Spring Break Camp 3/15 3/19/2021 - Camp Adventure 2021 Parent Handbook & Registration Forms - City of ...
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Camp Adventure 2021 Spring Break Camp 3/15 - 3/19/2021 Parent Handbook & Registration Forms
City of Temple Camp Adventure 2021 Welcome to Camp! This holiday break is going to be great! Our mission is to provide your child with a safe and enjoyable experience that engages the camper and provides an oppor- tunity for emotional, social, and physical growth. Our camps will provide an environment that allows each camper to express themselves through all aspects of recreation, arts & crafts, and adventure. This handbook is designed to inform parents and guardians of the programs, policies, and guidelines of our holiday camp. Please read the handbook carefully and sign, date and re- turn all forms so that your child can participate in all activities. Keep this booklet for future reference. The policies and procedures are to ensure all campers, staff, and other entities the maximum safety. We look forward to sharing this holiday camp with you and your camper. Together we can have a memorable camp experience! Miranda Lugo Program Coordinator (o) 254-298-5737 (c) 254-800-5381 mlugo@templetx.gov Forms Required Prior to the first day of Camp
1. Completed Registration Form and cognitive development of the camp-
2. Pick Up Authorization Form ers who are involved in the program.
3. Discipline Policy Form • To promote an atmosphere where campers
4. Medical Information Form can develop a sense of independence,
5. COVID Addendum Policies learn about responsible self care, and
develop appropriate decision-making
Location and listening skills.
Holiday Camp (Camp Adventure) is located at
the Wilson Park Recreation Center at 2205 Fees, Dates, and Times
Curtis B. Elliott Drive, Temple, TX 76501 Cost: $12 per day
Dates: March 15th - 19th
*Our camp programs are developed and main-
tained by the City of Temple Parks and Recrea- Time: 7a.m.-6p.m. Monday-Friday
tion Department. Camp programs are designed *All campers must be dropped off by 8:30am
to offer a quality recreation programming for Space will be limited in order to adhere to
campers ages 5-13. COVID-19 protocols
Where to Pay
Our Staff
Camp staff are carefully selected individuals • No on site payments will be accepted for the
with experience working with children and who holiday camps, you must pay in advance
enjoy recreation, and fun. We maintain an ad- be-fore the first day.
equate staff-to-child ratio 1:15 to insure the • Payments can be taken over the phone at
quality of your child’s care. 254-298-5740, Monday thru Friday (the
week before) and Monday—Wednesday (the
Camps are designed to give campers the op- week of camp) 7:00am-6:00pm.
portunity to: • Online– www.templeparks.com - Only
• Make good choices Monday will be available online at first
• Master new skills to ensure we maintain enrollment ratios
• Bond with peers throughout the week. The rest of the
• Encounter new people and places days will open afteward
• Use their imaginations Daily Admission and Release
The following procedures have been established
Statement of Goals to provide you and the staff with information
The goals of our camps are as follows: needed to protect the health, safety, and well-
• Help campers meet new friends being of the camper in our care:
• Give campers a quality camp experience • Campers may not be dropped off and left un-
• Expose campers to art, adventure & camp attended before 7a.m. Parents must sign
activities their child in with a staff member in the drop
• Acquire skills in a wide range of recreation off area.
activities • Campers enrolled in our program will be
• Practice good sportsmanship and fair play signed-out and picked-up from the camp site
• Develop lasting friendships by parents or a parent approved guardian in
• Teach teamwork the drop off/pick up areas with a designated
• Teach life skills camper name tag.
• Teach campers how to lead camp programs • Unless prior written arrangements have been
• Foster a healthy respect for diversity made with the staff, only parents or parent
• Encourage the development of self-esteem designees shown on registration form may
take a camper from the program.
• To promote physical, social, emotional,
• No parent will be denied access to a childunless a copy of a Custody Agreement or Our staff will use positive methods of camper
Court Restraining Order that limits or relin- management, to encourage self-control, self-
quishes such parental rights is on file with direction, self-esteem and cooperation. Staff
the Camp staff. understands that each camper is an individual,
• Camper needs to be at camp no later than and we will make every effort to handle the
8:30am– opening circle- to ensure that the needs of each camper. We believe that rules,
camper can participate in trips or other ac- expectations, and limits should be applied con-
tivities planned for that day. sistently and explained in a clear and age-
appropriate manner. Campers in the camp are
Late Pick-Up Policy entitled to a safe and secure environment. This
Campers must be picked-up no later than means that no camper may jeopardize the well-
6p.m. according to Temple Parks and Recrea- being of his/herself or any other camper or
tion Department official time. This rule is strict- staff. All Campers will be introduced to the
ly enforced. Our policy for late pick up is as fol- camp Code of Conduct and reminded of the
lows: code daily during opening circle. Part of our ef-
1. For every minute you are late, you will be forts will be to help campers identify inappro-
assessed a $1.00 fee per camper. priate behavior and learn how to redirect their
2. The late fee must be paid in full before the actions in a positive way. Staff will ask a camp-
camper may return to the program. er to “take a break” for behavior issues. If be-
3. If there is a second occurrence, there will havior issues are continuous with a camper,
be a parent meeting with the camp di- parents will be notified to discuss the situation.
rector and program coordinator. If negative behavior continues and becomes
4. If there is a third occurrence, you will be disruptive to the camp as a whole, we reserve
issued a late fee and the camper will be the right to remove the camper from the camp
removed from Camp for the remainder of either temporarily or permanently depending
the session. There will be NO refunds issued. on the severity of the situation.
Camp Standards of Behavior DISCIPLINE POLICY
The goals of our Camps are centered around de- Depending on the severity of the behavior prob-
veloping social skills, improving self esteem, lem, parents may be contacted immediately
and increasing confidence, learning in a fun en- and requested that their child be picked up
vironment, developing physical fitness and es- from Camp. This is at the discretion of the Pro-
tablishing meaningful relationships with new gram Coordinators and Recreation Specialists.
friends. Our goal is that every camper will have *Please refer to the sample Code of Conduct on
a memorable and fulfilling experience. Nothing page 7 of this document*
is more important to the accomplishment of
these goals than each person abide by the fol- Discipline Policy:
lowing Standards of Behavior. Any deviation 1St Incident - Warning
from these principles by any member of the 2nd Incident - Time Out
community will be cause for disciplinary action. *Parents/Guardians will be notified (verbally
Any serious deviation will be cause for expul- and /or in writing) of each disciplinary inci-
sion. dent.
1. Each member of the program shall treat eve- 3rd Incident - Parent contacted and requested
ry other member with respect. to pick up child immediately from camp.
2. There shall be no bullying 4th Incident - Parent, Camp Director, and Parks
3. There shall be no physical, verbal, sexual or and Recreation Staff member will discuss the
emotionally hurtful or abusive behavior. continuation of child’s participation in camp.
Behavior Management Plan Dress CodeDuring holiday Camp, campers should come • Coughing, difficulty breathing or wheezing
appropriately dressed for daily activities.
• Our camp may be indoors & outdoors. We *Additional COVID symptoms being moni-
encourage light clothing, close toed shoes, tored are: chills, repeated shaking with
hats, and sunscreen lotion. chills, muscle pain, headache, sore throat,
• T-shirts may not display inappropriate lan- loss of taste or smell, known close contact
guage, violence or lewdness. with a person who is lab confirmed to have
• Please note that we could be participating COVID– 19.
in fun and messy activities, so please try
to send your child in play clothes. The Camp program reserves the right to
• Face masks will be required for all camp- send home any ill camper. If your child has
ers. been exposed to a contagious disease, details
should be reported to the Camp program. A
Illness Policy signed doctor’s note showing medical treat-
The Camp illness policy adheres to National ment will be needed prior to a campers return.
Standards and focuses on both the needs and All campers must be fever free for 24 hours
behaviors of the ill camper. The staff will use before returning to camp.
their best judgment, to meet their needs with-
out compromising the care of other campers. Medications
We understand and appreciate the needs of The following statements are our guidelines for
working parents, yet it is essential that camp- administering medications:
ers at our program are protected from conta- • Only medications prescribed by a medical
gion. We will endeavor to use good judgment doctor will be administered.
as well as the following criteria, when evaluat- • Medications must be reported on the Medi-
ing campers with illness. It is the program’s cal Information form and must be kept up-
expectation that parents will do the same. A to-date.
camper must be well enough to participate • Information on prescribed dosage must be
in camp activities, If your child is ill or has attached to the medication.
a fever of 100.0, please do not send him/ • All medication must be received in its origi-
her to camp. nal container.
When illness results in greater care than the Program employees will Administer medication
staff can provide without compromising the only if:
safety and health of the other campers, the 1) Parent(s) or guardian(s) complete and sign
parent, legal guardian or other person au- a medication information form that pro-
thorized by the parent will be notified immedi- vides authorization for staff to dispense
ately to pick up their child within 30 minutes. medication with details as to time and dos-
Symptoms can be, but are not limited to the ages. The form will include a hold harm-
following: less clause to protect the City.
2) Prescription medications are in the original
• Elevated temperature containers labeled with the child’s name, a
• Vomiting date, directions, and the physician’s name.
• Uncontrolled diarrhea Program staff members will administer the
• Any symptoms causing severe discomfort medication only as stated on the label.
• Any illness accompanied by open oozing Program staff will not administer medica-
bacterial infections tion after the expiration date.
• Any open or oozing sores or unexplained 3) Nonprescription medications are labeled
rash with the child’s name and the date the
• Lice or lice eggs on hair or on clothing medication was brought to the Program.Nonprescription medication must be in
What to bring to Camp
the original container. The Program staff
will administer it only according to label • Disposable or reusable lunch box
direction. that is cleaned daily with disposable
4) Medications dispensed will be limited to utensils
routine oral ingestion not requiring spe- • Please make sure the lunch does
cial knowledge or skills on the part of not have to be refrigerated or
Program employees. No injections will be micro-waved
administered by the Program employees.
5) Program employees will ensure medica- • Disposable water bottles
tions are inaccessible to participants or, • A change of clothes (stored in a
if it is necessary to keep medications in gallon size baggie)
the refrigerator (when available), medica- • Insect repellent (if needed)
tions will be kept separate from food. • Tennis shoes
6) Medication is locked up throughout the • Face Mask
day and will only be dispensed and ad-
ministered during the specified time of What not to bring to Camp
mid-day/lunch time unless there are ex-
tenuating circumstances supported by a
• Toys, dolls, and stuffed animals
doctor.
• Trading cards
• Electronic games
In the event a camper has a bathroom acci-
• iPod’s, cd players, Cell phones
dent, a change of clothes must be available.
In the event of multiple accidents or no
clothing is available, pick up arrangements
will be made immediately.
Quality programming is designed at each
camp location to give your camper posi-
tive and memorable Holiday Camp
experiences.
Opening Circle
Opening Circle is an all camp meeting where
the entire camp assembles for announce-
ments, songs, games and skits. Parents
please note, Sun Rise Ceremony takes
place around 8:30am each day. This is
the time your child needs to be here to
be eligible to participate in planned activ-
ities.
Typical Daily Schedule
A calendar with all planned activities and
a daily schedule will be provided at the
parent meeting.COVID-19 Addendum • Social distancing will be implemented for all
We are here to provide the most well- programs and all campers. Campers will be
rounded and comprehensive programming assigned to groups by Camp Directors and
that we can and ensure that the needs of our must stay with their group throughout the
children are best met. We will do this while duration of the camp season. During Camp
adhering to COVID-19 best practices of safe- 2021, we will be encouraging individualized
ty and sanitation. The following regulations play or group activities that do not require
and policy changes are being implemented sharing supplies or equipment.
for the 2021 year:
• No parents will be allowed into the build- • Staff and children will be required to wear
ing to visit, have a tour, or for pick up or cloth face covering (over the nose and mouth)
drop off. All pick up and drop off will oc- while indoors and optionally during outdoor
cur in a drive-thru style based on camp play. If available, staff and children are en-
location. Staff will ask screening ques- couraged to wear non-medical grade face
tions, take temperatures, and ensure masks. Campers may be removed from the
your camper has everything necessary for program for failure to appropriately wear their
the day before the camper is allowed into mask when it is required.
the program.
• All children must be dropped off by • Any camper who showcases symptoms of
8:30 am. Drop off will not be accepted COVID-19 throughout the day will be imme-
past that time as the program will diately isolated and must be picked up with-
begin and facilities will be closed to the in 30 minutes of parent notification. It is im-
public. Pick up will be between 4:30 perative that staff are made aware of any un-
and 6:00 pm, if you need to pick up derlying medical conditions of the campers so
before those times, please call your there is no confusion on a sudden appear-
specific camp and coordi-nate a time ance of symptoms (i.e. a shortness of breath
with staff. due to Asthma)
• All children and staff will be screened dai-
ly for any new or worsening signs or Parents should continue to monitor the health
symptoms of possible COVID-19 of their children and not send them to the pro-
gram if they exhibit any symptoms of COVID-
• We have developed and implemented a 19. They should seek COVID-19 testing prompt-
Program Activity Plan to include hourly ly and report results to the program given the
sanitation of all program areas, hourly implications for other children, families and
sanitation of all equipment, and increased staff.
hand washing and hand sanitizing before
and after activities. Campers returning from a day camp should
minimize in-person contact with any person 65
• Children will be required to pack their years of age or older, especially those with pre-
own lunches in disposable sacks with dis- existing health conditions for a period of 14
posable utensils. Access to the fridge will days. This includes maintaining social distanc-
not be available during lunch time so ing of at least 6 feet of separation from those in-
please do not pack food that requires to dividuals, wearing a face covering or mask, and
be heated or chilled. All peanut butter avoiding sharing any supplies with those indi-
products are prohibited due to viduals.
allergens. If your child has a severe or
life threatening allergy please be sure Our camp will only be successful with your con-
to note it on your medical forms so we tinued support and encouragement in the im-
can be appropriately aware and plementation of these policy changes. Thank
prepared. you for your continued patience and under-
standing as we work together to ensure we can
provide programming for our community.City of Temple
Holiday Camp
Code of Conduct
• Do not cross personal boundaries
• Do not go anywhere without a staff member
• Do not leave group area until told by a staff member
• Treat each other with respect
• No personal display of affection
• Respect everyone and listen to staff
• No cursing or use of negative language
• Play fair
• Obey all safety instructions given by staff
• Participants are to stay with staff members at ALL times
• Stay positive during each activity
• Do not talk to strangers
• On field trips follow trip rules
• This program does not allow tricks being played on ANY participant or staff member by any other participants
• Wear proper clothing (i.e. girls wear shorts under skirts, wear sneakers)
• Do not leave building or camp grounds until a parent or guardian has come inside to sign you out
• No arguing with any staff member
• Keep hands to self - No pushing, kicking, etc.
• Stay seated during lunch
• Do not play in bathrooms
• Other, please describe:
Discipline Policy
_______Warning Note
_______Time-Out
_______1 Day Suspension and Parent Meeting (must have Camp Director approval)
_______3 Day Suspension and Parent Meeting (must have Program Coordinator)
_______Remainder of the Camp Suspension (must have Recreation Superintendent approval)Participant #1: Last Name First Name: DOB / / Age: _____
Participant #2: Last Name First Name: DOB / / Age:: _____
Participant #3: Last Name First Name: DOB / / Age: _____
Participant #4: Last Name First Name: DOB / / Age: _____
Primary Guardian: Last Name: First Name:
Cell PH# ( ) - Alt PH# ( ) - Email
Secondary Guardian: Last Name: _First Name:
Cell PH# ( ) - Alt PH# ( ) - Email
Address: City/Zip:
Doctor: Phone #:
Does the participant have allergies? YES NO
If yes, what type?
Type of Allergy Life Threatening Type of Allergy Life Threatening
Bee Sting Drugs
Peanuts Foods
Poison Ivy others
Please explain allergy in detail, what symptoms occur and to what child.
_____
_________________________________________________________________________________________________________________
Is the participant currently on medication(s) for long-term or continuous use and/or has the following preex-
isting illness, allergies, or health concerns (Asthma, ADHD, ODD ,etc):
___________________________________________________________________________________________
___________________________________________________________________________________________
__________________________________________________________________________________________
I do hereby release, absolve, indemnify and hold harmless the City of Temple, its employees, officers and agents and the volunteers
and other participants who participate in the activity, in the event of any accident, injury or death sustained by the participant while
being transported to or from any activity, or while participating in any activity at the activity, from any liability of any kind whatsoev-
er.
Signature _____________________________________ Date : ____________________________
I also give permission for any photographs taken during these activities to be utilized for promotional purposes by the City of Temple
and the Parks and Recreation Department now and in the future. I do hereby give my approval for participation by the participant in
any and all of the program’s activities, including transportation to and from if applicable.
Signature _____________________________________ Date : ____________________________CITY OF TEMPLE PARKS AND RECREATION DEPARTMENT
PICK UP AUTHORIZATION FORM
CAMP PARTICIPANT NAME____________________________ Age_____
Parent(s)/Guardian(s), and others as listed below have permission to pick up the above Camp participant.
AUTHORIZED # 1 _____________________________________________________________
Email Address ______________________________________________________
Contact #’s (must provide 2) _________________________ _____________________________
Relationship to child? ___________________________________________________________
AUTHORIZED # 2 _____________________________________________________________
Email Address ______________________________________________________
Contact #’s (must provide 2) _________________________ _____________________________
Relationship to child? ___________________________________________________________
AUTHORIZED # 3 _____________________________________________________________
Email Address ______________________________________________________
Contact #’s (must provide 2) _________________________ _____________________________
Relationship to child? ___________________________________________________________
AUTHORIZED # 4 _____________________________________________________________
Email Address ______________________________________________________
Contact #’s (must provide 2) _________________________ _____________________________
Relationship to child? ___________________________________________________________
NOT AUTHORIZED_____________________________________
*Appropriate custody/legal paperwork must be attached if a parent/guardian is NOT allowed
to pick up a child*
NOTE: All persons listed on this form will be required to show personal identification
when picking up the camp participant.
____________________________________ __________
Parent Signature DateChild Care Medication Authorization Form
Name of Child: D.O.B.: Today’s Date:
Name of Medication:
Reason for Medication:
Dose: Time/Frequency:
Route: ______ oral ____ topical ______ aerosol
Date to Start: Date to stop: Expiration:
Additional Instructions/Comments:
_____________________________________________________________
______________________________________________________________________________________________
_____________________________________________________________________________________________
Known side effects:
________
______________________________________________________________________________________________
FOR PRESCRIPTION MEDICATION
Prescribing Health Care Provider:
Phone Number:
FOR CONTROLLED SUBSTANCES
Amount of Medication Received:
Staff Member Signature:
Program Coordinator Signature:
I authorize Temple Parks and Recreation Department personnel to administer the medication named above to my
child in the manner as stated. I release any liability in relation to the administration of this medication. I also
acknowledge that I, the parent/guardian, have given the first dose of this medication without any allergic or un-
expected reactions.
Parent/guardian printed name: Date Signed:
Parent/guardian signature:
RETURN OR DISPOSAL OF MEDICATION
Return Date: Parent Signature: Disposal Date:
Staff Signature:
Witness to Disposal:Camp Adventure Parent Handbook Acknowledgment I _____________________________ (insert parent name) acknowledge that I have read, understand, and agree to all policies listed in the handbook. My camper ____________________________ (insert camp- er name) also understands and acknowledges the policies for camp. Parent Signature: ________________________________________ Date:______________________
Camp Adventure COVID-19 Addendum Acknowledgment I _____________________________ (insert parent name) acknowledge that I have read, understand, and agree to the COVID-19 addendum. My camper ____________________________ (insert camper name) also understands and acknowledges the policies for camp. We will adhere to the policies as listed and provide a face mask for our camper to wear daily. We also understand that we may be asked to not attend camp for the day due to the presences of symptoms of illness (i.e. temperature out of range/fever, cough, etc.) and there will be no refunds. Parent Signature: ________________________________________ Date:______________________
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