Camp Culinaire. Camp Dates June 22-24, :30 5:30 p.m. each day

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1 Camp Culinaire Camp Dates June 22-24, :30 5:30 p.m. each day For more information contact Jessica Hoffman or Phone:

2 Ivy Tech Community College Central Indiana Camp Culinaire I & II and Bake Shop Camp: June 22 24, :30 5:30 PM each day ABOUT THE PROGRAM The Hospitality Administration Department at the Indianapolis Campus of Ivy Tech Community College is offering three camps especially for high school juniors and seniors with an interest in the culinary and baking industry. Camps to be held in our state of the art kitchens in our Corporate College and Culinary Center at 2820 N. Meridian Street Indianapolis, IN Camp Culinaire I & Camp Culinaire II Do you have an interest in working in the culinary field? Or maybe you just love cooking? Camp Culinaire is a fun way to explore the kitchen! Ivy Tech's Hospitality Program offers two levels of Camp Culinaire to accommodate skill levels from beginner to experienced. At each day of camp we will cover several different dishes and culinary techniques, culminating in a banquet for the students and their parents on the final day. Here's a sample of some of the techniques students will learn at Camp Culinaire: Meat Fabrication Making Sauces Sausage Making Knife Skills Cooking Techniques such as grilling, smoking, sautéing and frying Plating and Presentation Bake Shop Bake Shop Camp explores yeast breads, cakes, cookies and some simple composed desserts. We will definitely tempt your sweet tooth! Yeast Breads Pastries Non-refundable Registration Fee: $50.00 per student Fees Include: Mercer Knife Tool Kit or Baking Kit and Chef Jacket Closing Dinner for Students and Parents on Friday evening at 5:30 PM TO REGISTER: Complete the attached application, medical waiver and emergency contact form. The form can be faxed to or mailed to Ivy Tech Community College, 50 W Fall Creek Pkwy. N Dr., Attn: K-12 Initiatives - NMC 540, Indianapolis, IN FOR MORE INFORMATION: Chef Lauri Griffin at: or [email protected] or Jessica Hoffman at: or [email protected] Update 1/26/2016

3 Ivy Tech Community College-Indianapolis Camp Culinaire I & II and Bake Shop Camp Application Due: Friday, May 13, 2016 Mail this application along with the emergency contact form, the medical waiver form, and a $50.00 check payable to: Please Print Clearly: Ivy Tech Community College Attn: K-12 Initiatives - NMC W Fall Creek Pkwy. N. Dr. Indianapolis, IN Student s Name: Date of Birth (mm/dd/yy) Home Address: City: State: Zip Code: Home Phone ( ) Cell Phone ( ) High School: Current grade level: Freshman Sophomore Junior Senior Do you qualify for free or reduced lunch? Yes No Ethnic Origin: African-American Native American Indian European America/Caucasian Asian/Pacific Islander Latino/Afro Caribbean Other Gender: Male Female Camp Selection: Camp Culinaire I or Camp Culinaire II* Bake Shop *If you are registering for either Camp Culinaire I or Camp Culinaire II, please complete the survey to help us determine your level of experience at the following web address: Circle your jacket size: S M L XL XXL XXXL Parent/Guardian Name Daytime Phone: ( ) List of student s allergies (including food allergies), health conditions, or medications if applicable: I, give permission for my child, to participate in the Camp Culinaire Summer Camp and if the opportunity arises during this event, to be photographed for informational or educational purposes. I understand that it is my responsibility to make transportation arrangements for my child to get to and from the camp location. Parent/Guardian Signature Date INCOMPLETE APPLICATIONS OR APPLICATIONS WITHOUT PROPER SIGNATURES OR PAYMENT WILL NOT BE PROCESSED. LIMITED SCHOLARSHIPS ARE AVAILABLE WITH PROPER DOCUMENTATION OF NEED. Update 1/26/2016

4 Summer Camp Emergency Contact Form Student Personal Information Address: Last First M.I. Home Phone: ( ) Alternate Phone: ( ) Address: Birthday: SSN: - - Primary Emergency Contact Information Address: Last First M.I Primary Phone: ( ) Alternate Phone: ( ) Relationship: Secondary Emergency Contact Information Last First M.I Primary Phone: ( ) Alternate Phone: ( ) Relationship: INCOMPLETE EMERGENCY CONTACT FORMS WILL NOT BE PROCESSED. THE FORM MUST BE SUBMITTED WITH APPLICATION, NON REFUNDABLE APPLICATION FEE, AND MEDICAL WAIVER.

5 IVY TECH COMMUNITY COLLEGE OF INDIANA IVY TECH SUMMER CAMPS RELEASE AND WAIVER OF LIABILITY I,, in exchange for permission to participate in one or more summer camp program, but not limited to, assisting and helping in such summer camp activities, for myself, my heirs, representatives, agents and assigns, do hereby fully and irrevocably release, waive and discharge Ivy Tech Community College of Indiana, its trustees, officers, employees, volunteers, agents and assigns from any and all claims for injuries, including death, to myself or other persons and from any and all claims for damages to my or other persons property, arising out of or in any way relating to my participation in, including but not limited to travel to and from, said summer camp activities and programs. It is acknowledged and understood that I am responsible for the cost of any and all medical and health services I may require as a result of such participation in said summer camp activities and programs. It is also acknowledged and understood that Ivy Tech Community College of Indiana disclaims any responsibility for summer camp participants and others who travel to summer camp programs and activities in vehicles not owned by Ivy Tech Community College of Indiana, and I hereby assume all risks associated with driving myself and/or others, or being driven by others, to or from such summer camp activities and programs. Further, I hereby agree to indemnify and at Ivy Tech Community College of Indiana s request, defend and save harmless, Ivy Tech Community College of Indiana, its trustees, officers, employees, volunteers, agents and assigns from and against any loss, damages, costs, claims or expenses arising from any actual or claimed death or injury to any person or actual or claimed damage to property, whether owned by me, Ivy Tech Community College of Indiana, or third parties, including loss of use, that actually or allegedly results from my conduct, by act or omission, relating to my participation in said summer camp activities and programs. Finally, it is understood and agreed that this Release shall remain in full force and effect during such time, as I am a participant of summer camp programs and activities at Ivy Tech Community College of Indiana. I HAVE READ AND I UNDERSTAND THIS RELEASE AND AGREE TO BE BOUND BY ITS TERMS AND CONDITIONS. Student Name: (Printed) Student Signature: Date: Date of birth: Preferred address: Signature of Parent/Legal Guardian: Date: (If Student is a minor)