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LincolnChildrensMuseum.org(402) 477-4000 1420 P Street Lincoln, NE 68508

PaymentA $50 nonrefundable deposit is required at time of registration. The deposit will be applied to the total at the time of �nal payment. Final payment must be made prior to or on the �rst day of camp. Parents may elect to pay the total camp balance at time of registration.

Cancellation & Refund Policy Cancellation requests must be made in writing by emailing [email protected]. Cancellation requests made on or before May 15, 2015 are eligible for a refund minus the $50 deposit.

All camp fees are nonrefundable if the cancellation is made after May 15, 2015 or if the child is asked to leave camp because of behavioral concerns.

Drop Off & Pick UpDrop o� is from 8-8:30 a.m. Pick up is from 4:30-5:00 p.m. If your child is picked up after 5 p.m. you will be charged a $25 late pick up fee.

Parents and guardians must sign their child in and out of camp. Photo identi�cation is required at pick-up. Only authorized caregivers will be allowed to pick up children.

ParkingParents will have access to free parking for drop o� and pick up. Detailed parking information is available on the website and will be provided through email after registration is completed.

SnacksThe Museum will provide one nut-free snack for each camp day. If your child has any additional dietary requirements, please provide snacks.

LunchChildren need to bring a sack lunch; no nut products please! All sack lunches will be refrigerated. Children are not allowed to leave the premise for lunch, but parents are welcome to bring a lunch and eat with their child at the Museum.

Field TripsWhen applicable to the camp theme, �eld trips to various locations in the Lincoln downtown area will be included in camp activities. All �eld trips will be within walking distance of the Museum. Parents will be given advance notice if camp will include a �eld trip.

Spending MoneyChildren do not need to bring money to the Museum. The Museum Store is open until 5:00 p.m. daily and can be visited with a parent or guardian.

Museum Camp Times8:00 a.m.-5:00 p.m.

Drop Off8:00-8:30 a.m.

Pick Up4:30-5:00 p.m.

Camp Schedule*8:00 a.m. Drop o� begins, play in the Museum8:45 a.m. Morning Meeting9:00 a.m. Themed ActivitiesNoon Lunch time12:45 p.m. Play in the Museum1:30 p.m. Themed group activity2:30 p.m. Snack time (provided)3:00 p.m. Creative Activities4:30 p.m. Pick up begins

* When applicable to the theme, �led trips and/or community speakers will be incorporated into the camp schedule.

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summer 2015


TelephoneParents may call the Museum any time during camp at (402) 477-4000.

ClothingChildren are expected to wear shoes that are appropriate for playing at all times. Please note that some camp activities can be messy, so please dress children appropriately. The Museum is not liable for any damage to clothing.

Lost and FoundAll belongings should be clearly marked with your child’s name. Lost items are held at the Welcome Desk for approximately two weeks.

Severe WeatherMuseum sta� are trained in safety and evacuation procedures in the event of a severe weather emergency. If camp is cancelled due to severe weather, a Museum sta� member will notify parents and guardians as soon as possible.

Medical Information/Health PoliciesPlease do not allow your child to participate if they have a fever or other contagious diseases.

If your child becomes ill during camp, you will be noti�ed and requested to pick them up as soon as possible.

Museum sta� cannot administer medication of any kind, unless arrangements are made prior to camp.

The Museum asks for your assistance in identifying any health or behavioral concerns that would prevent your child from participating in certain activities.

Disciplinary PolicyThe safety and enjoyment of our campers is very important to us. Because we believe in setting clear expectations and using common language, our behavior expectations and disciplinary policies re�ect those used in Lincoln Public Schools.

We require all campers to be safe, respectful and responsible. These behaviors are recognized and reinforced through PBIS (Positive Behavior Intervention Support) a process through which positive behavior expectations are de�ned, taught, practiced and reinforced. If behavior expectations are not met by our campers, we follow the BIST philosophy (Behavior Intervention Support Team) through the use of a safe seat and thinking sheets.

If a campers behavior is deemed unsafe they will be removed from camp and no refund will be issued.

Emergency Contact InformationThis form must be completed and signed by the child’s parent or legal guardian.

Please mail to Lincoln Children’s Museum one week prior to camp.

Name of Child(ren):

Emergency ContactsIn the event the child(ren) named above is injured or ill, I understand that the caregiver will attempt to contact me, the other parent, or the legal guardian at the number(s) provided below.

Contact Name 1: Relationship to Child:Daytime Phone: Cell Phone: Contact Name 2: Relationship to Child:Daytime Phone: Cell Phone:

If different from Emergency Contacts, indicate Authorized People* to pick up child from site:Person 1: Relationship to Child:Person 2: Relationship to Child: Person 3: Relationship to Child: *List additional authorized persons on a separate sheet and attach.

Health and Other IssuesDoes your child(ren) have any allergies (foods, animals, etc.) that we may need to know about?

Are there any health or behavior concerns that we need to know about?

Where did you hear about Lincoln Children’s Museum Camps? (circle one)Website Email FingerPrints Newsletter Word of Mouth

Museum Lincoln Kids Past Participant Other

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Participation Permission Form

Camper’s Name/Campers’ Names:

Your signature at the bottom of this waiver indicates that you give your child permission to participate in all of the activities listed below and release The Lincoln Children’s Museum from liability related to their participation in such activities.

EMERGENCY CARE: I, the undersigned, hereby certify that I am the parent or legal guardian of the camper. I hereby give permission for the staff of the Lincoln Children’s Museum to seek appropriate medical attention for the camper in the event of accident, injury, or illness during the period of the camp.

I will be responsible for any and all costs of medical attention and treatment. I understand that medical attention will be sought from Lincoln, Nebraska health care facilities. In the event that I or others listed are not available, I give my permission to the caregiver to provide

system and arranging for transportation to the nearest emergency medical facility.

I, the undersigned, for ourselves, our heirs, executors and administrators, waive, release and forever discharge the Lincoln Children’s Museum

causes of actions whatsoever arising out of or related to any loss, personal injury, including death, or property damage that may besustained or occur during participation in Camp activities or while at Camp. I acknowledge that said participation in this activity is elected by me and is not required. I voluntarily assume full responsibility for any risk or loss, damage, or personal injury, including death that may be sustained by me or my child as a result of such activity.

FIELD TRIP RELEASE: I, the undersigned, give permission for my child to be escorted away from the Lincoln Children’s Museum

facility to various locations in the Lincoln downtown area as part of the regular Lincoln Children’s Museum Camp activities.

PHOTO RELEASE: I, the undersigned, ____grant permission _____do not grant permission (if not marked, Lincoln Children’s

child’s participation in the Lincoln Children’s Museum Camp Program. I grant the Lincoln Children’s Museum an irrevocable license toreproduce, copy, display, perform, or otherwise use these materials. I understand that these materials will be used for the purpose of public information and/or education and may appear in newspapers, magazines, exhibits, on the Lincoln Children’s Museum website, or on

its employees, directors, and agents from any liability connected with the publication, reproduction, release, or other use of these materials, and agree not to bring any claims against them growing out of such publication release, reproduction, or other use of these materials.

Parent/Guardian’s Signature Date Relation to Camper

First Middle Last

First Middle Last

First Middle Last


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