Rappahannock County Summer Program  Registration, 2020
Members of the Rappahannock County community have created summer programs for local youth going into the 1st - 12th grades during the month of July, 2020. Workshops and classes will  take place at the Washington Park on 211; a Rappahannock Summer Day Camp will take place at the Northern Virginia 4-H Ed Center in Front Royal, VA; and youth 8 - 16 years old can enjoy participating in a program at Verdun Adventure Bound in Rixeyville, Va .  Registration is on a first-come/first-serve basis, and enrollment is limited to ensure that we can practice safe social distancing while enjoying these activities, and are within the guidelines of Phase 2, issued by the Governor of Virginia.
Registrations will take place until June 24th.  For those who prefer an in-person registration, you may register at the Washington Park on 211 on Friday, June 19, from noon - 1pm.  This is a fast turn-around!  Once you have registered, we will send you an email with detailed information about each of the programs in which your child will participate.

SUMMER IN THE PARK:
A variety of workshops and activities will be offered throughout July on Tuesdays and Fridays from 9am - 3pm at the Rappahannock Community Park on Route 211, in Little Washington.
Participants are expected to participate in all workshops/classes each day.  Workshops are FREE to all who participate.  Participants will need rides to get to/from this program, and those picking up children should be on time to ensure that we don't exceed the 50 person maximum allowed at the park for these activities. Covid prevention measures will be utilized -temperatures will be taken at drop-off, children will be put in groups of 10 to limit contact, restrooms will be sanitized hourly but masks will not be required.  
Lunches and snacks will be provided for all attendees.
To register, simply complete the following application, checking the days in which your child would like to participate.  We will be in touch with you once the registration period ends on June 24 to give you further information about the selected workshops and activities in which your child has been enrolled.  

RAPPAHANNOCK SUMMER DAY CAMP:
Forty 1st - 7th graders will enjoy spending 2 days per week from 9am - 3pm at the Northern Virginia 4-H Education Center in Front Royal, VA throughout the month of July.  
                                                            Group 1, (M & W):                     Group 2 (T & Th):
                                                            July 6, 8                                     July 7, 9
                                                            July 13, 15                                July 14, 16
                                                            July 20, 22                                July 21, 23
                                                            July 27, 29                                July 28, 30
*  Campers will be assigned to age-appropriate small groups and will rotate through three workshops each day.   Workshops will include:  fishing, canoeing, cooking, tie-dying outdoor living skills, hike and seek, arts and crafts and more!
 *  All campers will meet together in the mornings, for lunch,  at the pool for daily swimming, and at the end of the day.
*  RCPS buses will provide transportation for campers to get to/from camp.  Small groups of campers will be on each bus, and campers will be picked up and dropped-off at the RCES, Flint Hill, and Chester Gap.  
*  Daily lunches and snacks will be provided
*  Program supplies will be provided (besides clothing for tie-dying)
*  Camp Counselors and Workshop Instructors are First Aid, CPR, Lifeguard, Youth Mental Health Certified, and have had background checks.
*  Indoor areas will be provided in dangerous weather conditions.
* The suggested registration fee is $200 for 8 days of participating in this Day Camp.  We know that times are tight, and are asking parents/guardians to pay what they can to support this program.  Checks should be made to "RCES" and mailed to the Rappahannock County School Board office, c/o Ashley Settle, at 6 Schoolhouse Rd.  Washington, VA  22747 by June 24 , 2020.  Credit cards cannot be accepted.  
*  Please note that when registering, you are registering for 8 days of programming at the 4-H Ed Center.  If you are unable to attend all 8 days, please let us know.

VERDUN ADVENTURE BOUND:
Full scholarships will be available for up to 10 students age 8 to 16 for a week of day camp at
Verdun Adventure Bound in Rixeyville. Verdun has a beautiful facility with both outdoor and
indoor spaces, a pond for swimming/kayaking, and a Challenge Course (high and low ropes). They have
a long history of excellent summer programs and are fully prepared for socially distanced, safe
practices. Verdun will offer one week of camp from August 3 - 7. Transportation will be provided.

For older students, activities will include: testing abilities on the Verdun Challenge Course
featuring high and low ropes elements; hiking; wilderness survival skills; pond kayaking; fire
building; archery; and swimming. For younger students (8-10), activities will include: An
introduction to the Verdun Challenge Course; playing games; hiking; pond kayaking; daily art
projects; fun science experiments; fort building; and swimming.
.

Should you have any questions about any of these programs, please reach out:
SUMMER IN THE PARK:   Brooke Lange, info@headwatersfdn.org or 540-227-4417
RAPPAHANNOCK COUNTY DAY CAMP:  Jenny Kapsa, jkapsa@rappahannockschools.us or 540-317-0507
VERDUN ADVENTURE BOUND:  Sallie Morgan, mhafc1@gmail.com or 540-987-8677


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Email *
What is your Child's name (first and last)? *
What is your Child's age? *
When is your Child's birthday? *
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What grade will your child be in next year, 2020-2021? *
What is your Child's address? *
What is your child's home phone number? *
SUMMER IN THE PARK: Activities including outdoor games, sports, creative arts lead by RAAC members, and nature exploration.  If your child would like to participate in the Summer in the Park program, which dates would you like to register your child?  Please note that your child is expected to participate in all workshops/classes that are offered on the days in which your child has registered.
1st - 3rd grades
4th - 7th grades
July 7th - Tuesday
July 10th - Friday
July 14th - Tuesday
July 17th - Friday
July 21st - Tuesday
July 24th - Friday
July 28th - Tuesday
July 31st - Friday
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RAPPAHANNOCK SUMMER DAY CAMP:  If you are registering your child to attend the  Rappahannock Summer Day Camp , which days would you prefer to send your child to camp? Mondays and Wednesdays from 9am - 3pm, OR Tuesdays and Thursdays from 9am - 3pm?  
RAPPAHANNOCK SUMMER DAY CAMP:   If your child is not able to participate in all 8 days of programming, please list the dates that your child will not be in attendance.  You may refer to the program dates in the program description at the top of this form.
RAPPAHANNOCK SUMMER DAY CAMP:  Busing will be provided to/from camp.  Due to social distancing restrictions, siblings are required to sit next to each other on the bus. Bus drivers will take each camper's temperature with an infrared thermometer before a camper may enter the bus.  These thermometers are fast acting and do not require that they touch a child in order to work.  Please check the bus stop that you prefer (we will confirm your bus stop and pick up/drop off times once registration ends):
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RAPPAHANNOCK SUMMER DAY CAMP:  If you selected "someone other than a parent/guardian will drive my child to/from camp", please list that person's name and contact information here:
RAPPAHANNOCK SUMMER DAY CAMP:  Parent/guardian support is needed in order to provide busing to/from the Rappahannock Summer Day Camp in Front Royal, VA.   Two parents/guardians are needed to sign out campers to their parents/guardians at the RCES, the Flint Hill bus stop, and the Chester Gap bus stop once the buses have dropped off the campers in the afternoons.   If you are wiling to sign out campers  to their parents/guardians in the afternoons and wait at your bus stop until all children are picked up, please check the appropriate box:
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RAPPAHANNOCK SUMMER DAY CAMP:  If you are registering your child to participate in the Rappahannock County Day Camp at the NOVA 4-H Education Center, please check the registration fee that you are able to pay, knowing that $200 is the suggested fee ($25/day for 8 days of camp).  We understand that times are tight and are offering support to anyone in need.  Checks should be made payable to "RCES", and sent to the Rappahannock County School Board Office, c/o Ashley Settle, 6 Schoolhouse Rd.  Washington VA  22747 by June 29, 2020.
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RAPPAHANNOCK SUMMER DAY CAMP:  If you selected "Other" as the amount you are able to pay for the Rappahannock Summer Day Camp, please enter that amount here.
RAPPAHANNOCK SUMMER DAY CAMP:  All campers participating in the Rappahannock Summer Day Camp at the 4-H Ed Center will be given a swimming test on the first day of camp, administered by the NOVA 4-H Ed Center life guards.   Your child will only be permitted to swim in the areas where s/he can swim safely, based on the swimming test results.   If your child cannot swim, please let us know, and your child will not have to take the swim test, and will be allowed to "swim" only in the shallow area of the pool.
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VERDUN ADVENTURE BOUND:  If your child will is between the ages of 8 - 16 and would like to participate in the Verdun Adventure Bound program, please let us know.  Enrollment is limited and is not guaranteed.  
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(First) Parent's Name *
(First) Parent's Address (If the same as child's, write SAME) *
(First) Parent Email Address *
(First) Parent Home Phone Number *
(First) Parent Cell Phone Number *
(First) Parent's Work Phone Number *
(Second) Parent's Name *
(Second) Parent's Address.  (If the same as the child's, write SAME) *
(Second) Parent's Email Address *
(Second) Parent's Home Phone Number *
(Second) Parent's Cell Phone Number *
(Second) Parent's Work Phone Number *
Who has primary custody of the child? *
If a parent cannot be notified, who should be contacted first in case of an emergency?  Please provide name and phone number. *
If a parent cannot be notified, who should be contacted second in case of an emergency?  Please provide name and phone number. *
If a parent cannot be notified, who should be contacted third in case of an emergency?  Please provide name and phone number.
Besides the emergency contacts listed above, who may your child be released to at the end of each day of this day camp?  We will NOT allow your child to leave with anyone who is not listed. *
Family Physician Name *
Family Physician Phone Number *
Dentist or Orthodontist Name *
Dentist or Orthodontist Phone Number *
Do you carry family medical insurance/hospital insurance? *
If so, what is your insurance carrier number?
If so, what is your policy ID number?
 I give permission for the Rappahannock Community Summer Program Planning members to use pictures and videos of my child while s/he is participating in one or more of these summer programs for newspaper articles, community reporting, and advertising for future programs. *
If your child has any food allergies or dietary restrictions, please enter them here.
If your child is under current medical care, or has any medical issues that would be important for the summer staff and volunteers to know, please enter that information here
If your child is on any medication, please enter the name and dosage of the medicine here
By checking "yes", I give permission for the staff and volunteers of these programs to have my child transported to the nearest hospital and treated in case of a medical emergency.  In addition, I give permission for my child to receive over the counter medication when needed.  All attempts to contact parents or caregivers by the staff and volunteers will be made whenever a child is sick or injured. *
By checking "I agree to this Code of Conduct", I understand that if my child has behavioral issues while at one of these summer programs, I will be called to discuss strategies to support my child to continue with his/her participation at his/her chosen activities.  However, I understand that if the behavioral issues are severe, or if there are multiple issues, my child may have to be picked up during the  day, and my child may not be permitted to return to these summer programs.  In these cases, no refund will be given. *
By checking YES, I understand that all reasonable precautions will be made to prevent my child from  getting Covid 19.  I understand that masks will not be worn outdoors.  I understand that campers will be told to practice safe social distancing policies, but that camp staff and volunteers cannot force children to abide by these rules.  I agree to NOT send my child to one of these summer programs should my child have a fever or feel unwell.  Should my child get Covid 19, I will NOT hold Rappahannock County, the RCPS, or the staff and volunteers overseeing these programs responsible.  I understand that if I do not check YES that my child will not  be permitted to participate in any of these programs. *
Required
Summer programs that are not affiliated with the above mentioned programs, but may be of interest to  your child include:  Nature Camp with Lyt Wood; summer workshops at Wakefield Country Day School; and horse back riding at Serendipity Farms.  Please check the boxes of those programs that are of interest to you, and we will pass your email information along to those who are leading these programs so that they can send send you additional information, or, information is provided so that you may also reach out on your own.
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A copy of your responses will be emailed to the address you provided.
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