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SUMMER 2014
Summer Camp Parent Manual TradiƟonal Camps * Specialty Camps * Peck Farm Camp Coyote Camps
710 Western Avenue, Geneva, IL 60134 * 630-232-4542 * genevaparks.org
Dear Summer Camp Parents:
Welcome to Summer Camp 2014! As
the start of camp draws near, the staff
at the Geneva Park District are busy
making final plans for our summer
camps. We have planned a very exciting summer and look forward to meeting you and your child. In this letter,
you will find all the information you will
need prior to the start of camp. Thank
you for taking the time to read this information. We hope that this information is helpful to you and that the
camp experience is great for you and
your family. As always, if you have any
questions, please don't hesitate to
contact us at 630-232-4542.
Sincerely,
Kelly Rathke, Recreation Supervisor
Kim Bohannon, Peck Farm Camp Director
Enclosed you will find a
“Registration Form &
Emergency and Release
Form.” You must return
these forms to complete
your registration. If you feel that
there is any additional information
that we should be aware of, please
contact Kelly at the Park District
office at 630-232-4542.
All parents and campers are strongly
encouraged to attend.
We will introduce all camp staff,
go over the daily and weekly camp
schedules and review all camp rules.
Thursday, May 29
6:30pm-7:30pm open house
at Sunset Community Center
710 Western Avenue.
Program Philosophy
The mission of the Geneva Park District is to provide residents of all ages in the
community with recreational programs, facilities and open space that enhances
their quality of life. The focus of our summer camps is to provide opportunities
to participants that allow personal growth by developing a positive self image,
as well as treating others with respect. Additionally, participants learn to appreciate diversity, develop leadership and other skills through a variety of outdoor
activities and experiences. All of the camps incorporate the “Character
Counts:” philosophy and the benefits of a healthy lifestyle. It is the primary goal
of the Geneva Park District to make sure camp is a fun and enjoyable environment for each participant. The experiences and bonds that are formed at camp
will last them a lifetime.
We hope you enjoy what our camps have to offer! We are continually striving to
make camp a great experience for all participants.
Camps are staffed with high school students, college students and adults.
They have been trained in activity planning, principles of supervision, behavior
management, basic first aid, severe weather spotting and more.
Registration Policy
It is our goal to accommodate as many families as possible. The
Geneva Park District reserves the right to adjust locations based
on availability of space, staff and enrollment in order to maintain
the safety, structure and integrity of the program as a whole.
 All registration must be accompanied by full and proper payment per registration forms.
 Summer camps offer priority registration to current participants and their siblings in the Kids’ Zone programs.
 Special needs accommodations can be made to assist your
child. Please notify us as soon as possible to be able to secure the appropriate accommodations.
Registration Procedure
All registrations are subject to acceptance based on program
availability, proper completion of registration material, payment
status / history and Park District’s ability to meet any special
needs the participant may have.
Online registration is NOT available for the camp programs.
In order to register:
 Complete and sign proper registration and emergency forms
for each child (forms are located at the end of this packet).
 Include full payment prior to program deadline.
 Pay all outstanding fees due to any and all Kids’ Zone program or any other Park District programs and remain in
good financial standing with the Geneva Park District.
 Must register and turn in forms at least 48 business hours
before desired start date to process.
 Waitlists may be formed when program reaches maximum
participant capacity.
Special Needs
The Geneva Park District believes in the right to an
excellent recreational experience for all individuals
from all backgrounds and ability levels.
If your child has any special medical, physical, psychological and/or emotional need or receives special services from the school district, please list in detail on
the registration material. Lack of information may
adversely affect the park district’s ability to accommodate the needs of your child. All participants must be
toilet trained and are responsible for their own toileting needs. Please allow at least 2 weeks for all requests.
Medical Treatment Policy
Your child’s well-being is our main concern. The medical portion of the emergency form must be completed. Please list any/all conditions that may affect your
child during camp hours, ie. asthma, allergies, (bee
stings, peanuts, craft item’s, etc.), appropriate use of
inhalers and any information you feel is important.
Camp Staff is not medical personnel. Medications
cannot be administered to the participant without
written consent from the parent / guardian and require a doctors signature. Camp Staff is trained in
basic first aid and CPR and will take appropriate action when necessary. If emergency services personnel are deemed necessary by staff, the expense will
be the responsibility of the camper’s parent / guardian.
Refund Policy
Refunds for camp sessions will be given only for Refund Requests submitted 10 business days prior to the start of a session or for an extended medical leave (5 or more consecutive
days) with a doctor’s note. Refunds or credits will not be given
for vacation, illness, extracurricular activities, disciplinary reasons or other temporary childcare arrangements.
Tax Information
The Geneva Park District tax identification number is 36-6008378. The Geneva Park District will supply year-end tax information. Any questions regarding tax information, please contact
Dawn Flesvig at 630-262-2220.
Emergency and Release Form
Only authorized individuals listed on each participants “Emergency and Release Form” will be permitted to sign a child
out. Any adult (parents included) must be prepared to show a picture ID when picking up a child. If under 18, must be
able to show a valid, high school photo ID.
Change of Information:
If a parent needs to change any pertinent information, such as phone numbers, address, marital status or adding someone to the authorized pick up list, a “Change of Information Form” must be completed. Only the parent/guardian who
completed the original forms can authorize these changes. These forms are available at the site. Parents/ guardians are
responsible for informing staff of any changes to primary custody, restraining orders or any other situations or changes
that may affect the participant.
Drop Off Policy
Although the staff may arrive at the site prior to the program start time, they are not permitted to accept participants before the scheduled start time. Children must be accompanied by a parent or authorized adult and they must sign their
child(ren) in on the Sign In/Out form each day.
Pick up Policy
Participants must be signed out from Camp by a parent or an authorized adult. No child will be released to an individual
whose name does not appear on their Emergency and Release form and under no circumstances is a child allowed to
leave the program unescorted. Staff may ask to see a photo ID of anyone picking up the child, including parents. If someone is going to pick up the child that is not on the list and it is a one time occurrence, you must send in writing a letter authorizing the adult to pick up in advance. If a parent needs to add someone to the “Emergency and Release” form, a
“Change of Information” form must be filled out. The only person who may make changes is the parent/guardian who filled
out the original forms. In the event that you will not be able to pick up your child by the program end time, please notify the
park district immediately.
* Only participants who are 10 years old and older are able to sign themselves out, and only if indicated on the emergency
form (special section to be signed).
Late Pick up Fee
The pick up time will be strictly enforced. If the parent is unable to pick up their child by the program end time, it is the
parent’s responsibility to make other arrangements. Any pick up after program end time will result in a late fee of $5.00
for the first ten minutes and then $1.00 per minute after the first ten minutes will be charged if you are late picking up.
After 30 minutes and all emergency listings have been called, staff will notify the local Police Department. The child will be
transported by the Police to the Police Station. A late form will be filled out and turned into the office where you will be expected to pay your late payment, before your next camp session begins. If unpaid, your child will not be able to participate
in the next session. If late pick up becomes a habit, you run the risk of your child being dismissed from the program.
Illness and Injury
Healthy Kids Policy:
 If a child becomes ill during the program, a parent will be notified and asked to pick up the child as quickly as possible.
The child must be fever free for 24 hours before returning to the program. If a child vomits, they must go home immediately. if a parent is unable to pick them up, the emergency contacts will be called.
 We ask that you be considerate of other children and staff and keep your child home if they show signs of illness.
 In case of a contagious disease, please notify Camp Staff immediately. All parents at that site will be notified as soon
as possible.
 A child must receive appropriate treatment, depending on the condition, before returning to the program and may require a medical release from a physician.
 Paramedics (911) will be called to handle serious injuries. If your child needs emergency medical care, we will accompany them and a parent/guardian must meet us at the medical facility immediately.
Notification of Medical Attention:
 Any minor injury/illness, we will only administer basic first aid such as band-aid or ice pack and you will be
notified when you arrive.
 In the case an injury/illness requires more attention; we will administer first aid and contact the parent or
the emergency contacts in the event you are unreachable. An accident report will be completed, as well.
If necessary, we will contact emergency services and participant will be transported to the nearest hospital.
Dispensing Medication
Strict policies have been put in place regarding the dispensing of medication to participants. These policies
must be followed if a participant is required to receive medication while in the program. This includes restrictions for any
over the counter medications (including cough drops and pain relievers) and any prescription medication. Parents/
Guardians are required to complete a “Request to Administer Medication Form” for any and all medication to be administered to participants by the camp staff or the participants themselves. This form requires the doctors signature.
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All medication in the original container with the prescription label must include patient’s name, physician’s name, pharmacy name, name of medication and complete dosage information. Each day the proper dosage should be sent in the
original container. If original container is not available, parent should try to obtain a new one from physician or pharmacy.
Parent/Guardian must sign and complete a Request to Administer Medication form. This form requires the doctors
signature.
Medication will be stored in locked area at temperature consistent with package instructions. If program is outside,
medicine will be in the first aid kit.
Students are not allowed to keep medication with them; even inhalers must be kept locked up with other medicine. If
a child is administering the inhaler themselves, they will simply ask the staff when needed.
*Staff are not allowed to dispense medication via injections*
Medication cannot be administered without a doctor’s signature on the Request to Administer Medication Form.
Full Day Camps please send peanut-free snack, lunch and refillable water bottle.
Half-day camps please send peanut-free snack and refillable water bottle.
Snack/Lunches – Lunches and snacks are not provided at any of our day camps. For the safety of all
participants, they will need to bring a peanut-free lunch and/or snack and drink each day. Please
make sure their lunch, snack and drink is clearly marked with their name. Please send your child
with a reusable water bottle every day. For camps with field trips days, please be sure to send a sack
lunch unless otherwise noted.
Attire – Campers should wear socks and gyms shoes everyday. For safety reasons, open toed shoes and bare feet
are not allowed. Campers play a variety of games and activities, please be sure to send children in play clothes.
Please have your child wear their swimsuit under their clothes, and bring a towel and sunscreen on swim or water
days. On field trips days, campers should be sure to wear their camp shirts. Be sure to label all of your child’s belongings.
Sunscreen/Bug Spray – All campers are required to supply their own bottle of sunscreen and/or bug spray, due to
allergic reactions. Please make sure to mark their name on the bottle. Campers should apply sunscreen and/or bug
spray prior to arrival at camp. Reapplication reminders will occur at several points throughout the day to ensure protection.
SPECIAL NOTE:
Please do not send your camper with technological devices (ex. MP3 players, iPods, handheld Nintendo games, cell
phones, etc.). There is no need for campers to bring these items to camp. Please be aware that if items are brought to
camp, they are the responsibility of the camper, NOT the Park District. The Park District is not responsible for damaged,
lost or stolen items.
Camp Calendar
At Meet the Counselors Night, parents will receive a final camp calendar. The camp calendar will be available on our
website at www.genevaparks.org and will also be available at your child’s camp. These calendars contain important
information. The camp calendar will show what themes and activities are being planned each week and the locations of
field trips!
Weekly Newsletters / Special Reminders
Throughout the summer, weekly newsletters may be posted on our website at www.genevaparks.org to inform you of
the week’s activities and if the campers need to bring anything specific to camp on certain days (ex. water days, field
trips, etc.) Special reminders may be sent home with the campers as well.
Supplies
Occasionally, camp staff will ask campers to bring items from home. Typically we need recyclable items for art projects.
This information will be requested in the Newsletter or Special Reminders.
Field Trip Information
Most camps do travel, whether it is going to a park, Sunset Pool or on field trips. Campers MUST wear their camp shirts to
attend a field trip. Campers will be transported via school bus with the assistance of the park district buses or vans on
occasion. When participants are bussed for a program, parents will not be able to drop off or pick up at the field trip location they are being bussed to. All drivers have completed background checks and have obtained all certifications and licenses necessary to operate the vehicles.
Late Returns
Camps may leave camp locations for pool, parks and fieldtrips. Please see camp calendar for details.
From time to time, due to weather, traffic or various other reasons they may be late in returning to the
site. In the event they anticipate running more than 15 minutes late, they will contact the park district, who will then make phone calls to inform parents. Please update your emergency phone numbers with the Geneva Park District.
General Safety Rules and Policies
 Children should wear gym shoes every day to allow full participation in the activities.
 Only Geneva Park District staff, current participants, parents/guardians, invited special guests and adults on the
emergency release form will be allowed on camp boundaries during program hours.
 No electronics, iPods, cell phones or handheld games will be allowed.
 No clothing that depicts violence or inappropriate themes.
 Personal belongings and toys from home are not allowed. Staff is not responsible for lost or stolen items and
reserves the right to restrict or confiscate inappropriate toys.
Weather
All camps will be held rain or shine! Please call the Sunset Community Center in case of severe weather conditions.
In cases of extreme heat, staff will take proper precautions ensuring frequent water breaks, shade, limit physical activity and may be relocated to an air conditioned location for a brief period during the day. Campers will be exposed
to sun and bugs. Please apply sunscreen and bug spray before camp.
Park District Photo / Video Disclaimer
All participants permit the taking of photos
and/or video of themselves and their children
during Park District activities, programs, events,
and facilities for publication and use as the
Park District deems necessary in marketing materials. If you and
your child do not wish to be photographed or videotaped, a written objection must be filed with the Park District.
Camp Evaluations
Parents and campers will be surveyed at the end of
each session. The camp evaluation is the park district’s
main tool for assessing your level of satisfaction. A link
to the camp evaluations will be sent out via email.
Please make sure we have your current email on file! If you do
not have email, you will be able to pick up a hard copy of the
evaluation at the end of each session.
Water Day Information
Please send your child in their bathing suit (under
clothing) with a towel on water days. Please see
camp calendar for water day dates.
We have implemented a colored wristband system
to assist camp counselors and lifeguards in knowing
your child’s swimming abilities while at the pool.
Note: Although we will only go to the pool on designated days, we may have water activities at the
park. If noted in the newsletter, please send your
child in appropriate attire.
In addition, camps may attend water park field
trips—see camp calendar for details.
Special Pool notes:
 Campers are not allowed to hang on counselors.
 All campers will be swim-tested by park district
staff to determine their swim ability at the beginning of each session.
 For the safety of your child, lifeguards have final
say of camper’s swimming ability.
 Campers who do not adhere to the rules of the
facility may lose their aquatic privileges.
Code of Conduct
The following policies have been established for the benefit of the program. These rules apply to all participants and their
parents/guardians.
 No bullying, verbal or physical abuse, threatening, obscene, disrespectful or physical violence will be tolerated.
 All threats and threatening behavior will be taken seriously and reported appropriately.
 Participants must show respect to all staff, participants, all property, equipment and facilities.
 There may be no physical contact with any other participants or verbal or physical harm.
 Participants may not place themselves or others in dangerous situations through actions or behavior.
 No weapons or items that may be used as weapons may be brought to the program.
 Participants may not leave the program area without permission.
 Participants are responsible for their actions and belongings (Bags, jackets, school supplies, items brought from home
with permission, etc.)
 Please note: cell phones and other electronic devices will not be allowed at the program.
 No refunds will be issued for suspensions.
Discipline Policy
Expectations for Campers:
 Keep hands and feet to self.
 Talk to others (campers and staff) with respect.
 Listen attentively when spoken to.
 Treat all park district material and property with care.
 Be safe while having fun.
It is our philosophy for discipline to teach participants to take responsibility for their own actions. We try to accomplish
this through using specific directions, redirecting a child, positive reinforcements, motivation and leading by example.
Since each participant has different ways of learning, several different methods may be used.
1st Offense – Verbal Warning (depending on the severity, several warnings may be given)
2nd Offense – A behavior report will be filled out and filed with the Recreation Supervisor and the parents/guardian. The
parents will be required to sign the report, which will remain in the participants file. The staff will work with the participant
and parents to correct the behavior. (This may be issued immediately, without warnings for serious infractions.)
3rd Offense – Suspension- the participant will be suspended from the program for one to three days. The suspension will
be in effect the first day following the offense. The parent will be notified by the Camp Director or the Recreation Supervisor. Upon return from a suspension, if behavior continues, the Recreation Supervisor may permanently suspend a participant from the Camp program.
Depending on the situation and the degree of the offense, the participant may be permanently dismissed from the program following the issuance of a behavior report. There will be no refunds for days missed due to disciplinary infractions.
At Summer Camp, we hold a “Zero Tolerance to Violence” policy. A participant that is physically or verbally abusive to another participant, volunteer or Park District staff will be immediately suspended without any prior warning. No bullying,
verbal abuse, threatening or physical violence towards Park District staff, FVSRA staff or any participant will be tolerated.
All threats and threatening behavior will be taken seriously and will result in an immediate suspension and possible dismissal from the program.
Communication with Camps and Administrative Staff
If you have any questions please do not hesitate to contact us.
Administrative Staff
Kelly Rathke, Recreation Supervisor
(630)262-2201 krathke@genevaparks.com
Recreation Coordinator
(630)262-2210
Trish Burns, Peck Farm Park Manager
(630)262-8244 tburns@genevaparks.com
Kim Bohannon, Summer Camp Director
at Peck Farm
630-262-8244 kbohannon@genevaparks.com
Dawn Flesvig, Customer Service
& Accounting
(630)262-2220 dflesvig@genevaparks.com
SCC (Sunset Community Center)
(630)232-4542 Fax: (630)232-4569
SPRC (Stephen Persinger Rec Center)
(630)232-4501 Fax: (630)232-4502
PFIC (Peck Farm Interpretive Center)
(630)262-8244 Fax: (630)232-6435
Camp cell phones are only on during camp hours. Staff may not be able to answer immediately.
Please leave a message or contact Administrative Staff.
Camp
Safari Camp
Voyager Camp
Explorer Camp
Adventure Camp
Teen Xtreme Camp
Peck Farm Camps
Specialty Camps
Cell Phone
(630)947-2560
(630)945-5626
(630)947-4276
(630)945-5043
(630)947-9540
(630)262-8244
(630)232-4542
Location
Friendship Station Preschool, 1415 Viking Drive Suite 100
Sunset Community Center, 710 Western Avenue
Western Avenue School, 1500 S. Western Avenue
Harrison Street School, 201 N. Harrison
SPRC, 3507 Kaneville Road
4038 Kaneville Road
Miscellaneous locations, see park district brochure for details.
Participants may not use personal cell phones at the camp.
Gym shoes & socks
Water bo le
Lunch
Snacks
Spray‐on sunscreen & bug spray
Backpack to keep your belongings in 
VOYAGER CAMP (Grades K-1)
Regular
Camp Hours
Extra Hours
Session
Dates
8:30am3:30pm
Code #
Fee
6:30-8:30am
& 3:30-6pm
Code #
Fee
1
June 9-13
102310
R $110 (N/R $130)
102259
R $35 (N/R $52)
2
June 16-20
102311
R $110 (N/R $130)
102260
R $35 (N/R $52)
3
June 23-27
102312
R $110 (N/R $130)
102261
R $35 (N/R $52)
June 30-July
3
102313
R $90 (N/R $110)
102262
R $28 (N/R $42)
4
5
July 7-11
102314
R $110 (N/R $130)
102263
R $35 (N/R $52)
6
July 14-18
102315
R $110 (N/R $130)
102264
R $35 (N/R $52)
7
July 21-25
102316
R $110 (N/R $130)
102265
R $35 (N/R $52)
8
July 28-Aug 1
102317
R $110 (N/R $130)
102266
R $35 (N/R $52)
9
Aug 4-8
102318
R $110 (N/R $130)
102267
R $35 (N/R $52)
10
Aug 11-15
102319
R $110 (N/R $130)
102268
R $35 (N/R $52)
Fee
6:30-8:30am
& 3:30-6pm
Code #
Fee
(no camp 7/4)
Voyager Camp Details
 1 week sessions
 No Camp 7/4/14
 Location: Sunset
Community Center,
710 Western Ave.
 Ratio 1:7
 Trips: only local.
Wheeler Park &
Moore Park
Sprayground.
 Drop off between 88:30am / Pick up
between 3-3:30pm
 Extended hours are
available for an
additional fee.
EXPLORER CAMP (Grades 2-3)
Regular
Camp Hours
Extra Hours
Session
Dates
8:30am3:30pm
Code #
1
June 9-13
102227
R $110 (N/R $130)
102270
R $35 (N/R $52)
2
June 16-20
102228
R $110 (N/R $130)
102271
R $35 (N/R $52)
3
June 23-27
102229
R $110 (N/R $130)
102272
R $35 (N/R $52)
June 30-July
3
102230
R $90 (N/R $110)
102273
R $28 (N/R $42)
4
5
July 7-11
102231
R $110 (N/R $130)
102274
R $35 (N/R $52)
6
July 14-18
102232
R $110 (N/R $130)
102275
R $35 (N/R $52)
7
July 21-25
102233
R $110 (N/R $130)
102276
R $35 (N/R $52)
8
July 28-Aug 1
102234
R $110 (N/R $130)
102277
R $35 (N/R $52)
9
Aug 4-8
102235
R $110 (N/R $130)
102278
R $35 (N/R $52)
10
Aug 11-15
102236
R $110 (N/R $130)
102279
R $35 (N/R $52)
(no camp 7/4)
Explorer Camp Details
 1 week sessions
 No Camp 7/4/14
 Location: Western
Avenue School,
1500 S. Western
Ave (session 10 will
be held at Sunset
Community Center)
 Ratio 1:8
 Trips: one field trip
per week. As well
as local parks and
Sunset Pool. (see
schedule when published.)
 Drop off between 88:30am / Pick up
between 3-3:30pm
 Extended hours are
available for an
additional fee.
Updated 3/3/14
ADVENTURE CAMP (Grades 4-5)
Regular
Camp Hours
Extra Hours
Session
Dates
8:30am3:30pm
Code #
Fee
6:30-8:30am
& 3:30-6pm
Code #
Fee
1
June 9-13
102208
R $110 (N/R $130)
102238
R $35 (N/R $52)
2
June 16-20
102209
R $110 (N/R $130)
102239
R $35 (N/R $52)
3
June 23-27
102210
R $110 (N/R $130)
102240
R $35 (N/R $52)
June 30-July
3
102211
R $90 (N/R $110)
102241
R $28 (N/R $42)
4
5
July 7-11
102212
R $110 (N/R $130)
102242
R $35 (N/R $52)
6
July 14-18
102213
R $110 (N/R $130)
102243
R $35 (N/R $52)
7
July 21-25
102214
R $110 (N/R $130)
102244
R $35 (N/R $52)
8
July 28-Aug 1
102215
R $110 (N/R $130)
102245
R $35 (N/R $52)
9
Aug 4-8
102216
R $110 (N/R $130)
102246
R $35 (N/R $52)
10
Aug 11-15
102217
R $110 (N/R $130)
102247
R $35 (N/R $52)
(no camp 7/4)
Adventure Camp Details
 1 week sessions
 No Camp 7/4/14
 Location: Harrison
Street School, 201
N. Harrison (session
10 will be held at
Sunset Community
Center)
 Ratio 1:10
 Trips: one field trip
per week. As well
as local parks and
Sunset Pool. (see
schedule when published.)
 Drop off between 88:30am / Pick up
between 3-3:30pm
 Extended hours are
available for an
additional fee.
TEEN X-TREME CAMP (Grades 6-8)
Regular
Camp Hours
Session
Dates
7:30am5pm
Code #
1
June 9-13
102299
R $145 (N/R $165)
102249
R $12 (N/R $18)
2
June 16-20
102300
R $145 (N/R $165)
102250
R $12 (N/R $18)
3
June 23-27
102301
R $145 (N/R $165)
102251
R $12 (N/R $18)
June 30-July
3
102302
R $125 (N/R $145)
102252
R $10 (N/R $15)
4
5
July 7-11
102303
R $145 (N/R $165)
102253
R $12 (N/R $18)
6
July 14-18
102304
R $145 (N/R $165)
102254
R $12 (N/R $18)
7
July 21-25
102305
R $145 (N/R $165)
102255
R $12 (N/R $18)
8
July 28-Aug 1
102306
R $145 (N/R $165)
102256
R $12 (N/R $18)
9
Aug 4-8
102307
R $145 (N/R $165)
102257
R $12 (N/R $18)
10
Aug 11-15
102298
R $145 (N/R $165)
102248
R $12 (N/R $18)
Extra Hour
Fee
5-6pm
Code #
Fee
(no camp 7/4)
Teen X-treme Camp
Details
 1 week sessions
 No Camp 7/4/14
 Location: SPRC,
3507 Kaneville Rd.
 Ratio 1:12
 Trips: two field trips
per week. As well
as local parks and
Sunset Pool. (see
schedule when published.)
 Extended hour is
available for an
additional fee.
Updated 3/21/14
SPECIALTY CAMPS INCLUDING PECK FARM CAMPS (June 2014)
Dates
Days
Age
Camp
Time
Code #
Fee
Location
June 2-12
M-Th
11-15
Leadership
10am-3pm
104022
R $180 (N/R $200)
Cancelled due to snow days
June 9-12
M-Th
3-5
Storybook
Adventures
10am-noon
104010
R $40 (N/R $60)
TBA
June 9-13
M-F
5-8
Pretty Princess
9am-3pm
102283
R $140 (N/R $160)
SPRC
June 9-13
M-F
5-7
*Lunch Bunch
Noon-1pm
103963
$10 per child
PFIC
June 9-13
M-F
5-7
Creatures of the Sky
9am-noon
102992*
R $65 (N/R $73)
PFIC
June 9-13
M-F
5-7
Buggin’ Out
1-4pm
103833*
R $65 (N/R $73)
PFIC
June 9-13
M-F
8-11
Peck House on the
Prairie
9am-4pm
103895
R $140 (N/R $160)
PFIC
June 9-10
M-TU
13-16
CIT Mandatory
Training
10am-4pm
102219
R $50 (N/R $70)
SCC
June 10-July 3
Tu/Th
4-5
Little Explorers
9-11am
103100
R $40 (N/R $47)
PFIC
June 10-July 3
Tu/Th
4-5
Little Explorers
1-3pm
103101
R $40 (N/R $47)
PFIC
June 11-27
W-F
M-F
13-16
CIT
(Training is required)
8:30am3:30pm
102220
R $95 (N/R $112)
SCC
June 16-20
M-F
5-10
*Lunch Bunch
Noon-1pm
106313
$10 per child
PFIC
June 16-20
M-F
5-7
Prairie Pirates
9am-noon
103028*
R $65 (N/R $73)
PFIC
June 16-20
M-F
5-7
Water Wizards
1-4pm
103841*
R $65 (N/R $73)
PFIC
June 16-19
M-Th
7-11
104018
R $40 (N/R $60)
SPRC
June 16-20
M-F
8-10
Eco-Avengers
9am-noon
103897*
R $65 (N/R $73)
PFIC
June 16-20
M-F
8-10
Unsolved Mysteries
1-4pm
103899*
R $65 (N/R $73)
PFIC
June 16-26
M-Th
11-15
Leadership
10am-3pm
104023
R $180 (N/R $200)
TBA
June 23-26
M-Th
3-5
Short Sports
10am-noon
104011
R $40 (N/R $60)
TBA
June 23-27
M-F
5-7
Nothing But Sports
12-4pm
102282
R $70 (N/R $90)
SPRC
June 23-27
M-F
5-7
*Lunch Bunch
Noon-1pm
106314
$10 per child
PFIC
June 23-27
M-F
5-7
Little Peck House on
the Prairie
9am-noon
103836*
R $65 (N/R $73)
PFIC
June 23-27
M-F
5-7
Creatures of the Sky
1-4pm
102993*
R $65 (N/R $73)
PFIC
June 23-27
M-F
8-11
CSI: Wildlife
Detectives
9am-4pm
103851
R $140 (N/R $160)
PFIC
June 23-26
M-Th
9-11
Decades of Fun
9-11am
104020
R $40 (N/R $60)
SPRC
June 23-27
M-F
13-16
Safety First
1-5pm
104029
R $176 (N/R $196)
TBA
June 30-July 3
M-Th
7-11
Zoo-pers
9am-4pm
102322
R $112 (N/R $132)
SPRC
June 30-July 2 M,T,W
8-11
Nature Photography
Mini-Camp
9am-noon
103907
R $65 (N/R $73)
PFIC
Nature Photography
Mini-Camp
1-4pm
103909
R $65 (N/R $73)
PFIC
June 30-July 2 M,T,W 12-14
Go Green, Play Green 10am-noon
*Please note: Lunch Bunch is only for camps offered at PFIC and children must be enrolled in Morning AND afternoon session.
Updated 3/21/14
SPECIALTY CAMPS INCLUDING PECK FARM CAMPS (July 2014)
Dates
Days
Age
Camp
Time
Code #
Fee
Location
July 7-11
M-F
3-5
My Little Princess
12-3pm
102281
R $70 (N/R $90)
SPRC
July 7-10
M-Th
3-5
Prince Charming
9-11am
104013
R $40 (N/R $60)
SPRC
July 7-11
M-F
5-10
*Lunch Bunch
Noon-1pm
106315
$10 per child
PFIC
July 7-11
M-F
5-7
Buggin’ Out
9am-noon
103834*
R $65 (N/R $73)
PFIC
July 7-11
M-F
5-7
Prairie Pirates
1-4pm
103029*
R $65 (N/R $73)
PFIC
July 7-11
M-Th
7-11
Science Discovery
9am-4pm
102296
R $140 (N/R $160)
SPRC
July 7-11
M-F
8-10
Wet-n-Wild
9am-noon
103903
R $65 (N/R $73)
PFIC
July 7-11
M-F
8-10
Geology Rocks!
1-4pm
103901
R $65 (N/R $73)
PFIC
July 7-17
M-Th
11-15
Leadership
10am-3pm
104024
R $180 (N/R $200)
TBA
July 7-10
M-Th
11-15
Artsy Camp
11am-4pm
104026
R $80 (N/R $100)
TBA
July 7-25
M-F
13-16
CIT
(Training is required)
8:30am3:30pm
102221
R $110 (N/R $130)
SCC
July 14-17
M-Th
5-9
Crafty Kids!
10am-noon
104017
R $40 (N/R $60)
SPRC
July 14-18
M-F
5-10
*Lunch Bunch
Noon-1pm
106316
$10 per child
PFIC
July 14-18
M-F
5-7
Creatures of the Sky
9am-noon
102994*
R $65 (N/R $73)
PFIC
July 14-18
M-F
5-7
Fur, Feathers & Fins
1-4pm
103839*
R $65 (N/R $73)
PFIC
July 14-18
M-F
8-10
Unsolved Mysteries
9am-noon
103900*
R $65 (N/R $73)
PFIC
July 14-18
M-F
8-10
Wildlife Detectives
1-4pm
103905*
R $65 (N/R $73)
PFIC
July 14-17
M-Th
9-11
Hollywood Stars
10am-noon
104021
R $40 (N/R $60)
TBA
July 14-18
M-F
10-14
X-treme Adventure
9am-4pm
102321
R $195 (N/R $215)
SPRC
July 15-Aug 7
Tu/Th
4-5
Little Explorers
9-11am
103102
R $40 (N/R $47)
PFIC
July 15-Aug 7
Tu/Th
4-5
Little Explorers
1-3pm
103103
R $40 (N/R $47)
PFIC
July 21-24
M-Th
3-5
Messy Business
10am-noon
104015
R $40 (N/R $60)
SPRC
July 21-25
M-F
5-10
*Lunch Bunch
Noon-1pm
106317
$10 per child
PFIC
July 21-25
M-F
5-7
Prairie Pirates
9am-noon
103030*
R $65 (N/R $73)
PFIC
July 21-25
M-F
5-7
Little Peck House on
the Prairie
1-4pm
103837*
R $65 (N/R $73)
PFIC
July 21-25
M-F
5-8
Cool Construction
12-3pm
102225
R $75 (N/R $95)
SPRC
July 21-24
M-Th
7-11
Circus Act
4-6pm
104019
R $40 (N/R $60)
SPRC
July 21-25
M-F
8-10
Geology Rocks!
9am-noon
103902*
R $65 (N/R $73)
PFIC
July 21-25
M-F
8-10
Eco-Avengers
1-4pm
103898*
R $65 (N/R $73)
PFIC
July 21-31
M-Th
11-15
Leadership
10am-3pm
104025
R $180 (N/R $200)
TBA
July 21-24
M-Th
11-15
Photography
9-11am
104027
R $40 (N/R $60)
SPRC
July 28-Aug 1
M-F
5-7
*Lunch Bunch
Noon-1pm
106318
$10 per child
PFIC
July 28-Aug 1
M-F
5-7
Water Wizards
9am-noon
103842*
R $65 (N/R $73)
PFIC
July 28-Aug 1
M-F
5-7
Creatures of the Sky
1-4pm
102995*
R $65 (N/R $73)
PFIC
July 28-Aug 1
M-F
7-13
Wacky Water
9am-4pm
102320
R $155 (N/R $175)
SPRC
July 28-Aug 1
M-F
8-11
Peck House on the
Prairie
9am-4pm
103896
R $140 (N/R $160)
PFIC
July 28-Aug 15
M-F
13-16
CIT
(Training is required)
8:30am3:30pm
102222
R $110 (N/R $130)
SCC
*Please note: Lunch Bunch is only for camps offered at PFIC and children must be enrolled in Morning AND afternoon session.
Updated 3/21/14
SPECIALTY CAMPS INCLUDING PECK FARM CAMPS (August 2014)
Dates
Days
Age
Camp
Time
Code #
Fee
Location
Aug 4-7
M-Th
3-7
Sweet Treats
10am-noon
104016
R $40 (N/R $60)
SPRC
Aug 4-8
M-F
5-10
*Lunch Bunch
Noon-1pm
106319
$10 per child
PFIC
Aug 4-8
M-F
5-7
Buggin’ Out
9am-noon
103835*
R $65 (N/R $73)
PFIC
Aug 4-8
M-F
5-7
Prairie Pirates
1-4pm
103031*
R $65 (N/R $73)
PFIC
Aug 4-8
M-F
8-10
Wildlife Detectives
9am–noon
103904
R $65 (N/R $73)
PFIC
Aug 4-8
M-F
8-10
Wet-n-Wild
1-4pm
103904*
R $65 (N/R $73)
PFIC
Aug 4-8
M-F
8-11
Top Chef
9am-3pm
102308
R $140 (N/R $160)
SPRC
Aug 4-7
M-Th
11-15
Stitch It!
1-3pm
104028
R $40 (N/R $60)
TBA
Aug 11-15
M-F
5-7
*Lunch Bunch
Noon-1pm
106320
$10 per child
PFIC
Aug 11-15
M-F
5-7
Fur, Feathers & Fins
9am-noon
103840*
R $65 (N/R $73)
PFIC
Aug 11-15
M-F
5-7
Little Peck House on
the Prairie
1-4pm
103838*
R $65 (N/R $73)
PFIC
Aug 11-15
M-F
8-11
CSI: Wildlife
Detectives
9am-4pm
103852
R $140 (N/R $160)
PFIC
Aug 11-15
M,W,F
8-11
Nature Photography
Mini-Camp
9am-noon
103908*
R $65 (N/R $73)
PFIC
Aug 11-15
M,W,F 12-14
Nature Photography
Mini-Camp
1-4pm
103910*
R $65 (N/R $73)
PFIC
*Please note: Lunch Bunch is only for camps offered at PFIC and children must be enrolled in Morning AND afternoon session.
SARAFI CAMP (Preschool Ages 3-5)
AM Hours
Session
Dates
9:30am12:30pm
Code #
1
June 9-13
102285
R $60 (N/R $80)
102291
R $60 (N/R $80)
2
June 16-20
102286
R $60 (N/R $80)
102292
R $60 (N/R $80)
3
June 23-27
102287
R $60 (N/R $80)
102293
R $60 (N/R $80)
PM Hours
Fee
1-4pm
Code #
Fee
No camp the week of June 30-July 4.
4
July 7-11
102288
R $60 (N/R $80)
102294
R $60 (N/R $80)
5
July 14-18
102289
R $60 (N/R $80)
102295
R $60 (N/R $80)
6
July 21-25
102284
R $60 (N/R $80)
102290
R $60 (N/R $80)
Safari Camp Details
 1 week sessions
 Location:
Friendship Station
Preschool, 1415
Viking Dr. Suite 100
 Ratio 1:5
 Trips: NO field Trips
 Participants MUST
be potty trained.
GENEVA PARK DISTRICT
EMERGENCY AND RELEASE FORM
PLEASE PRINT. Fill out all sections completely.
First Name:
Last Name:
Gender: Male Female
Date of Birth:
School:
Grade:
(fall 2014)
Address:
City:
Home Phone:
Email:
Mother’s First Name:
Last Name:
Business Phone:
Cell Phone:
Father’s First Name:
Last Name:
Business Phone:
Cell Phone:
Do you have siblings in the program:
Yes
Zip:
No
Sibling Name:
Age:
Sibling Name:
Age:
Authorized persons, other than parents, who may be called in an emergency and/or pick up the child from the program. (All authorized persons must be 18 or older and will be required to show valid ID, 16 year olds must show a
valid High School ID.)
1. Name________________________ Relationship_______________________Phone#_________________________
2. Name________________________ Relationship_______________________Phone #________________________
3. Name________________________ Relationship_______________________Phone #________________________
4. Name________________________ Relationship_______________________Phone #________________________
Please list anyone that DOES NOT have authorization to pick up your child.
1. Name
Relationship to child:
Are there any custody/divorce or other family concerns that the staff should be alerted to? Yes No
If yes, please explain:
Part I: ILLNESSES & INJURIES (Check any chronic or recurring illness)
 Asthma
 Diabetes
 Seizures
 Hypertension
 Ear Infection
 Bleeding/Clotting
 Heart Defect/Disease
 Musculoskeletal Disorders
 Other:________________
Date of last Health Exam:__________________________Date of last Tetanus Shot:___________________________
Family Physician_____________________________________Phone #______________________________________
Any activities to be restricted:_______________________________________________________________________
________________________________________________________________________________________________
Part II: ALLERGIES (check any that apply and specify nature of allergic reactions)
 Animals
 Food
 Hay Fever
 Insect Stings
 Medication/Drugs
 Plants
 Pollen
 Other (specify) _____________________
List specific allergies, reactions and special instructions:
Part III: MEDICATION (please list all, even if they are not taken at the site)
Is your child currently taking any medication?
Yes
No
List medication and the purpose of the medication:
Part IV: OTHER HEALTH CONDITIONS (check any that apply and describe below)
 Hearing Impairment Motion Sickness
 Nosebleeds
 Emotional Disturbances  Fainting
 Wear Glasses/Contacts
 Special Diet Regimen
 Visual Impairment  Speech Impediment
Other limitations or important information:
The information above is correct to the best of my knowledge and I know of no reason(s), other than those listed above,
why my child should not participate in the activities.
Signature of Parent/Guardian_____________________________________________Date________________________
Part V: EMERGENCY CARE RELEASE
I hereby authorize the Geneva Park District, its employees and agents to provide emergency medical assistance or to arrange for and consent to on my behalf immediate medical treatment by a licensed or certified physician or other medical
personnel for my child whenever the authorized Park District personnel believe such emergency medical assistance is necessary to protect the health, safety and welfare of my child.
Signature of Parent/Guardian_______________________________________________Date__________________
Part VI: REVIEW OF POLICIES AND PROCEDURES
I acknowledge I have reviewed the material outlined in the Summer Camp Parent Manual and agree to the policies and
procedures.
(Parent’s Signature)
(Date)
LATE POLICY
It is important that you be on time when picking up your child. Children become worried when you are
late. Staff often have other obligations. Please note the time. Parents will be charged $5.00 for the first
10 minutes of late time and $1.00 for each minute after.
I understand the above policy, why there is a need for it and agree to abide by it.
(Parent’s Signature)
(Date)
BEHAVIOR GUIDELINES ACKNOWLEDGEMENT
I have read and understand the Behavior Guidelines that were established by the Geneva Park District
to ensure a safe and enjoyable environment for all participants.
I agree to the discipline procedures outlined in this manual.
(Parent’s Signature)
(Date)
FIELD TRIP PERMISSION FORM
My child,
, has my permission to go on any field trip
(walking or by van/bus) sponsored by the Geneva Park District during the time my child is attending
camp. Notification of any trips will be sent home prior to the date the trip is scheduled. Please see camp
calendar for details.
(Parent’s Signature)
(Date)
CONSENT / RELEASE FORM
*Only for campers 10 years or older.*
My child,
home to camp without being accompanied by an adult.
, has my permission to walk to and / or from
This applies to all camp dates of attendance.
This applies to only the following date(s) of attendance. Please list below.
(Parent’s Signature)
(Date)
GENEVA PARK DISTRICT
REQUEST FOR THE ADMINISTRATION OF MEDICINE
MEDICATIONS CANNOT BE ADMINISTERED AT THE PARK DISTRICT WITHOUT A DOCTOR’S
WRITTEN ORDER AND A WRITEN REQUEST FROM THE PARENT OR GUARDIAN.
Name of Participant
Date of Birth
Address City/Zip
Day Phone
Work Phone
Cell Phone #
Program________________________________ Grade______________________________________
Part I - Physician’s Statement
1. Name/type of medication
2. Dosage/amount to be given
3. Route of administration
4. Frequency and time of administration
5. Duration (week, month, indefinite, etc.)
6. Diagnosis, intended effect, and anticipated reaction to medication
(Symptoms, side effects, etc.)
7. Other medication child is receiving
8. Other requirements
9. Must this medication be administered during the Park District program in order to allow the participant
to attend the program?
Yes
No
Physician’s Signature
Date Signed
Address
Telephone No.
Part II - Parent’s Request/Approval
I hereby request and grant permission for Park District staff to dispense medication to my child,
___________________, according to the above instructions. I further waive any claims against the Park
District, members of the Board of Commissioners, its employees, and agents arising out of the administration of said medication and agree to hold harmless and indemnify the Park District, the members of
the Board of Commissioners, its employees and agents, from and against any and all liability, claims, demands, damages, or causes of action or injuries, costs, and expenses, including attorney fees, resulting
from or arising out of the administration of medication.
Signed
Phone #
Date