disc day camp - summer 2017 - decatur park district · 2017. 4. 10. · disc day camp - summer 2017...

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DISC DAY CAMP - SUMMER 2017 Hello! If you are a returning camper, welcome back! If you are new, welcome, and thank you for your interest in the Decatur Park District’s Summer Day Camp program! We are excited for another great summer, and hope you are, too! Our day camp is offered on days when Decatur Public Schools are out of school, including spring break, winter break, summer break and other days throughout the year. We provide a fun, activity-filled camp experience that combines nature, art and recreation. Campers aged 5-14 will develop new skills while playing sports, taking field trips, and enjoying fun activities. Our campers are separated into 3 color groups based on the grade they are entering in in the fall: Red=Grades K-2, Yellow=Grades 3-5, Blue=Grades 6-8. This year’s summer camp will run May 24-August 15 from 6:30 a.m. - 6:00 p.m. The daily fee is $40 for non-residents, $35 for residents. The weekly fee is $155 for non-residents, $135 for residents. In this packet you will find all the information you should need for camp. Contents include: 1. Activity Calendar: this is our tentative calendar for the summer. It is subject to change, but will give you a good idea of the great activities planned for our campers. 2. Sample weekly schedule: as stated, this is released each week to give you a better look at our day. Each group gets their own schedule, so be sure to grab the correct one each week. 3. Rock Wall Waiver: this is required for all rock wall climbers, so this will need to be returned to us by the start of camp. 4. Medication Policy: this is required only if your child will need to take medication while at camp, as well as if your child may need an inhaler, Epi pen, etc. while they are in our care. If your child does not require any of those, you do not need to return that page. 5. Create-A-Camp form: If your child is interested in any Park District programs during camp hours including zoo camps, golf, swimming lessons, cultural arts, tennis, etc., we will provide transportation to and from those activities for free. You must still pay the full camp fee and program fee, but it is a way to create your own great summer camp. On this form, please include all programs you are already registered for and will need transportation to. We don’t know we need to take them unless you tell us, and this needs to be updated each month, if applicable. 6. Registration Form: Our registration form with check boxes allows you to easily mark which day(s) your camper will be attending. You may fill this out weekly, bi-weekly, whichever you prefer. Plenty of copies will be in the flyer rack in the lobby at the DISC. You can always register online as well. The July/August registration form will be released week 5. Registration must be done by 12:00 noon the weekday prior to attendance. After deadline, add $5.00 late per child. We will also accept campers after the deadline,

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Page 1: DISC DAY CAMP - SUMMER 2017 - Decatur Park District · 2017. 4. 10. · DISC Day Camp - Summer 2017 Activity Calendar Week 10: Game Shows July 24-28 M - Deal or No Deal T - Family

DISC DAY CAMP - SUMMER 2017

Hello!

If you are a returning camper, welcome back! If you are new, welcome, and thank you for your

interest in the Decatur Park District’s Summer Day Camp program! We are excited for another

great summer, and hope you are, too! Our day camp is offered on days when Decatur Public

Schools are out of school, including spring break, winter break, summer break and other days

throughout the year. We provide a fun, activity-filled camp experience that combines nature,

art and recreation. Campers aged 5-14 will develop new skills while playing sports, taking field

trips, and enjoying fun activities. Our campers are separated into 3 color groups based on the

grade they are entering in in the fall: Red=Grades K-2, Yellow=Grades 3-5, Blue=Grades 6-8.

This year’s summer camp will run May 24-August 15 from 6:30 a.m. - 6:00 p.m. The daily fee is

$40 for non-residents, $35 for residents. The weekly fee is $155 for non-residents, $135 for

residents.

In this packet you will find all the information you should need for camp. Contents include:

1. Activity Calendar: this is our tentative calendar for the summer. It is subject to change,

but will give you a good idea of the great activities planned for our campers.

2. Sample weekly schedule: as stated, this is released each week to give you a better look

at our day. Each group gets their own schedule, so be sure to grab the correct one each

week.

3. Rock Wall Waiver: this is required for all rock wall climbers, so this will need to be

returned to us by the start of camp.

4. Medication Policy: this is required only if your child will need to take medication while at

camp, as well as if your child may need an inhaler, Epi pen, etc. while they are in our

care. If your child does not require any of those, you do not need to return that page.

5. Create-A-Camp form: If your child is interested in any Park District programs during

camp hours including zoo camps, golf, swimming lessons, cultural arts, tennis, etc., we

will provide transportation to and from those activities for free. You must still pay the

full camp fee and program fee, but it is a way to create your own great summer camp.

On this form, please include all programs you are already registered for and will need

transportation to. We don’t know we need to take them unless you tell us, and this

needs to be updated each month, if applicable.

6. Registration Form: Our registration form with check boxes allows you to easily mark

which day(s) your camper will be attending. You may fill this out weekly, bi-weekly,

whichever you prefer. Plenty of copies will be in the flyer rack in the lobby at the DISC.

You can always register online as well. The July/August registration form will be released

week 5. Registration must be done by 12:00 noon the weekday prior to attendance.

After deadline, add $5.00 late per child. We will also accept campers after the deadline,

Page 2: DISC DAY CAMP - SUMMER 2017 - Decatur Park District · 2017. 4. 10. · DISC Day Camp - Summer 2017 Activity Calendar Week 10: Game Shows July 24-28 M - Deal or No Deal T - Family

however, please see exception on activity calendar for week 6 and week 10 (out of town

field trip).

7. Parent Packet: In addition to this letter, please read over the parent packet carefully for

more detailed information. You will be required to sign off to acknowledge you read and

understood this packet. Some items may be repetitive of what you just read, but please

read through it in its entirety.

Upon completion of reading this letter and the parent packet, we hope you are ready to get

signed up for camp! To confirm your commitment, please complete the Google form found at

https://tinyurl.com/jz8kkl5 to provide us with information about your child. This is our new

paperless system, so for our returning campers, we hope you are pleased with this new set up.

This Form must be completed for each of your children attending camp before they can attend.

If you prefer a paper copy of these documents, please request one by emailing

[email protected].

If at any time you have questions regarding our day camp, please do not hesitate to call me at

my office at 429-3472 or email me at [email protected].

We look forward to seeing you this summer!!

Sincerely,

Danita Roseman

Recreation Supervisor

Decatur Indoor Sports Center

Page 3: DISC DAY CAMP - SUMMER 2017 - Decatur Park District · 2017. 4. 10. · DISC Day Camp - Summer 2017 Activity Calendar Week 10: Game Shows July 24-28 M - Deal or No Deal T - Family

Spectacular Summer Day Camp 2016 June 20th – June 24th YELLOW

ATTENTION PARENTS!

Here at the DISC we want to make your summer planning a breeze! In this section every

week you will find a list of each item your child needs on a given day.

DAILY BASICS: Water bottle, Lunch, Tennis Shoes, Towel, Bathing Suit, Flip Flops, Book

Monday – Daily Basics – Swim apparel – Pick up in Golf Room

Tuesday – Daily Basics – Small drink and Popcorn will be provided

Wednesday – Daily Basics

Thursday – Daily Basics – SWIM

Friday – Daily Basics – Wear red shirt – Location TBD

Times Monday June 20 Tuesday June 21 Wednesday June 22 Thursday June 23 Friday June 24

6:30 - 8:30 Free Play in the Gym Free Play in the Gym Free Play in the Gym Free Play in the Gym Free Play in Gym

8:30 - 9:00 Camp Meeting

& Roll Call

Camp Meeting

& Roll Call

Camp Meeting

& Roll Call

Camp Meeting

& Roll Call

Camp Meeting

& Roll Call

9:00 - 9:15 Travel to Kiwanis Park

Shark Attack Tag &

Amoeba Tag @ DISC

Carnival @ DISC

Movie @ DISC Games @ DISC 9:15 - 11:00

Solar System Crafts

11:00 - 11:30 Lunch Lunch Lunch Lunch Lunch

11:30 - 11:45 Clean up – Roll Call Clean up – Roll Call Clean up – Roll Call Clean up – Roll Call Clean up – Roll Call

11:45 - 12:00

Blaster Ball

Travel to Movie Theater Travel to Kiwanis Park Travel to Pool

Safety Day – Fire

Department 12:00 - 2:30 Finding Dory @

Forsyth Movie Theater

1:30

Scattergories SWIM

2:45 - 3:00 Return to DISC Return to DISC Return to DISC

3:00 - 3:30 Snack Provided Return to DISC Snack Provided Snack Provided Snack Provided

3:30 - 4:00 Quiet Reading Snack Provided Quiet Reading Quiet Reading Quiet Reading

4:00 - 5:00 Rapid Fire Dodgeball Ships and Sailors Yoshi Mat Ball Nine-Lives Dodgeball

5:00-6:00 Free Play Free Play Free Play Free Play Free Play

Contact Info:

Day Camp Phone: 217-329-8844

Below is an example of the weekly schedule

released each Wednesday afternoon at the

front desk and on Facebook for the following

week. Each group has their own weekly

schedule on the color of paper of their group

name (red, yellow, blue).

Page 4: DISC DAY CAMP - SUMMER 2017 - Decatur Park District · 2017. 4. 10. · DISC Day Camp - Summer 2017 Activity Calendar Week 10: Game Shows July 24-28 M - Deal or No Deal T - Family

DISC Day Camp - Summer 2017 Activity Calendar

Week/Dates Daily Activities

Week 1: First Week! May 24-26

W - Ice Breakers Th - When I Grow Up F - Rock Wall & Bounce House @ DISC - Must have tennis shoes

Week 2: Neat Nature May 30-June 2 *No camp Monday, May 29

M - MEMORIAL DAY - NO CAMP! T - Bird Feeders W - Scavenger Hunt Th - Leaf Prints F - Field trip @ Overlook Adventure Mini Golf

Week 3: Wonderful Weather June 5-9

M - Sun: melting activities, sun catchers T - Rain: sprinkler play - Bring swim apparel W - Wind: airplane making Th - Snow: dodgeball F - Field trip @ Sparetime Lanes - Must have socks

Week 4: Camp Favorites June 12-16

M - Parachute Games T - Dodgeball W - Willy Wonka Day - Bring a bag of candy to share Th - Tie Dye - Bring something white to dye F - Field trip @ Fairview Pool & Camp Color Day- Wear your group’s colors

Week 5: Disney/Pixar June 19-23 *Wear a Disney/Pixar apparel M-Th

M - Finding Nemo: Under the Sea Day T - Cars 3 – Field trip @ the Strand, Relay Races W - Cinderella & The Incredibles: Princess/Superhero Day Th - Peter Pan: Pirate Day F - Zootopia Movie @ DISC & Macon County Sheriff’s Office Motor & K9 Unit Demo

Week 6: Sports Center June 26-30 *Wear your favorite sports team apparel M-Th

M - Soccer T - Baseball W - Lacrosse Th - Indoor & Sand Volleyball F - Field trip @ Sholem Aquatic Center in Champaign, IL **Registration for Friday’s camp must be in by Tuesday at 5:00 p.m.!

Week 7: Holiday Hoopla July 3, 5-7 *Wear the corresponding holiday apparel M-Th

M - 4th of July T - FOURTH OF JULY - NO CAMP! W - Christmas Th - Halloween F - Field trip @ Krazy Skate - Must have socks

Week 8: Animal Kingdom July 10-14 *Wear your favorite animal apparel M-Th

M - Animal masks T - Animal charades W - Animal Yoga Th - Field trip @ Scovill Zoo F - Animal tag

Week 9: Pay It Forward July 17-21 *Food Drive: bring your canned goods

M - Placemats T - Bookmarks W - High 5 A Hero Th - Next of Kiln F - Decatur Fire Department and Smoke House Demo

Page 5: DISC DAY CAMP - SUMMER 2017 - Decatur Park District · 2017. 4. 10. · DISC Day Camp - Summer 2017 Activity Calendar Week 10: Game Shows July 24-28 M - Deal or No Deal T - Family

DISC Day Camp - Summer 2017 Activity Calendar

Week 10: Game Shows July 24-28

M - Deal or No Deal T - Family Feud W - Jeopardy Th - Wheel of Fortune F - Field trip @ Fairview Family Aquatic Center in Normal, IL **Registration for Friday’s camp must be in by Tuesday at 5:00 p.m.!

Week 11: Mystery Madness July 31-August 4

M - Spy Day - Wear black & sunglasses T - The Amazing Race W - Life-size Clue Th - Luau @ Kiwanis Park with Park District Board Commissioners - Wear your best Hawaiian attire, hot dog lunch provided F - Field trip @ High Ropes course at Overlook Adventure Park

Week 12: Around the World August 7-11 *Wear a shirt from another state/country M-Th

M - Basant Panchami: kite making T - DÍa de los Muertos W - Summer Olympics Th - Out of this World: solar system F - Field trip @ Central Illinois Children’s Museum

Week 13: Last week! August 14-15

M - Carnival T - Bags, washers & ping pong @ DISC

*Schedule is subject to change.

Please see Facebook page or weekly schedule for up-to-date activities.

Page 6: DISC DAY CAMP - SUMMER 2017 - Decatur Park District · 2017. 4. 10. · DISC Day Camp - Summer 2017 Activity Calendar Week 10: Game Shows July 24-28 M - Deal or No Deal T - Family

Transportation Form

Child’s First & Last Name (printed):____________________________________________

This form must be filled out if the Day Camp Staff will be transporting your child to other Decatur Park District Programs that you are registered for. An example would be: Intermediate Swim Lessons, Fairview Pool, 6/1 – 6/26, 9:45 – 10:20, Mondays & Wednesdays.

Program Name:__________________________________ Location:_______________________________ Dates:_________ - _________ Time:________-________ Day(s) of the week:_______________________

Program Name:__________________________________ Location:_______________________________ Dates:_________ - _________ Time:________-________ Day(s) of the week:_______________________

Program Name:__________________________________ Location:_______________________________

Dates:_________ - _________ Time:________-________ Day(s) of the week:_______________________

Transportation Form

Child’s First & Last Name (printed):____________________________________________

This form must be filled out if the Day Camp Staff will be transporting your child to other Decatur Park District Programs that you are registered for. An example would be: Intermediate Swim Lessons, Fairview Pool, 6/1 – 6/26, 9:45 – 10:20, Mondays & Wednesdays.

Program Name:__________________________________ Location:_______________________________ Dates:_________ - _________ Time:________-________ Day(s) of the week:_______________________

Program Name:__________________________________ Location:_______________________________ Dates:_________ - _________ Time:________-________ Day(s) of the week:_______________________

Program Name:__________________________________ Location:_______________________________

Dates:_________ - _________ Time:________-________ Day(s) of the week:_______________________

One form PER CAMPER One form PER CAMPER

One form PER CAMPER

Page 7: DISC DAY CAMP - SUMMER 2017 - Decatur Park District · 2017. 4. 10. · DISC Day Camp - Summer 2017 Activity Calendar Week 10: Game Shows July 24-28 M - Deal or No Deal T - Family

Decatur Park District

Medication Policy

Medications, either non-prescriptive or prescriptive, may be administered at the park district,

but there are limitations that we place on procedures and practices.

Parents must properly fill out and sign the Medication Dispensing Information form and the

Permission to Dispense Medication Waiver and Release of All Claims form.

Participants may NOT carry any medication with them, nor may it be kept in their backpacks or

lunch boxes.

Medications (non-prescriptive or prescriptive) must be sent to the DISC for safekeeping.

We Require:

1. The medicine must come in a clearly labeled Ziploc baggie, with each baggie containing

an individual dose. The label must contain the participant’s name, the name of the

medication, the dose in the baggie, the time the mediation should be taken, and any

other instructions for the taking the medication.

2. The parent or guardian must complete the Medication Dispensing Information listing

the time of day the participant should take each dose. If the time of the day is “as

needed”, we usually will contact the parent by phone before administering an “as

needed” medication.

3. A note from a physician must accompany each medication.

If any of this information is missing, we will need to call parents prior to letting the participant

take the medicine.

The Park District does not have a nurse to either administer or remind participants to take

medicine. It is the responsibility of the parents to:

a. Train their children to proper procedures for taking the medicine

b. Instruct their children concerning the time of the day that they should take their

medicine.

It is important that parents work with their physician and with the Park District to see that their

children are properly medicated when needed. When the Park District has concerns about

medication, a doctor’s note will be required in addition to the usual notes from parents.

Medications will not be kept by the Park District between program break. At the end of each

program, all medicines that have not been picked up by parents are destroyed.

If you have any questions or concerns, please contact the Park District as 422-5911.

Please keep this page for your records.

Page 8: DISC DAY CAMP - SUMMER 2017 - Decatur Park District · 2017. 4. 10. · DISC Day Camp - Summer 2017 Activity Calendar Week 10: Game Shows July 24-28 M - Deal or No Deal T - Family

Medication Dispensing Information – Spectacular Summer Day Camp This form must be completed for each program session or when medication changes.

BACKGROUND INFORMATION

Participant’s Name: _________________________________________________ Age: _______

Address: ______________________________________________________________________

Mother’s Name: _________________________ Father’s Name: _________________________

Mother’s Phone: _________________________ Father’s Phone: _________________________

Emergency Contacts:

1. Name: _______________________________ Phone: ___________________________

2. Name: _______________________________ Phone: ___________________________

3. Name: _______________________________ Phone: ___________________________

Doctor’s Name: ______________________________ Phone: ___________________________

MEDICATION INFORMATION

1. Name: ______________________________ Dose: _________________ Time: _______

Dispensing & Storage Instructions: ___________________________________________

________________________________________________________________________

Possible Side Effects: ______________________________________________________

________________________________________________________________________

2. Name: ______________________________ Dose: _________________ Time: _______

Dispensing & Storage Instructions: ___________________________________________

________________________________________________________________________

Possible Side Effects: ______________________________________________________

________________________________________________________________________

3. Name: ______________________________ Dose: _________________ Time: _______

Dispensing & Storage Instructions: ___________________________________________

________________________________________________________________________

Possible Side Effects: ______________________________________________________

________________________________________________________________________

I understand that it is my responsibility to follow the guidelines laid out in the Medications Policy. In all cases, medication dispensing can only be changed or modified by completely another Medication Dispensing Information form. I hereby acknowledge that the above information provided for the dispensing of medication of my child is accurate. I also understand that it is my responsibility to inform the agency of any changes in the dispensing medication form. ______________________________________________ _____________________ Signature of Parent or Guardian Date

Page 9: DISC DAY CAMP - SUMMER 2017 - Decatur Park District · 2017. 4. 10. · DISC Day Camp - Summer 2017 Activity Calendar Week 10: Game Shows July 24-28 M - Deal or No Deal T - Family

DISC ROCK WALL WAIVER

For each visit, all climbers will check in at the front desk upon arrival. If you have any changes to this form please let us know. All climbers and belayers must sign the release form before they will be allowed to participate. Belayers will be safety checked by one of our instructors for knowledge of: proper belaying (belaying is holding the safety rope for the climber), knot tying, climbing commands, and equipment safety. Our belaying/climbing class can teach you those skills. All lead climbing is prohibited, unless you have attended and passed our lead climbing class. Only climbing equipment approved by the DISC is to be used in the climbing facility (this includes knots). All climbers must tie into and belay directly off their harness. Loose chalk is not allowed in the gym. Chalk balls only! No instruction is allowed except by a DISC staff member during a class. Climber and belayer must always double check each other’s systems before each and every climb. Instructors will be walking the gym area and supervising procedures. If climber or belayer is seen being unsafe, they will both be required to pay $10 for a safety course. If they are found to be unsafe after instruction they will be asked to leave the facility indefinitely. No bare feet allowed anywhere! This complies with Illinois State Health Codes. No one under any circumstances is to have their hand above the first bolt hanger while climbing unless belayed. No climber should pass directly beneath another climber. No horseplay! No running, yelling, jumping or swinging on ropes. No throwing of anything at climbers or anywhere else. No alcohol, drugs or tobacco allowed. Anyone suspected of being under the influence will not be permitted in the gym. No foul language within the DISC. No chewing gum, food or beverages are allowed in the gym area. Management has the right to suspend or terminate any participant’s membership or activity into the DISC for any violation of the policies and/or rules. In such case, there will be no refund of fees. By signing, I confirm that I have read and fully understand and agree to the Rules of the Gym. Please sign the back.

RELEASE In consideration of my being permitted by the Decatur Park District/DISC, to climb at its facility, I agree to the following waiver and release, and I make the following representations. I acknowledge the inherent extreme risks in rock climbing activities, including those that take place indoors. I realize that those risks include falls, equipment failure, bad decision-making, inattentive belayers, and holds that have become loose or damaged by other climbers. I understand that there are unforeseeable, freakish accidents, and I assume all risks associated with such accidents, even though I cannot foresee them. I agree to pay attention to the state of the ropes in the gym and that of the anchors, and to advise staff if I do any damage or notice any damage, I agree to abide by all DISC rules, and if DISC staff makes a specific request of or instruction to me, I agree to comply. (OVER)

_________________________ _________________________ ____/____/______ ____ Male ___ Female ___

Climber #1 First Name Climber #1 Last Name Date of birth Age

_________________________ _________________________ ____/____/______ ____ Male ___ Female ___

Climber #2 First Name Climber #2 Last Name Date of birth Age

_________________________ _________________________ ____/____/______ ____ Male ___ Female ___

Climber #3 First Name Climber #3 Last Name Date of birth Age

Page 10: DISC DAY CAMP - SUMMER 2017 - Decatur Park District · 2017. 4. 10. · DISC Day Camp - Summer 2017 Activity Calendar Week 10: Game Shows July 24-28 M - Deal or No Deal T - Family

I am physically fit and know of no medical or health reason why I should not participate in the activities that take place at the DISC and the climbing wall. I agree to assume all risk of personal injury, including paralysis and death, which may occur while I am in the DISC or while I am climbing anywhere, at any time. I hereby release the Decatur Park District/DISC, its owners, officers, employees, wall builders, wall designers, hold manufacturers, lessors, volunteers, insurers, and agents, from all liability for any such personal injury that may incur. This Release even extends to injuries that may occur through the NEGLIGENCE of DISC employees or other parties released. I understand that indoor climbing is not the same as outdoor climbing, and that additional skills are necessary for outdoor climbing that cannot be acquired in the gym. I agree to seek qualified instruction before attempting to climb outdoors. This release applies to and binds my personal representative, heirs, and my family. If a member of my family under the age of 18 accompanies me to the gym, I make this release and these representations on his or her behalf, as well as my own, and I agree to assume responsibility for his or her safety. Parents and Guardians take note! If I am a parent or guardian of a minor climbing at the DISC, whether or not I am a participant or am present when the minor is climbing, I agree to indemnify and hold harmless the Decatur Park District/DISC, and other parties released, in the event a minor member of my family sues them or any one of them. I understand that this means I will pay all fees, costs, and charges incurred by the Decatur Park District/DISC or any other party released, including attorney fees. I understand that this release is a binding legal contract. I sign it of my own free will. I also understand that this contract is severable; in other words, that if any part of it is held by a court of law to be unenforceable, the rest of it shall survive.

For a minor, 17 years and younger Parent Signature: ___________________________________________________ Date: _________

For an adult, 18 years or older Adult Signature: ___________________________________________________ Date: _________

Please complete the following section.

Waiver expires 3 years from signed date

_____________________________ ________________________________ (_____)______-__________

Adult First Name Adult Last Name Phone Number

________________________________________________________________________________________

Permanent Address City State Zip Code

________________________________________________ How did you hear about us? ________________

Email Address

Do climbers have any medical problems we should know about? Yes___ No___ Explain _________________________________

Page 11: DISC DAY CAMP - SUMMER 2017 - Decatur Park District · 2017. 4. 10. · DISC Day Camp - Summer 2017 Activity Calendar Week 10: Game Shows July 24-28 M - Deal or No Deal T - Family

DISC Day Camp Summer 2017 - Registration Form

For daily or weekly registration, please select the dates you prefer. Day Camp prefix: 410011; Teen Club prefix: 420011

Week #1 Day Teen Week #2 Day Teen Week #3 Day Teen

May 24 □ 01 □ 01 May 30 □ 04 □ 04 June 5 □ 08 □ 08

May 25 □ 02 □ 02 May 31 □ 05 □ 05 June 6 □ 09 □ 09

May 26 □ 03 □ 03 June 1 □ 06 □ 06 June 7 □ 10 □ 10

June 2 □ 07 □ 07 June 8 □ 11 □ 11

(no camp Monday, May 29) June 9 □ 12 □ 12 Week #4 Day Teen Week #5 Day Teen Week #6 Day Teen June 12 □ 13 □ 13 June 19 □ 18 □ 18 June 26 □ 23 □ 23

June 13 □ 14 □ 14 June 20 □ 19 □ 19 June 27 □ 24 □ 24

June 14 □ 15 □ 15 June 21 □ 20 □ 20 June 28 □ 25 □ 25

June 15 □ 16 □ 16 June 22 □ 21 □ 21 June 29 □ 26 □ 26

June 16 □ 17 □ 17 June 23 □ 22 □ 22 June 30 □ 27 □ 27

PAYMENT INFORMATION

Daily rate: $40NR/$35R Weekly rate: $155NR/$135R

Check one: □ Cash □ Check □ Credit Card Amount Paid: ____________ Card #: ________________________________________ CVV#: ______ Exp.: _________

Signature: _____________________________________________________________________

□ Please email me a receipt.

*Outstanding balances due to the Decatur Park District must be paid in full before enrollment and/or participation in other

Park District activities. Thank you for your understanding.

I would like to donate $____________ to the scholarship program to enable economically disadvantaged youth

the opportunity to participate in programs. (Please enclose donation). Thank you.

Parent/Guardian Name: _____________________________ □ Park District Resident □ Non Resident

Address: ______________________________________ City: ____________________ Zip:_________

Cell Phone: ______________________________ Home Phone: ______________________________

Email: _______________________________________________________________________________

Child #1 Name: ____________________________ Gender: M F Grade: _____ Birthday: ________

Child #2 Name: ____________________________ Gender: M F Grade: _____ Birthday: ________

Child #3 Name: ____________________________ Gender: M F Grade: _____ Birthday: ________

*if children are not all coming on same day, please fill out a new form for each child

Registration must be done by noon the weekday prior to attendance. After deadline, add $5 late fee per child.

-PLEASE SIGN WAIVER ON BACK-

Page 12: DISC DAY CAMP - SUMMER 2017 - Decatur Park District · 2017. 4. 10. · DISC Day Camp - Summer 2017 Activity Calendar Week 10: Game Shows July 24-28 M - Deal or No Deal T - Family

Waiver & Release of All Claims and Assumptions of Risk PHOTO: I understand that my child/ward or I may be photographed or videotaped while participating in a Decatur Park District program. I give permission for

photos and videotapes of my child/ward or me to be used to promote the Park District. Such photos and videotapes will remain the property of the Decatur

Park District.

WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISK

Please read this form carefully and be aware that in signing up and participating in this program(s), you will be expressly assuming the risk and legal liability

and waiving and releasing all claims for injuries, damages or loss which you or your minor child/ward might sustain as a result of participating in any and all

activities connected with and associated with this program(s) (including transportation services and vehicle operations, when provided).

I recognize and acknowledge that there are certain risks of physical injury to participants in this program(s), and I voluntarily agree to assume the full risk of

any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain as a result of said participation. I further agree to waive

and relinquish all claims I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in this program(s) against the Decatur

Park District, including its officials, agents, volunteers and employees (hereinafter collectively referred as “Decatur Park District”).

I do hereby fully release and forever discharge the Decatur Park District from any and all claims for injuries, damages, or loss that my minor child/ward or I

may have or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associated with this program/activity.

I have read and fully understand the above waiver and release of all claims and assumption of risk. If registering on-line or via fax, my on-line or facsimile

signature shall substitute for and have the same legal effect and an original form signature.

Signature _______________________________________________________________________________ Date ___________________

(18 years or older or Parent/Guardian)

NOTE: The Decatur Park District does not carry medical or accident insurance for its participants. The cost of such insurance would make programs cost

prohibitive. We suggest that you look at your own insurance policy to be sure you are adequately covered. The Park District assumes no responsibility for personal

injuries or loss of personal property.

Page 13: DISC DAY CAMP - SUMMER 2017 - Decatur Park District · 2017. 4. 10. · DISC Day Camp - Summer 2017 Activity Calendar Week 10: Game Shows July 24-28 M - Deal or No Deal T - Family
Page 14: DISC DAY CAMP - SUMMER 2017 - Decatur Park District · 2017. 4. 10. · DISC Day Camp - Summer 2017 Activity Calendar Week 10: Game Shows July 24-28 M - Deal or No Deal T - Family

1

Decatur Park District 2017 Summer Day Camp

Parent Packet

Welcome to the start of a fantastic summer with the Decatur Park District’s Summer Day Camp. Our staff is ready for a fun and exciting summer. Please read this packet carefully. Our goal is to provide a fun and safe camp experience while creating many wonderful memories for your child. You may register for camp at the DISC or online at anytime. Fax registration will not be accepted.

Enclosed you will find detailed information about our Summer Day Camp. Listed below are all of the necessary forms needed to ensure your child’s safety. These must be completed and returned BEFORE the first day of camp. You will not be permitted to drop off your child until completed. If you prefer to do this digitally, please visit our Google Form at https://tinyurl.com/jz8kkl5

Parent Sign Offs: Payment Policy, Discipline Policy, Photo Waiver, Sunscreen Form

Health History Form

Child Release Form

Transportation Form (if registered for other Park District programs)

Rock Wall Waiver

Medications Policy (if needed)

Staff

Recreation Supervisor: Danita Roseman, Recreation Supervisor, 429-3472

Assistant DISC Manager: Tony Albertina, DISC Assistant Manager, 429-3472

Day Camp Director: Derrick Sosinski

Day Camp Assistant Director: Chelsea Finn

The Day Camp Staff are mature teachers, college and high school students. We maintain a camper to staff ratio of 8:1. All of the staff have been given a background check, completed training in CPR and first aid, and all drivers have completed a Defensive Driving course

Summer 2017 Schedule

This year’s Summer Day Camp will run daily Monday through Friday 6:30 a.m. until 6:00 p.m. The first day of camp is Wednesday, May 24th and the last day is Tuesday, August 15th. There will be no camp on May 29 nor July 4.

Locations

Decatur Indoor Sports Center (DISC), 1295 W. Wood, 429-3472

Kiwanis Park, Redwood Avenue

Fairview Pool, Fairview Park, 2640 W. Fairview Park Drive, 421-7431 Locations will vary depending on what activities are scheduled for the week. Schedules detailing the location of the activity and a contact number will be available one week in advance at the front desk of the DISC.

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Typical Daily schedule Morning free time at the DISC begins at 6:30 a.m. until approximately 8:30 a.m. From approximately 8:30 a.m. – 3:15 p.m., time is spent at Kiwanis Park including lunch time. Children will have the opportunity to participate in a variety of organized activities in smaller groups or as a camp. Each group will swim twice a week, either Monday and Wednesday or Tuesday and Thursday. Children will return to the DISC for afternoon free time by 3:30 p.m. to accommodate different departure times.

A weekly schedule will be available every Wednesday afternoon outlining each day’s activities. These schedules can be found at the front desk of the DISC or on our Camp Facebook page. They are printed on the same colored paper as your child’s group name.

Field Trips Campers will participate in a field trip with Camp every week. Field trips are usually taken on Fridays and the cost is included in the camp fee. Make sure to check the weekly schedule for each field trip time. In some cases, morning and afternoon free time may be adjusted to accommodate travel time. Campers must arrive at least 10 minutes before the departure time to participate in the field trip. Campers are expected to wear their provided Day Camp T-shirts on field trip days. Campers will only receive one camp shirt for the summer. Additional shirts will be sold for $7.00 each.

Drop Off and Pick up Procedures

Each day your child should be dropped off at the DISC between the hours of 6:30 a.m. and 8:30 a.m. Upon arrival, you will sign in your child with the receptionist at the front desk and your child will immediately go to the Auxiliary Gym unless told otherwise. You must always check in at the DISC, even if joining camp later in the day. Your child can be picked up from the Auxiliary Gym unless told otherwise between the hours of 4:00 and 6:00 p.m. Only those listed on the Child Release Form will be allowed to pick up the camper. You must come inside and sign out the child in the Auxiliary Gym unless told otherwise.

If you need to pick up or drop off your child at another time, please see the schedule for our location at that time or call the camp cell phone (phone number TBA). Informing the staff ahead of time is helpful so they can have the child prepared.

*Please refrain from parking in the circle drive at the DISC when picking up your child.

Late Pick-up Policy The Day Camp Staff will supervise children who are left beyond the scheduled time until a parent or authorized adult on the pick-up list arrives. However, late pick-ups will result in a fee. Payment of the late fee is to be paid at the Decatur Indoor Sports Center before your child can attend the next day of camp. If you have any questions, please call Danita Roseman or Tony Albertina at 429-3472.

1-10 minutes late = $5.00 Every minute after that = $1.00

Unauthorized Departure In the event that a camper leaves or runs away from the Day Camp program without authorization, the following steps will be taken.

1. Day Camp Staff will encourage the child to return voluntarily. 2. The Park Police will be called to locate the child because Day Camp Staff is not permitted to

leave the grounds when children are present.

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3. The parent/guardian will be contacted. If they are not available the emergency contact will be called.

Food

Please have your child eat breakfast prior to arriving at camp. Campers are required to bring a labeled water bottle and sack lunch daily. Water coolers will be provided at the park. The Day Camp Staff will provide an afternoon snack and drink. Please pack a morning snack if your child will need it. There are concessions at the pool and some field trip locations, so you may send your child with money if you wish. However, the Day Camp Staff is not responsible for any money while at camp!

Attire

Due to the active nature of day camp, all participants are required to bring tennis shoes daily. Slip-on tennis shoes, back-less tennis shoes or those with zippers rather than shoelaces do not provide adequate ankle support and participants are not encouraged to wear them to camp. Dress should be appropriate for “playtime” and outdoor activities. Please do not send your child in brand new clothes. Skirts and dresses are also discouraged. Be aware of daily weather conditions and send your child dressed appropriately. Please pack swim wear every day in case we play water games.

Personal Property Please note that the Day Camp Staff is not responsible for camper’s property while at camp, so bring items such as money, gaming cards, electronics, etc., at your own risk.

Behavior and Discipline

The Day Camp program operates based on the following code of conduct:

1. I will accept responsibly for myself. 2. I will respect the rights of others. 3. I will treat property with respect. 4. I will solve all problems peacefully. 5. I will always do my best.

Discipline violations are covered in more detail in the Day Camp Discipline Policy. All violations will be handled on an individual basis. Refunds will not be given in case of suspension or explusion.

The Day Camp Staff uses a three strikes system. (Varying with severity of infraction)

Three verbal warnings = A written warning

Three written warnings = A Suspension

Three suspensions = Expulsion Our Day Camp Staff tends to hold our blue group to a higher standard based on the trips and activities they get to participate in, so if at any time a blue group member has continuous misbehavior, they may be bumped down to yellow group until their behavior improves.

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Concerns Any trouble or changes your child has at home may affect behavior during camp. Please keep the staff informed of any unusual circumstances so that we can be sensitive to your child’s needs. If necessary, feel free to discuss issues privately with a staff member away from your child, staff or others in the program.

Communication

If you have any concerns regarding the program and/or your child, speak to the Recreation Supervisor, Danita Roseman, or the Assistant DISC Manager, Tony Albertina, at 429-3472. Any questions concerning fees can be directed to the DISC office. A phone number will be given out in the beginning of summer if you need to contact a Day Camp Staff member or camper between the hours of 6:30 am-6:00 pm Monday – Friday. The Day Camp staff will have access to your child’s emergency contact information. If at any time your contact number changes, please provide the staff with the new number where you can be reached.

Health and Safety

Medication In the event a child must have medication, the parents need to:

1. Contact the Day Camp Director and obtain necessary forms. 2. Put all directions in writing on the designated form. Secure supervisory approval 24 hours prior

to dispensing medications. 3. A change in medication or the administration of medication requires notification of the Day

Camp Director. An additional waiver may be required. 4. Place medication in individual packets marked with time, medicine name, and proper dosage.

Illnesses If your child is ill or has a fever, your child cannot attend Day Camp. If your child becomes ill while at camp you will be notified and asked to pick your child up. If a parent/guardian is unavailable, your emergency contact will be called. Staff will determine if a child can remain at camp using the following guidelines:

Temperature of 100 degrees: A child who is ill or has a persistent illness may not be at camp with a fever even if controlled by medicine.

Vomiting: A child who vomits will be sent home immediately.

Strep Throat: If a physician diagnoses strep throat, a child needs to be on an antibiotic for 24 hours before admittance to camp is allowed.

Diarrhea: A child who experiences diarrhea more than twice in a day will be sent home.

Chicken Pox: A child must remain home until all blisters have dried and formed scabs. This usually is 7-10 days after the pox begins.

Ring Worm: A child may return to camp after 24-hours of beginning treatment.

Pink Eye: A child with symptoms of pink eye or conjunctivitis will be sent home. If a physician diagnoses pink eye, the child will need to have 3 doses of drops before returning to camp.

Head Lice: A child must remain at home until the first treatment is completed with no further active lice or nits seen.

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Please make sure to have a plan in place for when your child gets sick while at camp. This is for the well being and comfort of your child as well as the other children.

Your child must be fever free for 24 hours before returning to camp. A doctor’s note will be required for re-admittance after the following illnesses: Strep Throat, Ring Worm and Pink Eye.

In the case of a contagious disease, please notify the Day Camp staff immediately. All parents/guardians will be notified as soon as possible. Your cooperation is appreciated.

Medical Emergencies If your child is injured during camp requiring more than basic first aid, the following steps will be taken:

1. 911 will be called if necessary. 2. The parent/guardian will be contacted. If they are not available the emergency contact will be

called.

Program Plan Changes

In the event that a change must be made to the weekly schedule, Day Camp staff will notify parents as soon as possible. If time allows, a note will be sent home with parents, or you can find all changes posted on our Facebook page.

In the case of inclement weather, the campers will not travel to Kiwanis Park and remain at the DISC.

Equal Access

No eligible participant shall, on the basis of race, sex, creed, national origin, or disability be denied equal access to programs, activities, services or benefits or be limited in the exercise of any right, privilege, advantage or opportunity.

Upon registration or entry into the program, the parent/guardian will be required to inform Day Camp staff of any special accommodations needed.

Childcare Statement

Below are the instructions for obtaining your childcare statement online. This can be done at the end of the summer.

Log on to www.decatur-parks.org

Go to: “Register Online”

Enter your user id and password

Pull down under “My Account” then “Childcare Statement”

Enter year needed

Submit

Print PDF document

If you do not have a user id and password you may apply online on our website under “Create an account”. Be sure to enter all information necessary when requesting a user id and password. You will receive the information in two emails with directions.

If you have any problems contact Karen Musick at [email protected] for help.

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DAY CAMP DISCIPLINE POLICY

Definitions of Consequences Written Warning – Parent and child must sign the write up explaining the incident and the action being taken. 3 written warnings will result in a suspension. Suspension – The child is temporarily excluded from activities and may not come to camp. The number of days will depend upon the severity of the action. Expulsion – The child is not allowed to participate in any camp activities or return to camp for the remainder of the summer.

Discipline Violations 1. Disruptive Behavior/Horseplay – abrupt actions negatively affecting other campers’ experience 2. Physical Confrontation or Violence with Staff or Camper - causing or attempting to cause physical injury to any staff or campers

3. Theft - taking or using public or private property without permission or authorization

4. Use or Possession of Alcohol, Tobacco, Illegal Drugs, or Weapons - use or possession of alcohol, tobacco, illegal drugs, or an object intended to be used in a menacing manner for the purpose of intimidating or injuring others during any Day Camp activity/field trip 5. Vandalism - showing disrespect for the property of others, games, equipment, the parks, playgrounds, etc. 6. Verbal Abuse/Profanity/Obscenity to Anyone - profane or obscene language/gestures, possession of magazines/literature or wearing articles of clothing that suggest an overt sexual nature 7. Willful Defiance of Authority - failure of a camper to STOP doing/saying something that a staff member has directed them to stop doing 8. Bus/Van Misconduct - includes but is not limited to any of the behaviors as listed above, repeated willful disobedience of the bus driver’s or other supervisor’s directions, or any behavior that threatens the safe operation of the bus/van and its occupants Any of the above violations may result in a written warning, suspension, or expulsion depending on the severity of the infraction.

If your child is sent home for misbehaving, you will not be refunded for the days that your child is out of camp.

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Summer 2017 Day Camp Payment and Refund Policy

Thank you for choosing the DISC’s Summer Day Camp! Our staff strives to provide active, fun events and activities to keep your children happy over the summer months! So that we may better serve you, we ask that you please follow the guidelines below: Registration and payment must be made by noon the weekday prior to attendance. After that deadline you are subject to a late fee of $5 per child.

Weekly payments: Week 1, 13 Daily rates apply Weeks 3-6, 8-12 Resident: $135 1st child, $114.75 ea addtl child Non-Resident: $155 1st child, $131.75 ea addtl child Weeks 2, 7 Resident: $108 1st child, $91.80 ea addtl child Non-Resident: $124 1st child, $105.40 ea addtl child Daily Rate: Resident: $35 1st child, $29.75 ea addtl child Non-Resident: $40 1st child $34.00 ea addtl child

No refunds will be given for missed camp days. For weekly registration, changes in schedule must be made

by noon the day of change, and used within 2 weeks of that day. For questions, contact Danita.

If your child must miss a day because of illness, we ask that you call the evening prior or the morning of camp

to notify staff. Sick days may be switched for another day if Danita is properly notified; however, the days

attended during that week will be charged at the daily rate.

If you have not registered by the deadline and you would like your child to attend camp, you must call and ask if there is room before dropping your child off. Only those registered before the deadline are guaranteed a spot. If accepted after deadline, a $5 late fee per child will be enforced to add them to the roster. It is critical to ensure proper safety and planning that the Day Camp Staff knows how many children will be in camp each day.

Late fees will be imposed on payments not made by the scheduled due date (unless prior arrangements with the office have been made) and failure to register by noon the weekday before attendance. See above payment policy.

Late Pickup Policy: Day Camp Staff will supervise children who are left beyond the scheduled time until a parent or authorized adult on the pick-up list arrives. However, late pick-ups will result in a fee. Payment of the late fee is to be paid at the Decatur Indoor Sports Center before your child can attend the next day of camp. If you have any questions please call Danita Roseman or Tony Albertina at 429-3472.

1-10 minutes late = $5.00 Every minute after that = $1.00 each

Thank you again for your patronage. Best wishes for an active summer of fun!

Sincerely, Danita Roseman Recreation Supervisor

Find us on Facebook! Search “DISC Day Camp” to be approved.

Fill out the required paperwork digitally at https://tinyurl.com/jz8kkl5. If you prefer a paper copy of the documents, please ask the front desk or email Danita at

[email protected]

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Parent Sign Offs

Child’s First & Last Name (printed):____________________________________________

As the parent or guardian of this camper, my initials below indicate that I acknowledge the following statements:

Policies & Payment _____ I have read the Day Camp Parent Packet and Discipline Policy. I understand that this policy is designed to ensure the safety and well-being of each camper. I further understand that any violation of this policy will result in consequences outlined in the Parent Pack and Discipline Policy, including possible suspension or expulsion from the Day Camp program. _____ I have explained the Day Camp Discipline Policy to my camper and educated them on their expectations while they are at camp. _____ I have read and understand the payment and refund policy. Photo Waiver _____ I understand that my child(ren) may be photographed while participating in a Decatur Park District Program. I give permission for photos of my child(ren) to be used to promote the Park District. Sunscreen The Summer Day Camp participants are often outside and in the sun. Therefore, sunscreen is very important and should be applied frequently to prevent sunburn. You may send your child with their own sunscreen with their name clearly printed on the bottle. The staff will also provide sunscreen that your child can use. The staff will be available to apply the sunscreen on your camper if you wish. Please check yes if you would like the staff to apply sunscreen on your child when outside in the sun for extended periods of time. Please check no if you do not want the staff to apply sunscreen on your child.

Yes, please apply sunscreen on my child.

No, please do not apply sunscreen on my child. Parent/Guardian’s Name (printed): ______________________________________________________ Parent/Guardian’s signature:____________________________________ Date:___________________

One form PER CAMPER

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Health History Form

The parent/guardian must fill in the following information. The intent of this information is to provide the Day Camp Staff with the necessary information to ensure appropriate precautions are taken and effective care is administered.

Child’s First & Last Name (printed):____________________________________________

Allergies (including medication, food, etc.:

____________________________________________________________________________________ ____________________________________________________________________________________

Dietary Restrictions: ________________________________________________________________________ General Questions: Does your child: Yes No 1. Have frequent headaches? _____ _____ 2. Wear glasses, contacts, or protective eyewear? _____ _____ 3. Ever pass out from exercise? _____ _____ 4. Have an orthodontic appliance at camp? _____ _____ 5. Have diabetes? _____ _____ 6. Have asthma? _____ _____ My child is up to date on his/her immunizations and tetanus shots? YES _____ NO_____

Use this space to provide any additional information about the participant’s behavior physical, emotional, or mental health which the camp should be aware. __________________________________________________________________________________________________________________________________________________________________________

If your child has any restrictions or limitations to activity please explain below. _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ If your child needs to take medication at camp or requires an inhaler or Epi pen, please complete Medication

Dispensing form.

Child Release Form

Parent/Guardian Authorization: This health history is correct and complete as far as I know, and the person described above has permission to engage in all camp activities, except as noted. Parent/Guardian Signature:________________________________________ Date:____________________

One form PER CAMPER

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Child Release Form Child’s Name:_________________________________________________________________________

Parent/Guardian Name:__________________________________ Relationship:___________________

Cell #:_____________________ Work #:______________________ Home #:______________________

Emergency Contact: ________________________________Phone Number:______________________

Only people listed below, after showing their photo ID, will be allowed to pick up your child.

Name Phone Relationship

1.__________________________________________________________________________________ 2.__________________________________________________________________________________ 3.__________________________________________________________________________________ 4.__________________________________________________________________________________ 5.__________________________________________________________________________________

Transportation Form This form must be filled out if the Day Camp Staff will be transporting your child to other Decatur Park District Programs that you are registered for. An example would be: Intermediate Swim Lessons, Fairview Pool, 6/1 – 6/26, 9:45 – 10:20, Mondays & Wednesdays.

Program Name:__________________________________ Location:_______________________________ Dates:_________ - _________ Time:________-________ Day(s) of the week:_______________________

Program Name:__________________________________ Location:_______________________________ Dates:_________ - _________ Time:________-________ Day(s) of the week:_______________________

Program Name:__________________________________ Location:_______________________________

Dates:_________ - _________ Time:________-________ Day(s) of the week:_______________________

Please return pages 8-10 & Rock Wall waiver to DISC.

One form PER CAMPER