2018 River Bend Nature Center Summer Camp Registration
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1 2018 River Bend Nature Center Summer Camp Registration Child s Name: Parent/ Guardian s Name(s): D.O.B.: Age: : Address: Home Phone: ( ) Cell #/Work #: ( ) (required): Camps for Ages 4-6 Member Non-Member Subtotal June Puddle Stompers $140 $155 July 30-August 3 Li le Naturalists Camps for Ages June Tall Oaks Indian Camp June Natural Navigators July 2, 3, 5, 6* Tenacious Trekkers $112 $124 July 9-13 Skulls, Skins & Scat July Call of the Wild July Diggers, Drillers, and Builders July 30-August 3 River Week #1 August 6-10 River Week #2 August Ranger Camp Camps for Ages June Wilderness Survival #1 July 2, 3, 5, 6* Eco Camp Off the Grid $112 $124 July 9-13 Wilderness Survival #2 July Survivor: Big Woods July Survivor: River Challenge August 6-10 Call of the Wild August Ramblin Rivers Will you need a er-camp care? 1p-5:30p: $80 per week, $5/hr. Please Circle Your Op on Below Week Hourly No, Thank You Total Payment: $ A limited number of scholarships are available for campers. Please contact River Bend for eligibility requirements and availability! River Bend Nature Center, Inc N Green Bay Rd. Racine, WI (262)
2 Go at River Bend s Summer Day Camps! Camps for Ages 4-6 Puddle Stompers Explore River Bend and discover what is living in our ponds and river by ne ng, wading, frog catching, and fishing! Campers will also enjoy going on a canoe ride down the Root River! Little Naturalists Young naturalists will explore the woods, iden fy bird calls, build forts and net for frogs. Campers will discover a whole new wild world through ac vi es, stories, and lots of me on the trails! Campers will also enjoy going on a canoe ride down the Root River! Camps for Ages 7-9 River Week Water, water everywhere! Campers will learn who calls our ponds and river home and enjoy ac vi es such as canoeing, frog-catching, fishing, ne ng, wading, water games and archery! Ranger Camp Adventure abounds during this camp! Campers will learn tricks and techniques to build las ng structures to hide and hang out in, as well as survival skills & woodland iden fica on. Canoeing & archery rounds out this fun-filled week. Call of the Wild Are you ready for a challenge? Since many organisms must work collabora vely to survive, campers will explore team-building ac vi es, a low-ropes course, and challenges to survive out in the wild! Canoeing and archery are also included! Natural Navigators Prepare to get dirty! Campers will experience places at River Bend most visitors never see! Exploring, map-making, iden fying wildlife, shoo ng archery, and canoeing are just some of the ac vi es campers will enjoy! Skulls, Skins & Scat Campers will explore and learn all about the animals at River Bend through explora on of the habitats, skulls, skins, and scat of more than 30 different species! Canoeing and archery are also included! Tenacious Trekkers Campers will grab a day-pack and hit the trails ready for explora on! Tracking, map-making, fort-building, geocaching, wildlife iden fica on, ne ng, canoeing, and archery are all part of the fun! Tall Oaks Indian Camp Inves gate how the na ve Potawatomi Indians used the forest, ponds, river and prairie to survive. Campers will learn about Na ve American culture through ac vi es, speakers, tracking, canoeing, and archery! Diggers, Drillers, and Builders Campers will learn about animal homes found at River Bend from spiders to birds to beavers! Canoeing, archery, and building nature homes will fill this week with nature discovery! Camps for Ages Wilderness Survival Wilderness survival skills enhance camper s ability to feel comfortable and confident in the natural world. Ac vi es including fire-building, shelter construc on, tracking, plant and animal iden fica on, and wilderness first-aid are highlights of this week s camp! Call of the Wild Are you ready for a challenge? Since many organisms must work collabora vely to survive, campers will explore team-building ac vi es, a low-ropes course, and challenges to survive out in the wild! Canoeing and archery are also included! Rambling Rivers Enjoy water in all forms as we explore the far corners of River Bend s waterways! Discover a whole new world through canoeing and kayaking trips, fishing, ne ng, wading, ra -building, and water games on the river! Eco Camp Off the Grid! What does it take to be an ecologist or live life off the grid? Learn to iden fy plants and animals, understand threats, develop solu ons, and use the wilderness to your advantage! Campers will also enjoy speakers, canoeing, and archery! Survivor: River Challenge Get ready to get WET! Campers will learn water-related survival skills and then put them to the test in team and individual challenges! Campers will also enjoy canoeing, archery, and fishing! Survivor: Big Woods Challenge Living off the land is tough! Do you have what it takes to survive the Big Woods of River Bend? Campers will learn woodland survival skills and put them to the test in team and individual challenges!
3 Dear Parents, Thank you for registering your child for Summer Camp at River Bend Nature Center! The information provided in the guide will help you and your child prepare for a fun-filled experience at camp. Please make sure to read through the information in this packet carefully. Included in this packet are the 2018 Camp Forms. Make sure to fill out these forms completely and return them to River Bend on or before your child s first day of camp. We look forward to spending the summer exploring and learning with your children! Please don t hesitate to contact us if you have any questions or concerns. Thank you. -River Bend Nature Center Staff Parent Information for River Bend Nature Center Summer Camp Sign In & Sign Out Camp times for all camp sessions are: 8:00am - 1:00pm You may arrive up to 10 minutes prior to camp start time to sign-in. Registration takes place in front of Ems Cabin. It is our policy that each camper be signed in every morning and signed out every afternoon. Please make sure that everyone who is authorized to drop off or pick up your child is aware of the need to do this. When you drop your child off, please list any additional person/s authorized to pick up your child on the daily sign-in sheet. For safety reasons, River Bend staff may ask for identification when picking up campers. After Camp Option During after camp hours, children can participate in supervised outdoor games, pond dipping, or just relax after an active day at camp. Cost of After Camp: 1:00pm 5:30pm: $80 per week Or $5.00 per hour Camp Forms River Bend requires medical forms for all children attending summer camp. These forms include emergency contact information, authorized adults for pick-up, and photo and emergency care permissions. Camp Refund Policy There will be no charge to move registration to a different program. Participant cancellation 2- weeks prior to session: $25 fee will be charged to receive a refund. No refunds after the program begins. In the case of medical or family emergencies, credits will be given for future programs.
4 Weather Information All camps will be held rain or shine, so please be sure your child is dressed appropriately. River Bend does not cancel camps due to inclement weather. In the event of thunder, lighting or other serious weather conditions, all outdoor activities will be moved indoors immediately for the safety of our campers. If rain is in the forecast, we recommend sending your child with a raincoat or change of clothes (no umbrellas, please). Bugs & Sun Since your child will be spending time outside, please be sure to apply bug spray and sunscreen to your child prior to camp. You may also choose to send these to camp with your child (please write your name on them). If you wish River Bend staff to reapply or assist in reapplying these to your child throughout the day, please make sure to check the box on the medical form allowing staff to do this for your child. River Bend staff cannot apply these to your child without written authorization. Deep Woods Off! is provided by River Bend. It is possible that while exploring the habitats of River Bend, your child may come into contact with ticks, mosquitoes or other biting insects, or poison ivy. Parents / guardians should check their child each night for ticks as a precaution. Lost & Found In order to prevent lost items, please label everything with your child s name. At the end of each day, we make an effort to match lost items with their owners. Any unclaimed and unlabeled items are set near the registration table in bins at the end of each day. Please check this area or let us know if your child is missing something. At the end of the summer, any unclaimed items will be donated to charity. River Bend is not responsible for lost, stolen or damaged items. What To Wear While at River Bend, your child will be spending much of their time outside. Please send your child in clothes and shoes that are okay to get dirty. Please make sure that your child is dressed appropriately for the weather. What To Bring Please make sure to label everything with your child s name. Long sleeved shirt long sleeved shirt is to wear over a t-shirt for insect/sun protection when necessary a loose, button down shirt works best. Complete change of clothes, including underwear and socks our campers are likely to get wet & dirty. Backpack to hold extra clothing can remain at the camp all week. A bag for wet or muddy clothing. Rain coat / Rain poncho Closed toe, comfortable shoes sneakers are fine. Please, no crocs or flip flops. Old sneakers that can get wet. This is a 2 nd pair of shoes these shoes will stay at River Bend until Friday. Again, no crocs or flip flops. Snack and bag lunch please pack a nutritious morning snack, and a healthy lunch each day. Water bottle send your camper with fresh water every day, in a reusable water bottle. Hat to protect from sun & insects. Sunscreen please apply sunscreen on your child before dropping them off at camp. You may pack sunscreen in their bag to reapply mid-day. Bug Spray this is not required, but highly recommended. Forms all authorization forms must be turned in on the first morning of camp. Please leave at home: personal items including toys and electronics including game systems, cell phones, MP3 players, etc.
5 River Bend Nature Center 2018 Summer Medical Form This form must be submitted for each child on or before his or her first camp day in order to participate. These forms only need to be submitted once per summer unless any information changes. All fields must be filled in, even if just listing not-applicable. This form is required for all participants. Without this information we will not know the severity of your child s condition or the proper treatment / actions needed. General Information Child s Name Date Of Birth Gender Primary Address City / State / Zip Emergency Contact Information Primary Emergency Contact Primary Secondary Emergency Contact Primary Medical History & Special Considerations Check any special medical conditions that your child may have No specific medical condition Asthma Any disorder including Cognitive, LD, ADD, ADHD, or Autism Other condition(s) requiring special care please specify Food Allergies please specify Non-Food Allergies please specify Triggers that may cause problems please specify Signs or symptoms to watch for please specify When to call parents regarding symptoms?
6 Sunscreen / Insect Repellent Authorization If authorizing reapplication of sunscreen or insect repellent, the sunscreen or insect repellent shall be provided by the parents and labeled with the child s name. I authorize River Bend staff to apply sunscreen to my child. Brand Name SPF I authorize River Bend to allow my child to self-apply sunscreen I authorize River Bend staff to apply onsite insect repellent (Deep Woods Off!) to my child. I authorize River Bend staff to apply onsite insect repellent to my child that I am providing: Brand Name Strength I authorize River Bend to allow my child to self-apply insect repellent Photo Release We request permission to use your child s photo and video image for use in River Bend and/or sponsor publications and community promotional materials. Please check below to provide consent to include your child s image. YES you may use my child s image NO do not use my child s image Additional Authorized Pick-Up Contact Contact Consent and Emergency Authorization My child may receive medical attention at my expense, should he/she become ill or injured while in the programs at River Bend Nature Center. I hereby authorize River Bend personnel to seek such emergency treatment and I authorize the attending physician or hospital to administer such treatment as is therapeutically necessary on the basis of the findings. I understand that the medical fees associated with this will be charged to me. Parent / Guardian Signature Date
7 Emergency Medical Authorization, Youth Waiver & Release of Liability In consideration of being allowed to participate in any way in River Bend Nature Center related events and activities, the undersigned: 1. The parent(s) acknowledge and fully understand that each member/participant will be engaging in activities that involve risk of injury, which might result not only from their own actions, inactions, or negligence but the action, inaction, and negligence of others, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time. 2. Release, waive, discharge and covenant not to sue River Bend Nature Center, their respective administrators, directors, agents and other employees of the organization, other members/participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors or premises used to conduct the event, all of which are hereinafter referred to as releases, from any and all liability to each of the undersigned, his or her heirs and next of kin for any and all claims, demands, losses, or damages on account of injury, damage to property, caused or alleged to be caused in whole or in part by the negligence of the releases or otherwise. 3. All photos taken by River Bend Nature Center can be potentially used in advertising and marketing. No child will be identified by name without the permission of the legal guardian and the River Bend Nature Center s participating school. I HAVE READ THE ABOVE MEDICAL AUTHORIZATION, WAIVER, AND RELEASE, AND UNDERSTAND MY RIGHTS BY SIGNING IT AND SIGN VOLUNTARILY. Student Name: Date: Signed: Related to Student: Emergency Phone: River Bend Nature Center 3600 N Green Bay Rd. Racine, WI
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