Residential campers will report Sunday evening, and parents need to pickup Friday afternoon

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2 Thank you for registering your child to attend our fun-filled summer camps. Our camps are packed with many opportunities to learn, make friends with other Deaf or Hard of Hearing kids, and explore outlets many times not available during the school year. The Ohio School for the Deaf offers week-long residential summer camps* on multiple topics. Below are a few things that are important to know about our summer camps. All camps will be held at OSD, 500 Morse Road Columbus, OH Most camps are scheduled as residential camps except for the Elementary DeafPlus day camp. For residential camps, campers will sleep in dorms Sunday evening through Friday morning. Campers must be potty-trained and be able to independently dress & shower themselves to stay in the dorms. *If you live locally your child may attend as a day camper, with the understanding that you must pick them up each day; Mon-Thursday at 4:00pm and Friday at 3:00pm. Also for staff planning purposes please indicate on the registration form of their day or dorm camper status. Residential campers will report Sunday evening, and parents need to pickup Friday afternoon by 3:00pm at the conclusion of the camp. Three meals will be provided each day, plus light snacks. Students are allowed to bring a few of their own snacks from home in breadbox-sized plastic containers with their name on it that will be kept in the dorm. The grade requirement for each camp is for the incoming grade for the school year. Each camp will have a maximum of 16 campers (unless otherwise indicated) and a minimum of two teachers. Evening activities and possible local fieldtrips will be planned to provide extra social time for the campers. The cost for each camp is $25, due at the time of registration. We will not hold spots for unpaid registrations. Some camps will ask for additional spending money for activities during the camp. That info will be located under requirements. Registration and payment must be received by Wednesday May 2 Space is limited for each camp and are filled based on first come, first serve basis.

3 DeafPlus Camp for Middle School & High School Grades: Middle School/High School Dates: June 4-8, Campers Maximum **Current IEP and ETR required with registration ** Description: This camp is specifically designed for students who are deaf and have additional disabilities, and require additional support. This camp focuses on exposing students to the world of work and career readiness. Students will gain an understanding of employment expectations through daily work on campus and in the community at a variety of work sites. Students will complete a career preference survey and a summary of pre-employability strengths and weaknesses at the end of the camp. Students will also visit the grocery store, learning how to budget, follow a shopping list for a recipe, then later make the recipe during class. On the last day of camp, students will go out to eat at a local restaurant, practicing communication skills and menu reading skills in that environment. To participate in this camp, campers are expected to be able to: Be comfortable going into the community in a group setting Travel on transportation, and follow transportation rules Dress and groom independently. **If a student has an aide during the school year, an aide is preferred for the camp Bring an additional $25 (not included in the registration fee) for the student to use to purchase items at the grocery store and a meal at a restaurant. Junior Work Camp Grades: 4 th through 8 th Dates: June 11-15, Campers Maximum Description: This camp focuses on exposing young students to the world of work and career readiness. Students will discuss career paths, work within the community, and on campus. Every day will be a new adventure that prepares students for their future. To participate in this camp, campers are expected to be able to: Carefully follow directions Work in small groups with other students Be respectful and polite Conduct themselves appropriately out in the community

4 STEAM Camp Grades: 1st through 3rd Dates: June 11-15, Campers Maximum To participate in this camp, campers are expected to: Description: Young learners will receive hands-on learning opportunity that mixes science, technology, engineering, art and mathematics. Campers will build extraordinary pieces out of everyday items, conduct science experiments, design structures and much more. Can work cooperatively in a group Can complete multi-step tasks Can attend to a speaker for a least 10 minutes Beginning: Lego Robotics Camp Grades: 4 th through 8 th Dates: June 25-29, Campers Maximum Description: Lego Robotics will introduces campers to robotics and computer programming. Campers will build their own NXT robot model with working motors, sensors and pulleys and then program them to complete a variety of tasks while developing their skills in technology, language, literacy and working in a team. To participate in this camp, campers are expected to: Have knowledge of basic computer skills Able to follow picture-based instructions from diagrams Able to construct simple models using LEGO building blocks and advanced parts (i.e. axles, wheels, gears, pulleys, sensors) Students who have participated in OSD LEGO Robotics camp last year must take the Advanced Lego Camp.

5 Advanced Lego Robotics Camp* Grades: 4th through 8th Dates: July 9-13, Campers Maximum *Must have previously enrolled in and completed the Beginning: Lego Robotics Camp Description: Lego Robotics will allow students to use Legos to build robots, cars and other items. Additionally, students will learn the advanced skills necessary to program their device on the computer to perform certain actions. The camp will be fun for everyone as Lego robots, and other creations, travel the building. To participate in this camp, campers are expected to be able to: Have knowledge of basic computer skills Follow picture-based instructions from diagrams Construct simple models using LEGO building blocks and advanced parts (i.e. axles, wheels, gears, pulleys, sensors) Elementary DeafPlus DAY Camp** Grades: 1st through 5th Dates: July 16-20, Campers Maximum **Current IEP and ETR required with registration** Description: This camp is a day camp for elementary students who are deaf and have additional disabilities. In this camp, students will focus on ensuring students maintain their academic and independent living skills. To participate in this camp, campers are expected to be able to: Feed themselves independently Follow a schedule with mild prompting Must be potty-trained or independently change their own brief Accompany a group in the community with mild prompting If student requires an aide during the school year, one must be provided during the camp

6 Elementary School Enrichment Camp Grades: 1st through 5th Dates: July 16-20, Campers Maximum **Current IEP required with registration ** Description: This camp is for students who want to continue to work on their skills in the core academic areas: reading, writing, mathematics, science, and social studies. To participate in this camp, campers are expected to be able to: Have a minimum reading level of kindergarten Participate in group learning activities, collaborative learning tasks, and independent practice activities Receptive and expressive language skills to access and participate in an ASL learning environment Middle School Enrichment Camp Grades: 6th through 8th Dates: July 16-20, Campers Maximum **Current IEP required with registration** Description: This camp is for students who want to continue to work on their skills in the core academic areas: reading, writing, mathematics, science, and social studies. To participate in this camp, campers are expected to be able to: Have a minimum independent reading level of second grade Participate in group learning activities, collaborative learning tasks, and independent practice activities Receptive and expressive language skills to access and participate in an ASL learning environment

7 Parent and Camper Agreements Permission Form, Acknowledgements, and Release of Liability Statement: In the case of accident, injury or illness, I understand every effort will be made to contact me. In the event I cannot be reached, I hereby give my permission to the medical provider selected by the Ohio School for the Deaf to give first aid and get medical treatment necessary for my child. This permission includes the week of camp for which my child is registered and any travel involved for activities. I will pay any cost for treatment for my child. I will not hold the Ohio School for the Deaf or its representatives responsible for the cost of treatment. I also agree that the OSD staff and volunteers will not be held liable for any injuries my child gets while participating in activities. Ohio School for the Deaf is not responsible for lost, stolen, or damaged property. I also give permission for my child to participate in recreation activities and scheduled field trips. My child may be photographed and videotaped during OSD s 2018 Summer Camps for public relations and promotional purposes. I will make arrangements to drop my student off by 5pm on the Sunday of camp week and to pick up by 3pm on Friday of camp week. Parent/Guardian s Signature: Parent/Guardian s Printed Name: Date: ************************************************************************************************************************** Camper Agreement: 1. I agree to pay attention and actively participate in camp activities. 2. I understand that there is no cell phone or text phone use during class or tutoring. Staff will hold the phone until dinner time that day if this is violated. 3. I understand that my parent will be contacted to pick me up if my behavior becomes disruptive. My parents will not get their money back if I am expelled from camp. 4. Illegal drugs, alcohol, theft, bullying (directly or through social media) or sexual behavior is not allowed at OSD. 5. I will cooperate with the school staff. Camper s Signature: Camper s Printed Name: Date: [Complete and Return This Form]

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9 Application Form for 2018 OSD Summer Camps Camper Information Camper s Name: Male: Female: Date of Birth: Upcoming Grade: Current School District: County of Residence: Current Reading Grade Level: Current Math Grade Level: Primary Communication Mode: ASL Signing & Talking Oral Other: Parent/Guardian Information Parent/Guardian s Name: Relation: Address: City: State: Zip: Address: Cell Phone: Daytime Phone: Voice/Txt/VP Evening Phone: Voice/Txt/VP Dorm Status My child will stay in the dorm. I understand I must pick my child up Friday at 3:00pm My child will attend as a day camper and not stay overnight in the dorm. I understand I must pick up my child everyday at the appropriate times; Mon-Thurs at 4:00pm, Friday at 3:00pm. Emergency Contact Information Name: Relation: Cell Phone: Address: Daytime Phone: Voice/Txt/VP Evening Phone: Voice/Txt/VP Please share other information you think would help us to better know your child: [Complete and Return This Form]

10 Camp Registration and Fees To ensure we place your student in the correct camp, please place a check mark in the box next to the camp(s) for which your child is registering. Each camp has space for only 16 campers; unless otherwise indicated. Cost is located next to each camp s name, along with the grade levels and dates. Camps $25 DeafPlus Camp MS/HS June 4-8, 2018 $25 STEAM Camp June 11-15, 2018 $25 Junior Work Camp June 11-15, 2018 $25 Beginning: Lego Robotics Camp June 25-29, 2018 $25 Advanced: Lego Robotics Camp July 9-13, 2018 $25 Elementary Enrichment Camp July 16-20, 2018 $25 Middle School Enrichment Camp July 16-20, 2018 $25 Elementary DeafPlus DAY Camp July 16-20, 2018 (this is the only scheduled Day Camp) $ Total Amount Due Only payment by check or money order will be accepted. Put camper s name in the memo line. Make checks or money order payable to Ohio School for the Deaf **No Refunds will issued except for camp administration cancellation** Mail check and completed forms to: Ohio School for the Deaf c/o Summer Camps 500 Morse Road Columbus, OH Registration and Payment must be received by Wednesday May 2, 2018 Office Use Only Paid date Received by Paid cash check (check # ) Amount paid Deposit date Confirmation send date [Complete and Return This Form]

11 Dear Parent, THE OHIO SCHOOL FOR THE DEAF - Student Health Services 500 Morse Road, Columbus, Ohio (614) voice Video Phone Cell or Text Your child will be participating in the OSD summer camp program. In the event that your child is not feeling well, we ask that you give permission for one of the nurses or non-medical chaperones to give the following medication as needed. Please check the box indicating the medications and conditions that may be administered to your child (most of these medications will be in generic form): Two 325 mg Tylenol for a headache 400 mg of Motrin for physical pain, such as muscle soreness or a bruise 30 cc of Pepto-Bismol for nausea/vomiting or upset stomach Two Sudafed tablets for nasal congestion One Actifed tablet for stuffy nose Two teaspoons of cough syrup or a couple of cough drops Cepastat lozenges for a sore throat 1 or 2 Tums chewable for heartburn or indigestion None of these medications except the throat lozenges and Tums will be given more than every 4 hours. Any other medication that you wish your child to take must be sent with your child. All medication must be in the original container. Any prescription medications must be in a prescription bottle appropriately labeled with the child s name, drug, dose, times of administration, expiration date, doctor prescribing the medication, and pharmacy where obtained. If the medication has been changed from what the bottle dictates, we must have the new information in writing from the physician. All medication, both other-the-counter and prescription, will be kept in the Student Health Services. The nurse on duty will regulate all administration. If your child uses an inhaler, epi-pen, or other medication that is to be kept by the student, we must have your signed permission. You will be notified of any illness or injury. If your child is at an activity where a school nurse is present, we will have that nurse assess the child and recommend treatment. If you have any questions, concerns, or restrictions, please notify us as soon as possible. Sincerely, Dawn Henslee, RN SHS Nursing Director PARENT SIGNATURE DATE CAMPER S NAME

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13 Student s Name Page 3 of 4 Medical Information Sheet 2018 Summer Camp Student s Name: M F Student s Date of Birth: Parents Names: Legal Guardian s Name (if not the parent): Address of Parent/Guardian: City, State, Zip Code: Daytime Phone Number: ( Evening Phone Number: ( ) ) Emergency Contact Person: Phone Number: ( ) Allergies: List all allergies including those due to environment, food, and medications along with the reaction possible: Dietary Restrictions: Medical Conditions*: * Please describe the camper s medical condition(s) including any triggers that cause the medical condition(s) to occur and response procedures.

14 Student s Name Page 4 of 4 Medications: List all medications child is currently taking. Medications must arrive with the student, in the original bottle, with current dosage instructions or the student will not be accepted at camp. NOTE: Only nursing staff is allowed to store and dispense medications. Students are not permitted to keep any medications, including over-the-counter medications, in the dormitory. Medication Name Dose Frequency Time of Day Student s Name: I give permission for OSD to administer the medications listed above to my child according to the dosage and schedule as listed during the camp week. During off campus field trips, I understand that the School Nurse will prepare medications for OSD staff to administer to my child at the appropriate time and that staff will be appropriately trained to do so. In the event that my child becomes ill I understand I will be contacted by the nurse and required to come pick up my child. In case of a medical emergency, I understand that every effort will be made to contact parents/guardians of campers. In the event that I cannot be reached, I hereby give permission to the physician selected by the Camp Director/School Nurse to hospitalize, secure proper treatment for, and order injections, anesthesia, or surgery for my child. My insurance carrier and policy numbers are provided below. Parent/Guardian s Printed Name: Parent/Guardian s Signature: Date: Health or Medical Card Insurance Information: Insurance Carrier: Name of Insured: Policy Number: Please see and sign the enclosed letter regarding over-the-counter medications OSD can provide. Call the OSD nurse if you have questions at Voice or Video Phone.