A service of Carroll County Department of Recreation & Parks

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A service of Carroll County Department of Recreation & Parks
A service of Carroll County Department of Recreation & Parks
A service of Carroll County Department of Recreation & Parks
Bear Branch Nature Center and Piney Run Nature Center are part of Carroll County
                                      Department of Recreation & Parks, in the Bureau of Parks. Both Nature Centers are
                                      staffed with one full-time Naturalist.

                                      Bear Branch Summer Nature Camp is held at Hashawha Environmental Appreciation
                                      Center and Bear Branch Nature Center, located in the northern region of Carroll
                                      County just north of the city of Westminster.

Piney Run Summer Nature Camp is held at Piney Run Park & Nature Center
located in the southern region of the county near the town of Sykesville.

             NEW FOR NEXT YEAR ... online camp registration with credit card payment is
       anticipated to be up and running for our Summer Nature Camps in 2019 - keep a lookout!

            Thank you for sharing
            your children with us                                                Members of either the Piney Run Recreation and
                this summer!                                                     Conservation Council and/or the Friends of Hashawha/
                                                                                 Bear Branch play an important role in providing
                                                                                 additional financial and volunteer support for their
                                                                                 respective facilities. As a Nature Center member, you
    Piney Run STAFF                        Bear Branch STAFF                     receive discounts on nature shop items, the quarterly
                                                                                 mailing of the Recreation & Parks Program Guide
                                                                                 listing programs offered at both Nature Centers and
    Deb Rottman,                           Dawn Harry,                           at various other locations throughout Carroll County,
    Park Superintendent                    Park Operations Coord.                as well as an invitation to exclusive Members-Only
                                                                                 programs. Use the Nature Center Membership form on
    Max Bukowitz,                          Nicole Bowman                         page 10 to apply for a current membership. This
    Naturalist                             Naturalist                            Nature Center Membership is NOT the same as a Park
                                                                                 Vehicle Season Pass for Piney Run Park.

                                                                                 NOTE: To be eligible for the early Members Only
                                                                                 Registration dates as well as any Summer Camp
BEAR BRANCH CAMP Registration & Info . . . . . . Pages 7-9
                                                                                 discounts for programs listed in this booklet, your
    (for Ages 6-11)
                                                                                 current* membership must be one of the following:
                                                                                 Family, Contributing, Sustaining, Patron, Lifetime or
PINEY RUN CAMP Registration & Info . . . . . . . . . . Pages 2-5
                                                                                 Benefactor (Senior, Student, and Individual
    (for Grades K-6)
                                                                                 memberships do not qualify for Summer Nature Camp
                                                                                 benefits).
TEENS on the GO! Information . . . . . . . . . . . . . . . . . . . . Page 6
  (for Grades 6-10)                                                              *Your membership expiration date must be on or after 8/31/18 to be
                                                                                 considered current. If it expires prior to 8/31/18, then you must renew at the
                                                                                 time of submitting your camp registration or it will be returned to you as not
Nature Center Membership Form . . . . . . . . . . . . . . . . . . . .Page 10     eligible (see form on page 10).

        ACCESSIBILITY NOTICE: The Americans with Disabilities Act applies to the Carroll County Government and its programs, services,
        activities and facilities. Anyone requiring an auxiliary aid or service for effective communication or who has a complaint should contact
        The Department of Citizen Services, 410.386.3600 or 1.888.302.8978, or MD Relay 7-1-1/1.800.735.2258, as soon as possible but no later than
1       72 hours before the scheduled event.
A service of Carroll County Department of Recreation & Parks
Piney Run Summer Nature Camp is a non-profit day camp dedicated to promoting thoughts of awareness
 and appreciation of the natural environment through fun, educational programs and activities. Located
 within Piney Run Park, the Camp offers children an opportunity to explore woodlands, fields, streams and
 lake shore habitats in a well-supervised environment.

                     Piney Run Nature Camp is one of the best outdoor playgrounds
                                     Carroll County has to offer!
Your camper will enjoy many activities beginning with daily morning ceremonies consisting of long-time Piney Run Summer
Nature Camp songs that campers have enjoyed for years! Other activities will include nature lessons, canoeing (with the
exception of Group K), hiking, nature games, crafts, Friday’s “Wilderness Wars” for Friday’s parent Show-offs! Campers will
also go fishing and will learn to catch and release fish in a humane way. A detailed schedule of daily events will be sent to you
prior to camp so that you can prepare for the fun!

      GROUP K thru GROUP 3:                                                            GROUP 4 and GROUP 5:
        Nature Center MEMBER: $135                                                       Nature Center MEMBER: $145
        Non-Member: $160                                                                 Non-Member: $170
 GROUP K - those finishing Kindergarten:                                        GROUP 4 - those finishing 4th Grade:
 Theme - Diversity of Animals                                                   Theme - Worlds of Water
    Campers will be learning about reptiles, amphibians, birds,                     Campers will be learning about the freshwater
    mammals, fish and insects, and our role in protecting them.                     habitats in Piney Run Park. The focus will be
                                                                                    on aquatic insects, fish, waterfowl and other
 GROUP 1 - those finishing 1st Grade:                                               animals that depend upon water.*
 Theme - The Earth
    Campers will be learning about the natural treasures found on               GROUP 5 - those finishing 5th Grade:
    earth including rocks and minerals, fossils, volcanoes, and                 Theme - Going Green
    weather, as well as plants and animals that depend on the earth.
                                                                                    Campers will be learning about how to
                                                                                    minimize their carbon footprint while protecting
 GROUP 2 - those finishing 2nd Grade:                                               the environment around them. They will be
 Theme - World of Plants                                                            introduced to ways of increasing green
    Campers will be learning about plant life, from lily pads to trees,             behaviors and habits.*
    and their importance in nature and our survival.

 GROUP 3 - those finishing 3rd Grade:                                           *In addition, Group 4 and Group 5 campers will
 Theme - Forest Habitat                                                         stay until 9pm on Friday evening. This will include
    Campers will be learning about the plants, animals and soils that           a campfire supper and evening activities.
    bring together the forest here at Piney Run Park.

  GROUP 6 Weeks 1 and 3 only (includes Friday night overnight stay): Nature Center MEMBER $165
                                                                     Non-Member $190
          Weeks 2 and 4 only: Nature Center MEMBER $145
                                Non-Member $170
GROUP 6 - those finishing 6th Grade
Theme - Environmental Career Opportunities
  After exploring animals, earth, plants, forest habitat, water world, and going green—what’s next? Exploring career opportunities in
  the environmental field! While campers will still enjoy hiking, arts and crafts, and kayaking, they will also have the unique experience
  of hearing from a naturalist.

  In addition, Group 6 campers will enjoy a Friday night sleepover with the critters in the Nature Center. Those campers choosing not to
  participate in the sleepover must be picked up no later than 8pm Friday evening. Campers must provide their own sleeping bag,
  pillow and personal items. After the sleepover, pickup is 8am sharp Saturday morning.
                                                                                                                                             2
A service of Carroll County Department of Recreation & Parks
IMPORTANT REGISTRATION INFORMATION                                                  CAMP DATES & TIMES
    Registrations will be processed on a first-come, first-serve                         Monday-Friday, 9:30am-3:30pm (with the exception of
    basis with FULL PAYMENT. Since our summer camps fill                                      Groups 4 & 5 for Friday evening cookout, and Group 6
    quickly, we highly recommend you register early. Parents                                  Friday overnights)
    must fully complete the PINEY RUN Registration Form (use                             Drop-off and pick-up is held at the Tennis Courts.
    a separate form for each child). Incomplete forms will NOT                           Campers will be placed in groups according to grade
    be accepted until they are fully completed delaying your                                  completed by June 2018 - sorry, no exceptions.
    child’s enrollment in camp.                                                               Sessions are: July 9-13, July 16-20, July 23-27, and
               Mail to: Piney Run Park & Nature Center                                                            July 30-August 3
                   30 Martz Road, Sykesville 21784                                      NOTE: on FRIDAY OF EACH WEEK at 3pm, we will hold a
         Registration begins February 1st for Nature Center                           “SHOW-OFFs” time at the Amphitheater in the Park. Campers
             Members (Members may not register Non-members).                            will show off what they learned for parents and family members -
         Registration begins March 16th for all Non-members.                          it is a great time for the campers and their families to share!
    Forms that are postmarked before February 1 (Members), or                           Campers will then go home with parents at its completion (with
    March 16 (Non-members) will be returned to sender.                                  the exception of Groups 4, 5 and 6).

    FEES & PAYMENT                                                                      EARLY DROP-OFF / LATE PICK-UP
    Full payment is due at the time of registration.                                    Piney Run Park will provide early drop-off from 8-9:30am, and
                                                                                        late pick-up from 3:30-5pm each day of camp at Pavilion #5 in
    CONFIRMATION                                                                        the Park. The cost is $10/session (AM or PM), or $15/day for
    Parents whose child is registered in Camp will be sent a                            both AM and PM, or $70/week for both AM and PM. This
    confirmation letter. Important camp information and further                         service is provided by park staff, camp counselors and/or
    details will be sent out prior to camp; please hold onto this                       volunteers. Registration for this additional service is required at
    information until your child completed his/her full camp                            least one week prior to your child’s camp start date. Please
    session.                                                                            contact PRNC for the required registration form needed to apply.
                                                                                        **NOTE: A $10/per child late fee will be assessed for every
    SCHOLARSHIPS                                                                        15 minutes after 5pm for those campers not yet picked up -
    A limited number of scholarships are available for those                            no exceptions!
    qualifying for financial assistance. Contact PRNC for an
    application as soon as possible; scholarship application                            WHO CAN ATTEND
    deadline is May 1, 2018.                                                            Piney Run Summer Nature Camp is for GRADES Kindergarten
                                                                                        thru 6th (completed by June 2018). Campers cannot be placed
    REFUNDS                                                                             ahead or behind their grade level—no exceptions. For your
     If your child cannot be placed, your full amount paid will                       preschool aged children, please see our Preschool Discovery
        be refunded.                                                                    Week listed in the Carroll County Recreation & Parks 2018
     If a camper withdraws at least 14 days prior to camp                             Summer Program Guide at ccrecpark.org (released mid-April).
       start date, a refund will be provided less a $15                                 For teens in grades 7th-10th, see page 6 of this brochure for the
       administrative fee.                                                              Recreation & Parks “Teens on the Go!” program offerings.
     If a camper withdraws less than 14 days prior to camp
                                                                                        OUR STAFF
       start date, NO refund will be issued.
                                                                                        All groups will have a maximum of 20 campers per age group
     No refunds will be issued if your child/ren is dismissed
                                                                                        and are supervised by a qualified Senior Counselor, a high
       from camp for behavioral problems.
                                                                                        school or college aged Junior Counselor, and 1 to 3 volunteers.

                                                                    Other Important INFO
    The staff at Piney Run Park and Nature Center welcomes you and your children to Piney Run Summer Nature Camp! We have an exciting
    summer planned and we look forward to teaching your children to explore, learn, play, and much more on the grounds of our 800-acre park. It is
    our job to ensure the safety and well-being of each of our valued campers.

         Pack a lunch daily with plenty of water, including a snack, in an              Campers MUST wear close-toed shoes at all times. Crocs and water
           insulated bag. Freezing a water bottle filled 1/2 full, and then filled to       shoes are only allowed during the canoeing and other water sports.
           the top in the morning helps provide cold drinking water throughout              Absolutely no sandals!
           their day.                                                                     Bug spray is very important as the campers will spend most of the
         Friday’s lunch: Subway will be sponsoring a box lunch choice of $6/              day outdoors. We make every effort to avoid insect bites however,
           meal (includes 6-inch sub, cookie and bag of chips), or a $8/meal                there are ticks and other insects in the park so it is wise to check
           (includes a foot-long sub, cookie and bag of chips); with drinks                 your camper daily.
           provided by Piney Run Park. Pre-orders will be due at camper                   Apply sunblock on your child daily—we are outside and not always
           pickup on Wednesday. Those choosing not to order a Subway Box                    shaded!
           Lunch will need to bring their own bagged lunch.

3   Our campers are very important to us so please drive SLOWLY as you enter the park … 15mph is our limit!
A service of Carroll County Department of Recreation & Parks
~~All information on this Registration Form (front & back) MUST be provided in order to register your child for camp. If any blank is not
                  filled in, this form will be returned to you and your child will not be registered until it is completed.~~
                                       ~Please PRINT clearly and use only ONE FORM PER CHILD~

Child’s Name ____________________________________________________________________________________________________
Child’ Date of Birth_________________________ Child’s Age________ Grade completed June 2018_________ Male____Female____
Parent/Legal Guardian____________________________________________________________________________
Address_____________________________________________________ City_____________________ State____ Zip_____________
Home Phone_____________________ Cell Phone____________________ Email______________________________________________
Any siblings attending Camp? - Please list______________________________________________________________

Previous Camp Experience_______________________________________________ Fears_____________________________________
Allergies/Medications_____________________________________________________________________________________________
Physical, Behavioral or Psychological problems _______________________________________________________________________________
Any pertinent information regarding those problems, or special needs child may have __________________________________________

_______________________________________________________________________________________________________________
Is child attending a Maryland School? ___Yes ___No Name of School____________________________________________________
           (If your child does NOT attend a school in Maryland, a complete copy of child’s immunization records MUST accompany this form.)

Date of last Diphtheria, Tetanus, Pertussis (DTaP) immunization________________________ (If date is left blank, this form will be returned
                                                                               and your child will not be registered for camp until filled in)
If not immunized, please state reason: ______Medical ______Religion
Family Doctor’s Name________________________________________________ Phone_______________________________________
                          Please indicate Camp Session desired below as 1st choice, 2nd choice and 3rd choice.
              Camper will be placed in group according to grade completed by June 2018 indicated above. No exceptions.
   ____ Session 1: July 9-13        _____ Session 2: July 16-20       ____ Session 3: July 23-27         ____ Session 4: July 30-Aug 3
                Group K-3: Member $135/ Non-member $160     Group 4-5: Member $145/Non-member $170
      Group 6 1st & 3rd Weeks: Member $165/ Non-member $190 / 2nd & 4th Weeks: member $145/Non-member $170 ,
                          AMOUNT ENCLOSED $____________ (FULL PAYMENT is DUE at time of registration)

        CAMP T-SHIRTS will be issued to each camper on the first day of camp - - please circle the appropriate size for your child:
 Child Size: S(6-8) M(10-12) L(14-16)                - OR -        Adult Size: S(34-36) M(38-40) L(42-44)                     XL(46-48)

 EMERGENCY CONTACT INFORMATION - - Please list 2 ADULT CONTACTS (age 18+) in case parent cannot be reached.
     FULL NAME                         PHONE #                               RELATIONSHIP TO CHILD
 1.___________________________________________________________________________________________________________

 2.___________________________________________________________________________________________________________

                List all names and contact information for adults (age 18 and up only) authorized to pick up your child.
          Your child will not be released to anyone other than the parent/legal guardian or the following adult(s) listed below:
       FULL NAME                                             PHONE #                                       RELATIONSHIP TO CHILD
   1._______________________________________________________________________________________________________

   2._______________________________________________________________________________________________________

                 For Official Use Only:
                 Date Received__________ Amount Paid_________Check#_______ Member____ Date of Exp_________ Non-member____
                 Date Confirmation Letter Sent___________________________         Staff Name_____________________________________            4
A service of Carroll County Department of Recreation & Parks
My child, ____________________________________________ has my permission to participate in Piney Run Summer
    Nature Camp. I understand that he/she is subject to the Park and Nature Center rules of conduct. I hereby agree to discuss
    the following behavior policy with my child, and agree to its contents.

    BEHAVIOR POLICY:
    Inappropriate behavior will not be accepted or tolerated from any camper at Piney Run Summer Nature Camp. Inappropriate
    behavior includes but is not limited to foul language, discussing subject matter of a mature nature, hurting or teasing other
    campers, abusing or teasing the animals, bad attitude, name calling, disrespecting a counselor/director/volunteer, not
    cooperating, not listening or following directions, wandering away from the group, fighting, spitting on camp property,
    destroying camp equipment, littering on camp property, stealing, and threatening another child. Below is our offense policy:
     On the first offense of any camper displaying any inappropriate behavior, camper will receive a warning from the
        counselor.
     On the second offense, the child will be given a time-out and counselor will discuss with the child what he/she did wrong
        and allow them to reflect on the situation. The time a child spends in time-out will depend largely upon child’s age and
        circumstances for which the time-out was given.
     On the third offense or if the child refuses to cooperate in time-out with the counselor, the child will be sent to the camp
        station and placed in time-out with the Camp Director. The incident will be recorded and must be signed by a parent.
     On the fourth offense, the child’s parents will be called to pick up child from camp. At that time it will be determined,
        based on the situation, if the child will be allowed to return to camp. If camper is dismissed from camp, no refund will be
        given.
    For Groups 4, 5 and 6, the Camp reserves the right not to allow any camper to stay late or campout on Friday night for
    behavior issues.

    Any conduct which can be construed of a sexual or sexually harassing nature will not be tolerated and will result in immediate
    dismissal from camp. Drugs, alcohol or weapons of any kind will result in an immediate dismissal from camp and local police
    will be contacted.

    No electronic devices (cell phones, iPods, etc.) are allowed at camp by campers. If a camper is found to have any of these
    items: on 1st offense the item will be confiscated and Camp Director or Park Superintendent will hold the item until the end
    of the day and it will be returned directly to the parent; a 2nd offense will result in camper being dismissed from camp
    without a refund. Piney Run Park is not responsible for lost, stolen or damaged items.

    CANOEING / KAYAKING:
    I understand that canoeing and kayaking will be among the activities in which my child will participate. Camp rules require
    that a Personal Floatation Device (PFD) be worn at all times while on the water (campers who have not completed first grade
    do not participate in canoeing or kayaking programs).

    WAIVER OF LIABILITY:
    By my signature below, I acknowledge that there are inherent risks and dangers associated with recreation programs, that
    Carroll County Department of Recreation & Parks and Piney Run Park and Nature Center does not provide any registrant
    medical or hospitalization insurance whatsoever, and therefore, I hold Carroll County Commissioners and their agents
    harmless from all claims of injury, damage, or loss which may result in my child(ren)’s participation in this program.

    AUTHORIZATION FOR USE OF PHOTOGRAPHIC LIKENESS:
    I agree to allow Piney Run Summer Nature Camp to take and utilize photographic images of the registered individual/s for the
    purpose of promotion and publicizing of Piney Run Summer Nature Camp and/or other Department programs and events. If I
    prefer to not allow my child to be photographed, I will call 410-795-6043 to register my request with the Camp.

    Parent/Legal Guardian Signature____________________________________________________ Date___________________

    Parent/Legal Guardian PRINTED NAME_______________________________________________________________________
5
A service of Carroll County Department of Recreation & Parks
The programs will run Monday thru Thursday, 8:30am-4:00pm
 unless otherwise noted in the final schedule, with up to 4 weeks to
choose to participate. Some trips during the week may leave early or
               arrive later based on the destination.

    The fees will vary with each week due to the nature and costs
    associated with the scheduled activities. Teens will need to
            pack lunch each day and bring a water bottle.

  Activities planned, and registration and pricing information will be
available in our Summer 2018 Program Guide to be released mid-April.

       If you would like to receive a copy of the camp
     schedule when it becomes available, please email
                   ccrec@ccg.carr.org

                                                                         6
A service of Carroll County Department of Recreation & Parks
This summer Bear Branch Nature Center is offering a variety of camps to provide summertime fun and
       environmental education for campers ages 6-11. Bear Branch is an ideal location for camp providing
       streams, meadows, forests and wetlands to explore. Campers will learn about nature, work on conserva-
       tion projects, explore the park and participate in games, crafts and field trips.

    IMPORTANT REGISTRATION INFORMATION !
       Enrollment is determined by your child’s age on June 1, 2018 - see camp
                                                                                     CONFIRMATION
                                                                                     After registering for camp(s), parents will receive a confirmation letter along
                                    listings below.
                                                                                     with important camp information and forms. If your registration is received
    Registrations will be accepted on a first-come, first-serve basis with FULL
                                                                                     after a camp is filled, you will be notified and added to that camp’s wait list.*
    PAYMENT. Parents must fully complete both sides of the BEAR BRANCH
                                                                                     The payment will be returned in full if your child cannot be placed.
    NATURE CENTER Registration Form (a separate form must be completed for
                                                                                                 *Should an applicant withdraw from camp, substitutes
    each child). Incomplete forms will not be accepted, and forms will be
                                                                                                  from that camp’s wait list will be contacted at that time.
    accepted chronologically by postmark. The Nature Center DOES NOT accept
    walk-in or phone-in registrations. The fully completed registration form
    along with FULL payment by check, must be MAILED TO:                             FEES & PAYMENT
        Bear Branch Nature Center, 300 John Owings Road,                             Full payment by check only is due at the time of registration submission.
                     Westminster, MD 21158
                                                                                     REFUNDS
     Registration begins March 9th for current* Nature Center Members               If child cannot be placed, your full payment will be refunded.
       (note that Members may not register Non-members). *Current                     If a camper withdraws up to 14 days prior to camp start date, a refund
       membership is defined as a qualifying membership (Family,                          will be provided less a $15 administrative fee.
       Contributing, Sustaining, Patron, Lifetime or Benefactor) which is
                                                                                      No refund will be issued if your child is dismissed from camp due to
       good thru 8/31/18. If it expires after 8/31/18, and you want to take
                                                                                          behavioral problems.
       this discount you must include a completed Nature Center
       Membership Form (page 10) along with a SEPARATE CHECK for                      Some camp weeks have minimum enrollment requirements. If, for any
       the appropriate eligible membership amount to update your                          reason, these minimums are not reached, then the specific camp in
       membership. Otherwise, your application will be returned.                          question could be canceled. In such case, all related camp fees will be
                                                                                          refunded in full.
     Registration begins March 16th for all Non-members
    Forms postmarked before 3/9/18 (Members) or 3/16/18 (Non-members)
    will be returned to sender.

                    FEE per Camper, per week: $105 Member / $130 Non-member
                                                    Enrollment is determined by child’s age on June 1, 2018

       WILD THINGS                                                                WATER, WATER EVERYWHERE
       Ages 6-8                            June 26th-June 29th                    Ages 6-8                                        July 17th - July 20th
                                      Tuesday-Friday 9am-3pm                                                                  Tuesday-Friday 9am-3pm
          Hashawha can be a wild place! Campers will                               Campers will learn all about watery worlds during this
          explore the fields and meadows of Hashawha.                              exciting week of camp! We will walk through wetlands,
          Through games and activities campers will                                explore streams and discover all the wonders of the
          learn more about plants and animals while                                waterways that make up Hashawha!
          having fun, too!

                                                                                  HAPPENIN’ HERPS
       WATER WORKS                                                                Ages 9-11                                        July 24th - July 27th
       Ages 9-11                            July 10th-July 13th                                                               Tuesday-Friday 9am-3pm
                                      Tuesday-Friday 9am-3pm                       Reptiles and amphibians are unique and amazing
          Intricate relationships exist between predators                          creatures, and Hashawha is a great place to find them!
          and their prey. Campers will investigate these                           Campers will get the chance to delve into “herpetology,”
          relationships while exploring the forest and                             the study of reptiles and amphibians. They will get the
          fields of Hashawha. Students will have the                               opportunity to observe these animals in their natural
          opportunity to learn more about food webs,                               habitats and get a close-up view of Bear Branch Nature
          ecosystems, and the potential impacts humans                             Center’s “creature collection.”
7         have had on these relationships.
A service of Carroll County Department of Recreation & Parks
~All information on this Registration Form (front & back) MUST be provided in order to register your child for camp. If any blank is
                not filled in, this form will be returned to you and your child will not be registered until it is completed.~~
                                        ~Please PRINT clearly and use only ONE FORM PER CHILD~

Child’s Name ___________________________________________________________________________________________________
Child’ Date of Birth________________________ Child’s Age________ Grade completed June 2018_________ Male____Female____
Parent/Legal Guardian____________________________________________________________________________

Address____________________________________________________ City_____________________ State____ Zip_____________
Home Phone____________________ Cell Phone____________________ Email______________________________________________
Any siblings attending Camp? - Please list______________________________________________________________
Previous Camp Experience_______________________________________________ Fears_____________________________________
Allergies/
Medications___________________________________________________________________________________________________

Physical, Behavioral or Psychological problems ______________________________________________________________________________
Any pertinent information regarding those problems, or special needs child may have _________________________________________
______________________________________________________________________________________________________________
Is child attending a Maryland School? ___Yes ___No Name of School____________________________________________________
          (If your child does NOT attend a school in Maryland, a complete copy of child’s immunization records MUST accompany this form.)

Date of last Diphtheria, Tetanus, Pertussis (DTaP) immunization________________________
If not immunized, please state reason: ______Medical ______Religion

Family Doctor’s Name________________________________________________ Phone_______________________________________

Please indicate below Camp Session desired. Campers will be placed in group according to age as of June 1, 2018 - No
exceptions.
                       ____ WILD THINGS (6/26-6/29)            _____ WATER WORKS (7/10-7/13)
          ____ WATER, WATER EVERYWHERE (7/17-7/20)                        _____ HAPPENIN’ HERPS (7/24-7/27)

EMERGENCY CONTACT INFORMATION - - Please list 2 ADULT CONTACTS (age 18+) in case parent cannot be reached.
    FULL NAME                         PHONE #                               RELATIONSHIP TO CHILD
1.___________________________________________________________________________________________________________

2.___________________________________________________________________________________________________________

                List all names and contact information for adults (age 18 and up only) authorized to pick up your child.
          Your child will not be released to anyone other than the parent/legal guardian or the following adult(s) listed below:
       FULL NAME                                              PHONE #                                       RELATIONSHIP TO CHILD
   1._______________________________________________________________________________________________________

   2._______________________________________________________________________________________________________

                   For Official Use Only:
                   Date Postmarked__________ Amount Paid_________ Check#_______          Member____     Date of Exp_________
                   Date Confirmation Letter Sent_________________    Staff Name_________________________________________

                                                                                                                                      8
A service of Carroll County Department of Recreation & Parks
My child, ____________________________________________ has my permission to participate in Bear Branch Summer
    Nature Camps. I understand that he/she is subject to the Park and Nature Center rules of conduct. I hereby agree to
    discuss the following behavior policy with my child, and agree to its contents.

    BEHAVIOR POLICY:
    Inappropriate behavior will not be accepted or tolerated from any camper at Bear Branch Nature Center Summer Camps.
    Inappropriate behavior includes, but is not limited to, foul language, discussing subject matter of a mature nature, hurting
    or teasing other campers, abusing or teasing the animals, bad attitude, name calling, disrespecting a counselor/director/
    volunteer, not cooperating, not listening or following directions, wandering away from the group, fighting, spitting on camp
    property, destroying camp equipment, littering on camp property, stealing, and threatening another child. Only 2 offenses
    will be allowed at camp.
     On the first offense, camper will receive a warning from the counselor
     On the second offense, the child will be given a time-out and counselor will discuss with the child what he/she did wrong
          and allow them to reflect on the situation. The time a child spends in time-out will depend largely upon child’s age and
          circumstances for which the time-out was given
     On the third offense or if the child refuses to cooperate in time-out with the counselor, the child will be sent to the
          Nature Center and placed in time-out with the Naturalist or Park Operations Coordinator. The incident will be
          recorded and must be signed by a parent.
     On the fourth offense, the child’s parents will be called to pick up child from camp. At that time, it will be determined,
          based on the situation, if the child will be allowed to return to camp. If camper is dismissed from camp, no refund will
          be given.

    Any conduct which can be construed of a sexual or sexually harassing nature will not be tolerated and will result in
    immediate dismissal from camp. Drugs, alcohol, or weapons of any kind will result in an immediate dismissal from camp
    and local police will be contacted.

    No electronic devices (cell phones, iPods, etc.) are allowed at camp by campers. If a camper is found to have any of these
    items: on 1st offense the item will be confiscated and Camp Director or Park Operations Coordinator will hold the item
    until the end of the day and it will be returned to the parent. A 2nd offense will result in camper being dismissed from the
    camp without a refund.

    CANOEING
    I understand that canoeing will be among the activities in which my child will participate. Camp rules require that a life
    jacket be worn at all times while on the water (campers who have not completed first grade do not participate in canoeing
    programs).

    WAIVER OF LIABILITY:
    By my signature below, I acknowledge that there are inherent risks and dangers associated with recreation programs,
    that Carroll County Department of Recreation & Parks and Piney Run Park and Nature Center does not provide any
    registrant medical or hospitalization insurance whatsoever, and therefore, I hold Carroll County Commissioners and their
    agents harmless from all claims of injury, damage, or loss which may result in my child(ren)’s participation in this program.

    AUTHORIZATION FOR USE OF PHOTOGRAPHIC LIKENESS:
    I agree to allow Bear Branch Summer Nature Camp to take and utilize photographic images of the registered individual/s
    for the purpose of promotion and publicizing of Bear Branch Summer Nature Camps and/or other Department programs
    and events. If I prefer to not allow my child to be photographed, I will call 410-795-6043 to register my request with
    the Camp.

    Parent/Legal Guardian Signature____________________________________________________ Date___________________

    Parent/Legal Guardian PRINTED NAME_______________________________________________________________________
9
*See notation below!
                                                                                 *                                *
                                                                                                                  *
                                                                                                                  *
                                                                                                                  *
                                                                                                                  *

                       Carroll County
                       Park Legacy Fund
                                                                                *MEMBERSHIP RATES that qualify for a Camp discount
If you enjoy visiting our beautiful parks, become involved and help make       Family           $20            Lifetime        $250
them an even better place. Your tax deductible contribution can be             Contributing     $50            Patron          $500
earmarked to support specific parks or amenities such as playgrounds,
benches, trees, nature centers, and more. Donor contributions are publicly     Sustaining       $100           Benefactor      $1000
recognized and gift donations on someone’s behalf are recognized with a card
sent acknowledging the donation.
                                                                                Your specific and qualifying membership must expire ON or AFTER
 Visit https://ccgovernment.carr.org/parklegacyfund to print a Park           8/31/18 in order to be eligible for the early “Members Only”
   Legacy Fund brochure and return via US Mail or drop off at the                registration dates for either Piney Run or Bear Branch Summer
   Recreation & Parks office Monday-Friday, 8am-5pm; -OR-
 Call the Carroll County Recreation & Parks office at 410-386-2103 to
                                                                                Nature Camps (see page 1 for full details).
   make a credit card donation (Visa, MC, Discover accepted) or to have a
   form mailed to you; -OR-
 Visit the Rec & Parks office located at 300. S. Center Street,
   Westminster, Monday-Friday 8am-5pm.                                                                                                       10
Carroll County Commissioners
                                                                                                                                                                                        Dennis E. Frazier, President
                                                                                                                                                                                        Stephen A. Wantz, Vice President
                                                                                                                                                                                        C. Richard Weaver, Secretary

                                                                                   M

                                                                                 Pine
                                                                                                                                                                                        Doug Howard

                                                                                     y
                                                                                     E
                                                                                                                                                                                        Richard S. Rothschild

                                                                                       R

                                                                                 Bea Run P
                                                                                          ch
                                                                                           N
                                                                                         FU &
                                                                                             at

                                                                                SUM r Bran ark
                                                                                                                                            Carroll County Department of                                  PRSRT STD
                                                                                                                                            Recreation and Parks                                          US POSTAGE PAID
                                                                                                                                            300 S. Center Street                                          WESTMINSTER, MD
                                                                                                                                            Westminster, Maryland 21157                                   PERMIT NO. 347

                                              for Nature Center MEMBERS only:
                                                                                                                                                             A Great Place to Live, Work and Play!

                                                                                     EARLY REGISTRATION! (see page 1 for full details)

  Piney Run Camp registration opens FEB 1st
Bear Branch Camp registration opens MAR 9th
                                                                                Be sure to have an active membership to take advantage of
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