Summer camp 2020

RECONNECT

RELEARN

REDISCOVER

Although we aren't able to hold our usual summer camp programming due to health and safety guidelines, we are building our very own VIRTUAL CAMP network in 2020.

Tune in and CONNECT with other children and some of your favorite camp professionals from around the county, together we will DISCOVER fun ways to stay active and keep our minds learning! JOIN US while we go LIVE daily with some of your favorite teachers. WATCH while we go on location to visit our great parks around the county. We encourage SAFE outside play to balance screen time.

WHEN: MONDAY–THURSDAY JUNE 29–AUGUST 14 Activities run from 9 a.m.–3 p.m.

Special activities for your whole family each Friday evening.

WHERE: Online using digital platforms (examples: Google Classrooms, Zoom, and more)

AGE: Entering K–entering 6th grade

Parents are required to check-in online. See details below.

While there is no cost for your child to participate because of this referral, you are required to check in online with your child during the first week of camp, as well as watch a short orientation video. Parents with multiple campers will only need to check in once. You will receive a phone call from a camp director to confirm your completed registration. You will receive an email later with more information about the orientation video and parent check-in!

These camps are funded in part through a variety of local, state and federal grant resources. Thanks to our taxpayers, County Commissioners, Governor Larry Hogan and the State Legislature, and to Congress, this camp is provided at little to no cost to the campers’ families. Without this funding these camps would not be affordable to the majority of Caroline County parents.

SEVEN WEEKS OF NON-STOP FUN & LEARNING!

Weekly Themes are Back!

• Celebrate You, Celebrate America• The Great Outdoors• Game Shows• Wacky Whatever Week

• Under the Big Top• Treasure Hunt• Olympics 2021 Preview

General supplies, as

well as certain activity-specific

supplies, will be provided at

no cost for the first 450

registered campers.

WHAT'SIN THEBOX?

CAMPER INFORMATIONName

Mailing Address

City State Zip Phone

Date of Birth Age Gender Student ID/Lunch # (6 digits)

Race: = White = Black = Asian/Pacific

= Native Hawaiian = American Indian/Alaskan

Ethnicity: = Non-Hispanic = Hispanic

Current Grade:

PARENT/GUARDIAN INFORMATIONAdult Parent/Legal Guardian

Home Phone Cell Phone

Email Work Phone

MEDICAL INFORMATION—MUST BE COMPLETEDPrimary Care Physician or other provider of medical care: Phone

For campers who currently reside within the United States, a United States Territory, or the District of Columbia: Does the camper have any immunization exemptions because of a parental or guardian objection or medical contraindication?

= No = Yes, list:

Are there any medications, dietary restrictions, allergies, or special needs that we need to be aware of to ensure that your child's camp experience is positive? = No = Yes, explain:

Are there any health problems including physical, psychiatric, or behavioral problems of which we need to be aware?

= No = Yes, explain:

Does your child have an IEP or 504 Plan? = Yes = No

Accommodations for Special NeedsCCRP is committed to providing reasonable accommodations to all participants. If your child has special needs, we’d like to accommodate him/her. Please notify the Recreation and Parks department at 410-479-8120 no less than four weeks before the start of the program so we will have time to make plans for your child. We cannot guarantee that your request will be met unless we receive at least four weeks advance notice. CCRP reserves the right to cancel a program or division which does not meet certain requirements.

Does your child need any accommodations for participation? = Yes = No For accommodations, please call 410-479-8120.

Parent or Legal Guardian Signature Date

VIRTUAL SUMMER DAY CAMP REGISTRATIONMy child attends school at: = DES = GES = RES = FES = PES

T-Shirt size: = Youth = Adult = S = M = L = XL = XXL check one check one

RETURN REGISTRATION FORM by mail: 107 S. 4th St., Denton, MD 21629 by email: ccrpsummercamp@carolinemd.org by fax: 410-479-4194 to a school drop off (see insert for dates, locations, and times)

• Under the Big Top• Treasure Hunt• Olympics 2021 Preview

TECHNOLOGY SURVEY

We will be sending out weekly newsletters through the SMORE platform & other important information via email.What is the email that you check most often?

= �Please don’t send me newsletters (other high priority information may still be sent)

DIGITAL BROADCAST DISCLAIMER AND MEDIA RELEASE: (initial)

I understand that when my child is participating in live programming, any audio/video transmitted is public and may be monitored and/or recorded for safety and/or evaluation. When my child is live, audio/video of features of my home and any activities taking place therein may be transmitted, even if they are just in the background, and I will make an effort to ensure that those things that may be broadcast are appropriate. I am also aware that participating in activities, whether live or pre-recorded, is not a substitute for proper supervision.

I do = / do not = hereby give my consent to Caroline County Recreation & Parks to use material featuring or submitted by my child including pictures, videos, and/or stories in connection with the work of Caroline County Recreation & Parks in print, digital, and social media.

NON DISCRIMINATION STATEMENTIn accordance with the Maryland State Department of Education’s policy, this program does not discriminate on the basis of age, ancestry, color, creed, gender identity and expression, genetic information, marital status, disability, national origin, race, religion, sex, or sexual orientation in matters affecting employment or in providing access to programs.

WAIVER AND RELEASE Please check the appropriate boxes:

I do = / do not = release my child’s grade, attendance, behavior report information to Caroline Recreation & Parks and its partnering organizations for program evaluation. I understand this information will be strictly confidential.

= I agree to abide by all rules and policies and uphold the principles of participation, sportsmanship and fair play.

= I further agree that the medical information given above is correct and understand that I am solely and entirely responsible for all medical expenses incurred as a result of injuries my child received while participating in the activity/program and that I have no claim against the program, or the leader of the Department of Recreation & Parks for damages or loss resulting from such injuries.

= I acknowledge that the concussion awareness information has been made available to me through the CDC website www.cdc.gov/concussion and I have reviewed it.

I am aware that while participating in a recreation activity or program arranged by Caroline County Recreation and Parks, certain risks and dangers may be present; including but not limited to, those generally associated with certain activities; the hazards of traveling the public highways, accidents, illnesses, and the forces of nature. In consideration of the right to participate in the Recreation and Parks program and in further consideration of the arrangements made for my child by the Caroline County Commissioners through its Department of Recreation and Parks for food, travel, and recreation, I do hereby, on behalf of myself, my heirs, executors, administrators, and assigns assume the above-mentioned risks, and do further release, hold harmless, and indemnify the Commissioners of Caroline County and all its agents, officers, and employees from any and all claims for injuries or loss due to any person or property which may arise out of or result from my child's participation in the above referenced program activity. I further grant permission for a doctor to administer emergency treatment to my child in the event I cannot be reached.

= �I have read and understand the Program Rules and the Waiver and Release.

Parent Signature Date

To make sure we are able to provide support to all campers, please check all of the following devices that you anticipate your child using to access our virtual summer camp:

= �Amazon Fire tablet

= �iPad

= �Android-based tablet

= �Laptop computer

= �Desktop computer

= �Chromebook

= �iPhone

= �Android-based smartphone

= �Other:

Please check off which statements (if any) are true for your household:

= �My children will have to share a device in order to participate

= �My child has been using a device provided by Caroline County Public Schools

= �I am not sure if my internet is fast enough to support live streaming video

= �My internet plan has limited data

= �I would be interested in receiving the pre-recorded content via physical media (usb stick, thumb drive, etc.)

Camper’s Name