Summer registration Form 2015 - Boys and Girls Clubs of King County

SRV Boys & Girls Club Adventure Camp 2015:
“Summer In Seattle 2015”
This summer SRV Boys & Girls Club is choosing their own adventure. The
summer program starts Monday, June 22 and runs through
Friday, August 22. Our highly-trained staff facilitates a creative, engaging,
and enriching program that your children will love. All of our staff are
CPR/First Aid certified and have been working with children for years.
This summer we will go on 3 fun and enriching field trips per week. We
leave for field trips between 9:30-10 a.m. and return by 3:30-4
p.m. Please make sure on field trip days that your child is here by
9:30a.m. Please note that all field trips are subject to change.
June 22-26: “Safety Week”
Chuck E Cheese, BBQ @Angle Lake
Why Choose Us for
Your Summer Camp
Needs?
June 29-July 2: “Mad Scientist”
Pacific Science Center, Children’s Museum
July 6-10: “Creative Expression”
Radio Station Tour,
Experience Music Project
 Best value in town—Check
around and you will see. As a nonprofit, we are able to offer
unparalleled quality and service to
our families.
August 3-7: “Fear Factor”
Green Lake, Underground Seattle Tour
August 10-14: “Game Show
Mania”
Gene Coulon Beach, Rainier’s Game
July 13-17 “Ballin”
Seattle Storm Game, Safeco Field Tour
July 20-24: “In The Wild”
Woodland Park Zoo, Snoqualmie Falls
July 27-31:
“Splish Splash”
Jefferson Park, Matthews Beach
Smilow Rainer Vista Boys &
Girls Club
4520 Martin Luther King Jr. Way S
Seattle, WA 98108
(206) 436-1905
Director: Monica Davis
[email protected]
August 17-21: “Sweets & Treats”
Theo’s Chocolate Factory, End of Summer
BBQ at Angle Lake
August 24-28 “Fun in the Sun”
Seattle Center Fountain, Family Fun Center,
SRV Club BBQ
*Pending School District Schedule
RATES INCLUDE FIELD TRIP
https://
4/5 Days
3 Days
1 Day
$210
$150
$65
Drop In Before/After Care $50/week.
Drop In Hours: 7-8:30am/4:30-6pm
 No hidden fees—All field trips,
early morning/late afternoon, and
transportation costs are included in
weekly fee.
 High quality staff—Our staff
are all CPR/First Aid certified and
many have years of experience
leading summer camps. All staff go
through a rigorous 50-state
background check that is repeated
monthly.
 Great programs and field
trips—We offer a minimum of 2-3
highly engaging field trips per week,
focusing on enriching activities and
opportunities to get kids moving.
 A history of success—We’ve
been in the summer camp business
for more than 20 years and have a
great reputation. If you’d like, we
can provide references from current
families.
“Summer In Seattle 2015”


WEEKS
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
WEEK 1
“Safety Week”
June 22-26
GETTING TO
KNOW YOU
@ CLUB
SUMMER SAFETY
@ CLUB
CHUCK E. CHEESE
YOUTH IN
ACTION
@ CLUB
BBQ @ ANGLE
LAKE
WEEK 2
“Mad Scientist”
June 29-July 2
Closed July 3
Holiday
CHILDREN’S
MUSEUM/PACIFIC
SCIENCE CENTER
MAD SCIENCE
@ CLUB
FIELD DAY @
VIEW RIDGE
YOUTH IN
ACTION
@ CLUB
CLOSED
WEEK 3
“Creative Expressions”
July 6-July 10
RADIO STATION
TOUR
KNOW YOUR
NEIGHBOR
@ CLUB
EXPERIENCE MUSIC
PROJECT
COOKING FROM
AROUND THE
WORLD @ CLUB
DANCE THIS @
MOORE THEATRE
WEEK 4
“Ballin”
July 13-July 17
SERVI RUGBY
MAKE YOUR OWN
GAME
@ CLUB
STORM
BASKETBALL
GAME
SPORTS
TOURNAMENT
@ CLUB
SAFECO FIELD
TOUR
WEEK 5
“In The Wild”
July 20-July 24
WOODLAND PARK
ZOO
WILD COSTUME
MAKING
@ CLUB
REMLINGER FARMS
KNOW YOUR
WILD ANIMALS
@ CLUB
SNOQUALMIE
FALLS
WEEK 6
“Splish Splash”
July 27-July 31
JEFFERSON PARK
WATER OLYMPICS
@ CLUB
HENRY MOSES
UNDER THE SEA
@ CLUB
MATTHEWS BEACH
WEEK 7
“Fear Factor”
August 3-August 7
GREEN LAKE
FEAR FITNESS
CHALLENGES
@ CLUB
CARNIVAL DAY
@ FEDERAL WAY
EXPLORE
YOUR FEARS
@ CLUB
UNDERGROUND
SEATTLE
TOUR
WEEK 8
“Game Show Mania”
August 10-August 14
GENE COULON
BEACH + KID
VALLEY
DEAL OR NO DEAL
@ CLUB
RAINIER’S
BASEBALL GAME
FAMILY FUED
@ CLUB
KING 5:
NEW DAY
NORTHWEST
WEEK 9
“Sweets and Treats”
August 17-August 21
TUTTA BELLA
TOUR
WHAT CAN WE
MAKE? @ CLUB
THEO’S
CHOCOLATE
FACTORY
FUN W/ FOOD
@ CLUB
END OF SUMMER
BBQ @ GENE
COULON BEACH
WEEK 10
“Fun in the Sun”
August 24-28
*PENDING SCHOOL
DISTRICT SCHEDULE
SEATTLE CENTER
FOUNTAIN
WHAT HAPPENS
UNDER THE SUN
@ CLUB
FAMILY FUN
CENTER
SUMMER ENDING
IN SEATTLE
@ CLUB
SRV CLUB BBQ
Please pack a water bottle, lunch, towel, swim suit and
sunscreen everyday. Wear comfortable close-toed walking
shoes, you may pack flip flops or sandals to wear for swim/
beach days.
All field trips subject to change.
Boys & Girls Clubs of King County
2014 Summer Registration Form
If you need to sign up more than one child, simply duplicate this registration form and complete one form for each child
Child Name ___________________________ Date of Birth: __________ Grade (this fall): ______ Gender:
M
F
Parent/Guardian 1:__________________Cell/Work #: __________ Home #: ___________ Email:_______________
Parent/Guardian 2:__________________Cell/Work #: __________ Home #: ___________ Email:_______________
Address _________________________________________________ City_________________
Zip __________
When registering, please note the following:
 For all Camps, please pay a $25 non-refundable deposit for each week you are planning to attend
 In order to register for any camp, membership must be current or $36 membership fee must be included
 For Drop in Care, please pay $50 per week. Drop in hours are 7-8:30am and 4:30-6:00pm
Dates
Sample
Camp Name
SRV-5 days
Circle days attending
2015 weekly fees: 4/5 days
$210, 3 days $150, 1 day
$65
Camp
Fee
Payments Being Made at
Registration
(For Camps, please pay a $25
deposit for each week
attending. You may also pay in
full now if you prefer.
M T W Th F
$210
$25—Deposit
Week 1
June 22-26
M T W Th F
Week 2
June 29-July 2
Closed July 3
Holiday
M T W Th F
Week 3
July 6-July 10
M T W Th F
Week 4
July 13-July 17
M T W Th F
Week 5
July 20-July 24
M T W Th F
Week 6
July 27-July 31
M T W Th F
Week 7
Aug 3-Aug 7
M T W Th F
Week 8
Aug 10-Aug 14
M T W Th F
Week 9
Aug 18-Aug 22
M T W Th F
Week 10
Aug 24-28
Pending school
district schedule
M T W Th F
Remaining
Balance
(All balances are
due the Monday
prior to that
week’s camp)
$185
Include $36 membership fee if applicable
TOTAL
I acknowledge that I am contracting with Boys & Girls Clubs of King County to provide summer camp services for my child. I understand that
the deposit and membership fees are non-refundable and that all additional fees are due a week prior to camp.
Please select method of payment:
__ Check __ Visa __ MasterCard Exp. Date ___/__ Card # __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __
Check if you would like this credit card is to be used for summer payments as well
Office Use Only:
Receipt # ___________ Membership Paid Receipt #_____________ Date Paid ____________