include brochures, posters or web page postings. Signature of Parent/Guardian Names of Parents/Guardians (PLEASE PRINT) Date Amt$ 121301-01 Computer

Brunswick Parks & Recreation Department NOW, REGISTER ONLINE! Summer 2018 Youth Field Hockey Clinic Aug. 20 th Aug 24 th at the Brunswick Junior High School Entering grades K- 8 in Fall 2018 (Grades K-2: 9:00-10:00am Grades 3-8: 9-11:30am) (Two Grade Levels for Learning and Safety) Grades K-2 Fee: $30 Residents $40 Non-Residents Grades 3-8 Fee: $40 Residents $53 Non-Residents Directed by Karin Iuzzolino-Paquin, Joan Iuzzolino and Carrie Sullivan The goal of this clinic is to provide an introduction to the sport for those who have never played, as well as skill enhancement for those who have or want to warm up before the season. This program is led by a very experienced staff: Karin Iuzzolino-Paquin, Brunswick High School Varsity Coach, Joan Iuzzolino, BJHS Phys. Ed Teacher & BJHS Field Hockey Coach, and Carrie Sullivan, a four year varsity field hockey player at Middlebury College, as well as nine years coaching Junior High and High School field hockey players. This clinic is a can t-miss for any field hockey enthusiast!!! Players will focus on basic skill development through a series of fun games that help players become comfortable with a stick in the field, as well as focusing on mastering fundamental skills & game situation scrimmaging. This is a great program for introductory players! Program shirt is included! Skills Covered: Dribbling Passing Receiving Dodging Shooting Offensive Concepts Defensive Concepts Basic Rules Game Play Harrow Sports and a USA Field Hockey Grant have provided the STICKS to use so everyone can try out this great game before investing in their own! Please bring: shin guards, mouth guard, water bottle, and sneakers. The Parks and Recreation Department encourages individuals with disabilities to register for this program. Should you desire further information, contact the Recreation Department at 725-6656. Detach & return with fee to the Recreation Center, 220 Neptune Drive, by August 17. Office hours Mon.-Fri., 8:00 a.m. to 4:30 p.m. Brunswick Parks and Recreation Dept. F ee: Grades K-2: $30 Brunswick Residents $40 Non-Residents Field Hockey Clinic, Summer 2018 Fee: Grades 3-8: $40 Brunswick Residents $53 Non-Residents Please Print NAME STREET ADDRESS TOWN _ I need to borrow a field hockey stick ZIP Date Amt$ Computer #121251-01 Grades K-2 SCHOOL GRADE, fall 2018 DATE OF BIRTH _ Grades 3-8 HOME PHONE WORK _PHONE CELL EMAIL EMERGENCY PERSON (other than parent):_ DAY PHONE ALLERGIES/PHYSICAL or EMOTIONAL LIMITATIONS_ CELL/PAGER RELATIONSHIP As a parent, I give my child permission to participate in the Brunswick Parks and Recreation Youth Field Hockey Clinic. 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)

SUMMER 2018 BRUNSWICK PARKS & RECREATION DEPARTMENT SUMMER SOCCER CAMP August 6 th - 10th, 2018 9:00 a.m. - 12 noon or 9:00 a.m. 10:30 a.m. At Edwards Field Ages 7-14, 9:00am-Noon: Brunswick Residents: $120 Non-Residents: $160 Ages 5 & 6, 9:00-10:30am: Brunswick Residents: $75 Non-Residents: $100 The Brunswick Parks and Recreation Department is sponsoring a SUMMER SOCCER DAY CAMP for boys and girls ages 5 to 14 as of October 15, 2018. There are two age groups, a 5 & 6 year old group that runs from 9am until 10:30am and a 7 to 14 year old age group that runs from 9am until noon. This program has evolved into one of the more popular summer recreation programs offered in our community. Each day begins with a fun "camp warm-up" which gets everyone loose and lots of touches on the ball. The players are then split up into age-appropriate groups and matched up with a coach for the week. As a group they play fun games and exercises which promote confidence with the ball. Each day ends with scrimmage play which may be different from day to day but encourages every player to be involved as much as possible. All campers receive a Nike soccer ball and Nike t-shirt. HIGHLIGHTS D Fun, Motivated & Experienced Soccer Staff Great For All Skill Levels Low Player to Coach Ratio Includes a Seacoast United Soccer Camp Shirt Every camper will receive a Soccer Ball ilsc dul The Parks and Recreation Department encourages individuals with disabilities to register for this program. Should you desire further information, contact the Recreation Department at 725-6656. For More Information, call 725-6656. For a copy of our refund policy visit us at 220 Neptune Drive or online at www.brunswickme.org Online Registration Now Available!

BRUNSWICK PARKS & RECREATION DEPARTMENT SUMMER SOCCER CAMP, August 6 th - 10 th, 2018 Fee: (Ages 5 & 6): Brunswick Residents - $75* Non-Residents - $100* (Ages 7 14): Brunswick Residents - $120* Non-Residents - $160* *(Includes ball and T-shirt) Date Amt$ 121102-01 Ages 7-14 121102-03 Ages 5 & 6 Computer Please check one: Age 5 & 6 (Age as of 10/15/18) 9am 10:30am Age 7 14 (Age as of 10/15/18) 9am - noon Name Date of Birth Age (Age as of October 15, 2018) Male Female Street Address Town Zip Town of Residence School Attending, fall 2018 Grade Home Phone Work Phone Cell Pager Email Family Doctor Phone *ALLERGIES, PHYSICAL OR EMOTIONAL LIMITATIONS (if any) *WOULD YOU LIKE TO BE CONTACTED BY OUR THERAPEUTIC RECREATION COORDINATOR REGARDING THE ABOVE? YES NO Emergency Contact, other than parent: Name Relationship Day Phone Cell/Pager I give permission for my, above named, child to participate in the Summer Soccer Camp. Parent/Guardian Signature Date Parent/Guardian Name(s) Please Print Online Registration Now Available!

BRUNSWICK PARKS & RECREATION DEPARTMENT SUMMER 2018 Second Annual TAKE DOWN WRESTLING PROGRAM For Kids Entering GRADE 1 thru GRADE 8 as of Fall of 2018 ALL Abilities and Experience levels welcomed. Come Join the Fun! Sign up in our office or online! www.brunswickme.org 8 Sessions over two weeks Monday thru Thursday Nights Beginning Monday July 16 th - Ending Thursday, July 26th 5pm-7pm at the Brunswick Parks & Recreation Department Coached by: Dr. Richard Giustra For More info or questions email Coach Giustra: rgiustra59@yahoo.com --- ----Detach here and return to the Brunswick Recreation Center, 220 Neptune Drive by July h ------ Brunswick Parks & Recreation Department Fee: Brunswick Residents: $50 Non-Res: $67 2018 Summer TAKE DOWN Youth Wrestling Program Child s Name Address Town Zip Date of Birth Male Female Height Weight Wrestling Experience School Grade as of Fall 2018 Email Day Phone Evening Phone Cell Phone Allergies/Physical or Emotional Limitations Person to call in case of emergency: Name Phone As a parent, I give my child permission to participate in the Brunswick Parks and Recreation Department Summer 2018 Take Down Youth Wrestling Program. I understand that photographs taken of Parks and Recreation Programs may be used by the Parks and Recreation Department for promoting programs, classes or events to include brochures, posters or web page postings. Signature of Parent/Guardian Date Amt$ Computer 126260 Parent(s) Name (Please Print)

Brunswick Parks & Recreation Department NEW! REGISTER ONLINE! Summer 2018 Kayaking & SUP Camp Where: NEW LOCATION! THOMAS POINT BEACH Ages 8 and Up (age as of start of camp) Monday - Friday, August 13 th through August 17 th Half Day: 9:00am 12:00pm OR Full day: 9:00am - 4:00pm Fee: Half Day-$225 Brunswick Residents/$299 Non-Residents Full Day-$325 Brunswick Residents/$432 Non-Residents Spend the week with Seaspray Kayaking having fun on the water! Each participant will have their own kayak and/or paddleboard as they explore the New Meadows River standing up and sitting down. The proper paddling skills and safety will be taught to ensure plenty of summer fun after the camp. A snack and drink will be provided daily and all kayakers will receive a kayaking T-Shirt and certificate on the last day! Participants have a choice of a half day (9am noon) session or an all day (9am - 4 pm) option for those who really LOVE to be on the water. Guaranteed to be the talk of the summer! What to Bring: Bathing Suit/Nylon Shorts Towel Sunglasses/Strap/Sunblock/Hat Windbreaker/Fleece/Rain Jacket Water Shoes/Sandals/Socks/Old sneakers Water Bottle Lunch (If attending all day) Water Proof Camera Optional: Own Kayak/Lifejacket/Wetsuit **Kayakers should be prepared for a change in weather conditions.** ** If a change in the schedule is made, all participants will be notified by phone.** For a copy of our refund policy, please visit our office at 220 Neptune Drive or our website at www.brunswickme.org The Parks and Recreation Department encourages individuals with disabilities to register for this program. Should you desire further information, contact the Recreation Department at 725-6656. Return with fee to the Recreation Center, 220 Neptune Drive, by August 9. Office hours Mon.-Fri. 8:00 a.m. to 4:30 p.m Brunswick Parks & Recreation Dept. Camp Fees: Half Day-$225 Brunswick Residents / $299 Non Residents Kayaking & SUP Camp, Summer 2018 Full Day- $325 Brunswick Residents / $432 Non Residents Please Print Name Age (As of August 13 th, 2018) Date of Birth Street Address Town Zip Home Phone Work Phone Cell Phone Email Emergency Contact, other than parent: Relationship Day Phone Cell/Pager Please Check: Half Day (125000-01) 9am noon Full Day (125000-03) 9am 4pm Swimming Ability (circle one): Weak Good Excellent Kayak Experience: Somewhat Experienced Very Experienced Did you read and sign the Liability Form on the back of this sheet? Date: Amt $ Computer Liability Form 125000-01 *ALLERGIES/PHYSICAL OR EMOTIONAL LIMITATIONS *WOULD YOU LIKE TO BE CONTACTED BY OUR THERAPEUTIC RECREATION COORDINATOR REGARDING THE ABOVE? YES NO As a parent, I give my child permission to participate in the Brunswick Parks and Recreation Department Kayak & Paddleboard 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)

Seaspray Kayaking Waiver and Release of Liability PLEASE READ CAREFULLY DISCLAIMER: Seaspray Kayaking will not be responsible for any injury (or loss of property); including any negligence on the part of Seaspray Kayaking its agents, or employees. I understand that my participation in outdoor adventure activities, such as kayaking, stand up paddleboarding and/or canoeing involves certain risks, including but not limited to capsizing, severe weather and/or water conditions, serious injury and/or death. I am voluntarily participating in this activity with knowledge of the danger involved and hereby agree to accept any and all inherent risks of property damage, personal injury, and/or death. I hereby release, discharge and covenant not-to-sue Seaspray Kayaking and/or, its officers, directors, employees, instructors, agents or assigns from any and all present and future claims for property damage, personal injury, and/or wrongful death. I hereby voluntarily waive any and all claims present and future that may be made by me, my family, estate, heirs, or assigns. I understand that this waiver is intended to be as broad and inclusive as permitted by the laws of the State of Maine and agree that if any portion is held invalid, the remainder of the waiver will continue in full legal force and effect. I further agree that the venue for any legal proceedings shall be in the State of Maine. I affirm that I am of good health, legal age and am freely signing this agreement. I have read this form thoroughly and fully understand that by signing this form, I am giving up legal rights and/or remedies which may be available to me, my family, heirs or estate. In the event that an injury does occur, I give consent for first-aid to be administered. (Signature of Participant(s)) Date (Please Print Name(s) Here) Signature of Parent/Guardian (if Participant is Under 18) Date (Please Print Name Here)

Brunswick Parks and Recreation Department Summer 2018 July 9 th - July 13 h 9am 3pm (Age 6 through age 12 as of start of program.) MAD SCIENCE is offering an exciting camp for kids this summer ROBOT RECRUIT CAMP Harriet Beecher Stowe School Community Room Fees are $285 for Brunswick residents, $379 for non-residents. NOW ACCEPTING ONLINE REGISTRATIONS! Join Mad Science for a week of discovery and fun in this five-day Robotics Camp! Investigate robotic fundamentals with curious robots, learn about the history and current field of robotics, explore robot design potential by using robots that have big personalities, and build ingenious robots to take home. Compare, analyze, and test a variety of robots every day that are correlated to the daily concepts. We will explore circuits, electricity, sensors, gears, and advanced robotic applications. Learn about the mechanical aspects of robots with gears, gear ratios, and torque. Pick up the basics of electricity by snapping together circuits to make a remote control rover robot. Experiment with sound sensing robots, line-tracking robots, industrial robots, app-controlled performance bots, robotic pets, the worlds smartest and smallest robot, and so much more! All program flyers and a copy of our refund policy can be found on our website: www.brunswickme.org/departments/parks-recreation The Parks and Recreation Department encourages individuals with disabilities to register for this program. Should you desire further information, contact the Recreation Department at 725-6656. Detach & return with fee to the Recreation Center, 220 Neptune Drive. Office hours Mon.-Fri., 8:00 a.m. to 4:30 p.m BRUNSWICK PARKS & RECREATION DEPARTMENT. MAD SCIENCE Summer 2018 - ROBOT RECRUIT CAMP Fee: $285 RES / $379 NON RES Name MALE FEMALE Date of Birth Age as of July 9, 2018 Street Address Town Zip Town of Residence School Grade, fall of 18 Home Phone Work Phone Cell Phone Email Emergency Contact (other than parent): Relationship Date Amt$ Computer 126121-01 Day Phone CELL *ALLERGIES/PHYSICAL/EMOTIONAL LIMITATIONS *WOULD YOU LIKE TO BE CONTACTED BY OUR THERAPEUTIC RECREATION COORDINATOR REGARDING THE ABOVE? YES NO As a parent, I give my child permission to participate in the Brunswick Parks and Recreation Department Mad Science 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)

Brunswick Parks & Recreation Department SUMMER 2018 Art Smart Summer Camps REGISTER ONLINE! Grades K 1 and Grades 2-3 as of Fall 2018 ALL CLASSES AT THE HARRIET BEECHER STOWE SCHOOL ART ROOMS $95 Res.; $126 Non- Res. For Each Class OR All-day class: $200: Res.; $266: Non-Res. Instructed by Brunswick School Art Teachers: Kari McCarthy, Amy Crosby and Bonnie Gilman Drawing & Painting (Grades K 1) & (Grades 2 3): 9:30-11:30am HBS Art Rooms - Monday through Friday, July9 th - July 13 th Do you love to draw and paint? This is the camp for you! Our art teachers will guide you through a variety of different drawing and painting projects. Campers can experiment with different art mediums including markers, pastels, watercolor and tempera paint while creating their own masterpieces. Choose individual classes or go for a Full Day of Art FUN! The full day will include a supervised recess in between classes. Make sure to bring a lunch! (All day not recommended for students entering K) Clay and Sculpture (Grades K - 1) & (Grades 2-3) 12:30pm - 2:30pm HBS Art Rooms - Monday through Friday, July 9th July 13th Do you love to make and build things? Come join us for a creative week. We will start the week making clay vessels and animals. Later, we will experiment with other sculpture materials like cardboard, papier mache and wood. Come ready for hands on fun! The Parks and Recreation Department encourages individuals with disabilities to register for this program. Should you desire further information, contact the Recreation Department at 725-6656. (To view our refund policy, please visit our website at www.brunswickme.org/parkrec) --------------- Detach and return with fee to the Recreation Dept. 220 Neptune Drive, by July 6, 2018 --------------------------- Brunswick Parks & Recreation Department Summer 2018 K - 2 Art Smart Summer Camps Brunswick Residents $95; Non Residents $126 each class Full day option for July 9 th July 13 th Brunswick Residents $200; Non-Residents $266 Please check the class(es) you want: Drawing & Painting Grade K-1 9:30 11:30am Drawing & Painting Grade 2-3 Clay and Sculpture Grade K-1 12:30 2:30 pm Clay & Sculpture Grade 2-3 All Day Grade K-1 9:30am -2:30pm All Day Grade 2-3 Child s Name Street Address Town Zip School Grade as of fall 2018 Date of Birth Age Day Phone Evening Phone Cell Emergency Contact Phone Allergies or Physical/Emotional Limitations Date: Amt$: 122001 Computer *WOULD YOU LIKE TO BE CONTACTED BY OUR THERAPEUTIC RECREATION COORDINATOR REGARDING THE ABOVE? YES NO As a parent, I give my child permission to participate in the Brunswick Parks and Recreation Department Art Smart Summer 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)

Brunswick Parks & Recreation Department SUMMER 2018 Art Smart Summer Camps Choose each individual class or go for a FULL DAY of art fun! The full day will include a supervised recess in between classes. Make sure to bring a lunch! The Parks and Recreation Department encourages individuals with disabilities to register for this program. Should you desire further information, contact the Recreation Department at 725-6656. (To view our refund policy, please visit our website at www.brunswickme.org/parkrec) ------------------ Detach and return with fee to the Recreation Dept., 220 Neptune Drive, by July 6, 2018. -------------------- Brunswick Parks & Recreation Department Summer 2018 4 th & 5 th Grade Art Smart Summer Camps Brunswick Residents $95; Non Residents $126 each class Full day option for July 9 th July 13 th : Brunswick Residents $200; Non-Residents $266 Please check the class(es) you want: Drawing & Painting Grades 4 & 5 9:30am 11:30am July 9 th July 13 th Clay & Sculpture Grades 4 & 5 12:30pm 2:30pm July 9 th July 13 th All Day Grade Grades 4 & 5 9:30am 2:30pm July 9 th July 13 th Child s Name Street Address Town Zip School Grade as of fall 2018 Date of Birth Age Grades 4 5 as of Fall 2018 Day Phone Evening Phone Cell Emergency Contact Phone Allergies or Physical/Emotional Limitations REGISTER ONLINE! ALL CLASSES AT HARRIET BEECHER STOWE SCHOOL ART ROOMS $95 Res.; $126 Non - Res. For Each Class or All-day class: $200Res.; $266 Non-Res. Instructed by Brunswick School Art Teachers: Kari McCarthy, Amy Crosby & Bonnie Gilman Drawing and Painting Grades 4 & 5: 9:30am - 11:30am HBS Art Rooms - Monday through Friday, July 9 th July 13 th Do you love to draw and paint? This is the camp for you! Our art teachers will guide you through a variety of different drawing and painting projects. Campers can experiment with different art mediums that may include pencils, pastels, paint, print-making and mixed media while creating their own masterpieces. Clay and Sculpture Grades 4 & 5: 12:30pm - 2:30pm HBS Art Rooms - Monday through Friday, July 9 th July 13 th Do you love to make and build things? Come join us for a creative week! We will start the week making clay vessels and animals. Later, we will experiment with other sculpture materials like cardboard, papier mache and wood. Come ready for some hands-on fun! Date: Amt$: 122001-01 Draw & Paint 4 & 5 122001-03 Clay & Sculpture 4 & 5 122001-14 All Day 4 & 5 Computer *WOULD YOU LIKE TO BE CONTACTED BY OUR THERAPEUTIC RECREATION COORDINATOR REGARDING THE ABOVE? YES NO As a parent, I give my child permission to participate in the Brunswick Parks and Recreation Department Art Smart Summer 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)

Brunswick Parks & Recreation Department SUMMER 2018 Art Smart Summer Camp Studio Art Camp Grades 6 9 as of Fall 2018 REGISTER ONLINE! LOCATION: HARRIET BEECHER STOWE SCHOOL ART ROOMS FEE: $190 Res., $259 Non-Res. Instructed by Brunswick School Art Teachers: Kari McCarthy and Cory Bucknam Studio Art Camp For students entering 6th through 9th grade July 30th - August 3rd 9:00am-3:00pm Bring your ideas and creative energy. Spend 5 days in our art studio learning new skills and making art. Campers may pick an art concentration for the week from ceramics, sculpture, fashion design or drawing/painting. Or they may sample from a variety of art disciplines. Art supplies will be provided. Bring lunch and a snack. The Parks and Recreation Department encourages individuals with disabilities to register for this program. Should you desire further information, contact the Recreation Department at 725-6656. (To view our refund policy, please visit our website at www.brunswickme.org/parkrec) ------------------ Detach and return with fee to the Recreation Dept., 220 Neptune Drive, by July 27, 2018--------------------- Brunswick Parks & Recreation Department Summer 2018 Gr. 6-9 Art Smart Summer Camp Brunswick Residents $190; Non Residents $259 Studio Art Camp Grade 6-9 9:00am 3:00pm Child s Name Street Address Town Zip School Grade as of Fall 2018 Date of Birth Age Day Phone Evening Phone Cell Emergency Contact Phone Allergies or Physical/Emotional Limitations Date: Amt$: 122001-06 Studio Art Camp 6-9 Computer *WOULD YOU LIKE TO BE CONTACTED BY OUR THERAPEUTIC RECREATION COORDINATOR REGARDING THE ABOVE? YES NO As a parent, I give my child permission to participate in the Brunswick Parks and Recreation Department Art Smart Summer 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)

Brunswick Parks and Recreation Department Summer 2018 A summer camp where BUGS are the star attraction Taught and led by Brunswick Science Teachers Maria Palopoli & Steve Shea July 23 rd - July 27 th at Brunswick High School -Room 227 8:30am-12:30 pm Grades 5-7 (as of fall 2018) Cost- $135 for Brunswick Residents & $179 for Non- Residents REGISTER ONLINE! This New and Unique Science camp will explore the wonderful and exciting world of Insects. Insects of summer are everywhere, so what better time to study these mysterious, fascinating, crawling, flying, buzzing creatures? 'Bug Campers' will learn more about insects, how to identify an insect from other arthropods, investigate how insects survive, where they live and their benefit to our shared world. Students will spend time collecting insects from the fields and ponds around the Brunswick High School campus (as well as a mystery collection field trip!). They will learn how to identify, label and mount specimens for their OWN COLLECTION! It is sure to be a great time exploring the bugs of our community for a week! Students will have a lunch break. Please bring lunch and a drink. All program flyers and a copy of our refund policy can be found on our website: www.brunswickme.org/departments/parks-recreation The Parks and Recreation Department encourages individuals with disabilities to register for this program. Should you desire further information, contact the Recreation Department at 725-6656. Detach & return with fee to the Recreation Center, 220 Neptune Drive or enroll online! Office hours Mon.-Fri., 8:00 a.m. to 4:30 p.m BRUNSWICK PARKS & RECREATION DEPT. Entomology Camp Summer 2018 Fee: $135 Brunswick RES. / $179 NON-RES. Name MALE FEMALE Amt$ Date of Birth Age Computer 126081-01 Street Address Town Zip Town of Residence School Grade, fall of 18 Home Phone Work Phone Cell Phone Email Emergency Contact (other than parent): Relationship Day Phone CELL *ALLERGIES/PHYSICAL/EMOTIONAL LIMITATIONS *WOULD YOU LIKE TO BE CONTACTED BY OUR THERAPEUTIC RECREATION COORDINATOR REGARDING THE ABOVE? YES NO As a parent, I give my child permission to participate in the Brunswick Parks and Recreation Department Entomology 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) Date