Camp Discover 2024 Registration

Thank you for your interest in CASE Camp Discover at FIU's Modesto A. Maidique Campus (MMC)!

This is the first step of registration. We will process forms as we receive them, upload it to our system and send an invoice along with the payment portal link. You have ONE WEEK to pay once the link is sent to hold your spot. If you do not pay, you will be placed back the waiting list.

After payment is complete, you will receive a welcome email with additional information and the registration packet. This packet must be completed and submitted before the first day of camp.

Contact esomoza@fiu.edu with any additional questions.

Parent/Guardian Information

Please provide the following:
Name (Parent/Guardian) Name (Parent/Guardian) First Last
Email (Parent/Guardian)
Phone (Parent/Guardian) Phone (Parent/Guardian) - ### - ### ####
FIU Employee?

FIU Employee? No Yes, Panther ID: Yes, Panther ID:
FIU Employee Title/Unit
Payroll Deduction Option: FIU Employees Only

Payroll Deduction Option: FIU Employees Only Yes No
Secondary Contact Secondary Contact First Last
Secondary Contact Phone Number Secondary Contact Phone Number - ### - ### ####
Secondary Contact Email
Authorized Pick Up: Add the first and last name of anyone authorized to pick up your camper(s) from camp along with a contact phone number. They must present a photo ID in order to pick up.
Camp Cost Breakdown

Full week rate: $325
FIU Employee week rate: $300
Full session (4 week) rate: $1,100 ($275/week)
Lunch: $55/week
Before (8am-9am)/After (4pm-5pm) Care: $50/week
Extra t-shirt: $10/shirt
Camp Bag (includes bug repellent, sun screen, hat, water bottle, extra t-shirt in camp back pack): $50
Camper 1 Information

Please provide the following:
Name (Camper 1) Name (Camper 1) First Last
Date of Birth (Camper 1) Date of Birth (Camper 1) / MM / DD YYYY
Age (Camper 1)
T-shirt Size (Camper 1 - One shirt included)

T-shirt Size (Camper 1 - One shirt included) Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large
Weeks Attending (Camper 1)

Weeks Attending (Camper 1) Week D: July 01 - July 05* Currently full, join waiting list
Pick Up/Drop Off (Camper 1)

Pick Up/Drop Off (Camper 1) Normal Hours (9 am/4 pm) Early/After Care ($50/week)
Lunch Options (Camper 1)

Lunch Options (Camper 1) Pack lunch Purchase lunch ($55/week)
Additions (Camper 1): Please note you receive one shirt per week of registration.

Additions (Camper 1): Please note you receive one shirt per week of registration. Bag: $50/bag Shirt: $10/shirt
Number of extra shirts:
Camper 2 Information

Fill out this section if you have another child attending camp. If not, leave this section blank.
Name (Camper 2) Name (Camper 2) First Last
Date of Birth (Camper 2) Date of Birth (Camper 2) / MM / DD YYYY
Age (Camper 2)
T-shirt Size (Camper 2 - One shirt included)

T-shirt Size (Camper 2 - One shirt included) Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large
Weeks Attending (Camper 2)

Weeks Attending (Camper 2) Week D* Currently full, join waiting list
Pick Up/Drop Off (Camper 2)

Pick Up/Drop Off (Camper 2) Normal Hours (9am/4pm) Early/After Care ($50/week)
Lunch Options (Camper 2)

Lunch Options (Camper 2) Pack Lunch Purchase Lunch ($55/week)
Additions (Camper 2): Please note you receive one shirt per week of registration.

Additions (Camper 2): Please note you receive one shirt per week of registration. Bag: $50 Shirt: $10/shirt
Number of extra shirts:
Camper 3

Fill out this section if you have another child attending camp. If not, leave this section blank.
Name (Camper 3) Name (Camper 3) First Last
Date of Birth (Camper 3) Date of Birth (Camper 3) / MM / DD YYYY
Age (Camper 3)
T-shirt Size (Camper 3 - One shirt included)

T-shirt Size (Camper 3 - One shirt included) Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large
Weeks Attending (Camper 3)

Weeks Attending (Camper 3) Week A Week B Week C Week D
Pick Up/Drop Off (Camper 3)

Pick Up/Drop Off (Camper 3) Normal Hours (9am/4pm) Early/After Care ($50/week)
Lunch Options (Camper 3)

Lunch Options (Camper 3) Pack Lunch Purchase Lunch ($55/week)
Additions (Camper 3): Please note you receive one shirt per week of registration.

Additions (Camper 3): Please note you receive one shirt per week of registration. Bag: $50 Shirt: $10/shirt
Number of extra shirts:
Almost Done!

After clicking submit, you are ALMOST done with registration - there are a couple more important steps.

An invoice with a link to the payment portal will be sent to you once this form is processed. You have ONE WEEK to complete payment once you receive the email.

Once your payment is received we will send the registration packet which must be completed and submitted before the first day of camp. For questions or additional information, contact esomoza@fiu.edu.

Camp Discover 2024 Registration

Camp Discover 2024 Registration

Parent/Guardian Information

Camp Cost Breakdown

Camper 1 Information

Camper 2 Information

Camper 3

Almost Done!