May 1-3, 2015 Lazy F Campground Ellensburg, WA Parent Ac vi es Saturday, May 2 8‐8:45 a.m. Registra on at Trading Post 9‐9:45 a.m. Families meet staﬀ Children’s Program Saturday 10 a.m.‐12 p.m. & 1‐5 p.m. Sunday 8:50 a.m. ‐ 12:00 p.m. Deaf, hard of hearing and hearing children are welcome. 9:45 Children go to children’s program 10‐11:30 a.m. Keynote Speaker: Jennifer White Age Birth up to 3 11:30‐11:50 a.m. Parent introduc ons/small groups Children will enjoy participating in language rich and 12‐1 p.m. Lunch developmentally appropriate activities. Adult to child ratio is 1:1. 1:00 Children return to children’s program 1:10‐3:00 p.m. Workshop Selec on: Parent discussion Ages 3 ‐ 12 3:00‐3:10 p.m. Break Drama: Children will have the opportunity to develop 4:15‐4:45 p.m. Free me to visit with other parents performance pieces for the Sunday morning program. 5:00 Pick up children from children’s program 5‐6:00 p.m. Free me for hay ride, playground, or fishing 6‐7:00 p.m. Dinner 7:15‐8:00 p.m. Free play me 8‐9:00 p.m. Campfire me with stories and marshmallows Arts & Crafts: Children will have the opportunity to work on art and craft projects and showcase them at the Sunday morning program. Outdoor Recreation: Fun & games outdoors including fishing. Many volunteers will be helping with these activi‐ ties. Age 13 to 18 Teen Challenge Program: A fun program of physical ac‐ tivities designed for the development of interpersonal skills, problem solving and self‐esteem is oﬀered for teens. Sunday, May 3 8‐8:50 a.m. Breakfast 8:50 Children go to children’s program 9‐10:20 a.m. State and Na onal Ac vi es: Rick Hauan (Ridgeview) 10:30‐12 p.m. Children’s Performance Return registration to: Christy Camarata, WSDS/CWU – 7409, 400 E. University Way, Ellensburg, WA 98926 12‐1 p.m. Lunch and then Home Directions, additional forms and confirmation of registration will be mailed to you. Questions—[email protected], 509.963.1670 2015 Family Camp Registration Form Package A: 2 nights lodging - Friday, May 1, Saturday, May 2 (Friday arrival after 6:00 p.m.) 5 meals - Saturday: Breakfast, Lunch, Dinner, Sunday: Breakfast, Lunch Package B: 1 night lodging - Saturday May 2 (Saturday 8:00 a.m. arrival) 4 meals – Saturday: Lunch, Dinner Sunday: Breakfast, Lunch Package C: Offsite Lodging 4 Meals – Saturday: Lunch, Dinner Sunday: Breakfast, Lunch PACKAGE A COST PACKAGE B PACKAGE C Adult Child 13 – 18 Child 6 - 12 99.00 89.00 79.00 73.00 63.00 53.00 49.00 42.00 37.00 Child 2 - 5 Child and under 2 69.00 No Cost 43.00 No Cost 26.00 No Cost NAME – List names of all adults and children who will be attending PKG AGE EX: Flossie Ann Smith (adult) A N/A EX: Sally Joy Smith A 3 *Child t-shirt size GENDER HEARING, HH, DEAF COST Female Hearing $ 99.00 Female Deaf $ 69.00 3T Subtotal: *t-shirts will be available for children in sizes 2T, 3T, 4T, child XS, S, M, L, XL and adult S, M, L and XL………………… RV Space Requested _______ ______ TOTAL DUE: Your Name: __________________ Address: ____________________________City: ____________________State: ___Zip:_______ E-Mail Address: ______________________________ Phone: ( )___________ Cell: ( )_________ Payment Options: Check: Payable to: Central Washington University Credit Card: fax (509-963-1608) or mail the following information: Visa Master Card Expiration Date Account No. Name (as it appears) on Card Signature Do you have a family that you would prefer to room with? ______________________________ Do you need vegetarian meals? Yes/No Food allergies? ______________________________ Do any adults in your party need Spanish interpreting? Yes/No Do you need wheelchair accessibility or other accommodations? Yes/No ____________________ Emergency Contact #1:____________________________________________________________________________________ NAME RELATIONSHIP PHONE # Emergency Contact #2____________________________________________________________________________________ NAME RELATIONSHIP PHONE #