Not going on vacation

                        during Spring Break? Need

                         something fun and safe for

                       your child(ren) to do?

Then we’re the place for you.  DCC is sponsoring:

 “Spring Break Day Camp 2008”

 This program will provide a safe, structured and supervised environment for children in K-6 grade. Below you will find information regarding the program, if you have further questions contact Julie at 764-5935.

When:  Monday, March 24 – Friday, March 28

 

                Times:  8:00-4:00pm (There will NOT be drop in this week)  

 

                Where:  Deerfield Community Center

 

                Grades:  Kindergarten – 6th Grade

 

                Cost:  $16.00 per child per day

                              (Maximum $32.00 per family per day)

 

                Meals:  Children will need to have breakfast before the                        program, each child will need to bring a sack lunch, and the              center will provide an afternoon snack.

 

                Registration:  Please fill out the registration form and            return to Deerfield Community Center by Tues,March 18, 2008

 

*All fees must accompany the registration sheet.


 

DCC Spring Break Day Camp

* Registration Form *

 

Participants Name: _________________________________________ Age: _____ Grade: _____

 

Mailing Address: ____________________________ City: _____________________ Zip: _____

 

Parent/Guardian(s) Name: _________________________________________________________

 

Home Phone: _______________  Work Phone: _______________  Cell Phone: ______________

 

Parent Email Address:_____________________________________________________________

 

Medical Concerns/Allergies: _______________________________________________________

 

Emergency Contact: __________________________________ Phone: _____________________

                                                             (In case the parent/guardian cannot be reached)

 

Dates and times: Please indicate the times your child will attend camp (eg. 8-1:30)

Monday,

March 24

Tuesday,

March 25

Wednesday, March 26

Thursday,

March 27

Friday,

March 28

 

 

 

 

 

 

 

Discipline Policy

 

All students attending the Spring Break Day Camp must act in an appropriate manor; follow the direction of the adult leader and student volunteers. The following are the consequences for breaking the Spring Break Day Camp rules and the DCC rules:

 

                                1st offense:      Student(s) will be reminded of the rules when they are broken.

                                2nd offense:     Student(s) will be given a time-out. The length of time will depend on the

                                                            severity of the rule that was broken.

                                3rd offense:      Parents will be notified of the child’s behavior and appropriate

                                                                action will be discussed.

 

IMPORTANT

Waiver of Participation - Please read and sign the following

I, the parent/guardian of the registrant, a minor, agree that the registrant and I will abide by the rules of the Deerfield Community Center (the "DCC"), its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with youth programs (the "Programs") and in consideration for the DCC accepting the registrant for its Programs and activities, I hereby release, discharge and/or otherwise indemnify the DCC, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Programs, against any claim by or on behalf of the registrant as a result of the registrant’s participation in the programs and/or being transported to or from the same, which transportation I hereby authorize.  As the parent or legal guardian of the above-named player, I hereby give consent for emergency medical care given under whatever conditions are necessary to preserve the life, limb or well being of my dependent.

 

                                                                                                                                                                                                                               

Print Name of Parent/Legal Guardian                                            Signature                                                              Date                       

 

Return form to the Deerfield Community Center, 3 West Deerfield Street, Deerfield, WI 53531

For more information please contact Julie Schwenn at 764-5935 or julieschwenn@yahoo.com