Winter Camp, 2016 Camp Whiskers & Wags Parent Packet Lynda Grove Education Manager & Camp Director (719) 302-8739 Lgrove@hsppr.org 610 Abbot Lane, Colorado Springs, CO 80905 (719) 473-1741 Fax: (719) 444-0179 www.hsppr.org
November, 2016 Dear Campers, Parents, and Guardians, Thank you for registering your child in our Winter Camps at Camp Whiskers & Wags and for choosing the (HSPPR) for your camp plans. Our goal of camp is to foster respect for animals through engaging activities intended to develop an understanding of the feelings of others, cultivate knowledge, and encourage compassionate and responsible actions. Children will be given hands-on opportunities with animals of all shapes and sizes. We have been busy making plans for what will prove to be a fun learning opportunity for children and a positive experience for all. In order to provide a safe, educational environment for all of our campers, we have enclosed information about camp policies and procedures. Please take a moment to review the information. Make sure you have completed all of the enrollment paperwork and submit it to: Camp Whiskers & Wags or fax it to: Camp Whiskers & Wags (719) 444-0179 610 Abbot Lane Colorado Springs, CO 80905 Camp Registration Form Waiver and Release of Liability Child Release Authorization Form, including Child Pick-Up Contract, Medical Emergency, Discussions on Sensitive Topics, and Photo Release Current Immunization Record (copy) Your child will not be allowed to participate in camp activities unless ALL forms are completed and turned in with payment prior to the day of camp. Thank you for your cooperation. Feel free to contact me with any questions or concerns. Warmly, Lynda Grove Education Manager & Camp Director (719) 302-8739 Lgrove@hsppr.org
Camp Whiskers & Wags LOCATION & TIME: All camp activities will be held at the (HSPPR) located at 610 Abbot Lane, Colorado Springs, CO 80905. (see map on last page) CAMP ACTIVITIES: Campers will be introduced to a variety of animals around the shelter, enjoy activities and games about pets, make crafts, and have LOTS of fun! PICK UP AND DROP OFF PROCEDURES: We don t want you to miss out on anything, so please make sure you arrive at camp on time. Flexible drop-off times are between 8:45 a.m. and 9:15 a.m. Please enter through the southeast side entrance of the Humane Society. (see map on last page) Pick-up times are from 3:00 pm 3:15 pm. Please be prompt in picking up your child from camp. For safety reasons, parents or guardians will be required to sign their child in and out of camp for the day. They must be signed in and out by an authorized adult who is 18 years or older. This adult MUST SHOW ID in order to sign out your child and this person must be listed on the Child Release Authorization form. If your child makes arrangements to go home with a friend or individual not listed on the release authorization form, we require a note from you informing the camp staff. No child will be allowed to go home with an unauthorized individual without a signed note from a parent or guardian. WHAT TO BRING: We suggest that each child bring their belongings in a backpack. Besides lunch and/or snacks, please bring a water bottle (with a closable lid). We may play a game or two outside, weather permitting. Please label all personal items with your child s name. The Humane Society is not responsible for lost or stolen items. LUNCH & SNACKS: Lunch and snacks are the responsibility of each camper. DRESS CODE: Please send your child in comfortable clothes which are okay to get dirty. Campers must wear closed toe shoes. We recommend sneakers. Each camper will be given a bandana to wear during camp, so we can identify the campers easily. The bandana must be worn by the camper at all times.
Camp Whiskers & Wags CELL PHONE POLICY: Your child may bring a cell phone with them, but we require it to be in their pack and turned off during camp hours. Calling or texting during camp activities will not be permitted. If you have an emergency and need to contact your child, please phone our call center at (719) 473-1741 x8723 and have them page the camp staff. We will also have a phone in the camp room: (719) 302-8765. CAMP STAFF: The Camp Whiskers & Wags Camp Director and Camp Counselors have received a background check and criminal record check and have CPR and First Aid Training. All HSPPR staff have received and signed a Code of Conduct. CAMP BEHAVIOR GUIDELINES: We will expect campers to show respect and kindness toward animals, other campers, camp counselors, and HSPPR staff and volunteers at all times. Camp counselors will remind campers of the expectations, if needed, and will attempt to redirect a child s actions or behavior into acceptable standards. If this is not working, brief separation from group activities is generally used and any repeated incidents may require removal from camp activities. We will not tolerate disrespectful behavior that may endanger or cause injury to other children, staff, or animals, whether verbal abuse or threatening demeanor. Such actions will be cause for immediate removal from camp. We will not make up any activities missed and NO refunds or credits will be given if your child is absent for any portion of camp, regardless of the reason. Camp Whiskers & Wags is a NO BULLY ZONE! Campers will not pet or touch any animal until invited to do so by the instructor. Campers are expected to help keep the animals and people safe by following instructions given by the Camp leaders. Campers should stop petting any animal that hisses or growls or walks away. Campers should ask if they do not understand something or if they need help. Campers are expected to stay with the group at all times and notify a Camp Counselor if they need to use the restroom. Campers should tell a Camp leader if they are hurt in any way. Please discuss these behavior guidelines with your child before coming to camp so he or she is ready to participate upon arrival.
Camp Whiskers & Wags CAMP RISKS: Campers will have direct contact with a variety of live animals during their participation in Camp Whiskers & Wags activities. The safety of both the youth and the animals participating in programs at HSPPR is a priority for all of us here at the shelter. We have developed some strict behavior expectations of the children in order to keep everyone safe. However, the behavior of the animals is sometimes unpredictable. The following are some, but not all, of the risks associated with camp activities: Bites / scratches from cats, dogs, rabbits, rodents, or reptiles Being knocked down / pulled over by a dog Injuries relating to wrist / hand / fingers from a dog leash Slips / trips / falls resulting from wet surfaces Hitting heads on objects or closing fingers in cage doors Water or cleaners sprayed in eyes Injuries related to lifting animals, food, litter, or equipment Damage to apparel from animals, caging, or equipment Exposure to cleaners, latex gloves, bleach, parasite control products Flea / tick bites Ringworm Internal and external parasites Zoonotic illnesses (human illness contracted from animals) Animal illness exposure to animals at home Loss of personal property CANCELLATION POLICY: The camp registration fee is non refundable. REQUIRED FORMS: The following items are required by our center before a child is admitted into the Camp Whiskers & Wags program. Please make sure you have completed all of the enrollment paperwork and submit it to: Camp Whiskers & Wags 610 Abbot Lane Colorado Springs, CO 80905 or fax it to: Camp Whiskers & Wags @ (719) 444-0179 Camp Registration Form Waiver and Release of Liability Child Release Authorization Form, including Child Pick-Up Contract, Medical Emergency, Discussions on Sensitive Topics, and Photo Release Current Immunization Record (copy)
Camp Whiskers and Wags 2016 Winter Camps Camp Registration Form Camper s Name: First Name Last Name Name Preferred to be Called (if different than above): Boy Girl Age: Date of Birth: *Note: Child can NOT be younger than 5 during camp. Child s Mailing Address: City State Zip Code Name of School: Grade: Name of Parent or Guardian: Relationship Email*: *required for registration confirmation Phone: Home ( ) Phone: Cell ( ) Place of Employment: Day/Work Phone: ( ) Employer s Address: Parent/Guardian Mailing Address (if different than above): City State Zip Code Is this child a returning camper? yes no Camp you are registering for: Crafts & Critters for children ages 5 7 years December 28, 2016 (Wednesday) Crafts & Critters for children ages 8 10 years December 29, 2016 (Thursday) Crafts & Critters for children ages 11 13 years December 30, 2016 (Friday)
Camp Whiskers and Wags Waiver and Release of Liability I,, the parent/legal guardian of, Parent or Legal Guardian (PLEASE PRINT) Full Name of Camp Participant (PLEASE PRINT) understand my child will be participating in activities and programs at The s Camp Whiskers and Wags. I understand that during the course of such activities my child may have direct contact with a variety of live animals including, but not limited to: cats and kittens, dogs and puppies, small mammals, reptiles, and birds. I also understand that the nature of such animals is sometimes unpredictable and that some domesticated animals are capable of inflicting serious personal injury, including death, disease, and property damage. Knowing the risks of handling such animals, on behalf of my child and myself, our heirs, personal representatives, successors and assigns, I agree to assume those risks and to release, discharge, indemnify, and hold harmless The and/or any of its Officers, Directors, Employees, Volunteers, Agents, or Contractors (collectively, the Released Parties ) from any and all liability, claims, demands or causes of action, known or unknown, whether caused by the negligence of the Released Parties or from some other cause, including claims for personal injury, death, disease, and property damage to my child, myself or others resulting from my child s participation in Camp Whiskers and Wags. I further promise not to sue the Released Parties to recover damages for injuries sustained by my child or me resulting from my child s participation in Camp Whiskers and Wags. I also understand that my child is to remain on The s property for the duration of the Camp Whiskers and Wags activities. If my child leaves the property during participation, with or without permission from a staff member, I agree to release, discharge, indemnify, and hold harmless the Released Parties for any and all personal injury, including death, and property damage resulting from my child leaving The property. In the event that my child requires emergency medical attention during Camp Whiskers and Wags, and staff is unable to timely contact any of the emergency contacts below, I authorize The to seek proper medical treatment. I agree to be personally responsible for any and all medical expenses that my child incurs, whether or not my child is covered under medical insurance. I know of no medical or other condition that would prevent my child from participating in activities at The Humane Society of the Pikes Peak Region s Camp Whiskers and Wags except as may be stated below. Medical and Other Information List any known allergies (including plant, animal, medicine, and food) and the normal treatment (emergency medications must come with a prescription label attached and require an action plan signed by the prescribing doctor): List any medications that need to be taken during the day (any medicine, including over-the-counter, will require doctor authorization and needs to come in the original container). List any mental or physical issues that require specific attention and/or that may limit participation (emergency medications require an action plan signed by the prescribing doctor): Child s Physician s Name, Address, and Phone#: Child s Dentist s Name, Address, and Phone#: Medical Insurance Company Name/Policy No.: Hospital of Choice, Address, and Phone #: Emergency Contacts: Name Address Phone Number ( ) ( ) ( ) Signature of Parent or Legal Guardian Date
Camp Whiskers and Wags Child Release Authorization I,, the parent/legal guardian of, Parent or Legal Guardian (PLEASE PRINT) Full Name of Camp Participant (PLEASE PRINT) authorize the release of my child to the following individuals after the completion of camp for the day. Please include yourself, any parent, grandparent, relative, babysitter, other camper s parent, etc. Only people listed on this application will be allowed to pick up your child. Photo identification will be required for pick up. Name Phone # Relationship Signature of Parent or Legal Guardian Date Child Pick-Up Contract I agree to pick up my child on time and/or no later than 15 minutes after the end time of camp. I understand that if I am later than this time, HSPPR may contact my emergency numbers. HSPPR will charge $1.00 per minute, per child, past the time of pick up. (parent initial) Medical Emergency HSPPR has my permission to secure emergency medical and/or surgical treatment for my child in the event of an emergency, accident, or illness. I hereby grant Camp Whiskers & Wags permission to have my child transported to the hospital or doctor. (parent initial) Discussions on Sensitive Topics I understand that my child may be involved in discussions regarding animal abuse or neglect, the spaying and neutering of animals, and euthanasia. These discussions will be handled in a way that is age appropriate. (parent initial) Photo Release (Optional) I hereby authorize the to use any photographs, prints, or videos taken of my child during Camp Whiskers and Wags, without payment or notification, for public relations or educational purposes including television, print, and electronic media. All such photographs, prints, or videos are the sole property of the. I also understand that my child could participate in activities that may include radio, television, or print coverage and the has my consent to permit my child to appear on radio or television or in print. Some of these media outlets may require your child s first and last name. By signing this release, you agree to allow the to photograph your child and possibly release their first and last name. Signature of Parent or Legal Guardian Date
Camp Whiskers and Wags Use of Sunscreen Please have your child apply sunscreen to exposed skin before camp, as some of the activities will be outdoors. Camp Whiskers & Wags will have some sunscreen available for your child to apply him/herself, if needed. The brand of sunscreen available here is: Equate brand, Kids Sunscreen Lotion, SPF 50, Broad Spectrum UVA/UVB Protection, that is water/sweat resistant, hypoallergenic, and fragrance free (compare to Banana Boat Kids SPF 50 Lotion). I give permission for my child to use the above-mentioned sunscreen, if needed. (parent initial) Use of Medical Instruments I give permission for my child to handle medical instruments during curriculum activities designed to practice veterinary techniques with stuffed animals or other supplies. I understand that latex gloves will be available for my child to wear during such activities. (parent initial) Surgery Center I understand that my child may witness blood, excrement, or internal organs of animals during a tour of the HSPPR Surgery Center. Campers may choose not to participate in this activity. (parent initial) Immunization Record I have enclosed a copy of my child s most current immunization record. (parent initial) 610 Abbot Lane, 80905 Cimarron Street / Highway 24 West Take I-25 exit #141. Go west on Cimarron St. / Highway 24 West. Take 8 th Street south to Abbot Lane / Lower Gold Camp Road. Turn east onto Abbot Lane (at the WalMart and Shell gas station). Take Abbot to the end of the road. Take the first left into the parking lot and drive along the west side of the building (through the black metal gate) to the north end of the building. We are in the Whiskers & Wags Training Center, the last door before the maroon section of the building. Camp Whiskers & Wags