Summer Day Camp: Ages 5–12 Mini Camp: Ages 3½–5

Travel Camp: Ages 10½–12

And

erso

n To

wns

hip

Park

Dist

rict

8249

Clo

ugh

Pike

Cinc

inna

ti, O

hio

4524

4-27

46(5

13) 4

74-0

003

ww

w.An

ders

onPa

rks.

com

This

is no

t a sc

hool

spon

sore

d ev

ent. T

he m

ater

ial

cont

ained

in th

is fly

er a

nd th

e ac

tivitie

s whic

h it

desc

ribes

are

not

end

orse

d by

the

Fore

st Hi

lls

Scho

ol Di

strict

. The

org

aniza

tion

which

crea

ted

an

d ca

used

this

flyer

to b

e dis

tribu

ted

is in

no w

ay

affili

ated

with

the

Fore

st Hi

lls S

choo

l Dist

rict.

Pa

rticip

ation

in th

is ev

ent is

not

man

dato

ry.

Fore

st H

ills S

choo

l Dist

rict D

isclai

mer

Prs

rt S

tdU

.S. P

osta

ge

PAID

Cin

cinn

ati,

OH

Per

mit

#90

70

Summer Camps Anderson Township Park District

Summer Camps Anderson Township Park District

Mail, fax, email, or drop off registration forms to: ATPD, Beech Acres Park RecPlexAttn: Summer Camps 6915 Beechmont Ave.Cincinnati, OH 45230Tel: (513) 388-4515 Fax: (513) 231-4190Hotline: (513) 357-6629 Email: ATPDReg@AndersonParks.com Beech Acres Park RecPlex Office Hours: Monday–Friday, 8:30 a.m.–5 p.m. Closed on Monday, May 25 and Friday, July 3

Registration begins March 2 Online registration is available for Mini Camp and Travel Camp at www.AndersonParks.com. Printable forms are available online for all camps.

Program Goals Park district summer camps have been a staple for children in the Anderson community since 1984. We care-fully select caring and devoted camp counselors to provide fun and meaningful experiences in a safe, outdoor environment, and lead according to the six pillars of character: trustworthiness, respect, responsibility, caring, citizenship and fairness. Character Counts!

Each of the Anderson Township Park District’s camps have enrollment limits and registration is first come, first served. Camp deadlines are the Wednesday prior to the chosen camp’s start date.

The enclosed registration form includes emergency information, release of liability, transportation authorization, and registration and payment information.

Summer Day Camp: Full payment is required at the time of registration for the first week attending camp. Additional weeks require a $25 non-refundable deposit per child per week, also paid at registration. The remaining balance is due the Wednesday prior to the chosen camp.

Deposits: The $25 deposits are non-refundable and non-transferable. If a change to the registration is required, the $25 will be forfeited. If the remaining balance has been paid, it may be transferred or refunded if the request is made by the Wednesday prior to the chosen camp.

Mini Camp: Payment for each camp selected must be paid in full at registration. Changes to the registration or cancellations require a $10 administration fee; the remaining balance may be refunded or transferred to other camps by request only.

Travel Camp: Travel Camp must be paid in full at registration. Changes to the registration or cancellations require a $25 adminis-tration fee; the remaining balance may be refunded or transferred to other camps by request only.

Payments and Refunds

Registration Policy

Payment and a completed registration form must be received before the child is officially enrolled in camp; one form per child please. All registration change requests must be made by the Wednesday prior to the chosen camp, or the total payment will be forfeited. There is a $25 fee for returned checks.

Summer Day Camp (9 a.m.–4 p.m.): . $150 per week = Resident, first child. $135 per week = Resident, each additional child . $160 per week = Non-resident, each child Summer Day Camp with Extended Camp (7 a.m.–6 p.m.): Extended camp is required for any hours outside of 9 a.m.–4 p.m., and is an additional $30 per child, each week. . $180 per week = Resident, first child. $165 per week = Resident, each additional child. $190 per week = Non-resident, each child

Part-Time Camp (9 a.m.–4 p.m.): Limited spots are available for parents who would like to send their child to camp only one or two days a week. Please contact the Beech Acres Park RecPlex office prior to registering for part-time spots, (513) 388-5082. Days may not be switched once registered. Extended camp is an additional $5 per day. . $45 per day, per child = Resident. $50 per day, per child = Non-resident

Price for Camp #1: Takes place June 4–5. . $60 = Resident, first child . $50 = Resident, each addt’l child . $70 = Non-resident, each child . Extended camp: additional $15 per child

Camps Field Trips#1: June 4–5 Field Day#2: June 8–12 Cincinnati Zoo #3: June 15–19 Scallywag Tag#4: June 22–26 Coney Island Rides#5*: June 29–July 2 Cincinnati Reds Game (all campers on Wednesday)#6: July 6–10 Castle Skateland#7: July 13–17 Rave Motion Pictures#8: July 20–24 Gameworks#9: July 27–31 Cincinnati Museum Center#10: August 3–7 Cherry Grove Lanes#11: August 10–14 Coney Island Rides

Campers must be 5 years old by January 1, 2015 and completed Kindergarten

ages 5-12Summer Day Camp

ages 5-12Summer Day Camp

Summer Day Camp includes daily swimming at Coney Island’s Sunlite Pool, games, crafts, and a weekly field trip! During core camp hours, campers are divided by age, 5–8 and 9–12. Children need a sack lunch with drink each day; afternoon snack is provided. Confirmation and information packet will be distributed after enrollment.

Field Trip Days: Tuesdays for ages 5–8 and Wednesdays for ages 9–12. Field trips are subject to change.

Time: 9 a.m.–4 p.m. or extended camp, 7–9 a.m. and 4–6 p.m.

Location: Beech Acres Park RecPlex, 6915 Beechmont Ave.

Registration Deadlines: Wednesday before each camp begins.

Registration InformationFull payment is required at the time of registration for the first week attending camp. $25 non-refundable deposits are required to reserve a spot for each additional week per child. The remaining balance is due the Wednesday prior to the camp. Registration is first come, first served. All forms and payments must be received before the child is officially enrolled in camp.

Monday–Friday, June 4–August 14

Campers must be 5 years old by January 1, 2015 and completed Kindergarten

*No camp on Friday, July 3.

Price for Camp #5: No camp on July 3. . $120 = Resident, first child . $110 = Resident, each addt’l child . $130 = Non-resident, each child . Extended camp: additional $25 per child

Travel camp is for campers who like adventure! Explorers go on a different field trip each day, and the week ends with a “camp-out” in the park district gym on Thursday night! Pick up times vary daily according to field trip. Registration is first come, first served!

Time: Drop off is at 9:30 a.m. each day. For an additional fee, extended camp is available from 7 a.m.–6 p.m. Registration Deadline: July 8

Travel Camp Prices: . $175 per child = Resident . $190 per child = Non-resident . Extended camp (includes all day Friday) = additional $40 per child

Campers must be 10 years of age by January 1, 2015

ages 10 -12Travel Camp

Registration InformationDetailed trip information distributed upon registration. Sign in and sign out takes place at the Beech Acres Park RecPlex, 6915 Beechmont Ave. Field trips are subject to change.

Field Trips Times#1: M, Cherry Grove Lanes/Coney Island Rides 9:30 a.m.–4:30 p.m.#2: T, The Beach Waterpark 9:30 a.m.–5:30 p.m.#3: W, The Web 9:30 a.m.–4:30 p.m.#4: TH, Kings Island 9:30 a.m. and camp-out#5: F, Pick up at 8:30 a.m. or extended camp

Monday–Friday, July 13–17

These half-day camps feature crafts, games, snacks, and special theme days. All campers must be potty trained.

Time: 9:30 a.m.–noon

Location: Veterans Park, 8531 Forest Road

Registration Deadlines: Wednesday before each camp begins.

ages 3 -5 Mini Camp

Camps Times Price per camp#1: M–TH, June 15–18 9:30 a.m.–noon $48 R; $58 NR #2: M–TH, June 22–25 9:30 a.m.–noon $48 R; $58 NR

#3: M–TH, July 6–9 9:30 a.m.–noon $48 R; $58 NR

#4: M–TH, July 13–16 9:30 a.m.–noon $48 R; $58 NR

#5: M–TH, August 3–6 9:30 a.m.–noon $48 R; $58 NR

Campers must meet the age requirement by the start of camp

Registration InformationMini Camps take place outside at Veterans Park with sign in and sign out in the large shelter. If weather becomes an issue, staff may utilize the rain site at the Beech Acres Park RecPlex. Registration is first come, first served. Camps with insufficient registrations may be cancelled.

Monday–Thursday, June 15–August 6

Registration form for Summer Day Camp, Mini Camp, and Travel Camp. One form per child; photocopies are accepted for additional children. Please complete both sides of this form. Mail, fax, e-mail or drop off registration to Beech Acres Park RecPlex, 6915 Beechmont Ave.,

Cincinnati, OH 45230. Fax: 231-4190 Phone: 388-4515 E-mail: ATPDReg@AndersonParks.com. Please note RecPlex office hours in the brochure. Online registration is available for Mini Camp and Travel Camp. You may download a copy of this form at www.AndersonParks.com.

Child’s Name_____________________________________ Phone________________ Age______ Birth Date___/___/___ Gender ______

Address___________________________________________City_______________State_______ Zip__________ School_____________

Mother’s Name (Guardian)____________________________Cell / Daytime #__________________Work Phone_____________________

Father’s Name (Guardian) ____________________________Cell / Daytime #__________________Work Phone_____________________

E-mail Address (to mail packet)______________________________________________________________________________________

If parents live in separate households, please provide additional address and email: ____________________________________________

Additional Authorized Escorts (relationship to camper) who may pick up your child from camp:

(1)___________________________________(2)_________________________________ (3)___________________________________

This person may NOT pick up my child: ______________________________________________________________________________

2015 Summer Camp Registration Form

EMERGENCY CONTACTS (if parent or guardian cannot be reached)

Name #1 _______________________________________Day Phone___________________________ Relationship_________________

Name #2 _______________________________________Day Phone___________________________ Relationship_________________

Child’s Physician __________________________________________________________Phone________________________________

Child’s Dentist ____________________________________________________________Phone________________________________

Preferred Hospital_______________________________________________________________________________________________

List any allergies, including any foods or medications, your child is allergic to: ____________________________________________________________________________________________________

List any medications, food supplements and/or modified diets currently being administered to your child: ____________________________________________________________________________________________________

List any health concerns, limitations or other information our staff should be aware of while caring for your child: ____________________________________________________________________________________________________

Does your child require a reasonable accommodation in accordance with the Americans with Disabilities Act (ADA)? ____ Yes ____ No

RELEASE OF LIABILITY AND AUTHORIZATION: I, the undersigned, hereby authorize my, and/or my child's, participation in the Anderson Township Park District (ATPD) activity for which I am registering. I knowingly and freely accept all risks associated with participation in this activity, and hereby release: the ATPD; Forest Hills Local School District; Anderson Foundation for Parks and Recreation; and Beech Acres Parenting Center; and their respective Boards, employees, agents, assignees, sponsors, and volunteers from all responsibility in the event of accident or injury associated with participation in this activity. I hereby acknowledge the ATPD has provided me with, as required by law, the Ohio Department of Health "Concussion Information Sheet", via www.AndersonParks.com/ConcussionLaw and at the Beech Acres Park RecPlex, 6915 Beechmont Ave, Cincinnati, OH 45230.

In consideration of my and/or my child’s participation in this ATPD activity/program, I agree that my likeness, or the likeness of my child, may be photographed or videotaped and that such image(s) may be published in an outlet used to promote or publicize the ATPD. Furthermore, I authorize the ATPD to use my e-mail address to send me ATPD information. My signature below indicates that I am at least 18 years of age, and that I have read and understand the above information concerning participation in the ATPD activity for which I am registering myself and/or my child.

Parent/Guardian Name_____________________________________Signature______________________________________Date___________

-----------------------------SUMMER DAY CAMP REGISTRATION--------------------------

____$150 Resident (first child) ____$135 Resident (second child) _____ $160 Non-resident $__________

____ NO extended camp ____YES extended camp (additional $30) + $__________

TOTAL COST PER CAMP = $__________

Check the following camps your child will attend. Your child’s first week of camp, plus $25 non-refundable deposit

for each additional camp is DUE AT REGISTRATION.

_____#1*June 4–5 $_________Total amount due at registration

_____#2 June 8–12 $_________Total amount due at registration

_____#3 June 15–19 $_________($25 deposit or first camp paid in full) --- Balance due June 10

_____#4 June 22–26 $_________($25 deposit or first camp paid in full) --- Balance due June 17

_____#5*June 29–July 2 $_________($25 deposit or first camp paid in full) --- Balance due June 24

_____#6 July 6–10 $_________($25 deposit or first camp paid in full) --- Balance due July 1

_____#7 July 13–17 $_________($25 deposit or first camp paid in full) --- Balance due July 8

_____#8 July 20–24 $_________($25 deposit or first camp paid in full) --- Balance due July 15

_____#9 July 27–31 $_________($25 deposit or first camp paid in full) --- Balance due July 22

_____#10 August 3–7 $_________($25 deposit or first camp paid in full) --- Balance due July 29

_____#11 August 10–14 $_________($25 deposit or first camp paid in full) --- Balance due August 5

DUE AT REGISTRATION = $_________(First week of camp plus $25 for each additional camp)

*Special prices for camps #1 and #5 in brochure.

Office use only: Cash___Check #_______ Payment By:________________________ Staff:______ Receipt St:_____ Payment Log:______ Packet Sent: ______

Date:_____ MC / Visa Card #__________________________Exp. Date______ 3 digit code, on back of card______ Name on Card:______________________

--------------------------------------MINI CAMP REGISTRATION------------------------------------

____Camp #1: M–TH, June 15–18, 9:30 a.m.–noon $48 per Anderson resident, $58 per Non-resident

____Camp #2: M–TH, June 22–25, 9:30 a.m.–noon $48 per Anderson resident, $58 per Non-resident

____Camp #3: M–TH, July 6–9, 9:30 a.m.–noon $48 per Anderson resident, $58 per Non-resident

____Camp #4: M–TH, July 13–16, 9:30 a.m.–noon $48 per Anderson resident, $58 per Non-resident

____Camp #5: M–TH, August 3–6, 9:30 a.m.–noon $48 per Anderson resident, $58 per Non-resident

TOTAL AMOUNT DUE AT REGISTRATION $______________

-------------------------------TRAVEL CAMP REGISTRATION--------------------------------

____Travel Camp: M–F, July 13–17 $175 per Anderson resident, $190 per Non-resident

____NO extended camp ____YES extended camp (additional $40)

TOTAL AMOUNT DUE AT REGISTRATION $______________