Daily Schedule 7:30am-9:00am 9:00am-11:30am 11:30pm-12:30pm 12:30pm-4:30pm 4:30pm-5:30pm Drop Off Themed Activities/games/ Crafts Lunch/Clean-Up Themed Activities/Games/ Crafts Pick Up Field Trips Campers will have the opportunity to go on 3 field trips per week. Two of the trips will be local and one being out of Mt. Pleasant, however some weeks may stay local depending on the activity. Fridays will be water days (weather permitting) and we will visit Island Park s Spray Park to keep your camper refreshed in the Summer heat! Please bring swimsuit and towel everyday just in case we surprise campers with additional water days! Field trips are subject to change. Destination Location Day 1 IMAX Lansing, MI Tuesday 6/11 2 Hawk Island Lansing, MI Tuesday 6/18 3 CMU Adventure Seminars Mt Pleasant, MI Tuesday/Thursday 8/6 and 8/8 4 Kokomos Saginaw, MI Tuesday 8/13 5 Outback Lodge Standwood, MI Tuesday 8/20 6 Soaring Eagle WaterPark Mt Pleasant, MI Tuesday 8/27 Camp Shirts Campers will receive one camp shirt for the duration of Schools Out! Summer Day Camp. Camp shirts will be worn on the field trip days listed above. Camp shirts help counselors distinguish our campers from other groups that may be attending the same site. Additional shirts can be purchased for $6. For More Information, Contact: City of Mt. Pleasant Parks and Recreation 320 W Broadway St Mt. Pleasant, MI 48858 Phone: 989-779-5331 www.mt-pleasant.org/peak www.facebook.com/peak Schools Out! Summer Day Camp 2013 June 10 - June 21 Vowles Elementary Aug 5 - Aug 30 Fancher Elementary
Schools out! Summer day camp Is an exciting and adventurous camp that will provide your camper with many new experiences and opportunities! Dedicated camp staff will introduce fun games and activities that will have your camper begging for more! Summer Camp is a great way to broaden friendships and teach campers to be independent through interaction in a group environment. Campers will develop meaningful social experiences through group games and activities that will last a lifetime! Licensed program Ensures that we provide a safe environment to have campers attend. We hold our program in the highest regards and standards. Summer Camp Staff Are all trained and certified in providing a safe environment for your campers to excel in. All Camp staff have had background checks, drug testing and are all CPR/First Aid certified and have gone through training in safety procedures and policies. Camp staff is dedicated to providing enrichment and positive attitudes for campers to gain an ultimate experience. Camper to Counselor ratio Will maintain a minimum of 1 counselor to 10 camper ratio. It is extremely important to us that you leave your child in safe hands by providing proper supervision and ensuring that your camper will be provided the best experience while attending summer camp. Camp divisions Are used to separate age groups to establish age appropriate interaction and participation. Activities, crafts and games will be modified to suit the appropriate age groups. age groups Wallibees Bandicoots Trailblazers 5-6 7-8 9-12 Camp Pricing Price Per Week $150 City Resident Discount $25 or MPPS Attendee Registration Deadline W1 (5/31) W2 (6/7) W3 (7/26) W4(8/2) W5(8/9) W6 (8/16) Location Weeks 1 & 2: Vowles Elementary, 1560 S Watson Weeks 3-6: Fancher Elementary, 801 S Kinney Activity Code: 395202-01-02-03-04-05-06 Ages Coed, K - 6th Grade (Must have Completed) Registration must be paid in full to guarantee placement in Summer Camp. There is a 15 camper minimum to run camp. Minimum must be met by deadline. Week 1 (June 10-14): Movie Magic Campers will be movie stars in their own creations! Your camper will have the opportunity to bring out their creative side and star in their own feature film! Friday of camp will be the movie premier that all parents are welcome see. Campers will be traveling to the IMAX in Lansing to watch a Under the Sea 3D! Week 2 (June 17-21): Wacky Water World Having fun in the sun is what camp is all about! Campers will have a wide variety of outdoor water games planned throughout the week. Your camper will be visiting Hawk Island County Park in Lansing. The park includes a splash pad, beach, fishing and more! Week 3 (August 5-9): Call of the Wild This week is meant to introduce campers to the adventure of participating in the great outdoors! Games and activities will be planned in area parks and include such things as geocaching, adventure trail walks and wildlife observation! Campers will get to rock climb at CMU and visit area parks to explore their call of the wild with the help of CMU Adventure Seminars and their staff! Week 4 (August 12-16): Schools Out! Olympics Calling all All-Stars! This week is dedicated to sports of all sorts! Campers will get to play individual and team oriented sports. Not only will they get to play many sports, they will even get to create their own game or sport! Campers will travel to Kokomo s in Saginaw to have some fun playing golf, go karts and much more! Week 5 (August 19-23): Who Done It? There is a mystery and someone needs to solve it! Campers will be provided clues throughout the week to solve mysteries that are surrounding camp. The Outback Lodge will provide your camper an excellent ranch experience while horseback riding, hayrides and fun ranch games! Week 6 (August 26-30): Supersized Gaming What would it be like to play board games that are life sized? That is what campers will be finding out all week! Games such as pool, checkers and chess will all be played, but in life size fashion! The final week will bring campers to the Soaring Eagle Waterpark in Mt Pleasant for one last waterpark adventure! Things to bring: SUNSCREEN! Water Bottle Swimsuit Towel Bag Lunch Comfortable shoes Comfortable lightweight clothing Things to leave at home: Phones Electronics(games, ipods, Nintendo DS, etc.) Money(unless notified) Toys
Primary Guardian(s) Email Address (required) Schools Out! Registration Form Secondary Guardian Email Address (required) City State Zip Code Home Phone Work Phone Ext. Emergency Phone Cell Phone City State Zip Code Home Phone Work Phone Ext. Emergency Phone Cell Phone I reside within the City Limits I do not reside within the City Limits Where did you hear about the program for which you are registering? Activity Code required on all registrations where applicable 1104111 Participant Full Name M/F Current Grade (12-13) (mm/dd/yy) Date of Birth School Shirt Size Activity Code (+) Activity Fee (-) Resident Discount Activity Total Known special needs and/or allergies (specify participant s name): Persons with disabilities needing assistance to participate may call the Parks and Recreation office at 989-779-5331. A seven day advance notice may be necessary for accommodation. Persons requiring speech or hearing assistance may contact the City through the Michigan Relay Center at 1-800-649-3777. LIABILITY WAIVER I/we, the undersigned, do hereby agree to allow the above-named to participate in the activity indicated. I am/we are aware of and understand there may be potential risks inherent with participating in any recreation activity, and that the City of Mt. Pleasant does not provide accident insurance. I/we assume all risks and hazards incidental to such participation, including transportation to and from the activities, and do hereby waive, release, absolve, indemnify and agree to hold harmless Mt. Pleasant Parks and Recreation, its officers, staff, and their agents for all claims, injuries, liabilities, damages or right of action directly or indirectly arising out of use of Mt. Pleasant Parks and Recreation facilities, equipment and/or participation in Mt. Pleasant Parks and Recreation activities. I/we also waive any rights/damages that may occur in result of photographs/videos of the events/activities offered through this department. In the event of an emergency, I authorize Mt. Pleasant Parks and Recreation staff to obtain medical treatment for the above-named participants. Participant/Parent/Guardian Signature (REQUIRED) Print Name Date Return to: Mt. Pleasant Parks & Recreation, 320 W. Broadway, Mt. Pleasant, MI 48858
CHILD INFORMATION RECORD State of Michigan Department of Human Services - Bureau of Children and Adult Licensing Instructions: Unless otherwise indicated, all requested information must be provided. If the information is not known or does not apply, unknown or none is the required response. A blank fi eld, a line through a fi eld or N/A are not acceptable responses. For Provider Use Only: Date of Admission Date of Discharge Name of Child (Last, First, Middle Initial) Child s Date of Birth Address (Number and Street, Building/Apartment Number) City State Zip Code Father/Legal Guardian s Name Home Address (if not child s address) Home Phone Cell Phone Mother/Legal Guardian s Name Home Address (if not child s address) Home Phone Cell Phone City State Zip Code City State Zip Code Email Address (optional) Email Address (optional) Employer Name Name of Child s Physician or Health Clinic Work Phone Hospital Preferred for Emergency Treatment (optional) Employer Name Physician s or Health Clinic s Phone Number Work Phone Allergies, Special Needs and Special Instructions (Attach additional sheets, if necessary.) BCAL-3731 (Rev. 7-12) Previous editions 9-09, 3-08, 10-07, & 1-06 may be used until 12/31/13. See Reverse Side Emergency Contact & Release of Child: List all individuals,including parents/legal guardians, in order of preference, to be contacted in an emergency. If possible, include at least one person other than the parents/legal guardians to be contacted in an emergency and to whom the child can be released. The second phone number column can be left blank. (If more individuals, attach additional sheets.) 1. 2. 3. Release of Child Only: List all individuals, other than the parents/legal guardians, to whom the child may be released. (If more individuals, attach additional sheets.) 1. 2. 3. 4. I give permission to, licensed by the Department of Human Services (Provider s Name) to secure emergency medical and/or emergency surgical treatment for the above named minor child while in care. Signature of Parent or Guardian Date Signed Department of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS offi ce in your area. BCAL-3731 (Rev. 7-12) Previous editions 9-09,3-08, 10-07, & 1-06 may be used until 12/31/13. AUTHORITY: 1973 PA 116 COMPLETION: Required PENALTY: Rule Violation Citation.
Child Immunization Documentation Child s Name Date of Birth My child is a student at Mount Pleasant Public Schools and his/her immunizations are up to date and records are on file at his/her school. My child is NOT a student at Mount Pleasant Public Schools and his/her immunizations are up to date and I will provide a copy of his/her immunizations to PEAK. I am exercising my option to refuse immunizations based upon medical reasons, religious beliefs, or personal beliefs. Confirmation of Good Health Parents/Guardians of school-age children shall provide a signed statement that the child is in good health. Activity restrictions shall be noted below. If none, please state None. Signature of Parent/Guardian Date