Your child may attend Afternoon Adventures on an as-needed basis, but no child will be admitted without a completed registration packet.

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1 AFTERNOON ADVENTURES ( ) An afterschool program provided by Christ Church Children s Ministry for children in PK 4-5 th grade. (After school for PK2 & PK3 provided by Christ Church School.) Afternoon Adventures provides a safe, fun, supervised, loving place for your child(ren) after school. Afternoon Adventures is scheduled from 2:30pm-5:30 pm on full school days. We will begin in the Crosswalk Room in the Life Enrichment Center of the church. Each week there is a different Bible story. Children will dive deeper into the Bible through hands-on games, crafts and science experiments. Playground, gym time, snack and an opportunity to finish homework will follow. This year we will welcome Michelle Kosicki on Wednesdays for yoga. We will end the week with a movie and popcorn. Please note that we are not able to do any kind of tutoring, timed testing, quizzing, etc. Pick-Up Information: Before 5:00pm please come to the Church Office & your child will be brought to you. After 5:00pm you will need to come upstairs to the Crosswalk Room for pickup. Afternoon Adventures ends promptly at 5:30pm in the Crosswalk Room. We will charge a Late Fee of $1 a minute for every minute you are late after 5:30pm. We may release your child to anyone listed on your AUTHORIZATION FOR PICK-UP LIST. Please make sure your pick-up list is acquainted with our pick-up policies. Parents will be responsible for all late fees. Your child may attend Afternoon Adventures on an as-needed basis, but no child will be admitted without a completed registration packet. RATES: WEEKLY DAILY 1 st CHILD $60.00 $15.00 SIBLING $40.00 $10.00 We bill REGULAR USERS once a month. INVOICES MUST BE PAID ON TIME. CHILDREN WITH OUSTANDING BALANCES WILL NOT BE ADMITTED TO AFTERNOON ADVENTURES. If you DROP IN occasionally you need to pay when you pick up your child. Please have a check or cash. We are unable to accept debit/credit cards at this time. Afternoon Adventures begins on the first full day of school, Wednesday, August 16. Paperwork must be returned to the CHURCH OFFICE by Friday, August 11. Children registered after August 12, may begin aftercare on Monday, August 21. For further information, please contact Lisa Jones, Director of Afternoon Adventures. (954) ext. 231 or Emergency number after 5:00PM: Lisa Jones (954)

2 Christ Church ONE DAY CAMP & HOLIDAY CAMP CALENDAR August 15, 2017 Early Release Day September 4, 2017 Labor Day Holiday September 15, 2017 Teacher Workday One Day Camp 1 October 13, 2017 Teacher Workday One Day Camp 2 October 16, 2017 Teacher Workday One Day Camp 3 November 1, 2017 Teacher Workday One Day Camp 4 November 20-24, 2017 Thanksgiving Holiday December 20, 2017 Early Release Day One Day Camp 5 December 21, 2017 January 5, 2018 Christmas Holiday Christmas Camp Dec (2 days) Dec (3 days), No camp on Dec.25 and Dec. 26 Jan. 3-5 (3 days) No camp on Jan. 1 and Jan. 2 January 12, 2018 Early Release Day One Day Camp 6 January 15, 2018 M/L King Holiday February 15, 2018 Early Release Day One Day Camp 7 February 16, 2018 Teacher Workday One Day Camp 8 February 19, 2018 Presidents Day Early Release March 9, 2018 Grandparents Day March 12-16, 2018 Spring Break Spring Break Camp March 30 and April 2, 2018 Easter Break May 11, 2018 Teacher Workday One Day Camp 9 May 28, 2018 May 31, 2018 Memorial Day Holiday Early Release Day Last Day of School

3 Christ Church Afternoon Adventures Registration Page 1 of 2 PLEASE PRINT LEGIBLY CHILD S NAME GRADE BIRTHDAY PLEASE CIRCLE THE DAYS YOU WILL NEED: Home address City Zip Father s Name: Father s Phone: Father s Mother s Name: Mother s Phone: Mother s Please list and explain any medical conditions or concerns that we should be made aware of (allergies, medical diagnosis, recent surgeries, learning disabilities, etc.): NEED PHONE NUMBERS THAT YOU WILL ANSWER DURING AFTERNOON ADVENTURES. Please list two additional local emergency numbers in order of importance (Parents, listed above will be called first): 1. Name/ Relationship to child Phone # 2. Name/Relationship to child Phone # Authorization for Pick-up Please list the additional people who have permission to pick-up your children. Everyone on your list will need to have Identification with them. We are not allowed to release a camper to a minor NAME RELATIONSHIP TO CHILD I give permission for these people to pick-up my child(ren). Please make sure your pick-up list is acquainted with all of our pick-up policies. Parents will be responsible for all late fees. Parent/Legal Guardian Printed Name Parent/Legal Guardian Signature Date PLEASE FILL OUT REVERSE SIDE (Page 2 of 2).J

4 Christ Church Afternoon Adventures Release Page 2 of Child/Youth Release, Permission Indemnification, & Medical Authorization Agreement I understand Christ Church United Methodist, Inc. is a not-for-profit church that sponsors various programs (hereinafter Ministry Programs ) and that precautions are taken to ensure that the programs and activities with the Ministry Programs in which I am participating are conducted in a safe and responsible manner. However, I further understand that, because of the nature of activities within the Ministry Programs, in which I am enrolling my child/youth, Name of child (hereinafter referred to as Participant ) regardless of the supervision, there is a potential for injury or death during any activity. I do recognize these risks and agree to allow my child/youth participate in all activities as indicated below. I represent that my child/youth is physically fit and has the necessary skill and physical ability to safely participate in all activities. As consideration for the PARTICIPANT being accepted by Christ Church United Methodist, Inc. for participation in the Christ Church Ministry Programs, and specifically participation in Christ Church Afterschool Program-Afternoon Adventures (Specify travel, event, mission, or activity) Taking place on: August May 2018 (Specify date and/or time period) I, do hereby release, indemnify, forever discharge and agree to hold harmless Christ Church United Methodist, Inc. and the Florida United Methodist Annual Conference, their officers, directors, employees, pastors, volunteers, successors and assigns (collectively called RELEASEES ), From any and all liability, claims, or demands from personal injury, sickness, or death, as well as property damage and expenses of any nature whatsoever, whether legal or administrative, arising out of or in connection with any personal injury, including death, or property damage, resulting in any way from or in any manner arising from PARTICIPANT S participation in the Christ Church Ministry Programs whether caused in whole or in part by negligent acts or failure to act of Christ Church, its agents, servants, employees, pastors or volunteers. This release, indemnification agreement, and wavier specifically includes, but is not limited to, any claim which might otherwise be brought on behalf of myself or the PARTICIANT for (a) negligence or negligent supervision by RELEASEES; (b) any injury or harm, including death, that may occur while PARTICIPANT is participating in Christ Church Ministry Program or Special Event set forth above, including travel to and from, if required, before, during, or after the Ministry Program or Event and (c) any negligent act or failure to act on the part of those chosen to administer emergency medical care to the PARTICIPANT. I acknowledge by my signature below that I have carefully read this release and that I fully understand that this is a waiver of claim and release of liability of the RELEASEES from any and all claims made by me, or on my behalf, or on behalf of PARTICIPANT minor child, regardless of whether those claims are caused by the negligent acts or failure to act by Christ Church, its agents, servants, employees, pastors, or volunteers. The undersigned further consents to the administration of first aid and/or doctor s care or any form of medical treatment necessitated by illness or injury that may require the same. I further agree to indemnify RELEASEES for any costs or attorney s fees incurred by the RELEASEES resulting from any claim that I, my spouse, my child(ren), or heirs may make against any third party as a result of participating in the program activity or event set forth above, even if that claim is caused in whole or in part by the negligence of the RELEASEES. By my signature below, it is my understanding that Christ Church will attempt to notify me in case of a medical emergency involving my child/youth, but if the Church cannot reach me, I consent to the administration of first-aid and/or doctor s care or any form of medical treatment necessitated by illness or injury for the minor PARTICIPANT and I agree that I will pay for any medical expenses incurred. Christ Church is granted permission to use any individual or group photograph taken of me at the event for publicity or brochure purposes. Print Child/Youth Name Grade Age Emergency Contact Name & Phone number: Relation: Insurance Company: Policy Number: Parent/Legal Guardian Printed Name Home Phone Work Phone Cell Phone Parent/Legal Guardian Signature: Date: Notary Signature Date Notary available at church office.

5 Christ Church Afternoon Adventures Behavior rules & expectations As a ministry of Christ Church, Christ Church Afternoon Adventures strives to be a place of grace and love for campers, counselors and families. Please review the following rules with your child, and help us maintain a safe and loving environment for all children. Christ Church Afternoon Adventures Behavior Rules & Expectations Treat all others with courtesy and respect. ( The Golden Rule ) Use appropriate language. Keep hands and feet to yourself. Everyone participates in scheduled activities and the daily Bible lesson. Everyone helps to keep our rooms clean. Our Respect Pledge As campers and staff at Christ Church Afternoon Adventures, we agree to follow the principles of this pledge to honor a Christian community of caring and to take responsibility for our actions. R- RESPECT: I will respect others and myself. E- ENCOURAGE: I will encourage others and myself. S- SAFE: I will work toward making Afternoon Adventures a Christian place, free of bullying, teasing and name-calling. P- PEACEFUL: I will help settle disagreements in a peaceful manner. E- EXAMPLE: I will be a positive, Christ-like example for my fellow Students. C- CONSIDERATE: I will be considerate of the feelings of others. T- TOLERANT: I will be tolerant of those who are different than I am. Please understand that parents of students who have difficulty with these rules will be notified. Students who purposely hurt others will be asked to go home for the remainder of the day.

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