ACE Summer Camp

2015

 

 

Dear Parents and Guardians, 

It is our pleasure to offer your student the opportunity to attend the free ACE Summer Camp offered by the Community  Programs Department of the Napa County Office of Education. It will be a summer full of learning and fun! We will offer a  variety of activities ranging from project based learning, art, college and career exploration, dance and sports clinics, to  daily opportunities to swim and go on walking fieldtrips. The focus of this summer’s five‐week Project Based Learning  Module is, PeACE: A Global Perspective.  In addition to our free summer camp, we also offer optional low‐cost week‐long enrichment boot camps with experts from  their industry. The week long camps each run for 1 week, 9:30 a.m. – 11:30 a.m, Monday through Friday. More information  about the camps and costs are available on the following page. Scholarships are available.   Our camp will be held at Harvest Middle School and is open to students that will be attending middle school in 2015/16.  Graduating  middle  school  students  will  have  the  opportunity  to  participate  in  our  Junior  Counselor  Program  and  gain  valuable leadership and team building skills. Students can apply through their ACE program. Students going in to 3rd, 4th,  or 5th grade may attend if they have a sibling in middle school attending the camp daily. Limited space.   Our  ACE  Summer  Camp  is  free,  including  a  free  breakfast  and  lunch  served  daily,  however  we  do  accept  donations.  Donations can be in the form of a check, supplies, or volunteering your time to support our programs. Checks can be made  out to the Napa County Office of Education and if you would like to volunteer, contact our Volunteer Specialist, Devin  Lamb: [email protected].   

  Typical Day at ACE Camp 

General Information:      

Dates: June 8th – July 10th     Time: 8:00 a.m. – 3:30 p.m.  Location: Harvest Middle, Evans Hall  Cost: FREE!   Registration  forms  are  available  to  pick‐up  and  turn‐in at Redwood, Harvest, Silverado and River  School offices, as well as ACE offices and NCOE.    Also at:  www.acenapavalley.org   Priority Registration  and Info Meeting:   o Redwood: F‐1 May 11th 5‐6 p.m.  o Silverado: K‐Hall May 12th 5‐6 p.m.  o Harvest: Evans Hall May 13th 5‐6 p.m.   Contact:  o Email: [email protected]  o Phone: 707‐265‐2795  o Napa  County  Office  of  Education  2121Imola Ave, Napa CA 

          

8:00‐8:30      Active Break  8:30‐9:00      Homeroom  9:05‐9:25      Breakfast                 Optional Camps  9:30‐10:20    Block 1                        9:30 – 11:30   10:25‐11:15  Block 2  11:15‐ 12:05 Active Recess  12:05 ‐12:30 Lunch  12:35 ‐1:45   Block 3  1:45‐2:35      Block 4  2:35‐3:25      Elective  3:25‐3:30      Sign‐out  Activity Blocks consist of: Swimming, Athletics,  PeACE Project, and College and Career  Exploration. If your student plans to swim, make  sure they bring a swim suit, towel, plastic bag,  sandals, and sunblock. 

 

ACE Boot Camps 

 

Please circle all camps you would like your student to attend, and include a check for the total amount.  Students attending these camps can attend the rest of ACE Summer Camp, from 8:00 a.m. to 3:30 p.m.  Week 1:  June 8‐June 12  CSI Camp: Campers will learn how to develop and  recover fingerprints, cast shoe impressions, crime  scene photography, sketches and how to interpret  blood spatter evidence. Report writing and using  microscopes to locate trace evidence will also be  covered.  $100 

Week 2:  June 15‐June 19  Gladiator Football Clinic: Come learn about the  game of football, football positions and the basic  skills needed to play at a higher level. This clinic  will also offer performance enhancement drills,  which is useful in off‐season workouts.$50 

InMotion Dance: Want to learn how to dance?  Want to improve your skills? Come dance with us  at ACE Summer Camp! We will be learning and  performing a dance routine. Styles include; hip hop,  jazz, and contemporary. $50 

Bicycle Skills 101: Learn the rules of the road, how  to ride bikes safely, and fix a flat. We will provide  Giant Mountain Bikes for students to use and a  free helmet to all participants to keep. $FREE 

Week 3:  June 22‐June 26  Basketball Skills Clinic: Step your game up and  learn the fundamentals of basketball and  participate in a 3 on 3 tournament. Dribbling,  shooting, passing and agility. $50 

Week 4:  June 29‐July 3  Rise and Shine Yoga: Our wonderful and talented  yogini will lead students in a healing yoga flow  class. This class will lengthen, strengthen and re‐ energize your whole body! Yoga is a great way to  work on your flexibility and strength. Just about  everyone can do it, too ‐‐ it's not just for people  who can touch their toes or want to meditate.$50  Silk Screening and Tye Dye: Take your favorite  design or create your own and make a print on a  shirt or other material of your choice. $50  

Self Defense Through Jiu Jitsu: Learn the art of Jiu  Jitsu and how it is applied to self‐defense.  Students will develop discipline and respect for  martial arts. $50  Additional Info   Please circle all camps you would like your student to attend   Make a check payable to the Napa County Office of Education   All camps run M‐F 9:30‐11:30   Students attending camps are encouraged to attend summer camp before or after, which runs from  8‐3:30   Partial and full Scholarships available for all camps. Email [email protected]    Student Name:____________________________             Grade:___    School: _________________    Parent Name:  ____________________________   Parent Signature: ________________________    Check total:__________ 

 

  Every Students participates in 5 activity blocks per day. Each activity block is 50 minutes   

Swim   All students will have the opportunity to swim at least 50 minutes each day. In order to swim,  students must fill out the attached release of liability form. Free‐swim will be supervised by 2 certified  lifeguards and two additional staff. If your student chooses not to swim, we have alternative  recreational activities he/she can participate in. All swimmers must bring the following: bathing suit,  sandals, towel, sunscreen, and a plastic bag for wet clothes.   

 

PeACE Project 

Each student will be assigned to 1 of 9 countries and every week they will investigate a different  aspect of their country in a small group. Students will begin by looking into how they would travel to  that country, followed by researching the country’s culture, cuisine, economics, technology, and  political freedoms.  These activities will culminate in a comprehensive project that addresses a  contemporary social, political or economic issue affecting that country. The goal of this project is for  students to develop a plan to achieve PeACE and prosperity in their region.   Parent PeACE Night: Friday July 10th from 3:00‐5:00   

Athletics  Students will participate in organized athletics every day. Students who aren’t active during the  summer and are at risk for obesity tend to increase their BMI at twice the rate than during the school  year. We believe that it is extremely important to keep students active and healthy, so we facilitate  fun group games like capture the flag and traditional sports like indoor soccer, soccer, basketball, and  flag football.    

College and Career Exploration  Students will learn about the pathways to college and explore different career options. While working  with our trained CalPREP AmeriCorps members, students will discover what may be the right fit for  them and how to get there. To gain real‐life knowledge, high‐school students and members from the  community will mentor students and give presentations about their fields of expertise.   

Elective  Students will choose from 8 different electives to participate in each week. Choices range from arts  and crafts, popcorn and a movie, sports, ping‐pong, and Nintendo Wii to name a few.      

 

 

Sibling Summer Camp    ACE is running a sibling summer camp open to the first 20 siblings that apply. If your middle school  student attends ACE Summer Camp daily, then their younger sibling qualifies to attend our program as  well.      

Open only to students who have a sibling who attends the ACE Program Daily  20 Spaces available   Indicate the sibling option on the enrollment form  Students must be entering 3rd,4th or 5th grade 

 

ACE Summer Camp Events    Mobile Bike Repair June 23 r d     If your bike needs a tune up, or just isn’t working, Bay Area Mobile Bike will be at ACE Summer Camp  to fix flats and anything else that may be keeping you off of your bike all for free!  College and Career Fair June 26 t h     College alum will be representing their alma maters as students bring up questions they have  developed in their College and Career Exploration program  Neon Run July 2nd    ACE students will race as a team to complete our 1.5 mile course, getting showered with colorful  powder each lap they complete  Parent PeACE Night July 10 t h  from 3:00‐5:00    Travel to 9 countries on one middle school campus. Each country group will decorate their room and  present the PeACE projects they have been working on all summer.             

*Please complete both sides

ACE Summer Camp Enrollment A variety of activities will be available June 8- July 10 on the Harvest Middle School campus from 8:00a.m. -3:30p.m., Monday – Friday.

First Name:

Last Name:____________________________Grade 15/16:_______

DOB: ___/___/___ School Name 2014/15__________________ School Name 2015/16__________________ Parents or Guardian’s Name(s): _____________________________________________________________ Address: _______________________________________________Home Phone #: ____________________ Mother/Guardian’s Work Phone # _____Mother/Guardian’s Cell# _____ Father/Guardian’s Work Phone#: _________________ Father/Guardian’s Cell # :_________________ Person(s) authorized to pick up your child / Emergency Contacts: (Person must show picture I.D.) Name:________________________ Relationship: ___________________ Phone#:_____________________ Name:________________________ Relationship: ___________________ Phone#:_____________________ Name:________________________ Relationship: ___________________ Phone#:_____________________ Do not let my child leave with (custody issues):___________________________________________________ My child has permission to sign out and walk home without an adult or sibling. Yes Student lives with:

Father

Mother

Step Parents

Foster

Legal Guardian

Primary Language:

English

Spanish

Other:_______________________

No Other

Is your child under medical care or taking any medication(s)? Yes No If yes, please check all of the following conditions that your child has and indicate if medication needs to be dispensed at school? □ Bee Sting Allergy Epi-pen □ Yes □ No □ Vision / Hearing Glasses □ Yes □ No □ Asthma Inhaler □ Yes □ No □ Special Needs / Disability:_______________________ □ Diabetes Insulin □ Yes □ No □ Other:__________________________________ □ Other Allergies: _________________________ Does your child have an active: IEP Section 504 Plan I authorize After School Program staff to discuss with school staff my child’s IEP or Section 504 Plan as Yes No deemed necessary: Family Health Care: Physician’s Name:_____________________________ Phone #:_________________ Address:_________________________________________________________ Medi-Cal: Yes No Health Insurance# ____________________________________ The After School Program has permission to use photos and videos of your child in educational or promotional materials (There is no cost.) To opt out sign here: ______________________________ My student has a sibling going in to 3rd, 4th or 5th grade that I would like to attend ********Separate enrollment form is required for sibling***********

Yes

Please read: I hereby give permission for my child to enroll in the After School Program and participate in its activities. I understand that the After School Program is not responsible for the time or manner in which my child may arrive or leave the school, and that the school and its property are not responsible for personal injury or loss of personal property. I also give authorization to a Medical Physician, in the event of an emergency, to provide emergency medical treatment for my child. All student/family information will be kept confidential. We may use statistics only (no names) for the purposes of funding/grant requirements for the After School Program.

Parent or Guardian Signature:________________________________Date_________ For Office Use Only Enroll Date:

Initials:

Un-enroll Date: ______________________________________ Reason: _________________________________________

Napa County Office of Education Late Arrival/Early Release Policy ACE Summer Camp Attendance Requirements The program operates from 8:00 A.M. until 3:30 P.M. Monday-Friday June 8th – July 10th. Current and incoming middle school students are expected to attend at least three days and 12 hours each week. If students fail to meet the attendance guidelines, their spaces may be filled with students who can attend regularly. Reasons for Late Arrival or Early Release Sometimes it isn’t possible for every student to arrive at 8:00 am and attend until 3:30 p.m. every day. The following are approved reasons for the late arrival and/or early release of students from the program: 1. Student attends another adult supervised after school program 2. Student receives district-sponsored transportation and must leave at a designated time. 3. Family schedule makes it difficult for student to leave or be picked up at 3:30 p.m. 4. Student has other non-program obligations 5. Student has a medical appointment. 6. Weather conditions (especially if the student walks home). One of the above reasons MUST be noted on the attendance sheet at the time of sign-out. Releasing Students Safely Adults will be authorized to pick up students early using the same guidelines that each school district uses for the regular school day and that is defined by Ed. Code: 1. The adult is the student’s parent/legal guardian with custody. 2. The adult has appropriate identification and the verified authorization of the student’s parent/legal guardian with custody. 3. The adult is a properly authorized law officer acting in accordance with law. 4. The adult is taking the student to emergency medical care, at the request of the principal or designee. Older siblings can be authorized to sign students out of the after school program early. In addition, students themselves can be authorized to sign out early if they are walking to another program or walking home. All adults authorized to pick up a student early will be listed on the Application Form. The form also includes authorization to walk home. Parents must send a note or phone the site if a student is to be released early on a day not identified for early release on the Early Release Form. My child, _________________________________________will be released early from the after school program on the following days due to other activities: Monday

Tuesday

Wednesday

Thursday

Friday

(please check all that apply)

NAPA COUNTY OFFICE OF EDUCATION

VOLUNTARY ACTIVITY PARTICIPATION FORM (INCLUDING WAIVERS AND RELEASES OF POTENTIAL CLAIMS, AND STATEMENT OF OTHER OBLIGATIONS) All sections of this Agreement must be completed, with the signed original delivered to the School Office, before a Student will be allowed to participate in any manner in the Activity defined below A separate Agreement is required for each Activity in which the Student may participate.

Grade:

Activity/Club/Class/Program: Swim DOB:

School:

Telephone:

Name of Student

Address: In Consideration for the Student’s ability to participate in a Student Activity, Student Club, and/or a Special Class or Program (including after-school programs or classes involving special risks of harm or injury) listed above (the “Activity”), including any try out or process used to select members to join or participate in the listed Activity, or attendance or participation in any Activity meeting, class, competition, show, event, or presentation, including travel to and from any meeting, class, competition, show, event, or presentation (“Activities”), the Student and the Parent or Legal Guardian (“Adult”) signing this Agreement agree as follows: 1. It is a privilege, not a right, to participate in extra-curricular activities, including Activities. The privilege may be revoked at any time, for any reason, that does not violate Federal, State or NCOE laws, policies or procedures. There is no guaranty that the Student will make the Team, remain on the Team, or actively participate in Team events, shows, performances, or competitions. Such matters shall remain exclusively within the judgment and discretion of NCOE and its employees. 2. The Student and Adult understand the nature of the Activity, and its associated Activities, and the Student voluntarily wishes to participate in the Activities. The Adult consents to the Students involvement in the Activities. 3. The Student shall comply with the instruction and directions of Activity teachers, coaches, supervisors, chaperones, and instructors. During the Student’s participation in Activities, as well as academic and/or other school activities, the Student shall comply with all applicable Codes of Conduct. The Student shall also generally conduct himself/herself at all times in keeping with the highest moral and ethical standards so as to reflect positively on himself/herself, the Activity and NCOE. Failure to meet these obligations may, in the discretion of NCOE, result in immediate removal from Activities and a prohibition against any future involvement in Activities or other extra-curricular activities. Should the violation of these obligations also result in bodily injury or property damage during Activities, the Adult will (a) pay to restore or replace any property damaged as a result of the Student’s violation, (b) pay any damages caused to bodily injury to an individual, and (c) defend, protect and hold NCOE harmless from such property damage or bodily injury claims. 4. Participation in Activities might result in injuries, potentially including serious or life threatening injuries or death. Injuries might arise from the Student’s actions or inactions, the actions or inactions of another Student or participant in Activities, or the actual or alleged failure by NCOE employees, agents or volunteers to adequately coach, train, instruct, or supervise Activities. Injuries might also arise from an actual or alleged failure to properly maintain, use, repair, or replace physical facilities or equipment available for Activities. All such risks are deemed to be inherent to the Student’s participation in Activities. By this Agreement, the Student and Adult are deemed to fully assume all such risks and, in consideration for the right of the Student to participate in Activities, understand and agree that to the fullest extent allowed by law they are waiving and releasing any potential future claim they might otherwise have been able assert against NCOE, or any Board Member, employee, agent or volunteer of NCOE (“Released Parties”) by or on behalf of the Student or any parent, administrator, executor, trustee, guardian, assignee or family member and further understand that transportation to or activities at another location are “field trips” or “excursions” for which there is complete immunity pursuant to Education Code § 35330.. AGREEMENT FOR ACTIVITY PARTICPATION Original to be held on file in the Main Office for a period of one (1) year after the date the Team Participation Ends

Page 1 of 2

5. If the Student believes that an unsafe condition or circumstance exists, or otherwise feels or believes that continued participation in Activities might present a risk of Injury, the Student will immediately discontinue further participation in Activities, notify School personnel of the Student’s belief, and notify a parent or guardian of the Student’s belief. Any parent or guardian of the Student shall, thereafter, not allow the Student to participate in Activities until the unsafe condition or circumstance is remedied, with any question or concern regarding the alleged existence of the unsafe condition or circumstance addressed to their satisfaction. 6. Emergency medical information regarding the Student is on file with NCOE and is current. The Adult agrees to provide updated medical information during the course of the Student’s participation in Activities. If an injury or medical emergency occurs during Activities, NCOE employees, agents or volunteers have my express permission to administrator or to authorize the administration of urgent or emergency care, including the transportation of the Student to an urgent care or emergency care provider. In such circumstances, notice to me and/or the Emergency Contact of the injury or medical emergency may be delayed. Therefore, any urgent or emergency care provider has my express authority to conduct diagnostic or anesthetic procedures, and/or to provide medical care or treatment (including surgery), as they may deem reasonable or necessary under all existing circumstances. All costs and expenses associated with such care are solely my responsibility. 7. Employees, agents or volunteers of NCOE, members of the press or media, or other persons who may attend or participate in Activities, may photograph, videotape, or take statements from the Student. Such photographs, videotapes, recordings, or written statements may be published or reproduced in a manner showing the Student’s name, face, likeness, voice, thoughts, beliefs, or appearance to third parties, including, without limitation, webcasts, television, motion pictures, films, newspapers, yearbooks, and magazines. Such published or reproduced items, whether or not for a profit, may be used for security, training, advertising, news, publicity, promotional, informational, or any other lawful purpose. I hereby authorize and consent to any such publications or reproductions, without compensation, and without reservation or limitation. 8. This Agreement shall be governed by the laws of the State of California. This Agreement is to be broadly construed to enforce the purposes and agreements set forth above, and shall not be construed against the Released Parties solely on the basis that this Agreement was drafted by NCOE. If any part of this Agreement is deemed invalid or ineffective, all other provisions shall remain in force. No oral modification of this Agreement, or alleged change or modification of its terms by subsequent conduct or oral statements, is allowed. This Agreement contains the sole and exclusive understanding of the parties, with no other representation relied upon by the Adult or Student in determining whether to execute this Agreement or in agreeing to participate in Activities. BY SIGNING BELOW: (1) I AM GIVING UP SUBSTANTIAL ACTUAL OR POTENTIAL RIGHTS IN ORDER TO ALLOW THE STUDENT TO PARTICIPATE IN ACTIVITIES; (2) I HAVE SIGNED THIS AGREEMENT WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE, AND WITH FULL APPRECIATION OF THE RISKS INHERENT IN ACTIVITIES; (3) I HAVE NO QUESTION REGARDING THE SCOPE OR INTENT OF THIS AGREEMENT; (5) I, AS A PARENT OR LEGAL GUARDIAN, HAVE THE RIGHT AND AUTHORITY TO ENTER INTO THIS AGREEMENT, AND TO BIND MYSELF, THE STUDENT, AND ANY AND ANY OTHER FAMILY MEMBER, PERSONAL REPRESENTATIVE, ASSIGN, HEIR, TRUSTEE, OR GUARDIAN TO THE TERMS OF THIS AGREEMENT; (6) I HAVE EXPLAINED THIS AGREEMENT TO THE STUDENT, WHO UNDERSTANDS HIS/HER OBLIGATIONS.

Printed Name of Parent/Guardian

Signature

Date

As the Student, I understand and agree to all of obligations placed on me by this Agreement.

Printed Name of Student

11016.00001.146929.2

Signature

Date