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1 summer camps Fun! Register today for Summertime

2 MULTI-PURPOSE CENTER 3000 W. Jefferson Street EARLY BIRD DEADLINE EXTENDED TO MAY 16! Discovery Day Camp Campers will participate in weekly field trips, arts and crafts, sports, and special events. Every day is a new day of adventure and excitement! Included in the fee is bus transportation for field trips, field trip fees, one camp t-shirt per summer, one backpack per summer, cookouts and more. An early bird discount of $50 is available for campers who are paid in full by May 16, 2011 for any 8-week registration. A $50 non-refundable deposit can be made to secure a spot for your child in Discovery, Daytime and T.E.E.N. Camp. The Joliet Park District s refund policy will be firmly enforced and there will not be any proration of fees. Age: 6-8 yrs Deadline: 5/29, 7/1 Various Mon-Fri 6/6-7/29 9am-4pm $875/$800(RDC)-8 weeks Mon-Fri 6/6-7/1 9am-4pm $600/$475(RDC)-4 weeks Mon-Fri 6/6-6/17 9am-4pm $375/$300(RDC)-2 weeks Mon-Fri 6/20-7/1 9am-4pm $375/$300(RDC)-2 weeks Mon-Fri 7/5-7/29 9am-4pm $600/$475(RDC)-4 weeks Mon-Fri 7/5-7/15 9am-4pm $375/$300(RDC)-2 weeks Mon-Fri 7/18-7/29 9am-4pm $375/$300(RDC)-2 weeks No Class 7/4 Daytime Adventures Campers will participate in weekly field trips, arts and crafts, sports, and special events. Every day is a new day of adventure and excitement! Included in the fee is bus transportation for field trips, field trip fees, one camp t-shirt and one backpack per summer, cookouts and more. An early bird discount of $50 is available for campers who are paid in full by May 16, 2011 for any 8-week registration. A $50 non-refundable deposit can be made to secure a spot for your child in Discovery, Daytime and T.E.E.N. Camp. The Joliet Park District s refund policy will be firmly enforced and there will not be any proration of fees. Age: 9-11 yrs Deadline: 5/29, 7/1 Various Mon-Fri 6/6-7/29 9am-4pm $875/$800(RDC)-8 weeks Mon-Fri 6/6-7/1 9am-4pm $600/$475(RDC)-4 weeks Mon-Fri 6/6-6/17 9am-4pm $375/$300(RDC)-2 weeks Mon-Fri 6/20-7/1 9am-4pm $375/$300(RDC)-2 weeks Mon-Fri 7/5-7/29 9am-4pm $600/$475(RDC)-4 weeks Mon-Fri 7/5-7/15 9am-4pm $375/$300(RDC)-2 weeks Mon-Fri 7/18-7/29 9am-4pm $375/$300(RDC)-2 weeks No Class 7/4 Discovery Day Camp & Daytime Adventures Camp Before & After Camp Age: 6-11 yrs Deadline: 5/29, 7/1 No Camp July 4 Before Camp Mon-Fri 6/6-7/1 6:30-9am Mon-Fri 7/5-7/29 6:30-9am $175/$150(RDC) 4 weeks; $150/$100(RDC) 2 weeks (must specify) After Camp Mon-Fri 6/6-7/1 4-6pm Mon-Fri 7/5-7/29 4-6pm $175/$150(RDC) 4 weeks; $150/$100(RDC) 2 weeks (must specify) Before and After Camp Mon-Fri 6/6-7/1 6:30am-6pm Mon-Fri 7/5-7/29 6:30am-6pm $250/$225(RDC) 4 weeks; $175/$125(RDC) 2 weeks (must specify) T.E.E.N. Camp Preteen and teenagers... make the best of summer and get out to meet kids just like you! Included in the fee is bus transportation, field trip fees, one camp shirt, and one back pack per summer. Lunch will be provided daily at no additional cost. A discount of $50 is available for campers who register early and pay by May 16, A $50 non-refundable deposit can be made to secure a spot for participants in T.E.E.N. Camp. In order to receive the discounts all fees must be paid in full by May 1, The Joliet Park District s refund policy will be firmly enforced and there will not be any proration of fees. Service hours are available. Age: yrs Deadline: 5/29, 7/ Mon-Fri 6/6-7/29 9am-4pm $625/$550(RDC)-8 weeks Mon-Fri 6/6-7/1 9am-4pm $425/$375(RDC)-4 weeks Mon-Fri 6/6-6/17 9am-4pm $225/$200(RDC)-2 weeks Mon-Fri 6/20-7/1 9am-4pm $225/$200(RDC)-2 weeks Mon-Fri 7/5-7/29 9am-4pm $425/$375(RDC)-4 weeks Mon-Fri 7/5-7/15 9am-4pm $225/$200(RDC)-2 weeks Mon-Fri 7/18-7/29 9am-4pm $225/$200(RDC)-2 weeks No Class 7/4 T.E.E.N. Before/After Camp For working parents, we have extended hours at a nominal fee. This fee must be paid before each camp session. The Park District reserves the right to charge additional fees when children are not picked up on time. Age: yrs Deadline: 5/29, 7/ Mon-Fri 6/6-7/1 6:30am-6pm Mon-Fri 7/5-7/29 6:30am-6pm $175/$150(RDC)-4 weeks No Class 7/4 Extended Day Camp for Discovery, Daytime & T.E.E.N. Camps Age: 6-14 yrs Deadline: 7/28, 8/ Mon-Fri 8/1-8/5 9am-4pm Mon-Fri 8/8-8/12 9am-4pm $130/$120(RDC) Extended Day Camp Before/After Camp Age: 6-14 yrs Deadline: 7/ Mon-Fri 8/1-8/5 7-9am/4-6pm Mon-Fri 8/8-8/12 7-9am/4-6pm $65/$55(RDC) Summer Camp Field Trips Join the Joliet Park District summer camps in major fun! Come with us on our weekly field trip. Be sure to complete camp emergency form. Age: 6-11 yrs Deadline: 6/8, 6/15, 6/22, 6.30, 7/6, 7/13, 7/ Thurs 6/9 9am-4pm Thurs 6/16 9am-4pm Thurs 6/23 9am-4pm Thurs 6/30 9am-4pm Thurs 7/7 9am-4pm Thurs 7/14 9am-4pm Thurs 7/21 9am-4pm Thurs 7/27 9am-4pm $45/$40(RDC)

3 MULTI-PURPOSE CENTER 3000 W. Jefferson Street Nature Camp Love the outdoors? This camp is for you. We will hike, explore, and investigate the world around us by looking at plants, rocks, insects, and trails. Crafts and experiments round out this camp. Students will have the opportunity to experience traditional camp activities, field trips and swimming in our indoor swimming pool. Early drop-off and late pick-up available for additional fee. Age: 6-12 yrs Deadline: 7/8, 7/29 (Room 3) Mon-Fri 7/11-7/15 9am-4pm Mon-Fri 8/1-8/5 9am-4pm Imagination Theater Camp participants will learn the fundamentals of acting, set design, costuming and stage directions through improvisational games and creative activities. Participants will have the opportunity to increase their listening and speaking skills, and gain self confidence. Traditional camp activities and opportunities will round out the experience. A small production will be held at the conclusion of camp. Agenda with daily camp activities included with registration packet. Age: 6-12 yrs Deadline: 6/22, 8/3 (Room 3) Mon-Fri 6/27-7/1 9am-4pm Mon-Fri 8/8-8/12 9am-4pm Get Up and Dance/Glee Musical This class is full of challenging activities that include all types of movement including hip hop, jazz, costume and theater study. Students will design and make their own backdrops. The class also includes traditional camp adventures, including swimming in our indoor pool. Early drop-off and late pick-up available for additional fee. Students will perform on the final day of camp for parents and friends. Instructed by: Dance Staff Age: 6-12 yrs Deadline: 6/15, 7/20 (Room 3) Mon-Fri 6/20-6/24 9am-4pm Mon-Fri 7/18-7/22 9am-4pm Camp Complete Art, science, sports, swimming, theater, games, dance, and music will be provided in this active, well-rounded, traditional week-long camp. Weekly field trip included. No need to choose one theme because you will be introduced to an assortment of activities. Early drop-off and late pick-up available for additional fee. 10% discount for registering for more than one specialty camp! Age: 6-12 yrs Deadline: 6/1, 7/13, 8/3 (Rooms 3 & 4) Mon-Fri (Rm 3) 6/6-6/10 9am-4pm Mon-Fri (Rm 3) 7/25-7/29 9am-4pm Mon-Fri (Rm 4) 8/8-8/12 9am-4pm Budding Artist Art Camp Students of all abilities will be instructed in the techniques of line drawing, value, modeling, perspective, space, shape, plane, texture, and pastels. Cartooning will be demonstrated as the student learns to make objects look real, facial expressions, and how to draw powerful scenes using special effects. Traditional camp activities and weekly field trips will round out this camp experience. Early drop-off and late pick-up available for additional fee. Age: 6-12 yrs Deadline: 6/8, 7/27 (Rooms 3 & 4)) Mon-Fri (Rm 3) 6/13-6/17 9am-4pm Mon-Fri (Rm 4) 8/1-8/5 9am-4pm Specialty Camp Before and After Camp For the busy family we have new extended camp hours at an additional fee. Early and late sessions are available at the. The Park District reserves the right to charge additional fees when children are not picked up on time. Must be registered one week prior to each camp session. Register for more than one session and receive 10% discount off the next session. Age: 4-14 yrs Deadline: One Week Prior to Each Session (Room 1) Mon-Fri 6/6-6/10 6:30-9am $ Mon-Fri 6/6-6/10 4-6pm $ Mon-Fri 6/6-6/10 6:30-9am/4-6pm $ Mon-Fri 6/13-6/17 6:30-9am $ Mon-Fri 6/13-6/ pm $ Mon-Fri 6/13-6/17 6:30-9am/4-6pm $ Mon-Fri 6/20-6/24 6:30-9am $ Mon-Fri 6/20-6/24 4-6pm $ Mon-Fri 6/20-6/24 6:30-9am/4-6pm $ Mon-Fri 6/27-7/1 6:30-9am $ Mon-Fri 6/27-7/1 4-6pm $ Mon-Fri 6/27-7/1 6:30-9am/4-6pm $ Tues-Fri 7/5-7/8 6:30-9am $ Tues-Fri 7/5-7/8 4-6pm $ Tues-Fri 7/5-7/8 6:30-9am/4-6pm $ Mon-Fri 7/11-7/15 6:30-9am $ Mon-Fri 7/11-7/15 4-6pm $ Mon-Fri 7/11-7/15 6:30-9am/4-6pm $ Mon-Fri 7/18-7/22 6:30-9am $ Mon-Fri 7/18-7/22 4-6pm $ Mon-Fri 7/18-7/22 6:30-9am/4-6pm $ Mon-Fri 7/25-7/29 6:30-9am $ Mon-Fri 7/25-7/ pm $ Mon-Fri 7/25-7/29 6:30-9am/4-6pm $ Mon-Fri 8/1-8/5 6:30-9am $ Mon-Fri 8/1-8/5 4-6pm $ Mon-Fri 8/1-8/5 6:30-9am/4-6pm $ Mon-Fri 8/8-8/12 6:30-9am $ Mon-Fri 8/8-8/12 4-6pm $ Mon-Fri 8/8-8/12 6:30-9am/4-6pm $50

MULTI-PURPOSE CENTER 3000 W. Jefferson Street 815-741-7275 Play Dance Creative Arts Camp Children will dance along with their favorite fairy tales and create dance-related crafts.

4 MULTI-PURPOSE CENTER 3000 W. Jefferson Street Play Dance Creative Arts Camp Children will dance along with their favorite fairy tales and create dance-related crafts. Each fun-filled day will consist of a 45 minute dance class, a creative reading, and completion of their very own craft. The final day, the students will showcase a dance learned during camp. Each session has new themes so register for all 3! Instructed by our Dance Staff. Age: 4-8 yrs Deadline: 5/27, 6/22, 7/27 (Rm 6 Dance Studio) Wed/Thurs/Fri 6/1-6/3 12:30-3pm Mon/Tues/Wed 6/27-6/29 12:30-3pm Mon/Tues/Wed 8/1-8/3 12:30-3pm $30/$25(RDC) Kinder Camp This enrichment camp is designed for the child who just completed or will be attending Kindergarten in the fall. A variety of activities will be available allowing self expression, creativity, socialization, and recreation. Register for more than one session and receive a 10% discount. Theme-based with new activities every week. Early drop-off and late pick-up available for additional fee. Traditional camp activities and weekly field trips are included as well as swimming in our indoor pool. Instructors: Bryan Shields, Andrea McCafferty. Weekly field trips included in fee. Age: 4-6 yrs Deadline: 6/1, 6/8, 6/15, 6/22, 6/29, 7/6, 7/13, 7/20, 7/27, 8/3 (Room 1) Mon-Fri 6/6-6/10 9am-4pm Mon-Fri 6/13-6/17 9am-4pm Mon-Fri 6/20-6/24 9am-4pm Mon-Fri 6/27-7/1 9am-4pm Tues-Fri 7/5-7/8 9am-4pm $116/$108(RDC) Mon-Fri 7/11-7/15 9am-4pm Mon-Fri 7/18-7/22 9am-4pm Mon-Fri 7/25-7/29 9am-4pm Mon-Fri 8/1-8/5 9am-4pm Mon-Fri 8/8-8/12 9am-4pm Summer Meeting The Challenge This multi-age class focuses on individual and group learning. Art mediums, letters, numbers, and shapes are introduced. Gym and music are also included. Dress child in play clothes. This is a one-day-a-week Learning Center class that follows the National and Illinois Early Childhood Standards and Benchmarks. Register early to secure a spot for your child. Instructed by Early Learning Staff. Age: 3-5 yrs Deadline: 6/6 (Rm 5) Wed 6/8-7/27 9:15-11:15am Wed 6/8-7/27 12:30-2:30pm Thurs 6/9-7/ am $95/$90(RDC) Camp Starfish - NEW! Each star will shine as we feature a wide spectrum of entertaining experiences! Our adventures will include mini hikes, crafts, stories, nature projects, waterplay, plus a variety of sports and games. Water activities include portable pool and sprinkler. Age: 3-5 yrs Deadline: 6/8, 7/7, 7/27 (Room 5) Mon/Wed 6/13-6/29 12:30-3:30pm Tues/Thurs 6/14-6/30 12:30-3:30pm Mon/Wed 7/11-7/27 12:30-3:30pm Tues/Thurs 7/12-7/28 12:30-3:30pm $ Mon/Wed 8/1-8/10 12:30-3:30pm Tues/Thurs 8/2-8/11 12:30-3:30pm $40 Fabulous Friday - NEW! This is a unique camp for your preschooler. Packed with exciting, developmentally appropriate activities in this new one-day-a-week camp. During this time children will participate in water activities, arts, crafts, games, free and structured play songs, stories and much more. Age: 3-5 yrs Deadline: 6/3, 7/12 (Room 5) Fri 6/10-7/8 9:15am-1pm Fri 7/15-8/12 9:15am-1pm $55/$50(RDC)

MULTI-PURPOSE CENTER 3000 W. Jefferson Street 815-741-7275 Cheerleading/Pom Camp Learn with the experts what it takes to get the SPIRIT! Work on execution, technique, jumps, and tumbling skills.

All emergency forms must be completed and turned in prior to or on the first day of camp.

5 MULTI-PURPOSE CENTER 3000 W. Jefferson Street Cheerleading/Pom Camp Learn with the experts what it takes to get the SPIRIT! Work on execution, technique, jumps, and tumbling skills. Perfect for the child working on being S-U-P-E-R. Camp will include traditional camp activities. Lunch provided daily. Early drop-off and late pick-up available for an additional fee. All emergency forms must be completed and turned in prior to or on the first day of camp. Age: 6-16 yrs Deadline: 6/10, 7/ Mon-Fri 6/13-6/17 9am-4pm Mon-Fri 8/1-8/5 9am-4pm CPR for Dynamic Super Sitter So you are a certified American Red Cross Babysitter and want to become the best sitter in the neighborhood? This class is a great extension to add to and improve your First Aid/ CPR skills. You will learn the proper techniques for breathing, choking, and cardiac emergencies. We will review how to reach help quickly and correctly. Please dress comfortably. Instructed by Karen Cooper. 10% discount if you registered for the Babysitting class. All materials are provided. Age: yrs Deadline: 6/8, 7/1 IRC Community Room Fri 6/10 9am-3pm Wed 7/6 9am-3pm $65/$55(RDC) Gymnastics/Tumbling Camp Are you interested in progressing through your gymnastics and tumbling skills with specialized attention? Bars, beam, vault, and floor exercises will be combined with traditional camp activities. Bring a lunch and drink daily. Early drop-off and late pick-up available for an additional fee. All emergency forms must be completed and turned in prior to the start of camp. Age: 6-16 yrs Deadline: 6/11, 8/ Mon-Fri 6/13-6/17 9am-4pm Mon-Fri 8/8-8/12 9am-4pm Summer Baby-Sitting Clinic This course covers everything you need to know regarding safety, child behavior, fun activities, and baby-sitter readiness! Learn the proper techniques for emergencies. Make your own child care bag. All materials are provided including information to use at home to make you the most sought-after sitter. Instructed by: Karen Cooper Age: yrs Deadline: 6/6, 7/1 (Rooms 3 & 5) Thurs (Rm 5) 6/9 9am-3pm Tues (Rm 3) 7/5 9am-3pm $65/$55(RDC) Zany Brainy Science Camp Who says our brain goes on vacation during the summer? Physics, Chemistry, and Geology will be explored. We will blast off rockets, erupt oozing volcanoes, and try messy experiments. Class is designed for adventurous and curious youngsters. Please dress comfortably and wear athletic shoes. Instructed by: Learning Center Staff Age: 6-10 yrs Deadline: 6/1, 6/30 (Rooms 3 & 5) Mon-Wed (Rm 5) 6/6-6/8 9am-4pm Wed-Fri (Rm 3) 7/6-7/8 9am-4pm $110/$100(RDC)

6 HARTMAN CENTER and NOWELL PARK Hartman Center 511 N. Collins Street Nowell Park 5 Mills Road Camp BraveHART Campers will enjoy field trips, arts and crafts, games, swimming, and much more. Early bird discounts are available for campers who are paid in full by May 27th. A $50 non-refundable deposit can be made to secure a spot in camp. The Joliet Park District s refund policy will be firmly enforced. Age: K-6th Grade Deadline: 6/10, 7/8 Hartman Recreation Center Mon/Tues/Wed/Thurs/Fri 6/13-8/5 9am-4pm $575/$475(RDC) Mon/Tues/Wed/Thurs/Fri 6/13-7/8 9am-4pm $475/$375(RDC) Mon/Tues/Wed/Thurs/Fri 7/11-8/5 9am-4pm $475/$375(RDC) No Class 7/4 Camp BraveHART Before/After Camp For working parents, we have new extended hours at a nominal fee. This fee must be paid before each camp session. The Park District reserves the right to charge additional fees when children are not picked up on time. Age: K-6th Grade Deadline: 6/10, 7/8 Hartman Recreation Center Mon-Fri 6/13-7/8 7-9am/4-6pm Mon-Fri 7/11-8/5 7-9 am/4-6pm $150/$100(RDC) No Class 7/4 Camp BraveHART Extended Camp Camp has been extended for two more weeks! Continue to enjoy arts and crafts, games, field trips and more. Age: K-6th Grade Deadline: 8/5 Hartman Recreation Center Mon-Fri 8/8-8/19 8 am-6pm $130/$120(RDC) Nowell Park 5 Mills Road Camp Nowell Campers will enjoy field trips, the outdoors, arts and crafts, games and much more. Early bird discounts are available. The rain day site for this camp will be the Hartman Recreation Center. Sign up for 8 weeks at one time for a discounted price of $500! Age: K-6th Grade Deadline: 6/17, 7/15 Nowell Park Mon-Fri 6/20-7/15 9am-4pm Mon-Fri 7/18-8/12 9am-4pm $475/$375(RDC) No Class 7/4 To Register Call: or

An 8 week calendar will be given to each participant detailing all activities, swimming, field trips, etc.

7 Recreation for Individuals with Special Needs 3000 W. Jefferson Street x175, x176, or x169 Attention Campers: Please bring sunblock, swimwear, back-pack, lunch and drink daily unless otherwise noted. An 8 week calendar will be given to each participant detailing all activities, swimming, field trips, etc. Additional information will be included in the Parent/Camper Manual which will be distributed upon registration after May 2, or mailed if registered by May 2. All emergency and behavioral forms are located within the manual and are to be returned to the SRJC Camp Supervisors or at the Parent Meeting prior to the start of the camp season. Campers must be pre-registered before camps begin. SRJC Day Camp Campers will participate in field trips, arts and crafts, swimming, sports, etc. and will receive a t-shirt which must be worn on field trip days. Campers should bring a sack lunch and drink daily! A $25 non-refundable deposit can be made to secure a spot for your child in Day Camp. The Joliet Park District s refund policy will be firmly enforced. SRJC will no longer provide door to door transportation. Please contact the office for your transporting options at ext 169, 175 or 176. Age: 6-12 yrs Deadline: 5/ Mon-Fri 6/6-7/29 9am-3pm $800 Res/$980 Non Res No Class: 6/10, 7/4 SRJC Day Camp Before/After Camp Campers may be dropped off early and picked up late for Day Camp. Early drop off begins at 7:30am and late pick up continues until 6pm. SRJC reserves the right to charge additional fees when children are not picked up on time. Age: 6-12 yrs Deadline: 5/ Mon-Fri 6/6-7/29 7:30 am-6pm $450 Res/$500 Non Res SRJC Day Camp/Before Camp Mon-Fri 6/6-7/29 7:30-9am $225 Res/$275 Non Res SRJC Day Camp/After Camp Mon-Fri 6/6-7/29 3-6pm $225 Res/$275 Non Res No Class: 6/10, 7/4 T.E.E.N. Camp Teenagers make the best of summer and get out to meet kids just like you! Included in the fee are field trips, one camp shirt, arts and crafts, swimming, sports, etc. A $25 non-refundable deposit can be made to secure a spot for your child in T.E.E.N. Camp. The Joliet Park District s refund policy will be firmly enforced. SRJC will no longer provide door to door transportation. Please contact the office for your transporting options at ext 169, 175 or 176. Age: yrs Deadline: 5/ Mon-Fri 6/6-7/29 9am-4pm $600 Res/$675 Non Res No Class: 6/10, 7/4 SRJC T.E.E.N. Camp Before/After Camp Campers may be dropped off early and picked up late for Teen Camp. Early drop off begins at 7:30am and late pick up until 6pm. SRJC reserves the right to charge additional fees when children are not picked up on time. Age: yrs Deadline: 5/ Mon-Fri 6/6-7/29 7:30am-6pm $450 Res/$500 Non Res SRJC Teen Camp Before Camp Mon 6/6-7/29 7:30-9am $225 Res/$275 Non Res SRJC Teen Camp After Camp Mon 6/6-7/29 4-6pm $225 Res/$275 Non Res No Class: 6/10, 7/4

8 GENERAL INFORMATION Multi-Sibling Discount: Discount applies to 8 week (full day) camp registrations for all same household siblings. After first sibling 8 week (full day) camp registration is paid, each additional same-household sibling will receive $40 off their 8 week (full day) camp registration. Discount does not apply to those siblings not residing in the same household, 2 and/or 4 week registration, BEFORE Camp, AFTER Camp, and/or BEFORE and AFTER Camp registration. Programs codes eligible for discount: Discovery Day Camp ( ); Daytime Adventures ( ); T.E.E.N. Camp ( ). Please Note: Campers are to bring sunblock and swimwear daily unless otherwise noted. For Discovery, Daytime Adventures and T.E.E.N. Camp, an 8 week calendar will be given to each participant detailing all activities, swimming, cookout information and more. Other pertinent information will be located within the Parent/Camper Manual. One manual per participant will be distributed upon registration after May 1st or mailed if registered by May 1st. All emergency and behavioral forms are located within the manual and are to be returned to the Joliet Park District registration desks or at the Parent Meeting prior to the start the camp session. Please register for the appropriate weeks of camp. All campers must be registered before each camp week begins and prior to all deadlines. There will be no proration of summer camp fees. FINANCIAL SERVICES CARD Head of Household Address City REGISTRATION FORM PAYMENT MUST ACCOMPANY REGISTRATION Debit Cards Accepted This form may be duplicated Phone 1 Phone 2 Zip ACTIVITY ACTIVITY ACTIVITY START PARTICIPANT S NUMBER TITLE DAY & TIME DATE FIRST & LAST NAME SEX BIRTHDATE FEE Adult Signature CHARGE CARD ACCOUNT NUMBER TOTAL: EXP. DATE 3-DIGIT SECURITY CODE m Please check here if above address is new_. CHARGE TO: m Debit m MasterCard m Visa m Discover ($10 Min.) Old Address CHECK $ # Americans With Disabilities Act: Special Needs? m YES m NO CASH $ If yes, please describe Seizures? m YES m NO Controlled? m YES m NO Allergies Diet Restrictions Medications (Staff cannot administer non-prescriptive medication) Assistive Device (wheelchair, etc.) A.D.A. Statement: The Joliet Park District intends to comply with the interest and spirit of the Americans With Disabilities Act. If you need any special accommodations, please call the Park District so that we may make the necessary arrangements for you. Phone x169. REFUND POLICY: No refunds will be issued once programs begin without doctor s note or proof of relocation. All requests must be made in writing. LIABILITY: The Joliet Park District assumes no responsibility for injury or loss of personal property. It is recommended that participants make provisions for their coverage with their own insurance carrier. Registrants and participants permit the taking of photos and videos ot themselves and their children during Park District activities for publication and use as the Park District deems necessary.

COLUMBIA NORTH YMCA SUMMER. CAMP 2017 Planning Guide SIBLING DISCOUNT NOW AVAILABLE. philaymca.org

COLUMBIA NORTH YMCA SUMMER. CAMP 2017 Planning Guide SIBLING DISCOUNT NOW AVAILABLE. philaymca.org COLUMBIA NORTH YMCA SUMMER NEW FOR 2017 SIBLING DISCOUNT NOW AVAILABLE See branch for details CAMP 2017 Planning Guide philaymca.org GENERAL OVERVIEW The Columbia North YMCA Summer Camp program provides