2016 Summer Day Camp Catalog & Registration. Held at the Greenheck Field House. Summer Program Ages After Summer School Camp

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1 Summer Program Ages 5-12 After Summer School Camp Twin Oaks Camp Ages 8-12 Little Adventures Preschool Camp Ages 4-5 NEW Leadership Day Trips Ages GOLF CAMP Ages Summer Day Camp Catalog & Registration Held at the Greenheck Field House

2 Welcome to Everest Adventure Camp Everest Adventure Camp (Ages 5-12) The Everest Adventure Camp offers summer camp for kids from kindergarten through 6th grade. Fun activities that your child will experience include field trips, special guests and events, climbing wall, swimming, ice skating, arts and crafts, weekly themes, science, fun games and much more. Qualified staff and low staff to camper ratio for camper safety. Breakfast, lunch and afternoon snack included in weekly fee. Little Adventures Preschool Camp (Ages 4-5) For campers ages 4-5 who have NOT attended Kindergarten. This camp is a great way to add excitement into your childs summer. Little Adventures preschool camp will participate in field trips, guest speakers, water fun, crafts and games weekly. Low staff to camper ratio for camper safety. Choose one week or all summer! Weekly Camp Themes June 9, 10 Camp Hollywood Week 1 - June Super Hero Week Week 2 - June Shipwrecked Week 3 - June 27 - July 1 Back to the Future Twin Oaks Camp Ages 8-12 years old Transportation fee included Drop off /pick up at Greenheck Field House Campers will leave Greenheck at 8:30am and return by 4:30pm daily. Week 4 - July 4 - July 8 Week 5 - July Week 6 - July Week 7 - July Week 8 - August 1-5 Week 9 - August 8-12 Week 10 - August Christmas in July (No camp July 4) Disney Discovery Legends of the Hidden Temple Messy mudder. Adventure Care Olympics Where the Wild Things Are Zoo to You August 8-12 A Bugs Life... This week will engage campers in learning about the outdoors while spending the days at Twin Oaks. NEW GOLF CAMP June August 1-5 Camp will be taught by PGA Golf Professional Buck Welsh at Crane Madows Golf Course. Each day campers will learn about full swing, chipping, putting, golf etiquette, rules and will play 9 holes of golf. Campers are encouraged to bring a wood, 5 or 7 iron, wedge and a putter. (A minimum amount of clubs will be available at the golf course) All golfing levels accepted. Golfers will golf and have instruction on rainy days. Campers will be bussed to and from the Greenheck Field House daily. Golf Camp is limited to 16 campers per week Week 11 - August Water, water Everywhere Week 12 - August 29, 30, 31 Goodbye Summer... Child Care Assistance accepted for qualified families through the State of Wisconsin LEADERSHIP CAMP (Ages 11-12) July Leadership Camp is geared towards the older campers. Campers will travel by bus during the week to different areas within Central Wisconsin. They will explore nature, outdoor living, Wisconsin history and leadership skills. Some field trips include Eau Claire Dells Park, New Zoo Adventure Park and Rib Mountain State Park and many more exciting areas of Wisconsin. Leadership camp is limited to 20 campers per week.

3 Everest Adventure Care Full Week Fee - $179.00/week (The week of July 4-8 Full Week Fee is $144.00) NON-REFUNDABLE $15.00 DEPOSIT REQUIRED PER WEEK/PROGRAM 5% discount for additional siblings for full time campers Per day rate - Minimum 3 days per week required - $40.00/day Limited part time space available - please call for more information. Please mark box: Little Adventures Preschool Camp (Ages 4-5) Adventure Camp (Ages 5-12) (Mark days or full week) M T W TH F Full June 9, 10 Week 1 - June Week 2 - June Week 3- June 27 - July 1 Summer School D.C. Everest Summer School Program 4 week summer school program Full 4 week fee: $ Week to week fee: $104.00/week ($81.00-week of July 4 - July 8) NO CAMP - MONDAY, JULY 4TH If attending summer school, my child(ren) will be bussed (arrangements MUST be made with First Student by May 22) in the morning to school from Home Adventure Camp (check one) Hours for summer school weeks are: Morning drop off 6:30 am until bus pickup After summer school until 6:00 pm Parents are responsible for arranging transportation from and to Everest Adventure Camp Is your child(ren) qualified to receive child care assistance from the state? Week 4 - July 4-8 Yes No Week 5 - July Week 6 - July Week 7 - July Week 8 - August 1-5 Week 9 - August 8-12 Week 10 - August Week 11 - August Week 12 - August 29, 30, 31 TWIN OAKS CAMP (Ages 8-12) LEADERSHIP CAMPS (Ages 11-13) GOLF CAMP (Ages 7-15) Full Week Option ONLY $ PER WEEK Transportation fee included (Mark days or full week) M T W TH F Full Leadership Camp July Twin Oaks Camp August 8-12 Golf Camp June Golf Camp August 1-5 The fee includes breakfast, lunch and an afternoon snack. Our concession stand will be open daily for campers to purchase sports drinks, juices, ice cream and snacks. You can purchase a reloadable gift card when registering or during check in. All gift cards are kept at camp during the week. Gift cards are available in $5.00 increments.

4 Registration Information Please complete the registration form below AND attach a copy of camper s Immunization Record and Health History Form and return to the Community Services Office. Questions may be directed to the Community Services Office or Jacque Jakubek at ext 4. Camper s Full Name Age DOB Sex M F Camper s Address City State Zip Parent 1 Name Home # Work # Parent 1 Address City State Zip Parent 2 Name Home # Work # Parent 2 Address City State Zip Address(es) for Camp Updates Emergency Contact Person Relationship Emergency Contact Address City State Zip Emergency Contact Home # Work # List additional persons authorized to pick up camper: Name Relationship Phone # Name Relationship Phone # (Note: Camp staff will request a photo ID from any unfamiliar authorized pick up before releasing camper) Camper s swimming ability: (circle one) Strong Average Beginner Non-Swimmer By signing, the parent/guardian certifies approval of good health of the camper, and in the event that I cannot be reached in an emergency, authorize DC Everest Adventure Camp staff to render first aid, give permission to the physicians selected by DC Everest Adventure Camp to provide appropriate care. I grant permission for the camper to participate in all planned camp activities including: hiking, swimming, field trips with bus travel, rock climbing and ice skating. EAC will use Cutter Aloe & Vitamin E Clean Fresh Scent Skinsations bug repellant and NO-AD 45 Sun Screen for my child as needed. Everest Adventure Care is not responsible for lost, stolen or damaged items. I also authorize Everest Adventure Camp to have and use photographs, slides and videotapes of the person named in this registration as may be needed for its public relation programs. I give permission for the child named to attend field trips supervised by the Everest Adventure Camp staff at all times, to and from camp by van, hired bus company or by foot. I agree to waive claims against Everest Adventure Camp and its members and volunteers for injuries or damages that may result from the conduct of other persons including participants in Everest Adventure Camp programs. Parent/Guardian Signature Date Method of Payments: I authorize Everest Adventure Camp to process payments for the week(s) my child attends camp. Credit cards are charged the Wednesday prior to the camper attending. Camper Name: Master Card Visa Account #: Security Code: Exp. Date: Name on Card: Billing Address: City State Zip

5 DEPARTMENT OF CHILDREN AND FAMILIES Division of Early Care and Education DCF-F (CFS-2345) (R. 03/2009) STATE OF WISCONSIN Page 1 of 2 HEALTH HISTORY AND EMERGENCY CARE PLAN Use of form: This form is required for family and group child care centers and day camps to comply with DCF (6)(a)1. and (6)(L)5., DCF (6)(a)6. and (6)(k)5., and DCF (6)(g) of the Wisconsin Administrative Codes. Failure to comply may result in issuance of a noncompliance statement. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04(1)(m), Wisconsin Statutes]. Instructions: The parent / guardian should complete this form for placement in the child s file prior to the child s first day of attendance. Information contained on the form shall be shared with any person caring for the child. The department recommends that parents / guardians and center staff periodically review and update the information provided on this form. CHILD INFORMATION Name (Last, First, MI) Address Home (Street, City, State, Zip Code) Telephone Number Birthdate (mm/dd/yyyy) Date First Day of Attendance (mm/dd/yyyy) PARENT / GUARDIAN INFORMATION Provide information where the parent(s) / guardian(s) may be reached while the child is in care. Name Telephone Number Home Telephone Number Work Telephone Number Cellular Name Telephone Number Home Telephone Number Work Telephone Number Cellular PHYSICIAN / MEDICAL FACILITY INFORMATION Name Physician Address Medical Facility Telephone Number SUNSCREEN / INSECT REPELLENT AUTHORIZATION If provided by the parent, the sunscreen or insect repellent shall be labeled with the child s name. Per DCF (6)(f)2., authorizations shall be reviewed every 6 months and updated as necessary. Per DCF (6)(f)2.a., Authorizations shall be reviewed periodically and updated as necessary. Yes No I authorize the center to apply sunscreen to my child. Yes No I authorize the center to allow my child to self-apply sunscreen. Yes No I authorize the center to apply repellent to my child. Yes No I authorize the center to allow my child to self-apply repellent. Brand Name Ingredient Strength Brand Name Ingredient Strength HEALTH HISTORY AND EMERGENCY CARE PLAN If available, attach any health care plan information from the child s physician, therapist, etc. 1. Check any special medical condition that your child may have. No specific medical condition Asthma Diabetes Gastrointestinal or feeding concerns including special diet and supplements Cerebral palsy / motor disorder Epilepsy / seizure disorder Any disorder including Cognitively Disabled, LD, ADD, ADHD, or Autism Other condition(s) requiring special care Specify. Milk allergy. If a child is allergic to milk, attach a statement from the medical professional indicating the acceptable alternative. Food allergies Specify food(s). Non-food allergies Specify.

6 DEPARTMENT OF CHILDREN AND FAMILIES Division of Early Care and Education DCF-F (CFS-2345) (R. 03/2009) STATE OF WISCONSIN Page 2 of 2 2. Triggers that may cause problems Specify. 3. Signs or symptoms to watch for Specify. 4. Steps the child care provider should follow. If prescription or non-prescription medications are necessary, a copy of the form Authorization to Administer Medication should be attached to this form. Note: group child care centers and day camps may use their own form. 5. Identify any child care staff to whom you have given specialized training / instructions to help treat symptoms. a. b. c. 6. When to call parents regarding symptoms or failure to respond to treatment. 7. When to consider that the condition requires emergency medical care or reassessment. 8. Additional information that may be helpful to the child care provider. SIGNATURE Parent or Guardian Date Signed (mm/dd/yyyy) Review dates:

7 Free Busing to and from Summer School Program held at the Greenheck Field House Program is available Monday through Friday, June 9 - August 31, 2016 from 6:30 a.m.- 6:00 p.m. Breakfast, lunch, and afternoon snack included in fee Swimming, ice skating, arts & crafts, weekly field trips, climbing wall, science, games, special guests Weekly payment plan Attend all summer or just for a special week or two Child Care Assistance accepted for qualified campers Qualified and caring staff Registration is open to all Wausau Area Residents Camp Payment, Credit and Refund Policy Non-refundable $15 deposit per week (monies applied to weekly fee). Remaining weekly tuition balance must be paid 1 week prior to the week the child will attend camp. All part time schedules must be received two weeks prior to attendance. Changes cannot be made once schedules are set. Limited part time space available - call for more information. Weekly automatic credit/debit card withdrawal option. No credits for illnesses and/or single day absences. No refunds/credits unless the program is cancelled by Everest Adventure Camp. All cancellations MUST occur before the program s first day. Deposits are transferrable with the program from week to week. It is the parents/guardians responsibility to withdrawal from the program. A credit is not issued if the cancellation does not occur and there is no attendance. Everest Adventure Camp Coordinator can approve certain fees and policies on a case by case situations. Prorated days for Golf Camp is not available.

8 Committed to providing area residents with programs of excellence.