erica grudi - york jccyorkjcc.org/wp-content/uploads/2020/02/updated-camp... · 2020. 9. 7. · mr....

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]

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!

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

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.

● 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!

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.

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

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 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 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


19 RC Theatre- Aleph Camper Vs. Staff

Knock-out Swim both groups

(2-4pm)

Week Three THEATRE & STORY WEEK!

June 22


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!


26 Storytelling Swarm Cookout-Seniors RC Theatre (RTW)


Week Four

AMERICA THE PROUD WEEK!

June 29

J Club Karaoke


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 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!


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 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


18 Snow Day in JULY! RC Theatre- Seniors


Week Seven RIDICULOUSLY BIG ART

WEEK!

July 20


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


Week Eight

J CAMP OLYMPICS WEEK! July 27

Gymnastic Bus (Aleph)


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 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


7

Variety Show Swim both groups

(2-4pm)

Week Ten J CAMP GREATEST HITS

WEEK!

August 10

National S’mores Day!


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


14 Swim both groups

(2-4pm)

SEE YOU ALL IN SUMMER 2021!

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:

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

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

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

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)

ctoomeyTypewritten Text




























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: ______________________

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.

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)

undefined: Summer Camp Repa: Off7th: Off8th: Offundefined_2: Offundefined_3: Off1st: Off2nd: Off3rd: Off4th: Off5th: Offundefined_4: OffSpec: Offundefined_5: Off1st_2: Off2nd_2: Off3rd_2: Off4th_2: Off5th_2: Offundefined_6: Off7th_2: Off8th_2: Offundefined_7: OffWeek 1 June 8: OffWeek 2 June 15: OffWeek 3 June 22: OffWeek 4 June 29: OffWeek 5 Ju: OffSpec_2: OffSpec_3: OffSpec_4: OffSpec_5: OffFull Day: OffFull Day_2: OffFull Day_3: OffFull Day_4: OffFull Day_5: OffWeek 6 July 13: OffWeek 7 Ju: OffWeek 8 July 27: OffWeek 9 Aug 3: OffWeek 10 Aug 10: OffSpec_6: OffSpec_7: OffSpec_8: OffFull Day_6: OffFull Day_7: OffFull Day_8: OffSpec_9: OffName: Gender: Birthdate: Street Address: NOT Child Release: OffNOT Emergency Contact: OffNOT Child Release_2: OffNOT Emergency Contact_2: OffDOBStreet Address: DOBStreet Address_2: DOBC i tyStateZ i p: DOBC i tyStateZ i p_2: DOBCompany Name: DOBCompany Name_2: DOBWork Address: DOBWork Address_2: DOBWork CityStateZip: DOBWork CityStateZip_2: DOBHome Phone: DOBHome Phone_2: DOBWork Phone: DOBWork Phone_2: DOBCe l l Phone: DOBCe l l Phone_2: DOBEmail Address: DOBEmail Address_2: Hea l th Insurance: GroupPo l i cyID: Medical Care Provider: Phone: Address: Hospital: Allergies: Medication: Hea l th Concerns: Medical Instruct i on in an Emergency: undefined_8: OffNo: Offundefined_9: OffNo_2: Offundefined_10: OffNo_3: Offundefined_11: OffNo_4: Offswim: Offwade: Offundefined_12: Offundefined_13: Offundefined_14: OffNo_5: Offundefined_15: Offundefined_16: OffName_3: COMPLETE Address Required Name will not be added to l st f address s ncomplete: Relationship: PhoneCell Phone: undefined_17: Offundefined_18: OffName_4: COMPLETE Address Required Name will not be added to l st f address s ncomplete_2: Relationship_2: PhoneCell Phone_2: undefined_19: Offundefined_20: OffName_5: COMPLETE Address Required Name will not be added to l st f address s ncomplete_3: Relationship_3: PhoneCell Phone_3: undefined_21: Offundefined_22: OffName_6: COMPLETE Address Required Name will not be added to l st f address s ncomplete_4: Relationship_4: PhoneCell Phone_4: undefined_23: Offundefined_24: OffName_7: COMPLETE Address Required Name will not be added to l st f address s ncomplete_5: Relationship_5: PhoneCell Phone_5: undefined_25: Offundefined_26: OffName_8: COMPLETE Address Required Name will not be added to l st f address s ncomplete_6: Relationship_6: PhoneCell Phone_6: My chi: OffI have attached a copy of my ch: OffMy chi_2: OffIs there anyth i ng e l se you wou l d l i ke us to know: i: fill_30: fill_31: ANNUAL HOUSEHOLD INCOME: OffRACEETHNICITY: OffK: Off1st_3: Off2nd_3: Off3rd_3: Off4th_3: Off5th_3: Off6th: Offundefined_37: Offundefined_38: OffSpec_10: OffK_2: Off1st_4: Off2nd_4: Off3rd_4: Off4th_4: Off5th_4: Off6th_2: Off7th_3: Off8th_3: OffCamper Name: ParentGuard i an: York Suburban: OffDa: OffYARCS: OffLogos Academy: OffOther_2: OffChecking Account Transfer vo: OffSavings Account Transfer account documentation must be attached in addit: OffCredit Card Charge card imprint must be attached Business Office is required to keep cred: OffDATE: undefined_39: Offundefined_40: Offundefined_41: Offundefined_42: Offundefined_43: Offundefined_44: Offundefined_45: Offundefined_46: OffWeek 0 June 1: OffWeek 1 June 8_2: OffWeek 2 June 15_2: OffWeek 3 June 22_2: OffWeek 4 June 29_2: OffWeek 5 July 6: OffWeek 6 July 13_2: OffWeek 7 July 20: OffWeek 8 July 27_2: OffWeek 9 Aug 3_2: OffWeek 10 Aug 10_2: OffDrama June 8 Ages 58: OffDrama June 15 Ages 58: OffDrama June 22 Ages 58: OffDrama June 29 Ages 58: OffDrama July 6 Ages 610: OffDrama July 13 Ages 610: OffDrama July 20 Ages 610: OffDrama July 27 Ages 610: OffDance June 22 Ages 47: OffDance June 22 Ages 812: OffCook: OffCook_2: OffGames Ju: OffGames Ju_2: OffNo CCCTOTAL DEPOSIT DUE AT REGISTRATION: Camper Name_2: ParentGuardian Name: Name_2: DOB1: DOB2: Text1: Child's name: Summer Camp: OffRepair the World Camp: OffTIMEIN: TIME OUT: FIRST CHILD: AMMONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY: PMMONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY: TIMEMONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY: AMMONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY_2: PMMONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY_2: TIMEMONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY_2: LEAVES CENTERMONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY: RETURNS TO CENTERMONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY: NAME: BIRTH DATE: AGE: Date: Telephone Number of Parent or Guardian: Breakfast: OffAM Snack: OffLunch: OffPM Snack: OffSupper: OffEvening Snack: OffMonday: OffTuesday: OffWednesday: OffThursday: OffFriday: OffSaturday: OffSunday: OffText16: Early Years: OffAleph: OffJunior: OffSenior: OffRepair the World: OffYes: OffCheck Box24: OffText6:

erica grudi - york jccyorkjcc.org/wp-content/uploads/2020/02/updated-camp... · 2020. 9. 7. · mr....

Documents