February 2015 SCHOOL- AGEVACATION DAY SCHEDULE

Monday, February 16th–Crazy Cooking (Activity Time 1-3pm) – We will spend the day at the JCC and use various ingredients to make something delicious!

Tuesday, February 17th–Get Spontaneous!(Activity time 9:30-11am)–Spend the day at the JCC being creative and spontaneous! We will play word games, build towers, and creating anything you can imagine!

Wednesday, February 18th– Get Crafty(Activity Time 12:30-2pm) – We will have a craft filled day at the JCC where we will paint eggs, make and paint beads, create our own wrapping paper and more!

Thursday, February 19th– Puppetry (Activity Time 1-2:30pm) –Make a puppet out ofsocks, spoons, paper bags, or anything else you can find! We will then put on a puppet show here at the JCC.

Friday, February 20th– Color Games!(Activity Time– throughout the day) –Spend the day at the JCC competing against your friends throughout the day in this favorite camp activity!

Please be sure to pack a lunch (that does not need to be heated) a swimsuit & towel, and appropriate clothing for outside for your child. Cost for the program is $50 per day per child. The program will run each day from 7:00 am to 6:00 pm.

Children are not allowed to use the vending machines. Please submit this form to your site director or to the JCC by Wednesday, February 11th.

Any late registrations will only be accepted at the discretion of the Assistant School Age Director. There will be an extra $8 fee per day, per child for any late registrants. Please call Tiffany Smith at the JCC with any questions at 377-8803.

There will be no refunds given for unused vacation days.

February 2015SCHOOL-AGE VACATION DAYS

Child’s Name ______

Parent’s Name ______

Days Attending:

Mon16th____ Tue17th ____

Wed 18th___ Thurs19th____ Fri 20th____

ADDRESS: ______

GENDER: ______GRADE:_____BIRTHDATE:___/___/____

HOME PHONE: ______CELL PHONE: ______

PLEASE LIST, IN ORDER, ALL PEOPLE TO CALL IN CASE OF EMERGENCY (STARTING WITH YOURSELF):

1.______

NAME DAY PHONE RELATIONSHIP______

2.______

NAME DAY PHONE

RELATIONSHIP ______

3.______

NAME DAY PHONE RELATIONSHIP______

THE PEOPLE LISTED ABOVE MAY PICK UP YOUR CHILD

PHYSICIAN'S NAME: ______PHONE: ______

MEDICAL PROBLEMS/ALLERGIES/SPECIAL INFO:

______

Estimated Drop-0ff Time: ______

Estimated Pick-Up Time: ______

I GIVE PERMISSION FOR MY CREDIT CARD/BANK ACCOUNT ON FILE TO BE CHARGED AT TIME OF REGISTRATION. IN CASE OF ACCIDENT OR INJURY, EMERGENCY CARE MAY BE GIVEN.

______

Printed Name Signature of person legally responsible Date