My child will attend:

Youth or AdultT-Shirt Size:

Warren Woods ChristianSummer Camp Registration 2016

June 13th - August 26th

Children's Name:Address:Phone Number(s):Grade Completed:Email Address:

Look out for our weekly newsletters!Like us on facebook for updates and photos!Text @wwccsummer to 81010 to sign up for

text message alerts.

June 13th:June 20th:

M T W R F

June 27th

July 4thJuly 11th:July 18th:

M T W R FM T W R FM T W R F

spring hillM T W R F

July 25th:

M T W R FM T W R FM T W R F

Field Trips will be on Mondays, Thursday, and Fridays.

Pizza will be available on Tuesdays for $4.Water days will be on Wednesday.

August 8th:August 15th:August 22nd:

August 1st: M T W R F

Counselors In Training

M T W R F

Registration Checklist

Did you return:

3 days per week:

$165$145$125

Weekly Fees:

5 days per week:4 days per week:

Includes: care, snack, and field trips

Tuition payments are due prior to the week for which you are registering. Late tuition is subject to a $10 late fee

per week. Unpaid balances may result in disenrollment until payment is received.

2 days per week:Drop In per day:

Morning and Afternoon Snacks included.Please bring your lunch in a disposable plastic bag (i.e.,

grocery bag, ziploc, etc.) on field trip days.Lunch is not included unless otherwise noted.

$85$50

registration fee of $50 per family Registration form emergency card - one per child field trip permission slips for each child

Kids who have completed 5th and 6th grades will have the opportunity to participate in this new and exciting program!

Summer Camp Policies and Procedures

Hours of operation: 6:30 a.m. to 6:00 p.m. Late Pick Ups- You will be charged $1 per minute your child is here after 6:00pm. Continual late pick-ups will result in

disenrollment of your child. Parents must accompany their child into the summer camp rooms. Your balance for services MUST be paid weekly. If your account is delinquent, you will be charged a late payment fee and

may be asked to disenroll until balance is brought up to date. If your child has medicine that needs to be taken regularly (inhalers, epi-pens, etc), we need to have a separate

medicine and medicine form filled out (please stop by the childcare office to get this form). All prescription medicine needs to come in the original packaging including the prescription label. Medicine form directions must match the directions on the label.

Communication We will send home a weekly newsletter via email. In this newsletter, you’ll get highlights from the previous week, but you’ll also get important information regarding the upcoming week. We also encourage you to sign up for Remind. Occasionally, we may need to substitute one field for another (weather, cancellation, etc.) and we will inform you through text message alerts sent through Remind. You can also like us on facebook for additional information and updates. Photo Release I give WWCC&P permission to take pictures & video to use in Social Media including but not limited to WWCC&P website and Facebook page.

Behavior/ Discipline

Your child is our first priority while in Extended Care. In order to provide a safe, nurturing, and fun experience for your child(ren) everyone must know and follow the rules. We have a wide age range in Extended Care and we need to look out for the safety of all the children. We ask that all students be respectful of the teachers, other students, and the materials that are provided and the space that is afforded to us by the school. If your child(ren) chooses not to obey these rules, their behavior may result in consequences. If you have any questions or concerns, please see the extended care staff or stop by the childcare office. Electronics Policy In summer camp, electronics are strictly prohibited. Any electronics will be held in the childcare office until picked up by parents. Parent Notification of the Licensing Notebook All childcare centers must maintain a licensing notebook which includes licensing inspection reports, special investigation reports and all related corrective action plans. The notebook must include all reports issued and CAPS developed on and after May 27th, 2010 until the license is closed.

This center maintains a licensing notebook of all licensing inspection reports, special investigation reports and all related corrective action plans.

The notebook will be available to parents for review during regular business hours. Licensing inspection and investigation reports from at least the past two years are available on the Bureau of Children and

Adult Licensing website at www.michigan.gov/michildcare.

By signing below, I understand and agree to the policies listed on this page.

Parent Signature:_________________________________________________________________________ Date:_______________________________________

Good Health Statement

This statement is to verify that ______________________________________ is in over all good health. I verify that all of my child’s immunizations and/or waivers are up to date and on file at _________________________________________________________________________________________________________________________________________________________

Parent Name:___________________________________________Signature:__________________________________________Date:____________________

CHILD INFORMATION RECORDState of Michigan Department of Human Services - Bureau of Children and Adult Licensing

Instructions: Unless otherwise indicated, all requested information must be provided. If the information is not known or does not apply, “unknown” or “none” is the required response. A blank fi eld, a line through a fi eld or “N/A” are not acceptable responses.

For Provider Use Only:

Date of Admission Date of Discharge

Name of Child (Last, First, Middle Initial) Child’s Date of Birth

Address (Number and Street, Building/Apartment Number) City State Zip Code

Father/Legal Guardian’s Name Home Phone( )

Mother/Legal Guardian’s Name Home Phone( )

Home Address (if not child’s address) Cell Phone( )

Home Address (if not child’s address) Cell Phone( )

City State Zip Code City State Zip Code

Email Address (optional) Email Address (optional)

Employer Name Work Phone( )

Employer Name Work Phone( )

Name of Child’s Physician or Health Clinic Physician’s or Health Clinic’s Phone Number( )

Hospital Preferred for Emergency Treatment (optional)

Allergies, Special Needs and Special Instructions (Attach additional sheets, if necessary.)

BCAL-3731 (Rev. 7-12) Previous editions 9-09, 3-08, 10-07, & 1-06 may be used until 12/31/13. See Reverse Side

Emergency Contact & Release of Child: List all individuals,including parents/legal guardians, in order of preference, to be contacted in an emergency. If possible, include at least one person other than the parents/legal guardians to be contacted in an emergency and to whom the child can be released. The second phone number column can be left blank. (If more individuals, attach additional sheets.)

1. ( ) ( )

2. ( ) ( )

3. ( ) ( )

Release of Child Only: List all individuals, other than the parents/legal guardians, to whom the child may be released. (If more individuals, attach additional sheets.)

1. ( ) 2. ( )

3. ( ) 4. ( )

I give permission to , licensed by the Department of Human Services (Provider’s Name)

to secure emergency medical and/or emergency surgical treatment for the above named minor child while in care.Signature of Parent or Guardian Date Signed

Date Card Reviewed

Parent or Legal Guardian Initials

Date Card Reviewed

Parent or Legal Guardian Initials

Date Card Reviewed

Parent or Legal Guardian Initials

Date Card Reviewed

Parent or Legal Guardian Initials

Department of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS offi ce in your area.

AUTHORITY: 1973 PA 116COMPLETION: RequiredPENALTY: Rule Violation Citation.

BCAL-3731 (Rev. 7-12) Previous editions 9-09,3-08, 10-07, & 1-06 may be used until 12/31/13.

Date:

DATE

6/20/2016

6/23/2016

6/24/2016

6/27/2016

6/28/2016

6/29/2016

6/30/2016

7/1/2016

7/11/2016

7/14/2016

7/15/2016

7/18/2016

7/21/2016

7/22/2016

7/25/2016

7/28/2016

7/29/2016

8/1/2016

8/4/2016

8/5/2016

8/8/2016

8/11/2016

8/12/2016

8/15/2016

8/18/2016

8/19/2016

8/22/2016

8/25/2016

8/26/2016

In case of inclimate weather, we may use one

of these rainy day options. We will inform

parents via remind, facebook, and email.

Jungle Java - 44595 Enterprise Dr, Clinton Twp

Extreme Fun - 32241 Gratiot Ave, Roseville

Cinemark Movies 16 - 29600 Dequindre Rd

Gleaners - 24140 Mound Rd, Warren

Troy Nature Center - 6685 Coolidge Hwy, Troy

By signing below, you are giving permission to WWCS for your child to travel, by bus, to any of the initialed field

trips and partcipate in the scheduled activities.

Parent/Guardian Signature:

The Great Skate - 29100 Hayes Rd, Roseville

Fort Fraser - 14 and Garfield

George George Park - 40500 Moravian Dr, Clinton Twp

Fraser Hockeyland - 34400 Utica Rd Fraser

SITE

Fort Fraser - 14 and Garfield

Arts and Scraps - 16135 Harper Ave, Detroit

Stoneycreek Metro Park - 4300 Main Park Dr, Utica

Nature Trails and Playground Only

Subs will be provided for lunch.

Summer Camp Field Trip Permission Slip

Halmich Park - 3001 E 13 Mile, Warren

INITIALS

George George Park - 40500 Moravian Dr, Clinton Twp

Belle Isle - Nature Zoo, Aquarium, Conservatory, and Playground

Metro Beach - 31300 Metro Pkwy, Harrison Charter Township

Marvin's Marvelous Mechanical Museum

Detroit Historical Museum - 5401 Woodward Avenue, Detroit

Warren Fountains - 1 City Square, Warren

31005 Orchard Lake Rd, Farmington Hills

MI Science Center - 5020 John R St, Detroit

Hands On Museum - 220 E Ann st, Ann Arbor

Movies - TBD

Wolcott Farms - 65775 Wolcott Rd, Ray

Metro Beach - 31300 Metro Pkwy, Harrison Charter Township

American Pie - 11557 East 12 Mile Rd, Warren

Red Oaks Nature Center - 30300 Hales St Madison Hts

Lion's Roar Extreme Martial Arts - 8034 E 10 Mile Rd, Center Line

Detroit Riverwalk - 1340 Atwater St, Detroit

Firefighter's Park - 1800 W Square Lake Rd, Troy

Warren Gymnastics Center - 2236 E 14 Mile Rd, Warren

Halmich Park - 3001 E 13 Mile, Warren

Royal Oak Golf Center - 3500 Edgar Ave, Royal Oak

The Parade Company - 9500 Mt. Elliott, Detroit

Please sign attached

waiver

Veteran's Park - 27400 Campbell Rd, Warren

Fort Fraser - 14 and Garfield

Dairy Maid - 31817 Utica Rd, Fraser

Memorial Park - 13 Mile and Woodward, Royal Oak

Detroit Riverwalk - 1340 Atwater St, Detroit

Halmich Park - 3001 E 13 Mile, Warren

Detroit Zoo - 8450 W 10 Mile Rd, Royal Oak

Harbor Lanes - 25419 Jefferson Ave, St Clair Shores