South Milwaukee Recreation Department Parent Guide and Handbook

South Milwaukee Recreation Department Parent Guide and Handbook You ve been asking for this program and now it s here Spring Fun Camp Rawson School Gym & the popular Summer Fun Camps Middle School Gym W elcome to the South Milwaukee Recreation Department s Fun Camp. We are sure with your understanding of how the program functions, as well as parent and camper responsibilities, that your children will have a successful experience and a lot of fun this spring & summer. South Milwaukee s Fun Camp is a program that provides a safe, engaging, affordable, and accommodating environment for children ages 5-12. Our ten(10) weeks of camp feature a variety of activities including arts and crafts, small and large group games, athletics, field trips, and recreational swimming in summer. If it s fun you are after, look no further. This is the camp for you! To learn more, please continue to read this Fun Camp Parent Guide and Handbook. Our team is also available to answer your questions by phone at 414-766-5081. Get a start on filling out your Fun Camp forms! You can find all of the camper forms you ll need to complete on pages 11-16. We ll Answer Your Questions If your child is a returning or a new camper, you may have some questions. Whatever the case may be, we would be delighted to have you ask us questions to gain a better understanding of the program. Page 1 Visit our webpage at www.smrecdept.org Call us at 766-5081

Our Pride..3 Camp Philosophy...4 Supervision & Staff...4 Info......5-6 Specifics (dates-times-cost)...7 Questions & Answers...8-10 Away We Go (field trips) 11 Early Bird Recreation...11 Camper Forms... 10-16 Camper Data Form (health & safety) Camper Contract (camper code of conduct) Registration Form (or register online) Phone Numbers You Should Know: Spring Break Staff Phone (414) 766-5081; (414) 766-5082 Summer Camp Staff Phone (414)-779-PLAY (7529) Text or Call Camp Secretary Email npaczocha@sdsm.k12.wi.us Recreation Department (414) 766-5081; (414) 766-5082 Recreation Department Fax (414) 766-5085 Camp Supervisor Email apinkos@sdsm.k12.wi.us Camp Supervisor Phone (414) 484-2874 (Amy Pinkos) Police/Fire AMBULANCE 911 Police Department (414) 768-8060 non-emergency Recreation Dept. website: www.smrecdept.org Page 2 Visit our webpage at www.smrecdept.org Call us at 766-5081

SAFE We pride ourselves on offering a safe spring & summer camp experience from start to finish! Our staff members are selected for their enthusiasm, maturity and experience working with children. They go through an extensive training prior at the start of camp so they are well-prepared to handle the needs of all participants. ENGAGING We believe in structuring our camps to involve and engage each camper as they learn, play and grow. Spring & Summer is a time to explore and try new things. We will do our best to introduce your child to as many new experiences as possible. Our goal is for every child to have a well-rounded camp experience from start to finish so that they are eager to return year after year! AFFORDABLE Our goal is to provide high-quality programs at affordable prices. EQUAL ACCESS No participant shall, based on race, sex, creed, national origin or disability, be denied equal access to programs, activities, services or benefits, or be limited in the exercise of any right, privilege, advantage or opportunity. Please refer to our legal notices on the School District Webpage listed under Board Policies. COMMUNICATION We encourage and appreciate open communication with parents. Should you have a concern, please discuss it with your our counselors and supervisor. ACTIVITIES: Activities will include: group activity games, arts and crafts, educational games, group passive games, free play, and will be geared for children ages 5-12 years of age. There will be a one-hour long swimming session scheduled each day in the Middle School pool during the summer camps. Campers participating in free swim must be able to stand in 42 of water, and need to bring a swimming suit and towel. Sorry, no swimming during Spring Break Fun Camp. Many of the group games and activities can be moved outdoors when we have good weather, and campers are recommended to bring and apply sunscreen when moved outdoors. CAMP LOCATIONS: Spring Break Fun Camp will be held in the Rawson School Gym. Enter the gym through door #3. Camp will be held Monday Friday, April 2, 3, 4, 5, and 6 from 7:00 am to 5:30 pm. See page 6 for details. Summer Fun Camps will be held in the Middle School Gym. Enter the gym through door #36. Camp will be held Monday Friday throughout the summer for 9 weeks beginning the week of June 11 and ending the week of August 6th. See page 6 for details. Page 3 Visit our webpage at www.smrecdept.org Call us at 766-5081

OUR PHILOSOPHY Anchored in a safe, supportive and richly diverse community, South Milwaukee s Fun Camp program fosters the values of sharing, integrity, responsibility and respect. Campers are introduced to new experiences allowing them to develop a greater sense of self-esteem and self-confidence. Included in our camp, is an incentive program. The overall objective of the program is to promote good behavior through positive reinforcement. Campers will earn camp points for behaviors such as lending a helping hand, being a good listener, being a good friend, improving on a negative behavior, acting appropriately during field trips and on the bus, etc. Staff will award points to campers in an age appropriate level. At the end of each week all camps will recognize their campers who have displayed the behaviors and attitudes we strive for at camp. The specific aspects to the program are: Helping Hands When a camper goes beyond expectations in helping others. Most Valuable Camper-This award is presented to a camper that demonstrates sportsmanship, leadership and overall positive behavior on a consistent basis STAFF SUPERVISION Each week our camp is supervised daily by a qualified adult supervisor and counselors of college or high school-age who have gone through a thorough training covering such topics such as: safety, leadership, behavior management, CPR, 1st aid, bloodbourne pathogens, swimming pool procedure and policies, arts and crafts and game instructions. Our nurturing and trained staff will be sensitive and flexible to the many needs of our participants. We want every child to end their week long camp with new friends, lessons and memories that will last a lifetime! After all The best memories are made at Camp! Attendance and Permission Slips This is NOT a drop-in program. Campers will Not Be Allowed to leave the grounds early without a signed written release from their parent/legal guardian. Written permission is also needed if you wish for your child to leave with someone else, walk home, or temporarily leave to attend another activity or camp. The written permission must be presented to the camp director. All parents/legal guardians must sign in their child upon arrival and sign out their child upon departure with the designated camp director. If you know your child will not be attending camp, please notify the camp director or call the Recreation Department at (414) 766-5081 two hours prior to the start of camp. You may leave a message on the answering machine and the Recreation Department will notify the camp directors. Page 4 Visit our webpage at www.smrecdept.org Call us at 766-5081

ARRIVAL AND PICK UP Campers must arrive on time to begin the day s activities. Parents/legal guardians are required to pick up their children from 5:00-5:30pm. Parents who arrive late to pick up a child will be charged a $10.00 late fee for every 15 minutes (or portion thereof) they are late. In the event that a child is not picked up at the appropriate time we will call the emergency numbers you've provided. After one-half (1/2) hour, the staff will call the South Milwaukee Police Department to come pick up the child, releasing care of him/her. Frequent (three times) late pick-ups will result in suspension from the program. Please try to be prompt at pick-up; it can be upsetting for a child to be the last camper at pick-up. The Recreation Department does not provide transportation to and from camp. THIS IS NOT A LICENSED DAY CARE CENTER The purpose of the program is to provide a variety of educational and creative group games and activities for the children on a daily basis. The Recreation Department Staff is not able to provide one-on-one care service for the children. Children must be able to take care of themselves. MEDICATIONS Medications will not be administered by our staff. You will need to make prior arrangements with your son or daughter for taking their meds. WEATHER The program runs rain or shine, so please make sure your child has appropriate clothing to participate indoors and outdoors each day. SNACKS AND LUNCH Lunch is not served during the Spring Break Camp or Summer Camp weeks 1 & 9. Campers should bring their own drinks, snacks, and lunch when appropriate. FREE LUNCH will be served in the High School Cafeteria from 11:45-12:30 pm (Monday-Friday), June 18 August 3. Page 5 Visit our webpage at www.smrecdept.org Call us at 766-5081

Spring & Summer Fun Camps NEW! SPRING BREAK FUN CAMP Rawson School Gym Enter door #3 Easter Break April 2, 3, 4, 5, 6 Activity Code: SBFC301.301 $116R/$126NR Camp 5 July 9, 10, 11, 12 12:00-5:30 pm July 13 Activity Code: SFC401.405 $84R/$94NR Camp 1 June 11, 12, 13, 14, 15 Activity Code: SFC401.401 $116R$126NR Camp 6 July 16, 17, 18, 19 July 20 Activity Code: SFC401.406 12:00-5:30 pm $84R/$94NR Camp 2 June 18 June 19, 20, 21 June 22 Activity Code: SFC401.402 Camp 7 July 23, 24, 25, July 26 July 27 Activity Code: SFC401.407 12:00-5:30 pm 10:00-5:30 pm 7:00-5:30 pm $84R/$94NR 12:00-5:30 pm $84R/$94NR Camp 3 June 25, 26, 27, 28 12:00-5:30 pm June 29 Activity Code: SFC401.403 $84R/$94NR Camp 4 July 2, 3 12:00-5:30 pm No class on July 4 July 5 & 6 Activity Code: SFC401.404 $84R/$94NR Camp 8 July 30, 31; Aug 1, 2, 3 Activity Code: SFC401.408 $116R/$126NR Camp 9 Aug 6, 7, 8, 9, 10 Activity Code: SFC401.409 $116R/$126NR R = South Milwaukee Resident NR = Non South Milwaukee Resident SPECIAL FEATURE Pete Sorce from Sorce Martial Arts School will be at camp on Wednesday mornings, June 13 and August 8 at 9:00AM for a one hour presentation. Everyone registered may participate in this interactive program that will take place in the Middle School Wrestling Room. Parents are welcome! Please note that some times and dates are subject to change! Page 6 Visit our webpage at www.smrecdept.org Call us at 766-5081

EARLY BIRD RECREATION PROGRAM This program takes place before summer school begins (MTWT) from 7:00-7:50 am in the High School Fieldhouse on the North Court. Please park in the east lot and enter through door #27 This program provides an opportunity for children to participate in early recreation activities and games one hour prior to the start of the summer school day. Activities include walking, sport games, and educational games. This camp requires a separate $10 registration fee/ week. Early Bird Recreation Week #1 of Summer School TWT June 19, 20, 21, 22 No class Monday, June 18 Activity Code: EB401.401 $10R/$15NR Early Bird Recreation Week #2 of Summer School MTWT June 25, 26, 27, 28 Activity Code: EB401.402 $10R/$15NR Early Bird Recreation Week #3 of Summer School MWT July 2, 3 No class Wednesday, July 4 Activity Code: EB401.403 $5R/$10NR Early Bird Recreation Week #4 of Summer School MTWT July 9, 10, 11, 12 Activity Code: EB401.404 $10R/$15NR Early Bird Recreation Week #5 of Summer School MTWT July 16, 17, 18, 19 Activity Code: EB401.405 $10R/$15NR Early Bird Recreation Week #6 of Summer School MTWT July 23, 24, 25, 26 Activity Code: EB401.406 $10R/$15NR Page 7 Visit our webpage at www.smrecdept.org Call us at 766-5081

WHAT TO BRING TO CAMP? Non-Refrigerated Snack & Beverage, Towel Bathing Suit, Water Bottle, Sunscreen, Bug Spray, and Hat. Please send these items in a bag or backpack that is clearly labeled with your child s full name; we recommend placing the label on the inside of your child s bag. All items your child brings to camp should be clearly labeled with their name. Please do not send your child to camp with personal sports equipment or valuable items. As always we remain an alcohol, drug, weapon and animal free camp. WHAT SHOULD MY CHILD WEAR TO CAMP? It is important that you dress your camper to play! Comfortable, casual clothing, appropriate for weather conditions and gym shoes are a necessity - no sandals. Please do not send your child to camp wearing any valuable clothing. Grass and other stains are not always avoidable. WHAT ABOUT SUNSCREEN AND BUG SPRAY? Some portion of camp is spent outdoors participating in various activities. For this reason, we ask that parents apply sunscreen and bug spray to campers before their arrival at camp. We also recommend sending your child to camp with a sunscreen spray and bug spray that they can apply to themselves during the camp day. WILL MY CHILD RECEIVE A T-SHIRT? Yes, all campers will receive one (1) t-shirt for the 2018 camp season. T-shirts will be distributed on the first day of attendance at camp. Be sure to indicate your child s youth t-shirt size listed on the Camper Data Form and the registration form. WHAT ABOUT LUNCH? All campers will receive a FREE LUNCH, beginning Monday, June 18 August 3 from 11:30 am- 12:30 pm in the Cafeteria. Campers not enrolled in summer school should report directly to the Cafeteria on days that camp is scheduled to start at 12 noon and sit at the Campers Table. Please enter the High School for lunch through door #29 for direct access to the Cafeteria. After lunch, students will be escorted to the Middle School Gym. Lunch will not be provided during Spring Break Camp and Summer camps #1 or Camp #9 Campers are reminded to bring their own Non-Refrigerated lunch during these weeks. WHAT HAPPENS IF IT RAINS OR IS VERY HOT? We hold camps, rain or shine, hot or cold! In the event of severe weather, campers will remain indoors. Our staff is well prepared with a variety of indoor activities that include arts & crafts, sports, games and much more. SUMMER FUN CAMP FIELD TRIPS! Field trips may be planned during the week your child is registered for camp. Field trips are NOT OPTIONAL and the transportation and admission etc. expense is included in your registration fee. Your child must come to camp wearing their 2018 camp t-shirt on Field Trip Day. You or your child will be given a Field Trip Parental Permission Form explaining the trip details on the first day camp. This form must be returned to your camp counselor a day prior to the schedule trip. Page 8 Visit our webpage at www.smrecdept.org Call us at 766-5081

WHAT IF MY CHILD IS INJURED OR BECOMES ILL AT CAMP If a child is injured or becomes ill during camp, we will notify a parent or guardian and ask that someone pick him or her up from camp. Parents will not be called every time a band aid or ice pack is given. If the parent is not available, the staff will call the emergency contact(s) listed on the Camper Data Form. All campers must be fever free for 24 hours before returning to camp. If your child is ill and cannot join us at camp, please call your child s Camp Supervisor after 9am to report the absence. We appreciate your cooperation in keeping our program healthy! WHAT HAPPENS DURING AN EMERGENCY? If there is an emergency and you need to speak with your child, call your child s Camp Supervisor or counselor first. If you don t reach them call the Recreation Office we will have your child s Camp Supervisor contact you as soon as possible. Important phone numbers are listed on page 2. If your child is injured at camp, and requires more than basic first aid, we will take the following steps: Paramedics will be called to handle serious accidents. You will be called to inform you of the situation. The injured or ill child will be transported to the nearest hospital by paramedics and accompanied by a camp staff member. We'd like to be able to contact you at any time in case of an emergency. If you are not going to be at your regular daytime phone number, please provide an alternate number. WHAT IS MY RESPONSIBILITY AS PARENT/GUARDIAN? It is your responsibility to notify the Recreation Department of any physical, mental or medical conditions that may require special attention while your child is at camp. You must also notify us when your child will not be attending camp as scheduled. You must see that your child arrives at camp on time and is picked up on time. HOW WILL DROP-OFF AND PICK-UP WORK AT CAMP? SPRING BREAK Campers should report to the Rawson School Gym and enter door #3. Summer Fun Camp Campers should report to the HS cafeteria and enter door #29 on days that camp starts at Noon. Campers will be escorted to the MS Gym after lunch by camp counselors. When camp begins at 7:00 am campers should report to the Middle School Gym and enter through door #36. Each morning, please check your camper in with his/her camp counselor. During this time, any notes, notices, or changes in your camper s status should be brought to the attention of the camp supervisor. Camp staff will not be supervising participants until the official camp start time. We do offer before camp care in our Summer Early Bird Recreation Program see page 7 for details. At pick-up, all campers must be signed out by a parent or guardian listed on the Camper Data Form. For the safety of your child, if the person picking up your child is not on the form, we will not allow the child to leave unless you have made prior arrangements, in writing. Staff may ask for photo identification. Parents/ Guardians will pick up their children between 5:00-5:30 pm. Page 9 Visit our webpage at www.smrecdept.org Call us at 766-5081

CAMPER DATA FORM (health & safety) The most important thing you need to do before sending your child to camp is complete and submit your child s Camper Data Form. The Camper Data Form must be on file for every camper by the 1st day of attendance at camp. CAMPER CONTRACT (camper code of conduct) This contract is to hold campers accountable for the rules that we have in place for a fun and safe summer. A Camper Conduct Contract is required to be signed by campers and parents. The Camper Conduct Contract must be on file for every camper by the 1st day of attendance at camp. EARLY RELEASE FORM (child going to be picked up early) A camper may be released early from camp. In order for the staff to release a camper the following information must be filled out and turned in by a parent/guardian. REGISTRATION FORM (or you may register online but must also complete the forms) You may register your child NOW online at www.smrecdept.org, by mail or in person at the Recreation Department Office. Camps fill up quickly, so please register early and save money by avoiding the late fee. Camper forms will be found on-line on the Rec Dept. Web page. If you have any questions concerning our programs, or suggestion and ideas, please contact us. PHOTO POLICY The Recreation Department often take photos of participants enrolled in camp programs. These photos are used in promotion of the Recreation Department seasonal brochures and in flyers and web page. All pictures become property of the Recreation Department. If you do not want your child s picture taken, please notify us in writing along with a current picture of your child. We will make every effort to make sure your child is not photographed. SOUTH MILWAUKEE RECREATION DEPARTMENT 901 15th Ave South Milwaukee, WI 53172 414-766-5081 fax 414-766-5085 email: npaczocha@sdsm.k12.wi.us Page 10 Visit our webpage at www.smrecdept.org Call us at 766-5081

Camper Data Form This form must be completed and submitted the first day of camp in order for your child to attend. 1. Camper s Name Male Female 2. Address City Zip 3. Phone # Email Address 4. Birth Date / / Age as of first day of camp Grade entering this Fall 5. Pick Weeks Attending Camp: Easter Break Summer # 1 #2 #3 #4 # 5 #6 #7 #8 #9 6. Father s Name (or Legal Guardian #1) Cell 7. Mother s Name (or Legal Guardian #2) Cell 8. Legal Guardian #1 Work # Legal Guardian #2 Work # In the event of injury, illness or emergency, every attempt will be made to contact parents first. 9. Alternate Contact Person: Phone 10. Family Physician: Phone 11. Medical allergies, illness or other conditions: Current Medications: 12. List any other special circumstances camp staff should be aware 13. Are all of your school immunizations up to date? Date of last tetanus shot: 14. How will your child be picked up from camp? 15. Recreational Swim: I grant permission for my son/daughter to participate in recreational swim. Please circle Yes or No 16. I grant permission for my son/daughter to attend off site activities occurring throughout the summer. Please circle Yes or No 17. Please indicate your child s appropriate youth t-shirt size S M L XL 18. I allow emergency treatment of my son/daughter by a qualified medical professional in the event of a medical emergency. Signature Date Page 11 Visit our webpage at www.smrecdept.org Call us at 766-5081

CAMPER DATA FORM - CONTINUED Child s Name (print): Authorized Pick-Up Policy It is important for us to know who will be picking up your child from camp. Please list all the people authorized to pick your child up from camp, including those in a carpool. If you need to list additional authorized persons, please use a second form. Primary Person: Name: Name: Relationship: Address: City: Phone #: Home/Cell Phone #: Work Phone #: Additional Persons: 1) Name: Relationship: Home/Cell Phone #: Work Phone #: 2) Name: Relationship: Home/Cell Phone #: Work Phone #: 3) Name: Relationship: Home/Cell Phone #: Work Phone #: Authorized person will be required to show proof of identification (driver s license or photo ID) when picking your child up. Your child will not be released to anyone except the individuals listed above. Signature Date Page 12 Visit our webpage at www.smrecdept.org Call us at 766-5081

Campers Code of Conduct BEHAVIOR CONTRACT To ensure all campers have a positive experience at Camp, campers will be required to follow the Code of Conduct and sign a Behavior Contract along with their parent/legal guardian before being allowed to participate in camp. We ask parents/legal guardians to read through the Code of Conduct and Behavior Contract with your children prior to coming to camp. Discuss with your children that good behavior is always required at camp, especially during group activities. BEHAVIOR The South Milwaukee Recreation Department expects program participants to always exhibit appropriate behavior. Appropriate behavior is defined as being respectful to oneself and others, using proper language and safe hands. Safe hands is defined as hands that do not hurt self, others or other objects. The Camper Code of Conduct should be reviewed with your child prior to the first day of camp. This contract is to hold campers accountable for the rules that we have in place for a fun and safe summer. A Camper Conduct Contract is required and must be signed by campers and parents and must be on file for every camper by the first day of attendance at camp. DISCIPLINE The purpose of discipline is to help a child learn responsibility for his/her actions and take control of the negative behavior. South Milwaukee Recreation Department staff will use a positive, firm approach regarding discipline. We use positive statements and reinforcement to redirect negative behavior. The camp staff will use discipline as needed and keep you informed about your child s behavior. The South Milwaukee Recreation Department reserves the right to dismiss a participant if his/her behavior is not in the best interest of him/herself, other participants or staff. Each situation is evaluated on its own merit and incident reports will be used to document inappropriate behavior. Program staff will discuss the behavior with the camper and his/her parent or guardian. Recurring or severe behavior may lead to suspension or dismissal from camp with no refund. The safety and enjoyment of all campers and staff is our top priority. It is the goal of the South Milwaukee Recreation Department Camp program to promote the growth and development of a variety of life skills and relationships, while participating in age appropriate, healthy activities. The Fun Camp fosters the values of sharing, integrity, responsibility and respect. As a family, please read and discuss the Camper Conduct Contract. Page 13 Visit our webpage at www.smrecdept.org Call us at 766-5081

PARENT/CAMPER CONTRACT Respect When asked to do or not to do something, I will follow directions the first time. Responsibility It is my responsibility to remain with my group and within eyesight of my counselor at the campsite and on off-site locations. Play I will not engage in any horseplay with other campers or counselors. This includes hitting, pushing or any type of aggressive behavior. Appropriate Language I will refrain from using obscene language or gestures, and I will not discuss inappropriate topics or contribute to demeaning conversations about other campers or staff. Caring It is important to use and care for equipment and supplies. What happens if this contract is violated? If an incident occurs where a child conducts himself/herself in such a manner which jeopardizes their safety, the safety of others, or is not in accordance with the South Milwaukee Recreation Department s Fun Camp Code of Conduct, the following steps will be taken. First Offense-Staff will document the incident on a Camper Conduct Notice and will review the information with the camper. The camper may be removed from an activity, until he/she is ready to return and participate properly. Staff will review the Camper Conduct Notice with parents at the end of the day. Second Offense Staff will document the incident on a Camper Conduct Notice and will review the information with the camper. The camper will be removed from the activity, until he/she is ready to participate properly. A parent or guardian will receive a phone call about the camper s behavior and be informed that the next step will include a suspension. Third Offense-Staff will document the incident on a Camper Conduct Notice and will review the information with the camper. A parent or guardian will be contacted and asked to pick up the child from camp. The camper will be suspended for the next day that camp meets. Fourth Offense-Staff will document the incident on a Camper Conduct Notice and will review the information with the camper. A parent or guardian will be contacted and asked to pick up the child immediately. The camper will be dismissed from camp for the remainder of the program. There is no refund if a camper is suspended or dismissed from camp. We have read and agree to the above Camper Conduct Contract outlined in these guidelines: Camper s Signature Date Parent/Legal Guardian s Signature Date Page 14 Visit our webpage at www.smrecdept.org Call us at 766-5081

Early Release Notice A camper may be released early from camp. In order for the staff to release a camper the following information must be filled out and turned in by a parent/guardian. Complete this form and turn this in to a camp staff member. This release will only be allowed for the date and time listed. Campers Name: Date: Time of Release: Only an adult may pick up a camper that has been released from camp. List the name of the person picking up the camper. A form of identification is required at time of pick up. Name of Adult: I understand that the South Milwaukee Recreation Department requires an Early Release Notice form to be filled out for a camper to leave camp early. Once the Early Release Notice is signed and the camper is picked up from camp the South Milwaukee Recreation Department is released from all liability that may occur after departure. I agree to these terms and conditions. Parent/Guardian Name: Parent/Guardian Signature: Making Friends - Adventures - Having Fun Page 15 Visit our webpage at www.smrecdept.org Call us at 766-5081

South Milwaukee Recreation Dept. 901 15th Avenue South Milwaukee, WI 53172 417-766-5081 or 414-766-5082 www.smrecdept.org PART 1 - FAMILY INFOR- Family Last Name: First Name: Address: City: Zip: Home Ph:( )- - Business Ph:( )- - Cell Ph:( )- - e-mail address: PART 2 - SIGN THE WAIVER/RELEASE I, the undersigned do hereby agree to allow the individual named herein to participate in the activities indicated. I am aware and understand there may be potential risk inherent with participation in any recreation activity, and that the School District of South Milwaukee does not provide accident insurance and cannot assume responsibility for injury to any participants in the recreation programs. I further understand the eligibility requirements for the program as stated in the department brochure or flyers and that there is no transfer of fees allowed or refunds given unless the department changes a class. I also agree to allow publication of any photos taken of me or the participant (S) at any program, event, or facility of the South Milwaukee Recreation Department. Participant/Parent/Guardian Signature Date PART 3 - PARTICIPANT INFORMATION Participant Name M/F Date of Birth Grade Activity Name Act Code Fee Special Information (i.e. medical, physical, allergies:): Payment TOTAL FEES: $ Check # Cash Money Order Make checks or money order payable to the South Milwaukee Recreation Department PART 4 - MAIL-IN REGISTRATION FORM TO THE RECREATION DEPARTMENT Mark your calendars! We do not send confirmations. The Recreation Dept. will contact you in case a class is full, or if there is a waiting list for the program for which you registered. You may assume your registration has be processed as requested unless you hear from us. Thank you for taking the time to register. If you are signing up for a program that involves youth practices, games, matches or meets, you must submit the CONCUSSION PARENT/ATHLETE AGREEMENT FORM at the time of registration. Concussion information and agreement form is available at the recreation dept. or on line at www.smrecdept.org Circle Youth T-Shirt Size S - M - L - XL Page 16 Visit our webpage at www.smrecdept.org Call us at 766-5081