Stone Park Summer Camp

Stone Park Summer Camp 8614 Berry Road. Bonne Terre, Missouri. 63628

Grades K-6 June 5 - August 11 7:00 a.m. - 6:00 p.m.

$125 per week (campers provide lunch) $150 per week (lunch provided) Send payment and paperwork to: Stone Park P.O. Box 420 Bonne Terre, MO 63628 (Payment due 7 days prior to week attending)

For questions, call 314-769-2283

Stone Park Summer Camp Daily Schedule Grades K-2

Grades 3-4

Grades 5-6

7:00-8:00 Opening Activities



8:00-9:00 Greeting and Circle Time

8:00-9:00 Math Games & Science

9:00-10:00 Major Activity (Outdoor/Indoor games)

9:00-9:30 Recreational Time


9:30-10:00 Super Studies

9:00-9:30 Math Games & Science 9:30-10:30 Recreational Time

11:30-12:30 Lunch/Free play


12:30-1:15 Quiet and Rest Time

11:30-12:30 Lunch/Free play

11:30-12:30 Lunch/Free Play

1:15-2:15 Arts and Crafts



2:15-3:15 Fun and Fitness



3:30-3:45 Snack

2:15-3:15 Projects and Art

2:15-3:15 Projects and Art

4:00-5:00 Group Games

3:30-3:45 Snack

3:30-3:45 Snack

5:00-6:00 Closing



5:00-6:00 Closing

5:00-6:00 Closing

10:15-11:15 Exploration Centers

10:45-11:15 Super Studies

Stone Park Summer Camp Proposed Weekly Themes Dates Week 1 June 5-9 Week 2 June 12-16

Weekly Theme Aloha Summer Let’s Have a Ball!

Week 3 June 19-23

Mad Science

Week 4 June 26-30

Party in the USA

Week 5 July 3-7

Say “Aloha” to camp as we embrace summer with beach ball kickball, limbo contests, and lawn games. We will tie-dye t-shirts, build our own leis, and end the week with a Luau! Wear your favorite team gear, lace up your sneakers, and get ready for some sports mania! We’ll build team spirt as we practice foundational skills and put a few twists on some traditional sports games! Put on your lab coats and get ready for Mad Science week! When we combine one part science and two parts imagination, the outcome is some excitingly, unusual activities. We will make concoctions, design our own inventions, and perform experiments that are sure to capture attention! After a week full of red, white, and blue, campers will be ready to celebrate Independence Day! We’ll review history of America, create patriotic crafts, play a game of capture the flag, and end the week with our own American BBQ!

NO CAMP THIS WEEK

Week 6 July 10-14

The Great Outdoors

Week 7 July 17-21

Survivor

Week 8 July 24-28

Camp Carnival

Week 9 July 31-Aug 4

Super Heroes

Week 10 Aug 7-11

Wet-N-Wild

Campers will go on daily outdoor adventures including hikes, scavenger hunts, and a picnic! From creepy crawlies underground, to plant and animal wildlife, we’ll use this week to explore nature in the beautiful park around us! Based on the television show, Survivor, spirit fills the air as teams participate in competitions to gain points throughout the week. Some challenges require skill and energy, while others involve thought and problem solving. Group unity and participation are essential. Come one, come all to Stone Park’s Camp Carnival for the week! Join this wild and wacky adventure as we learn magic tricks, play carnival games, and clown around! Campers will also have the opportunity to show off their talents at the end of the week in a camp talent show! Campers will bond and put their powers to the test by solving mysteries and traveling through an obstacle course! Everyone will discover they can achieve Super Hero status as they help each other with games and challenges throughout the week! Summer wouldn’t be complete without a traditional water week! So, add some extra sunscreen, gather the squirters, and fill the water balloons, because this week promises to be packed with wet and wild fun! Campers will feel the excitement all the way from your head down to your wrinkled toes!

Stone Park Summer Camp Enrollment Form Please print clearly. Please complete Stone Park Summer Camp Enrollment Form and a Camper Information Form for each child, and sign all applicable pages. If there is a blank that is not applicable, please write N/A in that blank. Incomplete forms cannot be accepted and we are unable to provide care until all paperwork has been submitted. If you have any questions about completing this form, please contact 314-769-2283.

Parent Name(s): ____________________________________________________________________________ Address: __________________________________________________________________________________ Mother’s Cell: ___________________ Father’s Cell: ___________________ Home Phone: ________________ Email Address: _____________________________________________________________________________ How many children are you enrolling? __________________ Date: ___________________________________ Child’s Name: ______________________________________ Child’s age when starting summer camp: ______ Child’s Name: ______________________________________ Child’s age when starting summer camp: ______ Child’s Name: ______________________________________ Child’s age when starting summer camp: ______

Circle each week of summer camp that you are enrolling for: (1) June 5 to 9

(2) June 12 to 16

(3) June 19 to 23

(4) June 26 to 30

(5) NO CAMP

(6) July 10 to 14

(7) July 17 to 21

(8) July 24 to 28

(9) Jul 31 to Aug 4

(10) Aug 7 to 11

Emergency names, address and phone numbers of TWO people to be called in the event that we cannot reach either parent/guardian: Emergency Contact Name: ________________________________________ Phone: _____________________ Address: _______________________________ City: ___________________ State: _____ Zip: _____________ Relationship: ___________________________ Emergency Contact Name: ________________________________________ Phone: _____________________ Address: _______________________________ City: ___________________ State: _____ Zip: _____________ Relationship: ___________________________ Authorized Person for pick-up; as listed on ID (in addition to parents and emergency contacts): _________________________________________________________________________________________ Person(s) NOT authorized for pick-up: _________________________________________________________________________________________________

Camper Information Form Child’s Full Name: __________________________________________________________________ Age: ____________ Nickname: ________________________________ Date of Birth: ____________________________ Gender: _________ School: ___________________________________________________________ Grade Entering: ___________________

Medical History Does your child have any allergies and/or intolerances to food, medication or any other substances? What are the symptoms and action to be taken if any? _________________________________________________________________ Will your child will be required to take medication during the camp day? _______________________________________ Operations, serious injuries, chronic or recurring illnesses, other diseases? __________________________________ Any specific activity restrictions? _______________________________________________________________________ Primary Care Physician Name: _________________________________ Phone Number: __________________________ Medical Insurance Provider: ___________________________________ Policy #: ________________________________

Parent Statement of Understanding The following information is important for the safety and protection of your child. Please read this information and sign below.   

I understand that I am not to leave my child at Stone Park or program site unless a camp staff member is there to receive and supervise my child. I understand that it is my responsibility to sign-in my child in the morning and sign-out my child before leaving in the afternoon. Sign-in/Sign-out sheets are available as you arrive at the program area. I understand that my child will not be allowed to leave the program with an unauthorized person. Any person authorized to pick up my child must be listed on this form. Authorization by telephone will not be accepted.

I have read and understand the statements above regarding Stone Park Summer Camp policies and procedures Parent/Guardian Signature ______________________________________ Date __________________

Statement of Authorization 1.

2.

3.

4. 5. 6.

In the case that your child becomes ill during the program, you will be contacted as soon as possible. If the parent or guardian is unable to be reached, the child’s emergency contact will be notified. It is the responsibility of the parents or guardians to arrange for the child to be picked up from the site as soon as possible. In the case that your camper or anyone in the immediate household of the camper develops a reportable communicable disease as defined by the State Board of Health, it is the responsibility of the parent to notify the camp within 24 hours or the next business day in order for the camp to take proper action, except in the case of life-threatening diseases which must be reported immediately. My signature authorizes the management and staff to act for me according to their best judgment in the event of a medical emergency and/or routine medical care. I/we grant permission for emergency medical treatment and/or routine medical care by the Stone Park Summer Camp staff, a rescue squad, or private physician and/or hospital or emergency health care facility staff, under the same circumstances as above, if needed. Any such action will be taken in the best interest of my child and will be reported to me/us as soon as possible. My signature waives and/or releases Stone Park Summer Camp from any and all liability and/or financial responsibility for any medical expenses incurred. The parent/guardian authorizes the application of provided sunscreen for his or her child by staff. The parent/guardian authorizes the application of provided insect repellent for his or her child by staff. The parent/guardian grants permission for their child to be photographed while participating in activities of Stone Park Summer Camp. (Photographs may only be used in promoting camp services, either in print or electronically.)

By signing below, you are authorizing all of the above. Parent/Guardian Signature ______________________________________ Date __________________

Stone Park Summer Camp 8614 Berry Road Bonne Terre, Missouri 63628 7:00 a.m. - 6:00 p.m. Grades K-6

Camper Supply List With a variety of outdoor and craft activities, camp can be messy and muddy. Below is the recommended list of supplies that will best prepare your child for a safe and fun experience at camp. Please label all items and bring them daily in a bag or backpack. (Valuables should be left at home. Stone Park is not responsible for broken, lost, or stolen items.) 

     

Daily lunch/snacks o Items should brought in an insulated bag if needed. Depending on the weather, we may enjoy meals outdoors. o Please ensure items are nut-free. We also suggest you avoid packing a lot of candy and sweets. Too many of these can make your child sick when outdoors in the heat. Comfortable shoes (tennis shoes preferred) Water bottle Complete extra set of clothing Sunscreen (Should be applied prior to drop off and stored in backpack. Staff members will reapply sunscreen at lunchtime or as needed) Bug Spray (optional) Baseball cap or visor (optional)

Behavior Agreement Stone Park Summer Camp is committed to a safe and fun experience. Along with our efforts, we hold high expectations that campers will help us create that environment by following some simple, but effective rules. We encourage you to review the rules below with your child. I will be a safe, respectful, and responsible camper by:     

listening to the staff and following their directions. asking a staff member for permission before leaving a room or an area respecting other’s belongings by not touching/using their stuff without permission. keeping my hands, feet, and other objects to myself using kind and appropriate language.

Disciplinary Action: Upon staff discretion, failure to abide by these rules may result in a warning, sitting out of an activity, parent notification, day of camp suspension, or full camp suspension.