CAMP WILDCAT SUMMER JUNE 15 AUGUST 14. $190 per week for 4 or more weeks OR $235 per week for individual weeks

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2015 WILDCAT SUMMER CAMP JUNE 15 AUGUST 14 $190 per week for 4 or more weeks OR $235 per week for individual weeks Reduced Early Registration Fee $50 (by May 1) Discounted Sibling Rate $135 per week (4+ weeks) Weekly Field Trips, Arts & Weekly Field Trips,Cooking, Arts & Drama, Crafts, Crafts, Cooking, Drama, Science, Reading, Sports, and Science, Reading, Sports, much more! and much more! NCA s Wildcat Camp strives to provide a safe, engaging experience with a variety of recreational, educational, athletic, and fine arts programs at an affordable price. Wildcat Camp is for registered NCA students and the children of registered parishioners of our NCA sponsoring parishes. Age specific programs are available for children who are 3 by June 1 through 8th grade. For complete details visit www.northsidecatholic.org or call 773-743-6277.

ESSENTIAL INFORMATION NCA s Wildcat Camp strives to provide a safe, engaging experience with a variety of recreational, educational, athletic, and fine arts programs at an affordable price for registered NCA students preschool through 8th grade. Here are some important things to know: Staffing is based upon registrations. It s important to attend the weeks for which you ve registered. A $50 non refundable registration fee is required for each camper. Early registration deadline is May 1, 2015. After May 1, the Registration Fee is $75. All registrations will be via SchoolSpeak and registration payment via SchoolSpeak or check/money order made payable to NCA. No refunds can be given after the scheduled week begins, and no make-up days can be given for absences. Cancellations must be given at least a full week in advance, or a $100 fee will be charged. Wildcat Campers are required to abide by the behavioral rules as stated in the NCA Family Handbook. Campers must be 3 years old by June 1, 2015, and toilet trained. Fees for extended care will be charged the Friday following the week of care using the same payment method as your camp fees. Snack: NCA provides a daily snack for campers. Lunch: Students bring their own lunch and drink in a labeled ziplock bag which will be stored in our refrigerator. ** NCA Camp is Nut Free ** Camp Headquarters: 1401 W. Granville Ave (SW corner at Glenwood). All campers arrive/dismiss from the gym building. Camp Contact: Louise Larsen, Camp Director Phone: 773-504-9520 (cell) Email: llarsen@ncaweb.org Hours: 8am-3pm PreK-8 Camp Extended Care is available from 7am-8am and 3pm-6pm at $4/hr per camper (any portion of an hour is charged $4/hr) CAMP PRICING $190/wk for Camper who registers/attends 4 or more weeks; $135/wk for each sibling $235/wk for Camper who registers for less than 4 weeks; $195/wk for each sibling *No camp on July 3, 2015. WEEKLY WILDCAT CAMP THEMES Week 1: June 15-19... Exploration Chicago Week 2: June 22-July 26... Where the Wild Things Are Week 3: June 29-July 2*... Stars & Stripes Week 4: July 6-10... Wet & Wild Week 5: July 13-17... Moving & Grooving Week 6: July 20-24... Country Bumpkins Week 7: July 27-31... A Blast from the Past Week 8: Aug 3-7... Games Galore Week 9: Aug 10-14... Tropical Paradise

2015 REGISTRATION FORM Please complete one registration form for each camper and submit with registration fee. Camper Parent(s) Last First Cell Phone Male Female Birth date Cell Phone Address Email address(es) Home Phone Grade in September 2015 Please list the names of persons, other than parents, who may pick up this camper: Please indicate which weeks this camper will be attending All 9 Weeks ---------- OR ---------- Week 1: June 15-19...Exploration Chicago Week 2: June 22-July 26...Where the Wild Things Are Week 3: June 29-July 2*...Stars & Stripes Week 4: July 6-10...Wet & Wild Week 5: July 13-17...Moving & Grooving Week 6: July 20-24...Country Bumpkins Week 7: July 27-31...A Blast from the Past Week 8: Aug 3-7...Games Galore Week 9: Aug 10-14...Tropical Paradise Emergency Contact (other than parent) Phone Medical Physician Phone Health Insurance Co Plan ID # Allergies/Health Concerns Any Additional Information Each camper receives one t-shirt and camp bag. Please choose t-shirt size (choose one): Youth SM Adult SM Youth Med Youth LG Additional shirts cost $8/ea $ Size Quantity Total Adult Med Adult LG Adult XL $50 non-refundable registration fee per camper must accompany this registration. Please see payment policies on the following page. I understand in case of emergency, when I am unable to be reached, I, the parent/legal guardian of the registrant, give permission to Northside Catholic Academy to authorize any emergency action necessary to ensure the safety of the registrant. I further understand that Northside Catholic Academy will not be held financially responsible or otherwise liable for any emergency care given. I give permission for the registrant s name and/or photograph to be used for promotional and publicity purposes. I give permission for the registrant to go on supervised walking excursions and organized bus field trips. I have read and understand the policies of the program. Parent Signature Date

PAYMENT OPTIONS There are several payment options. Families can pay by check, money order, or electronic payment (e-check or credit card). Payments for camp fees are due on the Monday of the week the student is attending the camp. Extended care fees are due on Friday, one week after the camper attends. Camper Please select the payment method you prefer: I prefer to pay by check or money order. I understand that the camp fee payment is due on Monday when I drop off my child(ren) for camp. I prefer to pay by electronic check. I understand that the NCA business office will process the payment on Monday of the week my camper attends. Checking Savings on Account Bank Account # Routing # Signature I prefer to pay by credit card. I understand that the NCA business office will process the payment on Monday of the week my camper attends. MC Visa Amex Discover on Card Billing Address Credit Card # Exp. Date CVV Signature Extended care payments that are paid by electronic check or credit card will be processed on Friday, one week after the camper attends. Extended care payments made by check or money order are due on Friday, one week after the camper attends.

POLICIES NCA s Wildcat Camp strives to provide a safe, engaging experience with a variety of recreational, educational, athletic, and fine arts programs at an affordable price. Staffing of camp counselors is based upon registrations made by May 1. A $50 non refundable registration fee is required for each camper on or before May 1, 2015. After May 1 the Registration Fee is $75. All registrations will be online via SchoolSpeak and registration payment via SchoolSpeak or check/money order made payable to NCA. Camp hours are from 8am-3pm. Extended Care is available from 7am-8am and 3pm-6pm. No refunds can be given after the scheduled week begins. No refunds or make-up days can be given for absences. Cancellations must be given at least a full week in advance, or a $100 fee will be charged. Wildcat Campers are required to abide by the behavioral rules, policies and procedures as outlined in the NCA Family Handbook which can be found on our website www.northsidecatholic.org. The Camp Director and Principal will enforce the discipline policy as deemed appropriate, including the withdrawal of any student whose conduct is unsatisfactory. If a camper needs to take medication during the camp day or have an EpiPen or inhaler on hand, written instructions from a doctor s office (as outlined in the NCA Family Handbook) must be provided before camp begins. NCA Camp is a nut-free camp. Campers must be 3 years old by June 1, 2015, and toilet trained. NCA provides a daily snack. Camp is nut free. Campers bring their own lunch and drink in a labeled ziplock bag. Extended Care fee is $4/hr per camper (any portion of an hour is charged $4/hr). By signing the registration form, I agree that my child has permission to go on walking excursions throughout the neighborhood and organized bus field trips. NCA has permission to authorize emergency medical treatment for my child if necessary. NCA has permission to use registrant s photo for publicity and advertising purposes. Camp Pricing $190/wk for Camper who registers/attends 4 or more weeks; $135/wk for each sibling $235/wk for Camper who registers for less than 4 weeks; $190/wk for each sibling *No camp on July 3, 2015. NCA Wildcat Summer Camp 1401 W. Granville 773-743-6277 www.northsidecatholic.org