Dear Parents and Campers: Welcome to MAX Summer Camp! We are looking forward to another great summer filled with awesome field trips and exciting activities! We have made some changes so please read through the camp information packet. Our goal at MAX Camp is to build new friendships, try new and exciting things and, most important, have lots of fun!!! Inside this packet you will find great information about our camp. A parent handbook and field trip schedule will be available once you camper is registered. MAX Camp is open to Campers Ages 6-12 years. Campers must be fully potty trained and able to change into a swim suit/clothing without assistance from an adult. CAMP HOURS Camp Dates: June 6th August 12th Regular Camp Hours: (Mon-Fri 8:30am-3pm) $165/week * One week sessions 10% discount available for siblings Extended Care Hours: (Mon-Fri 3p-6p) $75/week If your child is not picked up by 3:10pm, a $15 late fee will apply. Please make a courtesy call to let us know you are running late. Drop Off/Pick Up: All campers are to be walked into the building and checked in at the Front Desk. ALL campers are to be signed in and out EVERY day. If you are going to pick up your child prior to the conclusion of camp or someone else will be picking up your child, staff will need to be given advance notification (ex: written note or phone call). Financial Responsibilities: Payments are due on Thursday the week before your camper is scheduled to attend camp. 1
$165/week/session (8:30-3p) $75/week for Extended care from 3p to 6p $225 for 5 day Flex Pass Payments can be made with Check Payable to Village of McCook, cash or credit card. Tax Information: Invoices for tax purposes are by request and will be fulfilled in August after camp. Field Trip/Transportation/Pool fees are included in the daily camp fee. Refunds: No refunds will be issued. Space is limited. Flex Pass: A Flex pass must be purchased if you would like to send your camper daily or a few times a week. Instead of signing up for sessions. One Flex pass must be purchased per camper. Flex Passes are non-refundable, non-transferable and can not be used for other camps. You may purchase as many Flex passes as you d like. Campers must be signed up 48 hours before scheduled date. Camp Staff: All staff at the MAX including counselors and directors are First Aid/CPR/AED certified, have passed background checks and completed Mandated Reporter training. Activity Schedule: Please send your child ready for the day s activities. Please note that the daily activities are subject to change. During Max days campers will use Bounce house, participate in organized games, crafts and more. 2
Field Trips: All field trip and bus fees are included in the full day price. On field trip days campers are to bring a sack lunch and wear their MAX Camp T-Shirt and backpack. A list of items campers must bring on field trips is located on the last page of this packet. Field Trip transportation is by School Bus. In case of inclement weather, there will be an alternate field trip will be planned. Pool days: Each camper is to take a swim test before they are allowed to enter the pool. This is mandatory at every pool we attend, by both the facility and MAX Camp. Counselors and certified Life guards are both present at the swim test. If the camper does not wish to take the test, they will be given a wrist band that will restrict them from certain pool areas. All pools do provide Life Vests free of charge. Please let staff know if your camper may need one. Lunch and Snack: Lunch: Due to dietary restrictions and camper preferences The MAX Camps will no longer provide snacks or lunch. Lunches and snacks are not refrigerated so be sure to pack appropriate lunch and snacks All lunches should have camper s first and last name printed on the outside. PLEASE NOTIFY CAMP IF YOUR CHILD HAS A FOOD ALLERGY Camp Attire: Camp T-shirts: ALL Campers will receive a camp T-shirt. These are to be worn on field trip, pool and park days. Campers that sign up for weekly sessions will receive a Max Camp backpack. 3
Appropriate Attire: Campers need to wear clothes appropriate for the weather. Gym shoes and shorts (or light weight pants are preferred). Campers are discouraged from wearing clothes that promote inappropriate language, negative slogans, racist or political rhetoric. We ask that girls not wear dresses, skirts or dangling earrings to camp. Shoes/Socks: Campers should wear socks and gym shoes to camp. Sandals will only be allowed on pool or water activity days. Make sure your child always has socks - they are required for bounce house use. No exceptions will be made. We have socks for sale at the front desk for $1. Swim Wear: On pool and water activity days, campers are to come to camp in regular clothing and should bring their swim clothes, towel and sunscreen in their backpack. Sun Block/ Sunscreen: Please provide sunscreen for your child, it can be kept in their bag with their name on it. Staff is not allowed to apply sunscreen to any camper without written authorization from a parent. Please be sure to read and sign the Sunscreen Authorization Form. Please mark all belongings with your child s first and last name. Toys and Personal Items: Campers are asked NOT to bring toys, electronics, cell phones, ipads or anything not related to MAX Day Camp. If a Staff member does confiscate one of these items, it can be claimed at the end of the day. Please keep in mind that the MAX Staff is not responsible for lost or stolen items. Please do not send campers to camp with money as they will not be able to purchase items during Camp hours. This includes Gift Shops, Vending Machines, Concession Stands, etc. We look forward to having a great summer with our campers. For questions regarding MAX Summer Camp, please call the MAX at 708-485-9900 or email Camp Director Erica Padilla at ericap@max-mccook.com 4
CAMPER INFORMATION FORM Camper s Name: Date of Birth: Sex: Age: T-Shirt Size: YS YM YL S M L XL Grade entering in Fall: School: Home Address/City/Zip: Contact #: Other #: Parent/Guardian: Email Address: Would you like to receive emails regarding future camps? Yes: No: Has your camper(s) attended a day camp before? If so which one? How did you hear about our camp? Camper Health Profile Please list any medical issues we should be aware of: Does your child currently take medication? If so please list: Please list any medication, food or additional allergies your child may have: Please comment if there is any other pertinent information that may assist The MAX in facilitating your child's participation in our camp program: 5
SUMMER CAMP 2016 I, do hereby enter into the following Contract for Services with the McCook Athletic and Exposition Center for the Summer Camp Program beginning June 6 th, 2016 and ending August 12th 2016 for (Child s name). I also understand that payment is non-refundable, with no credit allotted for unused days. Please place X in the appropriate box for your selections Week Dates Select Weeks $165/week Extended Care $75/week Hours: 8:30a-3p 3p-6p 1 June 6-10 2 June 13-17 3 June 20-24 4 June 27-July 1 5 July 5-8 *$132 *$60 6 July 11-15 7 July 18-22 8 July 25-29 9 Aug 1-5 10 Aug 8-12 **A Minimum of 10 campers to run program/maximum of 25 10% discount available for siblings 5 Day flex pass- Choose individual days $225 (8:30a-3p) For Flex Days Please indicate what dates you will need: **Flex Days require a 48 hr. notice Camper s Name: Parent/Guardian Signature: 6
CHILD SUNSCREEN AUTHORIZATION McCook Athletic and Exposition Center requires all Campers to wear sunscreen when involved in outdoor activities. In the beginning of the season children are encouraged to wear light weight t-shirts while swimming. If parents feel this is necessary, please provide the t-shirt and inform the MAX staff. I, the undersigned, give permission for the McCook Athletic and Exposition Center staff to oversee and assist with the use and application of sunscreen by my child. Child s Name: Parent Signature: Date: PHOTOGRAPHY, VIDEO AND PROMOTIONAL RELEASE I, the undersigned, hereby authorize and release MAX Activity Day Camp to take and use photographs, video and written comments of or by my child for promotional and informational materials. I understand that MAX Activity Day Camp shall be the owner of any such photographs, video and written comments. I hereby release, discharge and covenant not to sue the Village of McCook, McCook Athletic and Exposition Center and their collective officials (whether elected or appointed), officers, directors, agents, representatives, attorneys, insurers, volunteers, employees, independent contractors, successors, predecessors and any other party in any way related to the foregoing from any and all claims, suits, damages and liabilities associated with the use of such photographs, video and written comments of or by my child. Child s Name: Parent Signature: Date: 7
MEDICAL AUTHORIZATION AND RELEASE AGREEMENT I, (Print your first and last name), the parent/legal guardian of (Print child s first and last name) (the Participant ), consent to the Participant s participation in the MAX Summer Camp Program activities (the Activities ). In an emergency, I can be reached at the numbers listed below. In the event that I cannot be reached, I authorize the McCook Athletic and Exposition Center Staff to authorize necessary medical emergency treatment for the Participant, and I agree to be financially responsible for any charges associated therewith, including but not limited to ambulance calls. For and in consideration of the Participant s participation in the Activities, the receipt and sufficiency of which is hereby acknowledged, I, as the parent or legal guardian of the Participant, and on behalf of myself, the Participant and our collective personal representatives, heirs, administrators, assigns and next of kin, hereby release, waive, discharge and covenant not to sue the Village of McCook, McCook Athletic and Exposition Center, and their collective officials (whether elected or appointed), officers, directors, agents, representatives, attorneys, insurers, volunteers, employees, independent contractors, successors, predecessors and any other party in any way related to the foregoing (collectively, the Released Parties ) of and from any claims, suits, damages and liabilities whatsoever, including but not limited to personal injury, property damage, court costs, attorney fees and interest, however caused, even if caused by the negligence of the Released Parties, as a result of the Participant s participation in the Activities. To the fullest extent permitted by law, I agree to and shall indemnify, hold harmless and defend the Released Parties of and from any loss, liability, claim, judgment, damage or cost incurred, however caused, even if caused by the negligence of MAX staff, arising from or in any way connected with the Participant s participation in the Activities I further agree that the Released Parties reserve the right to terminate the participation of the Participant in the Activities for failure to behave and act in a respectable manner. If participation is terminated, no fees will be refunded. Parent/Guardian Signature Date EMERGENCY CONTACT NUMBERS: Call 1 st : ( ) - Call 2 nd : ( ) - Alternate Emergency Contact Person s Name Relationship to the Participant Cell:( ) - 8
Village of McCook Waiver & Release for MAX Summer Camp Program June 6 August 12, 2016 McCook Athletic & Exhibition Center 4750 S. Vernon Avenue, McCook, IL 60525 IMPORTANT INFORMATION The Village of McCook is committed to conducting its recreation programs and activities, including its summer camp, in a safe manner and holds the safety of the participants in high regard. The Village of McCook continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety. However, participants and parents/guardians of minors registering for programs/activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities/programs. Please read this form carefully and be aware that in the consideration for the Village of McCook providing the summer camp program and transportation services to/from summer camp trips, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you and your minor child/ward might sustain as a result of the summer camp program and related transportation services, including but not limited to, vehicle operations and boarding and exiting the vehicle. WARNING OF RISK Recreational activities are intended to challenge and engage the physical, mental and emotional resources of each participant. Despite careful and proper preparation, instruction, medical advice, conditioning and equipment, there is a risk of serious injury when participating in any recreational activity. Understandably, not all hazards and dangers can be foreseen. Depending upon the particular activity, participants must understand that certain risks, dangers and injuries due to inclement weather, slip and fall, poor skill level or conditioning, carelessness, horseplay, unsportsmanlike conduct, premises defects, inadequate or defective equipment, inadequate supervision, instruction or officiating and all other circumstances inherent to indoor and outdoor recreational activities exist. In this regard, it must be recognized that it impossible for the Village of McCook to guarantee absolute safety. You recognize and acknowledge that the Village of McCook is neither a common carrier nor in the business of providing transportation services to the public. You further recognize and acknowledge that there are certain risks of physical injury to vehicle passengers, and you voluntarily agree to assume the full risk of any injuries, damages, loss, regardless of the severity that your child/ward may sustain as a result of participating in any and all activities connected with or associated with receiving transportation services including but not limited to injuries, damages and loss arising out of negligent operation or supervision of the vehicle. You further agree to waive and relinquish all claims you or your minor child/ward may have (or accrue to you or your child/ward) against the Village of McCook, including its respective officials, agents, volunteers and employees (hereinafter collectively referred to as Parties ). You are solely 9
responsible for determining whether your minor child/ward is physically fit and/or skilled for the activities contemplated by this agreement. It is always advisable, especially if the participant is disabled in any way or recently suffered an illness, injury or impairment, to consult with a physician before undertaking any physical activity. Please read this form carefully and be aware that, in signing up and participating in the summer camp program, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your child/ward might sustain as a result of participating in any activities connected with and associated with these programs (including transportation services and vehicle operations, when provided). WAIVER & RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISK I do hereby fully release and forever discharge the Parties from any and all claims for injuries, damages or loss that my minor child/ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associated with the participation in the summer camp program, including the provision of transportation services. I further agree that this agreement shall be governed by the laws of the State of Illinois. I recognize and acknowledge that there are certain risks of physical injury to participants in these programs, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain as a result of said participation. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me or my minor child/ward) as a result of participating in these programs against the Village of McCook, including its officials, agents, volunteers and employees. I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims. If registering on-line or via fax, my on-line or facsimile signature shall substitute for and have the same legal effect as an original form signature. PLEASE PRINT Participant s Name: Participant s Address: Participant s Signature: Date: (If under the age of 18, the Participant s Parent or Guardian must sign) 10