CHA Summer Camps 2011, All Documents

8/6/2019 CHA Summer Camps 2011, All Documents

1/5

SClear Horizons Academy is pl

Sports and Games Ca

T, W, Th, June 14th July 29:00am-12:00pm

$550 total session*

Based on enrollment, students will be divided

12 students and will work on developmentalsports and games such as soccer, kickball, bteam building activities. The goal is to ad

flexibility, group problem solving, turn-takinconflict resolution. Camp located at Clear Ho

5455 N River Run Dr., Provo, Ut

Music and Movement Ca

T, W, Th, June 14th July 29:00am-12:00pm

$550 total session*

Based on enrollment, students will be divided12 students and will use music and moveme

developmentally appropriate goals such asspeech and language, engagement, social com

regulation. Camp located at Clear Horizons ARiver Run Dr., Provo, Utah.

*If you choose to combine two of the aea

$225 t

Based on enrollment, students will be dividecommunity out

**If you choose to combine one of thechoose to have CHA provide a paraedu

Ca

ummer Camps 2011ased to announce our Themed Summer

p

th

into groups of 6-

ly appropriateoard games andress skills inand emotional

rizons Academy:ah.

Theater and

T, W, Th, June 14t

12:30pm-3:

$550 total s

Based on enrollment, students wil

12 students to work on developmand arts activities. Using scripts,and other art projects, each

emotional skills, group problem-solcreativity. Camp located at Clear

River Run Dr., Pr

mp

th

into groups of 6-nt to work onotor planning,munication andcademy: 5455 N

Social and Floor

T, W, Th, June 14t

12:30pm-3:$550 total s

Based on enrollment, students will12 students. Using play and child-work on individual social, emotiondevelopmentally appropriate skill

Model. Camp located at Clear HRiver Run Dr., Pr

ove themed camps, total cost is $1100 total sesst lunch in appropriate social groups.

Outings Adventure Camp

ednesdays, June 15th July 27th

10:00am-12:00pm, Group 11:00pm 3:00pm, Group 2

tal session, $714 for CHA paraeducator

d into groups of 5- 12 students. Students, caregiversing for each session. Full description on page two.

Themed Camps with the Outings Adventure Campator in place of providing your own caregiver forp trips, the cost would equal $1,264.

Camps Program!

rts Camp

h July 28th

30pm

ssion*

be divided into group of 6-

ntally appropriate theaterrole playing, painting, craftshild will focus on social

ving, and individual ideas andorizons Academy: 5455 N

ovo, Utah.

ime Groups

h July 28th

30pmssion*

be divided into groups of 6-led activities, students willl, communicative and otherwithin the DIR/Floortime

orizons Academy: 5455 Novo, Utah.

ion and children will also

nd staff will venture on a

s, cost is $775. If youthe Outings Adventure


2/5

Based on enrollment, students willand staff will venture on a communCHA staff members: one teacherassistance as well as opportunitiesparents/caregivers get to attendcommunity trips, CHA staff membparent/caregiver on how to target

triumphs in community settings.

The main idea of this program is tstretch their capacities, encouragcaregivers attending the program.specific hands-on training in areasbe based on parent input, experienprovide good training moments forhiking, bowling, swimming, museum

group of children and their needs.

Each child enrolled* will be accomleast 18 years of age), or neighborrequest CHA to provide a staff mtraining to parents, as well as to kdifferent pricing options: one fora CHA-provided paraeducator.

*Please note that only a caregiver may a

the program will not be able to attend.of C

To register

Simply fill out the attached registreturn it to CHA ASAP! First comstudents is due by April 29th. Aft

Outings Adventure Camp

Full Description

be divided into groups of 6-12 students.ity outing for each session. Each groupnd one paraeducator. In order to allowfor caregiver training, networking and r

ITH their child! By having a parent/carrs will be able to focus on training and cgoals, work through difficulties, and eve

provide students with new and excitingflexibility and build relationships with

Each caregiver will receive weekly trainithat are of most concern to them individces that will help children grow, and enviboth students and caregivers. Outings, farms, and shopping centers, all tailore

anied by a parent, grandparent, home-th. For an additional fee (to cover staffingmber to attend with your child. To offerep tuition as low as possible for familiesamilies providing a caregiver, and one fo

company your child each day. Additional siblings

his is to help everyone focus exclusively on the iA Summer Community Camp students.

for any of the CHA Summer Camps:

ration form, include payments and requese, first served! Priority Registration forer that, all open spots will be offered to

Students, parentsill be assigned twone-on-onelationship building,egiver attend theaching each childs

n experience

experiences that willoth peers andng handouts andually. Activities willonments that willill include things like

d to each specific

erapist, sibling (if atcosts), you maythis excitingwe are offering twofamilies requesting

or friends not enrolled in

ndividual goals and needs

ted information, andcurrent CHA

non-CHA students.


3/5

Page 1 of2

To complete your summer camp registration, please returnthe following: Student Registration & Information (completed) Medical & Emergency Information (completed) $50 Deposit (non-refundable)

2011 CHA Themed Summer Camps Registration

Theme

dSummerCamps

Options Dates Days Times Costs Check ToRegister

Sports and

Games Camp

June 14th July 28th

T,W, Th9:00am-12:00pm

$550 total session

Theater and

Arts CampJune 14th

July 28thT,W, Th

12:30am-3:30pm

$550 total session

Music and

Movement

Camp

June 14th July 28th

T,W, Th9:00am-12:00pm

$550 total session

Social and

Floortime

Groups

June 14th

July 28th

T,W, Th12:30am-

3:30pm

$550 total session

Outings

Adventure

Camp

June 14th July 28th

W10:00am-12:00pm

$225 total session or

$714 for CHA para

Outings

Adventure

Camp

June 14th July 28th

W1:00pm-3:00pm

$225 total session or

$714 for CHA para

StudentInformation

Childs Full Name: Currently attending CHAFormer CHA StudentNew CHA StudentNon-CHA Student

Date of Birth: Gender: Male Female

Home Address: Home Phone:

Mothers Name: Mobile Phone:

Employer Name: Work Phone:

Employer Address: Email:

Fathers Name: Mobile Phone:

Employer Name: Work Phone:

Employer Address: Email:


4/5

Page 2 of2

Note: No financial scholarships will be available for 2011 summer camp attendance. For a list of

ways to find other sources, please see attached page.

I understand that by registering for Clear Horizons Academys Themed Summer Camps, Iam asking CHA to reserve a spot for my child (and a caregiver, if enrolled in the OutingsAdventure Camp) to attend for the summer of 2011. If I later choose not to send my child, Iunderstand that I will be forfeiting my $50 non-refundable deposit, and will need to notifyCHA as soon as possible.

Parent/Guardian Signature Date

CHA Building Fund Contribution

I would like to make a contribution to the new facility being built for Clear HorizonsAcademy that will provide many more students the opportunity to receive individualizededucation both in the summer and following school years. Included with my RegistrationDeposit you will find $_____________ to go towards the CHA Building Fund.

Signature: _______________________________________

Date:________________________________________

Ou

tingsAdventureCampR

egistration

Only

I will provide my own caregiver for CHAs Outing Adventure Camp, and have provided thecaregiver information below. I understand that while the caregiver can change from week to week,to help maintain consistency for my child, no more than two individuals will attend with my childthroughout the course of the program.

I would like Clear Horizons Academy to provide my child with a paraeducator to attend the OutingsAdventure Camp with. I understand my tuition will be higher, as described above.

I will not be enrolling my child in CHAs Outing Adventure Camp.Caregiver #1 Name: Relationship to Student:


Email: Mobile Phone:

Caregiver #2 Name: Relationship to Student:


Email Mobile Phone:


5/5

Medical & Emergency Information: 2011 Summer Camps

Students Name (First, Middle, Last): Gender:

Male Female

Date of Birth:

Address (Street, City, State, Zip): Home Phone:

Mothers Name: Work Phone: Mobile Phone:

Fathers Name: Work Phone: Mobile Phone:

Physician Name: Phone Number: Allergies (please list):

Medical:____________

__________________

Food: ______________

__________________

Plant: _____________

__________________

Animal: ____________

__________________

Other: _____________

__________________

__________________

Physician Address (Street, City, State, Zip):

Dentist Name: Phone Number:

Dentist Address (Street, City, State, Zip):

Current Medications:

Please list any other medical conditions your child may have and/or things the school and/or doctors may need to know about your child:

If you cannot be reached in an emergency situation, please list two people we can call who canassume responsibility for your child:

Contact Name: Relationship: Phone: Alternate Phone:

Contact Name: Relationship: Phone: Alternate Phone:

In an emergency or urgent situation, if I/we cannot be reached, I/we authorize Clear HorizonsAcademy to contact his/her Pediatrician and/or Dentist. This paper will provide the doctor(s) and/oremergency teams with permission to treat my child. I also accept full payment and liability foraccident or injury incurred while at school understanding that the school will do its best to keep mychild safe, but accidents and injuries do happen.

Authorized Representative Name (please print): Relationship to Student:

Parent Guardian Other:

Signature: Date:

CHA Summer Camps 2011, All Documents

Documents

Transcript of CHA Summer Camps 2011, All Documents