Cordova Recreation and Park District 2729 Prospect Park Drive, suite 230

Rancho Cordova, CA 95670 (916) 369-9844

Day Camp Recreation Coordinator Angie Stolze

astolze@crpd.com (916) 369-9844 ext. 13

SUMMER DAY CAMPS FOR AGES 5-11!

Outdoor adventures, field trips & friends!

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Thank you for enrolling your child into one of Camp Cordova’s Summer Day Camp programs. The Cordova Recreation and Park District strives to serve and meet the needs of its community. Camp Cordova provides an affordable option for supervised care for children, provides opportunities for children to build social skills, make new friends, gain a love for physical activity and the outdoors and create positive lasting memories. Camp Cordova Day Camps maintain a high level of quality programming through careful planning, qualified staff and intense safety trainings.

Please familiarize yourself with this packet and return the TWO registration FORMS to the Hagan Community Center office at 2197 Chase Drive, Rancho Cordova, CA 95670, Attn: Angie Stolze or give to the Camp Cordova Staff on site the morning you arrive for camp. Every child MUST have these forms on file in order to be left under the supervision of the Camp Cordova and staff.

� Camper Information Form � Camp Waiver

Camp Cordova, traditionally held at Hagan park, has expanded. We have added two specialty camps, Camp Cordova’s Sports Adventure which will take place at the Lincoln Village Park with a focus on “sporty Camp-Style” games and Camp Cordova’s Imagine That! which will be held at the White Rock Clubhouse with a focus on art and science. Camp Cordova’s Traditional Camp will still take place at Hagan Park. All three Camp Cordova sites are managed with a high quality of customer service, safety and supervision, utilize qualified well-trained staff and are programmed with a child-centered curriculum of activities and fun. The Camp Cordova Registration Packet will provide you with general program information that pertains to all three Camp Cordova programs, along with information sheets specific to each Camp Cordova site. All camp participants will need a completed Camper Information Form and Camp Waiver on site while attending a Camp Cordova program. After reviewing the registration packet, additional questions, comments or concerns can be addressed by contacting the Program Coordinator, Angie Stolze at astolze@crpd.com. General Program Information Camp Cordova programs spend the majority of their time outdoors. Children participate in a variety of activities including sports, arts & crafts, games and water activities. Children are supervised at all times by camp staff while in their age groups* or camp wide. Thursdays are fieldtrip days** all attending campers must where a camp t-shirt ($10). Occassional camp wide activities and contests fit the weekly theme. Campers are required to bring their own lunch and water bottle, each day.

*Siblings are not placed in the same group unless they are the same age. Exceptions will be made at the discretion of the Day Camp Director for children who are having difficulty adjusting to the camp program. ** There is no additional cost for field trips BUT Camper T-shirts must be purchased for $10 each to wear on field trips. (This helps staff easily identify campers.) Registration Information

• You may register for a single week session. We will not hold spaces without payment and may decline registration for safety reasons if the Staff/Camper ratio has reached its maximum.

• Multiple Session Discount- Register for 3 sessions or more at once and receive $10 off each session. The multiple session discount can be combined with registration in Camp Cordova’s Traditional Camp, Sports Adventure Camp or Imagine That! Camp.

• PLEASE REGISTER YOUR CHILD NO LATER THAN THE WEDNESDAY BEFORE THE CAMP SESSION BEGINS. This allows us to have a more accurate count of campers and the amount of staffing needed

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for the week. • Children must be registered with all paperwork completed before the child is left in our care. Please

allow yourself extra time to complete the Camper Info Form and Camp Waiver on-site if you have not returned it prior to the first day of camp.

• This is a recreation program run by the Cordova Recreation & Park District. Our staff is trained exclusively for summer day camp. We are not a licensed child care facility or a day care program.

• Photos may be taken of the program for publication in our activity guide, Facebook page, website and other promotional use. Please note on your child’s information form if you object to your child’s photo being used.

Refund Policy We will issue refunds under the following circumstances:

• Dissatisfaction with the program for first-time campers: We are proud of our program, and believe it to be of high quality. However, we know not all programs are right for every child. If you have any questions or concerns, please contact the Recreation Coordinator immediately at (916) 369-9844. We can address any issues and will discuss further if the program is ultimately the right fit for your child.

• Cancellation prior to the start of the session: If you cancel prior to the start of the session, you will receive a full refund. If you cancel after the first day of the session, you will receive a prorated refund.

• Serious illness/hospitalization of camper or death in the family: provided CRPD is notified within two days of the absence.

PLEASE NOTE: Refunds will NOT be given for missed days or for suspension.

Medications Children who take medication during camp hours should bring it in their lunch container. The lunch container should be labeled with the child’s name and the medication MUST BE LABELED with the child’s name and content. Children can be reminded to take medication, but they are responsible for doing so. Children with life threatening conditions such as asthma or bee sting allergies should keep their medication with them. The medication portion of the Camper Information Form must be completed for children taking or carrying medication at camp. Camp staff cannot administer or hold onto medication.

We will make every reasonable effort to comply with the Americans with Disabilities Act. If, due to some form of disability, your child requires special accommodations, please call us in advance at (916) 369-9844.

Field Trips • All Camp Cordova participants are REQUIRED to wear a Camp Cordova lime-green T-shirt on field trips

along with a CRPD field trip wrist band. Camp t-shirts can be purchased at the Hagan Community Center Office for $10 each, wrist bands are provided the day of the fieldtrip.

• We do not have alternate care for children who are not attending the field trip. There are no refunds for children who miss field trip day.

• Field trip notices will be available at pick-up on Tuesday afternoons and will provide the field trip details such as departure time, items your child needs to bring, return time, etc. Spending money is optional, children are solely responsible for their spending money; staff cannot hold money for campers.

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• Be on time. The bus will leave promptly at the scheduled time. Children attending the field trip must ride the bus to and from the destination. There are no refunds for children who miss the bus and subsequently miss the field trip. Parents may not transport children to attend the field trip, unless permission is grated by the Recreation Coordinator under specialized circumstances. If we are having a special event at the park, you are welcome to attend.

Camp Rules:

• Follow directions; listen to, respect, and cooperate with others. • Respect the park, facilities, and animals. • Keep one foot on the ground at all times; NO TREE CLIMBING! • Keep rocks and all “ground stuff” on the ground. Do not throw things. • Get permission before leaving your activity area. Always use the “Buddy System”. • You must wear shoes at all times at camp, except while swimming. • Do not bring cell phones, toys or valuables from home.

Behavioral Policies Inappropriate behavior will be addressed promptly. The situation will be discussed by the staff and the participant(s) involved. The parent(s) of the child(ren) may be contacted.

The following format is used:

1st offense Warning 2nd offense Removal from the activity (temporarily) 3rd offense Removal from activity; child speaks to Recreation Coordinator, parent may be

contacted.

Possible consequences include sitting out from a group activity, loss of special activities, suspension from field trip, or having to write a letter home. Should you receive one of these letters, please discuss the incident with your child, sign the letter (so we know you received it), and return it to camp the next day.

If the behavior is such that the child is a danger to himself or others, or is interfering with the program, you will be asked to pick up your child from camp immediately. NO REFUNDS will be issued for children missing camp due to behavioral incidents.

Physical aggression or violence is addressed as follows:

1st offense Removal from activity, speak to Recreation Coordinator, parents will be called. If the child is uncooperative, violent, or disrespectful of staff, the child will be sent home.

2nd offense Suspended from the field trip, may also be suspended additional full days of camp. 3rd offense Permanent removal from program.

The actions taken by staff will be governed by the age of the child and the behavior. If the staff feels the child is a danger to him/herself or others, he or she will be immediately suspended from the program. Our program is recreational in nature; staff is not trained in psychological or behavioral disorders. Staff will attempt to work with the child and parents within reason, however the safety of the other children and our staff is paramount. No child will be allowed to participate if he or she threatens the safety of others.

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The Staff Recreation Coordinator The Recreation Coordinator is responsible for creating, and/or implementing the program, the policies and the procedures necessary to ensure safety of staff and participants in addition to providing quality community enrichment. The program coordinator deals with administration and registration of the program along with customer service and satisfaction. The coordinator also organizes and conducts the hiring and training process for summer staff.

Angie Stolze (916) 369-9844 or astolze@crpd.com Camp Director Under the direction of the Recreation Coordinator, the Camp Director is responsible for the daily operations of the program, safety and supervision of all staff and participants, proper opening/closing of facilities and maintaining a supplies inventory, forms and records, as needed. This position will assist in creating or improving on camp themes, curriculum, policies, procedures, scheduling and field trips. The Camp Director will also address any customer service or staff related issues.

Rashad Williams (916) 369-9844 or rwilliams@crpd.com Alisha Koehn (916) 369-9844 or akoehn@crpd.com Recreation Leaders The Recreation Leader is responsible for facilitating, initiating and leading children’s games, sports, crafts and water activities. This position works directly with campers and is accountable for their safety and supervision throughout the days activities and on field trips. Recreation Leaders are expected to create and maintain a safe, enjoyable and fun atmosphere for campers, as well as, be a leader and a role model for appropriate social and physical behaviors. We are very proud of the quality of staff we have assembled for this program. Our staff is hired and trained specifically for these leadership positions. To be considered for a Camp Recreation Leader position, an applicant must be a minimum of 17 years of age and have experience working with children ages 5-11. Candidates are screened through an interview process, a reference check and a Live Scan fingerprinting check for any criminal convictions. Our staff are certified in CPR and First Aid and undergo yearly trainings which include Mandated Reporting, activity and games training, leadership, problem solving, handling behaviors and discipline and basic water safety training. Many of our staff members are in college, training to work with children in full-time careers as teachers, psychologists or social workers. All have been selected for their enthusiasm, love of children, and the particular skills and strengths they bring to the program.

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Things to bring to Camp

Shoes – Children must arrive to camp with closed toed shoes to be able to run in and clothing that can get dirty. Sandals and flip flops may be worn during pool time.

Backpack - Children will carry their belongings as they change activity locations. Please ensure that your child’s bag is light enough for him or her to carry. Backpacks with two shoulder straps are suggested.

Snack – Morning snack is at 10:15am and many children need an afternoon snack around 3:00 pm. Snacks are separate from lunch and often times require an additional drink.

Lunch – Each camper is responsible for providing their own lunch. Lunch time is “camp wide”at 12:30pm. An insulated lunch sack with an ice pack is suggested. Sharing or trading food is not allowed at Camp.

Swimsuit – Campers will participate in water activities on a regular basis. Depending on the location campers may have time to play at the pool, splashpark or water stations.

Towel – Your child will need a towel for water activities.

Sunscreen – Each camper needs to bring sunscreen and apply it to themselves several times a day. Camp Leaders and friends can assist with applying sunscreen to the face and back ONLY.

Water – Refillable water containers are recommended. Water breaks are encouraged throughout the day to keep hydrated. Drinking fountains are available for refills.

VERY IMPORTANT: 90% of the camper’s day will be spent outside and we want them protected as much as possible, water and sunscreen are a must, hats are encouraged. What NOT to bring to camp

• We are not responsible for lost, damaged or stolen belongings. Toys, valuables and electronics are not recommended for camp.

• Cell phones are not allowed at camp. If a cell phone is a necessity, phones must be left in backpacks during camp hours. Staff members have access to District phones if parental contact is mandatory. Continual program disruptions by cell phones will result in the phone being turned into the supervisor for parent pick-up.

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Hagan Community Park

Camp Cordova’s Traditional Camp AGES: 5-11 Regular Camp Hours: Monday-Friday • 9AM-4PM

Extended Hours: Morning 7-9AM: $15 per week Afternoon 4-6PM: $15 per week

Camper T-Shirt Fee: $10 (required for all fieldtrips)

Pro-Rate Policy: Pro-rated fee will be $30 per day. We require all children to be registered for at least 3 out of the 5 days per week. You must contact our front office in order to receive pro-rated accomodations. Field Trips Field trip locations are chosen to match the weekly theme, but are subject to change, if needed. All campers are supervised and travel in groups while off-site of Hagan Park. Campers must have attended at least 1 day of camp Monday-Wednesday, in order to attend the Thursday field trip. T-shirt ($10) is required.

Dates Field Trip Theme Week One

May 31- June 3 $100

Roller Skating

Color Crazy

Week Two June 6-10

$115

Bowling

Wild Wild West

Week Three June 13-17

$115

Antelope Aquatic Center

Beach Party

Week Four June 20-24

$115

Sunsplash

Cordova Pirates

Week Five June 27- July 1

$115

Movies (Finding Dory or Teenage

Mutant Ninja Turtles)

Deep Sea Divers

Week Six July 5-8

$100

Camp-A-Palooza

Keep Calm & Camp Cordova on!

Week Seven July 11-15

$115

Ice Skating

Beat the Heat, Arctic Week!

Week Eight July 18-22

$115

Sacramento Zoo

Jungle Week

Week Nine July 25-29

$115

John’s Incredible Pizza

Extreme Survivor

Week Ten August 1-5

$115

BBQ & Inflatable Day

Cordova’s Got Talent

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Camp Cordova’s Original Camp daily schedule is as follows: 7-9am Extended hours at playground in park 9-9:30am Circle time (camp wide games and camp songs led by staff) 9:30-9:40am Staff introductions, rules & announcements 9:40-9:45am Split children into age groups 9:45-10:15am Snack time, apply sunscreen & small group ice-breaker games 10:15-11:00am Rotation #1 (Craft, Sports, Group Time) 11:00-11:45am Rotation #2 (Sports, Group Time, Craft) 11:45-12:30pm Rotation #3 (Group Time, Craft, Sports) 12:30-1:30pm Lunch & re-apply sunscreen 1:30-3:00pm Water Station Rotations 3:00-4:00pm Table activities & grass games 4pm Regular camp hours end 4-6pm Extended hours Drop Off Location: Picnic area B-1. As you enter Hagan Community Park at 2197 Chase Drive, Rancho Cordova, continue past the front circle and into the park. Follow the road to the right, through the park. Drop off area is the parking lot on the left near the large playground and dog park. Please refer to the map included in this packet to help locate the drop off area. Please remind your child to check-in each morning. Pick Up Location: Pavillion. Pick up your child inside the park at the Pavillion. As you enter Hagan Community Park at 2197 Chase Drive, Rancho Cordova, continue past the front circle and into the park. Follow the road to the right, through the park, enter the first parking lot on the left to pick up your child at the pavillion. You or someone on your child’s authorized pick up list must check out your child each day. Early pick-up: Please contact us at (916) 369-9844. Children are involved in activities throughout the park and we may be able to save you time with advance notice by having the child wait for you in the office. Always be sure to check out with Camp Staff before departure.

MAP Craft station water station Sports station

Hagan Park 2197 Chase Dr. RC, CA 95670

Cha

se D

rive

Baseball Baseball

Pavilion PM-Pick Up

Playground AM- Drop

Barn

Tennis Courts

No Pools

Office

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Lincoln Village Community Park

Camp Cordova’s Sports Adventure AGES: 8-11 Regular Camp Hours: Monday-Friday • 8AM-4PM

Extended Hours: Afternoon 4-6PM: $15 per week

Camper T-Shirt Fee: $10 (required for all fieldtrips)

• Each week campers will participate in various “camp-style” sports activities. Depending on the game, campers may be divided by age groups; 8-9 yrs old and 10-11 yrs old; for a portion of the day.

• All groups come back together for lunch, swimming and closing ceremonies. • Each week, campers will also get exclusive pool use (Camp Cordova kids only) to learn a water game.

Exclusive pool use is scheduled for Monday – Wednesday from 1:00pm -1:30 and Fridays from 12:30pm -1:30pm. A minimum swimming skill level is NOT required.

Pool Rules • All campers must follow the pool rules posted or as instructed by a lifegaurd on duty.

Sportsmanship At Camp Cordova’s Sports Adventure, we teach campers the art of sportsmanship. All of our games

will be “teaching moments” for our campers, therefore games will be stopped once we feel the competiveness out weighes the fun. If you have any questions feel free ask the camp director the first day your child attends camp.

Hydration This is an all outdoor camp. If very important that you send your camper with a frozen water bottle

and a regular water bottle to stay hydrated. We have access to water foutains throughout the park to refill but it is important they show up to camp with a water bottle everyday.

*There will be no pro-rated accomodation given for days missed. We accept WEEKLY registrations only.

DATES Field Trip THEME

Session One June 6-10 • $135 Foot Golf No Hands, All Feet

Session TWO June 13-17 • $135 Antelope Aquatic Center Kickin' It Old School

Session Three June 20-24 • $135 Sunsplash 101 Ways to Dodge

Session Four June 27- July 1 • $135 Granite Arch - Rock Climbing Ultimate/Extreme Sports

Session Five July 5-8 • $115 Camp-A-Palooza Campers R Us

Session Six July 11-15 • $135 Olympic Sports Coliseum Outside the Lines

Session Seven July 18-22 • $135 Rivercats Stadium Tour Games Around the World

Session Eight July 25-29 • $135 Folsom Aquatic Center Flags and Tags

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Camp Cordova’s Sports Adventure daily schedule is as follows: 8:00 - 8:15am Camper arrivals 8:15 - 8:30am Staff Introductions, Rules & Announcements 8:30-9:00am Icebreaker/Warm-up 9:00-10:00am Rotation #1 (Introduction or continution of weeks theme) 10:00 – 10:30am Snack time, rest, water, sunscreen 10:30-11:30am Rotation #2 11:30-12:30pm Lunch 12:30 – 1:00pm Change into swim gear 1:30-3:00pm Public Swim 3:00-3:15pm Leave Pool Area (Transistion) 3:15-4:00pm Closing Assembly (Outdoor sports games) 4:00pm Regular camp hours ends 4:00-6:00pm Extended hours

DROP-OFF/PICK UP LOCATION Drop Off Location: (Next to the tennis courts of Vangaurd Dr.) Please refer to the map below to help locate the drop off area. Please remind your child to check-in each morning.

Pick Up Location: (Parking Lot in front of Lincoln Village Pool) You or someone on your child’s authorized pick up list must check out your child each day.

Early pick-up: Please contact us at (916) 620-3500. Children are involved in activities throughout the park and we may be able to save you time with advance notice by having the child wait for you in the office. From 1:30 – 3:00pm, you can find your child at the Lincoln VIllage Community Pool; be sure to check out with Camp Staff before departure. MAP = Drop-off/Pick Up Area

Routier Rd

Vang

uard

Senior Activities Center

Lincoln Village Pool

Playground

Baseball Diamond

Baseball Diamond

Soccer Field

Lincoln Village Park 3480 Routier Rd.

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White Rock Community Clubhouse Camp Cordova’s Imagine That! AGES: 5-11

Regular Camp Hours: Monday-Friday • 8AM-5PM Camper T-Shirt Fee: $10 (required for all fieldtrips)

• No Extended Hours for this camp

General Information Our primary focus is to give children a chance to explore and interpret the world around them. We do so by providing in depth curriculum and hands on projects. Our art and science is process focused, not product based, this means we place emphasis on the challenges and creativity used to complete the project, not the desired end result. *There will be no pro-rated accommodations given for days missed. We accept WEEKLY registrations only. FUSION of Art & Science We belive that the complexities of art & science go hand in hand. Each week the children will be split into two age groups (5-7 & 8-11) to explore different science and art possibillities. At the end of each day all participants will come together in group discussion to expand on their creations and make meaningful connections. Splash Park Each day our campers will have access to the White Rock Splash Park! We ask that all children follow all Splash Park rules. Small Orange Slide: Rider must be at least 42" or 3ft 6in. Larger Yellow Slide: Rider must be at least 46" or 3ft 10in. All participants should bring a towel, swim suit and sunscreen.

Dates Field Trip Theme

Session One June 13-17

$145

Discovery Museum &

Planetarium

A Galaxy Far Away Join us as we blast off to the stars on an adventure into outer

space. Science and art will fuse together as we map out constellations, create telescopes, and discover new planets!

Session Two June 20-24

$145

Mad Science

KABOOM! Ever wondered what makes things go boom? Explore chemical reactions and create art from things found in your home. Discover what ordinary

items can be made extraordinary.

Session Three June 27- July 1

$145

Color Me Mine

Cupcake Wars Troubles in the kitchen? Not to worry, we will explore the meaning of density and learn why things don’t always level out. While we dabble in the world of culinary arts, we will discuss baking ingredients, their uses and finish off the week with an epic cupcake battle!

Session Four July 5-8

$125

Effie Yeaw Nature

Center

Uncovering the Earth Explore and unleash earth’s natural beauty and the art it has inspired.

Help us to capture its beauty and transfer it to a blank canvas. Join us as we uncover earth’s mysteries.

Session Five July 11-15

$145

The Crocker Art

Museum

Manic Metallic Manipulate and experiment with different metals as we learn about, durability, heat resistance, composition and much more. Our art will take on a modern twist focusing on creations of manic proportions.

Session Six July 18-22

$145

Sacramento Underground Tour

(Wed)

From the Ground Up From clay models to roller-coasters, we will be building from the ground

up as we discuss the beauty of architecture and principles of physics.

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Camp Cordova’s Imagine That! Camp daily schedule is as follows: 8:00-8:15 am Arrival 8:15-8:45 am Camp Circle Time 8:45-9:45 am Art (Ages 5-7) Science (Ages 8-11) 9:45-10:00 am Snack 10:00-11:00 am Science (Ages5-7) Art (Ages 8-11) 11:00-11:30 am Imagine That! FUSION time 11:30-12:30 pm Lunch 12:30-3:30 pm Splash Park 3:30-4:30 pm Art and Science Fusion 4:30-5:00 pm Dismissal DROP-OFF/PICK UP LOCATION Drop Off Location: White Rock Playground. Please refer to the map below to help locate the drop off area. Please check your child in with camp staff each morning. Pick Up Location: White Rock Clubhouse. You or someone on your child’s authorized pick up list (over the age of 18 unless cleared with the Coordinator) must check out your child each day. Early pick-up: Please contact us at (916) 620-3500. Children are involved in activities throughout the park and we may be able to save you time with advance notice by having the child ready and waiting for you. MAP White Rock Community Park 10488 White Rock Rd. = Drop off = Pick up

White Rock Club House

Parking

Splash Park

Playground

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Camper Information Form

Child’s Information

Child’s Name: ______________________________________________ Birth Date: _____________ Age: ________ Preferred name (“nick name”): __________________________________ Sex: M F Address: _______________________________________ City:_____________________________ Zip: ____________ Child lives with: Both Parents Mother Father Other: ________________________________

Parent/Guardian Information Name: ______________________________ Work/Cell Phone: _____________________ Relationship: ____________ Name: ______________________________ Work/Cell Phone: _____________________ Relationship: ____________

Permission to pick up your child (must be 18yrs old; may be requested to show I.D.)

adittions and changes can be made at any time, by contacting the day camp director

Name: ________________________ Phone: ___________________ Relationship: ___________________ Name: ________________________ Phone: ___________________ Relationship: ___________________ Name: ________________________ Phone: ___________________ Relationship: ___________________ • Is there anyone who is NEVER to pick up your child? ______________________________________________

• Is there any other information we should know about your child? (Special concerns or fears) ________________ ______________________________________________________________________________________________

Medical Information Any allergies (food, drugs, insects)?: _______________________________________________________________ Medical concerns or activity restrictions? _________________________________________________________ Current medications and dosage ________________________________________________________________

Complete only if your child takes medication during Camp hours

The child named above will be taking medication while at camp. CRPD staff has my permission to counsel camp staff regarding the possible effects of the medication on my child. I will not hold Cordova Recreation and Park District or its employees responsible if my child refuses to take the medication. Parent’s Signature_________________________________ Parent’s Name (print) _______________________________

A.) Medication name _____________________________ Reason for medication_______________________________ Dosage_____________ Time to be taken ______________ If “as needed”: how often may it be taken?_____________ Side effects ______________________________________ Signs of over dosage ________________________________

B.) Medication name _____________________________ Reason for medication_______________________________ Dosage_____________ Time to be taken ______________ If “as needed”: how often may it be taken?_____________ Side effects ______________________________________ Signs of over dosage ________________________________

• How did you hear about our program? ______________________________________________

• Is there someone we can thank for referring you? (Name)_______________________________

Please contact us if your child requires special accommodations to fully enjoy our Day Camp Program.

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Class: Day Camp Location: Community Parks; Hagan, White Rock, Lincoln Village Days: Monday - Friday Dates: 5/31 – 8/5/16 Times: 7AM - 6PM Instructor: Staff

The Cordova Recreation and Park District's Day Camp program is an outdoor camp based in our Community Parks. Planned activities make extensive use of the ball fields, courts, buildings, picnic areas, open spaces, and playgrounds. Wildlife does flourish in the vicinity of Hagan Park near the American River, as well as, in other community parks of the area. Gophers, poisonous and non-poisonous snakes, and skunks have all been encountered by park users. Bee stings do occur, however infrequently. Art and craft activities involve paints, pastes, glues, paper, scissors, crayons, other basic materials, and items found by participants. Active games are conducted on turf, asphalt, concrete, and unimproved exterior surfaces, while indoor activities of active and passive types are held on tiled and hardwood floors. Games engaged in by participants may involve balls, bats, frisbees, and hula hoops; they may require running, skipping, sliding, and jumping. Quite often there are other activities taking place in the surrounding areas during the conduct of Day Camp. Some of these activities are sponsored by the Park District, some by other agencies, and many are unscheduled and spontaneous use of the area by groups and individuals. District maintenance activities such as mowing, watering, trimming, repairing, and cleaning are ongoing. Parents of children who take medication during camp assume all responsibility and risk of that medication. District will not be held responsible for injuries or problems that occur due to the use of medication. District is not responsible for medication which is lost, stolen, or traded by children. Problems may include: overdose, child refusing to take medication, or injuries to a child who receives medication prescribed to another child. District staff will not administer medication or assist child in taking medication. District will not be held responsible if child forgets or refuses to take medication. Please be advised that the District places the highest priority on the safety of your child. However, with activities taking place out-of-doors, over many acres of park space, accidents and injuries are possible, although serious injuries are exceedingly rare. Day Camp participants are subject to the usual assortment of abrasions, cuts, and sprains that active children experience.

Agreement, Waiver, and Release - General In consideration of being permitted by Cordova Recreation and Park District to participate in this class, I hereby waive, release, and discharge all claims for damages for personal injury, death, or property damage which I may have or which may hereafter accrue as a result of my participation in said activity. This release is intended to discharge in advance the above district, other participants, instructors, officials, sponsors, advertisers, owners and lessees of the premises used to conduct the event and each of them, their officers, directors, agents, all of which are referred to as "Releasees", from all liability to the undersigned, my/our personal representatives, assigns, heirs, and next of kin for any and all claims, demands, losses, or damages on account of injury, including but not limited to death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the "Releasees" or otherwise. I fully understand and acknowledge that: (a) There are risks and dangers associated with participation in classes, including but not limited to those of bodily injury, partial and/or total disability, paralysis and death; (b) The social and economic losses and/or damages, which could result from those risks and damages could be severe; (c) These risks and dangers may be caused by the negligence of participants or the negligence of others, including but not limited to the "Releasees" named above; (d) There may be other risks unknown to us or not reasonably foreseeable at this time. I further accept and assume such risks and responsibility for the losses and/or damages following such injury, disability, paralysis or death, however caused and whether caused in whole or in part by the negligence of the "Releasees" named above. As parent(s) and/or legal guardian(s), I consent to instruct the minor participating in any district class to inspect the facilities and equipment to be used, or I will inspect said facility and equipment myself, and if he or she believes anything is unsafe, the participant or parent/legal guardian should immediately advise the instructor of such condition and refuse to participate until the faulty condition is corrected. Participant should be fully instructed by parent(s) and/or legal guardian(s) and encouraged to adhere to any class rules and common courtesy. I agree that this Waiver and Release Agreement covers each and every activity sponsored by the above district including class make-ups and extensions and the "Releasees" are released as to each and every activity and event for the duration of the program. Photograph Note: By signing this waiver, I understand that CRPD staff may photograph me and/or my minor children and that the District may use such photographs to promote District programs now and in the future. I expressly allow, and herby waive any objection to, CRPD photographing of me and/or my minor children when I and/or my minor children are participating in a CRPD recreation program. I understand that all photos will remain the property of Cordova Recreation and Park District. I do not approve of having me and/or my minor child(ren) photographed by CRPD staff or its affiliates.

PARENTAL CONSENT: I hereby consent that my son/daughter participate in the above activity, and I hereby execute the above Agreement, Waiver, and Release on his/her behalf. I state that said minor is physically able to participate in said activity. I hereby agree to indemnify and hold persons and entities mentioned above free and harmless from any loss, liability, damage, cost, or expense which they may incur as a result of the death or any injury or property damage that said minor may sustain while participating in said activity. I have carefully read the above agreement, waiver, and release, and fully understands its contents. I am aware that this is a release of liability and a contract between myself and the above District, and I sign it of my free will. SIGNATURE_________________________________________________ PRINT NAME ____________________________________________________________ NAME OF PARTICIPANT _____________________________________________________________________ DATE ____________________________________

Cordova Recreation and Park District Day Camp Program Waiver