Port Huron Recreation Department 2829 Armour Street Port Huron, MI 48060 (810) 984-9760 Office (810) 984-0192 Fax 2015 JUNIOR RECREATOR APPLICATION Must bring with you to parent meeting Name (First, Last):_______________________________ Birth Date: ___/____/____ Present Address:________________________ City:________________ Zip:_______ Phone:________________ School:______________________ Grade (Fall ’15): _____ Age: ______ T-Shirt Size (Adult):_________ Are you a returning Recreator? Y N Your Cell Phone #:__________________ Your Home Phone #: _________________ Your E-mail Address: ___________________________________________________ Have you been convicted of a misdemeanor or felony? ____No ____Yes- If Yes, please explain: _________________________________________________________ ______________________________________________________________________ Do you have any court orders pending? ____No ____Yes- If Yes, please explain: ______________________________________________________________________ ______________________________________________________________________ Will you be walking to the work site? Will you be able to get a ride to the work site? ___Yes___No ___Sometimes ___Yes___No ___Sometimes ***YOUR SKILLS, INTERESTS, AND GOALS WILL HELP US PLACE YOU IN THE RIGHT PROGRAM WITHIN THE JUNIOR RECREATOR PROGRAM*** Please list skills, hobbies, special training, or interests that you could contribute to the Junior Recreator program (example: working with children, arts & crafts, swimming, babysitting, etc.) ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ What do you hope to accomplish by being involved in the Junior Recreator program? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 1 of 4 Listed below are the options available for the 2014 Junior Recreator program. Please review the list and check those you are interested in. Please understand that we do our best to meet your interests, but that there are limited spaces available. A specific schedule and description of each event will be discussed at the Parent Meeting. Also, you will leave the Parent Meeting with your own summer schedule. Be sure to consider any vacation plans or times when you might not be able to get transportation to the various activities or have other commitments. Playground Programs Kids Day Out To Play: June 15th – July 23rd 8:30 – 12:30 pm (Monday – Thursday) Keewahdin School Sanborn Park Neighborhood Time 2 Play: June 15th – July 23rd 10:00 – 2:00pm (Monday – Thursday) Woodrow Wilson School Harrison Center Fun Factory: July 27th – August 13th – 12:30-4:00pm (Monday – Thursday) Crull School Garfield School Roosevelt School Kimball School Woodrow Wilson School Youth Sports Program: June 16th - July 25th Monday 9:00-10:45am Cheerleading Camp (only in July) 9:00-10:00am Sporties for Shorties 10:15-11:45am Little Hoopers Tuesday 9:00-9:45am Bitty Baseball League 10:00-10:45am Pee Wee Tee Ball Wednesday 9:00-10:45am Bitty Baseball Camp 11:00-11:45am Girls Softball Camp 5:00-6:00pm Sporties for Shorties Thursday 9:00-9:30am Sporties for Shorties 9:45-11:15am Kick Starters Faith Lutheran Church Palmer Park Palmer Park Pine Grove Park Pine Grove Park Pine Grove Park Pine Grove Park Palmer Park Palmer Park Palmer Park Swimming: June 15th – August 10th Pool Greeters at Sanborn Pool: Mon – Thur 1-4 or Mon - Fri 4-7* Pool Greeters at Court Street Pool: Monday – Friday 3-7* Swim Lessons at Sanborn Pool: Monday – Friday 9-12:45 ** Swim Lessons at Court Street Pool: Tuesday & Thursday 1:00-2:00 ** Swim Meets at Sanborn Pool: Fridays 12:30-4:00 * Please only sign up for 1 day per week. If there end up being extra shifts, than we will let you know! **You must pass a swim test to help with swim lessons. Walk Michigan Tuesdays at 5:45-6:30 pm June 16 Lakeside Beach June 23 Kiefer Park June 30 Flag Plaza July 7 Pine Grove Park July 14 River Street Marina July 21 Fort Gratiot Trail July 28 River Walk August 4 Sanborn Pool Beach Party Cops-n-Robbers Walk to Remember Dog Days of Summer Boat Walk Christmas in July Tiger Mania Pool Party 2 of 4 Day Camp Activity Group: Palmer Park - June 15th – July 31st 1 hour each day Put your skills to work and help Kristine as you plan activities and host mini-events for our little Palmer Park Day Campers! You must be available as many weeks as possible. Every Wednesday and Friday. Times are to be determined. Port Huron Museum (Must be 14 years or older) Tour Guide at Huron Lightship: Monday – Friday 10:00 am – 1:00 pm and 1:00pm – 4:00pm Mid-City Nutrition Program at St. Martin Church (Must be 14 years or older) Help make a difference by preparing and serving food at the local soup kitchen. Monday – Friday 8-12:30. Many different shifts available. Special Events Theatre Camp – June 22, 23, 24, 25, 26 9:30-11:30 am Theatre Camp - June 22, 23, 24, 25, 26 12:30 – 2:30 pm Marwood Manor Nursing Home Carnival – June 24 3:30-6:30 Senior Picnic – July 14, 10:00-1:00 at Pine Grove Park Color Craze 5K Fun Run – July 31 from 5:30 – 7:00 pm Kiefer Park Rockin’ the Rivers – every Thursday in August 5:30-9:00pm on the lawn next to City Hall (August 6, 13, 20, 27) The above list is meant to be used only as an example. It does not guarantee that these spots will be available. Also, other volunteer opportunities will be available at scheduling time. Attendance at a Parent Meeting is required in order to be a part of the program. Both the student and the parent must attend one of the following meetings. You MUST call (810) 984-9760 to R.S.V.P. to the meeting. Tuesday, May 19 @ 6:00pm (Returning Recreators only!) Wednesday, May 20 @ 6:00pm Thursday, May 21 @ 6:00pm Orientation is scheduled for Thursday, June 4 @ 6:00pm Please read this carefully and print/sign in the appropriate placesI __________________________ am applying to participate in the Junior Recreator Volunteer (Print Name) program for the summer of 2015. If admitted to the program, I understand that I will be volunteering my time without getting paid. At the end of the summer, if I have completed my schedule and received honorable points, I will be eligible for a trip with the other Junior Recreators. I will attend an upcoming Parent Meeting about when/where I will be working and the details about the program. VOLUNTEER SIGNATURE _________________________________________________ Parent/Guardian We understand and agree that the City of Port Huron, a Michigan Municipal Corporation and it’s employees assume no responsibility for an injury or property damage or loss that might be suffered during activity or program held in junction with the Junior Recreator program by the participant and/or parent/guardian and that the participant and/or parent/guardian assumes the risk of personal injury or loss or damage to property. PARENT/GUARDIAN SIGNATURE ___________________________________________ **Volunteer must have a parent/guardian signature in order to participate** Final Note: Please be sure to bring all of this paperwork and vacation times with you to the Parent Meeting! 3 of 4
© Copyright 2024