2017 Summer Camp Registration Packet

Transcription

1 Charles County Recreation 2017 Summer Camp Registration Packet Online Registration is available at: Registration Begins March 1, 2017 Camp locations are subject to change.

2 Summer Camp Offerings Summer Day Camp Arts and crafts, fun sport competitions, organized games, and special events with guest presenters. Kids enjoy a trip to the local pool for recreational swimming and a special event or field trip for each of the seven weekly sessions. Campers must be minimum age listed by first day of camp and no older than the maximum age listed by the first day of camp. Before and after care available 6:30 a.m.-6 p.m. Resident Fee: $135; Non-Resident: $140 Before OR After Care: $40 / Before AND After Care: $50 Age 6-14 Hanson M-F Jun 26-Aug 11 8:00a-4:00p Henson M-F Jun 26-Aug 11 8:00a-4:00p Somers M-F Jun 26-Aug 11 8:00a-4:00p Wade M-F Jun 26-Aug 11 8:00a-4:00p Aquatics Camps Junior Lifeguard Camp Designed to teach the responsibilities and duties of being a lifeguard-basic rescue skills, first aid, CPR, and water safety. Upon completion students receive certification in first aid and American Red Cross Junior Lifeguard completion certificate. Participants must be able to swim one length of the pool (25 yards of freestyle and breaststroke), tread water for 1 minute, and swim underwater for 10 feet, and float for 30 seconds. No before or after care. This is not a lifeguard training class. Resident Fee: $200; Non-Resident: $205 Age North Pt Pool NP M-F Jul :00a-4:00p Camp Splash Camp focuses on water safety, swimming skills, diving skills, and aquatic games. Campers participate in other traditional camp activities including popular sports, games, and crafts. Participants must be able to swim one width of the pool and tread water for 30 seconds. No before or after care. Resident Fee: $200; Non-Resident: $205 Age 8-13 Lackey Pool L1 M-F Jul :00a-4:00p Lackey Pool L2 M-F Aug :00a-4:00p Lackey Pool L3 M-F Aug :00a-4:00p Swim the Bases The Blue Crabs Stadium and Donald M. Wade Aquatic Center have teamed up to bring you the Swim the Bases camp. Campers will participate in group games and activities at the Blue Crabs Stadium and walk over to Donald M. Wade Aquatic Center to enjoy an afternoon of swimming. Participants must be able to swim one width of the pool and tread water for 30 seconds. No before or after care. Resident Fee: $200; Non-Resident: $205 Age 8-13 DM Wade Pool SC M-F Jul 31-Aug 4 8:00a-4:00p Themed Camps Pump It Up's Jump N' Art Camp Campers will spend time exploring their inner artist, laughing, playing games, and bouncing on the state-of-the-art inflatables. Jump-N-Art was developed by a fine-arts education center and emphasizes the joy of self-expression through art. Each day is different as weekly lesson themes keep you engaged. Before and after care is available by contacting Pump It Up of Waldorf at Resident Fee: $180; Non Resident: $185 Age: 4-12 At: Pump It Up of Waldorf A Bug's Life P1 M-F Jun :00a-4:00p Maryland Ninja Warrior P2 M-F Jul :00a-4:00p Fitness Fun P3 M-F Jul :00a-4:00p Hogwarts P4 M-F Aug :00a-4:00p Barnyard Bash P5 M-F Aug :00a-4:00p Adventures in Wonderland P6 M-F Aug 28-Sep 1 9:00a-4:00p Jr. Chefs Camp Jr. Chefs will hear from guest presenters, learn about kitchen safety, terminology, food groups, nutrition, and prepare and enjoy easy to make recipes. Chefs will make decorated cupcakes, healthy wraps, dipped chocolates, s mores, fun food creations and more. On our final day each chef will be presented with a photo certificate and a graduation spoon. Age 6-9 Somers S1 M-Th Jun :00a-Noon Somers S2 M-Th Jul :00a-Noon Age Somers S3 M-F Jul 3-7 9:00a-Noon Somers S4 M-Th Jul 31-Aug 3 9:00a-Noon Theater Camp Lights, Camera, Action! Learn basic acting techniques, fundamentals of public speaking, improvisational skill, how to prepare for an audition, cold readings, and other skills to ignite the acting bug. Before and after care available 6:30 am-6 pm Resident Fee: $150; Non-Resident: $155 Before OR After Care: $40 / Before AND After Care: $50 Age 7-9 Davis M-F Jul :00a-4:00p Age Davis M-F Jul :00a-4:00p Super Kids Yoga Camp Children learn basic yoga poses while maintaining a playful, fun experience through games, props, and music. Classes focus on building self-confidence, strength, and concentration. Yoga is a form of exercise and relaxation for both boys and girls that creates a nurturing, non-judgmental, and non-competitive atmosphere. Age 5-12 Henson HE M-Th Jul :00a-Noon FORCE Inspiration Star Wars Camp Use the FORCE of creativity during the Star Wars camp which includes a variety of creative activities to capture your child s imagination and develop their force in a range of Star Wars related activities. Curriculum enables kids to learn to draw their favorite Star Wars characters, act out famous scenes in fun drama sessions, play sports-related Star Wars games, develop skills to spin light sabers, and more to further develop interest and knowledge of Star Wars. Age 5-12 Davis DA M-F Jul :00a-Noon Port Tobacco PT M-F Aug 28-Sep 1 9:00a-Noon

3 Flight Camp Campers are introduced to rockets, remote controlled helicopters, and other things that fly as they learn how to build and launch rockets, navigate RC helicopters, and learn history about things that fly. Participants get to take home their creations. Age 6-14 Henson H1 M-Th Jul :00a-Noon Brick Inspiration Lego Camp Explore science, technology, architecture, engineering, and art using LEGO bricks. Design, build, and light up an entire city of tall buildings, bridges, roads, parks, and railways. Use batteries, bulbs, wires, and switches to bring creations alive. Camp will fire up your child s imagination and spark creativity in the form of inspired play following one of our themed Lego builds coupled with our magical delivery. Curriculum provides an opportunity to design and build LEGO creations working either individually or in groups and participate in challenges, group competitions and free build time towards the end of the camp. Half Day Camp Resident: $95; Non-Resident: $100 Age 5-12 Davis D1 M-F Jul 31-Aug 4 9:00a-Noon Davis D2 M-F Jul 31-Aug 4 1:00-4:00p Port Tobacco P1 M-F Aug :00a-Noon Port Tobacco P2 M-F Aug :00-4:00p Full Day Camp Age 5-12 Davis D3 M-F Jul 31-Aug 4 9:00a-4:00p Port Tobacco P3 M-F Aug :00a-4:00p Superheroes and Villains Workshop Each day campers will focus on a different superhero or villain and participate in creative, fun and active superhero activities, including arts and crafts, sports, drama, games, and LEGO. Campers will create their own superhero and develop their own superhero identities. Age: 5-12 Port Tobacco PT M-F Aug :00a-Noon Special Needs Camp Camp Co-Op This summer day camp is designed for Charles County Public School students with significant cognitive delay who are receiving special education services. Activities include arts and crafts, swimming, games, sports, life skills, and special field trips. Enrollment is limited to 40 campers per session. Transportation is available from designated pick-up areas based on need. Payment is due at the time of registration. The camp will accept 10 inclusion children per week. Sessions are filled on a first-come, first-served basis. Campers must be enrolled with Charles County Public Schools. Age is "as of Dec. 31, Weekly Fee: $185 Age 5-21 La Plata HS FB M-F Jun 26-Aug 11 9:00a-2:30p Sports Camps Elite Summer Gymnastics Camp Specialized gymnastics camp with days full of flipping, tumbling, and friendship. Campers will get instruction and learns skills for vault, trampoline, balance beam, bars, and the outrageous pit. Weekly sessions include a trip to the pool and field trip or special event. Daily activities include creative arts, special events, and organized games. Before and after care available 6:30 am-6 pm. Campers must be minimum age by the first day of camp. Resident Fee: $150; Non-Resident: $155 $40 Before OR After Care $50 Before AND After Care Age 6-14 Elite M-F Jun 19-Aug 25 8:00a-4:00p Rod Milstead Youth Football Camp Join La Plata High School Head Football Coach and former Washington Redskin Rod Milstead and the LPHS coaching staff as they provide instruction on speed and agility drills for both offense and defense positions. This camp will enhance players overall knowledge of the game and improve playing abilities. Campers will participate in morning drills and activities designed to develop muscle memory, speed, and quickness and small sided games in the afternoon. Campers will swim each day. Pads and helmets are not required. Age 9-14 La Plata HS Z1 M-F Jun :00a-4:00p Z2 M-F Jul :00a-4:00p Preschool Gymnastics Mini-Camp This half day camp helps campers develop skills for vault, trampoline, balance beam, bars, and the outrageous pit. Camp includes group games, arts and crafts, and basic gymnastics instruction. Children must be toilet trained. Resident Fee: $90; Non-Resident: $95 Age 4-6 Elite A1 M-F Jun 26-Jun 30 9:00a-Noon A2 M-F Jul 10-Jul 14 9:00a-Noon A3 M-F Jul :00a-Noon A4 M-F Aug 7-Aug 11 9:00a-Noon Foundational Skills Wrestling Camp This foundational wrestling camp will introduce folk-style wrestling to those new to the sport and will improve upon skills and techniques learned by beginning wrestlers. Wrestling can enhance balance, agility, hand-eye coordination, body control, strength, speed, explosiveness, footwork, mental toughness, personal responsibility and focus. Wrestling supports skills necessary in all other sports. Camp ran by Thomas Stone Wrestling Club Age 8-14 Th Stone HS TS M-F Jul :00a-4:00p Volleyball Camp Join camp director, Nila Toribio-Straka, technical director for Southern Maryland Volleyball Club and volleyball recruiter for the College of Southern Maryland and her staff as you receive instruction in all aspects of the game. Participants are immersed in basic skills, such as serving, passing, setting, and hitting. Camp is designed for beginner to intermediate players and incorporates life lessons such as teamwork and sportsmanship. Campers participate in drills, gamerelated situations, observe demonstrations, and learn from competitive films. Resident Fee: $125; Non-Resident: $130 Age 7-10 Davis D1 M-Th Jul 10-Jul 13 9:00a-Noon Age Davis D2 M-Th Jul 10-Jul 13 1:00-4:00p Tightline Basketball Camp Join Bluford State Head Coach, Todd Fong, helps improve basic skills through individual instruction with special attention to specifics and techniques. Register early, space is limited. Half Day Camp Age 5-8 Davis Z1 M-F Jun :00a-Noon Age 5-8 Davis Z2 M-F Jun :00-4:00p Full Day Camp Weekly Age 5-8 Davis Z3 M-F Jun :00a-4:00p Age 9-17 Davis ZZ M-F Jul :00a-4:00p

4 Baseball Camp Join La Plata High School Head Baseball Coach John Childers and the coaching staff from the A State Championship Baseball team to learn the fundamentals of hitting, fielding, and position specific play. Campers will participate in morning drills and activities designed to develop muscle memory and small sided games in the afternoon. Campers will swim each day. Age 9-14 La Plata HS LP M-F Jul :00a-4:00p WHIPS Soccer Camp Join current and former professional soccer coaches from WHIPS soccer as they provide instruction on developing the fundamental skills of soccer. Skills include: dribbling, passing, finishing, offensive and defensive positioning and tactics. Campers will participate in morning drills and small sided games in the afternoon. Campers swim each day. Age 8-14 Laurel Springs LS M-F Jul :00a-4:00p Sensible Soccer Camp Sensible Soccer is a leading international soccer education and development organization based in the UK. They create and implement innovative, progressive programs at the forefront of today s game, which educate and inspire individuals to achieve their full potential in soccer. The camp provides innovative and creative teaching methods that introduce skill development within a positive learning environment providing players with an exciting and challenging week tailored to their age and abilities. Activities include: quality coaching, fun soccer games, mini soccer tournaments, speed, agility and fitness exercises. Age 5-13 Davis DA M-F Jul :00a-4:00p Future Camp Counselors Counselor-In-Training 2 (CIT) The CIT 2 program will continue to build on skills learned in the CIT program. CIT 2 s will receive training designed to prepare them for employment as a future camp counselor. Training is geared towards enhancing interpersonal and communication skills, leadership training, team building, community service, and personal growth. Successful participants will come away from this program with valuable leadership skills that will serve them at home, in school, and in their own communities. Upon completion of CIT 2, participants will be eligible to volunteer in recreation programs throughout the year. Resident Fee: $300; Non-Resident: $325 Grade Port Tobacco P1 Training M-F Jun :00a-4:00p Job Shadowing M-F Jun :00a-4:00p Counselor-In-Training (CIT) The CIT summer camp program is a two week training program designed to offer young adults an opportunity to train and prepare for positions as camp counselors, managers, or recreation leaders. Participants will receive special training in what it takes to be a camp counselor by learning teaching technics, going on field trips, working with special needs campers, and becoming CPR and First Aid certified. Participants must possess a genuine interest in working with youth, display high energy and enthusiasm, and display a positive attitude. Resident Fee: $300; Non-Resident: $325 Grade 9-12 Davis D1 Training M-F Jul :00a-4:00p Job Shadowing M-F Jul :00a-4:00p Camper Checklist Bring a bagged lunch and drinks everyday. If in extended care, please bring a snack daily. Before care begins at 6:30 a.m., after care ends at 6 p.m. Closed Tuesday, July 4. Shirts are issued one time per child; not weekly per camp. Additional shirts or lost shirts can be replaced at a cost of $7. Camper T-shirt required on field trip day. Wear appropriate shoes and clothing for days activities Weekly fee for Play and Gymnastics Camps includes field trips, guest presenters, and swimming fees. 9 9 Campers must be the minimum age listed by the first day of camp; and no older than the minimum age listed by the first day of camp. Online Registration Available! Charles County Recreation, Parks, and Tourism 8190 Port Tobacco Rd, Port Tobacco, MD MD Relay: 711 (Relay TDD: ) Equal Opportunity Employer

5 CHARLES COUNTY CAMP REGISTRATION FORM Camper Data Sheet ONE FORM PER PARTICIPANT PLEASE PRINT No child permitted to these camps without a completed camper data sheet. PARENT/GUARDIAN INFORMATION Please Print Parent/Guardian Address Mailing Address City State Zip County Phone #'s Home Work Cell Parent/Guardian Address Phone #'s Home Work Cell Camper Information First Name Last Name Nickname Age Date of Birth Sex (circle) M F Emergency Contacts (other than parent/guardian) Name: Phone: Name: MEDICAL RELEASE Phone: Physician s Name: Does your child require medication: No Yes If yes, medical consent form is required. Please explain medications: Special health conditions (please include physical, psychiatric, or behavioral conditions): Does your child have allergies: No Yes Please list: Does your child have asthma: No Yes Please list any activities your child may not participate in, or any problems which may require special attention: Last school attended: State If your child attends a school in Maryland, he/she has received all required immunizations unless exempt for medical or religious reasons. If out of state, please provide a copy of immunization record. Has your child been exempted from any immunizations? No Yes Please explain: TRANSPORTATION RELEASE In addition to parent/guardian, my child will be picked up by the following authorized individual(s). For the safety of all campers, parents and authorized individuals must show identification every day when signing out a camper. Name Name Name Relationship Relationship Relationship I understand that transportation will be provided for all necessary camp field trips, and my signature below authorizes my child to be transported accordingly. If you wish for your child to arrive or depart by WALKING, RIDING A BIKE, or OTHER MEANS, written parental permission is required. You must provide an explanation, time to be dismissed, and identify the alternate form of transportation in your correspondence. Charles County Government is not responsible for program cancellations due to Charles County Public Schools programming. I agree to participate or to allow my child to participate in these programs knowing that safety precautions will be taken but realizing that the Charles County Government does not have accident insurance for participants. I do hereby release and hold harmless Charles County, Maryland, its officials, employees, instructors, and volunteers from any and all liabilities arising from any injuries that might occur during the supervised programs. I also authorize the Charles County Government to take photographs of me/my child for promotional and/or educational purposes. I hereby state and declare that this information is freely, willingly, and voluntarily made. FORMS WITHOUT SIGNATURE WILL NOT BE ACCEPTED SWIMMING RELEASE Please check which level best describes your child s swimming ability: All pools are 3 1/2 ft deep at the shallow end, and anywhere from 9-11 ft at the deep end. No wading pools are available at any pool location. My child is not allowed in the pool (ALL children will be transported to the pool. Children not allowed in the pool will be provided with alternate activities at the pool site.) I acknowledge that I have read and understand the Summer Camp Packet, including the refund policy. I understand that if my child forgets his/her camp T-shirt on a field trip, I will purchase one that day for the fee of $7. By signing this form, I acknowledge the above and give permission to Charles County Government in the event of a MEDICAL EMERGENCY, to transport this child to the nearest hospital emergency room to receive medical treatment. Non swimmer/allowed in the pool: Must use U.S. Coast Guard approved flotation vest (no floaties or swimmies). Signature Date Learning to Swim Swimmer Any changes to a camper s swimming permission must be made in writing. Charles County Department of Recreation, Parks, and Tourism 2017 Summer Camp Programs

6 CHARLES COUNTY CAMP REGISTRATION FORM Non-Residents: Add $5 per camp/per session. A COMPLETED * Camper Data Sheet must accompany EACH child on the FIRST day of camp. Camper Name: NO EXCEPTIONS REMINDER: SIGNATURE REQUIRED ON SIDE 1 OF FORM (CAMPER DATA SHEET) DAY CAMP LOCATIONS: HANSON (HA) HENSON (HE) WADE (WA) SOMERS (SO) PRE-SESSION: JUNE Counselors In Training 2 $300 TOTAL DUE: Week PS WEEK 1: JUNE Pre-School Gymnastics $95 Jr. Chef (Jun 26-29) $95 Tightline A.M. $95 Tightline P.M. $95 Tightline All Day $180 Football Camp $180 TOTAL DUE: Week 1 WEEK 2: JULY 3-7 (closed July 4) Jr. Chef $95 WEEK 3: JULY Pre-School Gymnastics $90 Theater Camp $150 Counselors In Training 1 $300 Wrestling Camp $180 Volleyball A.M. $125 Volleyball P.M. $125 Baseball Camp $180 Whips Soccer $180 TOTAL DUE: Week 3 WEEK 4: JULY Yoga Camp $95 Jr. Life Guard $200 Tightline All Day $180 Football Camp $180 TOTAL DUE: Week 4 WEEK 5: JULY Pre-School Gymnastics $90 Theater Camp $150 Jr. Chef (July 24-27) $95 Star Wars A.M. $95 Camp Splash $200 Sensible Soccer $180 Flight Camp $95 TOTAL DUE: Week 5 WEEK 6: JULY 31-AUG. 4 Jr. Chef (July 31-Aug 3) $95 Legos A.M. $95 Legos P.M. $95 Legos All Day $180 Swim The Bases $200 TOTAL DUE: Week 6 Campers must be minimum age listed by first day of TOTAL DUE: Week 2 camp; and no older than the maximum age listed by the first day of camp Online Registration Available! WEEK 7: AUG Pre-School Gymnastics $90 Camp Splash $200 TOTAL DUE: Week 7 WEEK 8: AUG Superhero Camp $95 Camp Splash $200 TOTAL DUE: Week 8 WEEK 9: AUG Legos A.M. $95 Legos P.M. $95 Legos All Day $180 TOTAL DUE: Week 9 WEEK 10: AUG. 28-SEPT. 1 Star Wars A.M. $95 TOTAL DUE: Week 10 Help Send a Kid to Camp Code: ZZ. I would like to help contribute to sending a kid to camp that otherwise would not be able to attend. I have included the following amount in my payment: $5 $10 $15 Other: $ (Indicate Amount) T-SHIRT ORDER ONE T-Shirt is included in the fee. Campers are required to wear T-shirt for Summer Camp, Gymnastics, and Camp Splash for field trips. Shirts are issued one time per child; not one per camp week. Lost shirts or additional purchases are $7. Circle requested size. Selecting the proper shirt size is the responsibility of the parent. SIZES MAY RUN SMALL Additional or lost shirts are $7 each. Child Sizes Adult Sizes S M L XL XXL Make checks payable to: Charles County Commissioners Refund Policy: A request for a refund must be received in writing 7 days prior to the start of a program. Once the program has begun, a prorated refund based on participation may be approved if requested in writing and with medical verification. This written request must be received prior to the end of the program. A $10 administrative fee per child per session will be deducted for the total refund, regardless of circumstances, unless the program has been canceled. No refunds will be considered after a program has ended. T-shirt and late pick-up fees are non refundable. Transferred registrations are non-refundable. Mail-in payments only accepted at: Department of Recreation, Parks, and Tourism Attn: Registration Office 8190 Port Tobacco Road Port Tobacco, MD Registration Packets may be faxed to: Webtrac@CharlesCountyMD.gov OFFICE USE ONLY Cash M/O Check M/Cd VISA DISC Name on check/card Ck/Card # Expiration Sec # Household #

7 MEDICATION ADMINISTRATION AUTHORIZATION FORM for Youth Camps in Maryland Department of Health & Mental Hygiene (DHMH) Center for Healthy Homes and Community Services (CHHCS) (410) Toll Free MD-DHMH ext This form must be completed fully in order for youth camp operators and staff members to administer the required medication or for the camper to self-administer medication. A new medication administration form must be completed at the beginning of each camp season, for each medication, and each time there is a change in dosage or time of administration of a medication. Prescription medication must be in a container labeled by the pharmacist or prescriber. Nonprescription medication must be in the original container with the instructions for use. Nonprescription medication includes vitamins, homeopathic, and herbal medicines. An authorized individual must bring the medication to the camp and give the medication to an adult staff member. 1. CHILD S NAME I. PRESCRIBER S AUTHORIZATION 2. DATE OF BIRTH / / Month Day Year 3. CONDITION FOR WHICH MEDICATION IS BEING ADMINISTERED: 4. EMERGENCY MEDICATION 5. MEDICATION NAME 6. DOSE 7. ROUTE [ ] YES -If yes, see Section III below. [ ] NO 8. TIME/FREQUENCY OF ADMINISTRATION 9. IF PRN, FREQUENCY 10. IF PRN, FOR WHAT SYMPTOMS 11. KNOWN SIDE EFFECTS SPECIFIC TO CHILD 12. MEDICATION SHALL BE ADMINISTERED during the year in which this form is dated in 14b below unless more restrictive dates are specified in 12a and 12b. This authorization is NOT TO EXCEED 1 YEAR. 12a. FROM / / Month Day Year 12b. TO / / Month Day Year 13. PRESCRIBER S NAME/TITLE This space may be used for the Prescriber s Address Stamp TELEPHONE FAX ADDRESS CITY STATE ZIPCODE 14a. PRESCRIBER S SIGNATURE (Parent/guardian cannot sign here) (ORIGINAL SIGNATURE OR SIGNATURE STAMP ONLY) II. PARENT/GUARDIAN AUTHORIZATION 14b. DATE I request the authorized youth camp operator, staff member or volunteer to administer the medication or supervise the camper in self-administration as prescribed by the above authorized prescriber. I certify that I have legal authority to consent to medical treatment for the child named above, including the administration of medication at the facility. I understand that at the end of the authorized period, an authorized individual, as listed in 15c below, which may include the child, must pick up the medication, otherwise it will be discarded. I authorize camp personnel and the authorized prescriber indicated on this form to communicate in compliance with HIPAA. 15a. PARENT/GUARDIAN SIGNATURE 15b. DATE 15C. INDIVIDUAL(S) AUTHORIZED TO PICK UP MEDICATION 15d. HOME PHONE # 15e. CELL PHONE # 15f. WORK PHONE # III. AUTHORIZATION FOR SELF-ADMINISTRATION / SELF-CARRY (OPTIONAL) This section should only be completed if this medication is approved for self-administration. Self-carry is only permitted for emergency medications such as inhalers and epinephrine. Both the prescriber and the parent/guardian must consent to self-administration below. However, youth camp operators are not required to permit self-administration or self-carry. I authorize self-administration of the above listed medication for the child named above under the supervision of the youth camp operator, a designated staff member or volunteer. If indicated below, the child named above may self-carry emergency medication. 16a. PRESCRIBER S SIGNATURE authorizing self-administration 16b. SELF-CARRY EMERGENCY MEDICATION (Check One) [ ] YES [ ] NO [ ] N/A - Not emergency medication 16c. DATE 17a. PARENT/GUARDIAN S SIGNATURE authorizing self-administration 17b. SELF-CARRY EMERGENCY MEDICATION (Check One) [ ] YES [ ] NO [ ] N/A - Not emergency medication 17c. DATE DHMH-4758 (01/2017) KEEP FOR 3 YEARS Page 1 of 1

8 SUNSCREEN CONSENT FORM The Office of Environmental Health and Food Protection no longer considers sunscreen a medication requiring a prescriptive order. Appropriate sunscreen use is important to prevent skin damage and skin cancer in children. The Maryland Department of Health and Mental Hygiene and The Department of Recreation, Parks and Tourism encourages the appropriate use of sunscreen during summer activities. At the same time, sunscreen can cause allergic reactions in a small number of children, and parents will need to be involved in decisions regarding sunscreen use for their child. Authorization by parent/guardian is needed in order for your child to apply/use sunscreen. Campers Name: Camp Location: Parents must supply and label all listed sunscreen Sunscreen: Required Field Check only one box: My child is allowed to apply sunscreen directly. No assistance from staff is necessary. Staff is allowed to assist my child applying sunscreen. Completion of the Sunscreen Consent Form relieves the Charles County Government, its agents, employees, or representatives of any responsibility for ill effects resulting from the administration of the medicine. Parent/Guardian Signature: Date: Parents are still encouraged to apply sunscreen to their child before the child attends camp for the day. Department of Recreation, Parks and Tourism 8190 Port Tobacco Road Port Tobacco, MD MD Relay Service: 711 Relay TDD: Equal Opportunity County