PEORIA SUMMER CAMP Attendance Fee: $23 per day or $97 per week Lunch Package (no partial refunds) 4 days/week - $90, 3days/week - $67.50, 2 days/week - $45 – Daily Fee $5 (Friday lunches are included in daily fee) Registration Fee (Non-Refundable) - $30 New Participants-$30 registration fee $30 registration fee for all participants after Early Reg Deadline Blue Card Completed. Signed: (5pm Friday, one week prior to Summer Camp Opening date) OR Registration Fee (Non-Refundable) - $10 $10 registration fee for Current Year AM/PM participants and last year returning Summer Camp participants only who provide full payment & is received on or before Early Deadline Date (5pm Friday, one week prior to Summer Camp Opening date) TOTAL ENCLOSED $___________ Make Checks payable to “City of Peoria” WAIVER OF LIABILITY I/we hereby release and forever discharge the City of Peoria, an Arizona municipal corporation, its elected and appointed officials, directors, officers, boards, commissions, agents, representatives, servants, and employees, and any and all other persons, firms, or corporations who are or might be liable, from any and all claims of any kind or character which I/we have or may have against them due to my child’s participation, in a City of Peoria Recreation Program. This waiver includes all damages, losses, costs, expenses, and injuries that allegedly occur during the course of this recreation program. In that regard, I/we convenant to indemnify, defend, and hold harmless to the fullest extent permitted by law the foregoing persons and entities from any loss or damages, including reasonable attorney’s fees and litigation expenses, which may be incurred by them in the event any such claims are asserted against them or any of them. I/we understand that medical claims are my/our responsibility. This waiver does not extend to any such claim or liability that is caused by the sole and exclusive intentional acts or gross negligence of the City of Peoria or its officers, employees, or agents. By signing below, I attest that I have read and agree to abide by the payment policies listed on the policies page of this registration packet and that I have received a copy of and will abide by the policies and guidelines outlined in the Summer Camp Parent Handbook. Please Print Name______________________________________________________________________________ Signature:________________________________________________________ Date:___________________________ ***OFFICE USE ONLY*** Date:______________ Cash Check #________________ Money Order:______________________ Credit Card:_________________________________________ _____________ Visa M/C Discover AMEX (not available for on-site registration) Staff Signature:___________________________________________________ MON TUES WED THURS FRI Cost times # days Weekly Fee Please “X” ALL DAYS ATTENDING $23 per day or $97 per week TOTAL WEEKLY COST • REGISTRATION A $30 non-refundable registration fee is required for all participants. All participants must make full payment of registration fees to attend the program. Full payment of participation fees is the first Friday of attendance plus the following full week, the $30 registration fee and the last week’s deposit. • The contracted fee (full time, part time or day by day and varying schedule) is based on days/week enrolled, and that payment is due every week on Monday for the week of participation. A penalty of $20 per child will be assessed on Wednesday for payments not received. Penalty fees will accrue weekly for any outstanding balances. If weekly/daily payment and late fees are not paid by the following Wednesday, the participant cannot attend until the account is paid in full. • DROP IN PARTICIPANTS For those parents/guardians who have inconsistent schedules or schedules not known by the Thursday prior to attendance, you may choose the drop in program. Regular schedules are not eligible for drop in status. A regular schedule is defined as consistent attendance or a pattern of attendance over the course of one month. Drop in participants are strongly encouraged to choose the Quick Pay option listed below. If not, ALL PAYMENTS MUST BE RECEIVED ON OR PRIOR TO THE DAY OF ATTENDANCE. You may also choose to keep a credit balance for future use at all times. Any payments not received by Monday for the previous week will be charged a penalty fee of $20 per child. Penalty fees will accrue weekly for any outstanding balances. If payment and late fees are not paid by Wednesday, the participant cannot attend until the account is paid in full. • PAYMENT OPTIONS 1. Quick Pay – Automatic payment from a credit or debit card – AUTHORIZATION FORM REQUIRED 2. Electronic Funds Transfer (EFT) – Automatic withdrawal from a checking account – AUTHORIZATION FORM REQUIRED 3. TeleReg – Automated Telephone available 24/7 -Call 623-773-7725. You will need your Client ID number and Family Password. . TeleReg is available for current payments only. You cannot pay over the amount due. Payments are posted every Monday. 4. RecConnect – http://recreation.peoriaaz.gov. Available 24/7. You will need your client ID and Family Password. 5. Community Services Offices – Located at 9875 N. 85th Ave. Customer Service Staff are available Mon – Fri 8am – 5pm except Holidays 6. Phone with Customer Service Staff – Call 623-773-7505, 623-773-7192 or 623-773-7139 with a credit or debit card Mon-Fri 8am – 5pm except Holidays Weekly payments will not be accepted at school sites. New registrations will be accepted with a check or money order only. • SCHEDULE CHANGES/ABSENCES It is the Peoria Summer Camp Recreation Program policy that prior notice is required to terminate or change enrollment in the program. If for any reason you decide to change or drop your child's enrollment from the Peoria Summer Camp Program, notification must be made in writing by Thursday for the following week and given to the Site leaders or the Peoria Recreation Division to make changes to your current contract. NO REFUNDS OR CREDITS FOR MISSED DAYS, SUSPENSIONS, OR EARLY PICKUPS • RETURNED CHECKS A returned check or declined EFT payment will result in service/program interruption. An RCF of $30 per check/EFT and the amount of the returned check/EFT must be paid in cash, cashier’s check, credit card or money order at the Community Services Offices or over the phone with a credit card by calling 623-773-7139. All future payments will be required in cash, credit card, cashiers check or money order for a period of six (6) months from the date of the returned check. • AUDITS Monthly audits of daily sign-in/sign-out sheets will be performed for each site. Any extra days of attendance not originally scheduled per this attendance contract will be the responsibility of the parent/guardian and subject to late/penalty fees as described above. For billing information and/or questions, call (623) 773-7505, 623-773-7192, or 623-773-7139 e-mail: AMPMbillingStaff@peoriaaz.gov Quick Pay Pay your weekly childcare fees automatically every FRIDAY with your Debit or Credit Card without having to call each week. This is a Free service. Complete the following information to become enrolled in our Quick Pay program today. You are herby authorized and requested, until otherwise instructed, to charge to the above referenced account, the weekly attendance fee and any occurring extra fees, such as late pick-up fees. I understand that if a transaction is DECLINED, a courtesy phone call will be attempted at the numbers listed above. I further understand that I am responsible for payment and I am aware that if the transaction is declined and payment is not made by the due date, penalties will be applied and will not be waived. I further understand that the staff reserves the right to cancel my “Quick Pay” program. I understand that a request to discontinue or change this service must be made in writing one week prior to the stop date, and given to the Site leader or the Community Services office at 8401 W. Monroe Rm 180, Peoria, AZ 85345. 2008 PEORIA SUMMER CAMP PROGRAM Sponsored by: City of Peoria, Peoria Unified School District AM/PM CONTINUING PARTICIPANTS Complete the Registration Form and pay first week & last weeks deposit by May 16, 2008 & pay only a $10.00 REGISTRATION FEE. WHAT The Summer Camp Program provides an opportunity for children to explore new experiences, expand learning while participating in a variety of activities in a fun and safe environment. The goal of the program is to focus of the total well-being of every child by offering a daily field trip, core activity schedule, including centers such as creative art, group games, and cooking. May 23 – August 1 Monday – Friday, 6:30 a.m. - 6:00 p.m. WHO: Children who are entering grades K-6. Must be must 5 yrs old at time of attendance. Peoria Unified School District Apache: 8633 W. John Cabot Rd.- 87th Ave/S. of Bell Apache, Coyote Hills Cotton Boll: 8540 W. Butler - 85th Ave/N. of Olive Alta Loma, Cotton Boll, Country Meadows, Sun Valley Cheyenne: 11806 N. 87th Ave. - 87th Ave/Cactus Cheyenne, Sky View, Oakwood Desert Harbor: 15585 N. 91st Ave Coyote Hills, Desert Harbor Frontier: 1268 N. 81st Ave – 81st Ave /E. of Beardsley Frontier Ira Murphy: 7231 W. North Ln. Ira Murphy, Santa Fe, Sundance, Peoria, Paseo Verde: 7880 W Greenway Rd -79th Ave/Greenway Oasis, Paseo Verde Parkridge: 9970 W.Beardsley Rd.– 99thAve/ Beardsley Coyote Hills, Parkridge Zuni Hills 10851 W. Williams Rd V istancia, Zuni Hills REGISTRATION PROCEDURES 1. Complete, in detail, the following forms: A. Registration Form with a copy of child’s IMMUNIZATION RECORDS attached. B. Fee Attendance Contract with registration fee and first week’s fee and deposits. C. Withdrawal/Change Policy - Read and Sign “Policy” and “Waiver of Liability” 2. Where can you go to REGISTER YOUR CHILD: Downloadable registration forms available online at: http://recreation.peoriaaz.gov A. AM/PM RECREATION PROGRAM SITES: March 31, 2008 - May 21, 2008 Go to the AM/PM site Monday – Friday 6:30a.m.- School Opens or Dismissal - 6:00p.m. B. WALK-IN REGISTRATION March 31, 2008 - August 1, 2008 Community Services Department 9875 N. 85th Ave, Peoria, AZ 85345 Monday – Friday, 8:00 a.m. - 5:00 p.m. Peoria Community Center 8335 W. Jefferson, Peoria, AZ 85345 Monday – Thursday, 8:00 a.m. - 8:00 p.m. Friday - 8:00 a.m. - 5:00 p.m. C. 2008 SUMMER CAMP LOCATIONS: May 23 – August 1 Monday – Friday, 6:30 a.m. to 6:00 p.m. Apache 8633 W. John Cabot Rd. Cheyenne 11806 N. 87th Ave. Cotton Boll 8540 W. Butler Dr. Desert Harbor 15585 N.91st Ave Ira Murphy 7231 W. North Ln. Frontier 21268 N. 81st Ave. Paseo Verde 7880 W Greenway Rd. Parkridge 9970 W. Beardsley Rd. Zuni Hills 10851 W. Williams Children are not allowed to bring CELL PHONES to camp. If you or your child needs to be in contact for an emergency or for urgent matters, we will allow occasional use of site phone for short calls. DAILY SCHEDULE & ACTIVITIES Program Closed on May 26 and July 4, 2008 6:30 - 8:00 AM Greeting, & Indoor Play 8:00 – 8:30 AM Outside Play 8:30 – 9:00 AM AM Snack 9:00 – 9:30 AM Daily Announcements 9:00 – 11:30 AM 3 - 45 minute centers or Field Trip 11:30 – 11:50 AM Lunch time 11:50 – 1:15 PM Outside/ Inside play 1:15 – 3:30 PM 3 - 45 minute centers or Field Trip 3:30 – 3:50 PM PM Snack 3:50 – 4:15 PM Outside/Inside Play 4:15 – 6:00 PM Indoor Free Play & group game Times, activities and field trips may change along with other planned activities on site. Always check with your site prior to attending. See site schedule for accurate dates, times, activities and trips. Apply sunscreen to your child prior to attending field trips. LUNCH PROGRAM City of Peoria offers a lunch program in conjunction with the Peoria Unified School District Food Services. Lunch is offered Monday– Thursday, and Friday is “Take Out Day” i.e. Pizza, Sonic, Burger King, etc. This year, Friday lunches will be included in your daily attendance fee. The following meal plans are available for Monday through Thursday: (plan fees are for the entire 10 week program) 4 days per week: $ 90.00 3 days per week: $ 67.50 2 days per week: $ 45.00 Daily Rate: $ 5/day DAYCARE SUBSIDIES The Department of Economic Security(DES) has funding available for low-income families who would like to utilize the program. Contact DES at (623) 846-1046 to find out more information on how to apply. Processing can take up to 30 days. AZ DEPT of HEALTH SERVICES (DHS) LICENSING Summer Camp is regulated by DHS, located at 150 N. 18th Ave. Phoenix, AZ, 85007, (602) 364-2539. Inspection reports are available upon request and are located in the Black Book at each site. SCHEDULE, FEE & PAYMENT POLICIES SCHEDULE CHANGES Any deviation from your submitted schedule on the enrollment form must be given to the site the Thursday prior to the week the changes are to take effect. If your child needs to attend on short notice, parents must call the summer camp site to make arrangements. There is 24 hour voicemail to leave a message. Payment is due the day of participation. NO CREDIT OR REFUNDS GIVEN FOR MISSED DAYS. Regular Sign/sign out audits will be performed. Any extra days not originally scheduled per your Fee Contract will be the responsibility of the parent and may incur late fees if not paid in full. DELINQUENT ACCOUNTS/LATE PAYMENT FEE Payment is due by 5:00p.m. the Monday of the week of participation. Payment for participants attending on short notice must be made the day of participation or prior to attending. A LATE FEE OF $20 PER CHILD will be assessed each Wednesday for payments not yet received. If payment, including late fee, is not paid in full by Wednesday of the following week, the participant will not be allowed to attend until the account is cleared. RETURNED CHECK FEE (RCF) RCF is $30 PER CHECK A returned check will result in service/program interruption. The $30 RCF and the amount of the returned check must be paid in cash, cashiers check, or money order at Community Services office or over the phone with a credit card by calling 623-773-7137. All future payments will be required in cash, cashiers check, or money order for a period of six (6) months from the date of the returned check. LATE PICK UP– PER THE SCHOOLS DESIGNATED CLOCK A fee of $15per child, per every 15 minutes after 6:00pm will be assessed. i.e. - 6:01p.m.-6:15p.m.--$15; 6:16p.m.-6:30p.m.-$30, etc. Late fees will be assessed as follows: 1ST - incident will result written warning 2ND - incident will result in FEE plus written warning 3RD - incident will result in FEE plus a three-day suspension 4TH - incident will result in FEE plus a one-week suspension 5TH - incident will result in FEE plus removal from the program FIELD TRIPS Children are encouraged to attend trips, but are not required. Written permission from the parent is required prior to departure. Identification will be provided to all children for safety purposes. A written field trip plan is completed. Peoria school district buses (not air conditioned) are used and water is placed on each bus. POLICIES and PROCEDURES PARENT/STAFF COMMUNICATIONS The Summer Camp Program staff would like to work as a team with school and family to provide the best environment for the child's growth and development. Exchanges of information between parents and staff will be formal or informal formats. Information that is shared regarding issues in school or any changes occurring within the family will give all of us insight to a child’s behaviors or attitudes. HEALTH and EMERGENCY PROCEDURES If your child becomes ill during the program, we will place your child in an isolated area. According to the time of day, and the degree of illness, the Site Director will decide to call the parents and make arrangements to have the child taken home by an authorized person (not a staff member) or keep them at the Summer Camp Site. Please keep your child home if they display any of the following symptoms; nausea, vomiting, diarrhea, temperature above 99° without medication, red/inflamed eyes, cold symptoms, headache, rashes or other pains within the previous 24 hours. Minor scratches and cuts will be treated at the Site. If a serious accident should occur, the City of Peoria Fire Department will be summoned for treatment and they will decide whether your child should be taken to the nearest hospital or doctor's office by ambulance. You will be notified immediately. Treatment may only be rendered if we have your written authorization on file. MEDICATION The Peoria Summer Camp staff may administer medication. The parent/guardian must complete a “Medication Release Form” to authorize giving medication to a child. Bring the prescribed amount of medication in the original container. Forms are available at the site. SPECIAL NEEDS Parents of a child with a disability may request a reasonable accommodation by contacting Community Services at 623-773-7137 and completing the “REQUEST FOR ACCOMMODATION” form with supporting documentation turned in least 2-3 weeks prior to the first date of attendance. Life Skills such as, but not limited too, feeding, dressing and toileting are not provided by staff. PERSONAL ITEMS Please do not permit your child to bring personal items to the program. The City of Peoria is not responsible for any lost, stolen or broken items. The site has several activities to keep your child busy and entertained. Children are not allowed to bring cell phones. See bottom of registration page for information. POLICIES and PROCEDURES SIGNING IN & OUT Participants must be signed in and out daily by a parent or authorized person. This is done by signing your full name and time on the form. A child enrolled in the Peoria Summer Camp Program will only be released to persons specifically authorized with their signature on the registration form or advance authorization from the parents by telephone or in writing. NO exceptions will be made. For the safety of your children, individuals will be required to show a valid picture I.D. at the time of pick-up. If only one person has the sole legal custody of a child, then legal custody papers must be on file. Children may not sign themselves in or out. DISCIPLINE The staff will implement an assertive discipline program. Children involved in our program are expected to follow the rules and directions of the Summer Camp staff. The following are guidelines used when disciplinary action becomes necessary due to unacceptable behavior. Parents will be notified daily if their child needed guidance or discipline. The course of action below will be followed in normal circumstance. However, extreme behaviors that put a child, or those around them in danger, several or repeated offenses in one day, may accelerate this process and will be dealt with on a case by case basis. Extreme behaviors are but not limited to: Physical attacks such as, hitting, biting, spitting, kicking ect..., abusive language, disrespect to staff (verbally or physically by parent or child), and leaving the program area without permission. (No Refunds for early pick-ups on scheduled days) FEE INFORMATION PROGRAM FEES A $30 NON-REFUNDABLE registration fee PLUS: First week of participation fees AND Deposits. PROGRAM 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY Daily & Weekly Fees $23 $46 $69 $92 $97 **Elementary Summer School Rate available only for children registered and attending PUSD Summer School full session. Summer School Rate $15 $30 $45 $60 $75 Includes a morning and afternoon snacks and field trips. **If child attends Summer Camp and does NOT attend elementary summer school the full $23 fee will be required for that day. INSURANCE The City of Peoria carries liability insurance for all its operations, including city-sponsored recreation programs. However, the City does not carry medical insurance for any participant's injuries or illnesses associated with any specific recreational activity. Medical claims are your responsibility. PAYMENT OPTIONS Payments are due the Monday of the week of participation 1. Electronic Fund Transfer (EFT) - Automatic payment from checking. Authorization form required. Payments will be deducted on Mondays. 2. Quick Pay – Automatic payment from credit card or debit card on Mondays. Authorization form required Payments will be deducted on Mondays. 3. TeleReg – Call 623-773-7725. You will need your client ID number and password. IVR Payments can be made for current due only. Overpayment is not possible. 4. RecConnect – http://recreation.peoriaaz.gov. You will need your client ID number and password. For more information call the Community Service Department at 623-773-7137. (Balance may not include assessed late fees for option 3 and 4) 5. City Hall/Community Services– Cash, check, or credit card 8401 W. Monroe, Room 180, M – F, 8AM - 5PM (Except Holidays) 6. Phone Payment - Call 623-773-7505, 773-7192 or 773-7139 with a credit card or debit card, M – F, 8AM – 5PM (Except Holidays). 7. Peoria Community Center – Cash, check, or credit card, at 8335 W. Jefferson, M – TH, 8 AM – 8 PM and Friday, 8AM – 5PM. Program sites will accept new registrations with check or money order only. No weekly payments will be accepted on site. 1. Warning - for specific unacceptable behavior 2. Time-out - with a warning of future consequences for repeated behavior. 3. Time-out - with a warning and/or write up for repeated behavior in file and parent notified upon pick-up. 4. Time-out - with a call to parent or guardian and a write-up. Discuss corrective action & consequences for future incidents with parent upon pick-up. 5. Suspension - 1 - 2 scheduled days from the program and/or the remainder of the day. *Repeated aggressive/inappropriate behavior with 3-5 suspensions will result in removal from program with approval from Coordinator and Supervisor.