AMiddleSchool TeenSummerProgram2018
July 2– August2 Monday -Friday8:00 a.m. - 4:00 p.m.
Camp Mark Twain VIP
Mark Twain Middle School 4700 Franconia Road
Alexandria, VA22310
ForstudentsattendingHayfield,Sandburg,Twain, Whitman or Key MiddleSchoolin2018-2019,yourcampwillbeheldatMark TwainMiddleSchool. ToregisteryourstudentfortheVIPprogram,pleasecontactyourlocalmiddleschoolorlocalTeenCenter.
Hayfield:Adam Fitzgerald / / (703)924-7609Sandburg:Jamaal Carter / / (703)799-6100
Key: Kanishea Spencer / / (703) 313-3900
Twain:DominicAmato / / (703)313-3815
Whitman:Jacqueline Idun / / (703)660-2432
FairfaxCountyiscommittedtothenondiscriminationofthe basisofdisabilityinallcountyprograms,services,andactivities.Reasonableaccommodationswillbeprovideduponrequest.Forinformation,call703-324-4600.
Section1:ProgramDaysandHoursofOperation:Monday-Friday,8a.m.-4p.m.
Eligibility.Registration,Waitlist:ChildrenwhoareresidentsofFairfaxCountyorFairfax City,andarebetween7thgrade(enteringFallof2018) and 8thgrade(enteringfallof2018),areinvitedtoparticipate.Thisprogramisdesignedformiddleschoolageyouth.Individualsareencouragedtoregisterearly.Studentswillbeplacedonawaitlistoncetheprogrammeetsits150-studentmaximumprogramcapacity.TheVIPCampsareheldinfivedifferentFairfaxCountyPublicSchools.
VIP Camp Supply Fee: There is a $50 VIP Camp Supply Fee that will be collected from all camp participants.Participants who submit the VIP Camp Registration Form will be notified if they have been accepted into camp or placed on a Wait List. Accepted participants will receive a confirmation letter/email indicating a due date for their VIP Camp Supply Fee along with further camp instructions. Payment will be due on the date listed in the confirmation letter. If payment is not received by that date, participants will forfeit their place in camp and will be replaced by a child from the Wait List in the order in which they are on the list, pending the payment of the camp fee.Please contact the After-School Program Specialist at your child’s school or the Teen Center Director with payment concerns.
Cash Refund Policy: To request a refund of the Camp Supply Fee that was paid by cash, contact the After-School Specialist at the VIP Camp Site prior to the cutoff date of Friday, June 22, 2018. Refund requests submitted after the cutoff date will not be considered. Refunds will be in the form of a check. Please allow 3-4 weeks for processing.
StaffingforV.l.P.SummerTeenPrograms:VIP campsare staffedbytheFCPSAfter-SchoolProgramSpecialists(ASPS),FairfaxCountyDepartmentofNeighborhoodandCommunityServices(NCS)staff,andothercountyagencies.
Breakfast/Lunch:Teensarestronglyencouraged to bringenoughhealthyfoodtolastthemthroughouttheday.Dailysnackswillbeprovidedatnocost.
Inclusion:FairfaxCountyandFairfaxCountyPublicSchools arecommittedtoinclusion.Ifyouhavequestions,pleasecallyourlocalschoolASPS.
CampDaysandHours:VIPCampswillbeopenfrom8:00a.m.to4:00p.m.fromMonday,July 2throughThursday,Aug. 2.TheCampisclosedonWednesday, July 4th ,observance Independence Day.
Transportation:
BetweenJuly 2nd throughAugust 2nd- Inthemorning,schoolbuseswillpickupVIPcampersfromselectelementaryschoolsandselectcommunitylocationsandtransportthemtotheTwainVIPCampsite.Intheevening,schoolbuseswilltransportstudentsfromtheVIPCampsitetoselectelementaryschoolsandcommunitylocations.
RegistrationFormIinstructionsforV.l.P.TeenSummerCamp
Aseparateregistrationformmustbecompletedforeachchild.
1. CarefullyreadtheRulesofConductincludedinthispacketwithyourchild.Pleasebesureyouandyourchildsignthe"SignaturePage"toshowyouragreementtoallrules,regulationsandpolicies.
2. Registration:CalloremailyourlocalASPSorFairfaxCountyTeenCenters(listedonthefirstpage)forfurtherinformation.
3.Parents/GuardiansarerequiredtoattendtheVIPCampPARENTOrientationSessioninorderfortheirchildrentoparticipateintheVIPTeenSummerCamp.ForVIPCampMark Twainwillbe at6:30p.m. atMark TwainMiddle School on: Tuesday, June 5, 2018.
Mark Twain Middle School
4700 Franconia Road
Alexandria, VA 22310
Section2:PoliciesandProcedures
Studentsandparentsafterreading-signonthesignaturepagetoshowagreement.
MedicalEmergency: Campemployeeshavepermission,intheeventIcannotbereachedreadilyin anemergency,atmyexpensetocontactourfamilyphysician,and/orutilizethemostconvenientrescuesquadvehicleorambulancetotransportmychildtothenearesthospital.
Permission: Iherebygrantpermissionformychildtoparticipateinanyoralloftheprograms,specialevents,walkingandbustrips,includingswimming, sponsoredbythecamp.Fieldtripformsandaweeklycalendarofactivitieswillbedistributed.
PhotoRe/ease:Bysigningthisform,Igivepermissionformychildtobephotographed and/orvideotapedforuseinpublicizingFCPS/NCSprogramsandservices.YouthregistrationinformationprovidedtotheVIPcampispublicrecordandassuchmaybereleasedundertheVirginiaFreedomofInformationAct(VFOIA)unlesstheparent/guardianspecificallyrequeststhatthisinformationnotbereleased.Pleasecheck here_ifyoudonotgrantthecamppermissiontoreleaseyourchild'sregistrationinformation.
Information: Inaccordancewiththe VirginiaPrivacyProtectionActof1976,therequestedinformationwillbeusedtocoordinateactivitiesofthisagency. IunderstandthatsomeoftheinformationcontainedinthisformmaybereleasedtopersonswhorequestsuchinformationinaccordancewiththerequirementsoftheVirginiaFreedomofInformationAct(VFOIA),VA.Code§2-2-3705. Asthisstatementindicates,notallinformationthecampcollectsissubjecttoavailabilityundertheVFOIA.
BehavioralIssues: Iftheactionsofachildmaycauseinjurytothemselves,otherparticipantsorstaff,campstaffreservestherighttodenyhis/hercontinuationintheprogram. If propertyisstolen,destroyedordamaged,paymentmayberequiredtopayforreplacementorrepairs. Pleasedonotbringanyvaluables(toincludeiPods,cellphones,camerasorotherelectronicdevices)tocamp.LossordamagestotheseitemsisnottheresponsibilitiesofFCPS/NCS.
Participation: V.I.P.isastructuredenrichmentandrecreationprogram. Parentsmaypicktheirchildrenupat anyportionoftheday. Thecomingandgoingofparticipantsistheresponsibilityoftheparents.Shouldachildleavethecampforanyreason,aparentwillbecontactedandthechildisnolongertheresponsibilityofthecampstaff.Ifachildmissesmorethantwoconsecutivedaysofcampactivitieswithoutpriorarrangementwithcampstaff thatslotwillbeassignedtothenextchildontheWaitList.
Transportation:TransportationtoandfromthecampwillbeprovidedbyFCPSandTeenCenterbusesfromselectedstopswithintheneighborhood.TransportationfromVIPcampstoanNCSteencenterat4:00p.m.willbeavailableuponrequestfromaparent.
FCPS Summer Academic or Enrichment Program- Should FCPS offer a summer remedial, academic or enrichment program, VIP will make every effort to accommodate those students attending that program in the morning who wish to also attend the VIP Summer Camp after the morning program ends. More details will be made available as any remedial, academic, or enrichment program is confirmed by FCPS.
ParentalResponsibilities: Transportationtoandfromthebuspick-up/drop-offsitesistheresponsibilityoftheparent/guardian. Parents/Guardiansmaytransporttheirchild (ren)to/fromthecamp. Parentsmusthavealternativetransportationarrangementsincaseofemergency,illness,ordisciplinaryproblems.Theprogramdoesnotopenuntil8a.m.andendsat4p.m.Parentsareresponsibleforprovidinglunchfortheirchild(ren)unlessotherwisenotified.
Liability: Onbehalfofmychild,IrecognizethattherearerisksinherenttoparticipationincampactivitiesandagreetoholdharmlessFCPS/NCS,itsofficers,employees,andvolunteersfromanyandallclaimsfrombodilyinjuryand/orpropertydamagewhichresultfrommychild'sparticipationinanyandallactivitiessponsoredbythesaidDepartment.
Section3: RulesofConduct
Studentsandparentsafterreading-signonthesignaturepagetoshowagreement.
Participants:
•Mustsigninandoutonthedaily attendanceform.Parentswillbecalledwhenachildsignsouttoanyoneotherthanaparent.
•Stayinyourassignedgroup.
•YoumustinformstaffbeforeleavingtheVIPTeenSummerCamp.
•Showrespectforothersinwhatyoudoandsay.
•Attendregularly.
•Beinvolved inasmanyactivitieseachdayaspossibleandencourage othersaswell.
•ListentotheVIPTeenSummerCampstaffandfollowdirectionscarefully.
•Maintainyourself-control. TheVIPTeenSummerCampstaffmemberwilllisten.
•Takecareofyourpersonalbelongings.Nopocketknivesorharmfulweaponswillbeallowedintoourprogram. Allelectronicdevicesshouldbeleftathome(i.e.iPods,cellphones).VIPisnotresponsibleforthelossofanyoftheseitems.
•Useequipmentandsuppliesappropriatelywithoutdestruction.
•Havefun!
Parents:
•Must attendtheVIPTeenSummerCampParentOrientationSession- Tuesday, June 5th@ 6:30
•SupporttheVIPcampstaffandworkwiththemtoresolvedisciplinaryproblems.
•Understandthatthecomingandgoingofyourchildisaparent'sresponsibility.
•UnderstandthatVIPCampsdonotopenuntil8:00am.
•UnderstandthatVIPCampsdonotprovidedANYextendedsupervisionafterthe4pmcampend-time.
•Makearrangementsforthechildtobepickedupintheeventofsickness,uncontrolledbehaviors,orotheremergencyneeds.
TerminationofService/IneligibleforServices:
•Thechild'sactionscauseinjurytoself,peers,orstaff.
•Ifthechildexhibitsinappropriatebehaviorswhichmayinhibitparticipationinactivities.
•Ifthechildengagesinrepetitive,aggressive,harmful,ordisruptivebehavior.
•If thechildfailstofollowthegeneralrulesofconduct.
•Ifthechildisinvolvedintheftofanykind.
•Ifthechildengagesinanydrugrelatedactivity(ATOD).
•Ifthechildisinvolvedwiththedestructionofschoolproperty.
•Thechilddoesnotmeettheeligibilitycriteriafortheprogram.
BehaviorGuidanceandManagement
FromtimetotimetheVIPTeenSummerCampprogramstaffmusttakeactionstoresolveaproblemthatisdisruptivetotheprogramandotherparticipants. Behaviorguidancerequiresveryspecializedskills. Weappreciateyoursupportasstafftrytofindasolutionthatpromotesnon-disruptivebehaviorandallowsyourchildtoparticipatewithoutincidentintheactivities. Staffmembersuseaproactiveapproachtomeettheneedsofthechildrenbyplanningageandabilityappropriateactivities,selectingavarietyofplayandrecreationactivities,discussingtheneedsofthechildrenwiththeirparents,andevaluatingtheentireenvironment. Thesafetyoftheparticipantsandstaffisofparamountconcern.
Section4:Student Information
AseparateformmustbecompletedforeachFCPSMiddleSchoolstudent. Parents/guardiansmustregistertheirchild(ren)tobeeligibletoparticipate.
Pleaseprintlegibly:
Student'sFCPS#number------
Student'sFCPSSchool in Fall- 2018-2019
------FamilyPhysician:
Phone: ------
OtherInformation:
Allergies: beestings insectbites foods
Child’s Name ______
BirthDate:Grade(infall):_Sex:_
Other:
------
StreetAddress:------
City:State:Zip:_
NameofParent/Guardian:
Medication:
Name/Type:_
For: ------
DaytimePhone:--
Work Phone______
-
Restrictions:------
*Required Email: ------
EmergencyContact & Phone: (Required)
NameofChild'sCurrent School:------
Public Private parochial homeschool
Childwillbe:
Walking biking transportedbyFCPSbustoprogram.
MychildisonanIEP(check one) Yes No
OtherHealthRelatedInformation:
PleasechecktheboxfortheprogramdatesyourteenwillbeattendingtheVIPcamp:
Weekl / July 2- July6(Closedon July4) / Week4 / July23-July27
Week2 / July9-July13 / Week5 / July 30–August 2
(ClosedonAugust 3)
Week3 / July16-July20
Youwillbecontactedviaemailortelephonetoconfirmyourchild'sacceptanceorpositiononthewaitlist
Section 5
*ChildSport Preference Information
Pleaseindicateyourchoicesbyselecting4differentactivitiesintheorderofpreference:
FirstChoice (select one)Second Choice(select one)
______Basketball _Basketball
FlagFootball FlagFootball
MixedSports MixedSports
SoccerSoccer
ThirdChoice (select one)
Basketball
FlagFootball
MixedSport
Soccer
FourthChoice(select one)
Basketball
FlagFootball
MixedSports
Soccer
It is recommended that you discuss participation selection with your child to ensure a pleasurable camp experience.
Aconfirmationofyourteens'enrollmentstatuswillbemailed/emailed. Pleasemakesureyoubringtheconfirmationonthefirstdayofcampon(Monday, July 2).
Youwillbecontactedvia*emailtoconfirmyourchild'sacceptanceorpositiononthewaitlist
Section 6
SIGNATUREPAGE
Pleasecheckallboxesofthesectionsyouhaveread:
Section1:ProgramDaysandHoursofOperation
Section2:PoliciesandProcedures
Section3:RulesofConduct
Section4:StudentInformation
IcertifythatmychildandIhavereadandunderstandallpoliciesandproceduresoftheV.l.P.TeenSummerCamppacketwhichareassociatedwiththeoperationoftheV.l.P.TeenSummerCampprogramandhavebeenmadeawareoftheV.l.P.TeenSummerCampprogramrulesincludingFCPSStudentRightsandResponsibilities.
StudentName(Printed)_
StudentSignature_Date_
Parent/GuardianName(Printed)_
Parent/GuardianSignatureDate_
ReturnthisSections (4-6) andtheStudentInformationpagetoyourlocalmiddleschoolAfterSchool Specialist.