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|Dear Families, |

| |

|Welcome to summer day camp 2021! We know this has been a difficult time for all of us but as we continue to persevere through |

|everything, we can begin to look forward to sunnier days. The RecCenter has been with you through it all. With safety as our top|

|priority, we produced a safe and fun camp for 10 consecutive weeks last summer. We quickly implemented and maintained COVID-19 |

|protocols to keep our campers safe with our contactless pick up/drop off to cohorts of campers, along with temperature checks |

|and much, much more. We have now opened registration for 2021 and would like to invite you to see what this year's camp can |

|offer! |

| |

|We are excited to announce some continued improvements for summer 2021! Along with including the things that our families know |

|and love, we have added new and exciting ventures for all. We are happy to announce the addition of swimming, weekly field |

|trips, and clubs as included in your weekly tuition with more information to come as summer nears. The goal of summer camp has |

|always been to bring a sense of normalcy to our campers’ lives and to provide the outstanding social experience that we all have|

|come to expect our summer camp to give. |

| |

|Our camp will continue to highlight outdoor activities, arts & crafts, and STEM provided within age appropriate classes as we |

|roll into spring. Our theme weeks and activities will continue to be added to our summer 2021 calendar, so be on the lookout! |

|Within this packet, you will find all that you will need to guide you through the registration process. |

| |

|Thank you all for your continued support and we look forward to seeing you this summer! |

| |

| |

|Matthew Schuck Kevin Kennedy |

|Summer Camp Director School Age Childcare Director |

|daycamp@ kkennedy@ |

|(717)898-3102 (717)898-3102 ext. 133 |

2021 SUMMER DAY CAMP REGISTRATION

Dates: Monday–Friday, June 7, 2021 –August 11, 2021 (Except 7/5)

Full Time is 4-5 days during the week.

CHILD’S NAME: __________________________________________________ DOB: ____________________ MALE/FEMALE

We plan to use the following type of care (circle one): Full Time 3-Day Pt Time (limited)

Please Circle the grade your child completed by June ‘21:

Pre-K K 1s t 2nd 3rd 4th 5th 6th 7th

______________________________________________________________________________________________________________________________________

CHILD’S NAME: __________________________________________________ DOB: ____________________ MALE/FEMALE

We plan to use the following type of care (circle one): Full Time 3-Day Pt Time (limited)

Please Circle the grade your child by June ‘21:

Pre-K K 1s t 2nd 3rd 4th 5th 6th 7th

CHILD’S NAME: __________________________________________________ DOB: ____________________ MALE/FEMALE

We plan to use the following type of care (circle one): Full Time 3-Day Pt Time (limited)

Please Circle the grade your child completed by June ‘21:

Pre-K K 1s t 2nd 3rd 4th 5th 6th 7th

*Preferred E-MAIL ADDRESS (please print legibly): _________________________________________________

Please Note: Most Day Camp contact is conducted via e-mail (reminders, notes, and confirmations). If you do not provide an e-mail address, you may not receive all Day Camp information. You may provide more than one address if needed for family contacts. If you are not receiving emails, please contact Day Camp so that you can be added to the list.

CAMPER NAME(S) ________________________________________________________________________________________________________________

Please Note: Campers who sign-up for Mini Camp MUST be able to use the bathroom independently when they begin camp.

Registration Fee: $40 per family

Non-refundable No Cash Accepted

PLEASE NOTE: Registration is not complete until the Emergency Contact Form is also submitted.

Make checks payable and mail to: Hempfield recCenter

950 Church Street

Landisville, PA 17538

Credit Card (circle one): VISA Discover MasterCard

Card Number: _____________________________________________Exp. Date: ___________________ Zip Code: __________________________

*Please note, Day Camp only accepts payment by credit card and will be processed Fridays. There is a sibling discount.

Contact daycamp@ if Day Camp trip and tuition information is not received via e-mail by 6/1/2020. Registration fee and first week’s tuition must be paid prior to attending camp.

I have read, understand and will comply with the tuition payment process, Behavior Policy, and Illness Policy for Summer Day Camp 2020.

Signature: _____________________________________________ Date Submitted: _______________

All paperwork MUST be submitted by the first day of Day Camp.

Tuition Rates per week for 2021:

|Full/Part-time |Price |Additional Notes |

|“Minis” (4-5 days) |$225 | Limited space available. All day camp. Dedicated space for Minis with experienced and certified staff. Must be|

| | |able to use the bathroom independently (please indicate pre-k as age for 3-5 year olds). |

|3-day Part Time |$190 |*Flexibility to adjust days from week to week based on need. Will need advance notification for chosen days. |

| | |*Vacation discounts do not apply to part-time campers |

|Full-Time (4-5 days) |$225 |*Full Time campers receive one vacation week that is pro-rated at 50% |

| | |* Full Time campers can add 2nd vacation weeks that are pro-rated at 60% |

There is a 15% sibling discount on the lesser amount(s)

By signing above, you agree to the following. If you disagree, please attach a separate paper stating what you disagree with, sign and date it. Thanks!

• A1-D campers will watch G and PG movies that are developmentally appropriate.

• E-F will watch G, PG and PG-13 movies that are developmentally appropriate.

Behavior Policy:

• Day Camp makes every opportunity to provide a safe and positive environment for camp. When campers are not abiding by the rules, it affects all those in their group. Please encourage your camper to communicate with their counselor as soon as issues arise so that Day Camp staff can address the situation appropriately and communicate with parents when appropriate.

• The Rules of Day Camp: Be Safe, Be Responsible, and Be Respectful. Campers who are not abiding by these rules will be given an age appropriate consequence, which may include but is not limited to: being sent home for the day, behavior plan, suspension or expulsion from camp.

Illness Policy:

• In order to provide a healthy environment for campers and staff, campers are asked to remain home for 48 hours after: a fever has broken, has past since the last time they have vomited, and/or diarrhea has subsided.

• If a camper has pink eye or lice, campers should remain at home for 48 hours after being properly treated.

• If a camper gets sick (fever, vomit or diarrhea) while at camp, the camper will be sent home immediately.

2021 EMERGENCY CONTACT/PARENTAL CONSENT FORM

(Registration is not complete without this form on file)

|Child’s Name |Grade for 2021 (circle based on grade COMPLETED) |Birthdate |

| | | |

| |Pre-K 1st 2nd 3rd 4th 5th| |

| |6th 7th | |

|Additional Siblings who share the same parent/guardian contact information (indicate grade level for each child): |

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|Address |

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|Primary Contact Name |Relationship to Child |

| | |

|Home Address (if different from child) |

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|Primary Contact Preferred Phone Number |Primary Email Address |

| | |

|Secondary Contact Name |Relationship to Child |

| | |

|Home Address (if different from child) |

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|Secondary Contact Preferred Phone Number: |Secondary Email Address |

| | |

Additional Person(s) To Whom Child May Be Released

|Name |Relationship to Child |Phone Number |

| | | |

|Name |Relationship to Child |Phone Number |

| | | |

|Name |Relationship to Child |Phone Number |

| | | |

|Name |Relationship to Child |Phone Number |

| | | |

Medical Needs/Concerns

|Name of Child’s Physician/Medical Care Provider |Phone Number |

| | |

|Health Insurance Coverage or Medical’s Assistance Benefits |Policy Number (Required) |

| | |

|Special Instructions for Staff: |Additional Information on Special Needs of Child |

|Medical or Dietary Information Necessary in an Emergency Situation (if any) |(includes, but not limited to: TSS for camper, extenuating|

|Special Disabilities (if any) |family situations, medical diagnosis, suggested behavior |

|Allergies (including medication & reaction) (if any) |modifications, or emotional support that staff should |

|Medication, Special Conditions (if any) |know: |

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_________________________________________________________________________ _____________________

Signature of Parent or Guardian Date

*A PARENT SIGNATURE GIVES PERMISSION FOR Hempfield recCenter Staff TO APPLY FIRST AID/CPR TO YOUR CHILD IN CASE OF EMERGENCY.

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