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2018 Camp Brochure 919-554-6582 Rolesville Parks and Recreation Department 514 Southtown Circle | Rolesville, NC 27571 | www.RolesvilleNC.gov
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2018 Camp Brochure - rolesvillenc.govrolesvillenc.gov/wp-content/uploads/2010/10/2018-Camp-Brochure.pdf · 2 Summer Camps Summer Day Camp Summer Day Camp is a recreational based camp

Nov 13, 2018

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Page 1: 2018 Camp Brochure - rolesvillenc.govrolesvillenc.gov/wp-content/uploads/2010/10/2018-Camp-Brochure.pdf · 2 Summer Camps Summer Day Camp Summer Day Camp is a recreational based camp

2018 Camp Brochure

919-554-6582 Rolesville Parks and Recreation Department

514 Southtown Circle | Rolesville, NC 27571 | www.RolesvilleNC.gov

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Summer Camps

Summer Day Camp

Summer Day Camp is a recreational based camp

focusing on active and passive group games, arts

and craft activities, enrichment experiences,

specialists, and field trips.

Structured activities and field trips will occur

between 9:00 am - 4:30 pm. Early drop-off is

from 7:30 am - 9:00 am and late pick-up is from

4:30 - 6:00 pm. Campers need to bring a lunch

and 2 snacks to camp everyday.

Campers should be prepared to have a great time

and make some new friends!

Camp is staffed with trained and experienced

counselors that go through training focused on

working with school aged campers.

You can register for camp on a weekly basis. This

brochure contains all the necessary information

to get your camper registered along with camp

policies and procedures.

Camp Location:

105-A West Young Street, Rolesville, NC 27571

Camp Fee

Day Camp is $105.00 for Residents and $125.00

for Non-Residents, per week.

A $25.00 non-refundable deposit will be due (per

child, per week) at the time of registration. The

deposit is included in the weekly camp fee

amount. It will be applied toward your total

balance but non-refundable if you withdraw from

that week of camp. Weekly deposits for

non-residents is $45 per week ($25 deposit and

$20 non-resident fee).

A $10.00 late fee will be added to registrations

received 2 weeks or less before the camp start

date.

Summer Safari Camp

This camp is jam packed with activities, field trips

and fun!

Summer Safari campers will go on five to eight field

trips a week to various destinations. Some of

those include roller skating, museums, indoor

inflatables, swimming, bowling or movies just to

name a few. Campers will also have art and craft

projects and enrichment experiences. Buckle up

for a summer full of fun!

Campers should be prepared to have a great time

and make some new friends!

Field trips will occur between 9:00 am - 4:30 pm.

Early drop-off is from 7:30 am - 9:00 am and late

pick-up is from 4:30 - 6:00 pm. Campers need to

bring a lunch and 2 snacks to camp everyday.

You can register for camp on a weekly basis. This

brochure contains all the necessary information to

get your camper registered along with camp

policies and procedures.

Camp Location:

514 Southtown Circle, Rolesville, NC 27571

Camp Fee

Summer Safari Camp is $230.00 for Residents

and $250.00 for Non-Residents, per week.

A $25.00 non-refundable deposit will be due (per

child, per week) at the time of registration. The

deposit is included in the weekly camp fee amount.

It will be applied toward your total balance but

non-refundable if you withdraw from that week of

camp. Weekly deposits for non-residents is $45

per week ($25 deposit and $20 non-resident fee).

A $10.00 late fee will be added to registrations

received 2 weeks or less before the camp start

date.

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Summer Camp Registration Form Participant Name: ____________________________________________________ School: _______________________________

Address: _______________________________________________ City:_________________________ Zip Code: _____________

Date of Birth: _____________________________ Current Age: _________ Shirt Size: _________ Sex: (check one) Female Male

Main Phone #: __________________________________ Email: ______________________________________________________

Fathers Name: ______________________________ Home Phone: ______________________ Cell Phone: ____________________

Mothers Name: ______________________________ Home Phone: ______________________ Cell Phone: ____________________

Emergency Contact & Release Information (must be different than information above and at least 16 years old)

(1) Name: __________________________________________ Relationship to Participant: ___________________________

Email: _____________________________________ Home Phone: ______________________ Cell Phone: ____________________

(2) Name: __________________________________________ Relationship to Participant: ___________________________

Email: _____________________________________ Home Phone: ______________________ Cell Phone: ____________________

(3) Name: __________________________________________ Relationship to Participant: ___________________________

Email: _____________________________________ Home Phone: ______________________ Cell Phone: ____________________

Medical Insurance is required for all camp participants. I confirm that the participant has medical insurance. Yes No Company:__________________________________ Policy number: _____________________________

Registration Fees:

Day Camp

Resident: $105/week

Non-Resident: $125/week

Late Fee: $10 (if space is available)

Summer Safari Camp

Resident: $230/week

Non-Resident: $250/week

Late Fee: $10 (if space is available)

By signing below, I acknowledge that I have read and

understand all camp policies and procedures listed on pages

5-9. I hereby waive all claims against the Town of Rolesville,

now, known or arising in the future relating to my child’s

participation in Rolesville Summer Camps.

____________________________________________________________________________________________________________

Signature of Parent or Legal Guardian Date

Date Paid ____________ Amount Paid___________ Check # ____________ Cash ____________ Received by ____________

Week Dates 1st Choice 2nd Choice Fee

Week 1 June 11 - 15

Week 2 June 18 - 22

Week 3 June 25 - 29

Week 4 July 2 - 6 (no 7/4)

Week 5 July 9 - 13

Week 6 July 16 - 20

Week 7 July 23 - 27

Week 8 July 30 - August 3

Week 9 August 6 - 10

Late Fee: (if applicable)

Total Due:

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Summer Camp Health History Form

Full Name of Participant: ____________________________________________ Preferred Name: __________________________

Health Information: (please check yes or no)

Yes No Allergies (if yes please list) ____________________________________________________________________________

Yes No Asthma

Yes No Autism Spectrum

Yes No Diabetes

Yes No Dietary Restrictions (if yes please list) ___________________________________________________________________

Yes No Down Syndrome

Yes No Emotional/Behavioral Disorder

Yes No Epilepsy

Yes No Hearing/Visual Impairment (if yes please list) ____________________________________________________________

Yes No Intellectual Disability/Developmental Delay

Yes No Motor Impairment

Yes No Sensory Integration/Processing Disabilities

Yes No ADHD/ADD (if yes please circle one)

Please list any other health information that is not mentioned above:

_________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________

Medical Information:

Only medication that is medically necessary and cannot be scheduled outside of the camp hours will be administered during the

program. No participant should be in possession of prescription or non-prescription medication without the knowledge of the camp

staff. Any participant that must receive medication during the camp must have an Assisted Administration form on file. Camp staff will

maintain, provide and monitor the consumption of prescription and non-prescription medication.

Medication forms can be obtained by calling the Rolesville Parks & Recreation department at 919-554-6582 and they can be sent via

email or fax or you can pick one at 514 Southtown Circle, Rolesville, NC 27571.

Please list any medication the participant will be taking at camp or any additional information:

_________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________

Signature of Parent or Legal Guardian Date

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Welcome to the Town of Rolesville’s summer camps!

Age requirement for summer camp is determined by

the campers age as of August 31, 2018.

Registration Information

This brochure has all of the information necessary for

registration. Incomplete registration forms will not be

processed. We will attempt to contact you for any

missing information and your registration will be in a

pending status until information is received.

Fill out one registration form per child. For questions,

please call 919-554-6582.

Registration Options

Drop Off

514 Southtown Circle | Rolesville, NC 27571

Registration starts February 1, 2018 and we will begin

processing registration forms as we receive them.

Mail In

Rolesville Parks and Recreation Department

Summer Camp | PO BOX 250 | Rolesville, NC 27571

You will receive a registration confirmation via e-mail

for your camper. Please make sure you provide a

valid e-mail address on page 9. The confirmation

e-mail will include the week or weeks your camper is

registered.

Online

https://secure.rec1.com/NC/town-of-rolesville/

catalog

Your receipts will be e-mailed to you via REC1.

Camp Fees

Day Camp: $105 - R / $125 - NR (per week)

*July 3-7: $84 - R / $104 - R

Summer Safari: $230 - R / $250 - NR (per week)

*July 3-7: $184 - R / $204 - R

Payment

In-Person: Payments may be made with cash, credit/

debit card, check, or money order.

Online: Payments may be made with a credit/debit

card.

The Town offers two payment options:

1. Full payment included with registration forms.

Payment in full is required if registering for four (4)

or fewer weeks of camp.

2. Payment Plan: $25 deposit per week required at

the time of registration. You will be invoiced to

make the remaining weekly registration fee two

weeks before that week of camp starts. Weekly

deposits for non-residents is $45 per week ($25

deposit and $20 non-resident fee). A $10 late fee

will be charged is registering less than two weeks in

advance of the camp week start date.

General Camp Information

”Just want to say I couldn't be more

pleased with our experience with camp

this summer. We only registered for one

week, just to give it a try. My two girls

loved it and have asked if they could at-

tend Rolesville camp for all four weeks of

their summer track out next year.”

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By signing on pages 3 and 4, I am acknowledging that:

I read and understand and agree to the Rolesville Summer

Camp Policies (listed below)

The Town of Rolesville does not provide participant

insurance

In the event of an emergency, the Town of Rolesville will

make every attempt to contact the parent/guardian.

I authorize Town of Rolesville staff to seek appropriate

medical care if a parent/guardian cannot be reached.

Information provided on the participant information form is

accurate and current.

Age Verification

The Town of Rolesville reserves the right to ask for a legal

document verifying the participant age. If it is not provided within

two business days, the participant may be dismissed from the

camp. No refund will be given.

Assisted Medication Policies and Procedures

Town of Rolesville employees only administer medication to

participants if:

1. Town of Rolesville form for assisted administration of

medication is completed and in the possession of Town staff.

2. Town of Rolesville employee will give medications that are in

an original container with appropriate medicine contained

within, with a visible label including the name of medication,

the date of expiration, clear dosage amount and directions

with the participant’s name clearly indicated on the bottle/

box.

The Parent/Guardian is responsible for the following with ALL

medication:

1. Complete and sign the portion of the form and return to the

program staff.

2. Provide medication in an original container with visible label

including the name of medication, the date of expiration,

clear dosage amount and administration directions with the

participant’s name clearly indicated. Note: Inhalers outside

the original package must be accompanied by a copy of the

original package label noting the above information.

3. Provide new, labeled containers if/when medication changes

are made.

4. Parents/guardian must transport medication to program site

and give directly to program staff.

5. Parent/guardian must pick up medication at the end of each

week/program from program staff. Medications not picked up

at the end of 14 business days following the last day of partici-

pation in the program will be disposed of by Town of Rolesville

staff.

6. Town of Rolesville staff will return any empty medicine

container(s) to participant’s parent/guardian.

7. For prescription medications: The pharmacy label will serve as

the physician’s authorization for the medication to be

administered. Have the pharmacist label two containers: one

for home use and one for use in the program, if the participant

is to receive medication at both sites.

8. If the medication is an EPI pen or inhaler, it is recommended

(not required) that the pharmacist label two containers to

keep at the program site. The parent/guardian should check

to ensure the medication does not exceed the printed

expiration date. Program staff will not accept expired

medication.

9. For non-prescription medications: The medication must be

administered according to the dosage and administration

i n s t r u c t i o n s o n t h e o r i g i n a l c o n t a i n e r .

*A physician’s signature will be required as authorization IF

medication is requested to be given to an alternate dosage, etc.

10. Parents/guardians should notify program staff as soon as

possible if there are any changes to instructions for the

administration of medication once this form has been

submitted. A new form may be required.

Camp Policies

“You guys are amazing. My daughter

loves the camp so much, so that speaks

volumes! Thank you for everything!”

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Field Trips

The Town of Rolesville will transport participants off-site in

vehicles contracted by the Town. If a participant arrives after the

camp has left the camp site, the parent/guardian can do either:

Take the participant to the field trip location and sign-in

participant with Town staff

Take the participant to the camp site when the camp has

returned from the field trip

Food

Any food brought into camp that is to be served to camp

participants must be store bought with labeled ingredient

information. Due to allergy concerns, homemade food items will

not be accepted. Campers will not be able to warm lunches up at

camp.

Injury/Illness

Any participant shall remain home from camp if they have had any

of the following in the past 24 (twenty-four) hours:

Contagious condition (fever, diarrhea, undiagnosed rash,

chicken pox, pink eye, head lice, etc.).

Physical injury that permits the participant from safely

participating in camp.

If a participant demonstrates any of the above symptoms at camp,

the parent/guardian will have one hour to up the participant from

camp. If the participant becomes sick during camp, they will be

separated from the camp until they are picked up. A participant

must be 24 hours symptom free before returning to camp or

written document has been received that the participant is no

longer contagious.

Late Pick-Up

If a participant is not picked up by 6 pm, they will be charged a

late fee. The late fee is: $5 for the first 10 (ten) minutes late, then

$1 per minute, per child, afterwards. Continual late pick-ups can

result in dismissal from camp.

Babysitting

Babysitting arrangements with current or former Town of

Rolesville staff are separate and independent from any Town of

Rolesville program. The Town of Rolesville will not be liable or

responsible for any claims in regards to babysitting activities.

Behavior Management

We encourage the use of positive reinforcement for behavior

management. For behavior problems, our department practices

the following:

1. Participant given a verbal warning about behavior.

2. If behavior persists, it will be communicated with the parent/

guardian to see what strategies can be developed as a

solution.

3. If behavior continues, an incident report will be written.

4. Additional behavior concerns will result in a second incident

report and a 2-day suspension from camp.

5. If behavior persists, a third incident report will be written and

can include participant dismissal from camp without refund.

6. For serious offense such as, bullying, verbal threats,

possession of weapons, safety issue, the participant can

face immediate dismissal from camp without refund.

Camp Reminders

Bring a lunch and two snacks to camp everyday along with

drinks. Bring a bathing suit and/or change of clothes on swim

days. Pack a change of clothes daily, if needed.

Confirmation

Please see page 2 for confirmation information.

Dress Code

Participants are encouraged to wear comfortable, cool clothing

and athletic shoes. If inappropriate attire is worn and prohibits

the participant from participating in camp activities, the parent/

guardian may be asked to bring appropriate clothing or be

required to pick up the participant.

Unacceptable Attire: Flip-flops/sandals, spaghetti straps, clothing

with drug, tobacco, gang, sexual or alcohol references or

pictures, excessively tight or loose clothing, Crocs, 2-piece

bathing suits.

Electronic Devices

No electronic devices are allowed (cellphones, MP3 players,

gaming devices, tablets, etc.) Staff reserves the right to

confiscate such devices from participants and will be returned to

the parent/guardian at the end of the day. The Town of

Rolesville is not responsible for lost or stolen electronic devices.

Camp Policies

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Lost/Stolen Items

The Town of Rolesville is not responsible for any personal items

lost, stolen or left at camp.

Non-Discrimination

The Town of Rolesville Parks & Recreation Department does not

discriminate on the basis of race, color, national origin, sex,

religion, age, sexual orientation or disability in employment

opportunities or the provision of services, programs or activities. A

participant alleging discrimination on the basis of any of the

aforementioned areas may file a complaint with the Director of the

Rolesville Parks & Recreation Department.

Participant Sign-Out

Legal guardians and other individuals listed on the participant

registration form as an authorized pick-up person will be required

to show valid photo ID listing their name and address to verify a

person’s identity. Parent/guardian should inform staff of any

changes to the authorized pick-up list in writing as soon as

possible. Only parents/guardians whose signature is on the

registration form will be authorized to make changes to person’s

listed as authorized pick-up. Parent/guardian should notify staff

is someone is not on the authorized pick-up list will be picking up

the camper and will be required to show a valid picture ID.

Participants will not be released without proper photo ID and/or

confirmation of pick-up by the parent/guardian.

Payment

Please see page 5 for payment information.

Personal Care

The Town of Rolesville does not provide personal care for

participants. Town of Rolesville staff cannot assist in the

toileting of participants or help with dressing. All participants are

potty trained and must be able to change their clothing, if soiled.

If a toileting accent occurs, a change of clothes must be brought

to the camp within one hour of the incident. If accidents become

routine, participants may be dismissed from camp.

Photography/Video Waiver

Pictures or video clips may be taken by Town of Rolesville staff

while involved with Town sponsored programs. By enrolling

participant into camp, the Parent/guardian expressly grants the

Town of Rolesville permission to use such pictures and video

clips for marketing materials, training and other program

activities. Participant names and/or information will not be

disclosed when used by Town of Rolesville staff.

Release and Indemnity Agreement

I, the parent/guardian of the above named participant, do hereby

give my permission for his/her participation in the Rolesville

Parks and Recreation program. I assume all risks and hazards

incurred in the conduct of activities, and transportation to and

from activities, if any. I further hereby release, absolve,

indemnify and hold harmless the Rolesville Parks & Recreation,

its employees, staff and volunteers acting on behalf of the

Rolesville Parks & Recreation. In the event of an injury to my

child, I agree to allow the persons acting on behalf of the

Rolesville Parks & Recreation to seek medical attention in my

absence. I further agree to follow all rules and procedures of the

program and to follow the reasonable instruction from Rolesville

Parks & Recreation staff. I/we certify that we have read and

agree to the terms stated above and that the information is

correct to the best of my/our knowledge.

Refunds

A refund request form must be completed and received by Parks

and Recreation staff 14 days or more before the program start

date. Those received 14 days or more in advance are entitled to:

100% refund if the department cancels the program

100% refund (minus the weekly $25 non-refundable

deposit), for requests received in writing 14 days or more

before camp week start date.

Non-attendance or non-participation does not entitle a

patron to a refund.

Registration Fees & Deposit

Day Camp: $105.00 for Residents and $125.00 for

Non-Residents, per week, per child.

Summer Safari: $230.00 for Residents and $250.00 for

Non-Residents, per week, per child.

A $10.00 late fee will be added to registrations received 2

weeks or less before the camp start date.

A $25.00 (residents) or $40.00 (non-residents) non-

refundable deposit will be due (per child, per week) at the

time of registration. It is applied toward your total balance

but non-refundable if you withdraw from that week of camp.

Camp Policies

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Schedule Changes

The Town of Rolesville reserves the right to alter schedules, fees,

field trips and instructors as necessary. Camps are subject to

cancellation if minimum enrollment numbers are not met.

Sunscreen & Insect Repellent

Parents are encouraged to apply sunscreen and/or insect

repellent on campers before arriving at camp. Campers are

allowed to bring their own personal sunscreen and/or insect

repellent to camp provided that it is labeled with their name and

they are able to apply it to themselves. Staff cannot assist with

the application and campers cannot share sunscreen or insect

repellent.

Swimming

Pool staff will conduct a swimming test for all program

participants. Non-swimmers and those that do not pass the swim

test will wear lifejackets. Staff reserves the right to place a

camper in a lifejacket in the interest of safety. Parents/

guardians may request their child wear a lifejacket regardless of

the swim test results.

The swim test will require all participants to swim the length of

the pool without touching the bottom or sides or needing

assistance. Town staff will keep track of those that have passed

the swim test and those that need to wear a lifejacket.

Transfers/Withdrawals

If you need to transfer from a week of camp, it must be sent in

writing via e-mail to: [email protected]. If you need to

withdraw from a week of camp, a refund request form must be

filled out and brought to the Parks & Recreation Office or it can

be e-mailed to: [email protected].

Waitlist Notifications

If a spot becomes available in camp, participant will be notified by

telephone and e-mail by Town of Rolesville staff. They will have 24

hours to accept the space and make payment. If notification is

not received from the parent/guardian within 24 hours staff will

move on to the next person on the waiting list.

Questions?

If you have any questions, please contact Town of Rolesville Parks

and Recreation staff at 919-554-6582.

Follow us on Social Media

www.facebook.com/RolesvilleNC

www.twitter.com/Rolesville

www.instagram.com/RolesvilleNC

www.youtube.com/user/TownOfRolesville

Camp Policies

“I personally was extremely happy that in

the case of extreme heat you kept the

kids inside for the afternoon. And my two

girls were also happy about it. During

their week at Rolesville, they came home

happy - tired from a full day of camp but a

good tired, not an exhaustive tired.”

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Sample Camp Schedule