Dear Campers and Parents, Please chose which session(s) your child will attend, you may send the completed registration form with the required $50 non-refundable payment for each session. We will not hold a space for your child unless we receive the deposit. Please return your balance due with your completed forms by June 5. Balances and completed forms must be received prior to the first day of camp, as campers will not be allowed to start camp without complet- ing this process. Checks should be made payable to Playful Minds. Also we are now accepting Visa or MasterCard. Playful Minds highly recommends families to sign-up for Tuition Express. This will help eliminate the long lines during morning drop-off. We are so excited to start our summer adventures! Sincerely, Paige Thompson-Westcott REMEMBER CAMPERS ARE GROUPED BY AGE WHICH RANGES FROM 5 YEARS OLD TO 14 YEARS OLD FORMS TO BE COMPLETED: (attached) Camper Expectation (required yearly) Emergency Card Information (required yearly) Certificate of Immunization (required if not currently on file) Date of Last Physical (must be within the past two years) Authorization to Administer Medication to a Camper (required yearly) Tuition Express (Recommended) ITEMS TO REMEMBER FOR CAMP Swimsuit and towel each day (water play) Extra set of clothing (Please label all of your child’s belongings. We are not responsible for lost articles.) Application of SPF 15 or greater needs to be applied before arrival of camp each day. Also you need to supply the camper with the SPF 15 or greater so that it can be re-applied during camp. Please no cell phones or electronic equipment. We are not responsible for broken/lost phones, iPods, etc. Forms must be in on June 5th before camp starts. Campers will NOT be allowed to attend without the above forms completed. DROP OFF Arrival to camp is 8:30 AM. Please park and walk your child to his/her councilor PICK UP Dismissal from camp is 4:00 PM. Please make sure your camper is signed out daily. Please be aware that there is a charge for late pick up. PRE CAMP Pre Camp will run daily from 6:30 AM to 8:30 AM please meet at the picnic tables and remember to sign in and leave pay- ment with the counselor POST CAMP Post Camp will run daily from 4:00 PM to 5:30 PM. Please pick your camper up at the picnic tables. PLEASE PAY ATTENTION TO OUR DROP OFF AND PICK UP PROCEDURES You must sign your child into his/her group. All payments are due Monday mornings for the current week of care (no exceptions) We do not have an out door phone so if needed please call Camp Director Paige Westcott can be reached directly on her cell phone or please call the main office: (413) 301-8860 or Paige's cell at 413-636-5696.
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Dear Campers and Parents,
Please chose which session(s) your child will attend, you may send the completed registration form with the required $50 non-refundable payment for each session. We will not hold a space for your child unless we receive the deposit. Please return your balance due with your completed forms by June 5. Balances and completed forms must be received prior to the first day of camp, as campers will not be allowed to start camp without complet-ing this process. Checks should be made payable to Playful Minds. Also we are now accepting Visa or MasterCard. Playful Minds highly recommends families to sign-up for Tuition Express. This will help eliminate the long lines during morning drop-off.
We are so excited to start our summer adventures! Sincerely, Paige Thompson-Westcott
REMEMBER CAMPERS ARE GROUPED BY AGE WHICH RANGES FROM 5 YEARS OLD TO 14 YEARS OLD
FORMS TO BE COMPLETED: (attached) Camper Expectation (required yearly) Emergency Card Information (required yearly) Certificate of Immunization (required if not currently on file) Date of Last Physical (must be within the past two years) Authorization to Administer Medication to a Camper (required yearly) Tuition Express (Recommended)
ITEMS TO REMEMBER FOR CAMP
Swimsuit and towel each day (water play) Extra set of clothing (Please label all of your child’s belongings. We are not responsible for lost articles.) Application of SPF 15 or greater needs to be applied before arrival of camp each day. Also you need to supply
the camper with the SPF 15 or greater so that it can be re-applied during camp.
Please no cell phones or electronic equipment. We are not responsible for broken/lost phones, iPods, etc.
Forms must be in on June 5thbefore camp starts.
Campers will NOT be allowed to attend without the above forms completed.
DROP OFFArrival to camp is 8:30 AM. Please park and walk your child to his/her councilor
PICK UPDismissal from camp is 4:00 PM. Please make sure your camper is signed out daily. Please be aware that there is a charge for
late pick up.
PRE CAMPPre Camp will run daily from 6:30 AM to 8:30 AM please meet at the picnic tables and remember to sign in and leave pay-
ment with the counselor
POST CAMPPost Camp will run daily from 4:00 PM to 5:30 PM. Please pick your camper up at the picnic tables.
PLEASE PAY ATTENTION TO OUR DROP OFF AND PICK UP PROCEDURES
You must sign your child into his/her group.All payments are due Monday mornings for the current week of care (no exceptions)
We do not have an out door phone so if needed please call Camp Director Paige Westcott can be reached directly on her cell phone or please call the main office: (413) 301-8860 or Paige's cell at 413-636-5696.
SUMMER CAMP SCHEDULE & SPECIALTY ACTIVITIES - 8:30 AM to 4:00 PM
Specialty Activities (meet 3 to 5 days each week) $25 Theater Kids: Ages 5+ $25 French: Ages 8+ $150 Learn to Row: Ages 12+
WEEK OF JULY 29 - AUGUST 2 $175 Core Program
Specialty Activities (meet 3 to 5 days each week) $25 Theater Kids: Ages 5+ $25 Poetry: Ages 7+
WEEK OF AUGUST 8 - AUGUST 12 $175 Core Program
Specialty Activities (meet 3 to 5 days each week) $25 Theater Kids: Ages 5+ $25 New England Mills: Ages 6+
WEEK OF AUGUST 19 - AUGUST 23 $175 Core Program
Specialty Activities (meet 3 to 5 days each week) $25 Theater Kids: Ages 5+ $25 Cheerleading: Ages 5+ $25 Mad Science: Ages 5+
WEEK OF AUGUST 19 - AUGUST 23 $175 Core Program
Specialty Activities (meet 3 to 5 days each week) $25 Soccer: Ages 5+ $25 Theater Kids: Ages 5+ $25 Photography "People": Ages 7+
WEEK OF AUGUST 5 - AUGUST 9 $175 Core Program
Specialty Activities (meet 3 to 5 days each week) $25 Poetry: Ages 7+ $25 Theater Kids: Ages 7+ (Showtime workshop, Friday performance)
WEEK OF JUNE 24 - JUNE 28 $175 Core Program
Specialty Activities (meet 3 to 5 days each week) $25 Pioneer Days: Ages 6+
JULY 1, 2, 3, 5 (HAPPY JULY 4th) $175 Core Program
Specialty Activities (meet 3 to 5 days each week) $25 Theater Kids: Ages 5+ $25 Urban Art of the City: Ages 5+ $25 Photography "Nature": Ages 7+
WEEK OF JULY 8 - JULY 12 $175 Core Program
Specialty Activities (meet 3 to 5 days each week) $25 Public Speaking: Ages 8+
WEEK OF JULY 15 - JULY 19 $175 Core Program
Specialty Activities (meet 3 to 5 days each week) $25 Survival Week: Ages 5+ $25 Photography "Shape, Color, Texture": Ages 7+
WEEK OF JULY 22 - JULY 26 $175 Core Program
Please choose the WEEKS and SPECIALTY ACTIVITIES you would like your child to attend.
Camper Name: ___________________________Camper Age: ____________________________
YES, I need before camp program NO, I do not need before camp program YES, I need afterschool camp program NO, I do not need afterschool camp program
1. Campers are expected to be respectful to all Playful Minds counselors, administrators, peers and all other
Playful Minds staff at all times.
2. Campers are expected to be respectful to the property of Playful Minds and the property of others.
3. Campers are expected to wear clothes, SOCKS AND SNEAKERS at all times. You will need to provide
water shoes for out door play.
4. Campers are expected to always use pleases and thank you.
5. Campers are expected to clean up after themselves and throw out their trash.
6. Campers are expected to recycle whenever possible.
7. Campers are expected to use appropriate language at all times and are expected to not bully any other children.
8. Campers are expected to ask a counselor to go anywhere.
9. Campers are expected to take responsibility for their actions and tell the truth, even if it means admitting
to wrong doing.
10. Campers are expected to take responsibility for their own property. They should keep track of their towel, bathing suit and all other property they bring with them to camp.
11. Campers are expected to leave all toys, video games and other electronics at home. They are not allowed
at camp.
12. Campers are expected to not draw or use pretend weapons, including guns, at any time.
13. Campers are expected to participate in activities without exhibiting rough or aggressive behavior.
14. Campers are expected to keep their hands, feet and the rest of their bodies to themselves. Any fighting will be brought directly to the director.
Please thoroughly read these regulations. Any violation to these regulations may result in an Incident Report, Parent and Director Meeting or possible suspension or expulsion from camp.
Campers will not use obscene or vulgar language.Campers must not leave Playful Minds premises without permission.Campers will not speak or act disrespectfully to any peer or adult. Campers will not threaten, harass or physically harm another person. Campers will not posses or distribute indecent literature.Campers will not intentionally destroy or vandalize any Playful Minds property.
Please review this information with your child. Fill in this form and make a copy for your records.
Return signed original to the director.
Camper's Name
Parent / Guardian Name
Parent / Guardian Signature
Date
CAMPER EXPECTATIONS
Parents,
Please go over these expectations with
your child so they know and understand
the rules we enforce and expectations we
have for them.
Sincerely, Paige Thompson-Westcott
Child’s Name__________________________________________________ Date of Birth_____________________________
Child’s Home Address__________________________________________________ Phone___________________________
Please put in order of who to reach first and list all phone numbers including home, cell, and work.
1. Name ________________________ Home ________________ Work __________ Cell __________
Street Address __________________ City __________________ State __________ Zip ___________
2. Name _______________________ Home ________________ Work __________ Cell __________
Street Address __________________ City __________________ State __________ Zip ___________
Please put in order of who to reach first and list all phone numbers including home, cell, and work.
1. Name ________________________ Relationship ___________ Home __________ Work _________ Cell _________
Street Address __________________ City __________________ State __________ Zip ___________
2. Name _______________________ Relationship ___________ Home __________ Work _________ Cell _________
Street Address __________________ City __________________ State __________ Zip ___________
Please put in order of who to reach first and list all phone numbers including home, cell, and work.
Doctor Name ___________________ Phone ________________ Address _______________________________________
Company Name _______________________Policy No. ________________
Participating Hospitals __________________________________________
Special Instructions ____________________________________________
Please list ______________________________________________________________________________________________
I, hereby give Playful Minds Staff permission to administer first aid/CPR to my child ___________________________
and/or take my child ___________________________ to a hospital and to secure medical treatment when I cannot
be reached or when delay would be dangerous to my child’s health.
Parent / Guardian Signature Date
EMERGENCY CARD INFORMATION
INSTRUCTIONS TO REACH PARENT/GUARDIAN
EMERGENCY CONTACT PERSON(S)
PEDIATRICIAN OR SOURCE OF HEALTH CARE
ALLERGIES, CHRONIC HEALTH CONDITIONS
INSURANCE INFORMATION (OPTION)
Child's Name
Child's Name
Related Documents
