Immaculata Catholic School Campamento de Inmersión en Español Spanish Immersion Camp

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Dear parents: Thank you for reserving a space for your child in the camp for the week of June 2 or June 9 th (Please circle the week your child will be attending). We are very excited and looking forward to a great week of fun and learning. Attached are the registration forms. Please send the registration forms and the first payment to the School office no later than March 4 th -2014. Space will be reserved only for those students whose forms and first payment are returned by March 4 th. Please write the check to Immaculata School-Memo:. Following are important details for the camp: Drop off: Downstairs in the Olive Tree entrance at 9:00 a.m-no earlier please-unless you have registered your child for before camp care at 8:00. Pick up: Downstairs in the Olive Tree entrance at 3:00 p.m.-no later please-unless you have registered your child for after camp care from 3:00-5:00. Lunch/snacks: We will prepare/cook/provide snacks here at school, but your child needs to bring his/her own lunch each day. What to wear: Comfortable/safe summer clothes that can be wet/painted/spilled, etc. and plenty of sunscreen. What to bring: Water bottle; towel, books in Spanish if you have. What not to bring: Toys from home; electronics. Please label everything and provide a backpack to keep belongings together. Camp Schedule 9-10 Indoor centers in small groups (board games, reading/speaking, sports, etc.) 10-10:30-snack/conversation in Spanish 10:30-12:00-crafts/outdoor games 12-1:30: Popsicle making and lunch 1:30-3:00-dance, music, cultural games, etc. For more information please email Señora Rosa Peña at penar@icdurham.org Nos vemos en el campamento! See you at camp!

Child s/children s Information: CHILD #1 NAME: (last) (FIRST) (AGE) CHILD #2 NAME: (last) (FIRST) (AGE) CHILD #3 NAME: (last) (FIRST) (AGE) CHILD #4 NAME: (last) (FIRST) (AGE) CHILD #5 NAME: (last) (FIRST) (AGE) CHILD #6 NAME: (last) (FIRST) (AGE) HOME ADDRESS: CITY: ZIP: FIRST PARENT/GUARDIAN: Name: Address: City: Zip: Home Phone: Cell Phone: Work Phone: Email: SECOND PARENT/GUARDIAN: Name: Address: City: Zip: Home Phone: Cell Phone: Work Phone: Email: EMERGENCY CONTACT (other than a parent): EMERGENCY CONTACT PHONE # S: RELATIONSHIP TO PARTICIPANT: PHYSICIAN: PHONE: DENTIST: PHONE: PLEASE LIST ANY ALLERGIES: PARENT SIGNATURE DATE:

Payment method and agreement Registration forms and non-refundable first payment of $175.00 are due no later than 3/4/14. Please send registration forms and check to Immaculata School Office-Attention Señora Peña Please write checks to Immaculata School-Memo: Balance of $150.00 due no later than 4/15/14. Please send the payment to the school office and follow the same procedures as above. Cancellation Policy: Because our spaces are limited and our groups are small we will be unable to offer you a refund if you cancel the camp after 4/15/14. If you cancel the camp before 4/15/14 you will not have to pay the balance of the camp. Immaculata way of life, behavior and discipline and general procedures Because our camp is housed and sponsored by Immaculata Catholic School, campers and adults will abide by the guidelines and procedures stated in the Immaculata School handbook. The handbook is available online at immaculataschool.org. Please read it and signed the attached form. Please sign, date and return this agreement along with the rest of the forms Parent(s) name(s) Signature (s) Date

Campamento de Immersión en Español IMMACULATA SCHOOL SPANISH IMMERSION CAMP PARENT AGREEMENT By signing this form, I/we agree to the following: HANDBOOK As parent(s) or guardian(s) of camper(s) at Immaculata School we have read the Immaculata School Parent/Student Handbook and understand it. I/we have talked with my/our child (ren) about Immaculata School and the school s expectations for students and campers. I/we support the overall philosophy of Immaculata and agree to follow the rules and regulations as stated in the Immaculata School Parent/Student Handbook. The Immaculata School Parent/Student Handbook is updated as needed and should be reviewed regularly on the Immaculata School website or by request from the school office. I understand that from time-to-time the school may wish to publish examples of my child s projects, photographs of campers and other work on an Internet accessible world wide web server. Children s names will not be attached to photographs or work published on the internet. Please initial below permissions. INTERNET/PHOTOS I give permission for my child (ren) s work to be published on the internet. Children s names will not be attached to photographs or work published on the internet. I give permission for photographs of my child(ren) to be published on the internet. Children s names will not be attached to photographs or work published on the internet. My child(ren) may use the internet while at Immaculata School- according to the rules outlined in the Immaculata School Student/Parent Handbook. MEDICAL TREATMENT I hereby give my consent for medical treatment deemed necessary by physicians designated by Immaculata School and the adult staff and authorities and/or for transportation to a hospital emergency room for treatment for any illness or injury. I understand this authorization will only be enforced with my consent or when I cannot personally be contacted and provide for immediate treatment. I understand this agreement is valid as long as my child is enrolled in camp at Immaculata School and will be kept on file. Child(ren) s Name(s) Print Parent Name Print Parent Name Parent Signature Parent Signature Date Date

Before and after camp care Week of June 2 and June 9 th -2014 Before camp care from 8:00 a.m. to 9:00a.m. $25 a week After camp care from 3:00-5:00 p.m. $50 a week Both: Before and after camp care $70 a week. La Señora Peña will be offering these options in the school Gym.This will be a very relaxed and fun time where your child will participate in fun activities. We will encourage your child to use as much Spanish as he/she can. Please check below if you need before or after camp care and add these amounts to your check of 3/4 th. Return the bottom of this page along with the rest of the forms and the check by 3/4/14th. ***************************************************************************************************************************** ********************* Before and after camp care Week of June 2 and June 9th Child s name Child s name We/I need : Before camp care from 8:00 a.m. to 9:00a.m. $25 a week After camp care from 3:00-5:00 p.m. $50 a week Both: Before and after camp care $70 a week. Fee has been added to the regular camp fee and is enclosed. Parent name Parent Signature Date