GOOD SHEPHERD SUMMER DAY CAMP 2018

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GOOD SHEPHERD SUMMER DAY CAMP 2018 Dear Parents: Good Shepherd is preparing to offer its 23 rd Edition of summer camp. The 2018 Edition of camp begins May 29. The 2018 Summer Camp will have a few NEW organizational changes. One of the new and most significant change is the Maximun number of campers per session. This maximum number of campers per session will hold firm at 98 school age campers (PRE-K through 6 th grade) per session. The initial focus of registration will be for Full-time session campers. Please review the following Registration Schedule: Registration Schedule: Window ONE: December 1, 2017 May 15, 2018 (Full-time camper sessions and one full week periods) Window TWO: March 15, 2018 May 15, 2018 (Full time camper sessions, one full week period, or three s per week) upon availability MISSION To address the need for high quality child-care for school-aged children of Good Shepherd and the community during the summer months To provide to Good Shepherd and the community an opportunity to enroll their children into a summer camp program that emphasizes personal fitness, social interaction, self-esteem and good citizenship To provide an environment that is warm, caring, safe and positive for their children to experience many activities and to grow as individuals. We look forward to seeing you in the summer of 2018! Mark Schuler Registration and Schedule Coordinator 2301 N. Stockwell Road Evansville, Indiana 47715 812-476-4477 ext. 203 mschuler@evdio.org

GOOD SHEPHERD 2018 SUMMER DAY CAMP PRE-K through 6 th grade REGISTRATION FORM CAMPER'S NAME MALE FEMALE AGE HOME ADDRESS HOME PHONE CITY STATE ZIP CODE CAMPER'S BIRTHDATE GRADE ENROLLED FALL '18 MOTHER'S NAME WK PHONE CELL PHONE EMPLOYED BY FATHER'S NAME WK PHONE CELL PHONE EMPLOYED BY E-MAIL ADDRESS ADDITIONAL CONTACTS (other than parent) IN CASE OF AN EMERGENCY (LIST IN ORDER OF PREFERENCE) 1. NAME PHONE NUMBER 2. NAME PHONE NUMBER PLEASE DISCUSS ALLERGIES, MEDICAL PROBLEMS, AND/OR PHYSICAL LIMITATIONS OF THIS CAMPER: IS CAMPER UNDER PHYSICIAN'S CARE AND/OR TAKING MEDICATION FOR CONDITIONS RELATED TO HIS/HER BEHAVIOR? PLEASE DISCUSS CORRECTIVE ALTERNATIVE METHODS THAT HAVE BEEN THE MOST SUCCESSFUL WHEN HANDLING THIS CAMPER: PLEASE SHARE ANY ADDITIONAL INFORMATION THAT YOU FEEL THE CAMP STAFF SHOULD KNOW ABOUT THIS CAMPER RELATING TO HIS/HER BEHAVIOR OR STATE OF MIND (EXAMPLES): (FEARS, ABILITY TO SHARE, REACTION TO HUNGER AND/OR FATIGUE, OVERALL NATURE, ETC.) CAMPER'S PHYSICIAN CAMPER'S DENTIST PHONE NUMBER PHONE NUMBER

GOOD SHEPHERD 2018 SUMMER DAY CAMP APPLICATION WILL BE DATED UPON ARRIVAL AND PROCESSED IN ORDER WITHIN EACH ENROLLMENT WINDOW. GOOD SHEPHERD SUMMER CAMP ENROLLMENT IS LIMITED TO 98 PRE-K THROUGH 6 h GRADE CAMPERS PER SESSION. THE CAMP OFFERS FOUR TWO-WEEK SESSIONS AND IS PRICED ACCORDINGLY. THE COST IS FOR A FULL TIME TWO-WEEK SESSION. THERE WILL BE A $15.00 DISCOUNT FOR A SECOND CHILD AND A $20.00 DISCOUNT FOR A THIRD CHILD (FULL-TIME ONLY). THESE ARE THE RATES FOR SESSIONS I, II, AND III. SESSION IV IS A TWO-WEEK CAMP AND THE RATE IS PLUS optional $50.00 IF WE SCHEDULE HOLIDAY WORLD. DISCOUNTS WILL BE HONORED (FULL-TIME CAMPERS ONLY) SEE KEY DATES PAGE A NON-REFUNDABLE DEPOSIT OF $30.00 PER CAMPER, PER WEEK, ($60.00 PER CAMPER PER SESSION), IS REQUIRED ALONG WITH THIS APPLICATION. THIS DEPOSIT WILL BE APPLIED TO THE CAMP FEE. Registration Schedule: Window ONE: December 1, 2017 May 15, 2018 (Full-time camper sessions and one full week periods) Window TWO: March 15, 2018 May 15, 2018 (Full time camper sessions, one full week period, or three s per week) upon availability DATE RECEIVED BY FEE(S) RECEIVED $ Enrollment Window: ONE TWO THREE (office use only) Sessions Week 1 Cost / s Week 2 Cost / s SESSION 1 (May 29 June 8) wk1 and wk2 $ / $ / SESSION 1 (June 11 June 22) wk3 and wk4 $ / $ / SESSION 3 (June 25 July 6) wk5 and wk6 $ / $ / SESSION 4 (July 9 July 20) wk7 and wk 8 $ / $ / SESSION 4.5 (July 23 July 27) One full-time week only $130.00: wk9 $ / $ / Camper T-Shirt Size Youth Sizes: 4-6 (x-small) 6-8 10-12 14-16 (x-large) Adult Sizes: Small Medium Large X-Large I GIVE MY PERMISSION FOR TO ATTEND THE GOOD SHEPHERD SUMMER DAY CAMP. I CONSENT (IN CASE OF EMERGENCY) TO ANY NECESSARY EXAMS, ANESTHETIC, MEDICAL DIAGNOSIS, SURGERY, AND/OR HOSPITAL CARE TO BE RENDERED TO THE ABOVE NAMED MINOR UNDER THE ADVICE OF ANY PHYSICIAN OR SURGEON LICENSED TO PRACTICE IN THE STATE OF INDIANA. MY CONSENT IS VALID FOR THE PERIOD BEGINNING MAY 29, 2018 AND ENDING JULY 27, 2018. FURTHER, I PREFER TO HAVE THIS CHILD TRANSPORTED TO (NAME OF MEDICAL FACILITY) FOR DIAGNOSIS AND/OR TREATMENT SIGNATURE OF PARENT OR GUARDIAN DATE

REGISTRATION POLICY (PRE-K and K-6) Applications will be processed based upon the date the registration forms are received within each Enrollment Window. A non-refundable deposit of $30.00 PER CAMPER, PER WEEK ($60.00 per session) is required. Upon attendance in camp, this deposit will be applied to the total fee for that session, example ( $60.00 + $170.00 = ). Balances are due the first of each session in attendance. There will be a $15.00 discount for a second child (FULL TIME Session). There will be a $20.00 discount for a third child (FULL TIME Session). INFORMATION PERTAINING TO CAMP PROCEDURES (PRE-K and K-6) Bring your child(ren) in during Earlybird (7:00 a.m. - 8:30 a.m.) and sign-in your child(ren) Send a "BROWN BAG" lunch with your child(ren). Coolers will be provided to help keep lunches cool. Send a Blanket and a Pillow for nap time PRE-K only. Have your child(ren) dressed with SOCKS ( bowling and inflatables and tennis shoes). Come in during Latebird (4:00 p.m. - 5:30 p.m.) and sign-out your child(ren). Note: A LATE FEE will be imposed on those campers picked-up after 5:30 p.m. Late Fee Rate = $1.00 per minute ADDITIONAL INFORMATION PERTAINING TO CAMP (PRE-K) PRE-K is defined as being age four by August 1 All children must be potty-trained! This means no pull-ups! PRE-K campers WILL NOT go to Holi World PRE-K campers WILL NOT go to Rochelle Pool PRE-K campers WILL have scheduled nap time

Registration Schedule: Window ONE: December 1, 2017 May 15, 2018 (Full-time camper sessions and one full week periods) Window TWO: March 15, 2018 May 15, 2018 (Full time camper sessions, one full week period, or three s per week) upon availability School Age Children CAMP PAYMENT SCHEDULE ( K-6 enrollment fall 2018) In order to keep the quality of activities on the schedule and maintain the quality of staff, daily rates have increased (2018) Payment Schedule Session 1 Session 2 Session 3 Session 4 Session 4.5 Full Time - 2 weeks (10 consecutive s) Daily rate = $23.00 per 1 week (5 consecutive s) Daily rate = $28.00 per 3 s within the same week Daily rate = $35.00 per $50.00 OPTIONAL Holi World $50.00 OPTIONAL Holi World $50.00 OPTIONAL Holi World (Deposit = $30.00) Only option PRE-K Children CAMP PAYMENT SCHEDULE (enrollment fall 2018) In order to keep the quality of activities on the schedule and maintain the quality of staff, daily rates have increased (2018) Payment Schedule Session 1 Session 2 Session 3 Session 4 Session 4.5 Full Time - 2 weeks (10 consecutive s) Daily rate = $23.00 per 1 week (5 consecutive s) Daily rate = $28.00 per 3 s within the same week Daily rate = $35.00 per (Deposit = $30.00) Only option

Specific Field Trip On-line waiver forms Please complete the specific on-line waiver form for each vendor prior to first of camp VERTICLE EXCAPE: http://evansville.verticalexcape.com/ KEY DATES First Day of camp May 29 Session 1 (no camp on May 28) May 29 - June 8 Session 2 June 11 - June 22 Session 3 (no camp on July 4) June 25 - July 6 Session 4 July 9 - July 20 Session 4.5 July 23- July 27 Camp Overnight ($35.00) Possible Holi World June 15 7:00pm (drop-off) June 16 8:00am (pick-up) July 11 (Wednes) optional Please check the website for any updates to this information http://gsparish.org >> School >> Summer Camp