Muhlenberg Summer Day Camp
June 12 through August 24
Camp start date may be subject to change.
For Youth ages 6 through 12
Open Monday through Friday from 9:00 AM to 3:30 PM
$25 registration fee per child for summer 2016
Fee covers camp T-shirt and supplies
$100 per week
Fee includes all field trips, swimming, bowling, and activities
All campers should bring a bagged lunch
Extended Care is Available
Open Monday through Friday from
6:00 AM to 9:00 AM and 3:30 PM to 6:00 PM
$48 per week additional fee
Weekly Themes:
Week #1- We are “Camp” FamilyWeek #6- Wacky and Wonderful
June 12-16July 17-21
Field Trip to Berks County Heritage Center Week #7- Take Me Out to the Ball Game
Week #2-Animation CreationJuly 24-28
June 19-23Field Trip to a Reading FightinPhils Game
Week #3-Noah’s Ark Week #8-Medieval Times
June 26-30July 31- August 4
Field Trip to ZooAmerica Field Trip to the PA Renaissance Faire
Week #4- Artful Antics Week #9- Summer Camp Mash-Up
July 5-7(We will be closed July 3rd and 4th)August 7-11
Price adjusted to $75.00 for camp Week #10- Heart of a Champion
Week #5-I Scream, You ScreamAugust 14-18
July 10-14Field Trip to Lincoln Financial (Tentative)
Field Trip to Turkey Hill Experience
Week # 11- Bon Voyage
August 21-24(Closed Friday August 25) $80.00
2017 Muhlenberg Summer Day Camp
Registration Form
Child’s Name: ______
Address: ______
City: ______Zip Code: ______
Home Phone Number: ______Birth Date: ______Gender: Male
Special Health Needs/Allergies: ______Female
Parent/Legal Guardian: ______Email: ______
Work Phone: ______Cell Phone: ______
Emergency Contact & Authorized Pick-Up:
Name: ______Phone #: ______
Name: ______Phone #: ______
Child’s T-Shirt Size: Youth Small Youth Medium Youth Large
Adult Small Adult Medium Adult Large Adult XL
I would like to purchase an additional t-shirt for my child. ($10.00)
Please check which weeks your child will be attending:
We are “Camp” Family – June 12-16 Take me out to the Ball Game– July 24-28
Animation Creation– June 19-23 Medieval Times- July 30- August 4
Noah’s Ark – June 26-30 Summer Camp Mash-Up- August 7-11
Artful Antics– July 5-7 Heart of a Champion- August 14-18
I Scream, You Scream– July 10-14 Bon Voyage -August 21-24
Wacky and Wonderful – July 17-21
I am planning on using Before and After Camp Extended Care
Early Bird Registration Special
Register by May 15th and PICK YOUR DISCOUNT:
- For every week you check off and your child participates, you will receive a $5.00 credit only towards the Week #10 fee (up to a $50 value)
- Sign-up and participate in ALL 11 Weeks and receive the 10th week of camp FREE with your prepayment of week #11
(This includes the camp rate of $100 and NOT Before and After Care costs)
Permission for Transportation:
I do I do not give permission for Good Shepherd to transport my child to and from field trips.
Permission for Swimming:
I do I do not give permission for Good Shepherd to take my child swimming.
Swimming Ability of Your Child: Non swimmer Beginner Advanced
Authorization of Emergency Medical Attention:
I give my consent for any and all necessary treatment to be given to my child when in the care of a physician and/or a hospital.
Parent’s Acknowledgement:
I agree to allow my child to participate in the Muhlenberg Summer Day Camp at Good Shepherd Evangelical Church, and I understand that all precautions will be taken to insure the safety of my child. I hereby release the church, its staff, and volunteers of all liabilities resulting from any of these activities. I also give the church and the camp the permission to use photographs of my child for camp use including advertisement and promotion.
______
Parent/Legal Guardian Printed Name Parent /Legal Guardian Signature Date