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Sunshine Day Camp 2021“A social skills program in a day camp setting”Program Philosophy:45720099378The Sunshine Day Camp is a social skills development program in a day camp setting that is designed for children aged 7 to 12 yrs who have learning disabilities, ADHD, and/or anxiety. Provide a safe, caring and fun recreational program that understands how to support children with social, emotional and behavioral struggles that can be seen in some children with Learning Disabilities, ADHD, and/or anxiety. Our camp is designed to teach children social skills and cognitive developments to enhance personal development. Social skills in communication, self-regulation, problem-solving, leadership and peer relations empower children to initiate and maintain positive relationships with others. Social and cognitive skills are reinforced and modeled throughout all our structured, non-competitive and fun-filled activities.Our goal is to help children understand not only the skill being taught, but its importance and how it’s applicable in social settings, school and everyday life.For Whom?For children 7 to 12 years of age (who have/or suspect a learning disability, ADHD, and/or anxiety)Where and When?Camp Time: 9:00 a.m. to 3:30 p.m.*Location: Mindware Academy 985 Pinecrest Rd. Ottawa, ON K2B 6B4 (Located in Britannia United Church, close to Highway 417.) Note: Outdoor activities will take place just behind Mindware Academy, at Frank Ryan Park and Wading Pool.Session 1: July 5 - July 16 Session 2: July 19 - July 30 Session 3: Aug. 9 - Aug. 20 *Daily Pre-& Post Care is available from 8:30 to 9:00 am from 3:30 to 4:30pm at a minimal cost.How Much?Two-week Session Cost: $675 Members / $725 Non-MembersPayment plans can be arranged prior to start of campCore StaffingLow Camper to Staff Ratio - (average 5:1) Camp Director / Child and Youth WorkerOur counsellors are trained Child and Youth Workers, teachers or university and college students with experience in working with children with special needs. How to register?Contact the LDAOC at sunshinedaycamp@ or call 613-567-5864Registration DeadlineCamp spaces are extremely limited due to reduced availability -- early registration is strongly suggested.IMPORTANT: Please note that if Sunshine Day Camp is not able to held in-person for reasons related to COVID-19, AN ADAPTED CAMP WILL BE OFFERED VIRTUALLY. **Please note that camp fees are non-refundable after June 8, 2021** 15144750*to edit electronically, go to File > Make a Copy Sunshine Day Camp 2021Application FormChild’s full name: Did your child attend Sunshine Day Camp in summer 2019? ? Yes No Child’s Date of Birth:Age (as of July 1, 2021):Gender: Male Female Camp Session/s Preferred (Location: Mindware Academy: 985 Pinecrest Rd. , Ottawa): Session 1: July 5th - July 16th, 2021 Session 2: July 19th – July 30th, 2021 Session 3: August 9th - August 20th, 2021* *******Camp Hours: 9:00am to 3:30 ***** Pre and Post Care AvailablePayment Method and Amount: Are you a LDAOC Member? Yes: ___ No: ___ Member Rate: $675/Session Non-Member Rate: $725/Session Daily Pre and Post Care is available: (please fill out form to indicate your needs)Pre-care is 8:30 to 9:00 am at a cost of $50 a week Post care is 3:30 to 4:30 pm at a cost of $50 a weekTotal Cheque/Amount: _________ Total E-Transfer/Amount: _______________Parent/Guardian’s name: Emergency/ Other Contact name: Phone # Phone #Relationship to child: Relationship to child: Childs’ Home Address: City: Postal Code:Email Address:Any Allergies:Epi-pen Required: ? Yes NoSwimming Ability: OHIP #:Medication Required: ? Yes ? NoMedication Notes: If, yes please list name and dosage to be given:Has your child been assessed with a LD/ADHD: Yes ? NoIf, yes what is the diagnosis?Please list the strengths/interests your child has:Describe any needs or behaviors we should be aware of:Please list any strategies that are helpful for your child:Does your child exhibit aggressive/unsafe behavior towards themselves, property, or others? If so, please describe this behavior:Does your child require 1:1 behavior support in a school setting?Yes No How did you find out about our camp?*Please note that more detail will be gathered during the required phone interview.15544800Sunshine Day Camp 2021Waiver Form I/We permit (child’s name) ________________________________________________________to take part in the Sunshine Day Camp program(s) and agree to waive any claims upon the Learning Disabilities Association of Ottawa-Carleton (LDAO-C) including Directors, Officers, or Employees in the event of any injury, loss or damage however caused that may be sustained by the above mentioned participant while taking part in the camp program(s).For my child to participate in the Sunshine Day Camp, I agree to be bound by the following conditions: The Director at her/his sole discretion reserves the right to dismiss* a child from the program when (s)he deems this to be in the best interest of either the child or the program.Camp fees are non-refundable after June 8st, 2021. *Please note that camp fees will be returned if camp is cancelled due to the Coronavirus.Submission of application and payment does not guarantee a spot in the camp. A phone assessment must be completed with LDAO-C to deem appropriateness of this camp program for the camper.Check the following:? Medication: If applicable, I give permission to the staff of LDAO-C to dispense the prescribed dosage of medication to my child ? Severe Allergies: It is the responsibility of the participant or parent/guardian of the participant to identify themselves or their child(ren) if they have a severe allergy and require an Epipen?. LDAO-C attempts to ensure the safety and well-being of all participants with allergen-safe zones and practices. I understand that Sunshine Day Camp is not equipped to provide one-on-one counselling to my child. Actions such as phone calls home, conversations with parents and dismissal from camp will be taken if a child exhibits continual behavior that is unsafe towards themselves or others. We endeavor to do everything to maintain a child’s spot in the camp prior to this._____________________________ ____________________Signature of Parent/Guardian Date.16859250SUNSHINE CAMP PHOTO PERMISSION SLIPCAMPER’S NAME: ______________________________-406399381000 I give consent for my child to be photographed or videotaped during camp activities, and to be used in future promotional material. I do not give my consent for my child to be photographed or videotaped during camp activities, and to be used in future promotional material. -40639925400-40639925400Name of Parent_________________________________Parent Signature: ___________________________________Date: _________________________________________14097000Sunshine Day Camp Application Checklist - Fill out and send with Camper FormsPlease ensure that the application package for the Sunshine Day Camp is complete by following the checklist below: ? Completed Application form ? Completed Child Care form and Payment If required? Signed Waiver Form & Terms of Conditions? Photo/Media Permission FormPayment Method: Downpayment of $300. Etransfer to execdirector@ (Password – Sunshine) Credit card (Visa, Mastercard, AMEX)Credit card number: ______________________________________________Expiry Date: __________________________ 3 digit CSC Code: ___________( Full amount or rest of payment due by May 15, 2021 to secure your spot )or Full One Time Payment Etransfer to execdirector@ (Password – Sunshine) Credit cardCredit card number: ______________________________________________Expiry Date: __________________________ 3 digit CSC Code: ___________Total_____** To register, please email the completed forms to Sunshinedaycamp@Sunshine Day Camp Pre and Post Care 2021*Please include childcare fees with your camp paymentCampers Name: _________________________________Mindware Academy:985 Pinecrest Rd. Ottawa ONPlease note this location will be confirmed closer to camp. Session 1 Jul.5-16 Session 2Jul.19-30 Session 3Aug.9- 20 Total CostPRECAREMon. to Fri. pre care: 8:30- 9:00 am $50.00 per week ? Jul.5-9 ? Jul.12- 16 ? Jul.19-23 ? Jul.26-30? Aug.9-13? Aug16-20POSTCARE:Mon. to Fri. post care: 3:30-4:30pm $50.00 per week ? Jul.5-9 ? Jul.12- 16 ? Jul.19-23 ? Jul.26-30? Aug.9-13? Aug16-20PRE-& POST: camp for entire session - $200.00Session 1 Jul.5-16 Session 2Jul.19-30Session 3Aug.9- 20 ................
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