SUMMER 2011 ONLINE REGISTRATION FORM CAMP LOCATION: Meadowlark Community Church Registration Information: Please give us (1) Child's Name and (2) Age (Spaces for 3 children): *please put the age at the start of camp (i.e. 5y3mo or 7 1/2 etc) 1:age 2: age 3: age Child's School: How did you find out about our camp programs? Parent's Full Name: Parent's Occupation (optional): Address: City Zip Best Contact #s (please include # details in paranthesis): (format: 555-555-5555 (Dad's Cell) 555-555-5555 (Sitter's Cell) etc Email Address (email address is required - we do not spam or use your email for anything other than for the purpose of communication of possible required materials for some classes or camps, and confirmation etc): Apply for Counselor in Training Program (for FULL WEEK PROGRAMS): Download PDF for more information. LUNCH PLAN: We are offering a special "catered lunch" all summer! The cost is $20 for the week (or $5 per day) and that includes a snack with water, lunch which includes a meal, fruit, veggie etc. See below for our menu. If your child is a big eater, you can pay an added $5 for the week and we will supersize their meal portion all week. Children who are enrolled in half or full day camps need to bring a healthy protein snack and healthy lunch (except for baking camp). All children not participating in our "catered lunch" program will need a snack for AM & PM camps in addition to a lunch (see each camp for details). Please do not send soda or candy in your child's lunch. Labeled water bottles daily! Lunch plan: (proposed) MONDAY: Dino nuggets, tortilla chips, banana + lemonade or water TUESDAY: SUBWAY SUB: Ham or turkey and cheese sandwich on wheat (lettuce, tomatoes, mayo, mustard options), vanilla yogurt with granola topping + apple juice or water WEDNESDAY: Pasta with marinara or cheese, cooked broccoli, cut apples, 2 small cookies + water or milk THURSDAY: Turkey Burger, pretzils, veggies and ranch dip, grapes + water or apple juice FRIDAY: Dominos light cheese Pizza with veggie toppings, apple slices, pudding, + water Daily Meal Options always available: Peanut Butter (and honey/jelly), raisins will always be an option! Please enter amount you'd like to prepay for lunch: (FULL WEEK $20/$25 to supersize meal portion/MWF $15 or T/TH $10) Camp hours are 8-3. Since all camps are 9-1 with workshops from 1-230, extended care is available from 8-9 and from 1-3pm. Please enter amount you'd like to prepay for extended care (you can pay as you go or now if you know what you need): Do you want a COOL Art 4 Children Logo T-Shirt ($12 or 2 for $20)? We can help your child get fitted on their first day of camp! YXSMALL YSMALL YMEDIUM YLARGE ADULT-SMALL ADULT-MEDIUM Do you offer any discounts or are there any fees I need to be aware of? After June 31st, there is a $10 late registration fee for each program and no discounts are allowed. Please note: age restrictions on all of the camps. daily schedule to see if you need to provide a snack and lunch for your child. All camps require at least a snack and several have a lunch time. Baking camp is the only camp where snack & lunch is provided. camp week lessons, projects etc do not repeat (i.e. sign up for both weeks of baking or kinder prep, and your child will get a different experience each week! CAMP WEEKS: (descriptions are below the text box) June 18-22 June 25-29 July 9-13 July 16-20 July 23-28 July 30-Aug 3 Aug 6-10 Summer Camp 2012 PDF FLIER (with detailed class descriptions) FULL or ALMOST FULL CAMPS: ALL CAMPS ARE OPEN! This is where you list your child's name and their camp choices. Sample: "Hana: Week 1 TBA----------- Summer Camp 2012 PDF FLIER (with detailed class descriptions) ADDITIONAL INFO FOR US: Use large box below to tell us anything else we may need to know about your child (allergies, inhaler, special needs?). ADD $10 LATE FEE (if registering after 5pm on JUNE 31st) My Grand Total (include possible extended care, tshirts etc): Chose Payment Method: I will mail check Money Order/Cash Send me Paypal invoice for half Send me Paypal invoice for all If paying by check: Checks Payable to: Art 4 Children PO BOX 2066 SAN MARCOS, CA 92079-2066 Emergency Medical Release & Liability Waiver: I hereby give my consent to Art 4 Children Inc, whose Seasonal Camp located at Meadowlark Community Church at: 1918 Redwing Street, San Marcos, CA 92078 to administer first aid, to authorize a medical doctor to examine or treat my child, to authorize necessary emergency treatment at a nearby emergency hospital, and/or to order an ambulance transportation for my child while he/she is in attendance at this Seasonal Camp at Art 4 Children Inc. I agree to accept the financial responsibilities for any cost thus incurred in the treatment of any illness, accident or injury of the above named minor. I hereby give permission to Art 4 Children to use a picture or pictures of my child for promotional, publicity, and news purposes related to the operating of the said camp/school. I hereby authorize and give permission to Art4Children to release into the custody of only parent and any additional names I have listed below (redundant info you already told us above - this ensures we have this information correct): This information can be updated by parent/guardian anytime before or during camp with a written note or phone call. I understand and agree that by signing this waiver form, I am freeing Art 4 Children Inc, Meadowlark Community Church, it's officers, consultants, instructors or other agents from any liability resulting from my child's participation all camp activities for these 2012 camps. I understand that if my child is injured this waiver will be used against me and anyone else claiming damages because of my child's injury or any other incident in any legal action. I also accept all responsibility for my child after camp is over. By signing this form, I have also read and understand that my 50% deposit is non-refundable and there are NO REFUNDS after payment has been sent. I also understand that I will be billed $1 per minute if I am more than 10 minutes late for pick up. I certify that I have personally read and understand this waiver and release. Signature: Date: Art 4 Children Inc Program Policies: Drop off is promptly on time at the start of your child's camp day. Your 50% deposit is non-refundable and there are NO REFUNDS after payment has been sent. If your child falls ill and has to miss several days or the entire week, we offer no make-ups or refunds. Campers need to dress comfortable in older clothing. We are not responsible for soiled clothing, as we do get messy with some projects. Children should pack a healthy lunch + Water - NO CANDY. If your child has a special need, please take the time to inform us so we can inform our staff and better serve the needs of your child. These policies as well as additional policies will require your initial & signature at the time of registration. I understand the above Art 4 Children Inc Program Policies. I give Art 4 Children Inc permission for photographs of my child to be used on this web site or for other promotional material. Form Submission: After hitting "Send" - you should see a confirmation page showing the information you have sent us.