Ray's Place Summer Literacy Camp
Camp Dates: August 8am-12pm
Event Address: Ray's Place Community Center, 4363 N 6th Street, Harrisburg, PA, 17110
Contact us at 717-468-7975 or tpfaff@susumc.org for more information or with questions.
Maximum camp capacity: 30 students. Grades 1 to Grade 8 (including 'just completed Grade 8').

Summer camp will be from 8am-12pm during the weekdays of these dates above.

Our Goal: We want to empower the students from Susquehanna Township School District, Central Dauphin ESL/ELL programs, and Harrisburg School District to remain on-grade level in their ELA skills to benefit them during the upcoming 2022-23 school year.

Ray's Place Community Center is sponsored by Linglestown Life at Rockville Campus (4368 N 6th Street, Harrisburg, PA, 17110) and is a faith-based institution.
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Name of Student *
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School District My Student Attends
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Student's Mailing Address
Is the student related to anyone else you're registering separately? If so, what is their name?
First Language of Student
We welcome students from any language background as we help students work on English Language skills in this Literacy Camp; we ask this only to best prepare for and accommodate lesson plans, activities, and support for your student(s).
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Parent/Guardian(s) Name and Phone Number
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Emergency Contact for Your Student and Phone number: This person has permission to hear medical and other information regarding this student and to make decisions on the behalf of your student.
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Medical or learning needs of student that we should be aware of
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FOR PARENT / GUARDIAN: BY ENTERING MY NAME OR INITIALS, I UNDERSTAND THAT THIS STUDENT MAY BE PHOTOGRAPHED OR VIDEOTAPED WHILE PARTICIPATING IN SAID ACTIVITIES, AND I GRANT PERMISSION FOR A RECOGNIZABLE IMAGE TO BE POSTED ON APPROPRIATE LLUMC OR EDGE SOCIAL MEDIA PLATFORMS AND OCCASIONAL PRINT MEDIA.
I understand these camps are free to STSD and Harrisburg School District students, through donations from Linglestown Life and other organizations. Are you able or interested in donating snacks or volunteering?
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FOR PARENT / GUARDIAN: BY ENTERING MY NAME OR INITIALS, I GIVE PERMISSION FOR LLUMC AND RAYS PLACE COMMUNITY CENTER, ITS STAFF AND APPROVED VOLUNTEERS TO OBTAIN MEDICAL CARE FOR THIS STUDENT, AND I AUTHORIZE HEALTH CARE PROVIDERS TO RENDER SUCH CARE AS MAY BE NECESSARY. IT IS UNDERSTOOD THAT REASONABLE EFFORTS WILL BE MADE TO CONTACT ME PRIOR TO OBTAINING SUCH CARE, BUT I AUTHORIZE SUCH CARE WHETHER I AM CONTACTED OR NOT, AND I AGREE TO BE FINANCIALLY RESPONSIBLE FOR SUCH CARE. *
FOR PARENT / GUARDIAN: BY ENTERING MY NAME OR INITIALS, I AGREE TO DISCUSS WITH THIS STUDENT THE REQUIREMENT FOR HIM OR HER TO ABIDE BY ANY NECESSARY HEALTH AND SAFETY PROTOCOLS REQUIRED BY LLUMC IN ORDER FOR AN EVENT TO OCCUR. CURRENTLY THOSE INCLUDE BUT ARE NOT LIMITED TO WEARING MASKS, CHECKING TEMPERATURES, AND SOCIAL DISTANCING DURING EVENTS.
FOR PARENT / GUARDIAN: BY ENTERING MY NAME OR INITIALS, IN CONSIDERATION OF THE OPPORTUNITY OF THIS STUDENT TO PARTICIPATE IN THE ACTIVITIES OF LLUMC, I RELEASE LLUMC, ITS STAFF, AND ITS VOLUNTEERS FROM ANY AND ALL LIABILITY OF ANY KIND WHATSOEVER FOR ANY LOSS OR INJURY TO THIS STUDENT ARISING FROM ACTIVITIES ON OR OFF THE PREMISES OF LLUMC OR RESULTING FROM TRAVELING TO OR FROM THE ACTIVITIES OF LLUMC, INCLUDING LOSS OR INJURY RESULTING FROM NEGLIGENCE OR GROSS NEGLIGENCE. I UNDERSTAND AND AGREE THAT THIS PERMISSION AND AGREEMENT SHALL REMAIN IN EFFECT UNTIL REVOKED IN WRITING BY ME, AND I UNDERSTAND AND AGREE THAT IT IS MY RESPONSIBILITY TO UPDATE AND LISTED MEDICAL AND INSURANCE INFORMATION AS CHANGES OCCUR.
FOR PARENT / GUARDIAN: BY ENTERING MY NAME OR INITIALS, I UNDERSTAND THAT THIS STUDENT MAY BE PHOTOGRAPHED OR VIDEOTAPED WHILE PARTICIPATING IN SAID ACTIVITIES, AND I GRANT PERMISSION FOR A RECOGNIZABLE IMAGE TO BE POSTED ON APPROPRIATE LINGLESTOWN LIFE AT ROCKVILLE CAMPUS/LLUMC OR RAYS PALCE COMMUNITY CENTER SOCIAL MEDIA PLATFORMS AND OCCASIONAL PRINT MEDIA.
We are ascertaining if we can provide transportation still; is transportation necessary for your student(s) to attend?
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Would you be open to receiving regular updates about Linglestown Life to be informed with things happening at the church, at Rays Place Community Center, and in our neighborhood?
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A copy of your responses will be emailed to the address you provided.
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