$125 for Regular Hours (9am-3pm) (Drop off between 8:30-9am No Extra Charge) $175 for Extended Care Hours (7:30am-5:30pm) Base.

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1 Waterford Youth Services & Waterford Recreation & Parks in partnership with Waterford Public Schools present Camp D.A.S.H at Clark Lane Middle School (We ve moved from Great Neck and expanded due to popular demand) A Full Day Summer Camp Experience 7 Weeks Beginning on June 25 th Ending August 10 th $125 for Regular Hours (9am-3pm) (Drop off between 8:30-9am No Extra Charge) $175 for Extended Care Hours (7:30am-5:30pm) Happy Trails Camp* Pre-K Kindergarten *These little ones have a special schedule Why is Camp DASH Top Rated by Campers? Camp counselors go through an intensive recruitment and training process. Over 85% of counselors return to us each year. Daily camp activities focus on recreational fun as well as enhancing the social/emotional well-being of each camper. We offer: A Learning Lab Peace Place to Relax A Camp Musical One On-Site Field Trip Each week (New!) & A Health Aide with a First Aid Station Camp DASH has become such a favorite that we had to find a bigger site! Summer School Discount! $50 off per week for families with 3 or more children attending camp. 15% off if 7 weeks are paid in full. Base Camp Grades 1-3 Self Esteem and Friendship Building & Endless Summer Fun Week 1, June 25 th : Week 2, July 2 nd : Week 3, July 9 th : Week 4, July 16 th : Week 5, July 23 rd : Week 6, July 30 th : Week 7, August 6 th : Summit Camp Grades 4 & 5 Recreational & Positive Youth Development DASH Academy Middle School Team Building & Leadership Training Jurassic Week Dig up some fun the dinosaur way! Dino-mite crafts, games, and creatures all week long! Camp DASH Splash (Water Week) Get ready to get WET all week long! Slithery and Scaly Week Reptile visits and nature activities all week long! Food Factor Week Food trucks, food challenges, and baking competitions! Beach Ya To It (Water Week) Grab your towel and fill your bucket! Fuzzy & Furry Week Fuzzy and furry friends will put smiles on everyone s faces! Movin & Groovin Week A dance party, a DJ, and a camp musical! Call (860) for more info

2 Week 1: Jurassic Week: Join us the first week of camp as we dig up a ton of fun! Prehistoric friends will be discovered as we explore and learn about our reptile friends from millions of years ago. Treasure hunts, dino-mite crafts, games and adventures will be filled with fossil fun as we kick off the first week of camp in the most primal way! Week 2: Camp DASH Splash (Water Week): Grab your towel and be prepared to get WET camp will be closed in observance of the 4 th of July on Wednesday but that won t shorten the fun. A carnival will visit camp with endless fun of games, prizes, food and entertainment. Don t miss out as we close the week with an ice cream sundae bar and a camp cookout! Hotdogs, hamburgers, and indoor s mores! Week 3: Slithery and Scaly Week: Slide into Week 3 and visit some never before seen animals who will sure to be the life of the party! Amphibians and reptiles visit with their handlers and capture the eyes and hearts of campers as they learn about these slick species who won t be found in your backyard! Week 4: Food Factor Week: Bring your appetite and fill up on FUN when food trucks visit camp. Taste testing, pie eating contests, baking competitions and more take place as campers will also learn and experiment with foods from around the world week 4 will leave you full but hungry for more! Week 5: Beach Ya To It (Water Week): Water week is back! And its bucket is filled with trips to the beach, water wars, balloon toss relay, water cup derby and a wet and wild kick ball tourney! Pack an extra towel; nobody stays dry when a fire truck visits camp to cool down the fun. Week 6: Fuzzy & Furry Week: Fuzzy, furry and frilly they re all coming to camp with their handlers to put a smile on our face. Campers will learn how humans can help animals in need and be responsible pet caretakers. Campers will be visited by a variety of animals, a storyteller, animal face painting and more. All crafts and games are fuzzy and furry fun you ll love! Week 7: Movin & Groovin Week: Come close out camp with a groovin good time as we celebrate with a dance party, a DJ and as always the traditional camp musical. A magician stops by to WOW us with his tricks and eye-popping performance that you won t be able to forget. The week is filled with non-stop fun, activities and memories that will leave you wishing camp would never come to an end! Registration begins April 16 th

3 PAYMENT / TUITION: With each camp registration, payment is required for a minimum of 2 weeks. The only exception is if you are signing up for only 1 week all summer long. Then, and only then, will payment be accepted for 1 week. Payments may be made by check, credit card or cash. Payment by CHECK: Checks may be made payable to WYSB (Waterford Youth Services Bureau) and: Mailed to: WATERFORD YOUTH SERVICES 15 ROPE FERRY ROAD Or Dropped Off: 24/7 in a secure Camp D.A.S.H. drop box located in the lobby of the Waterford Police Department Or In Person: at Youth Services located at Payment by CASH: In Person: at Youth Services located at (THIS IS NOT OUR MAILING ADDRESS) We no longer accept payments at our camp location. If for whatever reason these payment options are inconvenient, please contact the payment clerk at ( 860) to discuss your concerns. Payment by CREDIT CARD: MC & VISA ONLY In Person: at Youth Services located at (THIS IS NOT OUR MAILING ADDRESS) By Phone: by calling our payment clerk, Eileen Dishaw at (860) A 2.95% additional service charge is applied to each credit card transaction. Payment Schedule Once a child s camp registration is received with payment, you will receive payment reminders for the balance due. Payments are due on Wednesdays based on the following schedule: Camp Week Week 1 (June 25-29) Week 2 (July 2-3 & 5-6) Week 3 (July 9-13) Week 4 (July 16-20) Week 5 (July 23-27) Week 6 (July 30-Aug 3) Week 7 (August 6-10) Date Payment is owed to Youth Services Payment owed with registration Payment owed with registration Payment due June 25 th Payment due July 2 nd Payment due July 9 th Payment due July 16 th Payment due July 23 rd *As stated above, 2 weeks of payments are required to be submitted with the registration form. You will be notified by the payment clerk if your payment should have been received at the time of registration -Camp D.A.S.H. is a self-funded program which means all expenses are paid through the tuition (payments) received for camp. It is vital for us to collect the payments so that we can sustain the program and keep tuition costs low. -If space is available, out of town registrations will be charged an additional $10 per week. -We do accept Care4Kids Camp D.A.S.H. Daily Schedule 7:30 9:30 Free To Be (Relaxed Fun) 9:30 10:00 Camp Greetings 10:00 11:00 Adventure & Recreation 11:00 12:00 Arts & Science 12:00 1:00 Lunch & Free Time 1:00 3:00 Special Activity 3:00 5:30 Free To Be (Relaxed Time) Camp D.A.S.H. Site Information Location: Clark Lane Middle School 105 Clark Lane, Waterford Camp Phone Number: (860) All parents / guardians of campers will be issued the on-site camp phone number with their welcome packets after their registration is complete. Payment / Registration Questions: (860) What does D.A.S.H. stand for? Daily Activities for Summer Happiness

4 CAMP D.A.S.H. YOUTH REGISTRATION FORM / PARTICIPANT AGREEMENT Please Print Participant s Name: Last Name First Name MI Date of Birth Address School Entering Grade Gender Is it your child s first time attending Camp D.A.S.H. Yes No Will your child know other friends on the first day? Will know others Probably WON T know others Important Critical / Contact Information: 1. Parent / Guardian Last Name First Name MI Day Phone Evening Phone Cell Phone 2. Parent / Guardian Last Name First Name MI Day Phone Evening Phone Cell Phone 3. List of Names authorized to pick-up your child *Family Safety Code Word (A word that is only known by the camper, parents/guardians and camp staff that can be shared with a designee for pick up): Health History The information you provide will be held in the strictest confidence. It will be maintained in a binder that is only accessed by the camp directors. The information will be shared with key camp staff on a need to know basis. Because it is the first resource we may turn to in the event of an emergency, it is important for you to be as specific as possible. Pediatrician s Name Pediatrician s Phone Number Medical Insurance Information Company Policy # Policy Holder s Last Name First Name Allergies & Medical Conditions Yes No If yes, please describe in detail the allergies (please include food too) and / medical conditions: May we serve your child food or beverages at camp? Yes No

5 Camper s Name: REGISTRATION / PARTICIPANT AGREEMENT Week 1 Jurassic June 25 th -29 th Happy Trails, Base & Summit Camp Regular Camp Hours 9am-3pm $125 per week ($100 Week 2) Extended Camp Hours 7:30am-5:30pm $175 per week ($140 Week 2) Place a mark by each selection D.A.S.H. Academy Regular Camp Hours 9am-3pm & Extended Camp Hours 7:30am-5:30pm $125 per week ($100 Week 2) Place a mark by each selection Total Cost Per Week Week 2 Camp Dash Splash (Water Week) July 2 nd -3 rd & July 5 th -6 th Week 3 Slithery & Scaly July 9 th -13 th Week 4 Food Factor July 16 th -20 th Week 5 Beach Ya To It (Water Week) July 23 rd -27 th Week 6 Fuzzy & Furry July 30 th -August 3 rd Week 7 Movin & Groovin August 6 th -10 th For Office Use Only Deposit: Cash/Check#: Date Received: Total Owed: REFUND POLICY: Requests for refunds, transfers, or credits must be submitted in writing ( OK) to Waterford Youth Services (WYSB) no later than 30 days prior to the first day of camp (June 25 th ) in order to be considered. All transfers, credits, or cancellations received prior to 30 days before the first day of camp (June 25 th ) are assessed a fee of $25 per child, per camp week. No refunds, credits, or transfers are issued for requests received within one month of the start of camp (June 25 th ). In the case of illness and injury, requests are considered only when accompanied with a doctor s note and letter requesting the exception. The $25.00 fee still applies. No requests will be considered after the first day of camp. PARTICIPANT / PARENT / GUARDIAN AGREEMENT: This health history is correct to the best of my knowledge and belief, and my son/daughter has permission to engage in all prescribed camp activities, except as noted in the health report, my son/daughter is in good health. In consideration for participating in activities sponsored by the Town of Waterford, I hereby waive and release the Town of Waterford, it s agents, officers and employees, whether paid or voluntary, from and against any and all claims, suits, actions, damages, liabilities, costs, expenses, and or judgments, including attorney s fees and court costs, which may arise from my child s participation in activities or any illness or injury resulting there from, either directly or incidentally. I hereby represent that I understand and am familiar with the nature and type of activities in which my child participates in. I acknowledge that I will be solely responsible for the furnishing of necessary safeguards and appropriate equipment for protection against injury. Photos taken during programs may be used for promotional purposes. Please notify Recreation and Parks or WYSB if you do not want a picture of your child published. By signing, I am in agreement that this registration commits me to providing payments for each of the participants registered. If any payment is not received by the designated payment due dates, my child will be unable to attend the program effective Monday of the following week and will be disqualified for the remainder of the program. I have read this document and understand and agree to its term and conditions. Parent / Legal Guardian Signature Date

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