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Summer Camp ● Aleph Camp ● Repair the World Farm to Table
Cooking Camp ● Tutus’ & Jordan’s Dance Camp ●
Games Camp Unplugged ● Mr. Antonio Presents…
June 1st through August 14th
Dear Families,
Welcome to J Camps! We are thrilled that you have chosen our
camps for your children this summer. The York Jewish Community
Center has been a huge part of the camp scene in York County for
the past 35 years and we are looking to make some big changes for
summer 2020! One of our new goals for this summer is to strengthen
what is already great about our J Camps, while offering NEW
specialty camps and programs throughout the summer.
While we are excited to be offering these new specialty camps,
we have not forgotten about our camp located at the York JCC!
Inside this registration packet, you will see many of the changes
to our programming, what to expect on any given day at camp, and
how to register.
We know how important it is for students to have a safe and
welcoming environment. At the York JCC, it is our priority to
ensure that each child and family that take part in our camp is
treated with respect, kindness, and an enthusiastically positive
approach! We also want to provide campers with every chance to get
something out of their summer that is unique, valuable, and
experiential. Thank you for taking the leap with us and letting us
show your children how great summer camp can be!
Fun, friendship, and adventure await with our J Camps!
Erica Grudi
Phone: (717)843-0918
Fax: (717) 843-6988
Email: [email protected]
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Meet your NEW Camp Director...
Hello, I’m Erica Grudi and I am super excited to be your new
Camp Director. I began my journey with the JCC during my internship
for my Bachelors in Human
Development and Family Studies in 2012. After completing my
internship, I came on full time in November 2013 as an Assistant
Teacher in the Early Childhood Department with 3 & 4 year olds.
After the expansion in 2015, I
became a Lead Teacher in a 3/4’s classroom and eventually found
my permanent home for the past 4 years in a 4/5’s classroom. In my
spare time, I am
a Dance Teacher at a local studio as well as here at the JCC in
our Youth Fitness Department. I am a lover of food, music,
traveling and all Pittsburgh
Sports Teams. I am looking forward to an amazing summer and
helping to create memories that will last forever!
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New This Year!! ● On top of all the fun and action happening at
camp, J Camps is pleased to announce that we will be offering
several Specialty Camps! These camps are held at different times
during the summer and are separate fromregular camp. Space is very
limited, so be sure to sign up early!
Farm to Table Cooking Camp (Students 4-12 years old)
Bring your young chef culinary experience to life through the
use of locally sourced
ingredients. Campers will explore how to cook a farm-fresh meal
from the ground up using
ingredients that are in season and locally grown in the
surrounding area.
Date: July 13nd through July 17th. Time:
AM Session: 9 am – 12 pm, Ages 4 – 7 PM Session: 1 pm -4 pm,
Ages 8 - 13
Rates: M $155 | NM $175
Tutus’ & Jordan’s Dance Camp (Students 4-12 years old)
Do you have what it takes to be graceful and have high energy
all in the same class? Campers will have the opportunity to express
themselves through different styles of dance and different forms of
music all while experiencing various
instructors. Date: June 22nd through June 26th.
Time: AM Session: 9 am – 12 pm, Ages 4 – 7 PM Session: 1 pm -4
pm, Ages 8 - 12
Rates: M $125 | NM $145
Games Camp Unplugged (Students 5- 12 years old)
This new summer camp makes board games cool again. Board games
are a fun way to learn social and emotional skills while still
challenging your brain cognitively. During these two weeks your
child will discover a whole new world and an endless supply of
board games. After exploring different types of games, your
child will have the opportunity to make their own. Whether you join
this summer camp for the cognitive challenge, the social
engagement,
or to find a unique creative outlet, you will not be bored!
Date: July 20th through July 24th & July 27th through July
31th Time: 9 am – 12 pm
Rates: M $125 weekly | NM $145 weekly
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Mr. Antonio presents, Cowboy Briley’s Be-bopping Backyard Music
Camp
Ages: 5 through 8 years
Are you ready for a high energy Drama Camp with the one and only
Mr. Antonio? This camp allows children’s creativity to explore how
animals move and the world they live in all while they gain a more
concrete understanding of the natural world and answer questions
like, “Do animals make music?”
Week 1: June 8th Week 2: June 15th Week 3: June 22nd Week 4:
July 6th
Time: 9 am - 3 pm Rates: M $235 | NM $245
Mr. Antonio’s Mystery Music, Movement Camp Ages: 6 through 10
years
Get ready for the ride of a lifetime with this explosive Drama
Camp with the one and only Mr. Antonio that allows children’s
creativity to explore the idea of outer space through music,
explore the uniqueness of earth and the universe, the concept
of
music and the different forms all while trying to understand the
statement, “space is only noise if you can hear it…”
Week 5: July 13th Week 6: July 20th Week 7: July 27th Week 8:
August 3rd
Time: 9 am – 3pm Rates: M $235 | NM $245
Full day care can be added to ALL Specialty Camps for an
additional fee. Camps running 9 am – 3 pm, for an additional $30
per week, care can be provided all day.
Camps running either 9 am – 12 pm or 1 pm – 4 pm, for an
additional $140 per week care can be provided all day.
CCIS Funding CANNOT be used for Specialty Camps.
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● Each week, campers choose from several Activity Blocks. These
blocks help campers develop and build uponskills and knowledge in a
variety of hands-on, fun, and active choices. Blocks include:
Soccer, Basketball, Yoga,Volleyball, Frisbee Games, Fitness, Mosaic
Art, Lego City, Kickball, Obstacle Course Challenge, Leisure
Sports,Baking, World Cooking, and more!
● Smaller group field trips are offered in addition to all-camp
trips to ensure more age-appropriate adventures!● NEW THIS
YEAR….WATER ACTIVITIES EVERY DAY! Campers will be able to
experience various water activities
daily through the weeks of Summer Camp.● J Camps is also part of
The Summer Camp Cup! This is a one-day sports and trivia event with
other camps in
York County! This is a special event that only happens once this
summer, so it should not be missed!
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Attached is the 2020 Camp at the J registration paperwork. J
Camps programming includes: Summer Camp (students entering
Kindergarten through 6th grade) and Repair the World Camp (students
entering grades 7 and 8). We look forward to sharing a summer of
play, growth, learning, and discovery with your child. To register,
please complete all of the required paperwork listed below and
submit with a deposit for each week registered (or payment in full)
to the Front Desk staff according to the dates listed above. Please
be sure to complete the paperwork carefully as packets with
incomplete/unreadable information will not be processed. Paperwork
must be received a minimum of five (5) business days prior to your
camper’s first day of camp to allow time for processing - a receipt
will be emailed to you from the business office confirming your
completed registration.
The J Camps Registration Packet Includes:
● J Camps Overview and Calendar● Registration Form with General
Release*● Payment Agreement*● CACFP Forms*● Behavior Agreement*●
Early Childhood Education Policies
* Complete in full and return at time of registrationAll
communication will be made via a weekly newsletter email. If you do
not have access to email, please notify Erica Grudi to make
alternative communication arrangements. At the end of May, your
camper will receive a Welcome Packet email including a list of
recommended items for camp, summer calendar, and any other
information you will need before the first day!
Aleph Camp (Students entering Kindergarten & 1st grade) Our
youngest camp will givecampers an opportunity to get a real taste
of what camp means while providing them with activities,
counselors, field trips, and an overall setting that is more geared
toward their needs. This is a fantastic way to familiarize campers
with all of the great aspects of a school-age camp in a smaller,
home-based setting. Aleph campers will participate in everything
that Camp has to offer but tailored to suit their needs! General
swim will be provided each week as part of registration! Breakfast,
lunch, and two snacks will be offered daily.
J Camp (Students entering 2nd through 6th grade) Campers will
enjoy an exciting summer offun, friendship, and learning at JCC
Summer Camp through a variety of sports, activities, field trips,
special events, swim, and many other options. Yes, OPTIONS! True,
we follow a regular schedule, but within that schedule, we want our
campers to have a say in what they do each day, since it is their
summer too! While at the JCC, campers may also sign up for sports
and swim programs outside of our camp. We will provide drop off and
pick up for any sports camp or swim lesson while here! General swim
will be provided each week as part of registration! Breakfast,
lunch, and two snacks will be offered daily.
Repair the World Program (Students entering 7th & 8th grade)
Get ready for asummer filled with fun, social action, and community
leadership! Loosely based on the Hebrew saying, “Tikkun Olam,”
Repair the World gives 7th and 8th grade students the chance to
implement and accomplish service projects of all kinds. RTW seeks
to take action in our community to bring awareness to certain
causes and programs. Through RTW, students learn about the
significance of volunteerism and the positive results that it
yields through community service projects, charity, and
fundraising. RTW participants are also take part in all of the
activities that Camp at the J has to offer! General swim will be
provided each week as part of registration! Breakfast, lunch, and
two snacks will be offered daily.
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Our Specialty Camp Instructors
Mr. Antonio Sarah Cahill Emma Nowak
A Day at Camp...At a Glance
Tentative summer camp schedule. More to be added as camp draws
near. Dates subject to change.
6:00 AM - 8:00 AM Start of Day / Early Drop-off / Breakfast 8:00
AM - 9:30 AM AM Group Activities / Art / All Camp Meeting
9:30 AM - 10:30 AM AM Group Activities / Art/ Snack
10:30 AM - 11:15 AM All Camp Activity / Color Wars
11:15 AM - 1:00 PM Lunch / Rest Period
1:00 PM - 2:00 PM Activity Blocks / Color Wars
2:00 PM - 4:00 PM PM Group Activities / Art / Snack
4:00 PM - 6:00 PM Outdoor Playscape / Field Games / End of
Day
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MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
Week Zero Get To Know Camp
June 1
FIRST DAY!
Swim Younger (2-3pm)
Swim Older (3-4pm)
2
Dallastown Last Day
3
YARCS Last Day
Aleph Swim (2-3pm)
4
Group Flag Creation!
Aleph Swim (10-11am)
5 First Flag Raise
Swim both groups (2-4pm)
Family Ice Cream Social
Week One STEM WEEK
June 8
COLOR WARS BEGINS!
Swim Younger (2-3pm)
Swim Older (3-4pm)
9
Sunrise Yoga Begins!
Sweet Frog (RTW) Color Wars
10
Camp Trivia! Donuts for Breakfast Aleph Swim (2-3pm)
11
Color Wars! Aleph Swim (10-11am)
12 Lego Derby Final Run
Rocket Launch Swim both groups
(2-4pm)
Week Two SPORTS WEEK!
June 15
National Smile Day!
Swim Younger (2-3pm)
Swim Older (3-4pm)
16
Sunrise Yoga Sweet Frog (Seniors)
RTW Trip - TBD
17
Gaga Tournament Color Wars
Aleph Swim (2-3pm)
18
Favorite Sports Team Shirt Day
Aleph Swim (10-11am)
19 RC Theatre- Aleph Camper Vs. Staff
Knock-out Swim both groups
(2-4pm)
Week Three THEATRE & STORY WEEK!
June 22
Swim Younger (2-3pm)
Swim Older (3-4pm)
23
Sunrise Yoga Sweet Frog (Juniors)
Color Wars
24
Hide the Matzo Challenge Aleph Swim (2-3pm)
25
Fictional Character Day Color Wars!
Aleph Swim (10-11am)
26 Storytelling Swarm Cookout-Seniors RC Theatre (RTW)
Swim both groups (2-4pm)
Week Four
AMERICA THE PROUD WEEK!
June 29
J Club Karaoke
Swim Younger (2-3pm)
Swim Older (3-4pm)
June 30
Sunrise Yoga Sweet Frogs (Aleph)
July 1
‘Mercia Day! Color Wars!
Aleph Swim (2-3pm)
2
J Camp Parade Aleph Swim (10-11am)
3 AM Movie-Aleph/Junior PM Movie-Senior/RTW Swim both groups
(2-4pm)
Week Five CHEF’S CLUB WEEK!
July 6
Swim Younger (2-3pm)
Swim Older (3-4pm)
7
Sunrise Yoga Steven Courtney (Aleph)
Color Wars!
8
Field Trip (TBD) Aleph Swim (2-3pm)
9
RTW Bake Sale Color Wars!
Aleph Swim (10-11am)
10 J Camp Scramble!
RC Theatre- Seniors Swim both groups
(2-4pm)
Week Six EXTREME WATER WEEK!
July 13
N a t i o n a l F r e n c h F r i e s D a y !
Swim Younger (2-3pm)
Swim Older (3-4pm)
14
Sunrise Yoga Sweet Frog
Camp Skills!
15
Wacky Wednesday Color Wars
Aleph Swim (2-3pm)
16
ALL CAMP WATER BALLOON BATTLE
Aleph Swim (10-11am)
18 Snow Day in JULY! RC Theatre- Seniors
Swim both groups (2-4pm)
Week Seven RIDICULOUSLY BIG ART
WEEK!
July 20
Swim Younger (2-3pm)
Swim Older (3-4pm)
21
Sunrise Yoga Sweet Frog-Juniors
22
Aleph Swim (2-3pm)
23 Capture the Flag (Seniors/RTW)
Color Wars! Aleph Swim (10-11am)
24
J Camp Art Gallery Tour
Swim both groups (2-4pm)
Week Eight
J CAMP OLYMPICS WEEK! July 27
Gymnastic Bus (Aleph)
Swim Younger (2-3pm)
Swim Older (3-4pm)
28
Sunrise Yoga Sweet Frog –Aleph
29 Camp Cup
Dance Party-Aleph/Juniors Aleph Swim (2-3pm)
30 Aleph Swim (10-11 am)
RTW Bake Sale Gymnastic Bus (Juniors)
J Club Information Desk
31 Swim both groups
(2-4pm)
Week Nine J CAMP SPIRIT WEEK!
August 3
ALL JCC HOT LAVA
Swim Younger (2-3pm)
Swim Older (3-4pm)
4
Sunrise Yoga J Camp Carnival!
Cookie Day Color Wars!
5
Fancy Day
Camp Raffle
Final Color Wars! Aleph Swim (2-3pm)
6
Final Color Wars Results! Counselor For a Day Winner
Aleph Swim (10-11am)
7
Variety Show Swim both groups
(2-4pm)
Week Ten J CAMP GREATEST HITS
WEEK!
August 10
National S’mores Day!
Swim Younger (2-3pm)
Swim Older (3-4pm)
11
LAST Sunrise Yoga J Club Karaoke
12
Captain’s Orders
J Club Information Desk Aleph Swim (2-3pm)
13 Gaga Tournament
Aleph Swim (10-11am)
14 Swim both groups
(2-4pm)
SEE YOU ALL IN SUMMER 2021!
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Child Registration and Information Form Both sides of this form
MUST be completed in their entirety!
Incomplete registration packets will be returned and the
registration will be cancelled.
Program Registration InformationRegistration for: S ummer Camp -
mark grade entering in Fall 2020: K indergarten 1st 2nd 3rd 4th 5th
6th
Summer Camp ~ Repair the World - mark grade entering in Fall
2020: 7th 8th Specialty Camp (core hours for specialty camp or full
day)
Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th
Weeks attending: Week 0 – June 1 Week 1 – June 8 Specialty Camp
Only Full Day Week 6 – July 13 Specialty Camp Only Full Day Week 2
– June 15 Specialty Camp Only Full Day Week 7 – July 20 Specialty
Camp Only Full Day Week 3 – June 22 Specialty Camp Only Full Day
Week 8 – July 27 Specialty Camp Only Full Day Week 4 – June 29
Specialty Camp Only Full Day Week 9 – Aug 3 Week 5 – July 6
Specialty Camp Only Full Day Week 10 – Aug 10
Name: Gender: Birthdate:
Street Address:
City/State/Zip: Home Phone:
Parent Information – Both Parent 1 and 2 will be assumed Child
Release and Emergency Contact persons unless checked below. Parent
/ Guardian 1 Parent / Guardian 2
Permissions NOT Child Release NOT Emergency Contact NOT Child
Release NOT Emergency Contact
Legal documentation must be provided in order for compliance.
Info on file:
Legal documentation must be provided in order for compliance.
Info on file:
Name DOB: DOB:
Street Address
City/State/Zip
Company Name
Work Address
Work City/State/Zip
Home Phone
Work Phone
Cell Phone
Email Address* * ALL communications including newsletters,
calendars, updates, schedule changes, menus, will be sent via email
to this email address.
Health Information – COMPLETE INFORMATION REQUIRED – BLANK
SPACES CONSIDERED N/AHealth Insurance: Group/Policy/ID #:
Medical Care Provider: Phone:
Address: Hospital:
Allergies:
Medication:
Health Concerns:
Medical Instruction in an Emergency:
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JCC Staff Initials/Date/Time Received Staff Verification of N/A
Initials & Date Complete Reverse Side Certification regulations
require signatures after the following statements: Signature
I give my consent for the JCC to administer minor first aid
procedures to my child. Yes No SIGNATURE I give my consent for the
JCC to transport and to obtain emergency medical care for my child.
Yes No SIGNATURE I give my consent for staff to apply JCC provided
sunscreen to my child. Yes No SIGNATURE I will provide a clearly
labeled container of sunscreen for my child. Yes No SIGNATURE I
give my consent for my child to swim wade go on walks go on trips
Yes No SIGNATURE
Emergency Contact Information – in the event that we are unable
to contact listed Parents/Guardians
Emergency Contact
Authorized Pick Up Name
COMPLETE Address Required! Name will not be added to list if
address is
incomplete. Relationship Phone/Cell Phone
*Additional persons may be added by completing a form at the
Front Desk. Children will not be released to persons whose names
and addresses are not on file.
Individual Education Plans (IEP) and Individualized Family
Service Plans (IFSP) Our Keystone STARS Performance standards
require that we have copies of existing IEPs, IFSPs, and behavioral
plans on file for children enrolled in our School, Child Care and
School Age/Camp programs. If your child has an educational or
behavioral plan in place, through a school, other child services
organization, or through private testing and therapists, it is
additionally important for our staff to have this information
available in order to care for and educate them in the best way
possible. The information on these forms is protected by privacy
laws, including the Health Insurance Portability and Accountability
Act (HIPAA). We require each member of our teaching teams to sign a
Confidentiality Agreement and instruct our teachers to discuss
useful confidential information only in relation to a child’s care
and education. My child does not have a special care or educational
plan. I have attached a copy of my child’s current IEP, IFSP,
Behavioral Plan, or 504 Plan. My child has/will have an IEP, IFSP,
Behavioral Plan, or 504 Plan. I will provide a copy by (date)
Is there anything else you would like us to know?
General Release I,______________________________________, hereby
affirm that I am the parent or legal/natural guardian of
___________________________________ (who shall hereinafter be
referred to as “Participant"). In that capacity, I acknowledge that
I have been fully informed about the nature and specific activities
in which the Participant will engage as part of the JCC School Age
Child Care programs (hereinafter "the Programs"). I understand that
the Programs vary based upon program location and include, but are
not limited to, supervised activities as follows: Recreational
swimming; activities in gymnasium, cafeteria, auditorium, fitness
center, and outdoors in age-appropriate areas which include
climbing structures; community field trips; and cooking,
woodworking, and art projects. I agree that participation in the
Programs and other services and activities is purely voluntary and
shall be undertaken at Participant’s sole risk, and the JCC, its
servants, agents or employees shall not be liable for, and are
hereby released from, any claim, demands, actions, or causes of
action whatsoever for injuries, illnesses or damages to the
Participant’s person or property arising out of or in connection
with the Participant’s participation in the Programs or other use
of the services and/or facilities of the JCC.
Signature of Parent or Guardian Printed Name of Parent or
Guardian Date
United Way Community Partner
We are required to provide the following information. It is
confidential and exclusively for reporting purposes. ANNUAL
HOUSEHOLD INCOME < $15,000 $15,000-$24,999 $25,000-$49,999
$50,000-$74.999 Over $75,000 RACE-ETHNICITY Asian Hispanic/Latino
Am.Indian/Alaska Native White (not Hispanic/Latino) Black/African
American Other
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Initial
Payment Agreement
SELE
CT
Summer Camp Grade entering in Fall 2020: Kindergarten 1st 2nd
3rd 4th 5th 6th
Repair the World Camp Grade entering in Fall 2020: 7th 8th
Specialty Camp Grade entering in Fall 2020: Kindergarten 1st 2nd
3rd 4th 5th 6th 7th 8th
Camper Name:
Parent/Guardian:
Fall 2019 School District: York Suburban Dallastown YARCS Logos
Academy Other:
Please see the next page for camp rate sheet. Rates are through
April 3, or after April 3. Please note that specialty camps have
specific hours; select Full Day camp to provide wrap around care
which covers the hours outside of specialty camp between 6am and
6pm.
Sibling Discount Rate – Reduced rate for multiple children in
the same household, starting with the second child enrolled.
*Deferred Deposit – Currently enrolled year-round Child Care and
SACC families ONLY. Balance to be drafted with weeklypayment.
Existing unpaid account balances must be paid in full prior to
registration for camp.
Payment Policies1. Direct payment of your total weekly balance
as listed above will be made by your financial institution on each
Monday
of the weeks indicated. Additional fees, including, but not
limited to, returned draft or late fees will also be charged as
required, without additional authorization.
2. Deposits are non-refundable and non-transferable.3. This
arrangement will be in effect for the weeks indicated above and can
be cancelled upon receipt of a completed
Change of Status Form notifying the York JCC ten (10) business
days in advance of your child’s withdrawal from theprogram.
1. 4. Returned Payment Policy: Accounts are subject to a $10
returned payment fee in the event that a check/automatic bank
draft/ACH/credit card payment is not approved or returned due to
insufficient funds or failure to notify us of a closed account.
5. **The Sibling Discount Rate is only applied to any second
sibling or more from the same address.
6. Changes to account information require ten (10) business
days’ written notice to the York Jewish Community Center inorder to
process.
Payment Method Authorization (choose one and attach required
information): Checking Account Transfer - voided blank check must
be attached (in addition to payment check) Savings Account Transfer
- account documentation must be attached (in addition to payment
check) Credit Card Charge - card imprint must be attached (Business
Office is required to keep credit card imprints. When
submitting this form, please ask a service associate to make an
imprint of your card for our files. Imprints are maintained for the
sole purpose of this authorization and are kept confidential and
secure.)
By signing this agreement, you indicate your approval and
acceptance of all the above terms and conditions and your
willingness to be legally bound thereby.
SIGNATURE OF PARENT/GUARDIAN DATE
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W
eeks
Atte
ndin
g Summer Camp and Repair the World Camp DEPOSIT DUE
Summer Camp/Repair the World Camp
Until April 3 Member Rate
Until April 3 Non-Member
Rate After April 3 Member Rate
After April 3 Non-Member Rate
Required at time of
registration
Weekly Balance to be
Drafted
First Child Sibling Rate First Child Sibling Rate First
Child
Sibling Rate First Child
Sibling Rate CCC
Week 0 – June 1 $235 $220 $245 $235 $250 $240 $260 $250 - $25 =
Week 1 – June 8 $235 $220 $245 $235 $250 $240 $260 $250 - $25 =
Week 2 – June 15 $235 $220 $245 $235 $250 $240 $260 $250 - $25 =
Week 3 – June 22 $235 $220 $245 $235 $250 $240 $260 $250 - $25 =
Week 4 – June 29 $235 $220 $245 $235 $250 $240 $260 $250 - $25 =
Week 5 – July 6 $235 $220 $245 $235 $250 $240 $260 $250 - $25 =
Week 6 – July 13 $235 $220 $245 $235 $250 $240 $260 $250 - $25 =
Week 7 – July 20 $235 $220 $245 $235 $250 $240 $260 $250 - $25 =
Week 8 – July 27 $235 $220 $245 $235 $250 $240 $260 $250 - $25 =
Week 9 – Aug 3 $235 $220 $245 $235 $250 $240 $260 $250 - $25 = Week
10 – Aug 10 $235 $220 $245 $235 $250 $240 $260 $250 - $25 =
Specialty Camps Specialty Camp Member Rate Non-Member Rate - $25
= Drama – June 8 (Ages 5-8) 9am-3pm $235 Full Day $265 9am-3pm $245
Full Day $275 - $25 = Drama – June 15 (Ages 5-8) 9am-3pm $235 Full
Day $265 9am-3pm $245 Full Day $275 - $25 = Drama – June 22 (Ages
5-8) 9am-3pm $235 Full Day $265 9am-3pm $245 Full Day $275 - $25 =
Drama – July 6 (Ages 5-8) 9am-3pm $235 Full Day $265 9am-3pm $245
Full Day $275 - $25 = Drama – July 13 (Ages 6-10) 9am-3pm $235 Full
Day $265 9am-3pm $245 Full Day $275 - $25 = Drama – July 20 (Ages
6-10) 9am-3pm $235 Full Day $265 9am-3pm $245 Full Day $275 - $25 =
Drama – July 27 (Ages 6-10) 9am-3pm $235 Full Day $265 9am-3pm $245
Full Day $275 - $25 = Drama – August 3 (Ages 6-10) 9am-3pm $235
Full Day $265 9am-3pm $245 Full Day $275 - $25 = Dance – June 22
(Ages 4-7) 9am-12pm $125 Full Day $265 9am-12pm $145 Full Day $285
- $25 = Dance – June 22 (Ages 8-12) 1pm-4pm $125 Full Day $265
1pm-4pm $145 Full Day $285 - $25 = Cooking – July 13 (Ages 4-7)
9am-12pm $155 Full Day $295 9am-12pm $175 Full Day $305 - $25 =
Cooking – July 13 (Ages 8-12) 1pm-4pm $155 Full Day $295 1pm-4pm
$175 Full Day $305 - $25 = Games – July 20 (Ages 5-12) 9am-12pm
$125 Full Day $265 9am-12pm $145 Full Day $285 - $25 = Games – July
27 (Ages 5-12) 9am-12pm $125 Full Day $265 9am-12pm $145 Full Day
$285 - $25 =
Specialty camp activities run only during the designated hours.
Full Day camp rates add standard camp activities in the hours
outside of specialty camp hours and runs 6am-6pm.
TOTAL DEPOSIT DUE AT REGISTRATION
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Child and Adult Care Food Program Sponsor/Center Name: York
Jewish Community CenterChild Enrollment Form Agreement #:
312-67-001-2
ENROLLMENT FORM FOR CHILDREN IN CHILD CARE (SAMPLE) This
document does not have to be completed for children in Emergency
Shelters, Outside School Hours, and/or At-Risk programs. It is
recommended to have new CACFP Annual Enrollment Forms completed
each year during the Household Eligibility Application renewal
period. Review completed enrollment form and enter the effective
date in lower right hand section. PARENTS: This institution
participates in the Child and Adult Care Food Program (CACFP) and
receives reimbursement to provide more nutritious meals for your
child(ren). Federal CACFP regulations require all parents and
guardians to complete a CACFP Annual Enrollment Form when enrolling
their child(ren) and again every year thereafter. This information
will help ensure all children receive appropriate meals during
their care. Please complete all areas to include signing and dating
same.
FULL NAME OF ENROLLED CHILD (Include Birth Date/Age
DAYS OF WEEK IN ATTENDANCE
TIMES CHILD NORMALLY ATTENDS DURING WEEK
MEALS RECEIVED TIME-IN TIME OUT TIME CHILD ATTENDS
SCHOOL
AM PM TIME AM PM TIME LEAVES CENTER
RETURNS TO CENTER
FIRST CHILD MONDAY
TUESDAY
NAME WEDNESDAY Yes No I work multiple shifts and child(ren) may
be in care different days/hours BREAKFAST
THURSDAY Other:
Enrollment Date: Withdrawal Date:
A.M. SNACK
BIRTH DATE FRIDAY LUNCH
SATURDAY P.M. SNACK
AGE SUNDAY SUPPER
EVENING SNACK
Signature
Signature of Parent or Guardian Date Telephone Number of Parent
or Guardian
In accordance with Federal civil rights law and U.S. Department
of Agriculture (USDA) civil rights regulations and policies, the
USDA, its Agencies, offices, and
employees, and institutions participating in or administering
USDA programs are prohibited from discriminating based on race,
color, national origin, sex,
disability, age, or reprisal or retaliation for prior civil
rights activity in any program or activity conducted or funded by
USDA.
Persons with disabilities who require alternative means of
communication for program information (e.g. Braille, large print,
audiotape, American Sign Language,
etc.), should contact the Agency (State or local) where they
applied for benefits. Individuals who are deaf, hard of hearing or
have speech disabilities may contact
USDA through the Federal Relay Service at (800) 877-8339.
Additionally, program information may be made available in
languages other than English.
To file a program complaint of discrimination, complete the USDA
Program Discrimination Complaint Form, (AD-3027) found online
at:
http://www.ascr.usda.gov/complaint_filing_cust.html, and at any
USDA office, or write a letter addressed to USDA and provide in the
letter all of the information
requested in the form. To request a copy of the complaint form,
call (866) 632-9992. Submit your completed form or letter to USDA
by:
(1) mail: U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW Washington, D.C. 20250-9410;
(2) fax: (202) 690-7442; or
(3) email: [email protected].
This institution is an equal opportunity provider.
CHILD CARE REPRESENTATIVE USE ONLY:
_________________________
Name of Representative/Signature Date
The effective date can be made retroactive back to the first day
the child participates in the CACFP as long as it occurs in the
same month this form is received.
Mandatory Form - Please Fill Out Completely
Early Years Discovery Camp (3-6 Years Old)
Aleph (Kindergarten - 1st Grade)
Junior (2nd - 4th Grade)
Senior (5th - 6th Grade)
Repair the World (7th - 8th Grade)
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JCC Summer Camp - Camper Behavior Contract
In creating a stronger and more nurturing environment for our
entire camp community, Camp J believes that a Camper Behavior
Contract is a vital piece to ensure that campers, their families,
counselors, and directors are all moving forward with the same
positive goals in mind. It is essential that campers are given
every opportunity to thrive at our camp, feel safe, and have
lasting memories. It is our goal to support each camper to the best
of our abilities and to find any avenue for their collective
success. Upon signing this document, both the camper and
Parent/guardian agree to the guidelines set forth and the
actions issued if this contract is not followed.
● As a Camper and Parent/Guardian, I will respect myself, the
camp, other campers, all JCC counselors/staff, the JCC buildings,
and any other location I may visit while attending camp. This means
that I will speak to others in a respectful manner and tone of
voice.
● As a Camper, I will follow the directions of my counselors and
all JCC camp counselors/staff. ● As a Camper and Parent/Guardian, I
understand that any electronics such as, but not limited to, cell
phones,
tablets, smart devices, and laptops should be left at home or
given to counselors to hold for the day in extreme cases. The JCC
is not responsible for any lost or stolen items.
● As a Camper, I will respect the personal space of others and
keep my body to myself. ● As a Camper, I understand that
disrespectful behavior includes, but is not limited to, hitting,
teasing, taunting,
threatening, bullying, punching, kicking, biting, vandalizing,
stealing, swearing, lying, and refusing to listen to the JCC
counselor/staff.
● As a Camper, I agree to follow all JCC camp rules including
those that are not listed on this behavior agreement or rules set
forth by my camp director and counselors during the camp day.
● As a Parent/Guardian, I will share the information provided on
this page with any other parent/guardian and/or person who is
authorized to drop off or pick up my camper(s).
JCC Summer Camp utilizes the following actions if any of the
above is broken:
● First Occurrence – The first occurrence will result in an
Incident Report and/or phone call home. A counselor will
explain to the parent/guardian what happened and why such
behavior is not acceptable. Staff will work with the camper to set
a plan for better behavior. As a staff, we will ensure that every
incident is viewed from all sides before making assessments. In the
case where severe behavior occurs, the child may automatically be
given one full day suspension from the program, without refund.
Parents/guardians will immediately pick up a dismissed camper from
our program upon notification.
● Second Occurrence – Depending on the severity of the incident,
the second occurrence may result in one full day
suspension or immediate expulsion from camp without refund, per
the discretion of the directors. Parents/Guardians will immediately
pick up a dismissed camper from our program upon notification.
When both camper AND parent/guardian feel comfortable that they
have read, discussed, and understand the above information, please
sign and date this form and return it with your camp registration
packet. Thank you in advance for helping us make J Camps a safe and
inviting space for all!
Camper Name: ____________________________________
Parent/Guardian Name: ____________________________________
Signature: _________________________________________ Signature:
_________________________________________________
Date: ______________________
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Early Childhood Education Policies Deposit and Registration
Fees
Child Care - One week's non-refundable and non-transferable
tuition is required at the time of registration to hold a space in
our child care program. This tuition will be applied to the child's
first week of attendance, but will be forfeited if child does not
attend by the scheduled start date or the parent fails to notify
the Early Childhood Director two weeks prior to their child’s start
date that their child is withdrawing from the program. A space in
our program cannot be held for longer than one week past the date
the JCC and family have planned for the child's first day of
attendance. If, after paying the registration fee, a family wishes
to delay the child's attendance for longer than one week; the
family will be given the option of paying tuition for each week of
delayed attendance to secure the space.
School for the Early Years (SFEY) – A $50 registration fee and a
deposit equal to one month’s tuition and must be submitted with
your registration form. This deposit is non-refundable and
non-transferable. If you withdraw your child from the school at any
time, you will not be refunded your registration fee or the one
month’s tuition.
School Age Child Care (SACC) – There is no deposit or
registration fee required for the SACC program.
Summer Camp – A deposit of $50 per week is due at the time of
registration. Cash deposits can be accepted after the registration
paperwork has been processed; however, registration is not complete
until the deposit is made. The weekly deposit amount will be
applied toward the weekly cost of camp. Deposits are non-refundable
and Non-transferable. Registration is on a first-come first-served
basis. Registration will not be accepted if there is an existing
unpaid account balance.
Tuition Payment The JCC Business Office will draft Child Care,
SACC, and Camp accounts every Monday and SFEY accounts on the first
Monday of each month. Additional fees, including, but not limited
to, returned draft or late fees will also be charged as required,
without additional authorization. Families who cannot make full
payment should contact our Business Office immediately to discuss
an acceptable payment arrangement. Delinquent accounts will result
in program suspension and eventual forfeiture of the child’s
program placement. Reapplication process will be necessary to
reenter the program. Financial assistance is available through the
JCC for all families who qualify. Please stop at our Front Desk for
a financial assistance form and to schedule an appointment with the
Financial Assistance Coordinator.
Late Pick-up Charges (Child Care (1s/2s, 3s, 4s/5s),
Kindergarten, SACC) The child care programs are open from 6:30 AM
to 6:00 PM for children in kindergarten through school age. The
3s/4s and 4s/5s rooms open at 7:00 AM and close at 6:00 PM. The
1s/2s Room opens at 7:00 AM and closes at 5:30 PM. A family
arriving after their child’s required pick up time may pay a late
fee per each five minute increment. A Teacher/facilitator will stay
to supervise the child until a family member or other authorized
adult comes to pick up the child if after 6:00 PM. A late fee may
be imposed on families arriving more than five minutes after their
child’s home base closing time. At the Director’s discretion, the
late fee of $5.00 per five minutes ($5.00 for 6–10 minutes, $10.00
for 11–15 minutes, etc.) may be applied. Please make every effort
to pick your child up by your child’s home base closing time.
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Children Six Years Old and Under For anticipated late arrivals,
the Babysitting Room can accommodate child care children ages 2
months to 6 years old on Monday – Thursday until 8:00 PM with a
reservation by noon the day before service. If you are running late
at work unexpectedly, you are welcome to call the Babysitting Room
and reserve a spot if one is available. Please let the child care
staff know of your arrangements and we will walk your child to the
Babysitting Room. The Babysitting R o o m uses the same Emergency
Contact Information card as we do. With your permission, child care
staff will be happy to provide the Babysitting Room with a copy of
your emergency information. Also, please be prepared to identify
yourself with a photo ID when you pick up your child.
The Babysitting Room Cost/Payment is based on your child’s
membership status. Family and Single Parent Family members receive
10 Hours of free babysitting monthly and can pick up a babysitting
card at the front desk. Parents may pay each day they use the
babysitting room or purchase a 10-hour Babysitting Card. Payment
for babysitting or the purchase of babysitting cards must be done
at the Front Desk only. Payment is due the day of your child’s
stay. For a “per hour” purchase of babysitting time, a receipt will
be given to the parent to give to the nursery staff. Babysitting
Cards will be left in the nursery. It is the parent’s
responsibility to check their cards to be sure they have time left.
Any unused babysitting time on Babysitting Cards cannot be
reimbursed, refunded, or credited. If you won’t be using 10 hours,
you don’t want to purchase the card. Parents owing 2 hours or 2
days must buy a new card/more time before they bring their child
back into the Babysitting Room. If the Babysitting Room is full and
cannot take your child, please make every effort to reach the JCC
by your child’s home base closing time or to contact a friend,
neighbor, or relative listed on your child’s Emergency Contact
Information Card.
Absences Refunds cannot be provided for days on which your child
is absent. We are prepared for each child each day, whether or not
the child attends.
JCC Closings Weekly tuition payment is a consistent fee,
regardless of holidays, emergency weather closings or other JCC
closings. Every effort is made to hold our fees as low as possible
without degrading the quality of care our program offers your
children. We urge you to view tuition payments as a yearly
commitment to the care and early education of your child and not in
terms of numbers of days of attendance.
School Closings (SACC) Families must pre-register on a provided
sign-up sheet for child care on scheduled school closing days.
Please refer to the Child Care Fee Structure for payment
details.
Withdrawals We require two weeks’ notice to withdraw a child
from the child care program. We appreciate one month’s notice.
Please obtain a Change of Status for Child or Family Form from the
front desk, Early Childhood lobby, or SACC mailbox area and return
the completed form to the front desk or a drop box. The JCC
requires a tuition payment for two weeks following notice of
withdrawals whether or not the child attends the child care program
during that period.
Vacations (Child Care (1s/2s, 3s, 4s/5s, Kindergarten), SACC)
Child care families may take 1 tuition-free vacation week per
program year. Vacation requests can be made by obtaining a Change
of Status for Child or Family form from the front desk, Early
Childhood lobby, or SACC mailbox area and returning the completed
form to the front desk or a drop box so that you will not be billed
and the staff will not be puzzled or worried by your child's
absence, with no risk of forfeiting your child’s placement in the
program.
Start-up and Final Weeks of School (SACC) Many school schedules
begin and end with a partial week of school. Families enrolled in
the Before and After and After-School programs will pay their
weekly tuition rate. Families enrolled in the Before School program
will pay our full day rate for full days of care and a prorated
before school rate for the day’s school is in session.
The J Camps Registration Packet Includes:Our Specialty Camp
InstructorsMr. Antonio Sarah Cahill Emma NowakA Day at Camp...At a
GlanceChild Registration and Information FormBoth sides of this
form MUST be completed in their entirety!Camper Name:
____________________________________ Parent/Guardian Name:
____________________________________Tuition PaymentLate Pick-up
Charges (Child Care (1s/2s, 3s, 4s/5s), Kindergarten, SACC)Children
Six Years Old and UnderAbsencesJCC ClosingsWithdrawalsStart-up and
Final Weeks of School (SACC)
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