CAMP ANCALA 2018! If you have any questions, please contact Member Relations at or Stephanie Smith at

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1 CAMP ANCALA 2018! Welcome to Camp Ancala 2018! We are looking forward to an exciting summer of golf, tennis, swimming, and much more! Our camp program is offered for children ages Camp is open to Ancala Country Club Members and Non Members. Please read through this packet carefully. Registration Packets must be completed at the time of registration. One packet per child If you have any questions, please contact Member Relations at or Stephanie Smith at

2 CAMP ANCALA 2018 REGISTRATION: Registration packets are available at Club Reception Desk or Full payment is required at the time of registration. WEEKLY FEES: $325 Week - Members (8:00 am - 3:00 pm) $350 Week Non Members (8:00 am -3:00 pm) *Plus applicable tax. If you cancel your registration on or after May 18, 2018, you will forfeit a $50 non-refundable weekly fee. There are NO refunds on reservations made 10 days prior to the start of each weekly session. There are no partial week fees, daily fees, or ½ day fees allowed. CAMP WEEKS-Monday through Friday Week 1: June 4-8 Week 2: June Week 3: June Week 4: June 25-29

3 DAILY ITINERARY: 8:00 am Drop Off, Registration & Sign In 8:30 am 10:30 am Tennis & Golf Clinics 10:30 am 11:00 am Snack 11:00 am 1:00 pm Pool Activities & Lunch 1:00 pm 3:00 pm Park, Zoo, Science Center, Karate, Laser Tag & Game Truck 3:00 pm Camp Pick Up & Sign Out 3:15 pm 3:30 pm Late Pickup charge of $25.00 per child *There are no exceptions to this policy.

4 CAMP ANCALA 2018 REGISTRATION FORM Today s Date: Ancala Country Club Member: YES NO Non Member: YES NO Child s Full Name Name to be called Age Male _ Female _ Parent Name(s) Mailing Address Contact Phone Number Home Cell_ _ In Case of Emergency Contact, Provide Name & Number Please List the Name and Relationship of Authorized People to Pick Up Your Child: If a Guest, provide Name of Sponsoring Member

5 To reserve a space for my child, I understand full payment is required upon registering and that if I cancel on or after May 18, 2018 I will forfeit a $50 non-refundable fee. I understand that there are NO REFUNDS made 10 days prior to the start of each weekly session. Parent s Initials: _ I have read and signed ALL applicable forms including the Snack Bar consent form, the Behavior Policy, the Parent Consent/Minor Liability release form, and this Registration Form. I am aware of parking regulations when picking up/dropping off my child. I am aware that gum is NOT allowed at camp. Parent s Initials: _ Member Total Fee plus tax (7.95%) Guest Total Fee plus tax (7.95) Please check: Week 1 _Week 2 _ Week 3 _ Week 4 _ Charge My Member Account #_ OR I have attached a check # OR Credit Card (Circle One): VISA/MC DISCOVER AMEX Card Number: Security Code (3-4 digits) _ Exp Name on Card: STAFF INITIALS Payment Received On Amount $

6 CAMP ANCALA 2018 SNACK BAR PARENTAL CONSENT FORMS Campers have access to the Ancala Country Club Snack Bar each day during the open swim. If you would like your child to have the ability to charge items to your Member Account, please fill out and return the Snack Bar Parental Consent Form. Campers may also purchase items with cash. Unless we have a signed consent form on file, campers will not be allowed to purchase items on member charge. If you are allowing other children to purchase on your account, please list their names on your consent form as well. If there are any restrictions for snack bar purchases (i.e.: $5 per day, or no caffeinated beverages, etc.), you must list those restrictions on the Snack Bar Consent Form as well. DROP OFF/PICK UP RULES AND REGULATIONS Please park your car in the Member-Only parking lot and escort your child to the Ancala Ballroom for check-in each morning. Please do not drop child off prior to 8:00 am. Do not park in front of the Clubhouse as it is imperative that the front circle remain clear of all standing and parked vehicles. Please be prompt. It is very important that your child is picked up on time. There is a $25.00 late pick up fee that will be strictly enforced.

7 BEHAVIOR POLICY Please read, sign, and return the Camp Ancala Behavior Policy. We want all campers to have a safe and enjoyable time at Camp Ancala; therefore, the Behavior Policy will be strictly enforced. Any child who cannot comply with and abide by the rules and etiquette of the sports and recreational activities or follow the guidelines set forth by Camp instructors will be asked to leave Camp after three failed attempts at corrective action. Questions regarding this Behavior Policy may be directed to Club Management. NO GUM AT CAMP! Gum is not allowed at Camp Ancala. Please DO NOT send your child to Camp with gum or candy containing gum. ITEMS TO LEAVE AT HOME Cell phones, ipods, ipads, hand-held gaming equipment, e-readers, etc. Ancala Country Club is NOT responsible for lost or stolen items. Please have your child leave these items at home during Camp hours.

8 CAMP ANCALA BEHAVIOR POLICY We aim for all campers to have a safe and enjoyable time at Camp Ancala. Therefore, the Behavior Policy will be strictly enforced. Any child who cannot comply with and abide by the rules and etiquette of the sports and recreational activities or follow guidelines set forth by Camp instructors will be subject to dismissal from Camp after three (3) failed attempts at corrective action. If your child requires corrective action at Camp, you will be contacted that day by Club Management to discuss an action plan. You will be contacted by Club Management if all corrective action attempts have failed and dismissal is necessary. If you have any questions or concerns, please contact the General Manager at I,, have read the above Behavior Policy and agree to the terms contained within it. I understand and agree that if my child requires corrective action at any point during Camp Ancala, I will be contacted to discuss an action plan. Sign Date _

9 CAMP ANCALA PARKING REGULATIONS As there are many campers participating in Camp Ancala this year, it is imperative that the front circle at the entrance of the Clubhouse is clear of all standing and parked vehicles. When dropping off or picking up your camper, please be courteous to others and park in the Member parking section. This is not only a courtesy to other Members and guests, but a safety precaution for all of the children here at Camp. If you have any questions or concerns, please contact the GENERAL MANAGER, John Cavaliere at ext CAMP ANCALA FOOD AND BEVERAGE The snack and lunch menus for Camp Ancala have been specially prepared by our Chef to provide both healthy and delicious nourishment for your child. If your child has special dietary needs, you must contact Club Reception. A food and beverage liability waiver must be complete if outside items are brought to Camp. If you have any questions or concerns, please contact Member Relations x 210 PERSONAL ITEMS We strongly recommend that you LABEL ALL ITEMS with your child s name including golf and tennis equipment. Ancala Country Club is NOT responsible for lost or stolen items and recommends that each camper have a backpack or bag for personal items and a golf bag for club storage. These are to be taken home each night.

10 ANCALA MEMBER CAMPER S SNACK BAR PARENTAL CONSENT MEMBER NUMBER # I,, give my child_, permission to charge my Member Account for items purchased at the Ancala Country Club Snack Bar for Week(s) please check applicable weeks. 1_2_3_4_ Sign Date Food/Beverage Allergies Food/Beverage Restrictions NON-MEMBER CAMPER S SNACK BAR PARENTAL CONSENT FORM CREDIT CARD CHARGES I,, give my child_, permission to charge my credit card listed below for items purchased at the Ancala Country Club Snack Bar for Week(s) please check applicable weeks. 1 23_4 Credit Card (circle one) VISA/MC DISCOVER AMEX Card Number Exp._ Name on Card Sec. Code _

11 Food/Beverage Allergies Food/Beverage Restrictions Please List Additional Campers who May Charge Items Sign Date Exhibit A EMERGENCY MEDICAL TREATMENT FULL NAME OF CHILD: NAME TO BE CALLED: ALLERGIES: IMMUNIZATIONS: MEDICAL HISTORY: HOSPITAL:

12 Family Physician: Phone Number: Insurance Company: Phone Number: Other relatives in this area, list relationship: Name & Relationship Phone Number (Home and/or Cell): Name: Phone Number (Home and/or Cell): EMERGENCY CONTACT(S): Name: Phone Number (Home and/or Cell): Name: Phone Number (Home and/or Cell):

13 PARENTS CAMP CHECKLIST Tennis Racket Junior Golf Clubs & Golf Bag Iron, Driver, Putter Bathing Suit & Towel Water Bottle Waterproof Sunscreen *SPRAY BOTTLES PREFERRED* Hat Backpack or Bag for Misc. Items Medication in Appropriately Labeled Bottles (PLEASE NOTE: Children must be able to administer their own medication. **PARENTS PLEASE KEEP THIS LIST**

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