1. sports

Summer
2015
Our 38 th Year
Sports
Program
TOURNAMENTS
Fun
Activities
WATER DAYS
Counselor
In Training
Girls’ Club
Program
Visit our Website at www.bhsportscamp.com
IT’S ALL AT BEVERLY HILLS
SPORTS CAMP!
EXECUTIVE DIRECTOR — STEVE TAYLOR, M.Ed.
Beverly Hills Sports Camp, in it’s 38th year, is a summer
day camp for children ages 5 to 13. It is located at Beverly
Hills High School which is easily accessible to the westside
community. The primary goal of Beverly Hills Sports Camp is
to provide a variety of camping, recreational, sports and arts
activities in a safe, nurturing and positive environment that
will enrich all participants. Each program provides instruction
in a variety of athletic, recreational and fine arts areas.
What makes BHSC so unique is the professionally trained
and experienced staff, who utilize group instruction and
positive reinforcement for skill acquisition. Each camper
learns at their own pace and develops friendships that
continue year after year.
Steve holds a B.A. from the University of California, Santa
Barbara, and a Masters in Physical Education from Azuza
Pacific University. He is currently a teacher at Beverly
Hills High School and also coaches football, baseball and
lacrosse. Steve is the Co-Director of the Sports Camp.
EXECUTIVE DIRECTOR — ROBIN SEGAL, M.S.W.
Robin has a B.A. in Psychology from the University of
Arizona and a Master of Social Work from the University
of Southern California. She is a substitute teacher for the
Beverly Hills School District. She is also the Founder of
United in Harmony, a non-profit charity, serving homeless
children in the Los Angeles area. Robin is Co‑Director
of the Sports Camp, as well as the BHSC Administrator.
Robin and Steve are married and have 4 children.
Activities Director — KEITH MORTIMER
a.k.a. Coach Keith
Coach Keith has been teaching physical education and
coaching team sports on the Westside for over 26 years.
He is currently the Athletic Director, a P.E. teacher and coach
at St. Paul The Apostle. Keith is also the recipient of the
Los Angeles Sports and Recreation Character Counts Victory
with Honor Award for Exemplary Sportsmanship.
Sports Program
GIRLS’ CLUB Program
Entering Kindergarten – 8th Grade
1ST GRADE – 5TH GRADE
Our camp is located at Beverly Hills High School which
is centrally located in Beverly Hills and offers excellent
sports facilities that include an oversize turf field, basketball
and volleyball courts, baseball diamond and a dirt bike
course. At BHSC we offer an instructional sports intensive
program. We employ counselors from local collegiate sports
programs who act as excellent role models for our campers.
These counselors are trained in the value of positive
reinforcement and the importance of teamwork and social
interaction. We pride our continued success on our camper
to counselor ratio of 8 to 1. Our program has a very special
calendar of events with some exciting weekly activities,
such as a water festival, tournaments and color wars.
Basketball
Baseball
Dodgeball
LACROSSE
Soccer
Flag Football
Volleyball
Scooter Hockey
Capture the Flag
Flag Attack
Big Bat/
Home Run Derby
Court Hockey
Track and Field
Table Games
...and much more!
Fun Friday Water Day, color wars
and
Tournament Day
Sports Camp Rates
Early Enrollment Discount -
10% on Camper’s Tuition if paid in full by 4/15/15
BHSC offers flexible scheduling.
Campers may register for 2, 3, 4, or 5 days per week,
with or without transportation.
Without
Transportation
With
Transportation
5 days
$325
$425
4 days
$284
$364
3 days
$222
$282
2 days
$148
$188
The Girls’ Club is a unique program that offers girls a chance
to have some “girl fun” as well as play sports. This program
will combine a day of sports activities such as soccer, big
bat, scooter hockey, flag attack and more with an afternoon
of arts and crafts, beauty salon, jewelry, movies, recording a
music CD and more.
GIRLS’ CLUB RATES
Early Enrollment Discount 10% on Camper’s Tuition if paid in full by 4/15/15
BHSC offers flexible scheduling.
Campers may register for 2, 3, 4, or 5 days per week,
with or without transportation.
Without
Transportation
With
Transportation
5 days
$360
$460
4 days
$312
$392
3 days
$243
$303
2 days
$162
$202
Counselor In Training
BOYS & GIRLS ENTERING 9TH OR 10TH GRADE
Our Counselor In Training Program (CIT) is available for
those enterng the 9th or 10th grade. If you are interested
in this program, please contact our office to request a CIT
application and to schedule an interview. The cost for this
program is $40 per day. CITs may choose 3, 4, or 5 days
per week.
REGISTRATION
Applications must be accompanied by a minimum $200.00
deposit per child in order to reserve space in one of our
programs. There is a $100.00 non-refundable administration
fee per child if cancelled. The remaining $100.00 will be
refunded if cancellation is made 14 days prior to the start
of camp. Your deposit will be applied to camper’s tuition,
which is due in full prior to the start of camp. If
payment is not received by the start of camp, we reserve
the right to withhold your $200.00 deposit and cancel your
child’s reservation. Cancellation request must be made in
writing and sent by certified mail. No refunds after June 1st
(no exceptions). Returned checks are subject to a $25.00
service charge. If you have any questions or would like to
know more about our programs, please call (310) 273-5914.
TRANSPORTATION
Beverly Hills Sports Camp offers for your convenience door to
door transportation with certified drivers. All transportation
requests must be within our boundaries. If you choose not to
select our camp transportation, we will be happy to assist with
carpool information. We offer free transportation from local
Beverly Hills Summer School to camp.
General Information
The Beverly Hills Sports Camp operates Monday through
Friday from 9:30 a.m. until 3:30 p.m. Camp will be closed
for Independence Day.
Lunches & SNACK SHACK
Beverly Hills Sports Camp offers a hot lunch program
provided by Marty’s Hamburger Stand. The cost for lunch
is $6.50 per day. Children are able to choose between
hamburgers, hot dogs, chicken nuggets that come with chips
or fries and a drink. Pre-ordering is not required. We also
offer a Snack Shack where campers can buy sports drinks,
popsicles and other items.
1. Before and After Care is available from 8:00 a.m. to 9:00 a.m.
and from 3:30 p.m. to 4:30 p.m. The cost is $7.00 per hour per
child. Please sign-up on your application. (Must be pre-paid).
2. Make-up days are only available during the week
missed. If your child has an extended illness please
call our office immediately and discuss it with a camp
director.
3. We offer a 10% sibling discount on 2nd or 3rd child, etc.
4. We provide secondary medical insurance and we request that
you have primary coverage.
5. The Beverly Hills Sports Camp reserves the right to terminate
a camper without refund or advanced notice for behavioral
problems, non payment, or any other valid reason.
6. Tax I.D. #94-3319482
BEVERLY HILLS SPORTS CAMP REGISTRATION FORM
www.bhsportscamp.com
9663 Santa Monica Blvd., #736, Beverly Hills, CA 90210 • Phone: (310) 273-5914
FAMILY INFORMATION
Mother’s Full Name _______________________________________ Work Phone (____)____________________ Cell (____)______________________
Father’s Full Name ________________________________________ Work Phone (____)____________________ Cell (____)______________________
Mother’s Occupation ________________________ Father’s Occupation_______________________ Divorced? Yes No
Custody? Joint Mom Dad
Home Address___________________________________ City_____________________________ State _______Zip_____________________________
Home Phone (_____)_____________________________ Fax (_____)______________________ Email_______________________________________
Emergency Contact _______________________________________ Relationship _______________________ Phone (_____)_______________________
CAMPER INFORMATION
Sex _______ Grade in Sept. 2015 _____ School____________________
Sex _______ Grade in Sept. 2015 _____ School____________________
Camper’s Birthdate ___________________________________ Age ____
Camper’s Birthdate ___________________________________ Age ____
Circle program: Sports Camp or Girls’ Club
Circle program: Sports Camp or Girls’ Club
(Circle the appropriate days)
(Circle the appropriate days)
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Week 1 June 1 – June 5. . . . . . . . . . . . . . . . . . . M
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Week 2 June 8 – June 12. . . . . . . . . . . . . . . . . . M
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Week 2 June 8 – June 12. . . . . . . . . . . . . . . . . . M
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Week 3 June 15 – June 19. . . . . . . . . . . . . . . . . M
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Week 3 June 15 – June 19. . . . . . . . . . . . . . . . . M
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Week 4 June 22 – June 26. . . . . . . . . . . . . . . . . M
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Week 4 June 22 – June 26. . . . . . . . . . . . . . . . . M
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Week 5 June 29 – July 2. . . . . . . . . . . . . . . . . . . M
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Week 5 June 29 – July 2. . . . . . . . . . . . . . . . . . . M
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Week 6 July 6 – July 10. . . . . . . . . . . . . . . . . . . M
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Week 6 July 6 – July 10. . . . . . . . . . . . . . . . . . . M
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Week 7 July 13 – July 17. . . . . . . . . . . . . . . . . . M
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Week 7 July 13 – July 17. . . . . . . . . . . . . . . . . . M
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Week 8 July 20 – July 24. . . . . . . . . . . . . . . . . . M
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Week 8 July 20 – July 24. . . . . . . . . . . . . . . . . . M
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Week 9 July 27 – July 31. . . . . . . . . . . . . . . . . . M
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Week 9 July 27 – July 31. . . . . . . . . . . . . . . . . . M
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Week 10 August 3 – August 7 . . . . . . . . . . . . . . . M
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Week 10 August 3 – August 7 . . . . . . . . . . . . . . . M
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TRANSPORTATION (within our designated areas only)
___ YES - I would like BHSC to provide transportation for my child.
___ NO - I will provide my own transportation.
____________________________________________________
pick up your child(ren) from camp. All campers must be signed in and out daily ____________________________________________________
by an authorized responsible adult, unless our transportation service is being used.
____________________________________________________
Please Circle
YES
YES
YES
YES
NO
NO
NO
NO
MEDICAL Please List
Any relevant allergies:_________________________________________________________________
Any medications:____________________________________________________________________
Any behavioral or health problems:_______________________________________________________
In the event of a headache, please give my child:_____________________________________________
Health Insurance Co.:_____________________ Policy No.:______________________ Group No.: ___________________ Phone No.:__________________
In the event of an emergency I authorize the administering of medical care at the nearest facility for my child (name)____________________________________
RELEASE: Please Check and Sign
In case of emergency and I cannot be reached, I authorize BHSC Directors, to obtain whatever medical treatment he/she deems necessary for the welfare of my
child. I hereby release, indemnify and hold harmless BHSC Directors and their staff from any and all claims arising out of injury to my child. I also agree to accept full
responsibility, financial or otherwise, for the conduct of my child. I understand that there is no refund should my child be dismissed from camp for improper conduct.
Parent Signature: ___________________________________________________
BILLING INFORMATION
A minimum deposit of $200.00 per camper must accompany this registration form to reserve your camper’s space. ($100.00 non-refundable upon cancellation prior
to June 1st. NO money is refundable after June 1st.) The remainder of the balance is due before camp starts.
AMOUNT ENCLOSED: $_____________________________ CHECK NUMBER:________________________________
VISA/MASTERCARD NUMBER:_______________________________________ EXP. DATE:________________ NAME ON CARD: ________________________________
I authorize Beverly Hills Sports Camp to charge my credit card number for the designated amount. SIGNATURE: ______________________________________
B H S C
Tetanus shot current?
Wear glasses or contacts?
Asthma?
Hearing Problems?
TO
PAY M E N T
PICK-UP AUTHORIZATION: Please list the names of anyone who is authorized to W I T H
EXTENDED CARE ($7.00 per hour/per child - PREPAY ONLY)
___ Late Care: (3:30 pm - 4:30 pm)
___ Early Care: (8:00 am - 9:00 am)
M A I L
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R E G I S T R AT I O N
Week 1 June 1 – June 5. . . . . . . . . . . . . . . . . . . M
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CAMPER 2
Name_____________________________________________________
T E A R
CAMPER 1
Name_____________________________________________________
Day Camp for
Girls & boys
Ages 5-13!
9663 Santa Monica Blvd., #736
Beverly Hills, CA 90210
CELEBRATING OUR
38 th YEAR!
A division of Sports Camp, L.L.C.
SUMMER 2015
SOMETHING FOR EVERYONE!
COME AND JOIN THE FUN!