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

Similar documents
Christ Church Christmas Camp days of camp total 2 Days December 27 th and 28 th 2 Days January 3 rd and 4 th

St. John the Evangelist Catholic Church

June 25-July 1, 2017

Family Information. Emergency Contact Information 1 st Person (Other than parents/guardians) 2 nd Person (Other than parents/guardians)

St. Paul Catholic Church, North Canton, Ohio Office of Religious Education

University Synagogue Campus. Living Judaism Program Student Registration Information

NAME: (First) (Maiden) (Last) MAILING ADDRESS: CITY: STATE: ZIP: CELL PHONE: ( ) ADDRESS:

THE TEMPLE RELIGIOUS SCHOOL

ACCEPTANCE LETTER. NW ACDA Childrens Honor Choir 2014 Seattle, WA March 13-16, 2014

! Volunteer Package. Dear Potential Metanoia Volunteer;

DIOCESE OF CORPUS CHRISTI DIOCESAN CONFIRMATION RETREATS

St. Joan of Arc Faith Formation

CCYM Application Packet for Adults Meeting and Event Dates

Jefferson Baptist Church Mission Trip Application. Name:

WELCOME PACKET. Purpose Statement Vision Schedule of Events Permission Form Code of Conduct

St. Basil the Great Parish Department of Religious Education

Third, be ready to go through our interview process and carve out time for the mission trainings in the spring.

Church of Living Waters

Group Registration- For All Groups Attending Registration Information

Last Name First Name MI. Cell Phone. Gender (circle) M / F Unisex Shirt Size (circle) XXS XS S M L XL 2XL 3XL

Argentina Mission Trip Application July 15 th July 22 nd, 2018 Please return this application to:

30 Hour Teacher Training Application for Aerial Hammock Yoga

First United Methodist Church, Clifton June July There are many opportunities for youth and families this summer at FUMC Clifton!

Cantate Home School Choirs Sing the glory of His name; make His praise glorious! Psalm 66:2

Sacramental Preparation for Baptism, First Eucharist and Confirmation at SEAS for children in at least grade 9.

2014 December Performance Junior Saintsation Packet

RESURRECTION LIFE CHURCH-SHORT TERM OUTREACH APPLICATION

Burbank Sister City Committee Burbank Public Library 110 N Glenoaks Blvd. Burbank CA 91502

YOUTH MINISTRIES REGISTRATION FORM LIABILITY RELEASE AND MEDICAL INFORMATION

Something New! Welcome To The Greatest Kick-Off To A New Year

Sammamish Hills Lutheran Church Sunday School Registration Packet

HS Helper Application

Kimisis Tis Theotokou Greek Orthodox Church, Holmdel, NJ GOYA Membership Application Please Print All Information

Participant s Name: Participant s African Name: Birth Date: Gender: School: School Grade: Home Address:

STUDENT ENROLLMENT APPLICATION

DECEMBER 1, FEES

ATTACH A COPY OF BAPTISMAL CERTIFICATE (NOT birth certificate)

The Diocese of New York and New Jersey Annual Altar Server Retreat February 6-7-8, 2015

MISSION TRIP APPLICATION FOR ADULTS

The Aquarian Teacher: KRI Level 1 International Kundalini Yoga Teacher Training Certification program

INVITES YOU TO. Southern Florida District. YOUTH EVENT in the Nazarene church & it only happens once every 4 years!! REGISTER BY DECEMBER 2014

BAY AREA GOYA LENTEN RETREAT

Perhaps you re saying to yourself, I m not sure God is calling me to the priesthood. Good! This retreat is for you.

Time to register for a week of camp! Mingus Mountain June 19-23, Elementary Aged camp/ Junior High camp/ Sr High Leadership week

CONFIRMATION REGISTRATION CHECKLIST YEAR 1 The following items must be completed in order for this registration to be considered SUBMITTED.

YOUTH TRIP Diocese of Palm Beach

Mexicali 2017 Registration Packet

The Diocese of New York and New Jersey Annual Altar Server Retreat February , 2016

Hope Reformed Church Youth Group Policies. Our Biblical Basis: Purpose Statement: Missions Statement: Our Ministry Standard:

M issions & O utreach

NAZARENE YOUTH CONFERENCE 2015

I am grateful that you have decided to join and support our community.

A Family Membership Form VALLEY HOME SCHOOL ASSOCIATION

CONFIRMATION PREPARATION PROCESS FOR HIGH SCHOOL STUDENTS

Please return Forms by November 2, 2015 to Fr. Jason Vansuch, St. George Orthodox Church, 2 Nottingham Terrace Buffalo, NY 14216

Belize 2016 Short-Mission Trip Application

Dear Middle/High School Youth Ministry Families:

Mission Trip Application

ISY Campus Access Policy Appendix 5

FIRST COMMUNION REGISTRATION PACKET

MISSIONS TEAM MANUAL. He said to them, Go into all the world and preach the gospel to all creation. Mark 16:15

o Do you have any questions to what you have read? o Will you commit to this process of completing all homework assignments?

September 21 st, Dear Parents and Students:

TEAM MEMBER SELECTION

CONFIRMATION PREPARATION FOR HIGH SCHOOL STUDENTS

On Saturday, October 28, 2017, from 8 am to 4 pm, the Jonesborough Genealogical

December 31, Dear Parents,

Confirmation preparation

Shepherd of the Valley Junior High Mission Trip Application Thunder Bay, Ontario. Sunday, August 4 Friday, August 9, 2013

11766 Shoshone Avenue, Granada Hills, CA Phone: x440 Website:

North Campus Next Level Lock-In PARENT INFO (keep this page) February 6-7, 2016

Request for Building Use. Group Name Profit / Nonprofit (please circle) Telephone . Date(s) needed Times # of people

Save the Date. Cross Dive & Family Spiritual Retreat

Larchmont United Methodist Church 1101 JAMESTOWN CRESCENT NORFOLK, VIRGINIA TELEPHONE (757) FAX (757) BUILDING USE POLICY

Shepherd of the Valley Junior High Mission Trip Application Quad Cities. Sunday, June 15 Friday, June 20, 2014

ACYC JUNIOR 5/5/18 Registration Packet

FALLS CREEK 2017 STUDENT PACKET

ACYC JUNIOR 10/13/18 Registration Packet

Luke 18 Retreat Feb , 2017

St. Joan of Arc Parish Mission Trip

THE SPIRIT. St. Mary s Youth Ministry News

THE SPIRIT. St. Mary s Youth Ministry News

Lakeshore Christian Home School Athletics LCHSA 2017 VOLLEYBALL Registration & Parental Consent

you to be involved in souls being saved.

Mount Zion Christian Academy Boarding Student Application Packet

Those who are planted in the house of the LORD shall flourish in the courts of our God. Psalm 92:13

Together Love Worship Work Serve

Holy Rosary Catholic Church Office of Evangelization and Catechesis Faith Formation George Street, Rosenberg.

Veritas Evangelical Seminary

RCIA FOR CHILDREN REGISTRATION PACKET

THE 21 STAGES OF MEDITATION

WAD Youth Project at St. Martin Orthodox Church in Corvallis, Oregon (sponsored by the Youth Department of the Western American Diocese ROCOR)

SYNOPSIS & PRAYER GUIDE

Erik Naugle. Dear CUSSD Family:

BAPTISM PROCESS at least 2 months at least 2 months At least one before. Once the documents are received, the Baptism may be scheduled.

REFLECTIONS RETREAT 2010

THE YESHIVA OF MIAMI KENESSES YISROEL Bonita Dr Miami Beach, FL APPLICATION תשע" ה תשע"ו. Page 1 of 13

I/We. Synagogue. other than home? Does. Does. Does

NICARAGUA FAMILY MISSION TRIP

Welcome to Confirmation!

Transcription:

AFTERNOON ADVENTURES (2017-2018) 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) 771-7300 ext. 231 or Ljones@echristchurch.org Emergency number after 5:00PM: Lisa Jones (954) 873-5323

Christ Church ONE DAY CAMP & HOLIDAY CAMP CALENDAR 2017-2018 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. 21-22 (2 days) Dec. 27-29 (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

Christ Church Afternoon Adventures 2017-2018 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 Email: Mother s Name: Mother s Phone: Mother s Email: 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. 1 2 3 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

Christ Church Afternoon Adventures 2017-2018 Release Page 2 of 2 2016-2017 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 2017 - 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.

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.