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Kids Rock Summer Camp Information Packet

Website: www.KidsRockSummerCamp.com Email: kidsrocksummercamp@gmail.com

Kids Rock Zeeland: 616-644-4109 Kids Rock Grand Rapids: 616-666-1231

Camp Director Direct Phone Number: 616-928-8320 (Ben Ashby)

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Welcome Letter

General Camp Overview

Weekly Themes and Elective Class Schedule

Daily Schedule

Behavior Plan

Meet The Staff

Emergency Information

Waivers and Permission Forms

Camper Profile

Kids Rock Sponsors

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Dear Kids Rock Parents,

Thank you for signing up your child for Kids Rock Summer Camp. The

camp staff and I are very excited about all of the fun activities that we have

planned for the summer. Our motto at Kids Rock is “committed to giving

campers the best summer of their lives.” We genuinely hope that your child’s

week at camp is one that will create a lifetime of memories.

The vision at Kids Rock is to provide a summer camp where all kids can

find activities that they love. We want to have an environment where campers

can learn new things, while feeling safe and successful. We have a wide variety

of programming happening this summer at Kids Rock ranging from: theme

activities, sports, elective classes, drama, singing, devotions, and arts and crafts.

As they run, laugh, smile, and play, it is our hope that campers will learn that

each moment in life is truly a gift from God.

Enclosed in this information packet you will find all of the necessary

information to ensure your child’s enjoyment and safety at camp. All permission

forms and waivers need to be filled out and either mailed or dropped off on the

first day of camp. If you have any questions about any of the contents of this

packet, do not hesitate to contact me.

The Kids Rock staff has a heart for God and a heart for kids. It is our

mission to serve you as best as we can. Please let us know if your family has

any special needs, or if there is anything that we can do to make this camp

experience the best that it can be for your kids. If you would like to sign up for

any extra weeks, we will be taking sign-ups all summer long if spots are

available. Thanks again for choosing Kids Rock to deliver an awesome camp

experience for you and your kids!

In Christ,

Ben Ashby

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General Camp Overview

DROP OFF AND PICK UP TIMES: For a full day of camp, the recommended drop off time is between 7:45-8:45 am and the recommended pick up time is between 5:00-5:30pm. If you would like to drop your child off earlier than 7:45am, or pick them up later than 5:30pm, you will need to fill out an early drop off/late pick up scheduling sheet. Otherwise, you will be charged a $5 late fee per every five minutes past 5:30. If you would like to pick your child up early or drop them off late, we can be flexible with those arrangements. Pick up and drop off this year will be at the back of the building at Zeeland Christian and in the front parking lot of Legacy Christian Middle School. Stay tuned for updated drop off directions for Zeeland Christian School and Faith Reformed church (for the last two weeks of camp at Zeeland). The construction this summer may require us to enter through a different door. EARLY DROP/LATE PICK UP SCHEDULING SHEET: If you need to drop your camper off early, or pick them up late, you need to fill out and return the attached Early Drop/Late Pick Up Scheduling Sheet. The cost is $5 per family for each half hour. We need to have the sheets filled out and returned to us by the Friday before each week so that we can schedule before and after camp supervision. DROP OFF/PICK UP POLICY: We ask that you walk your camper inside each morning to drop them off, and come inside to pick them up each afternoon. Anyone picking up a camper other than a parent/guardian needs to be authorized in writing ahead of time by the parent/guardian. Campers walking or biking to and from camp need to have a signed permission slip from the parent or guardian. PAYMENT: Payment for each week is due before the first day of each camp week. Failure to pay may result in the removal of the camper from camp. EMERGENCY CARD/WAIVERS: Campers cannot attend camp until the parent/guardians has filled out the attached emergency information, permission slips, and liability waivers. These forms are included in the packet beginning on page 21, and will also be available the first time you drop your camper off. AUTHORIZATION TO ADMINISTER PRESCRIPTION MEDICATION: Medication can be administered only with written permission. All medical forms must be filled out, before any medication can be administered. Contact Kids Rock if you need a medication form. WHAT TO BRING TO CAMP: Campers should bring sunscreen with their name on it, clothes that may get wet/dirty, and athletic shoes. If the camper does not have athletic shoes to wear they may not be able to enter the gymnasium area. It is also recommended that campers bring with them a water bottle, snacks, extra shoes/sandals and a change of clothes. For Wet Wild N’ Wacky and Splish

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Splash week we recommend that students come already wearing their bathing suits in the morning. Certain activities like some of the elective classes may require students to bring additional items with them to camp and will be communicated to you on Facebook, email, or a note home. On the first day of camp, parents should bring all of the forms in pages 21-26 filled out for each camper. LUNCHES/SNACKS: Kids Rock does not provide lunch, and bringing a sack lunch is recommended. However, we will have lunchables available for purchase for $3, as well as Hungry Howies Pizza available for purchase on Fridays for $1/slice. A pizza order slip will be available at the registration table. Campers will have access to a refrigerator and microwave to heat their lunch if necessary. Kids Rock will provide a snack for the campers each afternoon. We recommend that you pack a snack for the campers to eat during our morning break time. Due to some severe allergies at camp, Kids Rock is a peanut free zone. FACILITIES: Kids Rock Zeeland is located at Zeeland Christian School, 334 W. Central Ave, Zeeland, MI 49464. Tennis instruction will take place at Lawrence Park. The last two weeks of camp in Zeeland will take place at Faith Reformed Church, directly next door to Zeeland Christian, 220 W. Central Ave. Kids Rock Grand Rapids is located at Legacy Christian School, 67 68th Street SE, Grand Rapids, MI 49548. Kids Rock will have access to three classrooms, the gymnasium, bathrooms, the playground, and athletic fields. KIDS ROCK I & II: Campers entering grades 1-3 will be grouped together in Kids Rock I. Campers entering grades 4-7 will be grouped together in Kids Rock II. Each group will have their own home base, and age appropriate games and activities available to them for free time. Kids Rock I & II will come together for certain theme, class and sports activities when it is age and number appropriate. CAMP LEADERSHIP: The camp leadership program is for grades 8 & 9. The campers who sign-up for this program will be expected to be role models for the younger campers. In addition, they will take on an expanded role with camp to assist in games, activities, and other duties necessary to help the camp function. It will be a way for these campers to gain valuable job and resume experience, while having a great time participating in camp. ADULT TO CAMPER RATIO: The adult to camper ratio will never be higher than 15 to 1. The ratio will frequently be 7 or 8 to 1. ELECTIVE CLASSES: Kids Rock is offering unique elective classes for the campers each week and will do its best to give each camper their first choice. We will send out an online election form via email sometime prior to beginning of camp. The elective class schedule on this packet is subject to change based on interest and other determining factors. AFTERNOON CHOICE: ATHLETICS OR ARTS: Students will be given a choice in the afternoon to participate in the sport of the week, or the creative arts option.

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Like the elective classes, this choice will be made by filling out an online election form which will be emailed prior to the start of camp. CANCELLATION /REFUND POLICY: Kids Rock requires a two week notice on any cancellations in order to receive a refund of payment. If payment has not yet been received at the time of the late cancellation, the family will still be required to pay for the registered weeks. This policy is to allow us adequate time to contact families with campers on the waiting list, and make informed decisions regarding weekly supplies and counselor work schedules. We can try to accommodate families who would like to change their dates as long as there is availability on the dates they would like to change in to. To make a change or cancellation, turn in the registration change form that can be downloaded from the website.

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June 16-20: Wet Wild N’ Wacky

Theme Description: Campers will have a blast participating wet, wild, and wacky activities like water fights, wacky hair day, water balloon toss, and the wet n’

wild carnival.

Sport of the Week: Soccer Creative Arts Option: Art Prize

Arts and Crafts Basketball Frisbee Golf Jewelry Making

Campers will have a blast making a

new craft each day!

Campers will learn basic basketball skills and have a

chance to practice them in game like

settings!

Campers will learn the basic rules of frisbee

golf and have a chance to play our Kids Rock Frisbee golf course!

Learn how to make and create your own jewelry!

Special Instructions:

Campers should come wearing a bathing suit, as well as bring a towel and change of clothes. Bring the whole family for the Kids Rock

Carnival! Kids Rock Zeeland’s carnival will be Friday at 4pm. Kids Rock Grand Rapids’ carnival will be Thursday at 4pm.

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June 23-27: Olympic Week

Theme Description: Campers will compete in Olympic events like long jump shot put,

relay races and more! Join us at the end of the week for the closing ceremony to see which country won the Olympic gold.

Sport of the Week: Flag Football Creative Arts Option: Young Authors Competition

Elective Classes: Tennis Line Dancing Hockey Scrap

booking/card making

Campers will learn basic tennis skills

and have a chance to use

them in game-like situations!

Campers will have fun learning different

line dances!

Campers will learn basic hockey skills

and have a chance to practice them in fun, game-like settings!

Bring some pictures of friends and family at home

and learn some scrap book and

card making basics!

Special Instructions: Parents are invited to attend our closing ceremony on Friday at

4:00pm!

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June 30- July 3: Holiday Happenings

Theme Description: Christmas in August? Trick or treating in the summer? Come join us for a Thanksgiving dinner, an Easter egg hunt, and all of your other

favorite holiday activities for this fun-filled week!

Sport of the Week:

Tennis

Elective Classes:

Mile Club Baseball Arts and Crafts Ooey Goey Science

Do you like to run? Log as many as you can in this class to receive various rewards!

Learn basic baseball skills and have a chance to use them in game

situations!

Campers will have a blast making a new

craft each day!

Campers will have fun learning about science through

exciting experiments!

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Theme Description: Kids Rock idol, the camper talent show, and the Kids Rock play are all part of this fun-filled week that focuses on having fun with the fine

arts.

Sport of the Week: Baseball Creative Arts Option: Commercial Film Festival

Elective Classes: Acting Dance Golf Volleyball

Learn basic acting skills in fun settings like improvisation,

reader’s theatre, and short skits!

Learn a dance to perform at our talent show!

Students will learn how to drive, chip, and putt and then

put those skills in to practice with our

own Kids Rock golf course!

Learn basic volley skills and have a

chance to use them in game-like

settings!

Special Instructions: Parents are invited to our talent show/Kids Rock play on Friday at

4:00pm. Bring a baseball glove if you are able!

July 7-11: Hollywood Magic

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July 14-18: Splish Splash N’ Sports

Theme Description: This week combines the campers favorite sports activities with wet n' wild fun! Sprinkler soccer, water balloon volleyball, and much more! Bring your bathing suits and your athletic gear for a splish splashin'

good time! Parents are invited to join us at the end of the week for our Kids Rock track meet and ribbon ceremony

Sport of the Week: Track and Field Creative Arts Option: Creative Board Games

Elective Classes:

Music Beauty Club Biking Kick Ball

Campers will have a chance to learn about

different styles of music and instruments.

Students will enjoy listening, playing, and singing in this music appreciation class!

Campers will have fun doing

each others hair and nails!

Campers will practice their physical fitness as they set out on a

new bike course each day!

*pre-registration required, must bring a

bike and helmet!

Campers will learn the basic

rules of kick ball and have a

chance to play in fun games and tournaments.

Special Instructions: Join us at 4:00 on Friday for our Kids Rock track meet and medal

ceremony. Please send campers wearing a bathing suit and a change of clothes.

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July 21-25: Survivor

Theme Description:

Join us for Kids Rock Survivor week. Campers with their tribes will compete in obstacle courses, scavenger hunts, and other reward

challenges similar to those seen on the hit TV show “Survivor”. Don’t worry, campers will not be voted off the island.

Sport of the Week: Basketball

Creative Arts Option: Market Week

Elective Classes: Exercise Science Card Games Badminton Painting

Yoga, Tai Bo, Aerobics, Dance, Zumba are part of

this fun filled exercise class!

Campers will learn a new card game each

day!

Campers will learn basic badminton skills and have a chance to use them in fun, game-like

settings! Bring from home:

Campers will have fun painting with different mediums each day. Please bring a paint shirt for this class!

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July 28-August 1: Game Shows

Galore

Theme Description: Family Feud, Jeopardy, The Amazing Race, Who wants to be a Millionaire, Wheel of Fortune, American Gladiator! Kids Rock will

bring these hit TV game shows to life for this fun-filled week.

Sport of the Week: Volleyball

Creative Arts Option: Bible Story Film Festival

Elective Classes: D.E.A.R Soccer Chess Flag Football

Drop everything and read! Bring a

book, and cool down and relax for some nice

summer reading!

Campers will learn the basic skills of

soccer and have a chance to practice them in fun, game-

like settings!

Campers will learn the basic rules and strategies of chess and then have fun competing against

their friends!

Campers will learn the basic skills of football and have a chance to practice them in fun, game-like settings!

Special Instructions:

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August 4-8: Summers Best

Theme Description: Do you want a chance to plan a week of camp with your favorite

activities from the summer? Join us as we re-live all of the campers favorite theme activities from the first seven weeks!

Sport of the Week: Sport Sampler

Creative Arts Option: Camp Theater Creations/D.E.A.R.

Elective Classes: Zumba Dance Origami Inventions Basketball

Students will learn fun exercise dance

routines!

Campers learn how to fold paper to fun origami creations.

Students will create inventions

such as instruments, race cars, and other creative ideas.

Campers will learn some basic basketball skills and have the chance to use them in a game setting!

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August 11-15: Field Trip Frenzy

Theme Description: Each day, we will travel by bus for fun at a new location! The kids will

enjoy fun field trips like Crazy Bounce, roller-skating, Craig’s Cruisers, The Critter Barn, bowling, the movie theatre, timber town,

and more! All bussing and entry fees are included in the price!

Special Instructions:

Additional information such as specific field trip times and details will be posted on our Facebook page and our website when a complete

schedule is available. We will eat lunch each day at the school’s location.

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Daily Schedule

*This schedule is subject to change based on daily and weekly activities.

7:45-8:45: Arrival/free time

8:45-9:00: Devotions

9:00-9:45: Group games/Activities

9:45-10:015: Activity of the day

Monday-Gym Games

Tuesday-Arts and crafts

Wednesday- Wacky sport Wednesday

Thursday- Arts and crafts

Friday- Singing

10:15-11:00: Weekly sport activity

11:00-11:15: Snack (provided from home)

11:15-12:00: Weekly theme activity

12:00-12:45: Lunch

12:45-1:30: Free time

1:30-2:15: Camper elective classes (change weekly)

2:15-3:00: Weekly sport activity

3:00-3:15: Snack (provided by camp)

3:15-4:00: Weekly theme activity

4:00-4:30: Group games

4:30-5:00: Gym Games

5:00-5:30: Camper pick-up/free time

***Early drop-off and late pick-up plans available. ***We have late drop off and early pick flexibility.

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Kids Rock Behavior Plan

Although Kids Rock is a fantastic option for parents looking for a positive experience for their children all summer long, our program is also designed to give a unique camp experience each week. Although our counselor to camper ratio is 15 to 1 or lower, we do not have the capability to provide an aide for any camper due to behavior or health concerns. We provide highly structured activities with very limited free time. This is different from a traditional day care setting, and may not be a fit for every camper.

We have two basic expectations for all campers: 1. Treat others the way you want to be treated.

Examples of not meeting this expectation: Arguing with campers or counselors, name calling, teasing, disrupting camp activities, damaging school property, talking while counselors are talking, fighting, bullying, threatening others, stealing, etc.

2. Participate and always have a good attitude. Examples of not meeting this expectation: Poor sportsmanship, not following activity directions, playing fair during games and free time, etc.

Daily Behavior Management System: Minor infractions such as general camp disruptions will be handled using a daily stoplight system with the following consequences: First offense: Verbal warning Second offense: Removal from activity for 10 minutes Third offense: Removal from an entire camp activity, and written violation slip will be filled out Fourth offense: Camper will be sent home for the day, and a written violation slip will be filled out Written Violation Slips: Violation slips are a means of documenting camp behavior infractions. A written violation slip can be given for repeated basic infractions, or for more serious offenses such as bullying, swearing, stealing, threats to a camper or counselor, physical harm to another child or staff member, etc. 1 Violation Slip: Removal from an entire camp activity 2 Violation Slips: Removal from an entire camp activity 3 Violation Slips: One day suspension out of the program 4 Violation Slips: Dismissal from the program

*Kids Rock Summer Camp reserves the right to dismiss students from the program for severe infractions without going through all of the steps mentioned above.

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Administration Staff Ben Ashby, Camp Director- Ben Ashby is a middle school Spanish teacher at Zeeland Public Schools. He also taught elementary Spanish for 6 years. He attended South Christian High School in Grand Rapids, MI and is a graduate of Calvin College. In his experience working as a teacher, coach, and camp counselor, he has worked with children of all ages. Ben splits his time between the Zeeland and Grand Rapids location and is excited about sharing the love of God with the campers this summer through all of the fun activities that Kids Rock has planned. His wife Sarah was a 2nd grade teacher at Holland Christian for four years. They live in Zeeland, MI with their three boys who keep them very busy! Eli is 5, Isaac is 3, and Jacob is 1.

Sarah Ashby, Camp Administration-Sarah Ashby taught second grade at Holland Christian for four years at South Side Elementary. She was also the director of a summer camp in her home town in New Jersey. Sarah stays extremely busy as a stay at home mom, and enjoys walking, gardening, being active, and spending time with friends and family. Sarah is involved with camp planning, organization, and other administrative tasks. She is also a frequent camp visitor! Joni Van Haitsma- Administrative Assistant- Originally from Grand Rapids, Joni moved to Zeeland 21 years ago when she married her husband Scott. For the past 19 years she has been a stay at home mom but has kept active volunteering in the Zeeland area. Joni enjoys camping with her family, campfires, and entertaining by their pool.

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Meet the Zeeland Staff Kelli Potts, Site Director- Kelli graduated from South Christian High School and Michigan State University with a B.A. in English and a minor in TESOL (teaching English to speakers of other languages) . She just finished her student teaching in Grand Rapids Public Schools and is excited to hopefully have her first teaching job in the fall! While at MSU, Kelli was a part of Campus Crusade for Christ and an education association that worked with kids. In her free time, Kelli enjoys camping, cooking and baking, gardening, reading, playing all sports, and spending time with her husband. In past summers, Kelli has worked as a waitress, worked at a landscape company, and has been a counselor at a different summer camp. Kelli is looking forward to sharing her love of Jesus with the Kids Rock campers this summer! Ben Sytsma, Sports Director- Ben is a 2010 Unity Christian High School graduate and just recently graduated from Dordt College in Sioux Center, IA this past spring. He has graduated with a degree in Secondary Education: History with coaching and government endorsements. In high school, Ben participated in many sports including basketball, golf, cross country, and track. Ben also played basketball in college for two years and has coached high school basketball for the past two years. The last two summers Ben has worked at Brothers Redevelopment, a non profit organization in Denver, CO and Alpha Omega Academy, a completely online virtual k-12 school. This is Ben's first year working with Kids Rock Summer Camp and cannot wait to hang out with the kids and build relationships with them. Ben hopes that he can reflect Christ's love and be a role model for the kids this summer. Brad Lemmen, Camp Counselor- Brad is currently a 7th grade teacher at East Arbor Charter Academy in Ypsilanti, Michigan. He previously taught 4th grade and student taught in a 2nd grade classroom. He graduated from Western Michigan University in 2011 with a degree in elementary education, after graduating from Zeeland West High School in 2007. In addition to camp, Brad will be getting married this summer. This will be Brad’s 6th summer at Kids Rock Summer Camp! He enjoys playing golf and softball during the summer and loves sports of all kinds. Brad is excited to be back at camp this year for another great summer!

Lillea Prins, Camp Counselor- Lillea is a 2010 graduate of Holland Christian and will be a 5th year senior at Calvin College in the fall. She is studying elementary education and language arts and looks forward to being a teacher in the future. In high school, Lillea participated in cross country, Dutch dance, and art club. At Calvin she is a part of the Student Activities Board where she plans events and activities for the on-campus students. She also volunteers at the Homework House and Cook Library Center helping students with their homework. Lillea enjoys spending time with kids of all ages, and loves biking, archery, exploring, going to the beach, and spending time with family and friends. This will be Lillea’s third summer at Kids Rock Summer Camp and she is very excited about building new relationships and sharing God’s love with the students at the camp! Jenna Jongekrijg, Camp Counselor – Jenna is a 2012 graduate of Holland Christian and will be a sophomore at Calvin College in the fall. She is studying elementary education. In high school she participated in basketball her freshmen and sophomore years, and softball all four years. She enjoys sports, traveling, snowmobiling, and being out in nature. She has experience mentoring and volunteering in children programs. She is extremely excited to be a camp counselor and can not wait to see what God has in store this summer!

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Keegan Goalen, Camp Counselor- Keegan is just finishing his sophomore year at Hope College and is majoring in Education with a Social Studies minor. He is currently a member of the Hope College football team and has been actively involved many other campus activities.He has had a variety of experiences working with kids through field placements, ministries, volunteering, and coaching. Keegan was originally born in Petoskey, Michigan, but grew up in Hudsonville, Michigan and graduated from Hudsonville High School in 2012. This is Keegan's first year as a camp counselor at Kids Rock and he is very excited to get started.

Lindsay Sanders, Camp Counselor- Lindsay will be a Junior this fall at Cedarville University in Ohio. She is majoring in Early Childhood Education with a Bible minor. She is a 2012 graduate of Zeeland East High School where she participated in Dutch Dance, student senate, and four years in the Dance program. At Cedarville she is involved with an after school Bible club at the local elementary school, a Discipleship group, and various Cedarville hosted children’s events. She also has experience babysitting, mentoring, and teaching Sunday school.She has volunteered at a camp for troubled teens, several elementary schools and done mission work in Mexico. She always enjoys spending time with her family, watching movies, playing board games or cards, hanging out at the beach with friends, ice skating, reading, and doing crafts. Lindsay has wanted to be a teacher since first grade and is thrilled to be back for her second summer at Kids Rock Camp!

Kennedy Boeve, Camp Counselor- Kennedy is a Junior at Zeeland East High School. She is very involved in theater and music. She has been attending two youth groups around the area and leads worship at each one. In the past, she has enjoyed volunteering her time serving in her children's ministry at church. For two summers now, she has loved being involved with Kids Rock Summer Camp. She is looking forward to investing more of her time and creating memories with the kids this summer at camp!

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Meet the Grand Rapids Staff

Audrey Slotsema, Site Director- Audrey is so excited to be returning to Kids Rock Summer Camp this summer! She is a recent graduate of Calvin College with a degree in Elementary Education and Spanish. While at Calvin she planned activities for her residence hall, was an Orientation Leader for incoming students, and worked at the Admissions Office. Audrey loves to travel, spend time at the beach, and read. In the fall, Audrey will be teaching 8th grade English and Spanish at Zeeland Christian School. Audrey loves to spend time with kids of all ages and couldn't imagine a better way to spend the summer!

Tom Snikkers, Sports Director – Tom Snikkers is a 2013 graduate of Calvin College with a degree in Sports Management. Prior to his 4 years at Calvin, he attended Unity Christian High School in Hudsonville, Michigan. This past year Tom played professional basketball in the Netherlands. Upon finishing his basketball career overseas, he plans to attend graduate school in route of becoming an Athletic Director at the collegiate level. He has played many sports at various levels, including basketball, football, and baseball. Tom looks forward to sharing his passion for sport combined with his love for Christ. This will be his second season serving as the Kids Rock Camp Sports Director, and he is excited to be back this summer as part of the Kids Rock Summer Program. Kimbra Filippini, Camp Counselor- Kimbra is 2014 graduate of Calvin College. She holds a degree in Elementary Education with minors in Math and Language Arts. She had the privilege of doing her teaching internship and holding a long term substitute teaching position at Legacy Christian this past school year. Kimbra enjoys spending time with her family, working with children, hanging out with her friends, and dance. She was involved in ballet for nine years, and still enjoys recreational dancing through Calvin’s Dance Guild. Kimbra has a passion for working with and sharing the love of the Lord with children of all ages. This will be Kimbra’s second summer at Kids Rock and she couldn’t be more excited to be a part of this incredible program again!

Kendra Tameling, Camp Counselor- Kendra is a 2010 graduate of South Christian High School and will be a senior at Calvin College in the fall. At Calvin, she is studying therapeutic recreation and minoring in psychology. She hopes to become a Certified Therapeutic Recreation Specialist someday and work in a rehabilitation setting with people with physical disabilities. During the school year, Kendra works as a Dance Therapy Instructor at Lincoln School, teaching creative movement classes for adolescents and young adults with Autism. She also works as a care provider for the Neurobehavioral program at Hope Network. Kendra enjoys running, dancing, listening to music, spending time with family and friends, and being outdoors. This will be her second summer at Kids Rock Summer Camp, and she is thrilled to be working at a camp where she grew up going to school. She is looking forward to spending time with the kids and having a blast with them this summer.

Seth Van Engen, Camp Counselor- Seth is a graduate of South Christian High School and is currently attending Calvin College, and will be a sophomore in the fall. He is studying Elementary Education with a focus in math. At South he participated in Football, Basketball, and Golf. At Calvin, Seth is a part of the basketball team, but also enjoys participating in many other intramural sports. He works at Grand Rapids Christian Elementary during the school year in their

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after school program. He enjoys singing, sports, and fishing. He is really looking forward to an awesome summer at Kids Rock Summer Camp, and is excited for the chance to be a Christian example for the kids. Jeff VanderMolen, Camp Counselor- Jeff is a 2010 graduate of Unity Christian High School and will be finishing up his senior year at Dordt College this spring. He is studying Elementary and Middle School Education with an endorsement in coaching. In high school, Jeff participated in football, cross country, and track. During his senior year, he was also part of the spiritual leadership team at Unity. At Dordt, he has worked in the admissions office, has been a teacher assistant for a college math class, served as a student coach for cross country, and participated in track and field. Jeff also volunteers at HUGS ranch in Byron Center, MI. Jeff enjoys spending time with kids of all ages and loves sports, spending time with family, hanging out with friends, and simply spending time outdoors. This will be Jeff's second summer at Kids Rock Summer Camp! Jeff looks forward to developing and furthering relationships with the campers while serving as a positive Christian role model in the lives of all the children. Audrey McKenzie, Camp Counselor- Audrey is a 2013 graduate of East Kentwood High School and will be a sophomore at Hope College in the fall. While at East Kentwood she was involved in track, national honor society and was a mentor for freshman students. Her major is Language Arts Elementary Education and plans to minor in English as a Second Language. At Hope she is a mentor for an elementary student and loves being a role model for younger students. She enjoys spending time with friends and family and traveling. Audrey loves working with kids and is excited to come back for her second year as a counselor at Kids Rock Summer Camp sharing her love for Christ. Jenny Bonnema, Camp Counselor- Jenny is a graduate of South Christian High school and currently a student at Calvin College where she is pursuing a Special Education major. She loves spending time with her friends and family, reading, and listening to music. She is so excited to return to camp this summer and share the love and joy of Christ with all the campers!

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Kids Rock Emergency Card

Child’s name: ___________________ Birth Date: ________________________

Address: _________________________ Home Phone:________________________

Mother’s Name: ____________________ Father’s Name: ______________________

Employer: _________________________ Employer: ___________________________

Work Phone: ______________________ Work Phone: _________________________

Cell Phone: ________________________ Cell Phone: __________________________

Describe any physical condition requiring special attention by camp staff. (Surgeries,

Illnesses, Allergies, Chronic Health Problems, etc.)

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

Individuals Other Than Parent/Guardian Authorization

ONLY these individuals have my authorization to care for my child in the event of an

emergency and/or for drop-off and pick-up. * Please advise these individuals that they are

authorized and will need to present identification to staff.

Parent/Guardians Initial:______

Name/Relation: ____________________ Phone Number:______________________

Address:________________________________________________________________

________________________________________________________________________

Name/Relation: _________________ Phone Number:_________________________

Address:________________________________________________________________

________________________________________________________________________

Name/Relation: _________________ Phone Number:_________________________

Address:________________________________________________________________

________________________________________________________________________

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Authorization for Emergency Medical Care

I hereby give my permission to Kids Rock Summer Camp to call a doctor or emergency

medical service and for the doctor, hospital or medical service to provide emergency medical

or surgical care for my child ______________________________________ should an

emergency arise. It is understood that the Kids Rock Summer Camp staff will make a

conscientious effort to locate the parent/guardian or the emergency contact listed on the

registration document before any action will be taken. If it is not possible to locate the

emergency contact listed, I will accept the expense of emergency medical or surgical

treatment.

_______________________ _____________________ Signature of parent/guardian Date

Authorization to Administer Over the Counter Medication

Kids Rock Summer Camp staff cannot supply your child with any over the counter

medication unless we have a permission slip on file. If your child has needs beyond over

the counter medication, please contact the camp director to make those arrangements.

Please fill out this permission slip if you would like your child to be able to receive over

the counter medication at the camp director’s discretion. I hereby give my permission to

Kids Rock Summer Camp to administer the following to my child in the manner

described on the packaging:

Bug spray

Antiseptic cream

Tylenol

______________________________ Child’s name

______________________________ ___________________ Signature of parent/legal guardian Date

Lost or Stolen Items

I understand that the Kids Rock Summer Camp is NOT responsible for personal property

lost or stolen on the Camp facilities or on the camp premises.

______________________________ ___________________ Signature of parent/legal guardian Date

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Liability Waiver For Participant

I, as parent or legal guardians of __________________________ approve and give my

permission for him/her to participate in any class or program offered by Kids Rock

Summer Camp. By registering for youth programs through Kids Rock Summer Camp,

registrant acknowledges that the activities carried on in the program carry certain risks

for the participant. Registrant has independently reviewed and evaluated the risks and

determined to engage in the program with full knowledge and acceptance of the risk. The

registrants agrees to and hereby releases and forever discharge the Kids Rock LLC, their

officers, employees, agents, Zeeland Christian School, Legacy Christian School and

volunteers from any and all liability for damages, loss or personal injury arising out of or

related to registrant’s participation in youth recreational programs.

______________________________ ___________________ Signature of parent/guardian Date

Sunscreen Permission Form

Children will apply sunscreen to themselves under the direct supervision of a day camp

staff member at least once a day. Sunscreen will not be applied to any broken skin or if a

skin reaction has been observed. Any skin reaction observed by staff will be reported

promptly to parent/ guardian. It is the parent’s responsibility to provide and apply

sunscreen before camp with a specific amount of SPF they wish their child to have.

Please have your child’s first and last name clearly labeled on the sunscreen bottle. By

signing below, I agree to provide sunscreen, apply it before camp and allow staff and/or

other campers to assist in applying sunscreen as necessary throughout the day.

______________________________ Child’s name

______________________________ ___________________ Signature of parent/legal guardian Date

PG Movie Permission Form

During lunch, children will occasionally be offered an option to watch part of a movie. We

try to show G movies when at all possible, but some of our movies are age appropriate PG.

Please sign this section if you would like to allow your child to watch a PG family/children’s

film. Movie titles are available from the Summer Camp Director if you would like to review

our selections.

______________________________ Child’s name

______________________________ ___________________

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Signature of parent/legal guardian Date

Bike/Walk To &/Or From Camp Permission Form

My child _____________________________ has my permission to bike or walk to and from

camp and be released on his/her own. He/she will be responsible for signing him/herself into

and/or out of camp each day. I agree that Kids Rock Summer Camp and employees will not

be responsible for the welfare of my child before camp and once released to go home.

____________________________________ _________________

Signature of parent/legal guardian Date

Walking/Biking Field Trip Permission Form

We will be leaving the camp facilities occasionally to play tennis at the park, for biking

class, or nearby service project opportunity. Please fill out the following form to give

your child permission to do those activities. My child_________________ has my

permission leave camp under counselor supervision for walking and/or biking field trips.

____________________________________ _________________

Signature of parent/legal guardian Date

Field Trip Frenzy Field Trip Permission Form

My child, ______________________________, participating in Kids Rock Summer Camp, has

my permission to participate in all field trips during Field Trip Frenzy Week. I am aware that

these field trips may include swimming at the beach. We understand that these field trips may

include walking, riding with a licensed bus driver on a school bus, a privately owned transportation

company, or a city bus. We as parents/guardians agree to hold harmless Kids RockSummer Camp

and any employees or volunteers thereof, for any accident, injury or occurrence arising out of, or in

connection with the field trips during field trip week. If I am late and the busses have already left, I

understand that I am still charged for that day.

____________________________________ _________________

Signature of parent/legal guardian Date

Cancellation/Refund Policy

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I have read and agree to Kids Rock Summer Camp’s two week notice cancellation and

refund policy.

____________________________________ _________________

Signature of parent/legal guardian Date

Photo Release

My child_______________ has the permission to be photographed, for publication.

____________________________________ _________________

Signature of parent/legal guardian Date

***Fill out pages 21-26 for each camper and bring with you on your first day of camp.

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Kids Rock Camper Profile

Camper name:_________________________ ________________________________

Last First 1. Does your child have any dietary restrictions or concerns?

2. Does your child have any allergies? If yes, please elaborate.

3. What is your child’s interests/favorite activities at school and at home?

4. What social goals do you have for your child while at camp?

5. Does your child have any characteristics that require special attention?

6. Does your child have any limitations or restrictions on camp activities? If yes, please

explain.

7. Do you have any behavior management suggestions for your child?

8. What types of things can easily upset your child/cause them anxiety?

9. Do you have any other suggestions for how camp can provide the best experience

possible for your child?

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A Special Thanks to our Sponsors

Ridge Point Community Church

Hudsonville Expressway Self Storage

Hungry Howie’s Pizza in Zeeland, MI

Zeeland Christian School

Legacy Christian School

The Zeeland Print Shop

Cuttlerville East CRC