OSL Summer Camp 2014
OSL Summer Camp 2014 June 16 - August 1 (7 weeks)
Admission Agreement Payment Information 9am to 4pm only
Extended Care Fees ($3/hr) Breakfast provided
7 weeks 6 weeks 5 weeks 4 weeks 3 weeks 2 weeks 1 week
$ $ $ $ $ $ $
980 900 825 700 555 390 205
8-9am $105 $ 90 $ 75 $ 60 $ 45 $ 30 $ 15
($140/wk) ($150/wk) ($165/wk) ($175/wk) ($185/wk) ($195/wk)
4-6pm $210 $180 $150 $120 $ 90 $ 60 $ 30
Friday Pizza $21 $18 $15 $12 $ 9 $ 6 $ 3
Field trips on 6/19, 6/25, 7/10, 7/17, 7/31
*** Sibling & Referral Discount: FREE Extended Care! 1 referral -- free AM Extended Care (Referrals must enroll for at least 2 referrals -- free PM Extended Care 5 wks to qualify free extended care.) 3 referrals -- free AM & PM Extended Care
*** Additional $10 for workbook (required) *** Friday Pizza Day --- $3/lunch (optional) Important Notes:
Enrollment is operated on “first-come, first-served” basis. One must submit his/her application and camp fees in order for the Director to reserve his/her spot. All fees are due at time of registration. NO registration fee.
1
Refund Policy / Payment provisions All registrations are final and payment in full is required at time of registration. In order for us to bring continued value, we CANNOT provide refunds or exchanges. Please talk to the Director in advance for any special situations or reasons for termination. We will give a 30 day notice of any rate increase.
Everyday items to bring: 1. Lunch (No Nuts) 2. Water bottle
Lunch: Lunch and a bottle of water are a must! If a camper does not have his/her lunch, we will provide him/her a sandwich and a drink. The cost will be $10 for the lunch to be paid at pick up time. Please have your child remember to bring his/her lunch.
Field Trip Provisions We are extremely thrilled to take our campers on 5 field trips. Please return your authorization form to Ms. Julie NO LATER than the Tuesday of camper’s 1st week attendance. That way I can finalize details and arrangements. If I don’t have your child’s authorization form by Tuesday, he/she will have to stay at home on that week’s field trip. If you don’t want your child to participate on field trip days, we ask that you keep your child at home on those days. There will NOT be any staff or camp leaders on the campus during field trips.
Transportation: I am in need of volunteer drivers/chaperones for all field trips. If you are available to help, please let me know. A complimentary chaperone ticket will be given. It’s our way to say Thank You!
T-Shirt for Field Trip: We will give out field trip T-Shirt on the first week of your child’s arrival. It is mandatory to wear T-Shirt on field trip days. (Included in camp fee.)
Wild Water Day: Every Friday afternoon, we’ll have our fun and safe Wild Water Day. Our campers can bring the following for maximum enjoyment: 1. 2. 3. 4.
1-2 Outfits to change 1 Towel 1 Swim suit 1 Medium water gun
5. Bubbles 6. Sun block
2
Business Day: Business Day is on ALL Friday mornings for about 90 minutes. Learning is FUN! Therefore, this is an activity that we strive to guide campers to keep them motivated in learning, and to give them an opportunity to use their creativity in a fun setting. Here’s what you need to know: 1. All businesses will be operated by 2-3 business partners, assigned by leaders. 2. All business partners need to stay together in their businesses throughout the 8 week program. 3. Campers will decide the type of business. For examples: 1) Lemonade 6) Magic Show 2) Chocolate Chip Cookies 7) Origami 3) Toys (New or used, but functional) 8) Collectibles 4) Stationary 9) Games (No Electronic games) 5) Books 10) Painting Shop 4. 5. 6. 7. 8. 9.
We will use play money. Everyone is responsible to bring their items on their assigned days in order to run their businesses. Only 1 table and 3 chairs will be provided per business. A schedule will be given on Wednesday (6/21). Everyone will take turn to have their business days and shopping days. Please bring your reusable bag(s) for shopping.
OSL Summer Camp accepts students of any race, color, national and ethnic origin and grants to them all the rights, privileges, programs and activities generally accorded or made available to all students at the program. It does not discriminate on the basis of race, color, national and ethnic origin in the administration of its admissions policies and administered programs.
Rights of State of California Licensing Agency The parent/guardian is aware that the State of California Licensing Agency (Community Care Licensing) has the following authority: 1. 2.
Interview children or staff, and to inspect and audit child or facility records without prior consent. Observe the physical condition of the child(ren), including conditions, which could indicate abuse, neglect or inappropriate placement, and to have a licensed medical professional physically examine the child(ren).
*** Summer Camp activities are subject to change without notice. ***
3
2014 OSL Summer Camp Admission agreement
I______________________________ as parent/guardian of ________________________________ have read the terms of the Admission Agreement and agree with the terms as written.
_______________________________ Parent/guardian Signature
__________________________ Date
Photo Release Form I hereby authorize Our Savior Lutheran Church (OSL) to edit, alter, copy, exhibit, publish, or distribute my child’s likeness in a photograph in any and all of its publication, such as, images of my child in brochures, flyers, displays and website entries for promotional purposes or for any other lawful purpose. Yes, I __________________________ agree to authorize OSL to use ______________________ my child’s likeness in a photograph for promotional purposes. No, I ___________________________ do not agree to authorize OSL to use _____________________ my child’s likeness in a photograph for promotional purposes.
4
Our Savior Lutheran (OSL) Church 2014 Summer Camp Field Trip Authorization Form My child, _______________________________________, has my permission to attend the following field trips. I also give my authorization for emergency medical assistance for my child during the time of field trips. (Please put your initial next to the dates of the field trips.) Date
Location
Time
Lunch
_____June 19
Scavenger Hunt
11:00-03:30
Bring Lunch
_____ June 25
D&B
11:00-03:30
Bring Lunch
_____ July 10
The Tech Museum
10:00-03:30
Bring Lunch
_____ July 17
Picnic @ Lake Elizabeth
10:00-03:30
Bring Lunch
_____ July 31
Silliman Aquatic Center
12:30-03:30
Bring Lunch
*** NO Siblings Please! Wavier of Rights and Release of Liability I (we) the undersigned, being the parent/guardian of the aforementioned minor do hereby give consent and permission for my child to enter field trip activities under the supervision of Our Savior Lutheran Summer Camp staff, volunteers, and drivers. I also agree not to hold Our Savior Lutheran Summer Camp and/or its agents, employees, volunteers, and drivers liable for damages, losses or injuries to the person(s) undersigned. The parents/guardians understand that they are signing for the minor listed on this form and that the signature is for both medical and liability release. It is my intention that a copy of this document has the same force and effect as the original.
Signature: _______________________________________Date: ________________________________
For Field Trip Volunteers: Name of Driver_______________________________________ Parent of _________________________ _______ Yes, I can drive & chaperone on _____6/19, _____6/25, _____,7/10, _____7/17, _____7/31 Total # of seats available in vehicle (excluding driver) __________________________________________ 5
Admission Agreement Payment Information 9am to 4pm only
Extended Care Fees ($3/hr) Breakfast provided
7 weeks 6 weeks 5 weeks 4 weeks 3 weeks 2 weeks 1 week
$ $ $ $ $ $ $
980 900 825 700 555 390 205
8-9am $105 $ 90 $ 75 $ 60 $ 45 $ 30 $ 15
($140/wk) ($150/wk) ($165/wk) ($175/wk) ($185/wk) ($195/wk)
4-6pm $210 $180 $150 $120 $ 90 $ 60 $ 30
Friday Pizza $21 $18 $15 $12 $ 9 $ 6 $ 3
Field trips on 6/19, 6/25, 7/10, 7/17, 7/31
*** Sibling & Referral Discount: FREE Extended Care! 1 referral -- free AM Extended Care (Referrals must enroll for at least 2 referrals -- free PM Extended Care 5 wks to qualify free extended care.) 3 referrals -- free AM & PM Extended Care
*** Additional $10 for workbook (required) *** Friday Pizza Day --- $3/lunch (optional) Important Notes:
Enrollment is operated on “first-come, first-served” basis. One must submit his/her application and camp fees in order for the Director to reserve his/her spot. All fees are due at time of registration. NO registration fee.
1
Refund Policy / Payment provisions All registrations are final and payment in full is required at time of registration. In order for us to bring continued value, we CANNOT provide refunds or exchanges. Please talk to the Director in advance for any special situations or reasons for termination. We will give a 30 day notice of any rate increase.
Everyday items to bring: 1. Lunch (No Nuts) 2. Water bottle
Lunch: Lunch and a bottle of water are a must! If a camper does not have his/her lunch, we will provide him/her a sandwich and a drink. The cost will be $10 for the lunch to be paid at pick up time. Please have your child remember to bring his/her lunch.
Field Trip Provisions We are extremely thrilled to take our campers on 5 field trips. Please return your authorization form to Ms. Julie NO LATER than the Tuesday of camper’s 1st week attendance. That way I can finalize details and arrangements. If I don’t have your child’s authorization form by Tuesday, he/she will have to stay at home on that week’s field trip. If you don’t want your child to participate on field trip days, we ask that you keep your child at home on those days. There will NOT be any staff or camp leaders on the campus during field trips.
Transportation: I am in need of volunteer drivers/chaperones for all field trips. If you are available to help, please let me know. A complimentary chaperone ticket will be given. It’s our way to say Thank You!
T-Shirt for Field Trip: We will give out field trip T-Shirt on the first week of your child’s arrival. It is mandatory to wear T-Shirt on field trip days. (Included in camp fee.)
Wild Water Day: Every Friday afternoon, we’ll have our fun and safe Wild Water Day. Our campers can bring the following for maximum enjoyment: 1. 2. 3. 4.
1-2 Outfits to change 1 Towel 1 Swim suit 1 Medium water gun
5. Bubbles 6. Sun block
2
Business Day: Business Day is on ALL Friday mornings for about 90 minutes. Learning is FUN! Therefore, this is an activity that we strive to guide campers to keep them motivated in learning, and to give them an opportunity to use their creativity in a fun setting. Here’s what you need to know: 1. All businesses will be operated by 2-3 business partners, assigned by leaders. 2. All business partners need to stay together in their businesses throughout the 8 week program. 3. Campers will decide the type of business. For examples: 1) Lemonade 6) Magic Show 2) Chocolate Chip Cookies 7) Origami 3) Toys (New or used, but functional) 8) Collectibles 4) Stationary 9) Games (No Electronic games) 5) Books 10) Painting Shop 4. 5. 6. 7. 8. 9.
We will use play money. Everyone is responsible to bring their items on their assigned days in order to run their businesses. Only 1 table and 3 chairs will be provided per business. A schedule will be given on Wednesday (6/21). Everyone will take turn to have their business days and shopping days. Please bring your reusable bag(s) for shopping.
OSL Summer Camp accepts students of any race, color, national and ethnic origin and grants to them all the rights, privileges, programs and activities generally accorded or made available to all students at the program. It does not discriminate on the basis of race, color, national and ethnic origin in the administration of its admissions policies and administered programs.
Rights of State of California Licensing Agency The parent/guardian is aware that the State of California Licensing Agency (Community Care Licensing) has the following authority: 1. 2.
Interview children or staff, and to inspect and audit child or facility records without prior consent. Observe the physical condition of the child(ren), including conditions, which could indicate abuse, neglect or inappropriate placement, and to have a licensed medical professional physically examine the child(ren).
*** Summer Camp activities are subject to change without notice. ***
3
2014 OSL Summer Camp Admission agreement
I______________________________ as parent/guardian of ________________________________ have read the terms of the Admission Agreement and agree with the terms as written.
_______________________________ Parent/guardian Signature
__________________________ Date
Photo Release Form I hereby authorize Our Savior Lutheran Church (OSL) to edit, alter, copy, exhibit, publish, or distribute my child’s likeness in a photograph in any and all of its publication, such as, images of my child in brochures, flyers, displays and website entries for promotional purposes or for any other lawful purpose. Yes, I __________________________ agree to authorize OSL to use ______________________ my child’s likeness in a photograph for promotional purposes. No, I ___________________________ do not agree to authorize OSL to use _____________________ my child’s likeness in a photograph for promotional purposes.
4
Our Savior Lutheran (OSL) Church 2014 Summer Camp Field Trip Authorization Form My child, _______________________________________, has my permission to attend the following field trips. I also give my authorization for emergency medical assistance for my child during the time of field trips. (Please put your initial next to the dates of the field trips.) Date
Location
Time
Lunch
_____June 19
Scavenger Hunt
11:00-03:30
Bring Lunch
_____ June 25
D&B
11:00-03:30
Bring Lunch
_____ July 10
The Tech Museum
10:00-03:30
Bring Lunch
_____ July 17
Picnic @ Lake Elizabeth
10:00-03:30
Bring Lunch
_____ July 31
Silliman Aquatic Center
12:30-03:30
Bring Lunch
*** NO Siblings Please! Wavier of Rights and Release of Liability I (we) the undersigned, being the parent/guardian of the aforementioned minor do hereby give consent and permission for my child to enter field trip activities under the supervision of Our Savior Lutheran Summer Camp staff, volunteers, and drivers. I also agree not to hold Our Savior Lutheran Summer Camp and/or its agents, employees, volunteers, and drivers liable for damages, losses or injuries to the person(s) undersigned. The parents/guardians understand that they are signing for the minor listed on this form and that the signature is for both medical and liability release. It is my intention that a copy of this document has the same force and effect as the original.
Signature: _______________________________________Date: ________________________________
For Field Trip Volunteers: Name of Driver_______________________________________ Parent of _________________________ _______ Yes, I can drive & chaperone on _____6/19, _____6/25, _____,7/10, _____7/17, _____7/31 Total # of seats available in vehicle (excluding driver) __________________________________________ 5
