Based Programs 2019 - 2020 School - Town of Morrisville, Parks, Recreation & Cultural Resources
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Town of Morrisville, Parks, Recreation & Cultural Resources 2019 - 2020 School Based Programs Cedar Fork Community Center 1050-B Town Hall Drive 919-463-7100 Morrisville, NC 27560 1
PRESCHOOL PROGRAMS Ready Set Go A Lottery System To avoid long lines and discourage overnight assembly, The Ready Set Go Program helps children develop into registration for both residents and non-residents of confident and competent individuals through a Morrisville will be administered by a Lottery System. child-oriented and fun-filled environment. This program Completed Registration forms can be dropped off during is designed to introduce children to a classroom operating hours at any time from Tuesday, April 2 environment through the introduction of the alphabet, through Friday, April 12. CFCC staff will randomly pull the numbers 1-10, exploring various themes, and participants into the program via the lottery system. interactive play. The class will also participate in field Once the program is full, we will continue to enroll to the trips throughout each session. Participants will need a waitlist. Resident forms will be pulled prior to snack and a drink in spill-proof cups daily. Participants Non-Resident forms. Participants that are randomly must be potty-trained and may not wear diapers or pull selected for the program will be contacted and will be ups. Participants must be able to fully understand and given 72 hours to pay fees at CFCC. This will happen follow basic directions and instructions in a group setting. during the week of April 15 – 19, 2019. Only FULLY Early Sibling Registration: Priority registration is given to completed registration forms will be considered for the siblings of current students registered as of April 2, 2018 lottery. Registration forms will be available for Preschool in Ready Set Go A and B. Siblings must reside at the same Programs beginning February 1, 2019. address as current Ready Set Go A or B students. Sibling Residents & Non-Residents registration form drop off pre-registration will be Monday, April 1, 2019 from 7:00 period: Tuesday, April 2 – Friday, April 12, 2019. am-6:00 pm; if the sibling is not registered on this date they will be able to enter the lottery system beginning Payment Plan Information This program can be paid for in full at the time of Tuesday, April 2, 2019. registration. The fee can also be split into installments. Age: 3 (by 8/31/19) The first installment (half of fees) is due upon Program Dates: September 3, 2019 - May 14, 2020 registration. The second installment (half) is due on or Program Time: 9:00 am - 12:00 pm before Friday, November 29, 2019. Program Days: Tuesday & Thursday Ready Set Go B Program Fee: $900 - R / $1,200 - NR The Ready, Set, Go Program helps children develop into Ready Set Go A will have a staggered entry to ensure that confident and competent individuals through a each child has a successful start to their Ready Set Go child-oriented and fun-filled environment. This program Preschool experience. Information regarding each child’s is designed to prepare participants for Kindergarten by start date will be e-mailed out two weeks prior to the exploring various themes and interactive play. Class will program beginning. Please ensure the address on your also participate in field trips throughout each session. registration form is your current mailing address in orderParticipants will need a snack and drink in spill-proof to receive this important information. cups. Participants must be potty-trained and may not The Ready Set Go Program follows the Wake County wear diapers. Participants must be able to fully Public School System Traditional Calendar and does not understand and follow basic directions and instructions operate on teacher workday, vacation or holidays, or days in a group setting. closed due to inclement weather. Early Sibling Registration: Priority registration is given to Sibling Residents & Non-Residents: siblings of current students registered as of April 2, 2018 April 1, 2019, 7:00 am – 6:00 pm at Cedar Fork in Ready Set Go A and B. Siblings must reside at the same Community Center. address as current Ready Set Go A or B students. Sibling pre-registration will be Monday, April 1, 2019 from 7:00 Due to allergies concerns, we are a peanut free am-6:00 pm; if the sibling is not registered on this date classroom! No snacks with nuts are permitted. they will be able to enter the lottery system beginning Tuesday, April 2, 2019. 2
PRESCHOOL PROGRAMS Ready Set Go B Continued Academic Adventures in Kindergarten Age: 4 (by 8/31/19) Readiness Program Dates: September 4, 2019 - May 15, 2020 Academic Adventures will expose your 4-5 year old child Program Time: 8:30 am - 12:30 pm to various educational concepts that will focus on a Program Days: Monday, Wednesday, and Friday specific topic while incorporating other fundamental Program Fee: $1,400 - R / $1,900 - NR skills such as socialization, fine and gross motor skills, Pre-registration for Ready Set Go B is available for Ready and conceptual learning as a great preparation for Set Go A participants from the 2018 – 2019 year who are Kindergarten. Science Experience will include hands on currently enrolled. Pre-registration is available experiments, exploration and discovery. Ready for beginning Monday, April 1, 2019 at 7:00 am. If previous Reading will introduce your child to letter sounds, sight participants do not sign up by Friday, April 5, 2019 at words and literary resources. Math Matters will focus on 6:00 pm, then their guaranteed spot will be forfeited to numbers, patterns and mathematical manipulation. new participants participating in the lottery. All participants must be potty-trained (no diapers or Sibling Residents & Non-Residents: pull-ups) and at least 4 years old by the start date of the April 2, 2019, 7:00 am – 6:00 pm at Cedar Fork session. Please pack a healthy snack for your child to Community Center. enjoy each afternoon. Lottery System An Open House for Academic Adventures will be on the To avoid long lines and discourage overnight assembly, Wednesday prior to each session beginning from 1:30 pm registration for both residents and non-residents of - 2:30 pm. The Open House will be held at Cedar Fork Morrisville will be administered by a Lottery System. Community Center and will provide new parents and Completed Registration forms can be dropped off during students an opportunity to familiarize themselves with operating hours at any time from Tuesday, April 2 the classroom and teachers. Parents will also be able to through Friday, April 12. CFCC staff will randomly pull ask any questions prior to the start of the program. participants into the program via the lottery system. Registration Information Once the program is full, we will continue to enroll to the Registration will open online and at Cedar Fork waitlist. Resident forms will be pulled prior to Community Center, May 1, 2019 for Residents and May Non-Resident forms. Participants that are randomly 15, 2019 for Non-Residents. selected for the program will be contacted and will be given 72 hours to pay fees at CFCC. This will happen Science Extravaganza during the week of April 15 – 19, 2019. Only FULLY September 3, 2019 - November 7, 2019 completed registration forms will be considered for the 1:00 - 3:00 pm lottery. Tuesday & Thursday $130 - R / $195 - NR Residents & Non-Residents registration form drop off period: Tuesday, April 2 – Friday, April 12, 2019 Ready for Reading November 26, 20189 - February 6, 2020 Payment Plan Information 1:00 - 3:00 pm This program can be paid for in full at the time of registration. The fee can also be split into installments. Tuesday & Thursday The first installment (half of fees) is due upon $130 - R / $195 - NR registration. The second installment (half) is due on or Math Matters before Friday, November 29, 2019. February 18, 2020 - April 30, 2020 Due to allergies concerns, we are a peanut free 1:00 - 3:00 pm classroom! No snacks with nuts are permitted. $130 - R / $195 - NR Due to allergies concerns, we are a peanut free classroom! No snacks with nuts are permitted. 3
YOUTH PROGRAMS Early Arrivals After Our Early Arrival Program provides Cedar Fork School Elementary students with a safe and exciting The After environment before the school day officially begins. School Program Participants will do a variety of recreational activities, is a safe place such as gym games, crafts, group games, playground for Cedar Fork time, and much more. We will start your child’s day off Elementary right with fun and energizing activities. The program School students begins at 7:00 am and releases participants at the school to laugh and bell. Kindergarteners will be walked to their classes. This play after program is available to Cedar Fork Elementary School school. Participants will do a variety of recreational students. activities, such as gym games, arts & crafts, themed Registration Information activities, sports, group games, playground time, cooking The first two payments are due at the time of registration. activities and much more! There will be time and a quiet Registration is available at Cedar Fork Community Center place for participants to do homework Monday – and online. Payments will be due the first Friday of every Thursday, if they choose. Participants are encouraged to month. If registering after August 26, 2019, then fees are bring a snack to eat daily. prorated. All pre-scheduled Early Release Days are included in Residents: May 30, 2018 7:00am at Cedar Fork price. Community Center and online This program does not include Early Releases due to Non Residents: June 13, 2018 7:00am at Cedar Fork inclement weather. Community Center and online Registration Information The first two payments are due at the time of registration. Program Dates Registration is available at Cedar Fork Community Center August 26, 2019 - June 12, 2020 and online. Payments will be due the first Friday of every Program Fee month. If registering after August 26, 2019, then fees are $930 - Resident (10 payments of $93) prorated. $1,130 - Non-Resident (10 payments of $130) Program Hours Residents: May 30, 2018 7:00am at Cedar Fork Commu- 7:30 am - 8:45 am nity Center and online Non Residents: June 13, 2018 7:00am at Cedar Fork Community Center and online Program Dates August 26, 2019 - June 12, 2020 Program Fee $1,500 - Resident (10 payments of $150) $2,000 - Non-Resident (10 payments of $200) Program Hours 3:45 pm - 6:00 pm 4
YOUTH PROGRAMS School’s Out Days Fees will increase by $5 one week prior to each School’s Out Day and online registration will close. Registrations Join us for a day of fun and excitement when school is will still be accepted at CFCC (as space allows) up to 48 out! During the day children will participate in recreation hours before each School’s Out Day. based activities such as group games, arts and crafts, Program Hours themed activities, outside play, movies and much more. 7:30 am - 6:00 pm All participants are required to bring a lunch, two snacks and plenty of drinks each day. Parents must walk Schools Out Day program dates are subject to change if participants into the Community Center upon their school holidays are used as inclement weather make-ups. arrival. The fee listed is for one session (day). Cedar Fork Community Center does not offer School’s Out Day on every day that WCPSS is closed. Please refer to the list of Early Release Care dates to see when camp is available. Need care for those 6 early releases that throw a wrench Registration Information into your schedule? Cedar Fork After School has space Registration is currently open and on-going. available! Your child will come directly over to the Community Center from Cedar Fork Elementary School Program Ages at the time of the bell (1:15pm) and can stay and play all K - 8th grade afternoon! We will spend the afternoon doing crafts, Program Dates having playground time, playing gym games and September 30 watching movies! All participants must be picked up at October 9 Cedar Fork Community Center by 6:00 pm. Please pack October 31 your child a snack to enjoy mid-afternoon. Cedar Fork November 1 Early Release Care covers all 6 early releases during the November 27 2019-2020 School Year. All participants must attend December 30 Cedar Fork Elementary School. December 31 *Dates, fees are subject to change based on WCPSS January 2 2019-2020 school calendar review. January 3 December 30 - January 3 (no 1/1)** Registration Information January 29 Registration is currently open and on-going. February 17 Program Ages February 18 K - 5th grade March 19 Program Dates April 6 September 28 April 7 October 19 April 8 November 20 April 9 December 21 April 10 February 15 April 6 - 10* March 8 April 13 Program Fee May 1 $14 - R / $21 - NR Program Fee Please note: Early Release days are included as part of the $36 - R / $52 - NR After School Program. If you child is enrolled in After *$135 - R / $188 - NR (5 days, entire week) School, you do not need to register for Early Release **$108 - R / $150 - NR (4 days, no 1/1) Care. 5
PROGRAM POLICIES By signing on pages 11 and 12, I am acknowledging that: PROGRAM POLICIES I read and understand and agree to the Morrisville Summer Camp Attendance Policies (listed below) I understand that if my child will not be attending a program that he/ The Town of Morrisville does not provide participant insurance she is registered for, I should contact the Community Center to make them aware. Also, if my child will need to be released to the school In the event of an emergency, the Town of Morrisville will make early or will be arriving to the program late, I will provide the staff every attempt to contact the parent/guardian. I authorize Town with a written, dated and signed note in advance. of Morrisville staff to seek appropriate medical care if a parent/ guardian cannot be reached. Babysitting Information provided on the participant information form is The Morrisville Parks, Recreation and Cultural Resources Department accurate and current. cannot and does not endorse or recommend its present or former staff members as babysitters to any parent or guardian of any child in any WAIVERS of our programs. Any babysitting arrangements with present or former staff of the department are separate and independent from any Consent to Participate department program and must be based on the independent I, for myself or as parent or guardian, hereby assume all the risks and responsibility and judgment of the parent or guardian. I agree that the hazards incidental to the conduct of the activities, and transportation Town of Morrisville and the Parks, Recreation, and Cultural Resources to and from the activities. I release, absolve and indemnify the Town Department shall not be responsible and will be held harmless from of Morrisville, employees of the town, volunteers, contractors and/or any claims or liability in connection with such babysitting activities. sponsors from all risks and hazards associated with the activities and Dress Code in the event of injury, do expressly waive all claims against them. I understand that no insurance coverage is provided by the Town of The Morrisville Parks, Recreation and Cultural Resources Department Morrisville Parks, Recreation and Cultural Resources Department. I recommends appropriate attire while at our programs. Participants also agree that participant's likeness may be photographed or will participate in recreational and athletic activities almost every day videotaped and that such image may be published in an outlet used to so they should wear cool, comfortable clothing, and we suggest that promote or publicize town programs. jewelry be left at home. Parents will be asked to bring appropriate clothing or will be required to come pick-up their child if unacceptable Field Trip Release attire is worn. The following would be considered unacceptable attire: I permit my child to leave the Morrisville Parks, Recreation and Sandals or flip-flops Cultural Resources facilities on authorized trips under the supervision of department staff. Shirts with spaghetti straps Photography Release Clothing that displays drugs, alcohol, tobacco, or offensive By signing this form, the parent or legal guardian permits the Town of language Morrisville Parks, Recreation & Cultural Resources Department to use Excessively loose pants or shirts pictures of their child as a program participant in promotional literature, videos and the Town of Morrisville website. I understand Revealing Clothing my child’s name will not be published MEDICAL TREATMENT Accident Insurance I understand that participants are responsible for their own accident insurance when participating in Morrisville Parks, Recreation and Cultural Resources programs. Medicine The Morrisville Parks, Recreation and Cultural Resources Department does not normally administer any medication and will only do so when directed in writing by the child’s parent/guardian on a medication disbursement form. In the event of an emergency, every effort will be made to contact the parent, however if a parent/guardian cannot be contacted, Emergency Medical Staff and the Morrisville Parks, Recreation and Cultural Resources Department may take appropriate action in the best interest of the child. 6
PROGRAM POLICIES Electronic Devices Personal Care No electronic devices are allowed (cellphones, MP3 players, gaming The Town of Morrisville Parks, Recreation, and Cultural Resources devices, tablets, etc.) Staff reserves the right to confiscate such Department does not provide personal care for participants. Town of devices from participants and will be returned to the parent/guardianMorrisville Parks, Recreation, and Cultural Resources Department at the end of the day. The Town of Morrisville is not responsible forstaff cannot assist in the toileting of participants or help with dressing. lost or stolen electronic devices. All participants are potty-trained and must be able to change their clothing, if soiled. If a toileting accident occurs, a change of clothes Food must be brought to the camp within one hour of the incident. If Any food brought into camp that is to be served to camp participants accidents become routine, participants may be dismissed from the must be store bought with labeled ingredient information. Due to program. allergy concerns, homemade food items will not be accepted. Campers Schedule Changes will not be able to warm lunches up at camp. The Town of Morrisville Parks, Recreation, and Cultural Resources Injury/Illness Department reserves the right to alter schedules, fees, field trips and Any participant shall remain home from camp if they have had any of instructors as necessary. Programs are subject to cancellation if the following in the past 24 (twenty-four) hours: minimum enrollment numbers are not met. Contagious condition (fever, diarrhea, undiagnosed rash, Sunscreen & Insect Repellent chicken pox, pink eye, head lice, etc.). Parents are encouraged to apply sunscreen and/or insect repellent on Physical injury that permits the participant from safely campers before arriving at the program. Campers are allowed to bring participating in camp. their own personal sunscreen and/or insect repellent to the program provided that it is labeled with their name and they are able to apply it If a participant demonstrates any of the above symptoms at camp, the to themselves. Staff cannot assist with the application of sunscreen parent/guardian will have one hour to pick up the participant from and insect repellent and participants cannot share sunscreen or insect camp. If the participant becomes sick during camp, they will be repellent with other participants. separated from the camp until they are picked up. A participant must be 24 hours symptom free before returning to camp or written Swimming document has been received that the participant is no longer Pool staff will conduct a swimming test for all program participants. contagious. Non-swimmers and those that do not pass the swim test will stay in Late Pick-Up the kiddie pool. Staff reserves the right to place a camper in kiddie pool in the interest of safety. Parents/guardians may request their I understand that every effort should be made to make sure that all child go to the kiddie pool regardless of the swim test results. The participants are picked up by the end of the program. Participants that swim test will require all participants to swim the length of the pool are picked up after the close of the program may be assessed a late pick without touching the bottom or sides or needing assistance. Town -up fee. The late fee is $5.00 for the first 5 minutes and $1.00 staff will keep track of those that have passed the swim test. for each additional minute. Repeated late pick-ups may result in the removal of your child from the program. Lost Items I understand that the Town of Morrisville Parks, Recreation, and Cultural Resources Department is not responsible for any personal CONTACT INFORMATION items lost or stolen at our programs Non-Discrimination Registration and Payments Questions The Town of Morrisville Parks, Recreation, and Cultural Resources Ryan Vinson Department does not discriminate based on race, color, national Cedar Fork Center Supervisor origin, sex, religion, age, sexual orientation or disability in RVinson@townofmorrisville.org employment opportunities or the provision of services, programs or 919-463-7102 activities. A participant alleging discrimination based on any of the Schedule, Groups, Counselors aforementioned areas may file a complaint with the Director of the Town of Morrisville Parks, Recreation, and Cultural Resources Kelley Oakley Department. Youth Programs Specialist KOMalley@townofmorrisville.org 919-463-7101 7
PROGRAMS POLICIES YOUTH PROGRAMS BEHAVIOR SPECIAL CIRCUMSTANCES EXPECTATIONS Parents and guardians are required to inform the Morrisville Parks, It is important that staff maintain good order and discipline in all Recreation and Cultural Resources Department in writing of any programs. Top objectives for all Morrisville Parks, Recreation and special circumstances which may affect the child’s ability to Cultural Resources Department programs are safety and a positive participate fully and within the guidelines of acceptable behavior, atmosphere for learning and developing social skills. The Morrisville including, but not limited to any serious behavioral problems or Parks, Recreation and Cultural Resources Department will make every special circumstances regarding psychological, medical or physical effort to set clear definitions of acceptable and unacceptable behavior. conditions. Once the notice is submitted, a conference will be The Morrisville Parks, Recreation and Cultural Resources scheduled with the parent/guardian to discuss the special Department does not condone and will not permit: circumstances. Corporal punishment The Morrisville Parks, Recreation and Cultural Resources Department Ridiculing, threatening, using an inappropriate loud voice will attempt reasonable accommodations for program participants Leaving children unsupervised when the need for accommodations is requested at least two weeks in Use of profanity advance. This will allow us to adequately address safety issues and to A child’s behavior is expected to be consistent with the following: have an appropriately planned program. Use appropriate language at all times Cooperate with staff and follow directions REGISTRATION & REFUND POLICIES Respect children and staff, equipment, facilities, and self 1. Registrations will be taken at Cedar Fork Community Center and Stay in program areas (running away is not acceptable) online first come, first served. Space is limited. Some programs do not allow for online registration. DISCIPLINE 2. The registration packet for each participant must be completed 1. If a child is unable to comply with the behavior expectations, the and signed at time of registration. If registration is completed Program Director will meet with the child. The parent/guardian online, a registration packet will be mailed to you and must be of the child will be informed of the meeting and any outcomes. returned promptly. 2. If, after the above meeting, the child is still unable to comply with 3. Early Arrival & After School: Participants must attend Cedar behavior expectations, the Program Director will schedule a Fork Elementary School (or have spoken with Community conference with the parent/guardian of the child. A plan for Center Supervisor about other arrangements). addressing the behavior will be established by the child, parent/ guardian and the Program Director. The first two (2) payments must be made at the time of registration for the Early Arrival and After School programs when 3. If the child’s behavior continues to be disruptive and/or unsafe, registering at Cedar Fork Community Center or online. the child will be subject to suspension or dismissal. The remaining payments are due on the first Friday of each 4. Failure of the parent/guardian to attend conference(s) and month (unless otherwise noted) in accordance with the payment cooperate will subject the child to suspension or dismissal. schedule. 5. In the event of a suspension or dismissal from a program, there will be no refund given for time lost. Any payments made after the due date will be assessed a late payment fee of $15. Two late payments may result in Behaviors that may result in immediate dismissal include, but are not participant’s removal from the program. If payments are not limited to, the following: made by the last day of the pay period (including the late fee), then the child will be removed from the program. Each payment Any action that could threaten or pose a direct threat to the equally covers 18 of the 180 school days. physical or emotional safety of the child, other children or staff 4. Teacher Workday Camp: The total balance is due for all days Fighting, possession of a weapon of any kind enrolling at time of registration. The money paid for a Teacher Vandalism or destruction of any Town of Morrisville property or Workday Camp can be transferred to another day if the request is property of others submitted 2 weeks before the session or the spot is able to be filled off of the waiting list. Other transfer requests that do not Sexual misconduct meet these criteria will be handled on an individual basis. Registrations taken within a week of the program will be assessed Possession of or use of alcohol or controlled substances unless an additional $5 late registration fee. under the prescription of a doctor Running away from the program or activity 8
REFUND POLICIES 5. Preschool Programs: Registration for both residents and Teacher Workday Camp/ Early Release Days: A full refund non-residents will be administered by a lottery system. minus a $5.00 administrative fee is considered if written notice of Completed registration forms can be dropped off during registration cancellation is given at least 2 weeks before the start operating hours at any time from Tuesday, April 2 – Friday, April date of the program. Refunds will be considered on an individual 12, 2019. Upon close of registration CFCC will draw forms for the case basis if they are submitted within the 2 weeks. waitlist. Resident forms will be drawn prior to Non-Resident forms. Participants that are randomly selected for the program Summer Camp: All cancellations and refund requests must be will be contacted during week of April 15 - 19, 2019 and will have submitted in writing in accordance with the Department’s until April 19, 2019 to pay fees at CFCC Only fully completed Cancellation and Refund policy. The balance, minus the $25 registration forms will be considered for the lottery. non-refundable weekly deposit and a $5 administrative fee, may be refunded if request is granted. Siblings: Early Registration is available for siblings (Residents & Non- Residents) of participants currently enrolled in the Ready Medical hardship cases will be handled at the discretion of the Set Go Preschool Program on April 2, 2019, 7 am - 6 pm. Siblings Director of the Department. If a medical hardship is granted must reside at the same address. there will be a refund minus a $5.00 administrative fee prior to program starting. Pre-Registration for Returning Participants: Pre-Registration for RSG B is available for RSG A participants The Parks, Recreation & Cultural Resources Director must grant from the current year who are currently enrolled. Pre-Registration final approval of all refunds. is available Monday, April 1, 2019 – Friday, April 5, 2019. If 8. Maximum enrollments are set by the staff and instructors to returning participants do not sign up by Friday, April 8, their provide a safe environment for all participants and cannot be guaranteed spot will be forfeited to new participants. exceeded. If a program is full you may request to go on the Preschool programs can be paid for in full at the time of waitlist. When a CFCC staff offers you a spot from the waitlist you registration. Fees for RSG A & B can be split into installments will be given a registration deadline which will be a minimum of 2 with the first installment being due at Registration. Academic business days from the first contact regarding the waiting list. If Adventures payments are due at the time of registration. you are not available, a message will be left. Please be sure that the phone numbers on your registration form are current and Registration for Academic Adventures in Kindergarten Readiness accurate. Participants that do not register into offered spot by will begin on May 1 for Residents and May 15 for Non Residents. deadline will automatically be removed from the waitlist. Registration is available at CFCC and online. 9. Re-Enrollment Fee: A $25 Re-Enrollment fee may be charged 6. Summer Camps: A $25 non-refundable deposit for each at registration if a participant is re-enrolled in a program after session is due at time of registration for camps. The deposit is either dropping out of the program or being removed due to applied towards the registration fee for the session. The balance non-payment. The $25 Re-Enrollment Fee is per child, per for all sessions is due on or before May 10, 2019. Any program. participants whose balances are not paid in full on or before May 10, 2019 will forfeit their deposit and their spot in the session. Full payment is required for registrations after May 10, 2019. Summer Camp registration forms MUST be returned by Friday, May 10, 2019 or your spot will automatically be forfeited. Registration opens for camp on February 1 for Residents and February 15 for Non Residents. 7. ALL CANCELLATIONS, TRANSFERS AND REFUND REQUESTS MUST BE SUBMITTED IN WRITING ON THE REFUND/ CANCELLATION/ TRANSFER REQUEST FORM (available at the Front Desk and online). A full refund is given if MPRCRD cancels a program. Early Arrival, After School & Preschool Programs: A full refund minus a $5.00 administrative fee is considered if written notice of registration cancellation is given at least 14 days before the start of the program. After programs have started, or less than 14 days before programs begin, a pro-rated refund will be considered on a case by case basis and will be based on elapsed program time and the balance of paid time remaining (14 days’ advance notice required). 9
SCHOOL BASED PROGRAMS SELECTION Name of Participant: ________________________________________________ Preferred Name: ______________________________________ Please put a “X” in the appropriate box for each program you wish to enroll your child in Preschool & School’s Out Days School’s Out Days Total Balance Due Youth Programs September February Non- Ready Set 30 Resident 18 Program Resident Go A Fee Fee Ready Set October 9 March 19 Go B Ready Set $ $ Go A ________ ________ Academic October 31 April 6 Adventures Ready Set $ $ November Go B ________ ________ Science 1 April 7 Academic Academic $ $ Adventures November Adventures ________ ________ 27 April 8 Reading Early $ $ Academic December Arrivals April 9 ________ ________ Adventures 30 Math After $ $ December April 10 School ________ ________ Early 31 Arrivals School’s $ $ January 2 April 6 - 10 After Out Days ________ ________ ($135-R / School $188-R) Early January 3 Release $ $ April 13 Days ________ ________ Dec 30 - Jan 3 (no 1/1) May 1 ($108-R / Total Due $ $150-NR) $ ________ ________ January 29 February 17 Program Fees Academic School’s Out Early Release Ready Set Go A Ready Set Go B Early Arrivals After School Adventures Days Days $900-R / $1,400-R / $130-R / $930-R / $1,500-R / $36-R / $14-R / $1,200-NR $1,900-NR $195-NR $1,330-NR $2,000-NR $52-NR $21-NR 10
Morrisville Parks, Recreation & Cultural Resources 2019 – 2020 School Programs Registration Form Full Name of Participant: _______________________________________ Preferred Name: ___________________ Address: _______________________________________ City: ____________________ Zip Code: ___________ Date of Birth: ________________________ Current Age: __________ Shirt Size: __________ Sex: Female Male Age (as of Aug. 31, 2019): _____________________Grade (2019-20 School Year): ________________________ School (2019-20 School Year): _______________________________________________________________ Main Phone #: _________________________ Email: ____________________________________________ Fathers Name: __________________________ Home Phone: __________________ Cell Phone: _______________ Mothers Name: __________________________ Home Phone: __________________ Cell Phone: ______________ Emergency Contact & Release Information (must be different from information above and at least 16 years old) (1) Name: ________________________________________ Relationship to Participant: _____________________ Email: ________________________________ Home Phone: __________________ Cell Phone: _______________ (2) Name: ________________________________________ Relationship to Participant: _____________________ Email: ________________________________ Home Phone: __________________ Cell Phone: _______________ (3) Name: ________________________________________ Relationship to Participant: _____________________ Email: ________________________________ Home Phone: __________________ Cell Phone: _______________ Medical Insurance is required for all program participants. I confirm that the participant has medical insurance. Yes No Company: ____________________________________ Policy number: ______________________ By signing below, I acknowledge that I have read and understand all camp policies and procedures listed on pages 3-6. I here- by waive all claims against the Town of Morrisville, now, known or arising in the future relating to my child’s participation in the Town of Morrisville Parks, Recreation, and Cultural Resources Department Summer Camp(s). ________________________________________________________________________________________ Signature of Parent or Legal Guardian Date (If participant is under 18 years of age, 11 please use parent/guardian signature.)
Morrisville Parks, Recreation & Cultural Resources Full Name of Participant: __________________________________________ Preferred Name: _____________________ Health Information: (please check yes or no) Yes No Allergies (if yes please list): __________________________________________________________ Yes No Asthma Yes No Autism Spectrum Yes No Diabetes Yes No Dietary Restrictions (if yes please list): __________________________________________________ Yes No Downs Syndrome Yes No Emotional / Behavioral Disorder Yes No Epilepsy Yes No Hearing / Visual Impairment (if yes please list): ____________________________________________ Yes No Intellectual Disability/Developmental Delay Yes No Motor Impairment Yes No Sensory Integration / Processing Disabilities Yes No ADHD/ADD (if yes please circle one) Please list any other health information that is not mentioned above: ________________________________________________________________________________________ ________________________________________________________________________________________ Medical Information: Only medication that is medically necessary and cannot be scheduled outside of the camp hours will be administered during the program. No participant should be in possession of prescription or non-prescription medication without the knowledge of the camp staff. Any participant that must receive medication during the camp must have an Assisted Administration form on file. Camp staff will maintain, provide and monitor the consumption of prescription and non-prescription medication. Medication forms can be obtained by calling the Morrisville Parks, Recreation, and Cultural Resources Department at 919-463-7100 and they can be sent via email or fax or you can pick one at 1050-B Town Hall Drive, Morrisville, NC 27560. Please list any medication the participant will be taking at camp or any additional information: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Signature of Parent or Legal Guardian 12 Date
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