Waiting List for Sandburg 2021 V.I.P.  Summer Camp
The Middle School VIP program will be in-person this summer! We want to offer your child a summer experience that is safe and full of fitness, friends, fun and enrichment. FCPS and Fairfax County Department of Neighborhood and Community Services (DNCS) have teamed up to offer a 5- week l program for rising 7th, 8th, and 9th graders in Fairfax County. We will also be extending this invitation to our rising 9th graders to help keep them connected this summer.

Participants will have the opportunity to engage in activities in the arts,  STEM, physical fitness, cooking, games, puzzles,, and more The program is led by FCPS After-School Specialists and DNCS Teen/Community Center Staff.


Details:

VIP Camp will run on Mondays – Fridays from 9:00 am – 3:00 pm from June 28 - July 29.  Sites will be open at 8:00 am for parent drop-offs.  The Camp will be closed on Monday, July 5, and Friday, July 30.

Parents/guardians will be notified (via email, letter, or telephone) of the student’s acceptance. The $50 VIP Registration Fee is due within 5 business days of confirmation of acceptance email. If the fee is not paid by that time, your child will be moved off the waitlist.

A separate form must be completed for each FCPS Middle School student.
Parents/guardians must register their child(ren) to be eligible to participate.

In the morning, school buses will pick up VIP campers from select schools and community locations and transport them to the VIP Camp site.  In the afternoon, school buses will transport students from the VIP Camp site to select schools and community locations.  Bus information will be available in June prior to the start of camp.

Please contact your base schools After-School Specialist for more information.

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Email *
Re-type Email Address: *
This will be our major mode of communication, please double check for accuracy. You will received a confirmation of this application to the email provided above... MAKE SURE IT IS CORRECT!
FCPS Student ID Number *
Please enter your student's 7 digit FCPS student ID number. To ensure that FCPS students are properly enrolled, IT IS IMPORTANT THAT YOU ENTER A CORRECT STUDENT ID. (If your child does not attend a Fairfax County Public School, you may enter 9999999 in this required field.)
Camper's First Name *
Camper's Last Name *
Child's grade level in Fall of 2021-2022? *
Which school will the student attend in Fall, 2021-2022? *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Camper's Address - Please Complete Each Entry below as asked. YOU MUST PROVIDE A COMPLETE AND ACCURATE ADDRESS or risk being dropped due to an incomplete application.
House #, Street Name, and Apt # if applicable *
City: *
Zip Code: *
#1 Parent/Guardian to Contact
Please list the parent or guardian to contact FIRST in case of an emergency or to discuss the camp
#1 Parent/Guardian Name *
#1 Cell Phone Number: *
Parent/Guardian cell phone number
#1 Work/Daytime Phone Number: *
#1 Email Address: *
Email address for parent/guardian. This is our major mode of communication , please double check for accuracy.
#2 Parent/Guardian to Contact
Please list the second adult to contact to discuss camp information or in case of an emergency.
#2 Emergency Contact Name *
#2 Cell Phone Number: *
#2 Work/Daytime Phone Number: *
#2 Email Address: *
Email address for parent/guardian. This is our major mode of communication , please double check for accuracy.
Other Parent/ Guardian's Name
If you wish, provide an additional parent or guardian's name and information here.
Other Parent/ Guardian's Daytime Phone
Other Parent/ Guardian's Email
How will your child arrive at camp daily? *
How will your child leave camp daily? *
Camper's Physician's Name *
Camper's Physician's Number *
Allergies? *
Please check all that apply and enter any other allergies or food restrictions under "Other.
Required
Emergency Medications *
Please check any emergency medications your child must have available. You must supply prescribed medications and medical authorization forms for each Rx that may require administration at camp.
Required
Is there any other information you would like to share?
In the event of an emergency and I cannot be reached, the camp staff has my permission to contact our family physician, and/or utilize the most convenient rescue squad vehicle or ambulance to transport my child to the nearest hospital *
Required
I hereby grant permission for my child to participate in any and all of the programs, special events, walking, and bus trips sponsored by the camp. A weekly calendar of activities will be distributed. *
Required
I give permission for my child to be photographed and/or videotaped for use in publicizing FCPS/NCS programs and services. Youth registration information provided to the VIP Camp is public record and as such may be released under the Virginia Freedom of Information Act (VFOIA) unless the parent/guardian specifically requests that this information not be released. *
In accordance with the Virginia Privacy Protection Act of 1976, the requested information will be used to coordinate activities of this agency.  I understand that some of the information contained in this form may be released to persons who request such information in accordance with the requirements of the Virginia Freedom of Information Act (VFOIA), VA. Code §2-2-3705.  As this statement indicates, not all information the camp collects is subject to availability under the VFOIA. *
Required
If the actions of a participant may cause injury to themselves, other participants or staff; camp staff reserves the right to remove the student from the camp.  If property is stolen, destroyed or damaged, payment may be required to pay for replacement or repairs.  Please do not bring any valuables (to include iPods, cell phones, cameras or other electronic devices) to camp. Loss or damages to these items is not the responsibilities of FCPS/NCS. *
Required
V.I.P. is a structured enrichment and recreation camp.  Parents may pick their child(ren) up at any portion of the day.  The coming and going of participants is the responsibility of the parent(s)/guardian(s). Should a child leave the camp for any reason, a parent/guardian will be contacted and the child is no longer the responsibility of the camp staff. If a child misses more than two consecutive days of camp activities without prior arrangement with camp staff the slot will be assigned to the next child on the Wait List. *
Required
On behalf of my child, I recognize that there are risks inherent to participation in camp activities and agree to hold harmless FCPS/NCS, its officers, employees, and volunteers from any and all claims from bodily injury and/or property damage which result from my child's participation in any and all activities sponsored by the said Department. *
Required
I certify that my child and I have read and understand all policies and procedures of the VlP Summer Camp application packet which are associated with the operation of the VIP Summer Camp and have been made aware of the VlP Summer Camp program rules including FCPS Students Rights and Responsibilities. *
Required
I have read all portions of the VIP Application with my child.  We fully understand the VIP Camp's hours of operation, policies and procedures and the behavior expectations. *
Required
A copy of your responses will be emailed to the address you provided.
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