2018 Day Camp Registration Packet Camp Castlebrook BENBROOK COMMUNITY CENTER YMCA

Transcription

1 2018 Day Camp Registration Packet Camp Castlebrook BENBROOK COMMUNITY CENTER YMCA

2 CAMP CASTLEBROOK INFORMATION FUN IN THE SUN CAMP! Our Outdoor Day Camp is a fun place to enjoy summer where campers play games, create arts and crafts, explore science and technology, swim, participate in weekly field trips, appreciate nature and discover and value our many cultures. It also provides youth with supervised activities that teach core values, conflict resolution and leadership skills. Campers in our camp spend at least 90% of the day engaging in outdoor activities. If your child loves being outdoors, then this is the camp for them. LOCATION: Our camp will operate on-site at the Benbrook Community Center YMCA-1899 Winscott Rd., DATES & HOURS: Camp is open Monday- Friday each week from June 4th- August 16 th. Camp will be closed July 4 th and Friday, August 17 th. Pre Camp Hours Camp Time Post Camp 7:00a-9:00a 9:00a-3:30p 3:30p-6:00p Campers are split into their groups (by age) as they particiapte in a rotation of camp activites. During drop off time campers are all together participating in supervised self-directed play. Parent pick-up time. Campers will re-group in the gym, outdoor tent and the multipurpose room for self-directed play. *If you need to pick up your camper prior to 3:30pm, please notify a camp staff in advance. AGES: Our Day Camp is for children 5-12yrs old. Children are broken up into age appropriate groups with an overall camp ratio of 1 staff per 10 campers. Groups are divided as follows: 5 yrs, 6/7 yrs, 8/9 yrs, and 10-12yrs. REGISTRATION FEE: All participants are required to pay a one-time $60 non-refundable camp registration fee. Discounts/Scholarship may not be applied to this fee. *YMCA Scholarships are available. There is a two week turnaround for this process. Scholarship fees are not retroactive. Please inquire upon registration for more information. WEEKLY FEES: YMCA Member Rate- $120/per week Non-Member Rate- $150/per week Full weekly payments are due the Wednesday prior to the start of each week of camp. All payments for camp must be set up on a weekly or monthly (1 st of the month) draft. CANCELLATION PROCESS: Please read prior to registration. In order to reserve your place in camp you must register in advance and enroll in an automatic draft. Cancellations must be requested two weeks prior to the week of care. The Cancellation Request Form is available on our website to access at any time. This is the only way cancellations are accepted. If your cancellation request is not made two weeks in advance you will be charged a $30 Cancellation Fee. If you fail to cancel prior to the Wednesday before the week of care you will be drafted and not eligible for refund regardless of your child s attendance. 2

3 CAMP CASTLEBROOK INFORMATION SWIMMING AT CAMP: Campers swim twice a week at the indoor pool at Benbrook Community Center YMCA. 5-7 year olds swim on Monday and Thursdays 8-12 year olds swim on Tuesday and Fridays Each swim day campers are given the opportunity to take a swim test. Passing the swim test allows campers access to the deeper end of the pool. Campers who do not take or pass the swim test must stay in the shallow end of the pool. Those who cannot stand with their full head above water in the deepest part of the shallow end must wear a lifejacket and remain in the shallow end. The Y will provide life jackets to campers while supplies last. You may provide a US Coast Guard approved life jacket for your camper. LUNCH & SNACKS: Campers will receive an AM snack each day between 8:00-8:30am and a PM snack between 3:00-3:30pm. An optional lunch is provided on non Field Trip days only. Our lunch provider is Purple Hearts meal program. A menu will be available each month but it is subject to change. Parents may provide a lunch for your camper especially if there are dietary restrictions. THEME DAYS & SPECIAL EVENTS: Each week has a different theme. Camp games and activities will highlight that theme during the week. One day each week will be a THEME DAY where we invite campers to join the staff and dress according to the weekly theme. Special Events will take place during the summer and we invite all parents to come join the fun! Below are some of the summer s events. Camp Open House-May 31 st 5-7pm Camp Talent Show- August 8 th THINGAMAGIG Convention-TBA Camp Art Show- July 20 th 5-7pm CAMP COMMUNICATION: Weekly newsletters will be provided via as well as at the parent table each week to share the week s activities. Our camp also has a BLOOM account that will send s and text notifications with reminders and other useful camp information. Our camp phone number is if you need to contact us during camp hours. CAMP CONTACT- Anna Hicks- Program Coordinator- ahicks@ymcafw.org 3

4 2018 THEMES & FIELD TRIPS Week Theme Field Trip Draft Date Week 1 June 4th-8th Emoji Madness Urban Air May 31st Week 2 Fort Worth Zoo (5yrs-7yrs) June 11th-15th All Around the World YMCA Camp Carter (8yrs-12yrs) June 6th Week 3 June 18th-22nd Splash Bash Hawaiian Falls Water Park June 13th Week 4 June 25th- 29th Imagine the Possibilities Perot Museum June 20th Week 5 July 2nd- 6th Holla Days **All camps will be closed on July 4 th. Week 6 July 9th-13th Surfin' USA Week 7 Make this Summer July 16th-20th Incredible Week 8 July 23rd- 27th Space is the Place Week 9 July 30th- Aug. 3rd Camp's Got Spirit Week 10 Please Don t Stop the August 6th-10th Music Week 11 August 13th-16th Hasta Luego Summer **All camps will end on Thursday, August 16, Each day at camp is a Holiday! We will have on site activities during the week. Splash Dayz Water Park AMC-Lake Worth-Movie TBA Alley Cats Entertainment Campers will have a friendly color war competition on site. Main Event Campers will celebrate the end of summer with a festive party on site. June 27th July 4th July 11th July 18th July 25th Aug. 1st Aug. 8th Cancellation Date May 21st May 28th June 4th June 11th June 18th June 25th July 2nd July 9th July 16th July 23rd July 30th FIELD TRIP REMINDERS: During weekly field trips, all campers must wear their current year s Day Camp t-shirt to camp. Unless requested, please do not allow your child to bring additional money to any field trips. Pack light during field trips unless campers are requested to bring additional items to camp. Bring a lunch! All field trips will require a sack lunch unless stated otherwise. All campers must arrive by 8:30am on field trip days in order to assure campers are accounted for and loaded on the bus properly. Campers are not allowed to be dropped off at a field trip location. STOP! Parents take these pages home for reference during the summer. 4

5 CAMP CASTLEBROOK- PAYMENT AGREEMENT Camper Name: Week 1 Week June 4th-8th Week 2 June 11th-15th Week 3 June 18th-22nd Week 4 June 25th- 29th Week 5 July 2nd- 6th Week 6 July 9th-13th Week 7 July 16th-20th Week 8 July 23rd- 27th Week 9 July 30th- Aug. 3rd Week 10 August 6th-10th Week 11 August 13th-16th Theme (X) Indicates what week you are registering your child Draft Date May Emoji Madness 31st June All Around the World 6th June Splash Bash 13th June Imagine the Possibilities 20th June Holla Days 27th July Surfin' USA 4th July Make this Summer INCREDIBLE 11th July Space is the Place 18th July Camp's Got Spirit 25th Aug. Please Don t Stop the Music 1st Aug. Hasta Luego 8th Cancellation Date May 21st May 28th June 4th June 11th June 18th June 25th July 2nd July 9th July 16th July 23rd July 30th I understand my child will be registered for the weeks I have selected above and my account will be set to draft as indicated by the due date. I further understand that it is my responsibility to notify of cancellation two weeks prior to the draft date, per the YMCA Payment Agreement, in order for me to receive a full refund for the week of camp my child will not attend. I further understand if I do not give a two weeks notice I not be refunded for the week regardless of attendance. Primary Parent/Guardian Signature: Date: YMCA FINANCIAL ASSISTANCE/ SCHOLARSHIP PROGRAM At the YMCA, our goal is to ensure that no one is turned away from the YMCA due to their financial situation. The YMCA offers financial assistance to those who qualify. Applications are available at our YMCA branch and must be completed 7-10 days in advance of registration. Please ask our staff for more details or visit our website for the scholarship application! 5

6 CAMP CASTLEBROOK- DRAFT AGREEMENT Participant Name: 1. *I understand that for the first week of camp the registration deadline is 6/1/2018 at my local YMCA Branch or I can register online through Sunday 6/3/2018. I also understand if I wait until this deadline, space is not guaranteed. 2. I understand I must pay by draft and my account will be drafted on the Wednesday prior to the week my child will attend camp. If my payment is returned due to insufficient funds, I am responsible for all fees incurred and may owe a return fee of $25.00 per returned charge to the YMCA. I understand that if I exit the program that my last draft will include all past due and remaining balances. 3. I have reviewed the YMCA 2018 Draft Schedule and understand that I will be charged according to the weeks I have selected for my child to attend Camp, regardless of absences or lapses in attendance. 4. I understand if my draft returns, I have until Wednesday at 4pm to take care of my past due balance. If my account is not taken care of by then, my child s space at camp will be forfeited. A late payment fee of $15.00 will be assessed to any late payments. 5. I agree to give a two week notice to the YMCA if I plan to exit the program or transfer to another week. I will complete a Cancellation Request form online. If I fail to give a two week notice, I am responsible for any fees up to the time of notification to withdraw. 6. I understand I will be a charged a $30.00 cancellation fee if I do not give a full two week notice to the YMCA if I plan to transfer to another week or not attend. Notice must be received via Cancellation Request Form. Cancellation Request forms are available online, or via request by I understand if I cancel the YMCA Summer Day Camp Program after the draft date (Wednesday prior to week of care) I will not be eligible for a refund regardless of my child s attendance in camp. Refunds will not be issued to those who do not cancel their camp registration before the draft date. 8. I understand if I cancel the YMCA Summer Day Camp Program and my account has a past due balance, the balance will be drafted at the time of cancellation and the YMCA will continue to draft outstanding balances until the past due amount is paid in full. 9. I understand Registration fees are non-refundable or transferable. The registration fee is only discounted or waived during a promotional period prior to May 2018 and will only be applied to those with the promotional item or code. 10. I understand that space is limited and if I choose to not pre-register and decide to register in the middle of the week for the next week of camp, space is not guaranteed. Campers who arrive to camp on Monday and are not registered for the week will not be accepted. CREDIT CARD/DEBIT CARD/PRE-PAID CARD DRAFT [NO CASH, CHECKS, MONEY ORDERS] Name on card: Circle: Visa Master Card Circle: CREDIT CARD DEBIT CARD PRE-PAID CARD Card Number: Exp. Date: / 3 OR 4 digit Security Code: I have read and understand the YMCA Payment Agreement; I accept my payment plan and agree to abide by all of the policies in place. I understand that failure to uphold my payment arrangement will result in my child being suspended from the program and that my YMCA of Metropolitan Fort Worth program privileges will also be suspended until my account is in good standing. Primary Parent/Guardian Signature: Date: 6

7 2018 POLICY REVIEW & ACKNOWLEDGEMENT CHECK IN/OUT Campers can be checked in between 7:00-8:30am daily. Parents must sign their campers into the camp each day. Campers dropped off after 9:00a will need to be taken to their group by the parent. Campers may be picked up between 4:00-6:00p. When leaving the program, children must be signed out by an authorized adult, and will not be permitted to leave the program area without the authorized adult being present. If campers need to be picked up early, advance notice must be given. ILLNESS In the case that your child becomes ill during the program, you will be contacted as soon as possible. If the parent/guardian is unable to be reached, the emergency contacts will be notified in the order listed on the enrollment form. It is the parent s responsibility to arrange for the camper to be picked up within 1 hour of notification. MEDICATION POLICY Medication (including inhalers) must be submitted directly to the Camp Staff or the Camp Director in its original container that shows the date, name of the child, doctors contact information, directions for use, and quantity of dosage. All medication, with the exception of EpiPens and inhalers, will be kept in a firstaid kit and administered by YMCA Staff. Expired Medication will not be administered. PHOTOGRAPHY/ VIDEO RELEASE I, the undersigned, consent to the use of my child s likeness (photographic, nonphotographic or otherwise), actions and appearance by the YMCA in connection with any publication, program or in any and all media, including the YMCA website, authorized by, made or published by the YMCA, and to the advertising and publicity in any and all media now known or hereafter devised. The results and proceeds of my services in connection with the photographs, tapes, films or drawings shall be and remain solely the property of the YMCA. LATE PICK-UP PENTALTY Our camp closes at 6:00p. There is a late pickup penalty charge for those who pick up after 6:00PM. The penalty is $10 for every nine (9) minutes after closing (i.e. picking up between 6:01PM- 6:10PM = $10, picking up between 6:11PM-6:20PM = $20, etc.). Reoccurring late pickup may result in disenrollment. PERSONAL BELONGINGS Personal belongings (hand held electronic devices, trading cards and other valuable items) cannot be brought to the program. The YMCA is not, and cannot be held responsible for the loss or damage of any personal belongings. SHOT RECORDS The YMCA Day Camp must have a copy each camper s shot records on file prior to their attendance in camp. Records should be provided upon registration. In the event the records are not provided, participants have until the child begins camp to provide a copy. T-SHIRT/ FIELD TRIP POLICY As a safety precaution all campers must wear their current year s YMCA Day Camp t-shirt on all field trips. If your camper does not bring their t-shirt, you may bring it to them before we depart for our trip or purchase another one for $8.00. Field trips are subject to change with advance notice given. Campers will receive t-shirts during their first week of camp. These policies along with other YMCA policies and procedures are available in writing in your Day Camp Parent Handbook. Please be sure to obtain one of these upon registration or via our website at or Parent Signature: Date: 7

8 PARENT CODE OF CONDUCT The following guidelines have been created to meet the standards, policies and procedures of the YMCA, Minimum Standards for Child Care Centers and the Texas Family Code. All YMCA staff and volunteers are knowledgeable of these standards, policies and procedures. Please read the Parent Code of Conduct below and sign. 1. Please communicate with the staff daily, if possible. 2. Please come visit our program and have fun with your child; you are always welcome. 3. Please give detailed information to the Program Director if custody situations arise. 4. People whose behavior and/or health status pose an immediate threat or danger to the health and safety of the children must not be present when children are in care. a. Please do not confront any child in a threatening manner, or confront children from other families. b. Using profanity in the presence of a minor is prohibited and against the law. c. In the event of threatening behavior towards a YMCA staff member or child, 911 will be called. 5. Consumption, and/or possession of alcohol in any form is strictly prohibited by the YMCA of Metropolitan Fort Worth. Controlled substances/ medications must be accompanied by a written Doctor s prescription when used during the program, during transportation, or on field trips. People must not be under the influence of or impaired by alcohol or controlled substances in the program, during transportataion, or on field trips. a. Children will not be released to parents, guardians or other authorized individuals if the YMCA staff feels as though the individual is consuming, under the influence or impaired by alcohol or a controlled substance. 6. People must not smoke or use tobacco products at the child-care center, on the premises, on the playground, in transportation vehicles or during field trips. CONSEQUENCES OF PARENT MISBEHAVIOR: Any adult misconduct will result in a warning and documentation of the incident. The maximum pentalty of any of the above violations would be the parent s removal from the building, police being contacted, or the child s removal from our program. Parent Signature: Date: 8

9 YMCA CAMPER BEHAVIOR CONTRACT A high quality program can only take place in an orderly, mutually respectful, caring environment. Child guidance is a process where children take increasing responsibility for their own actions. At the YMCA, we take the happiness and safety of our participants seriously. Therefore, we work very hard at creating a safe and fun environment. Along with our efforts, we need the children to help us by following some simple rules. Below is our behavior agreement. Please read this Behavior Contract with your child (also provided in your Parent Handbook) and ensure they understand our camp s behavior policies. I will listen to the staff and follow directions. I will respect other people s belongings by not touching/ using their stuff without permission. I will respect all property and help clean personal messes and assist in leaving areas better than I found it. I will respect other people s personal space by keeping my hands and feet to myself. I will respect other people s feelings by having a positive attitude when talking to them. I will act in a caring way, and I will not hit, fight, bite, tease, harass or bully others. I will use my indoor voice when speaking inside. I will use appropriate language, which does not include swear words or negative remarks (i.e. shut up, stupid, dumb ). Before leaving the room or program space, I will ask a staff member for permission. I will never leave an area without adult supervision. Not abiding by these rules may result in suspension and/ or removal from the program. All incidents will be handled on a 3 incident system, except hitting, fighting, and inappropriately touching another camper. Hitting, fighting, and inappropriately touching another camper will be an immediate 1-3 day suspension from the program. All other incidents will be handled as follows: 1 st Incident= Verbal Warning 2 nd Incident= Written Warning & Parent Contact 3 rd Incident= 1 to 3 day suspension & Parent Meeting More then 3 Incidents will be subject to camper dismissal from the program. YMCA staff and management reserve the right to dismiss/disenroll a child from the day camp program if the child s behavior is disruptive to the program and/or compromises the safety of themselves, other children and/or staff. Children suspended/terminated from the program will not qualify for a refund. By signing I agree to partner with the YMCA in making my child s Day Camp experience positive and safe for all children and families involved. Parent Signature: Date: 9

10 CAMPER SHOT RECORDS Campers are required to have shot records on file for our day camp programs according to Texas Department of State and Health Services. You may provide a copy of your campers shot record or complete the information below with the dates of your child s immunizations. Your child s shot information can be obtained through your child s primary care physician school or through the Texas Health and Human Services at Please select one of the following options: I have provided a copy of my child s shot record I have provided dates of my child s shot records DTaP IPV MMR Varicella Hepatitis A Hepatitis B Date: Date: Date: Date: Date: Date: Parent Name: Parent Signature: Date: 10

11 Day Camp Location: 2018 DAY CAMP REGISTRATION FORM Do you wish to allow your camper to attempt the swim test during camp swim? YES NO OFFICE USE ONLY: wk 1 wk 2 wk 3 wk 4 wk 5 wk 6 wk 7 wk 8 wk 9 wk 10 wk 11 Does your family have a YMCA Membership? YES NO Child s Name: Date of Birth: / / Age: Grade in Fall 2018: Gender: Male or Female Child s Address: City/State/Zip: Ethnicity: How did you hear about the YMCA? Afterschool Site YMCA Flyer YMCA Website YMCA Social Media (Facebook, Twitter, etc.) Attended Last Summer Family/Friend Referral: Primary Parent/Guardian Contact Information MOTHER FATHER OTHER Primary Parent/Guardian Name: Date of Birth: / / Gender: Male or Female Caucasian African American Hispanic Asian or Pacific Islander Other: Cell#: Home#: Work#: Home Address (if different from child): City/State/Zip: Preferred Method of Communication: Phone Text All Custodial Parent: YES NO Address: May the Y release to non custodial Parent?: YES NO Ethnicity: Caucasian African American Hispanic Asian or Pacific Islander Other: Driver s License#: Secondary Parent/Guardian Contact Information MOTHER FATHER OTHER Secondary Parent/Guardian Name: Date of Birth: / / Gender: Male or Female Cell#: Home#: Work#: Home Address (if different from child): City/State/Zip: Preferred Method of Communication: Phone Text All Custodial Parent: YES NO Address: Ethnicity: Caucasian African American Hispanic Asian or Pacific Islander Other: Driver s License#: Emergency Contact/Authorized Pick Up (other than parents): Name: Home Address: City/State/Zip: Relationship to Child: Phone #: Driver s License #: Additional Authorized Pick Up (other than parents): Name: Phone#: Driver s License#: Name: Phone#: Driver s License#: Name: Phone#: Driver s License#: 11

12 SEVERE/LIFE-THREATENING ALLERGIES - Please list any food, environmental or other allergies which are severe, life-threatening or require emergency medication: SPECIAL CONSIDERATIONS/NEEDS - Please list any SPECIAL CONSIDERATIONS relevant to your child, such as existing illnesses, previous serious illnesses, injuries or hospitalizations within the past 12 months, activity restrictions, developmental age, chronic health concerns, any medication prescribed for long-term continuous use and any other information which caregiver s should be aware of: REQUIRED MEDICATIONS* Please list any prescription medications which require administration during program hours or during emergency situations: HEALTH HISTORY *PLEASE NOTE OUR MEDICATION POLICIES (continued): We require medication to be in its ORIGINAL CONTAINER. We allow the self-carry of Emergency Medications ONLY for children diagnosed with asthma or anaphylaxis. Selfcarry is only permitted with the PRESCRIBING PHYSICIAN S WRITTEN PERMISSION. AUTHORIZATION FOR MEDICAL TREATMENT In the event that I cannot be reached to make arrangements for medical treatment, I authorize YMCA Staff to administer first aid/or transport to the nearest hospital or emergency care facility. Name of Licensed Physician or Emergency-Care Facility: Street Address: City: State: Zip: Phone Number: I certify that has been examined by a licensed physician in the past 12 months, is able to participate in the YMCA Day Camp Program. The Health History is correct as far as I know, and the person herein described has permission to engage in all prescribed activities and fieldtrips, except as noted by the examining physician and me. *PLEASE NOTE OUR MEDICATION POLICIES: Non-Prescription medications REQUIRE WRITTEN NOTE AND INSTRUCTIONS by a physician We require a MEDICATION FORM signed by parent(s) for any medication. Parent Signature: Date: Medication must be CURRENT. We will not accept or administer expired medications. Transportation: I give permission for my child to be transported in an authorized YMCA Vehicle for YMCA events, field trips or to the YMCA Day Camp Program location. Parent/Guardian will be informed of all planned field trips. Water Activities: I give permission for my child to participate in water activities during program hours at predetermined time. Movies: I give permission for my child to view a Director approved, rated G movie, though it is not part of regularly scheduled lesson plans. Policies and Procedures: I have received and have read a copy of the YMCA Day Camp Parent Handbook and understand all policies and procedures therein. Immunization Hearing & Vision Screening: I certify that my child s current immunization records and TB test (if applicable) are included with this form. I certify that my preschool age camper s Hearing & Vision screening results are also included. Hours of Care: I understand that I will be charged additional fees if I am late after close of site. I further understand the YMCA reserves the right to cancel a registration with excessive tardiness of pick-up. In the event of excessive tardiness authorities may be notified. (See YMCA Handbook for more details) Custody: YMCA staff is not trained to review legal documents or court decrees. Decisions regarding who is authorized to pick up a child will be governed by the Primary Parent/Guardian information listed on this document. NO PERSON UNDER THE AGE OF 18 MAY PICK UP A CHILD WITHOUT A SIGNED AFFIDAVIT ON FILE. Photo Release: The YMCA is hereby granted permission to use any individual or group photograph and/or videotape showing my child in YMCA activities for use in public relations, promotional or advertising purposes. Behavior Policy: I have read and understand the YMCA Day Camp Behavior Policy. (See YMCA Handbook for copy) Hazardous Activities: I give permission for my child to participate in supervised camp activities such as archery, challenge courses, etc. (at select camp locations and weeks). I have read the Admissions Agreement and fully agree to its terms. I have also read and accept the policies and procedures listed in the parent handbook and stated within this agreement. By my signature, and of my free will, I do hereby agree to indemnify and save harmless the YMCA of Metropolitan Fort Worth from any and all claims or demands, cost or expense arising out of any injuries, damages or other losses, whether personal or property, sustained by me or any party to who I am responsible. Primary Parent/Guardian Signature: Date: 12