WELCOME TO KIDS COUNTRY SUMMER CAMP 2017 We know your chid wi have a memorabe summer here with us! We beieve the foowing guideines wi hep answer some frequenty asked questions: Genera Guideines Our hours of operation depend upon the site and program. TRADITIONAL CAMPS @ Boinger, Creekside, Quai Run, Sycamore Vaey, Twin Creeks and Wat Disney - 7:00 am-6:30 pm TRADITIONAL CAMP/THE ZONE @ Rancho Romero - 7:00 am-6:30 pm SPECIALTY CAMP @ Coyote Creek 7:30 am -6:30 pm WIGALO @ Montair 7:30 am-6:30 pm X-TREME CAMP @ Green Vaey and Montevideo 7:30 am-6:30 pm SUMMER SCHOOL CAMPS @ Boinger, Montair and Quai Run (transportation avaiabe from sites where SRVUSD summer schoo is hed to the isted KC sites) 12:30pm -6:30pm If someone other than you wi be picking up your chid, pease send a written note and ask that person to have identification with him or her. Pease sign your chid in and out on a daiy basis with your fu signature in ink and incude the time even though we charge by the week. LABEL, LABEL, and LABEL. Labe a persona items with your chid's name We cannot be responsibe for ost or damaged toys. Pease eave persona items at home. Pease provide your chid with waterproof sunscreen. Labe the container with his/her name. We encourage a chidren to bring a swimsuit and towe daiy. Fied Trips Pease refer to the Summer Brochure (coming in February) for programs and sites with avaiabe fied trips. Not a sites or programs incude off-site fied trips. Be sure to fi out the attached permission sip competey. Each chid MUST have a signed permission sip on fie to attend any fied trips. T-shirt must be worn on a fied trips (not on swim days). Fied Trip unches shoud be paced in disposabe bags (no Tupperware). Drinks shoud be in disposabe containers (NO GLASS BOTTLES). Lunches Pease send your chidren with a nutritious unch daiy. Pease send either fruit juice or water, no carbonated drinks are aowed. We do not have the storage capacity to put unches in the refrigerator or to microwave food items. Due to the rising number of chidren with severe nut aergies, a our sites are Nut Free Zones.
SUMMER CAMP REGISTRATION 2017 Name of Chid: Age: Gender: M F Grade 2017-2018: Enroed with KC? No Yes Site: Student ID #: Names of sibings enroed with KC: T- Shirt Size (pease circe one) Youth S Youth M Youth L Adut S Adut M Adut L Pease carefuy review the 2017 Summer Brochure (coming in February) for camp descriptions, age requirements, and camp hours before seecting your camps each week you woud ike your chid to attend. SITE Boinger Canyon (*Summer Schoo see beow) Creekside Coyote Creek Green Vaey WEEK 1: June 5-9 WEEK 2: June 12-16 WEEK 3: June 19-23 WEEK 4: June 26-30 WEEK 5: Ju 5-7 (3 day wk) WEEK 6: Ju 10-14 WEEK 7: Ju 17-21 WEEK 8: Ju 24-28 WEEK 9: Ju 31 Aug 4 WEEK 10: Aug 7-10 (4 day wk) Speciaty Speciaty Speciaty Speciaty Speciaty Speciaty Speciaty Speciaty Speciaty Speciaty X- X- X- X- X- X- X- X- X- X- Montair (*Summer Schoo see beow) Wigao* Wigao* Wigao* Wigao* Wigao* Wigao* Wigao* Wigao* Wigao* Wigao* Montevideo X- X- X- X- X- X- X- X- X- X- Quai Run (*Summer Schoo see
beow) Rancho Romero Sycamore Vaey Twin Creeks Wat Disney *Four year ods must be registered for TK to attend Wigao Summer **Chidren must be in Grades 2 nd -5 th (Ages 7-12) to enro SITE Boinger Montair Quai Run SUMMER SCHOOL CAMP: CAMP AFTER SUMMER SCHOOL *dates are tentative and may be changed in accordance to the dates that SRVUSD Summer Schoo is offered WEEK 1: June 5-9 WEEK 2: June 12-16 WEEK 3: June 19-23 WEEK 4: June 26-30 SUMMER CAMP FEES: $295 per week/$280 sibing discount $180 per week/ $170 sibing discount (Week 5: Juy 5-Juy 7) $240 per week /$225 sibing discount (Week 10: Aug7- Aug10)
Summer Schoo : $240 per week/$225 sibing discount *If appicabe: $145 per week/$135 sibing discount (Week 5: Juy 5- Juy 7) fees must be paid in fu prior to the start of the month. Canceation fee is $100 for each week, if weeky services are canceed after invoices are issued. Late payment fee is $25. There is a change fee of $25 for requesting a change from a seected week to a different week after invoices are issued. Change requests can ony be honored on a space avaiabe basis. Late pick up fee is $5 per minute. (Note: hours and cosing times vary per ocation.)
PHOTO/VIDEO RELEASE: My signature beow indicates that I give permission for my chid to be photographed (sti or video) whie participating in activities at Kids Country. Photographs and/or videos wi be used for the soe purpose of promoting Kids Country programs. These photographs and/or videos may be used for site abums, program brochures, media productions, advertisements, news artices, socia media posts or pubication to our website: www.kidscountry.org. Photographs and/or videos wi not be accompanied by the ast name of any chid. Photographs and/or videos wi be taken during reguar chidcare activities such as fied trips, cubs, outdoor activities, and free choice times. In addition, I knowingy wi not seek any form of compensation or remuneration from Kids Country, or its agents, for the use of my chid s presence in a photograph and/or video. I have read the above contract and agree to abide by its terms. PARENT/GUARDIAN SIGNATURE DATE PRINT PARENT/GUARDIAN FIRST/LAST NAME SITE DIRECTOR SIGNATURE DATE
Kids Country Summer Emergency Form Name of er Date of Birth Site Address Home Phone Parent/Guardian Name Ce Phone Work Phone E-Mai Emergency Contact: Name Reationship Phone Additiona Authorized Persons to Pick-Up: Name Reationship Phone Name Reationship Phone Heath Information: Name of Doctor Phone Med. Rec. # Name of Dentist Phone Pease note any heath conditions that Kids Country Summer needs to know about (aergies, medications, etc.) In case of an accident or iness the San Ramon Vaey Schoo Age Chidcare Aiance, Inc., dba Kids Country, has my authority to secure any emergency medica and/or denta attention deemed necessary. My chid is physicay abe to participate in camp activities. Parent Signature Date
KIDS COUNTRY SUMMER CAMP 2017 ACTIVITIES PERMISSION SLIP I do hereby give my permission for my chid to participate in the Kids' Country Summer activities, fied trips and swimming trips. I understand they wi be transported by First Student bus services, commercia bus or by Kids' Country vans. I give my permission for any emergency medica or denta treatment necessary by a icensed physician or dentist. The undersigned, in consideration of participation in this fied trip, agrees to indemnify and hod the San Ramon Vaey Schoo-Age Chid Care Aiance, Inc. (SRVSACCA), dba Kids Country, harmess and reease the SRVSACCA, it s officers, empoyees and agents from any and a iabiity for any injury arising out of, or in any way connected with, participation in these fied trips. I HAVE READ THE ABOVE AGREEMENT AND FULLY UNDERSTAND THAT MY SIGNATURE ON THIS FORM AFFIRMS THAT I ASSUME RISK FOR ANY INJURIES MY CHILD MAY INCUR. NAME OF CHILD NAME OF PARENT/GUARDIAN PARENT/GUARDIAN SIGNATURE DATE WORK PH CELL PH DOCTOR S NAME PHONE MED. REC # DENTIST NAME PHONE