Give Play Application Raleigh Parks, Recreation and Cultural Resources

919-996-4839 parks.raleighnc.gov

Give Play Important Information for Applicants 

1. Scholarships will be awarded as applications are received and will be awarded based on availability of funds

and/or availability of spaces in eligible camps. A completed application does not guarantee a spot in camp.

2. You must submit a $10 refundable deposit with your application. Checks should be made payable to City ofRaleigh. If you agree to the camp and change your mind less than 14 business days before the camp start

date your deposit will not be refunded. If your camper does not come to camp, your deposit will not be

refunded. Deposits will be refunded at the end of summer camp in August.  Camps do not cover lunches andsnacks; campers must bring their own lunch and snack each day.

3. The Give Play Program is for Campers ages 5‐14. See the Camp Preference Form for camp specific age

requirements. Campers do not have to be City of Raleigh residents to be eligible. Typical camp morning

drop off times are between 8am and 9am; typical camp pick up times are between 5pm and 6pm. Pleasenote some camps are only half days.

4. Campers will spend a lot of time outdoors each day, and activities and schedule will vary per camp. Please

mark your child’s school schedule (traditional calendar vs year‐round) on the application so that we can

match camper availability with camp availability. If there are other weeks when the camper would not be

able to attend camp during the summer, please list those on the application. If selected, the camper will be

placed in the most suitable camp and notified accordingly

5. Once your application is complete with ALL PAGES filled out, please mail, fax, email or drop off :

Drop off: Raleigh Municipal Building | 222 West Hargett Street Raleigh NC 27601 | Room 608  

FAX: 919.996.7016 Email: fee.assistance@raleighnc.gov 

 OR Mail to: Attn: Give Play Scholarship| City of Raleigh ‐ Financial Assistance Program ‐ 6107| 

PO Box 590| Raleigh NC 27602 

If you fax or email your application, you will be called to pay your $10 refundable deposit. 

City of Oaks Foundation — The City of Oaks Foundation is a nonprofit conservation and youth development 

organization closely aligned with Raleigh’s Parks, Recreation and Cultural Resources Department. The City of Oaks 

Foundation focuses on land and water conservation as well as connecting youth to nature.  

The City of Oaks Foundation and the City of Raleigh Parks Recreation and Cultural Resources Department support the 

Give Play initiative. The initiative seeks to remove cost as a barrier for getting children and teens engaged in park 

programs.  

Give Play Summer Camp Application 

 Give Play camps are available for one week of camp per child and are awarded on a first come, first serve basis.   Please fill out this form completely. 

Camper’s first name: __________________________Camper’s last name:___________________________ 

Preferred name:___________________________________ Camper’s gender:________________________ 

Age of camper:_____ (As of Aug 31st of the current year, this age must match the requirements in the camp description)

Camper’s Primary Spoken Language:           □English          □Spanish          □Other: ____________________ 

Parent/Guardian first name: __________________Parent/Guardian last name:______________________ 

Home address:___________________________________________________________________________  

City:______________________________________________State:_____________Zip:_________________  

Email: __________________________________________________Phone #:_________________________ 

Number of people living at this address:_________   Total household income: $______________________ 

Check if you receive any of the following: 

□TANF       □Food Stamps      □Sec on 8 Housing Assistance     □Medicaid or Medical Assistance □SSI/SSDI/Pension Report

How did you hear about the GIVE PLAY program?:

□Friend/Family □School □Community Center □City website

□Social Media □Other:_______________________

Has your child attended a Give Play Camp before?:  □Yes      □No 

Camper School Schedule: □Traditional Calendar     □Year Round Calendar     □Modified Calendar        □Other_________ 

Please list other weeks during the summer that your camper would not be available to come to camp: _______________________________________________________________________________________ Camp Drop Off and Pick Up Schedule: Typical camp morning drop off times are between 8am and 9am; typical camp pick up times are between 5pm and 6pm. What is the latest time you would be able to drop off your camper at camp each morning? _______________________ What is the earliest time you would be able to pick up your camper from camp each afternoon? ___________________ Are there special circumstances that might prevent your child from fully participating in camp?  __________________________________________________________________________________________________ 

I understand the time commitment for the camp that I’ve indicated and my child will attend all activities unless absence is unavoidable. I understand there is a $10 deposit due with the application that will be refunded upon the completion of the program with satisfactory attendance and behavior. I understand that I give up my deposit if my child does not attend camp and/or if I agree to camp placement and change my mind less than 14 business days prior to the start of camp. 

_______________________________________________________________/________________________ 

Parent/Guardian Signature                                                    Date 

 Please note all registration communications are electronic and you will be emailed whether your child has been accepted or 

not.   After receiving your email, within three business days, you will be required to submit a Parks, Recreation, and  

Cultural  Resources application to confirm your acceptance into the program.   

TO BE COMPLETED BY CAMPER: 

What is your favorite thing to do outdoors? 

Do you enjoy spending all day outside? 

Do you like to swim? 

I, _________________________________________(camper’s name), am excited about the Give 

Play Program and if I am picked, I understand that  I need to come to camp every day and 

participate in all activities.  By signing this form I agree to this statement. 

__________________________________________________________________/_________ 

Camper’s Signature                                       Date 

Camp| Location| Age Hours 1 2 3 4 5 6 7 8 9 10 11

Adventureland| Greystone Recreation Center| Ages 9-11yrs

9:00am- 4:00pm

Art in the Garden| Optimist Community Center| Ages 4-6yrs

*9:00am-12:00pm

Art4Fun: Art & Nature| Marsh Creek Park| Ages 6-11yrs

8:00am-6:00pm

Art4Fun: Fur, Feathers, & Fins| Marsh Creek Park| Ages 6-11yrs

8:00am-6:00pm

Camp Compass | Glen Eden Pilot Park| Ages 10-11yrs

8:00am-5:00pm

Camp Compass | Glen Eden Park| Ages 12-14

8:00am-5:00pm

Camp Compass | Glen Eden Park| Ages 7-9yrs

8:00am-5:00pm

Creepy Crawlers at Greystone | Greystone Recreation Center| Ages 3-5yrs

*9:00am-12:00pm

Dreamers Camp | Sgt. Courtney T. Johnson Community Center | Ages 8-11yrs

8:00am-5:00pm

Exploring Food Through Time| Raleigh City Museum | Ages 9-12yrs

9:00am-5:00pm

Full STEAM Ahead | Green Road | Ages 8-11yrs

8:00am-6:00pm

Kid Scientist | Powell Drive | Ages 7-10yrs

*1:30pm-4:30pm

Kids Cup Challenge | Powell Drive | Ages 8-11yrs

*1:30pm-4:30pm

Leaders in Training | Thomas G. Crowder Woodland Center | Ages 13-14yrs

8:00am-5:30pm

Mad Lab | Pullen Community Center | Ages 6-8yrs

*1:00pm-5:00pm

Nature Week at the Creek | Optimist Community Center | Ages 6-12yrs

8:30am-5:30pm

Nature Wonder Explorers | Optimist Community Center | Ages 6-11yrs

9:00am-3:30pm

Raleigh’s Future Citizens | Raleigh City Museum | Ages 9-12yrs

9:00am-5:00pm

Science Exploration | Method Community Center | Ages 8-11yrs

9:00am-5:00pm

Teen Outdoor Adventure | Thomas G. Crowder Woodland Center | Ages 13-14yrs

8:30am-5:30pm

Teen X-Treme | Peach Road | Ages 12-14yrs

7:30am-6:00pm

Teen X-Treme | Eastgate Park | Ages 12-14yrs

7:30am-6:00pm

Week of EnlighTEENment | Marsh Creek Park | Ages 11-14yrs

7:30am-6:00pm

*half-day programs

CAMP SELECTION Please select no more than 3 preferred camps per child.

Child’s Name: ______________________________________________________________________________ Age as of Aug 31st of the current year (this age must match the requirements in the *camp description): DIRECTIONS: Please put an “X” in the white box below to select a camp. Gray boxes indicate that a camp is not availa-ble that week. Do not select more than 3 preferred camps for a single child.

*Descriptions of camps can be found on-line at: https://www.raleighnc.gov/parks/content/ParksRec/Articles/SummerCamps

SUMMER CAMP SCHEDULE:

WEEK 1: JUNE 8th—12th |WEEK 2: JUNE 15th—19th |WEEK 3: JUNE 22nd—26th |WEEK 4: JUNE 29th—JULY 2nd | WEEK 5: JULY 6th—10th | WEEK 6: JULY 13th—17th | WEEK 7: JULY 20th—24th | WEEK 8: JULY 27th—31st | WEEK 9: AUGUST 3rd—7th |WEEK 10: AUGUST 10th—14th | WEEK 11: AUGUST 17th—21st

1. Greystone Recreation Center

2. Glen Eden Pilot Park

3. Marsh Creek Park

4. Optimist Community Center

5. Method Community Center

6. Thomas G. Crowder Woodland Center

7. Eastgate Park

8. Peach road Community Center

9. City of Raleigh Museum

10. Green Road Community Center

11. Powell Drive Park

12. Pullen Community Center

13. Sgt. Courtney T. Johnson Community Center

1

2 3

4

5

6

7

8

9

10

11 12

13

Give Play 2020 Camp Locations