Valley Heights Summer Camp 2022


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WHO, WHAT & WHERE
CAMP WILL OPERATE MONDAY - THURSDAY IN JUNE & JULY

WHERE: Waterville Elementary School

DATES: June 6 - June 23 & July 5 - July 21.

TIMES: Camp will operate from 8:30 am - 2:30 pm both in June and July.

WHO CAN ATTEND: Valley Heights students that are currently in Kindergarten thru 6th grade.
     
TRANSPORTATION: Will be provided from Blue Rapids Gymnasium leaving at 8:15 each day and returning at approximately 2:40. Students should not arrive to board the bus before 8 am.

Doors at Waterville Elementary will open at 8 am.

VALLEY HEIGHTS CAMP EXPLORATION IS DEPENDENT UPON GRANT FUNDS! BASED UPON THIS SOME TIMES AND DATES MAY BE SUBJECT TO CHANGE.

If you have questions, please contact:
Tony Yungeberg: Phone: 785-363- 2211 email: tyungeberg@valleyheights.org


CAMP EXPLORATION DAILY SCHEDULE
BREAKFAST & LUNCH
We will again be offering free lunches for children ages 1-18 through the USDA Summer Food Service Program (SFSP) on days camp is in session (meals must be consumed on-site). Breakfast will also be free for all students attending Camp Exploration.
(Food and Nutrition Service | FNS-490 |USDA is an equal opportunity employer and provider)
YOU MUST FILL OUT A NEW FORM FOR EACH INDIVIDUAL STUDENT
Student First Name *
Student Last Name *
Will your students attend Camp in June, July or Both? *
Will student be attending summer school? *
Current Grade (2021-2022 school year) *
Will student be riding bus?
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Address *
City/town *
Parent/Guardian Name(s) *
Parent/Guardian Phone Number *
Additional Parent/Guardian Phone Number
Parent/Guardian email *
Emergency Contact Name *
Emergency Contact Phone Number *
Secondary Emergency Contact Name *
Secondary Emergency Contact Phone Number *
Medical Information : *
Is your student allergic to any of the below
Is your student allergic to any of the below
Required
If your child becomes seriously ill or is injured, and you or your emergency contact cannot be reached within a reasonable length of time, may we have your permission to take or send your child for emergency care to the nearest hospital or doctor's office? *
PHOTO RELEASE:  Pursuant to Public Law 98-380 (Family Privacy Act) Valley Heights, USD 498 does release rosters and directory information etc.  That is also the practice of the Valley Heights Community Education. Publications may include but are not limited to website, publications, social media, and presentations. This particularly relates to pictures that may be published in the newspaper, in the USD 498 newsletter, or included in our informational reports to our 21st CCLC funding service or its partners.   *
Liability and Medical Emergency:  In consideration of my being able to participate in educational, recreational, social and/cultural classes, programs, and projects, I do hereby waive all claims for damage or loss to my person or property (or to the person or property of my minor son or daughter whose name appears below) and all demand and liability which may be caused by any act or failure to act of and by, and I do hereby release, discharge and hold harmless the Community Education, the cities of Blue Rapids and Waterville, the USD #498, its board members, administrators, representatives, employees, and the owner, managers and lessees of any real property on which such programs may be carried out.   *
By typing your name below you confirm that you have read and understand the participant agreement and agree to its contents. *
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