KidsCamp portfolio, 2013 - KidsCare of Pennsbury
KidsCamp portfolio, 2013 - KidsCare of Pennsbury
KidsCamp portfolio, 2013 - KidsCare of Pennsbury
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<strong>KidsCamp</strong><br />
...a unique summertime experience for kids!<br />
<strong>KidsCare</strong> <strong>of</strong> <strong>Pennsbury</strong><br />
Doylestown, Pennsylvania
<strong>Pennsbury</strong> School District<br />
<strong>KidsCamp</strong><br />
<strong>2013</strong><br />
... a unique summertime experience for kids!<br />
Special<br />
Registration<br />
Discount!!!<br />
Register<br />
for<br />
6 or more weeks<br />
(full-time)<br />
and receive a<br />
$50<br />
(per child)<br />
Discount<br />
on<br />
Total SummerTuition<br />
Summer Day Camping at its best ...<br />
... ‘a la carte’ enrollment options<br />
“ ... you choose what you need”<br />
... special pre-kindergarten camp program<br />
(must be pre-registered for kindergarten)<br />
... convenient, easy-to-use program transportation<br />
(to and from <strong>KidsCamp</strong> program)<br />
... fun-filled, enriching activities<br />
... <strong>KidsCamp</strong> “Special Activity Options”<br />
(including Magic & Illusions, KidsDance, Lacrosse,<br />
Guitar, Ceramics for Kids, Rock Climbing, and KidzArt)<br />
... C.I.T. Program<br />
(for 8th, 9th, and 10th grade students)<br />
... full or part-time enrollments<br />
Program Location<br />
Afton Elementary School Campus<br />
1673 Quarry Road<br />
Yardley, Pennsylvania<br />
www.kidscare<strong>of</strong>pennsbury.com
<strong>KidsCamp</strong>TM<br />
<strong>KidsCare</strong> <strong>of</strong> <strong>Pennsbury</strong><br />
1456 Ferry Road, Suite 700<br />
Doylestown, Pennsylvania 18901<br />
215-230-3445<br />
www.kidscare<strong>of</strong>pennsbury.com<br />
© <strong>2013</strong> <strong>KidsCare</strong> <strong>of</strong> <strong>Pennsbury</strong><br />
All rights reserved. No part <strong>of</strong> this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or<br />
by any means, electronic, mechanical, recording or otherwise, without the written permission <strong>of</strong> the copyright owners.<br />
<strong>KidsCare</strong> services are provided without regard to race, color, religious creed, handicap, ancestry, national origin, age, or sex.
<strong>KidsCamp</strong><br />
<strong>2013</strong><br />
... a unique summertime experience for kids!<br />
General Program Information<br />
Program Eligibility<br />
The <strong>KidsCamp</strong> summer day camp program will accept the enrollment <strong>of</strong> any child having completed pre-kindergarten<br />
through seventh grade as <strong>of</strong> June, <strong>2013</strong>.<br />
Program Calendar<br />
The <strong>KidsCamp</strong> summer day camp program will operate five days per week, except during the weeks <strong>of</strong> Week 1 (week<br />
<strong>of</strong> July 4th) and Week 8 (week <strong>of</strong> August 19th) during the Summer, <strong>2013</strong>. There will be no <strong>KidsCamp</strong> program on<br />
Thursday, July 4th and Friday, July 5th.<br />
The regular <strong>KidsCamp</strong> program will start on Monday, July 1st and continue until Wednesday, August 21st.<br />
To provide parents with as much planning flexibility as possible, the program has been divided into eight (8) “one-week”<br />
modules. Each program module has been developed to be a complete day camp experience in itself, yet a continuum <strong>of</strong><br />
“new” as well as high-interest repeat activities for children choosing to enroll for several weeks (minimum two consecutive<br />
weeks), a month, or the entire season.<br />
Program Hours<br />
The <strong>KidsCamp</strong> summer day camp program <strong>of</strong>fers various enrollment options, including:<br />
“Full-Time” Full-Day (full-time: Monday - Friday)<br />
Summer Program<br />
9 a.m. - 4 p.m.<br />
(bus transportation available to and from program)<br />
“Part-Time” Full-Day (part-time: minimum <strong>of</strong> 3 days per week)<br />
Summer Program<br />
9 a.m. - 4 p.m.<br />
(bus transportation available to and from program)<br />
Extended-Day (available for full-time or part-time enrollments)<br />
Summer Program<br />
9 a.m. - 4 p.m.<br />
plus ...<br />
7 a.m. - 9 a.m. and/or 4 p.m. - 6 p.m. 1<br />
1 Note: Parents are required to pick-up their child from the <strong>KidsCamp</strong> extended-day program by the 6 p.m. closing time. A Late “Pick-<br />
Up” Fee will be charged for any late pick-up at the rate <strong>of</strong> $5 for every five (5) minutes.<br />
Program Transportation<br />
An optional, easy-to-use, and comprehensive transportation network has been established for the <strong>KidsCamp</strong> summer day<br />
camp program. Morning pick-up and afternoon drop-<strong>of</strong>f bus service will be available to most full-day summer program participants.<br />
Parents interested in using the transportation service should check the appropriate item under “Transportation<br />
Preference” on the reverse side <strong>of</strong> the Program Registration Form and indicate the bus stop their child uses during<br />
the regular school year. If the child does not use school district provided transportation during the regular school year,<br />
the parent should contact the <strong>KidsCamp</strong> <strong>of</strong>fice for the “bus stop” nearest their home prior to registration. Bus stops are<br />
scheduled to be identical to or “as close as possible” to requested bus stops. All program transportation arrangements<br />
will be finalized on Friday, May 31st, and parents registering their child(ren) after this date will need to use<br />
already established “bus stops”. No “bus stop” will be customized after this date, regardless <strong>of</strong> reason.<br />
-- continued on reverse side --<br />
1
Program Snacks and Lunch<br />
Parents are encouraged to provide their child with a small morning snack, as well as a bag lunch and afternoon snack if<br />
the child is enrolled either in the regular full-day program or the extended-day care program. Snacks and lunches need to<br />
be peanut-free (see “Peanut Allergy Policy).<br />
“Peanut Allergy” Policy<br />
<strong>KidsCare</strong> <strong>of</strong> <strong>Pennsbury</strong> and <strong>KidsCamp</strong> understand the seriousness <strong>of</strong> peanut related allergies, and will strive to maintain,<br />
but cannot guarantee or insure, a peanut-free <strong>KidsCamp</strong> environment for the safety and welfare <strong>of</strong> all <strong>of</strong> its participants.<br />
Towards this goal, <strong>KidsCamp</strong> activities will be peanut and nut free. In addition, parents are asked not to include peanut<br />
related items in their child’s lunch.<br />
Children who have peanut related items (i.e. PB&J sandwich, peanut butter crackers, Peanut Chews, Snickers, etc.) in<br />
their lunch will be required to sit at a separate “Peanut” lunch table.<br />
Parents <strong>of</strong> children with peanut related allergies are advised that <strong>KidsCamp</strong> cannot guarantee that its environment will be<br />
completely free <strong>of</strong> peanut related items.<br />
By allowing their child(ren) to participate in <strong>KidsCamp</strong>, parents acknowledge that they have fully read and understand<br />
this “Peanut Allergy” Policy, understand that their acceptance <strong>of</strong> this policy is a condition <strong>of</strong> their child’s<br />
participation in <strong>KidsCamp</strong>, and further agree and understand that there is no guarantee <strong>of</strong> a peanut free environment,<br />
and they accept all risks inherent therein.<br />
Program “Emergency Information Form”<br />
All children participating in the <strong>KidsCamp</strong> summer day camp program will be required to have updated parent, emergency,<br />
and pick-up information (see Program Registration Form and Student Emergency Information/Emergency<br />
Release/Student “Pick-Up” Authorization Form) on file at all times. These forms must be received no later than<br />
Friday, June 7th. No child will be allowed to start <strong>KidsCamp</strong> unless all <strong>of</strong> the above forms are completed and on<br />
file in the <strong>KidsCamp</strong> <strong>of</strong>fice.<br />
It is the responsibility <strong>of</strong> parents to insure that the <strong>KidsCamp</strong> <strong>of</strong>fice is alerted about special health and medical<br />
conditions concerning their child(ren) at the time <strong>of</strong> registration.<br />
Parents are required to complete and sign all signature areas on the Student Emergency Information/Emergency<br />
Release/Student “Pick-Up” Authorization Form that will allow staff members to provide first aid to their child, as well as<br />
giving permission for the summoning <strong>of</strong> and subsequent treatment and transport by emergency medical personnel.<br />
Parents <strong>of</strong> participants who have a sensitivity to bee stings will be required to have a school district Medication<br />
Dispensing Form completed by their family physician, as well as providing the necessary “pre-measured” dosage <strong>of</strong> any<br />
prescribed medicine, in its original container, according to School District and <strong>KidsCamp</strong> policy.<br />
Program “Discipline Exclusion” Policy<br />
Attendance at the <strong>KidsCamp</strong> summer day camp program is a privilege, and therefore the <strong>KidsCamp</strong> program and the<br />
<strong>Pennsbury</strong> School District reserve the right to exclude any participant from the program for any behavior, verbal and/or<br />
physical, deemed inappropriate by staff members and program <strong>of</strong>ficials. In such cases, parents will forfeit any tuition fees<br />
paid for the program week in which the exclusion occurs. Any other tuition fees paid in advance will be refunded.<br />
Photo Release Policy<br />
Attendance <strong>of</strong> a child at <strong>KidsCamp</strong> implies and grants the parents and/or guardians permission to <strong>KidsCamp</strong> and/or<br />
<strong>KidsCare</strong> <strong>of</strong>ficials the right to use, reproduce, and/or distribute photographs <strong>of</strong> their child participating in <strong>KidsCamp</strong> activities,<br />
without compensation or approval rights, for use in materials created for purposes <strong>of</strong> promoting the activities <strong>of</strong><br />
<strong>KidsCamp</strong>.<br />
2
Program Activities<br />
Each child attending the <strong>KidsCamp</strong> summer day camp program will participate in a daily program consisting <strong>of</strong> a flexible<br />
schedule <strong>of</strong> high-interest activities and events. The following activity areas represent the major components <strong>of</strong> <strong>KidsCamp</strong>.<br />
Program “Weekly” Themes<br />
Special activities (i.e. “hands-on” projects, assembly programs, and field trips) centering around the weekly theme will be<br />
integrated into each week’s program. Some <strong>of</strong> the activities might include, but are not limited to the following: kaleidoscopes,<br />
“hamming it up” in a “Big Top” performance, Chinese dragons, hot air balloon demonstration, face painting, ice<br />
cream castle building, tom tom drums, and many, many unusual, fun-filled activities. The weekly themes for the <strong>KidsCamp</strong><br />
summer day camp program are listed under the Program Weekly Themes section <strong>of</strong> this <strong>portfolio</strong>.<br />
Crafts ... and More<br />
No summer camp experience is complete without the usual “hands-on” arts & crafts. The <strong>KidsCamp</strong> summer day camp<br />
program not only provides its participants with the usual draw, paint, and weaving activities, but also will provide a comprehensive<br />
selection <strong>of</strong> unusual, high-interest crafts including cooking, metal punching, bottle gardens, basket weaving,<br />
metal embossing, wood burning crafts, tie-dying, sand art, and many, many more.<br />
Each week’s schedule has been arranged to include a variety <strong>of</strong> arts & crafts activities divided between morning and afternoon<br />
activity times, so that all participants, regardless <strong>of</strong> enrollment option, will be able to participate in several arts & craft<br />
activities per week.<br />
Outdoor Education & Nature Activities<br />
Outdoor education and nature activities will be a special feature <strong>of</strong> <strong>KidsCamp</strong>. Some <strong>of</strong> these activities will include nature<br />
walks, use <strong>of</strong> the compass and orienteering skills, identification <strong>of</strong> animal signs and habitats, as well as a host <strong>of</strong> other fun<br />
and interesting activities using the outdoors. As part <strong>of</strong> these activities, local field trips 1 may be made to state and county<br />
parks such as Tyler State Park or Core Creek County Park, and to Silver Lake Nature Center or Churchville Nature Center.<br />
Sports & Physical Activities<br />
Each child will have numerous opportunities to participate in instructional, as well as recreational, sports and physical activities<br />
during the course <strong>of</strong> a program week. The emphasis in all sports and physical activities will focus on the development<br />
<strong>of</strong> skills, sportsmanship, and cooperation between players, rather than on competition. Our goal: If you had fun, you won!<br />
Recreational Swimming<br />
<strong>KidsCamp</strong><br />
<strong>2013</strong><br />
... a unique summertime experience for kids!<br />
All participants will have the option <strong>of</strong> participating in recreational swimming and pool activities on a weekly basis.<br />
Swimming and pool activities will be held on Tuesday and Thursday <strong>of</strong> each week at Pennwood Middle School under the<br />
supervision <strong>of</strong> program staff and American Red Cross certified lifeguards (see “Parent Permission” Policy for further information).<br />
Prior to any child participating in swimming activities, program lifeguards test each participant’s swimming ability.<br />
Participants are then allowed access to designated sections <strong>of</strong> the pool based on their swimming abilities.<br />
Recreational swimming will include free swimming and water play, diving, as well as organized pool games and activities.<br />
Transportation to and from the pool will be provided by <strong>KidsCamp</strong> at no additional charge.<br />
1 Offered regularly throughout the <strong>KidsCamp</strong> summer day camp program, but can not be guaranteed for any particular week and/or days <strong>of</strong> attendance.<br />
-- continued on reverse side --<br />
3
“Off-Site” Special Activities<br />
The <strong>KidsCamp</strong> summer day camp program will also <strong>of</strong>fer various “<strong>of</strong>f-site” activities in which day campers will be able to<br />
participate. These activities 1 will include bowling, miniature golf, roller skating, rock climbing, and hiking, orienteering and<br />
basic camp skill expeditions to local, state, and county parks or nature centers, as well as exciting Native American living<br />
history experiences.<br />
Field Trips, Assembly Programs, & Special Activities<br />
In addition to the numerous activities planned for each week’s program, day campers will have the opportunity <strong>of</strong> participating<br />
in local and regional (day-long) field trips, special assembly programs, special videos and films, and many, many<br />
other unique activities and events 1 .<br />
Regional, day-long field trips are optional and require separate registration. Advance registration is required for all<br />
these exciting trips. Information about the <strong>KidsCamp</strong> regional field trips, including details and costs, is included under the<br />
section Regional Field Trips/Registration Form.<br />
DiscoveryKids Science Adventures, Cooking, & Technology Lab<br />
The <strong>KidsCamp</strong> summer day camp program will <strong>of</strong>fer a variety <strong>of</strong> “hands-on” technology experiences 1 . These experiences<br />
will teach participants:<br />
l<br />
l<br />
l<br />
l<br />
l<br />
l<br />
l<br />
how to take a good photograph using light sensitive paper, pin hole, manual, or digital cameras<br />
how to make a bird house or CD rack with simple hand tools<br />
how to build a miniature model rocket ... and how to “safely” launch it<br />
how to “creative problem solve” for the “Great Egg Drop Challenge”<br />
how to make a bottle terrarium or herbal garden<br />
how to make an electromagnet or build an electrical circuit<br />
how to transform science or art into a great tasting treat ... and enjoy eating it too!<br />
In addition, camp participants will be provided with other opportunities 1 to explore, investigate, and “tinker” with a host <strong>of</strong><br />
high interest “hands-on” manipulatives including model railroading, model airplane building, K-nex model building, plus lots<br />
and lots <strong>of</strong> gizmos and gadgets.<br />
Video Arcade<br />
The <strong>KidsCamp</strong> summer day camp program will <strong>of</strong>fer an expanded video arcade which will include up-to-date, state-<strong>of</strong>-theart<br />
video equipment, as well as a host <strong>of</strong> the most highly popular video games. The video arcade will be a supplemental<br />
day camp activity that will be limited to short periods <strong>of</strong> time, but will allow camp participants the opportunity to “take a<br />
break” from their busy day camp schedule to relax and “cool <strong>of</strong>f” with a friend or two.<br />
Kids “Eco-Challenge”<br />
The <strong>KidsCamp</strong> summer day camp program will include specially designed outdoor activities intended to challenge participants<br />
individually, as well as fostering teamwork and cooperation.<br />
These Kids “Eco-Challenge” activities require small groups <strong>of</strong> children to work together, cooperatively and creatively, to<br />
solve various problems faced by the group which require both mental and physical solutions. Leadership, ingenuity, and<br />
a “We Can Do It” attitude are character traits emphasized and taught through participation in these fun and challenging<br />
activities.<br />
1 Offered regularly throughout the <strong>KidsCamp</strong> summer day camp program, but can not be guaranteed for any particular week and/or days <strong>of</strong> attendance.<br />
-- continued on next page --<br />
4
<strong>KidsCamp</strong><br />
<strong>2013</strong><br />
... a unique summertime experience for kids!<br />
<strong>KidsCamp</strong>Plus<br />
Program Activities<br />
(continued)<br />
An extremely popular activity in the <strong>KidsCamp</strong> program, <strong>KidsCamp</strong>Plus is a specially designed optional (extra weekly<br />
charge) “camp within a camp” for intermediate boys and girls (grades 5-7) who are interested in a faster paced, extremely<br />
physically exerting, and activity-packed camp experience.<br />
It is not for participants who don’t want to work and play “extra” hard; get wet, sweaty, and dirty; or mind being<br />
outside, or cannot tolerate long time exposure in the summer heat.<br />
The focus <strong>of</strong> <strong>KidsCamp</strong>Plus will be to provide extensive sport and recreational activities, Kids “Eco-Challenge” type activities,<br />
and high interest “hands-on” projects including, but not limited to, woodworking, woodburning, metalcrafts, computer<br />
activities, model railroading, model building, and much, much more.<br />
Parents wanting their older elementary-aged children to participate in this program must check the appropriate space next<br />
to “<strong>KidsCamp</strong>Plus Preference” on the reverse side <strong>of</strong> the <strong>KidsCamp</strong> Program Registration Form. A $20 special activity<br />
fee, per week, will be charged for participation in this <strong>KidsCamp</strong> activity.<br />
<strong>KidsCamp</strong>Plus certainly will provide a unique summertime experience for older elementary and middle school students!<br />
5
<strong>KidsCamp</strong> “Special Activity Options”<br />
The following specially developed activity options have been added to <strong>KidsCamp</strong>’s extensive selection <strong>of</strong> day camp activities.<br />
All activity options have been scheduled to allow participants to gain a basic understanding <strong>of</strong> the activity and/or<br />
develop more extensive and/or advanced skills, unless otherwise indicated. Additional information regarding specific<br />
“Special Activity Options”, if needed, will be mailed to participants upon registration.<br />
Full-time enrollment in <strong>KidsCamp</strong> for the week in which the activity is scheduled is a “pre-requisite” for enrollment<br />
in the “Special Activity Options” component.<br />
Lacrosse<br />
<strong>KidsCamp</strong><br />
<strong>2013</strong><br />
... a unique summertime experience for kids!<br />
This lacrosse clinic will provide an excellent introduction to the fastest growing team sport in the USA. Led by Jamie Huber,<br />
Head Lacrosse Coach, <strong>Pennsbury</strong> High School and 2012 Suburban One Conference “Coach <strong>of</strong> the Year”. Participants will<br />
learn the fundamentals <strong>of</strong> the game while developing skill, strategy, and sportsmanship on the field. Drawing on his years<br />
<strong>of</strong> experience promoting local lacrosse and training players <strong>of</strong> all ages, Coach Huber will ensure that each participant will<br />
enjoy a fun, positive, and rewarding lacrosse experience. 2 1/2 hours per workshop session, (Week 2: Monday, Tuesday,<br />
Thursday, & Friday; Week 6: Monday, Tuesday, Wednesday, & Friday)<br />
Activity Weeks: 2, 6<br />
Activity Fee: $75 (per week)<br />
A World <strong>of</strong> Illusions: A Magic Workshop<br />
Exciting! Educational! Entertaining! Al Angello will present “Learn to be a Magician” classes which enable children to learn<br />
and perform some <strong>of</strong> the best beginner tricks while they improve self-confidence, eye-hand coordination, and fine motor<br />
skills ... all while having a great time! This is where the Magic begins! Different magic skills will be taught from <strong>KidsCamp</strong><br />
2012.<br />
The skills <strong>of</strong> a magician will be taught to small groups, as well as providing individual instruction, 2 hours per workshop<br />
session (Week 4: Tuesday & Thursday; Week 7: Tuesday & Friday)<br />
Activity Weeks: 4, 7<br />
Activity Fee: $75 (per week)<br />
KidsDance<br />
Talented dance instructors, experienced in the world <strong>of</strong> dance and choreography, will engage students in a four-day fusion<br />
<strong>of</strong> dance, combining the popular styles <strong>of</strong> hip-hop and breakdance with acro-dance and modern technique. While learning<br />
specific choreography, participants will build confidence, self-esteem, and performance quality. They will showcase<br />
their talents in a performance on the last day. A fantastic opportunity for all participants!<br />
Each weekly workshop will focus on different selections <strong>of</strong> the dance form. The skills <strong>of</strong> dance will be taught to small<br />
groups, as well as providing individual instruction, for 2 1/2 hours per day, Monday thru Friday, excluding Wednesday.<br />
Activity Weeks: 3, 5<br />
Activity Fee: $75 (per week)<br />
Rock Climbing<br />
This rock climbing workshop will have participants climbing the walls with fun games and activities. The activities are<br />
designed to introduce the beginning climber to basic safety, climbing skills, and the proper use <strong>of</strong> the equipment, with an<br />
emphasis on gross motor development, coordination, and balance. There are no winners or losers, as each participant<br />
will develop skills as an individual and as part <strong>of</strong> a team. An opportunity to rise to the personal challenge <strong>of</strong> reaching the<br />
top!<br />
Basic instruction will be provided in large and small groups, as well as individual instruction, for 2 1/2 hours per day,<br />
Thursday and Friday <strong>of</strong> each workshop week.<br />
Activity Weeks: 4, 7<br />
Activity Fee: $95 (per week)<br />
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6
KidzArt<br />
Through KidzArt “creativity takes flight, and imagination soars”! The KidzArt workshop will challenge the artistic boy or girl<br />
and reach children who never thought they could create works <strong>of</strong> art. During this fun and non-competitive workshop, participants<br />
will build self-confidence, become creative problem solvers, develop focused attention, and gain a sense <strong>of</strong> individual<br />
style, while learning artistic techniques and the principles and elements <strong>of</strong> art. Using high quality, pr<strong>of</strong>essional art<br />
materials, participants will be encouraged to experiment with a variety <strong>of</strong> media, including three-dimensional sculpture,<br />
painting, and more.<br />
KidzArt will be taught to small groups, as well as providing individual instruction, for 2 1/2 hours per day, Tuesday,<br />
Thursday, and Friday <strong>of</strong> each workshop week.<br />
Activity Weeks: 2, 6<br />
Activity Fee: $75 (per week)<br />
Ceramics For Kids<br />
Ceramics For Kids is a unique and exciting opportunity for boys and girls to learn about the wonderful hobby <strong>of</strong> ceramics,<br />
while learning about the various techniques and glazes to creatively paint their very own ceramic piece. Participants will<br />
come away from this workshop with a colorful plate and mug set, as well as an appreciation for the ceramic arts. All materials<br />
used to make your child’s ceramic keepsakes are non-toxic, lead-free, and food safe, as well as dishwasher and<br />
microwave safe.<br />
Ceramics For Kids will be taught to small groups, as well as providing individual instruction, for 2 1/2 hours per day,<br />
Tuesday and Thursday <strong>of</strong> each workshop week.<br />
Activity Weeks: 3, 5<br />
Activity Fee: $65 (per week)<br />
Guitar Lessons<br />
Brian Pelletteri is an accomplished musician who has been playing the guitar for nearly 40 years, and teaching others to<br />
play since he was 14. In addition to acoustic guitar, Brian also plays bass guitar, piano, and, on occasion, the drums. He<br />
has also studied audio engineering. He currently teaches music to students in New Jersey and Pennsylvania and is locally<br />
affiliated with ProLine Music, a well-established music center in Fairless Hills. In this day <strong>of</strong> “Guitar Hero”, this is a special<br />
opportunity to learn to play… for real!<br />
Guitar lessons will be taught to small groups, as well as providing individual instruction within the group, for 1 hour per day,<br />
Monday <strong>of</strong> each workshop week.<br />
Activity Weeks: 2, 3, 4, 5, 6, 7 Activity Fee: $50 (per week)<br />
Guitar Rental 1 : $50 for summer (if needed)<br />
1 Guitar rental can be applied towards the purchase <strong>of</strong> a guitar.<br />
7
C.I.T. Program (Counselor-In-Training)<br />
<strong>KidsCamp</strong><br />
<strong>2013</strong><br />
... a unique summertime experience for kids!<br />
Participants (eighth through tenth grade) will gain valuable skills that will enhance their future by enrolling in <strong>KidsCamp</strong>’s<br />
pr<strong>of</strong>essionally directed Counselor-In-Training (C.I.T.) program. All C.I.T. participants will be involved in a program designed<br />
to foster teamwork, leadership, communication skills, safety awareness, and a strong work ethic, as well as preparation to<br />
properly supervise, manage, and lead children and camp activities.<br />
A typical camp day will start with an hour workshop led by the <strong>KidsCamp</strong> Director who will teach and reinforce the skills<br />
required to be an effective C.I.T. and eventually a camp counselor or leader <strong>of</strong> children. Following each day’s workshop,<br />
each C.I.T. will be assigned to a <strong>KidsCamp</strong> instructor, who will act as the C.I.T.’s “mentor”, to assist in <strong>KidsCamp</strong> activities<br />
and “put into practice” the concepts presented during their workshop training sessions. The day will conclude with an<br />
afternoon meeting with the <strong>KidsCamp</strong> Director to review their day’s experiences and reinforce leadership concepts.<br />
Experienced C.I.T. participants, with previous C.I.T. training, will be presented with more advanced training and given more<br />
responsibilities based on their experience and maturity.<br />
C.I.T. program space is limited. Students interested in participating in the <strong>KidsCamp</strong> C.I.T. program must submit a typewritten<br />
letter <strong>of</strong> interest, as well as two (2) letters <strong>of</strong> recommendation from their school’s administrative and/or teaching<br />
staff. The letter <strong>of</strong> interest must include information about the student including participation in hobbies, athletics, community<br />
service, and other personal interests, previous summer camp experiences, as well as the reasons for wanting to<br />
participate in the C.I.T. program.<br />
Upon acceptance into the <strong>KidsCamp</strong> C.I.T. program, participants will be required to complete registration for the<br />
<strong>KidsCamp</strong> program for a minimum <strong>of</strong> six (6) weeks.<br />
<strong>KidsCamp</strong> C.I.T. Program 1 Levels/Program Tuition Fee<br />
1st Year C.I.T. (grade 8)<br />
$125 (per week)<br />
2nd Year C.I.T. (grade 9)<br />
$100 (per week)<br />
<strong>KidsCamp</strong> Jr. Counselor Program 2 Levels/Hourly Wage<br />
1st Year Jr. Counselor (grade 10)<br />
$7.25/hr<br />
2nd Year Jr. Counselor (grade 11)<br />
$7.50/hr<br />
3rd Year Jr. Counselor (grade 12)<br />
$7.75/hr<br />
Note: 1 Availabilty <strong>of</strong> C.I.T. positions are at the discretion <strong>of</strong> <strong>KidsCamp</strong>. A typewritten letter <strong>of</strong> application, the completion <strong>of</strong> the C.I.T. “1st<br />
Year” Post-Program Evaluation, as well as <strong>KidsCamp</strong> administrative perrformance evaluations will determine a C.I.T. 1st year participant’s eligibility<br />
for entrance into the 2nd year <strong>of</strong> the C.I.T. program.<br />
Note: 2 Availabilty <strong>of</strong> Jr. Counselor staff positions are at the discretion <strong>of</strong> <strong>KidsCamp</strong>. Employment by <strong>KidsCamp</strong> requires student working<br />
papers and the completion <strong>of</strong> <strong>KidsCamp</strong>’s 2 year Counselor-In-Training program. Yearly Jr. Counselor hourly wages subject to<br />
Pennsylvania Minimum Wage Law.<br />
8
<strong>KidsCamp</strong><br />
<strong>2013</strong><br />
... a unique summertime experience for kids!<br />
Program Weekly Themes<br />
The weekly camp themes for the <strong>KidsCamp</strong> summer day camp program are as follows:<br />
Week 1<br />
Week 2<br />
Week 3<br />
Week 4<br />
Week 5<br />
Week 6<br />
Week 7<br />
Week 8<br />
“The Magical World <strong>of</strong> Comics, Cartoons, and Computer Animation”<br />
Monday, July 1 - Wednesday, July 3<br />
--No Program on Thursday, July 4th and Friday, July 5th<br />
“The Jersey Shore: Boardwalk, Waves, Sand, & Fun”<br />
Monday, July 8 - Friday, July 12<br />
Regional Field Trip: The Funplex, Mount Laurel, NJ<br />
“Rockin’ Around the Clock: A Musical Extravaganza”<br />
Monday, July 15 - Friday, July 19<br />
Regional Field Trip: The Bucks County Playhouse & The New Hope-Ivyland Railroad, New Hope, PA<br />
“Water Works: Spills, Chills, and Watery Thrills”<br />
Monday, July 22 - Friday, July 26<br />
Regional Field Trip: Adventure Aquarium, Camden, NJ<br />
“Ready, Set ... Experiment: Wacky and Zany Adventures in Science”<br />
Monday, July 29 - Friday, August 2<br />
Regional Field Trip: The Liberty Science Center & IMAX Theatre, Jersey City, NJ<br />
“From Sea to Shining Sea: The Natural Wonders <strong>of</strong> America”<br />
Monday, August 5 - Friday, August 9<br />
Regional Field Trip: The Philadelphia Phillies vs. The Chicago Cubs Baseball Game, Philadelphia, PA<br />
“The Mysteries <strong>of</strong> Ancient Mythology: From Olympus to Middle Earth”<br />
Monday, August 12 - Friday, August 16<br />
Regional Field Trip: The Philadelphia Zoo, Philadelphia, PA<br />
“Roadside America: The Great American Roller Coaster Chase III”<br />
Monday, August 19 - Wednesday, August 21<br />
Regional Field Trips: Six Flags Great Adventure, Jackson, NJ; Dorney Park, Allentown, PA; Hersheypark, Hershey, PA<br />
<strong>KidsCamp</strong> will be the place to be!<br />
Don’t Delay ... Register Today!<br />
9
<strong>KidsCamp</strong><br />
<strong>2013</strong><br />
... a unique summertime experience for kids!<br />
“Parent Permission” Policy<br />
As part <strong>of</strong> the <strong>KidsCamp</strong> summer day camp program, local field trips and recreational swimming have been included in<br />
the program to enhance each child’s day camp experience.<br />
To avoid misunderstanding or confusion, parents are advised to carefully read and understand the <strong>KidsCamp</strong> program<br />
field trip policy concerning “implied parent consent/permission” stated below:<br />
1) Recreational swimming will be held on a weekly basis as outlined in the camp newsletter mailed to families prior to<br />
the start <strong>of</strong> the <strong>KidsCamp</strong> program.<br />
This recreational swimming activity is optional (no extra charge) and will be held at the Pennwood Middle School<br />
pool. The pool depth ranges from approximately three (3) to eleven (11) feet. In addition to <strong>KidsCamp</strong> staff, three<br />
(3) or more Red Cross certified lifeguards are on duty and supervise all water activities.<br />
Parents wishing their child to participate in these recreational swimming activities must indicate this preference<br />
under the section entitled “Swimming Activity Preference” on the Day Camp Registration Form. If checked<br />
“yes”, the child(ren) will participate in the recreational swimming option as scheduled for the duration <strong>of</strong> his/their enrollment<br />
in <strong>KidsCamp</strong>. An unchecked box in this section will be interpreted as a “no”, so parents must<br />
be alert to completing this section.<br />
Children not participating in the recreational swimming activity will remain at the <strong>KidsCamp</strong> program and participate<br />
in the regularly scheduled afternoon day camp activities.<br />
2) Local field trips are scheduled on a regular basis throughout the entire <strong>KidsCamp</strong> program. These field trips include<br />
trips to Core Creek State Park and Silver Ceek Nature Center, as well as trips to special “<strong>of</strong>f-site” activities<br />
such as bowling, miniature golf, roller skating, rock climbing, etc.<br />
Participation in these trips is limited, and participation is optional. Parents are notified about the local field trip(s) in<br />
which their child(ren) will participate via the weekly camp newsletter distributed on Monday <strong>of</strong> each camp week.<br />
Unless otherwise notified in writing, a child’s attendance at the <strong>KidsCamp</strong> program “signifies the parental permission<br />
and consent” for the child to participate in local field trips.<br />
3) Should parents choose not to have their child participate in a scheduled <strong>KidsCamp</strong> day camp program activity, it<br />
is the responsibility <strong>of</strong> the parent to contact the camp director at <strong>KidsCamp</strong>. Otherwise, the child will automatically<br />
be allowed to participate in these activities.<br />
10
Program Registration Guidelines<br />
The following guidelines apply to the <strong>KidsCamp</strong> summer day camp program:<br />
l Enrollments can be made on a weekly, monthly, or seasonal basis, and are limited. Registrations will be accepted<br />
on a first come, first served basis.<br />
Initial registration for full-time weekly enrollments must be for a minimum <strong>of</strong> two (2) consecutive weeks, after which<br />
additional weekly enrollment can be made on a week by week basis as desired. Initial registration for part-time<br />
weekly enrollments (minimum <strong>of</strong> 3 days per week) must be for a minimum <strong>of</strong> two (2) consecutive weeks.<br />
l Considering the extreme popularity <strong>of</strong> <strong>KidsCamp</strong>, <strong>KidsCamp</strong> reserves the right to change or modify its<br />
registration requirements and available enrollment options based on enrollments, and to close enrollments as<br />
necessary.<br />
Early registration is strongly recommended to guarantee your enrollment option and weeks <strong>of</strong> attendance.<br />
l A non-refundable registration deposit <strong>of</strong> $195 (1st child) or $185 (2nd child) must be included with the initial program<br />
registration form. This registration deposit will be credited towards program tuition fees.<br />
l All <strong>KidsCamp</strong> tuition balances are payable in full as follows:<br />
Weeks 1 - 5 (by Friday, May 31, <strong>2013</strong>) Weeks 6 - 8 (by Friday, June 24, <strong>2013</strong>)<br />
Participants whose camp fees have not been paid in full by the above deadlines will be prohibited from participating<br />
in <strong>KidsCamp</strong> until the fees have been paid in full, and no refund <strong>of</strong> registration deposits will be allowed.<br />
l Use only one registration form per child. If enrolling more than one child, please call for additional registration<br />
forms or visit the <strong>KidsCamp</strong> website at www.kidscare<strong>of</strong>pennsbury.com and download the appropriate forms you<br />
need to complete registration.<br />
The Student Emergency Information/Emergency Release/Student “Pick-Up” Authorization Form must be<br />
returned to the <strong>KidsCare</strong> Doylestown <strong>of</strong>fice prior to Friday, June 7th.<br />
l Changes in a child’s enrollment status must be made, in writing, by Friday, May 31st. No enrollment changes<br />
will be accepted after this date, regardless <strong>of</strong> reason. No refunds or credits will be allowed without this prior written<br />
notification.<br />
l No credit will be allowed for any program days and/or regional trips not attended regardless <strong>of</strong> reason.<br />
To Register:<br />
<strong>KidsCamp</strong><br />
<strong>2013</strong><br />
... a unique summertime experience for kids!<br />
By Mail -<br />
Complete the enclosed program registration<br />
form and mail with the required<br />
deposit to:<br />
<strong>KidsCamp</strong><br />
1456 Ferry Road, Suite 700<br />
Doylestown, PA 18901<br />
By Phone (<br />
Call<br />
215-230-3445<br />
(daily, 9 a.m. - 4 p.m.)<br />
Charge It!<br />
(VISA, MasterCard, Discover, American Express)<br />
Enrollments Limited ... Register Early!<br />
Registration Deadline: Friday, May 31st<br />
11
<strong>KidsCamp</strong><br />
<strong>2013</strong><br />
... a unique summertime experience for kids!<br />
Program Fees<br />
The following fee schedules show the tuition fees for the many flexible and “easy-to-customize” <strong>KidsCamp</strong> summer day<br />
camp programs, special activities, and enrollment options.<br />
Weekly Program Fee Schedule<br />
Type <strong>of</strong> Child Child Child<br />
Enrollment #1 #2 #3<br />
Full-Day<br />
(9AM - 4PM) $195 $185 Free<br />
Note: Week 1 ... Week <strong>of</strong> July 1st $170/1st child; $160/2nd child<br />
Week 8 ... Week <strong>of</strong> August 19th $240 per child, no discounts apply;<br />
three (3) regional field trips are included in this weekly fee<br />
Extended-Day “AM”<br />
... parent must “drop-<strong>of</strong>f” & “sign-in” their child into the <strong>KidsCamp</strong> before-camp program<br />
(7AM - 9AM) $40 $30 Free<br />
Note: Week 1 ... Week <strong>of</strong> July 1st $24/1st child; $18/2nd child<br />
Extended-Day “PM”<br />
... parent must “pick-up” & “sign-out” their child from the <strong>KidsCamp</strong> after-camp program<br />
(4PM - 6PM) $40 $30 Free<br />
Special<br />
Registration<br />
Discount!!!<br />
Register<br />
for<br />
6 or more weeks<br />
(full-time)<br />
and receive a<br />
$50<br />
(per child)<br />
Discount<br />
on<br />
Total SummerTuition<br />
Note: Week 1 ... Week <strong>of</strong> July 1st $24/1st child; $18/2nd child<br />
Program Transportation<br />
(to and from <strong>KidsCamp</strong>) $40 $40 Free<br />
Daily Program Fee Schedule<br />
<strong>KidsCamp</strong>Plus<br />
$20 $20 Free<br />
Type <strong>of</strong><br />
Number <strong>of</strong> Days Per Week:<br />
Enrollment 3 4<br />
Full-Day<br />
(9AM - 4PM) $170 $180<br />
Extended-Day “AM”<br />
... parent must “drop-<strong>of</strong>f” & “sign-in” their child into the <strong>KidsCamp</strong> before-camp program<br />
(7AM - 9AM) $24 $32<br />
Extended-Day “PM”<br />
... parent must “pick-up” & “sign-out” their child from the <strong>KidsCamp</strong> after-camp program<br />
(4PM - 6PM) $24 $32<br />
Program Transportation<br />
(to and from <strong>KidsCamp</strong>) $40 $40<br />
<strong>KidsCamp</strong>Plus<br />
$20 $20<br />
12
<strong>KidsCamp</strong><br />
<strong>2013</strong><br />
... a unique summertime experience for kids<br />
Program Registration Form<br />
Directions: Please print and complete all information for one child only. For additional forms, please call the<br />
<strong>KidsCamp</strong> <strong>of</strong>fice at 215-230-3445 or visit the <strong>KidsCamp</strong> website at www.kidscare<strong>of</strong>pennsbury.com to download<br />
necessary forms.<br />
Student Information<br />
Student’s Name ______________________________________<br />
Date <strong>of</strong> Birth __________________<br />
School District ______________________________________________<br />
School ___________________________________________<br />
Grade Level (Sept., <strong>2013</strong>) ______________<br />
Mailing/Billing Information<br />
Home Address ____________________________ Billing Address ________________________________<br />
____________________________<br />
_________________________________<br />
Home Telephone ______________________________________________<br />
Parent/Guardian Information<br />
Mother’s Name _____________________________<br />
Employer __________________________________<br />
Address ___________________________________<br />
__________________________________<br />
Work Telephone ___________________ Ext. ____<br />
Cell Telephone _________________________<br />
Father’s Name ________________________________<br />
Employer ____________________________________<br />
Address _____________________________________<br />
____________________________________<br />
Work Telephone _____________________ Ext. ____<br />
Cell Telephone ___________________________<br />
Complete all items and mail or fax<br />
with required deposit to:<br />
<strong>KidsCamp</strong><br />
1456 Ferry Road, Suite 700<br />
Doylestown, PA 18901<br />
215-230-3344 (Fax)<br />
Registration Deadline:<br />
Friday, May 31st<br />
Early program registration strongly encouraged!!!<br />
-- registration form continues on reverse side --<br />
13
Enrollment Information<br />
Type <strong>of</strong> Daily Program: (check appropriate spaces)<br />
______ Full-Day 9AM - 4 PM<br />
______ Extended-Day “AM” 7AM - 9AM ______ Extended-Day “PM” 4PM - 6PM<br />
Type <strong>of</strong> Attendance: (check one space only)<br />
______<br />
Full-time (Monday - Friday)<br />
______ Part-time (3 or 4 days per week) Days <strong>of</strong> Attendance: (circle days <strong>of</strong> attendance) M T W TH F<br />
Weeks <strong>of</strong> Attendance: (check appropriate spaces)<br />
______ Week 1 (7/1-7/3) ______ Week 2 u (7/8-7/12) ______ Week 3 u (7/15-7/19) ______ Week 4 u (7/22-7/26) ______ Week 5 u (7/29-8/2)<br />
______ Week 6 u (8/5-8/9) ______ Week 7 u (8/12-8/16) ______ Week 8 uu (8/19-8/21)<br />
u uu<br />
Denotes regional field trip option available. Week 8 has regional field trips only.<br />
<strong>KidsCamp</strong>Plus Preference: (for participants in grades 5 - 7 only)<br />
______ Child will participate in <strong>KidsCamp</strong>Plus activities (extra charge: $20 per week).<br />
<strong>KidsCamp</strong> T-Shirt<br />
(optional)<br />
______ Child will not participate in <strong>KidsCamp</strong>Plus activities.<br />
Swimming Activity Preference:<br />
_____ Please order the following <strong>KidsCamp</strong><br />
T-shirts @ $12/shirt<br />
Size<br />
Quantity<br />
______ Child will participate in recreational swim activities (no extra charge).<br />
Child, M (10-12) _____<br />
______ Child will not participate in recreational swim activities.<br />
Transportation Preference: (not available if using before-camp and/or after-camp program)<br />
______ Child will need program transportation (extra charge: $40 per week).<br />
Bus Stop: (please contact the <strong>KidsCamp</strong> <strong>of</strong>fice to select a “bus stop”)<br />
Child, L (14-16)<br />
Adult, Small<br />
Adult, Medium<br />
_____<br />
_____<br />
_____<br />
______________________________________________________________________<br />
______ Child will not need program transportation.<br />
Program Tuition Fees & Registration Payment Information<br />
Program Tuition Fees<br />
Week 1 $ __________<br />
Week 2 $ __________<br />
Week 3 $ __________<br />
Week 4 $ __________<br />
Week 5 $ __________<br />
Week 6 $ __________<br />
Program Deposit (applied to total camp bill)<br />
Registration Payment Information<br />
(B) $ ___________<br />
Additional Program Tuition/ Payment (optional)<br />
___ Full Payment ___ Partial Payment (C) $ _______________<br />
Regional Field Trip Fees<br />
(Full Payment Required with initial registration) (D) $ _______________<br />
“Special Activity Option” Fees<br />
(Full Payment Required with initial registration) (E) $ _______________<br />
<strong>KidsCamp</strong> T-Shirt Fees<br />
(Full Payment Required with initial registration) (F) $ _______________<br />
Required<br />
Program Deposits<br />
$195 (child #1)<br />
$185 (child #2)<br />
Week 7<br />
Week 8<br />
$ __________<br />
$ __________<br />
Total Amount <strong>of</strong> Registration Payment $ _______________<br />
(add lines “B”, “C”, “D”, “E”, & “F”)<br />
Type <strong>of</strong> Payment: ____ Check Enclosed ____ Charge It! ____ “Automatic” Charge It! 1<br />
1 “Automatic” Charge It! ... must complete Automatic Charge Card Payment Authorization Form found at end <strong>of</strong> <strong>portfolio</strong><br />
Charge Card: ___ VISA ___ MasterCard ___ Discover ___ American Express<br />
TOTAL FEES (A) $ __________<br />
Name <strong>of</strong> Cardholder _________________________________________________<br />
Statement <strong>of</strong> Agreement<br />
Charge Card No. _______________________________________ Security Code _________<br />
Expiration Date _____________________________<br />
(3-digit code found on reverse side <strong>of</strong> VISA,<br />
Mastercard or Discover credit cards, or 4-digit code<br />
found on right front <strong>of</strong> American Express card.)<br />
This certifies that I have read and fully understand the program information, fees, payment terms, photo release policy, acknowledgement <strong>of</strong> inherent risks, and<br />
other guidelines and information contained in the accompanying <strong>KidsCamp</strong> <strong>portfolio</strong> and agree to abide by all procedures, guidelines, and regulations contained<br />
therein, as well as any future regulations established by <strong>KidsCamp</strong>, <strong>KidsCare</strong> <strong>of</strong> <strong>Pennsbury</strong>, and/or the <strong>Pennsbury</strong> School District. My signature acknowledges<br />
that I will assume any and all risks, whether known or unknown to me at this time, associated with my child attending and participating in <strong>KidsCamp</strong> and also<br />
authorizes <strong>KidsCare</strong> <strong>of</strong> <strong>Pennsbury</strong> to make charges, as indicated above and on the accompanying Automatic Charge Card Payment Authorization form, against<br />
the charge card listed.<br />
_______________________________________________________<br />
_____________________<br />
Parent/Guardian Signature<br />
Date<br />
14
<strong>KidsCamp</strong><br />
<strong>2013</strong><br />
... a unique summertime experience for kids!<br />
Student Emergency Information/Emergency Release/Student “Pick-Up” Authorization Form<br />
Directions: Please print and complete all information.<br />
Student’s Name _________________________________________________ <strong>KidsCamp</strong> Location __________________________________<br />
Student Identification Information<br />
Age ________ Weight ________ Height ________ Color <strong>of</strong> Hair ________ Color <strong>of</strong> Eyes ________<br />
Allergies/Special Medical/Health Concerns<br />
Detail food allergies, medication allergies, allergies to insect bites, seizures, delayed blood clotting factor, etc. (please add additional sheet, if necessary)<br />
Parent Information/Emergency Contacts/Authorized “Pick-Up” Persons<br />
Mother’s Name_______________________________Home Address_____________________________________Work Address__________________________________<br />
Telephones: Home______________________________ Work_____________________________ Cell_______________________________<br />
Father’s Name_______________________________ Home Address_____________________________________Work Address__________________________________<br />
Telephones: Home______________________________ Work______________________________Cell______________________________<br />
FamilyPhysician______________________________________Address________________________________________Telephone________________________________<br />
FamilyDentist________________________________________Address________________________________________Telephone________________________________<br />
In case <strong>of</strong> an emergency in which the school and/or <strong>KidsCamp</strong> personnel are unable to contact a parent, the following persons are authorized and have the legal authority,<br />
until the arrival <strong>of</strong> the parent(s), to act on the parents’ (‘s) behalf. In addition, school personnel and <strong>KidsCamp</strong> personnel are authorized to release the above named child<br />
into the custody <strong>of</strong> the person(s) listed below in the event a parent/guardian is unable to “pick-up” their child from the <strong>KidsCamp</strong> program. It is understood that <strong>KidsCamp</strong><br />
reserves the right not to release the above named child to any other person without the proper authorization, verbal or written, by the parent/guardian. It is further understood<br />
that school and <strong>KidsCamp</strong> personnel have the right to refuse release <strong>of</strong> the above mentioned child into the custody <strong>of</strong> any <strong>of</strong> the below named persons should their identity<br />
or behavior be suspect and/or questionable, and it will be the responsibility <strong>of</strong> the parent/guardian to make other emergency “pick-up” arrangements, and that any and all “Late<br />
Pick-Up” costs incurred will be assumed by and paid in full by the parent/guardian as per <strong>KidsCamp</strong> payment guidelines.<br />
Contact Person #1 _____________________________________________ Relationship ______________________Cell Telephone______________________________<br />
Address ________________________________________ Home Telephone ______________________________ Work Telephone _____________________________<br />
Contact Person #2 _____________________________________________ Relationship ______________________ Cell Telephone_____________________________<br />
Address ________________________________________ Home Telephone ______________________________ Work Telephone ______________________________<br />
Contact Person #3 _____________________________________________ Relationship ______________________ Cell Telephone_____________________________<br />
Address ________________________________________ Home Telephone ______________________________ Work Telephone_______________________________<br />
Emergency Treatment Authorization<br />
In case <strong>of</strong> a medical emergency, I give school and <strong>KidsCamp</strong> personnel permission to render emergency first aid to my child, including the securing <strong>of</strong> pre-hospital emergency<br />
medical services.<br />
________________________________ Parent/Guardian Signature (required)<br />
I further approve and give permission to pre-hospital emergency medical personnel to render whatever pre-hospital emergency medical treatment is required by my child, and<br />
to transport him/her to the closest hospital or to a hospital deemed more appropriate for the type <strong>of</strong> emergency hospital treatment required by my child.<br />
________________________________ Parent/Guardian Signature (required)<br />
I further approve and authorize the above named emergency contact person(s) to act on my behalf, until my arrival, in approving whatever emergency medical treatment is<br />
deemed necessary by hospital personnel.<br />
________________________________ Parent/Guardian Signature (required)<br />
I further agree to and accept full responsibility for any and all costs involved in the rendering <strong>of</strong> pre-hospital, emergency room, and hospital services and treatment for my child.<br />
________________________________ Parent/Guardian Signature (required)<br />
Medical Insurance Information<br />
Name <strong>of</strong> Health Plan ______________________________________________ Group/Plan # _____________________<br />
_____________________________________________________<br />
Signature <strong>of</strong> Parent/Guardian<br />
_____________________<br />
Date<br />
15
Regional Field Trip Registration Form<br />
Regional field trips are an optional <strong>KidsCamp</strong> program activity and require separate registration. All <strong>KidsCamp</strong> regional field<br />
trips with trip day and costs are listed below. If you wish your child to participate in any or all <strong>of</strong> the regional field trips please<br />
complete and return this registration with your <strong>KidsCamp</strong> registration.<br />
Directions:<br />
1. Please print and complete all required information.<br />
<strong>KidsCamp</strong><br />
2. Use one form per child. If necessary, copy form to register additional children.<br />
3. Available regional field trip spaces are limited, and will be filled on a first come, first served basis.<br />
4. A non-refundable payment in the amount <strong>of</strong> the total regional field trip fees due must accompany the original <strong>KidsCamp</strong><br />
registration form. No partial payments will be accepted.<br />
5. All regional field trip fees are non-refundable, regardless <strong>of</strong> reason.<br />
<strong>2013</strong><br />
... a unique summertime experience for kids!<br />
6. <strong>KidsCamp</strong> reserves the right to cancel any regional field trip with insufficient enrollment. In such a case, the trip fee will<br />
be credited to the participant’s <strong>KidsCamp</strong> account and/or refunded at the end <strong>of</strong> the child’s <strong>KidsCamp</strong> enrollment.<br />
7. Any parent wishing to accompany his/her child on a regional field trip should circle the parent fee next to the appropriate<br />
regional field trip, enclose payment with this registration form, and complete/sign the enclosed Regional Field Trip<br />
Chaperone Form.<br />
<strong>KidsCamp</strong> Regional Field Trips<br />
Child’s Name ______________________________________________________<br />
Circle the appropriate fees to indicate your <strong>KidsCamp</strong> regional field trip preference for the inclusion <strong>of</strong> the above<br />
indicated child and/or parent participation in the field trip.<br />
Child Parent Regional Field Trip<br />
Fee<br />
Fee<br />
$40 $40 Wednesday, July 10 (Week 2) The Funplex, Mount Laurel, NJ<br />
$40 $40 Wednesday, July 17 (Week 3) Bucks County Playhouse & New Hope-Ivyland Railroad, New Hope, PA<br />
$40 $40 Wednesday, July 24 (Week 4) Adventure Aquarium, Camden, NJ<br />
$40 $40 Wednesday, July 31 (Week 5) The Liberty Science Center & IMAX Theatre, Jersey City, NJ<br />
$40 $40 Thursday, August 8 (Week 6) The Philadelphia Phillies vs. The Chicago Cubs, Philadelphia, PA<br />
$40 $40 Wednesday, August 14 (Week 7) The Philadelphia Zoo, Philadelphia, PA<br />
________<br />
Total Regional Field Trip Fees Due<br />
(enter this fee on line “D” on the reverse side <strong>of</strong> the Program Registration Form as part <strong>of</strong> the required registration deposit/initial payment)<br />
_______________________________________________<br />
Signature <strong>of</strong> Parent/Guardian<br />
__________________<br />
Date<br />
Mail to: <strong>KidsCamp</strong>, 1456 Ferry Road, Suite 700, Doylestown, PA 18901<br />
Fax to: 215-230-3344<br />
16
<strong>KidsCamp</strong><br />
<strong>2013</strong><br />
... a unique summertime experience for kids!<br />
Regional Field Trips Parent Chaperone Form<br />
Please press hard, print, complete all information, and return with the <strong>KidsCamp</strong> Program Registration Form to the <strong>KidsCamp</strong> <strong>of</strong>fice.<br />
Date ______________<br />
Student Information<br />
Child's Name<br />
______________________________________________<br />
Parent Chaperone Information<br />
Parent Chaperone's Name ______________________________________________<br />
Relationship to Child: ___________________________________________________<br />
Home Address ________________________________________________________<br />
________________________________________________________<br />
Home Telephone ________________________________<br />
Cell Telephone _________________________________<br />
Regional Field Trips Parent Chaperone Policy & Guidelines<br />
1. As with any school trip, parent chaperone participation will involve being responsible for the safety and well-being <strong>of</strong> a small group <strong>of</strong><br />
children (5-6 children), including their own child(ren) for the entire duration <strong>of</strong> the regional field trip.<br />
2. A parent chaperone is required to have a personal cell telephone “on and operating” for the duration <strong>of</strong> the regional field trip.<br />
3. The participation <strong>of</strong> a parent chaperone in a regional field trip is at the parent expense and indicates his/her agreement to abide by all<br />
rules, regulations, procedures, and directions established for the regional field trip in which the parent chaperone participates.<br />
Regional Field Trip Parent Chaperone Participation<br />
Directions: Check below the appropriate space(s) to indicate the <strong>KidsCamp</strong> regional field trip(s) in which you will participate as a parent<br />
chaperone. Additionally, please be sure to circle the appropriate “parent fee(s)” on the Regional Field Trips Registration Form that correspond(s)<br />
with the regional field trips on which you will be a parent chaperone.<br />
____ $40 Wednesday, July 10 (Week 2) The Funplex, Mount Laurel, NJ<br />
____ $40 Wednesday, July 17 (Week 3) Bucks County Playhouse & New Hope-Ivyland Railroad, New Hope, PA<br />
____ $40 Wednesday, July 24 (Week 4) Adventure Aquarium, Camden, NJ<br />
____ $40 Wednesday, July 31 (Week 5) The Liberty Science Center & IMAX Theatre, Jersey City, NJ<br />
____ $40 Thursday, August 8 (Week 6) The Philadelphia Phillies vs. The Chicago Cubs, Philadelphia, PA<br />
____ $40 Wednesday, August 14 (Week 7) The Philadelphia Zoo, Philadelphia, PA<br />
Statement <strong>of</strong> Agreement<br />
I have read, fully understand, and agree to abide by the above Regional Field Trips Parent Chaperone Policy & Guidelines, and further<br />
agree to abide by all rules, regulations, procedures, and directions established by <strong>KidsCamp</strong> for each regional field trip.<br />
_______________________________________________<br />
Signature <strong>of</strong> Parent/Guardian<br />
__________________<br />
Date<br />
Mail to: <strong>KidsCamp</strong>, 1456 Ferry Road, Suite 700, Doylestown, PA 18901<br />
Fax to: 215-230-3344<br />
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<strong>KidsCamp</strong><br />
<strong>2013</strong><br />
... a unique summertime experience for kids!<br />
“Week 8” Regional Field Trips Parent Chaperone Form<br />
Please press hard, print, complete all information, and return with the <strong>KidsCamp</strong> Program Registration Form to the <strong>KidsCamp</strong> <strong>of</strong>fice.<br />
Date ______________<br />
Student Information<br />
Child's Name<br />
______________________________________________<br />
Parent Chaperone Information<br />
Parent Chaperone's Name<br />
______________________________________________<br />
Relationship to Child: ________________________________________<br />
Home Address __________________________________________________<br />
__________________________________________________<br />
Home Telephone ________________________________<br />
Cell Telephone ________________________________<br />
Regional Field Trips Parent Chaperone Policy & Guidelines<br />
1. As with any school trip, parent chaperone participation will involve being responsible for the safety and well-being <strong>of</strong> a small group <strong>of</strong><br />
children (5-6 children), including their own child(ren) for the entire duration <strong>of</strong> the regional field trip.<br />
2. A parent chaperone is required to have a personal cell telephone “on and operating” for the duration <strong>of</strong> the regional field trip.<br />
3. The participation <strong>of</strong> a parent chaperone in a regional field trip indicates his/her agreement to abide by all rules, regulations, procedures,<br />
and directions established for the regional field trip in which the parent chaperone participates.<br />
“Week 8” Regional Field Trip Parent Chaperone Participation<br />
Directions: Check below the appropriate space(s) to indicate the <strong>KidsCamp</strong> “Week 9” Regional Field Trip(s) in which you wish to participate<br />
in as a parent chaperone. The fee for a parent chaperone is $50 per trip. Please note that you will be notified by mail regarding<br />
your acceptance as a parent chaperone for the indicated trips.<br />
______ $50 Monday, August 19 Six Flags Great Adventure Amusement Park, Jackson, NJ<br />
______ $50 Tuesday, August 20 Dorney Park, Allentown, PA<br />
______ $50 Wednesday, August 21 Hersheypark, Hershey, PA<br />
Statement <strong>of</strong> Agreement<br />
I have read, fully understand, and agree to abide by the above Regional Field Trips Parent Chaperone Policy & Guidelines, and further<br />
agree to abide by all rules, regulations, procedures, and directions established by <strong>KidsCamp</strong> for each regional field trip.<br />
_______________________________________________<br />
Signature <strong>of</strong> Parent/Guardian<br />
__________________<br />
Date<br />
Mail to: <strong>KidsCamp</strong>, 1456 Ferry Road, Suite 700, Doylestown, PA 18901<br />
Fax to: 215-230-3344<br />
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“Special Activity Options” Registration Form<br />
“Special Activity Options” are an optional <strong>KidsCamp</strong> program activity and require separate registration. All <strong>KidsCamp</strong><br />
“Special Activity Options”, weeks, and costs are listed below. If you wish your child to participate in any or all <strong>of</strong> the “Special<br />
Activity Options” please complete and return this registration with your <strong>KidsCamp</strong> registration.<br />
Directions:<br />
1. Please print and complete all required information.<br />
<strong>KidsCamp</strong><br />
2. Use one form per child. If necessary, copy form to register additional children.<br />
3. Available “Special Activity Options” spaces are strictly limited, and will be filled on a first come, first served basis.<br />
4. A non-refundable “full” payment in the amount <strong>of</strong> the total “Special Activity Option” fees due must accompany the original <strong>KidsCamp</strong><br />
registration form. No partial payments will be accepted.<br />
5. All “Special Activity Option” fees are non-refundable, regardless <strong>of</strong> reason.<br />
<strong>2013</strong><br />
... a unique summertime experience for kids!<br />
6. <strong>KidsCamp</strong> reserves the right to cancel any “Special Activity Option” activity with insufficient enrollment. In such a case, the “Special Activity<br />
Option” fee will be credited to the participant’s <strong>KidsCamp</strong> account and/or refunded at the end <strong>of</strong> the child’s <strong>KidsCamp</strong> enrollment.<br />
7. Participation in a “Special Activity Option” may pose inherent risks. Registration <strong>of</strong> a child into a “Special Activity Option” signifies that the<br />
parent and/or guardian acknowledge and understand there are inherent risks associated with many “Special Activity Option” activities,<br />
and will assume the risk associated therewith, whether known or unknown at the time <strong>of</strong> registration.<br />
<strong>KidsCamp</strong> “Special Activity Options”<br />
Child’s Name ______________________________________________________<br />
Circle the appropriate “Special Activity Option(s)”, circle week(s) <strong>of</strong> participation, and calculate total fee due to indicate your<br />
<strong>KidsCamp</strong> “Special Activity Options” preference(s) for the above indicated child.<br />
IMPORTANT NOTE: Participation in <strong>KidsCamp</strong> for the week that the child wishes to participate in a “Special Activity Option” is required.<br />
The fee for the “Special Activity Option” is an extra charge that must be paid in addition to the weekly <strong>KidsCamp</strong> tuition fee.<br />
“Special Activity Option” Weeks Available Fee: TOTAL FEE<br />
(Circle Choices)<br />
(# <strong>of</strong> weeks x Fee)<br />
Lacrosse -- 2 -- -- -- 6 -- -- $75 (per week) ______________<br />
(Week 2: M, T, TH, F; Week 6: M, T, W, F)<br />
A World <strong>of</strong> Illusions: A Magic Workshop -- -- -- 4 -- -- 7 -- $75 (per week) ______________<br />
(Week 4: Tuesday & Thursday; Week 7: Tuesday & Friday)<br />
KidsDance -- -- 3 -- 5 -- -- -- $75 (per week) ______________<br />
(Monday, Tuesday, Thursday, & Friday)<br />
KidzArt -- 2 -- -- -- 6 -- -- $75 (per week) ______________<br />
(Tuesday, Thursday, & Friday)<br />
Ceramics For Kids -- -- 3 -- 5 -- -- -- $65 (per week) ______________<br />
(Tuesday & Thursday)<br />
Rock Climbing -- -- -- 4 -- -- 7 -- $95 (per week) ______________<br />
(Thursday & Friday)<br />
Guitar -- 2 3 4 5 6 7 -- $50 (per week) ______________<br />
(Monday)<br />
________<br />
Total “Special Activity Options” Fees Due<br />
(enter this fee on line “E” on the reverse side <strong>of</strong> the Program Registration Form as part <strong>of</strong> the required registration deposit/initial payment)<br />
_______________________________________________<br />
Signature <strong>of</strong> Parent/Guardian<br />
__________________<br />
Date<br />
Mail to: <strong>KidsCamp</strong>, 1456 Ferry Road, Suite 700, Doylestown, PA 18901<br />
Fax to: 215-230-3344<br />
19
<strong>KidsCamp</strong><br />
<strong>2013</strong><br />
... a unique summertime experience for kids!<br />
Automatic Charge Card Payment Authorization<br />
Directions: Please complete all <strong>of</strong> the required information, sign, and return to the <strong>KidsCamp</strong> <strong>of</strong>fice.<br />
Student’s Name ___________________________________________<br />
Automatic Charge Card Authorization<br />
<strong>KidsCare</strong> <strong>of</strong> <strong>Pennsbury</strong> and/or its agents are hereby authorized to make automatic charges to the below indicated charge<br />
card in the amount <strong>of</strong> all program fees due for my child’s participation in the <strong>KidsCamp</strong> <strong>2013</strong> summer day camp program,<br />
as per the <strong>KidsCamp</strong> payment schedule shown below, according to all rules, procedures, and guidelines established by<br />
<strong>KidsCare</strong> <strong>of</strong> <strong>Pennsbury</strong> as agreed in the original Program Registration Form submitted for <strong>KidsCamp</strong> <strong>2013</strong>, unless otherwise<br />
modified and/or rescinded by me in writing.<br />
<strong>KidsCare</strong> <strong>of</strong> <strong>Pennsbury</strong> will automatically charge the below indicated charge card for all <strong>KidsCamp</strong> fees for the above<br />
named child, as per the following automatic charge card payment schedule:<br />
Friday, May 31, <strong>2013</strong> (Weeks 1-5)<br />
Friday, June 24, <strong>2013</strong> (Weeks 6-8)<br />
___________________________________________<br />
Charge Cardholder Signature<br />
___________________________________________<br />
Date<br />
Name <strong>of</strong> Charge Card:<br />
Charge Card Information<br />
VISA ____ MasterCard ____ Discover ___ American Express ____<br />
Name <strong>of</strong> Cardholder _______________________________________<br />
Charge Card No. _________________________________________________<br />
Charge Card Expiration Date __________________________ Security Code ________<br />
(3-digit code found on reverse side <strong>of</strong> VISA,<br />
Mastercard or Discover credit cards, or 4-digit code<br />
found on right front <strong>of</strong> American Express card.)<br />
-- Mail to: <strong>KidsCamp</strong>, 1456 Ferry Road, Suite 700, Doylestown, PA 18901 --<br />
Fax to: 215-230-3344<br />
“a fast, no-fuss, and convenient way to pay your <strong>KidsCamp</strong> bill”<br />
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