Summer Camp Application · 2020-03-09 · “Let your light so shine before men, that they may see your good works, and glorify your Father which is in heaven.” Matthew 5:16 Terms

ConquerorKids Summer Camp Hosted by Tabernacle Christian School

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Avenue Drive NE · Hickory, North Carolina

tabernaclechristianschool.org · (828) 324-9936

“Let your light so shine before men, that they may see your good works, and glorify your Father which is in heaven.” Matthew 5:16

Summer Camp Application

REGISTRATION: $40 per child

REGISTRATION PAYMENT: Amount Paid:$__________ □ Cash □ Credit □ Online □ Check #_____________

COST: WEEKLY--1st

Child- $100/week; 2nd

& 3rd

Child- $90/week; 4th

Child- Field trip fees only; DAILY--$30/day/child

Camper/Family Information

Female Guardian Information

First_______________________________________________________Last____________________________________________

Street Address____________________________________________________________________________________________

City _______________________ State ________ Zip Code ______________ Home Phone _________________________

Work Phone ____________________________________Cell phone ______________________________________________

E-mail _____________________________________________________________________________________________________

Occupation __________________________________________ Employer _________________________________________

Relationship to child(ren)_________________________________________________________________________________

Male Guardian Information

First_______________________________________________________Last____________________________________________

Street Address____________________________________________________________________________________________

City _______________________ State ________ Zip Code ______________ Home Phone _________________________

Work Phone ____________________________________Cell phone ______________________________________________

E-mail _____________________________________________________________________________________________________

Occupation __________________________________________ Employer _________________________________________

Relationship to child(ren)_________________________________________________________________________________

CHILD’S NAME DOB GENDER GRADE

ENTERING ALLERGIES

T-SHIRT

SIZE


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Person responsible for payment _______________________________________________________________________

□ Split invoices 50/50 between parents □ Alternate weekly billing between parents

Child lives with _________________________________________________________________________________________

Emergency Contact Information – Alternate Pick-Up/Release

In case of illness, medical emergency, or need for pick-up, the following people (in addition to parents listed above) may pick up my child(ren). These people will be required to show photo ID.

NAME RELATIONSHIP ADDRESS PHONE

Medical Release Information

Insurance Information

Policy Number__________________________ Name of Health Insurance Provider____________________________

Primary Physician_____________________________________Hospital Preference_______________________________

Address_____________________________________________________________Phone________________________________

Is your child presently being treated for an injury or sickness, or taking any form of medication for any reason?

Yes__ No__ If yes, explain:_____________________________________________________

Does your child require a special diet?

Yes__ No__ If yes, explain:______________________________________________________

The purpose of the above listed information is to ensure that medical personnel have details of any medical problem which may interfere with or alter treatment.


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Terms of Agreement Medical Release

I understand that I will be notified in the case of a medical emergency involving my child. In the event that I cannot

be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event my

child is injured or becomes ill.

Parent’s/Guardian’s Initials ____________

Photo Release

I hereby give permission for my child to be photographed during the ConquerorKids Summer Camp. I understand the

photos will be used to keep a journal of activities, to share during power point presentations and/or reports to our donors

and for promotional purposes including flyers, brochures, newspaper and on the internet. I understand that although my

child’s photograph may be used for advertising, his or her identity will not be disclosed, I do not expect compensation and

that all photos are the property of ConquerorKids Summer Camp.

Parent’s/Guardian’s Initials ___________

Transportation Release

I hereby give permission for the transportation of my child for official ConquerorKids activities by modes of

transportation agreed to by the camp organizers.

Parent’s/Guardian’s Initials ____________

ConquerorKids and Tabernacle Christian School are not responsible for lost or damaged personal property. All scheduled events are subject to change. I understand that no fees will be refunded or transferred unless a child is unable to participate due to an accident or illness per physician orders. In case of an emergency, and if a family physician cannot be reached, I hereby authorize my child to be treated by Certified Emergency Personnel (i.e. EMT, First Responder, and/or Physician). Guardian Signature: __________________________________________________ Date: __________________________ Printed Name of Parent/Guardian: _______________________________________________

How did you hear about ConquerorKids Summer Camp?

□ After School Program □ Website □ School ___________________

□ Word-of-Mouth □ Other____________________________

PRESCHOOL CAMPERS ONLY

Additional forms are required for preschool campers. Please ensure that you have completed and returned all

required preschool paperwork at the time of registration. If your child was enrolled at TCS during the 2019-2020

school year, you will not need to complete additional forms.


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2020 Policies & Procedures “Let your light so shine before men, that they may see your good works, and glorify your Father which is in heaven.”

Matthew 5:16

We are thrilled that you have chosen the ConquerorKids Summer Camp Program for your child this summer! This handout

can be used as a help to give valuable information about our program. If you have any further questions, please contact

our Camp Directors at (828) 324-9936.

Camp Dates

June 1- August 14

Camp will be closed July 6-10.

Camp Hours

7:00 AM- 6:00 PM

Morning Drop-Off

Preschool

Preschool campers must be signed-in at the preschool camp classroom each day.

School-Age

School-age campers arriving before 7:30 AM will be dropped off in the preschool camp classroom each day. Those

arriving after 7:30 AM should be signed-in at the school lobby.

Afternoon Pick-Up

All campers should be signed-out by a staff member in the Tabernacle Christian School lobby. Parents will be directed to

their camper’s current location on campus for pick-up.

Getting a Message to Your Camper

Should you need to get a message to your camper during the day, please call our office at (828) 324-9936. Messages will

be forwarded to staff for delivery immediately.

Medication

If it is necessary for your camper to receive medication while attending camp, a medication release form must be

completed and submitted to the camp director. All medication must be marked with the child’s name and directions for

administration. Campers should never transport medication. Parents may bring medication to camp staff for proper

storage during the camp day.

Insurance & Medical Provider Information

Please ensure that all insurance and medical provider information on your child’s camp registration is complete and up-to-

date. Should this data change during the summer, please notify the office.


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Emergency Care

In the event your camper becomes ill or is injured while attending camp, staff will take the following actions:

The parent will be contacted to pick-up the camper. If the parent(s) cannot be reached, the emergency contact

phone number(s) on the registration form will be called.

Basic first aid will be applied to minor injuries, and the parent will be contacted if necessary.

For more serious injuries, the staff will contact local first responders. A staff member will remain with the camper

at all times. Parents will be contacted immediately.

Reporting Communicable Disease or Conditions

Campers diagnosed with a communicable disease, infection, rash, or head lice must present a doctor’s release before

returning to camp. For the safety and well-being of participants, and staff, parents must notify camp staff of the situation

at the time of diagnosis. Other parents will be notified so that appropriate precautions may be taken. Names of campers

involved will be kept confidential.

Parent Code of Conduct

Any parent/guardian who displays any of the following behaviors, including, but not limited to: physical abuse, shaking,

grabbing, hitting, pushing, verbal abuse including inappropriate language or threats to a child, family, or staff; or is in

possession of or under the influence of alcohol or an illegal substance will be asked to leave the premises and may no

longer be permitted onsite.

Billing

Weekly charges will be applied to the parent’s FACTS Tuition Management account every Friday. Fees will be due the

following Monday. Parents should check their email each weekend for an updated invoice. Should you have questions

concerning your financial account, please contact the school office at (828) 324-9936.

Payments

We encourage all parents to use their FACTS Tuition Management account to make online payments. Payments will also

be accepted on campus. Parents may place labeled payment in the drop box outside of the school doors. Our

receptionist will also receive payments during normal office hours (9:00 AM-4:00 PM, M-F). Please do not give payments

to camp staff employees at drop-off or pick-up. Checks may be made payable to Tabernacle Christian School.

Behavior

Campers are expected to exhibit appropriate behavior at all times. The following guidelines have been established to

ensure the day program is safe and enjoyable for all participants.

Campers will show respect to all camp participants and staff.

Campers will not use profanity, derogatory language, crude speech, or inappropriate non-verbal expressions.

Campers will not exhibit physical aggression toward participants or staff.

Campers will be a good steward of supplies, materials, equipment, and facilities in use.

Campers will follow directions the first time they are given.

Camp administration reserves the right to dismiss campers from the program at any time should behavior issues persist,

escalate, or become immediately severe.


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Dress Code

Campers will be outside daily, so please dress campers according to the forecasted weather for the day. Please label all

clothing, lunch boxes, and bags with the camper’s name.

Preschool Camp

Daily- Campers may wear shorts, a t-shirt, and tennis shoes or flip-flops. No tank tops or spaghetti straps, please.

Water Days-

Each Wednesday will be a Water Day! Students can look forward to some fun in the sun and time to splash around.

Boys- Wear swimming trunks with a t-shirt or rash guard top and sunscreen. Bring a towel and a change of clothes.

Girls- Wear a one-piece bathing suit with shorts and a t-shirt or rash guard top and sunscreen. Bring a towel and a

change of clothes.

Please bring an extra change of clothes, underwear, shoes, and socks to leave in your child’s cubbie for emergencies.

School-Age Camp

Daily- Campers may wear shorts, a t-shirt, and tennis shoes or flip-flops. No tank tops or spaghetti straps, please.

Water Activities- Swimsuits may only be worn under the child’s regular clothing, and will not be worn by themselves. Bring

a towel and a change of clothes.

Camp T-Shirts

T-shirts will be provided for students to wear on field trip days. They will be laundered on campus after each wear. Shirts

will be sent home with campers at the end of the summer.

Personal Belongings

Personal items should be left at home, as they can be lost, stolen, or broken. ConquerorKids is not responsible for lost or

damaged items.

Lost & Found

Items not claimed by Friday afternoon will be cleaned out and donated to charity.

Cell Phones

Cell phones will not be allowed at camp. Phones brought to camp will be held by the camp staff and returned to parents

at pick-up.

Money

Campers may bring spending money for field trips. Money that the camper brings is not the responsibility of the camp

staff. As a result, please do not send campers with large sums of money.

Lunch & Snack

Morning and afternoon snacks will be provided by ConquerorKids. Please pack a lunch, drink, and extra water bottle each

day. Microwaves will not be available.

Late Pick-Up

Students not picked-up by 6:00 PM will be charged $1.00 per minute after closing.


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Field Trips

Field trips are a great part of our camp program this summer. We ask that campers arrive at least ten minutes prior to the

departure time listed on the calendar for the day.

Miscellaneous

All campers must be potty trained prior to enrollment in camp. Should you have specific questions or concerns about your

camper, please contact the Camp Director

Ben Nicely Sara Reid

(865) 414-5726 (770) 841-8257

1st-8

th Grade Camp Director Preschool Camp Director

Documents

Summer Camp Application · 2020-03-09 · “Let your light so shine before men, that they may see your good works, and glorify your Father which is in heaven.” Matthew 5:16 Terms