movie,etc. We accommodate activities. and a hat - DROP bottle adult. late. - eight Week one Will be held at EARLY DROP our camp

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BETHLEHEM PARKS & RECREATION SUMMER CAMP 2019 Affordable family friendly camp includes swimming and beach play at the lifeguard supervised facility. Children will be able to enjoy daily crafts,games,sports,kayaking,karaoke,just dance,an afternoon movie,etc. We will enjoy daily snow cones and popcorn on rainy days.our large craft building can accommodate all campers and stafff on rainy days to where we still enjoy many activities. - We welcome campers entering kindergarten (must be 5 years old at the start of camp) to grade 6 in the fall. - All children must independently use the bathroom and changing rooms. - All children must come packed with lunch, snackss and water bottle. - Children must have sunblock applied prior to camp. An extra bottle of sunblock, water bottle and a hat are strongly recommended. - DROP OFF PROCEDURE: All children must be escorted to camp and signed in by an adult. - PICK UP PROCEDURE: All children must be signed out by an adult on the approved pick up list. Prompt picked up appreciated. $10 feee for every 10 minutes late. - A confirmation email will be sent upon your child s accepted enrollment Week one - eight June 24th - August 16th Will be held at Long Meadow Recreation Area, 75 Lake Drive from 9:00-4:00.With an optional EARLY DROP OFF at 8:00 for an additional fee. New for 2019 AFTER CARE till 5:00pm for an additional fee. During this hour only our camp craft building and playground will be open ( beach will be closed to campers at this time ) pick up promptly at 5:00pm - all children will be signed out from our camp craft building BETHLEHEM PARK & RECREATION REGISTRATION FORM

( ONE FORM FOR EACH CHILD ) ALL REGISTRATIONS AND PAYMENTS FOR PROGRAMS MUST BE RECEIVED IN ADVANCE. MAKE CHECKS PAYABLE TO BETHLEHEM PARKS & RECREATION,P.O. BOX 160,BETHLEHEM CT 06751.THERE IS A $25.00 RETURNED CHECK FEE. I GIVE PERMISSION FOR MY CHILD TO TAKE PART IN THE BELOW NAMED ACTIVITY. BY SIGNING THIS FORM,I WAIVE ALL CLAIMS AGAINST THE TOWN OF BETHLEHEM,PARK & RECREATION DEPARTMENT, AND ALL PERSONNEL FROM ANY LIABILITY FOR INJURIES, LOSS, OR OTHER CLAIMS RESULTING FROM PARTICIPATION IN THIS ACTIVITY. IF I CANNOT BE REACHED, I GIVE PERMISSION TO THE ATTENDING PHYSICIAN,PROGRAM SUPERVISOR. OR HOSPITAL TO SECURE PROPER TREATMENTT FOR MY CHILD. CHILDS NAME : LAST FIRST AGE: D.O.B: / / GRADE ENTERING IN THE FALL : GENDER: BOY/GIRL WEEK #1 JUNE 24 - JUNE 28 WEEK #2 JULY 1 - JULY 3 WEEK #3 JULY 8 - JULY 12 WEEK #4 JULY 15 - JULY 19 WEEK #5 JULY 222 - JULY 26 WEEK #6 JULY 29 - AUG 2 WEEK #7 AUG 5 - AUG 9 WEEK #8 AUG 12 - AUG 16 (Reg-14/NON-14) (EARLY BIRD Reg-14/ /NON-14) (AFTER CARE Reg-14/NON-14) $75.. / $90. SUMMER OLYMPICS (Reg-14/NON-14) (EARLY BIRD Reg-14/NON-14) (AFTER CARE Reg-14/ /NON-14) (Reg-14/NON-14) (EARLY BIRD Reg-14/NON-14) (AFTER CARE Reg-14/NON-14) ARTFUL ANTICS STARSS AND STRIPES $15. / $20. GAMESHOW MANIAA ZOMBIE APOCALYPSE ANIMAL PLANET TRICKS AND TREATS ANYTHING GOES $15. / $20 = TOTAL=

CHILDS NAME : LAST L FIRST I GIVE PERMISSION FOR BETHLEHEM SUMMER CAMP TO PHOTOGRAPH MY CHILD NO YES ALL CHILDREN WHO WISH TO SWIM OUT THE THE RAFT, MUST PASS A SWIM TEST IN ORDER TO DETERMINE THAT CHILD S SWIMMING ABILITIES. THE SWIM TEST WILL CONSIST OF 1) SWIMMING 25 YARDS USING THEIR STRONGEST STROKE AND BREATHING CORRECTLY WITHOUT TOUCHING THE BOTTOM; 2) TREADING WATER FOR 30 SECONDS. THE TESTS WILL BE GIVEN BY A CERTIFIED LIFEGUARD, MEMBER OF THE BETHLEHEM PARKS AND RECREATION STAFF. I GIVE PERMISSION FOR MY CHILD TO PARTICIPATE IN THE SWIM TEST NO YES ALLL CHILDREN MUST WEAR A US COAST GUARD APPROVED PFD (supplied). ALL CHILDREN WILL PARTICIPATE IN A LESSON WITH A CAMP COUNSELOR. NO CHILD WILL BE ALLOWED TO KAYAKK WITHOUT A COUNSELOR OR JUNIOR COUNSELOR PRESENT. I GIVE PERMISSION FOR MY CHILD TO PARTICIPATE IN KAYAKING NO YES I GIVE PERMISSION FOR BETHLEHEM SUMMER CAMP STAFF TO APPLY SUNBLOCK TO MY CHILD ( please apply prior to camp we will apply your supplied sunblock after lunch ) NO YES SIGNED PARENT/GUARDIAN DATE

CHILDS NAME: LAST FIRST ADDRESS PHONE # S,,, EMERGENCY CONTACT NAME # EMAIL ADDRESS ANY MEDICAL CONDITIONS/ALLERGIES/BEHAVIORS THE RECREATION DEPARTMENT SHOULD BE AWARE OF PLEASE LIST NAMES OF ADULTS WITH PERMISSION TO PICK UP CHILD SIGNED PARENT/GUARDIAN DATE

Dear Summer Camp Parents, Welcome to our 2019 Summer Day Camp program! Your child will have the opportunity to participate in a variety of planned recreation ranging from outdoor and indoor activities, sports, arts and crafts, group activities and theme weeks. TELEPHONE: In case of an emergency, parents may call the camp at (203)266-5583 or Parks and recreation office at (203) 266-7510 ext 8. Campers may only use the phone in the case of an emergency, otherwise phone calls are discouraged. STAFF: The day camp is staffed by individuals, who have an interest and enjoy working with boys/girls of all ages in a camp setting. Staff are trained American Red Cross First Aid and CPR Training, and receive special training to prepare them for their job. Staff includes a Camp director, four counselors, junior counselors,and two certified lifeguards on duty from 10am-4pm. Park and Recreation Director - Maggie Flanagan - cell # (203)910-7404 Camp Director Jody Dodge - cell # (203)441-2118 ARRIVAL/DEPARTURE: All campers must be signed in and out by a parent/guardian We will not release any child to persons not listed on this authorized pick up list. All persons picking up children for the first time must show valid photo identification or upon the request of camp staff. Parents and legal guardians may revise this list when necessary. All revisions must be made in writing and in person. In the afternoon, Parents are expected to pick up their children in a timely manner, with proper identification. In the event that a camper is picked up more than 10 minutes late from camp, the second occasion will result in an additional $10 late fee, as will any subsequent late pickup of more than 10 minutes. WHAT TO BRING: -Dress appropriately for the weather. Rain or shine!!!!! -Swimsuit / towel -Extra change of clothes -Sneakers for sports -Sandals or flip flops for the beach -Healthy snack -Healthy lunch (lunches containing temperature sensitive food products should be carried in an insulated container with a freezer pack to hold the correct food temperature) Lunches will not be refrigerated or heated in the microwave, and must include a drink and eating utensils (plastic ware). -Water bottle ( an extra water bottle is strongly encouraged ) -Money for the icecream truck (time and days to be determined) What s not allowed: electronic devices are not allowed at camp. All handheld devices (ipad, tablets, DS) money, and other valuable should be left at home. All cell phones must stay in their backpack. Bethlehem camp is not responsible for a camper s personal property that is brought to camp. Please do not bring items of value.

Floatation devices: They may not use flotation devices to swim to the dock by themselves. However if they use them in the shallow water they must be US Coast Guard approved PFD (life jacket). DISCIPLINE POLICY: All Campers are expected to act in an appropriate manner. Any minor incidents of misbehavior will be reported to the parent at the end of the day. The camp staff will take appropriate action at the time of the incident. Appropriate action may include but not limited to the following: removing the child from the activity and giving the camper a time out. During a time out period the child will have a counselor present. Excessive incidents of misbehavior, especially those that threaten the safety of a camper and/or staff will be reported to the parent/guardian immediately. In extreme cases, the parent/guardian will be asked to remove their child immediately. ILLNESS: Parents are asked to use their discretion regarding their child s health in relation to camp. Please do not send your child to camp if they are not feeling well. If a child becomes sick while at camp, a parent or the emergency contact person will be called.( we follow Region 14 s policy ) Please contact the camp (203)266-5583 to report any absences PARENT NOTIFICATION: The Camp Director or another Administrative camp staff member will notify parents if a camper is having difficulty adjusting to the camp environment. Parents will also be notified if campers become seriously ill or are injured and/or require a doctor s attention. Other calls to parents may be made for special situations or events. A TYPICAL DAY AT CAMP: 8-9am - Early child care 9 10am - Arrival time/free play ( playground, board games, arts/craft etc. ) 10 11am - Organized sport ( soccer, t-ball, kickball, capture the flag, archery etc.) 11 11:15am - Healthy snack 11:15-1:00pm - Campers choice of ( organized art/craft, swimming, free play, kayaking etc. ) 1:00 1:30pm - Healthy lunch 2:00 3:30pm - Campers choice of ( organized sport, arts/craft, swimming, free play,kayaking etc. ) 3:30-4:00pm - Clean up/pack up 4:00 pm - Camp ends 4:00-5:00pm - After care (building + playground only)