Summer 2017 Application Package APPLICATION DEADLINE May 26, 2017
|
|
- Horace Clarke
- 5 years ago
- Views:
Transcription
1 Summer 2017 Application Package APPLICATION DEADLINE May 26, 2017 Please complete all sections. Incomplete forms cannot be processed. Send pages 1-5, along with evidence of gifted identification and/or the completed Supplemental Application Survey (if applying for the first time), to Camper Information Last Name: First Name: Male Female Number and Street Address: City, Province: Postal Code: School and School Board: Grade (as of September 2017): Birth Date (mm/dd/yyyy): T-shirt size: Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Parent/Guardian Information Name: Home Phone Number: Work Phone Number: Cell Phone Number: Address (if different from Camper): Emergency Contact (if Parent/Guardian unavailable): Relationship to Camper: Phone: Names of ALL persons, including parents, who have permission to drop-off or pick-up your child: *** MANDATORY *** How did you hear about LAUNCH camp?
2 CAMPER S FULL NAME: Supervision after camp 4:30-5:15 p.m. (Please note that there is NO supervision prior to camp until 15 minutes before camp) Circle all the days below that you would like pre-arranged after camp care at the cost of $5 per day. Please note that refunds will not be given for missed or cancelled days. Monday July 13 Tuesday July 14 Wednesday July 15 Thursday July 16 Friday July 17 After Camp Supervision ($5/day) # days x $ 5 = $ REGISTRATION FEE $ 290 REGISTRATION FEE TOTAL $ Method of Payment *** Payments will not be processed until after May 26, 2017 so please ensure that the credit card that you provide does not expire before then. *** Visa/Mastercard #: (circle or underline) Expiry Date: (mm/yy) Name on Card: I acknowledge that I have provided my credit card information for billing purposes. I fully understand that the camp fee(s) on this form will be billed to my credit card after May 26, Signature: Date: Cash Cheque Payable to: Wilfrid Laurier University I acknowledge that payment by cash or cheque must be received by the Faculty of Education before the registration can be processed. I will ensure that a copy of this form is enclosed with my payment. LAUNCH is limited to the first 15 qualified, paid campers. Please note: We recognize that this document may not include best practices in accessibility. We are working to create a more accessible version of this material. If you do require an accessible version, please connect with launch@wlu.ca who will work with you to ensure you receive the information in a format that works for you. 2
3 STANDARD RELEASE FORM Please note that LAUNCH is a subsidiary of LEAP and subject to the same regulations. * Please fill out form completely and with your registration. * LAUNCH Camp s Privacy Statement: Personal information from individuals involved in the LAUNCH camps (including name, address, phone number, and e- mail address) is collected and printed, but will not be shared with any other outside organization. Personal information is for use by Wilfrid Laurier University as a means of communication for all events pertaining to the LAUNCH camp. WLU must adhere to guidelines pursuant to Municipal Freedom of Information and Protection of Privacy Act specifically regarding the protection of personal information for those individuals under the age of 18 years. Parents/guardians of those under the age of 18 are to be informed of the potential uses of their child s personal information. During the LAUNCH Camps, campers will be involved in a variety of LAUNCH -related activities and events. There are situations where personal information might be used for promotional and/or marketing reasons, as listed below. You will be notified of activities that do not fall under the following descriptors as, or if, they develop. PART A: i) Specific information from the Registration Form (name, phone number and contact information) may be provided to the staff for communication purposes, as required. ii) Names, photographs, videos and/or auditory recordings may be used for newsletters, displays, individual camp photo CDs if applicable, and local television, radio and newspaper media for informational and/or marketing related purposes. iii) Emergency and Medical Personnel Names, addresses, telephone numbers, and birthdates, as well as the names, addresses and home/work telephone numbers of their parents/guardians, are shared with medical and/or other emergency personnel when circumstances demand it. PART B: Internet & Website use of photographs and voice recordings Photographs and voice recordings may be used on our LAUNCH website for camp related activities. Names and full faces are not used on the Internet unless there is written consent from every member contained in the photo. PART C: I have read LAUNCH s Standard Release Form and give permission for the LAUNCH Camp to use my child s personal information, based upon the preceding conditions outlined in Part A and Part B of this form. *** If you have any objections with any of the above, please indicate your concerns in the comments section below. *** Name of Youth: Name of Parent/Guardian: Phone Number: Date: Signature of Parent/Guardian: Comments: 3
4 CAMPER EXPECTATIONS FOR ALL CAMPERS: Please read the following, sign below and submit with registration form. Our highest priority is the safety of all of our campers. Wilfrid Laurier University s LAUNCH has a non-tolerance policy for misconduct which puts any camper, camp personnel or university property at risk. Within the camp environment, students are expected to act in ways that respect the needs, feelings, heritage and rights of all. All campers are expected to act in a manner consistent with the standards of behaviour outlined below: 1. Definitions of Bullying Bullying means aggressive and typically repeated behaviour by a pupil where the behaviour is intended by the camper to have the effect of: 1.1 causing harm, fear or distress to another individual, including physical, psychological, social or academic harm, harm to the individual s reputation or harm to the individual s property, or 1.2 creating a negative environment at camp for another individual 1.3 For the purposes of the definition, bullying behaviour includes the use of any physical, verbal, electronic or written means. 2. Means and Forms of Bullying Bullying is a dynamic of unhealthy interaction that can take the following means and forms: 2.1 Physical bullying includes but is not limited to behaviour such as hitting, kicking, shoving, spitting, beating up, stealing or damaging property 2.2 Verbal bullying includes but is not limited to behaviour such as name calling, mocking, hurtful teasing, using abusive, vulgar or other inappropriate language, humiliating or threatening someone, racist comments, or sexual harassment. 2.3 Electronic or Cyber- bullying includes but is not limited to harassing or threatening other users, using abusive, vulgar or other inappropriate language, vandalism of accounts or systems, or accessing adult-only sites. In addition to bullying, any persistent behaviour that interferes with the learning of other students will not be tolerated. LAUNCH personnel will deem what is appropriate behaviour and computer use, and their decisions will be final. Violations may lead to parental contact and possible removal from camp without monetary reimbursement. LAUNCH may terminate a camper s participation if his/her willful misconduct or actions interfere with the operation of the program. WLU has the right to hold campers or parents financially responsible for any damages or loss of property incurred at their program site due to a camper s willful misconduct or irresponsible actions. Disruptive behaviour will be handled through the following process: 1. The misbehaving camper will be spoken to by the camp leader, who will outline why the camper s actions were inappropriate and to remind them what is expected of campers at LAUNCH. The camp leader may request the involvement of the camp coordinator or program coordinator. 2. If this situation needs to be repeated more than once in a single day, the camp leader will write an incident report which will be given to the parent/ guardian to read and sign at the end of the camp day. The report will be sent to the LAUNCH office. 3. If a camper receives three written behaviour-related incident reports, the camper will be removed from camp with no monetary reimbursement, effective at the end of the day of the third report or immediately if necessary. I hereby acknowledge that I have read and fully understand the terms, policies and conditions set out herein. Parent/Guardian Signature: Date Signed: 4
5 MEDICAL FORM * Medication must be authorized by the Camp leader or designate prior to administering. * Please Note: It is understood that the preferred practice is that all medication be administered by the parent/guardian at home during non-camp hours. If a medication must be administered during camp hours, it is suggested that the camper s physician be consulted to prescribe an alternative medication that does not require administration during camp hours, if possible. Please complete the Administration of Medication Authorization Section of this form for any prescribed medications to be taken while at LAUNCH Camp. Over-the-counter medications will not be dispensed to any camper, unless prescribed by a physician. For all campers, a signature is required on the 2 nd page of this form. TO BE COMPLETED BY PARENT/GUARDIAN Name of Camper: Birth Date (mm/dd/yyyy): Full Health Card Number: Number and Street Address: City, Province: Postal Code: Name of Physician: Address of Physician: Phone number of Physician: Are there any specific medical concerns/allergies of which we should be aware? No Yes If yes, please describe. Please list all medications being routinely taken (including over-the-counter or non-prescription drugs), as well as their dosage and frequency. Medications sent with your child must be in the original bottle or package. Please indicate if there is anything important that LAUNCH personnel should know with regard to your child s social, emotional, interpersonal, or behavioural needs. Feel free to include any information about supports at school. 5
6 ADMINISTRATION OF MEDICATION AUTHORIZATION if applicable Medication may be self-administered by the camper. (Provide details below.) Medication must be administered by LAUNCH Camp personnel: I, administration of (name of medication) for (reason) to my child authorize the by LAUNCH leader or designate. Date prescription started / / Date medicine started at Camp / / Times of Administration: Dosage: Has this medication been prescribed by a physician? Yes No Is refrigeration required? Yes No Prescribing physician s name: Phone number: Special Instructions be specific (e.g., Must be taken with food, Administer epi-pen to thigh after exposure to nuts and difficulty breathing and/or swelling of the lips/tongue/throat, then call 911, etc.): Possible Side Effects: FOR ALL CAMPERS: Please read the following, sign below and submit 2 page medical form with registration form. 1. In the event of an emergency and/or special medical treatment, parent/guardian(s) will be notified immediately. If the parent/guardian(s) cannot be reached, permission is hereby given to LAUNCH Camp personnel to take whatever steps they deem necessary to ensure the safety and health of my child. This also gives LAUNCH Camp personnel permission to get in touch with the emergency contact and/or my child s physician. 2. As the parent/guardian of the above-named camper, I request and authorize LAUNCH camp personnel to administer prescribed medication referred to in the accompanying Medical Form, using the procedures outlined above. Also, I acknowledge LAUNCH Camp personnel are not medically trained to administer medications. 3. I understand and accept that if questions arise about the administration of medication, the camp leader/designate will contact the parent/guardian to come to camp and administer the medication. Therefore, it is the responsibility of the parent/guardian to ensure that all medication is in the original container and all information regarding dispensing is clearly marked. 4. No more than the daily dose(s) of any prescribed medication is to be sent to LAUNCH Camp at any time unless other arrangements are made with the Camp Co-ordinator prior to the start date. 5. I also understand and accept that if problems arise with the administration of the medication (i.e., refusal by the camper to take the medication, complaints of side effects, possible allergic reactions, etc.), the camp will immediately discontinue further doses and inform the parent/guardian. Any changes made to the administration regimen must be outlined on a new medical form. 6. I understand and accept that the camp leader/designate can reserve the right to refuse to administer treatment to the camper if the necessary information is not provided by the parent/guardian. 7. I hereby release Wilfrid Laurier University, its employees, agents and volunteers from all manner of actions, causes of actions, suits, losses, damages or injuries, however caused, arising out of the administration or failure to administer medication as provided herein. I do also hereby indemnify Wilfrid Laurier University, its employees, agents and volunteers for any losses or damages sustained by them as a result of such actions or proceedings being commenced against them by myself or the camper or any other parent or guardian of said camper. 8. I hereby acknowledge that I have read and fully understand the terms, policies and conditions set out herein. Parent/Guardian Signature: Date Signed: 6
7 LAUNCH Summer 2017 POLICIES & CONDITIONS * Please keep pages 7 and 8 for future reference do not return them with the registration form. * Eligibility: LAUNCH is open to campers in Grade 4 to Grade 8 (as of September 2017) who have been identified as gifted by psychological assessment and/or eligible for gifted services by IPRC recommendation. Evidence of gifted identification (psychological assessment or IPRC) MUST be attached to registration form. If such documentation is not available, families can submit a completed Supplemental Application Survey (three pages) found on the LAUNCH website. If documentation is not provided or is insufficient, parents will be notified that their application cannot be accepted until it is complete. Any questions regarding eligibility can be directed to Dr. Colleen Willard-Holt at cwh@wlu.ca. Camp Hours and Location: Drop off begins at 8:15 a.m. Camp begins at 8:30 a.m., with pick up at 4:30. There is a supervised lunch period. All camps are held in the Bricker Academic Building, WLU, home of the Faculty of Education. Parental Expectations: We ask that all parents/guardians please respect the hours of operation for our camp. For safety reasons, do not drop off campers before 8:15 a.m. and ensure that campers are picked up by 4:30. You will be allowed a 10 minute grace period after which you will be charged $5 for every ten minutes that you are late. If not picked up by the end of the grace period, your camper will be taken to the LEAP Office (BA311) to await your arrival. Pre-arranged Late Pick-Up: Arrangements can be made in advance for supervision of campers after camp from 4:30-5:15 p.m. for an additional fee of $40 per week or $8 per day. Please indicate your request for late pickup on the registration form. Refunds will not be given for missed or cancelled days. Peanuts/nuts: LAUNCH strives to create a nut-free environment, but cannot guarantee it. It is asked that all food sent to camp is nut-free. Please make sure to fill out the medical form if your child has an anaphylactic allergy to nuts or any other food. Cancellations: All cancellations must be received in writing via to LAUNCH@wlu.ca no later than May 26, 2017 for full refund. After this date, a $25.00 administration fee will be charged. Parents will be notified as soon as possible after registration closes if the camp is full. A full refund will be given in such circumstance. 7
8 Pick-up Procedure: Only the person(s) listed on the registration form are allowed to pick up that child. In the future, let us know of any changes to this information. Please note that all persons picking up a camper, including parents, will be asked for photo ID every day before a camper is released into their care. Safety and Liability: Wilfrid Laurier University, its employees, LAUNCH, agents and volunteers shall not be held responsible for any damage, loss or claim of injury resulting from events beyond its control, including acts of God, strikes, or sickness. Wilfrid Laurier University cannot be held responsible for events resulting from inappropriate or irresponsible camper behaviour. Camper Expectations: Wilfrid Laurier University s LAUNCH has a non-tolerance policy for misconduct which puts any camper or camp personnel at risk. This includes, but is not limited to, inappropriate actions towards another person and improper computer use which violates LAUNCH s computer policy. The following are examples of improper computer use: - harassing or threatening other users - using abusive, vulgar and other inappropriate language - vandalism of accounts or systems - accessing adult-only sites LAUNCH personnel will deem what is appropriate behaviour and computer use, and their decisions will be final. Violations may lead to parental contact and possible removal from camp without monetary reimbursement. LAUNCH may terminate a camper s participation if his/her willful misconduct or actions interfere with the operation of the program. WLU has the right to hold campers or parents financially responsible for any damages or loss of property incurred at their program site due to a camper s willful misconduct or irresponsible actions. Camp Shirt: Each LAUNCH camper will receive a LEAP t-shirt on the first day of camp. This shirt must be worn every day to identify their involvement on a busy university campus. Extra shirts can be purchased at a cost of $10 per shirt. Further details: Close to the camp date, you will receive an with final details such as drop-off/pick-up locations and procedures, maps, and parking instructions. If you have questions before that time, please LAUNCH at LAUNCH@wlu.ca or call LAUNCH at , ext
CAMP MCCUMBER. Overnight Camp. Camp Dates: Session I: July 8-July 14, 2018 Session II: July 29- August 4, 2018 Expedition Camp Theme
CAMP MCCUMBER Overnight Camp Going into 3rd -9th Grade Camp Dates: Session I: July 8-July 14, 2018 Session II: July 29- August 4, 2018 Expedition Camp Theme 2018 OVERNIGHT CAMP YMCA Camp McCumber Registration
More information2018 Summer Day Camp Registration Form
2018 Summer Day Camp Registration Form Camper s Name: Nickname: Male or Female (Circle One) Birth : Age: Parent/Guardian s Name: Address: Day Time Phone: Cell Phone: E-Mail Address: T-Shirt Selection:
More informationCAMP (2267) Welcome to Banbury Kids Camp 2017!!! To register a camper for Banbury Kids Camp, you must include the following:
647-526-CAMP (2267) Welcome to Banbury Kids Camp 2017!!! To register a camper for Banbury Kids Camp, you must include the following: 1) The Camper Application Form (One per family) 2) Swim Form (One per
More informationPALADIN PLAYHOUSE SUMMER THEATRE CAMP 2018 APPLICATION AND CONSENT FORMS
SOUTH PLANTATION HIGH SCHOOL FOTT PALADIN PLAYHOUSE SUMMER THEATRE CAMP 2018 APPLICATION AND CONSENT FORMS MONDAY THROUGH THURSDAY JUNE 18 JULY 26 9AM 4PM AUDITIONS: WEDNESDAY, JUNE 13 LUNCH WILL BE PROVIDED
More informationSTOKED ABOUT SCIENCE? SC ENCE SUMMER CAMPS
STOKED ABOUT SCIENCE? SC ENCE SUMMER CAMPS Science Summer Camp Reminders HOURS (FULL-DAY) Camps start at 9:00 a.m. and end at 4:00 p.m. To ensure that camps start on time, please arrive before 9:00 a.m.
More informationMUSIC CAMP REGISTRATION INSTRUCTIONS
REGISTRATION INSTRUCTIONS If you have any questions, please call us at: 203-925-9660 or 1-888-MYLESSON To Enroll: 1) Print and complete the attached forms. 2) Enclose a deposit check of $150 per camper
More informationCAMPER APPLICATION CAMP DRAGONFLY September 23 & 24, 2017
CAMPER APPLICATION CAMP DRAGONFLY September 23 & 24, 2017 Registration Deadlines Return Campers: Aug 1st New Campers: September 11th (Please use only black or blue ink and complete all information) Camper
More information2018 VINS NATURE CAMP HEALTH AND EMERGENCY CARE FORM
2018 VINS NATURE CAMP HEALTH AND EMERGENCY CARE FORM Instructions: Please return completed forms NO LATER than two weeks prior to the start of camp One set of forms per camper should be submitted per calendar
More informationCamper Information Form
Camper Information Form One form per participant Print clearly and legibly Completed form required for participation Must be completed by parent or legal guardian Must be received one week prior camp CAMPER
More informationLisa Nikkila Jennifer Lindstrom Jamie Garcia
. The generated form will need to be changed as well. Dear Camp Clarita Parents: The City of Santa Clarita s, Recreation, and Community Services Department welcomes you to Camp Clarita! Camp Clarita exists
More informationIMPORTANT INFORMATION FOR CAMP BIG HEART APPLICANTS
IMPORTANT INFORMATION FOR CAMP BIG HEART APPLICANTS PLEASE NOTE OUR NEW LOCATION AT CAMP JOHN HOPE FFA-FCCLA CENTER IN FORT VALLEY, GA. 281 Hope Entrance Road, Fort Valley, GA 31030 Session One will be
More informationCAMP SUNRISE LAKE 2019 REGISTRATION
CAMP SUNRISE LAKE 2019 REGISTRATION Photo: Please attach a 2x3 photo of the camper to this application. Camper Address Camper lives with: Both parents Mother Father Guardian(s) Home Address (Street): City,
More information*MUST have independent bathroom skills.
Town of Crawford Summer Camp 2018 CAMPER REGISTRATION PACKET SUBMIT ONE PACKET PER CAMPER Five Weeks Camp Dates: Monday June 25 Friday July 27 CAMP IS CLOSED ON July 4 Camp runs weekdays: 9:00am-1:00pm
More information2018 Statoil Summer STEM Camp University of Houston Science Technology Engineering Mathematics
ENROLLMENT PACKET FOR (Please print campers first and last name) June 11 15, 2018 (Numbers Ninja 1, Robotics, Crime Scene Investigators) June 18 22, 2018 (Numbers Ninja 2, Crime Scene Investigators and
More informationInformation and Camp Policies Dear Families,
NATIONAL BUILDING MUSEUM Summer Camp Information and Camp Policies Dear Families, Welcome to the National Building Museum s Summer Camp. Our goal is to provide a safe and enriching day camp experience,
More informationGARAYWA CAMP & CONFERENCE CENTER 2019 Summer Missions Day Camp Registration Form
GARAYWA CAMP & CONFERENCE CENTER 2019 Summer Missions Day Camp Registration Form REGISTRATION OPENS JANUARY 3, 2019 A FULL PAYMENT OF $25 PER CAMPER PER DAY MUST BE MAILED WITH THIS COMPLETED REGISTRATION
More informationCAMP MSC SENSATIONAL SUMMER SCIENCE
CAMP MSC SENSATIONAL SUMMER SCIENCE Thank you for choosing Camp MSC for your summer camp experience. Our camp programs are designed to be engaging, hands-on, challenging, and of course, fun! All full day
More informationMedical History Form
Medical History Form Childs Name: Age: Date of Birth: Weeks Attending: Gender: M F Parent/Guardian: Address: Home Phone #: Work Phone #: Cell Phone #: E-Mail: Emergency Contact Information: Name: Relationship
More informationCAMPER REGISTRATION FORM, SUMMER CAMP, 2015
CAMPER REGISTRATION FORM, SUMMER CAMP, 2015 FOR GRADES 3-12 (separate forms for Uno & Family Camps) Christian Church (Disciples of Christ) in Florida RETURN COMPLETED FORMS AND PAYMENT TO The Retreat at
More informationGeorgia Aquarium Camp H2O Parent Guide
Georgia Aquarium Camp H2O Parent Guide Dear Camp H2O Parent, Thank you for choosing to send your child to Camp H2O at Georgia Aquarium. While engaged in fun and exciting activities, campers will explore
More information2018 Summer Camp Registration Please select which camp your child(ren) will be attending
1515 N. Galloway Avenue Mesquite, Texas 75150 972.216.6260 www.cityofmesquite.com 2018 Summer Camp Registration Please select which camp your child(ren) will be attending Kidz Kamp Sports Camp Camper Information
More information$125 per student / per week
Located on the campus of The Foundation Academy Campus 3675 San Pablo Rd S., Jacksonville, FL 32224 6 weeks - June 17 July 26 8am ~ 5pm Extended Care is Available from 5pm ~ 6pm for an additional $10 fee
More informationNetXtreme Intro Sheet
NETX YOUTH CAMP P.O. BOX 27 MAUD, TX 75567 For registrations after the deadline or other questions about registration call: 903.585.2569 fax: 903.585.9772 email: info@netxtreme.org www.netxtreme.org NetXtreme
More information2018 WHISPERING PINES SUMMER CAMP REGISTRATION FORM
2018 WHISPERING PINES SUMMER CAMP REGISTRATION FORM To register your child or teen for one of our Summer Camps, please complete the form fields below. Please note that completion of this form does not
More informationLAKE MARY PARKS & RECREATION DEPARTMENT
THE CITY OF LAKE MARY PARKS & RECREATION DEPARTMENT CAMP DATES: June 4 th August 3 rd Weekly Sessions (No Camp July 4 th ) CAMP HOURS: 7:30am 5:30pm 7:30am Drop-off 9:00am Activities Begin 5:00pm Camp
More informationSummer Camp at Wesley Gardens 2016 Registration
Summer Camp at Wesley Gardens 2016 Registration Camper Information (Please use a separate form for each camper) Camper s Name Goes by Camper s Age Grade Fall 2015 Male/Female Home Address City/State Zip
More informationJuly 12-15, Return to: Delta Pride c/o A-State Wesley P.O. Box 2775 State University, AR 72467
July 12-15, 2017 Return to: Delta Pride c/o A-State Wesley P.O. Box 2775 State University, AR 72467 Important Numbers: Sam Meadors, Wesley Director 501.650.0565 Samantha Black, DP Director 479.629.4735
More informationFins Summer Camp 2018 Information for Parents
Fins Summer Camp 2018 Information for Parents The fee for Fins Summer Camp is $80 for members/residents and $105 for nonmembers/non-residents. The week of July 23-25 will be prorated at $60 for members/residents
More information2018 Application. Easy Online Enrollment: Application valid 1/16/18. New Jr. Camp Pricing!
FAMILY INFORMATION 2018 Application Easy Online Enrollment: WWW.SLDC.COM Application valid 1/16/18 New Jr. Camp Pricing! 30 YEARS S L D C Celebrating Our 30th Anniversary! Family Name Home Phone Address
More information2018 Medical Waiver and Release
2018 Medical Waiver and Release I hereby give my consent to the Summer Camps at Avon Old Farms School personnel to provide, through a medical staff of its choice, customary medical attention and emergency
More informationSAGA CAMP ADMINISTRATION DIRECTOR Paola Brandolini Clumsy : 905-855-5001 ext. 24 (after May 7) summercamps@clarksonchurch.ca www.clarksonchurch.ca/saga CHARTWELL BAPTIST CHURCH Tammy Pierce, Office Manager
More informationCAMP SUNRISE LAKE CIT Registration
2019 CIT Registration Morris County Park Commission Recreation Department Mailing Address: Morris County Park Commission, P.O. Box 1295, Morristown, NJ 07962-1295 Telephone: 973.326.7616 Fax: 973.656.2467
More informationCity of St. Gabriel. June 1 st July 31 st
City of St. Gabriel June 1 st July 31 st Registration $60 (Non-refundable) $40 per additional child Weekly Fees Weekly Extended Care Fees $50-1 st child $10 1 st child $40 - per additional child $5 per
More informationIMPORTANT INFORMATION FOR CAMP BIG HEART APPLICANTS
IMPORTANT INFORMATION FOR CAMP BIG HEART APPLICANTS Session One will be Sunday, July 27 to Friday, August 1, 2014 (Winder, GA). The ages for this session are ages 7 to 28. Campers will be in cabins with
More information2018 Summer Camp Packet
WOR LD CL A S S M A S T E R ' S C H O N G 2018 Summer Camp Packet for registered campers Lancaster Location IMPORTANT: The last 3 pages of this packet must be filled out and turned in no later than June.
More informationSpring Break Camp Rules & Guidelines Please read carefully before enrolling
Spring Break Camp Rules & Guidelines Please read carefully before enrolling BodyMoves Spring Break Camp is a one week program that provides fun and healthy activities, classes and field trips in a camp
More informationCALVERT COUNTY PARKS & RECREATION CALVERT COUNTY SHERIFFS OFFICE
CALVERT COUNTY PARKS & RECREATION together with CALVERT COUNTY SHERIFFS OFFICE Teamwork, Activities, Demonstrations, Swimming All squeezed into one week of Camp! Date: July 10 14, 2017 Time: 8:00 a.m.
More informationSummer Camp at Wesley Gardens
Summer Camp at Wesley Gardens An outreach of Wesley Monumental UMC Summer Camp at Wesley Gardens is a summer day camp experience for children who have completed kindergarten through fifth grade. We are
More informationDear Camper and Family:
Dear Camper and Family: We are excited about this year s Growing Together Day Camp, Monday June 20 through Friday June 24 and hope that you will join us for a week of fun and adventure at Camp Tyler. CAMP
More informationLittle Lights Up! Winter Break Performance Camp 2017 Merry Christmas from The Very Hungry Caterpillar
Little Lights Up! Winter Break Performance Camp 2017 Merry Christmas from The Very Hungry Caterpillar ARRIVAL & DEPARTURE All activities take place at Metropolis Performing Arts Centre located at 111 W.
More information2018 Camp Aristotle Forms and Information
2018 Camp Aristotle Forms and Information Prior to starting camp, all families must complete the following. Please return this checklist along with the required forms. A supply list is included at the
More informationDates: 6/25-6/29 Monday - Friday (day camp 8:30am - 4:30pm)
Green Mountain Camp for Girls Registration Return by 6/1/18 (or until sessions fill) Payment options: Visit our website www.greenmountaincamp.com to pay entire fee with PayPal. Or, send a $100 non-refundable
More informationSTARBASE 2018 Indianapolis Summer Camp Programs. This packet contains all the forms necessary to apply.
1 STARBASE 2018 Indianapolis Summer Camp Programs. This packet contains all the forms necessary to apply. All Indianapolis camp programs run from: 9:00 AM - 2:30 PM. Parents/guardians and friends are encouraged
More informationOn the final day of Camp Treppie, teams present ideas to a panel of business consultants and receive valuable feedback.
a 5-Day Leadership Experience for Budding Entrepreneurs OVERVIEW Camp Treppie is a five-day summer camp for youth between the ages of 10½- 14 (June 16-22) and youth between the ages of 14½ - 18 (June 25-29)
More informationPO Box 14 Circleville, NY Phone: Fax:
Dear Summer Camp Parents/Guardians: It s that time of year again! Camp season is just around the corner! With more than twenty years of Summer Day Camp experience under our belts, the Town of Wallkill
More information2017 Critter Camp Humane Society of Carroll County
Humane Society of Carroll County Dear Parent/Guardian: We are excited to have your camper join us for Critter Camp at the Humane Society of Carroll County this summer? Our goal is for children to develop
More informationCurtains Up! Winter Break Performance Camp 2017 Songs from Disney s The Muppet Christmas Carol
Curtains Up! Winter Break Performance Camp 2017 Songs from Disney s The Muppet Christmas Carol ARRIVAL & DEPARTURE All activities take place at Metropolis Performing Arts Centre located at 111 W. Campbell
More informationEastman Area 4-H Summer Camp
Eastman Area 4-H Summer Camp It s not too soon to be thinking about summer camp! Eastman Area will once again be holding a summer camp for Junior and Intermediate members, from August 25 th -30 th at beautiful
More informationIndian Valley Boys & Girls Club 2018 Summer Day Camp Registration Form PLEASE CIRCLE SHIRT SIZE: CAMPERS NAME: HOME PHONE: ADDRESS:
Indian Valley Boys & Girls Club 2018 Summer Day Camp Registration Form CAMPERS NAME: HOME PHONE: ADDRESS: CITY: ZIP CODE: AGE: GENDER: *I UNDERSTAND THAT REGISTERING MY CHILD AFTER MAY 18 TH WILL RESULT
More informationVOYAGERS CAMP A Traveling Camp
YMCA of Montclair VOYAGERS CAMP A Traveling Camp Information Packet 1 Greetings! Your child will want to stay a teen forever after spending the summer in the Y Voyagers Camp! Our goal is to provide a fantastic
More informationExperience Sensing Nature Summer Camps!
Experience Sensing Nature Summer Camps! 2018 Sensing Nature Summer Camp at the Weedon Island Preserve - Registration Form June 11-15, 2018: Time Traveler Summer Camp Optional Before/After-care (requires
More information57 Cemetery Road, RR1 McArthurs Mills, Ontario K0L 2M0 Phone: Fax: Page 1 of 8
Camper Name: Date of Birth: Home Address: Camper Information Preferred Name: Last First Day Month Year Street Address Apt # Gender: City Province/State Postal/Zip Code Country School: Grade(as of Sept
More informationSummer Art Camp 2015 Parent Orientation Guide
Summer Art Camp 2015 Parent Orientation Guide The following information is provided to answer most of the questions you may have as you prepare your camper to attend PAFA Art Camp. The leading counselor
More informationCamper Information. New Garden Flying Field July 9-13 August 6-10
! 2018! Camper Information New Garden Flying Field July 9-13 August 6-10 www.newgardenflyingfield.com 2018 Future Aviators Summer Camp New Garden Flying Field, Toughkenamon PA. 610-268-2619 Camper Information
More informationWashington County Recreation Department Robinwood Dr. Hagerstown, MD / CAMPER INFORMATION FORM
CAMPER FULL NAME CAMPSITE LOCATION HOME ADDRESS Washington County Recreation Department 11400 Robinwood Dr. Hagerstown, MD 21742 240-313-2805 / www.washco-md.net CAMPER INFORMATION FORM Do NOT return this
More informationDragon s Lair Comics & Fantasy Summer Day Camp Information Sheet
Dragon s Lair Comics & Fantasy Summer Day Camp Information Sheet Please select from the box(es) below which camp your child will be attending: Pokémon Camp June 12-16, 2017: 12-5 pm each day Magic the
More information2019 Registration Form
Please include a $50 NONREFUNDABLE DEPOSIT for each camp. Please complete a separate form for each camper. For Office Use Only Please Print Legibly Parent/Guardian Information Relationship to Camper Relationship
More informationLittle Lights Up! Summer Performance Camp 2017 Session 3 The Very Busy Spider
Little Lights Up! Summer Performance Camp 2017 Session 3 The Very Busy Spider ARRIVAL & DEPARTURE All activities take place at Metropolis Performing Arts Centre located at 111 W. Campbell St., Arlington
More information2017 VINS NATURE CAMP HEALTH AND EMERGENCY CARE FORM
2017 VINS NATURE CAMP HEALTH AND EMERGENCY CARE FORM Instructions: Please return completed forms NO LATER than two weeks prior the start of camp. One set of forms per camper should be submitted per calendar
More informationSouth Shore Stars 2015 Summer Camp and Fall Enrollment
My child is in the grade, and attends After School Program. South Shore Stars 2015 Summer Camp and Fall Enrollment Child s Name(s) Parent s/guardian s Name Home Phone Work Phone Email Address Your child
More informationRye Y Summer Camp 2018 Registration Checklist
Rye Y Summer Camp 2018 Registration Checklist Make sure you have completed all of these tasks to complete your camper s registration! Registration Completed in Full: o Make sure we have all possible authorized
More informationCamper Authorization for Medical Treatment and Authorization to Pick-up Camper
Camper Authorization for Medical Treatment and Authorization to Pick-up Camper Please return all 5 forms at least week before your first day of camp to: Inside the Outdoors, 200 Kalmus Dr., Costa Mesa,
More informationCamper Application. Legal Guardian #1 Information. Legal Guardian #2 Information: Family Status: Mailing Address: Address: City: State: Zip:
Camper Application Legal Guardian #1 Information First Name: Last Name: Relationship to Camper: Home Phone: Cell Phone: Work Phone: E-mail: Legal Guardian #2 Information: First Name: Last Name: Relationship
More informationHealth History & Emergency Form
Health History & Emergency Form - 2019 th THIS FORM IS DUE NO LATER THAN MAY 24. Camper s Last Name, First Male Female Birthdate / / rade Entering Fall 2019 Mother s/uardian #1's Last Name, First Father
More information2019 FAMILY CAMP Camper and Adult Registration
2019 FAMILY CAMP Camper and Adult Registration Christian Church (Disciples of Christ) in Florida RETURN COMPLETED FORMS AND PAYMENT TO The Retreat at Silver Springs, 6455 E. Silver Springs Blvd., Silver
More information2018 Summer Camp Packet
Each child is required to bring each day: swim suit, towel, bagged lunch w/drink, 2 snacks, water bottle, sunscreen/insect repellent (if needed), and change of clothes (if needed). 2018 Summer Camp Packet
More informationCHILD S NAME AGE. BIRTH DATE GRADE COMPLETED AS OF 6/2016 MEMBER (check one) Yes No MOTHER MOTHER S ADDRESS STREET CITY STATE ZIP
TALLAHASSEE MUSEUM JUNIOR COUNSELOR IN TRAINING REGISTRATION FORM Please use a separate form for each child. Contact 575-8684 ext 126 for more information. This camp training program is limited to 2 candidates
More informationMATT MCMAHON BASKETBALL CAMPS, LLC 2018 TEAM CAMP. 1
MATT MCMAHON BASKETBALL CAMPS, LLC 2018 TEAM CAMP www.mattmcmahonbasketballcamps.com 1 MATT MCMAHON 2018 BASKETBALL CAMPS, LLC APPLICATION Please complete this application and return it to the address
More informationMIDWEST DIOCESE CAMP W. Grant Avenue - Third Lake, IL
MIDWEST DIOCESE CAMP 35240 W. Grant Avenue - Third Lake, IL 60046 midwestdiocesecamp@gmail.com Diocesan Kolo of Serbian Sisters Serbian Orthodox Diocese of New Gracanica Midwestern America 1. CAMPER INFORMATION
More informationRegister at ualberta.ca/augustana/jru
TABLE OF CONTENTS WELCOME... 3 GENERAL INFORMATION... 3 FIRST DAY OF CAMP... 4 DAY 2+ SIGN IN... 4 DAILY SIGN OUT... 4 CAMPER CHECKLIST... 5 PARENT CHECKLIST... 5 BEFORE AND AFTER CARE... 5 LATE ARRIVALS
More informationQUICK REFERENCE ABOUT OUR CAMP QUESTIONS?
1 ABOUT OUR CAMP QUICK REFERENCE Summer of 2018 marks our 4th year of Summer Camp in Lucan Biddulph! Each year we incorporate new elements and events into our program. We run throughout the summer and
More informationOceanport Recreation,
Oceanport Recreation ACTION CAMP 2018 Cost: $190.00* for 5 week program Kindergarten to Grade 7 June 25 July 27. No camp July 4 th 9am 12noon, Camp Meets at Community Center Park *late fee of an additional
More information2018 Highfield Summer Camp Registration
2018 Highfield Summer Camp Registration Camper Name: Member Guest, member name: Parent/guardian name: Phone #: - - Address: City: State: Zip: Date of Birth: / / Grade Entering in Fall: Male Female Does
More informationStudent Camper s Name Age: Student Camper s Name Age: Student Camper s Name Age: Junior Counselor s Name Age: Junior Counselor s Name Age:
St. Rita School Summer Camp Program Registration Page 1 Please print out this form and complete it in its entirety. Return or mail this registration form AND all required medical forms to: ST. RITA SCHOOL
More informationRegistration Information and Fees
South Shore Day Camp 2015 Registration Information and Fees Parent Information Name: Address: Town: Zip: Home Phone: Work Phone: Cell Phone: Parent s Email address: Parent s Email address: Please circle
More informationCamp Mania 2018 Parent Packet
Camp Mania 2018 Parent Packet Community Services Department 1400 Main St, Suite 210 Southlake, TX 76092 (817) 748-8019 www.experiencesouthlaketexas.com 1 Welcome to Camp Mania! Thank you for enrolling
More informationIndian Valley Boys & Girls Club 2017 Summer Day Camp Registration Form
2017 Summer Day Camp Registration Form CAMPERS NAME: HOME PHONE: ADDRESS: CITY: ZIP CODE: DATE OF BIRTH: AGE: MALE OR FEMALE: CURRENTLY LIVES WITH (CIRCLE ONE): MOTHER FATHER BOTH OTHER (PLEASE WRITE):
More informationCave Springs Camp Registration Form
Cave Springs Camp Registration Form Camper Information (please use one form per camper) Camper s Name: (Last) (First) Birthday: (D/M/Y) Age: Gender: Does your child require 1:1 support? Yes No (Please
More informationAmerican Indian/Alaskan Native Black or African American Hispanic/Latino Asian or Pacific Islander Caucasian/White Mix Other
For Official Use Only: Branch: Camp Site: Camp Group: CHILD S FIRST & LAST NAME ADDRESS (Street Address, Apt#, City, Zip Code) DATE OF BIRTH (Month/Day/Year) CHILD S DISMISSAL [ ] BE PICKED UP [ ]WALK
More information2018 Junior Lifeguard Camp Registration
Sign up for A power packed week of coaching in first aid, water safety, team building, CPR & rescue techniques for only $329.99. Sessions fill up quickly! Participant Name: DOB: Age: Grade in Fall 2018:
More informationWHY. Search Blue Mash Golf Camp on YouTube to view fun videos of the past years of Summer Camp!
WHY? The Areas Best Practice Facility- Blue Mash has the area s most immaculate and incredible practice facility featuring an all grass driving range tee. Your campers will receive instruction at our 10,000
More informationSunday, August 12 Saturday, August 18, 2018 We welcome campers entering grades 3 ~ 12!
Sunday, August 12 Saturday, August 18, 2018 We welcome campers entering grades 3 ~ 12! We expect every space to be filled up, so get your application in early! Deadline Date: June 30, 2018 After June 30th,
More informationSafari Camp. Parents Information Packet. What does one find on Safari? New Friends Sports & Games Arts & Crafts Swimming Weekly Field Trips
Safari Camp Parents Information Packet What does one find on Safari? New Friends Sports & Games Arts & Crafts Swimming Weekly Field Trips Mission Statement It is the intent and purpose of the Biddeford
More informationBen Lomond Quaker Center Summer Youth Camps Box 686, Ben Lomond, CA (831) ENROLLMENT FORMS
ENROLLMENT FORMS THESE FORMS MUST BE COMPLETED AND POSTMARKED NO LATER THAN JULY 2ND OR FAXED TO 831-336-0218 EQUIRED EMERGENCY INFORMATION Please PRINT legibly Camper's Name Sex: M F Birth date: / / Social
More informationWe are excited to be able to offer our first ever Critter Camp for children.
Dear Campers, Parents, and Guardians, We are excited to be able to offer our first ever Critter Camp for children. Our goal of camp is to foster respect for animals through engaging activities intended
More informationCAMP I BELIEVE: CAMPER APPLICATION Camp Baldwin Elberta, AL Saturday, September 12 th -Sunday, September 13 th, 2015
CAMP I BELIEVE: CAMPER APPLICATION Camp Baldwin Elberta, AL Saturday, September 12 th -Sunday, September 13 th, 2015 CAMPER INFORMATION Last First Middle Nickname _ Street Apt# City State Zip DOB Age Grade
More informationWELCOME TO SUMMER CAMP 2017!
Dear Parents and Guardians, Hello, and welcome to Summer Science Camps at Carnegie Science Center! We are excited to have your child joining us for a summer full of fun and discovery. This packet will
More informationThere will be no refunds.
Flint Park Day Camp Application- 2015 Camp Dates: July 6 th August 14 th In order for application to be accepted: 1. Application must be completed in its entirety. Immunization Records must be printed
More informationBREA SUMMER DAY CAMP! June 18 August 24, 2018
BREA SUMMER DAY CAMP! June 18 August 24, 2018 Dear Parents of Day Camp Participant: The City of Brea proudly announces the beginning of the 2018 Summer Day Camp Program. This year s program will take place
More informationCAMP TAWINGO 2018 CAMPER APPLICATION FORM SUMMER FUN FOR BOYS & GIRLS 7 TO 16 YEARS OF AGE
We have fun building GREAT kids! CAMP TAWINGO 2018 CAMPER APPLICATION FORM SUMMER FUN FOR BOYS & GIRLS 7 TO 16 YEARS OF AGE Please send this Application Form to: 1844 Ravenscliffe Rd Please check the session(s)
More informationThe. Camp Impact 2018 July East 1100 Rd. - Checotah, OK Teen Camp [Grades 6-12] July 9-12 Cost $165 With T-Shirt $175
July 9-14 408474 East 1100 Rd. - Checotah, OK 74426 kids Camp [Grades K - 5] July 12-14 Cost $130 With T-Shirt $140 PCG STUDENT MINISTRIES Teen Camp [Grades 6-12] July 9-12 Cost $165 With T-Shirt $175
More informationPlease complete the attached registration and permission forms. These forms must be submitted to complete your registration.
Dear Parent, Thank you for registering your child for Good Grief s Grief Expressions Summer Camp! Camp will run Monday, August 20, 2018 through Friday, August 24, 2018. Hours of camp are 9:00 am 4:00 pm.
More informationCamp Courage I May 17-19, 2019 Pre-Camp May 6, 2019 Camp Courage II October 4-6, 2019 Pre-Camp September 23, 2019
Dear Prospective Camper and Parent/Guardian: We are so pleased that you are considering Camp Courage as a way of supporting your child in dealing with the death of a significant person in their lives.
More informationThe Hammock House Summer Camp Programs nd Street West, Marathon, Florida
The Hammock House Summer Camp Programs 451 52nd Street West, Marathon, Florida 33050 HammockHouseKids@gmail.com 305-743-6412 Dear Parents/Guardians WELCOME AND REGISTRATION INSTRUCTIONS: Thank you for
More informationCAMP HORIZONS: WEST CABARRUS BRANCH
2018 SUMMER DAY CAMP REGISTRATION FORM CAMP HORIZONS: WEST CABARRUS BRANCH (Please Print) Today s Date: CAMPER INFORMATION Camper s Last First: Middle: Child s Code Word: Rising Grade (2018-19 School Year):
More informationCAMP PEP APPLICATION 2018
Page 1 of 12 CAMP PEP APPLICATION 2018 Programs Employing People 1200 S. Broad St, Philadelphia, PA 19146 Phone: (215) 389-4006 FAX: 215-389-5228 E-mail: info@pepservices.org INSTRUCTIONS FOR COMPLETING
More informationHomewood Parks & Recreation Homewood, Alabama Summer Day Camp 2019 Information Packet
Homewood Parks & Recreation Homewood, Alabama Summer Day Camp 2019 Information Packet INFORMATION PACKET Camp Dates, Hours & Fees Registration Fee: $100 Due at Registration (Per Camper) Day Camp Sessions
More informationPine Jog Summer Camp Program
PINE JOG ENVIRONMENTAL EDUCATION CENTER College of Education 6301 Summit Blvd. West Palm Beach, FL 33415-0991 tel: 561.656.5430 fax: 561.656.5453 www.pinejog.fau.edu pinejogassp@pinejogassp.fau.edu Pine
More informationCamp Hands Up 2018 Registration Form **Please Note: Prices are changed and see on the bottom**
Camp Hands Up 2018 Registration Form **Please Note: Prices are changed and see on the bottom** Participant Questions (Required) = * *First & Last Name *Date of Birth *Gender: Male or Female *Grade: *Email
More informationState Kids Camp 16 July 6th-9th At Camp Victory in Mannford
State Kids Camp 16 July 6th-9th At Camp Victory in Mannford Completed 2 nd - 5 th Grades $150/camper + $15 snack shack & RC Kids Camp shirt (Camp Victory shirts can be purchased for an additional $10)
More information