®
Week 3: Jun 15 –19
Week 4: Jun 22 – 26 SLU SUMMER YOUTH CAMP 2015 APPLICATION
Please Check Appropriate Week
Week 1: Jun 1 – 5 Week 2: Jun 8 – 12 Extended Care: Check Appropriate Option
Yes
No Ext. Care
Week 5: Jul 6 – 10
Week 6: Jul 13 – 17
Week 7: Jul 20 – 24
Week 8: Jul 27 – 31
1. Parents/guardians are responsible for the welfare of their children
prior to and after the program in which the child is enrolled. Campers
must be picked up by a parent/guardian and cannot walk to a
bus stop or an on-campus office.
2. Disruptive or dangerous behavior by participants, as determined by
the program staff, will not be allowed. Program staff will issue an
oral warning and will contact parents to correct behavior. Failure to
correct behavior may result in dismissal from camp and forfeiture
of all fees.
SLU SUMMER YOUTH CAMP
2015
HAVE AN
ACTIVE
SUMMER
3. Enrollment in the program does not entitle parents or participants
use of Saint Louis University facilities for any purpose other than
the camp program.
4. Children should carry necessary items: swimming suit, sunscreen
and towel in a well-marked backpack. Each child should wear
comfortable clothing. Tennis shoes and socks are required (no
open-toed shoes or sandals are permitted). The camp program and
the department of campus recreation are not responsible for lost
clothing or personal belongings.
5. Photographs and videotaping of children participating in the
camp program will take place from time to time for promotional
and educational purposes only. Your signature on the application
indicates approval for the camp to photograph or videotape your child.
6. The camp program does not retain a full-time registered nurse and/
or licensed physician to assist in the administration of medications.
If the child cannot administer the medication to him/herself, a
parent or guardian must be present to do so.
7. Transportation of camp participants on field trips and other
locations away from the SLU campus will occur via a contracted bus
service utilizing an appropriately licensed driver. Your signature on
the application indicates approval to attend field trips.
8. The camp program reserves the right to cancel programs due to
under enrollment, facility or staffing concerns. In these cases, the
deposit for that session will be returned in full.
SUMMER
AT SLU
Child’s Name: _________________________________________________________________
Male
Female
New Camper
Returning Camper
T-shirt:
YS
YM
YL
AS
AM
AL
AXL
Age at Start of Camp:_____ Birth Date: ____________
Home Address:___________________________________________________________________ City:___________________________________ State:_______ Zip:____________
Parent/Guardian:_______________________________________________ Primary Phone: ______________________________ Email Address:_________________________________
SLU Affiliation:
Alumni
Faculty
Staff
Student
None
Payment Amount: $____________
Payment Form
Cash
Check (include D.L.# on check)
All Major Credit Cards Accepted
MC
VISA
AMEX
Discover
Acct. # __________________________________________ Exp. Date____________________________ Signature ____________________________________________________
Saint Louis University Summer Camp Informed Consent and Release form: By signing this form, I agree and acknowledge the following: I am familiar with the policies of the summer camp and the physical activities for which
my child is enrolled to participate and understand that the activities may include physical contact, strenuous physical exercise and could result in personal injury. Knowing these risks, I hereby waive, release and discharge Saint
Louis University, it’s employees and agents from all claims, injuries, damages or actions of any kind or nature arising out of my sons/ daughters participation in the Summer Camp activities or use of facilities that may be brought
by myself and anyone who might make a claim on my behalf arising out of participants activities, services or equipment provided by the University notwithstanding the negligence of Saint Louis University, it’s trustees, officers,
employees or agents. I have read and I agree with the terms and conditions of the summer camp as it relates to my son/daughter and certify that all information on the above application is true.
I certify that my son/daughter ________________________________ has accident medical insurance coverage. ____________________________________________________________
Parent/Guardian Signature
Date
The POLICIES AND PROCEDURES of the department of campus
recreation are for the safety and enjoyment of all involved (parent
and participant). Please read the following policies and become
familiar with them:
9. The camp program is a fee-for-service program based on
confirmed enrollments and secured fees. To best meet the
administrative needs, both the enrollment procedures and refund
policy are applied uniformly.
®
SUMMER
AT SLU
SLU SUMMER YOUTH CAMP
Campers participate in recreational activities including
sports, arts and crafts, games, swimming, cooking, and
weekly field trips.
We stimulate the process of discovery by introducing campers
to a variety of recreational activities designed for each age
group and skill level. We hope to create a special atmosphere
in which friendships can be formed and campers can express
themselves and grow while creating lasting memories.
Camp Staff
Our energetic and well-qualified staff, under the direction of
the department of campus recreation, is comprised of
professionals in recreation and education along with students
interested in those fields. Camp participants are served with
respect, courtesy, honesty and compassion.
WEEKLY THEMES AND FIELD TRIPS
DATES
THEME
FIELD TRIP LOCATION
Jun 1 – 5
May the Fun Be With You
Lazer Tag
Jun 8 – 12
Born to Be Wild
St. Louis Zoo
Jun 15 – 19
This Is How We Roll
Moolah Lanes
Jun 22 – 26
SLU Fun House
City Museum
Jun 29 – Jul 3
No Camp
No Camp
Jul 6 – 10
Surf’s Up
Splash City
Jul 13 – 17
Billiken Shuffle
Missouri Botanical
Gardens
Jul 20 – 24
In It to Win It
Incredible Pizza Co.
Jul 27 – 31
Sizzlin’ Summer
Aquaport
Field trips are subject to change.
Food
Snacks and drinks are provided daily.
Parents should send lunch with their camper(s) each day, except Friday,
when everyone looks forward to the all-camp cookout.
SUMMER CAMP REGISTRATION
Dates and times
Monday – Friday, June 1 to July 31
9 a.m. – 4:30 p.m.
The cost of the camp is $150 per week for SLU faculty, staff,
students and alumni and $160 per week for non-SLU affiliation.
• Extended care is 8 – 9 a.m. or 4:30 – 5:30 p.m.
• The extended care cost is $20 per child per week and
includes both morning and evening.
The camp is a fee-for-service program based on confirmed
enrollments and secured fees. A $50 per week, per child nonrefundable deposit is required. Reservations will be held by your
deposit until 14 days prior to the start of the week. The balance in
full must be received within 14 days prior to the start of the week
to secure the camper’s place. If full payment is not received by this
time, places will be refilled on a first-come, first-served basis.
Send all applications, payments and
correspondence to:
Department of Campus Recreation
Attn: SLU Summer Youth Camp
Simon Recreation Center
3639 Laclede Avenue
St. Louis, MO 63108
Phone: 314-977-3975
All checks are made payable to Saint Louis University.
Campers
Kids ages 6 – 12 may attend SLU Summer Youth Camp.
Birth certificates required for new campers.
ONLINE REGISTRATION AND PAYMENT IS AVAILABLE
AT SHOPCAMPUSREC.SLU.EDU.