to leave the camp on any given day with an issue and it has not been addressed. Whistle Blows! You must listen and obey
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OLIVE BRANCH POLICE DEPARTMENT CAMP BUILD APPLICATION DATE _______________ I, the undersigned parent/guardian, do hereby give my child, (child’s name) ____________________________________________permission to attend this camp. It is understood that my child will be participating in physical activities, outdoor activities, games and play under supervision of camp counselors and Instructors. Below is listed any restrictions, whether physical or medical, that could keep my child from participating. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ (Please list any desired restrictions above) It is understood and agreed that my child will be subject to instruction and direction by camp counselors and instructors and may be asked to leave the camp for failure to follow camp rules. (Copy is attached for your records) Child name _____________________________________________________________ Complete address________________________________________________________ Age _____________ Grade ___________ (entering fall 2016) School Name ____________________________________________________________ Emergency contacts: Please provide at least 2 different names with good numbers. Name Phone number Cell Number 1.______________________________________________________________________ 2.______________________________________________________________________ 3.______________________________________________________________________
Parent/Guardian print name here ________________________________________
Parent/Guardian sign name here _________________________________________
CAMP B.U.I.L.D RULES •
No disrespecting Instructors or guest speakers (no talking back when corrected)
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No touching the private property of others (stealing will not be tolerated)
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All campers must sign in when entering camp and sign out prior to leaving camp (Parents if you come early to pick up your child please notify Instructors to sign them out prior to leaving with them)
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No sandals or open toed shoes allowed. Athletic shoes or tennis shoes must be worn due to the activities they will be participating in. On Wacky Wet Wednesday you may bring flip flops to wear, but you must come wearing athletic shoes)
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No bullying will be tolerated
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No fussing, fighting, hitting, pushing, shoving will be tolerated (If you have a problem with another camper tell an Instructor or peer leader)
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No drugs are allowed at camp (parents if your child is on medication. It must be a valid prescribed medicine in the original container. If it is over the counter only the recommended dose will be given. You must leave the medication and instructions with camp Instructors. No child may administer their own medication at camp). If you have an inhaler it must be checked in daily to participate.
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No (bad words), No name calling or checking
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No non- participation of camp activities (you may not like all camp activities but we feel you will like most. In order for camp to be successful everyone must participate in camp activities)
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Raise your hand to ask a question
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No gang signs or anything that may look like a gang sign
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No electronic devices (cell phones, I-pods, mp3, Zune, computers, game boys etc. are allowed at camp. Camp BUILD will not be responsible for any electronic items lost, damaged and/or stolen)
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No sagging pants or short shorts. (All boys must wear pants that fit properly and do not show their under garments. Girls must wear shorts that allow them to be active without exposing themselves).
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Females must wear shirts that are not tight or short. (See-through shirts, ones showing their belly button when jumping or standing, and low cut shirts will not be allowed).
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If your child has any problems they are to address them with Det. Carlos Wilson or any other instructor immediately. Please inform to your child that they are not to leave the camp on any given day with an issue and it has not been addressed.
Whistle Blows! You must listen and obey the Whistle blows *One blow means to STOP AND LISTEN * Two blows means to start an activity Violations will result in: verbal warnings, time-outs, and repeated violations may result in your dismissal from camp. Any threat to the safety and well being of staff and/or campers can result in immediate dismissal from camp for the first violation. My parent and I have read and understand all the above rules. I will obey them while attending CAMP B.U.I.L.D ________________________________ Camper sign here
___________________________________ Parent sign here
