Camp Bailey 2020 Summer Camp Checklist

The following checklist will help you with the completion of your summer camp forms. Please return all items on the checklist with registration fees to the THS office by May 1st to reserve a spot for your camper.

Paperwork will not be accepted without the registration fees. Limited spots are available at a first come-first serve basis. Once the maximum number of spots are filled, your

name will be added to the waiting list and you will be contacted when a spot is available. Tuition must be paid in full by June 1st for ALL sessions camper is attending

Please Initial When Completed: (All items must be complete at the time of registration)

____ Application w/Registration fees ($30/session—4 session minimum)

____ Transportation Fee ($40)

____ Parent Information & Policies

____ Photographic Waiver

____ Security Agreement

____ Activities Release

____ Allergy Form

____ Transportation Form

____ DHS Acknowledgment Form

____ Current Immunization Record

____ Parent has downloaded KidReports App **Parents will receive a test message. Parents must respond to this message to confirm they have access to KidReports.

____ Parent has requested to follow campbaileynwa on Instagram **Mom’s Instagram Handle: ___________________ Dad’s Instagram Handle: ______________________

Camp Bailey 88 W. Joyce BLVD.

Fayetteville, AR 72703 CampBailey@thehillschool.com

Camp Bailey Application for Summer Camp Enrollment

CAMPER’S INFORMATION Camper’s Full Name: __________________________________________D.O.B: _____/_____/_____

Grade level camper just graduated__________ School Attending___________________________

T-Shirt Size: Youth S M L XL

PARENT/GUARDIAN INFORMATION Father’s Full Name: ________________________________________D.O.B. _____/_____/_____

Address: __________________________________________________________________________

City: _____________________ State: ________Zip Code: _________ Cell #:_____________________

Email Address: _____________________________________ SSN: ____________________________

Mother’s Full Name: _______________________________________D.O.B: _____/_____/_____

Address: __________________________________________________________________________

City: _____________________ State: ________Zip Code: _________ Cell #:_____________________

Email Address: _____________________________________ SSN: ____________________________

Parent/Guardian with legal custody ____________________________________________________ Parents are: Married ___ Divorced ___ Separated ___ Widowed ___ Single ___

EMERGENCY CONTACTS

2 Emergency Contacts in NWA (other than parents or guardian)

1. Name: ____________________________ Cell Phone:____________________________________

Relationship to Child: _______________________________________________________________

2. Name: ____________________________ Cell Phone:____________________________________

Relationship to Child: _______________________________________________________________

Please submit any special Instructions on how to care for your child: (allergy from included in packet) __________________________________________________________________________________

___________________________________________________________________________________

**Does your child have any allergies? _________________________________________________**

TURN OVER TO PAGE 2

Camp Bailey 88 W. Joyce BLVD.

Fayetteville, AR 72703 CampBailey@thehillschool.com

CAMPER PICK-UP INFORMATION

Please list below the people who *Do Have Permission* to pick up your camper. *Note: Anyone picking up your camper must have picture ID. Name: __________________________ Phone: _________________ Relationship: __________________

Name: __________________________ Phone: _________________ Relationship: __________________

Name: __________________________ Phone: _________________ Relationship: __________________

**Current Immunization Records must be turned into the office before the camper is allowed to attend Camp Bailey**

Please choose the schedule and sessions your camper will attend:

[ ] Monday

[ ] Tuesday

[ ] Wednesday

[ ] Thursday

[ ] Friday

Parent/Guardian responsible for summer camp payments:

Signature: _________________________________________________Date:________________

Non-Refundable Deposit is Required with Application= $30 per session attending

June 1 – August 6 (10 Weeks)

3 DAYS - $150 4 DAYS - $170 5 DAYS - $190 *3 day minimum*

**4 week minimum**

Drop-in Day on field trip day-$60/Day Drop-in Day on non-field trip day- $50/Day

o Session 1 (6/1) o Session 2 (6/8) o Session 3 (6/15) o Session 4 (6/22) o Session 5 (6/29) o Session 6 (7/6) o Session 7 (7/13) o Session 8 (7/20) o Session 9 (7/27) o Session 10 (8/3)

Payer must initial next to each bullet.

o Deposit goes towards activities & field trips and is NOT deducted from tuition owed. _________

o Due to reservations & deposits for field trips: All summer tuition must be prepaid by June 1. _______ o Campers will not be accepted into Camp Bailey until their account is paid in full by cash or check made

payable to Camp Bailey.

o Credit cards are accepted with a 4% processing fee.

o A $40 transportation fee (per camper) is due by June 1st. Paid with summer tuition.

o Campers are required to have a set schedule. It cannot vary from session to session. Schedule is due upon paying the registration fee and cannot be changed after June 1.________

o Sibling discount of $15/wk for the youngest sibling is offered if family has more than one camper enrolled in Camp Bailey & both campers are attending at least 4 sessions. ________

o Campers that sign-up for all 10 sessions, receive a $150 discount (discounts are not applied to registration fees). ________

o PLEASE NOTE: Camp Bailey is CLOSED on 8/7. Camp ends on 8/6. __________

Camp Bailey Summer Camp: Parent Information & Policies

Admission: Campers are not officially enrolled until all paperwork and deposit have been submitted to the office. (The deposit is $30/week per camper

with a 4 week minimum). We have a limited number of spots available. Once we’ve reached our maximum enrollment, your camper will be put on a waiting list and if we have space you will be contacted. Spots are only reserved by completion of paperwork and paid deposit.

Camp ends on Thursday, August 6th. THS and Camp Bailey are closed on Friday, August 7th for Faculty In-Service.

Payment Information: ALL camp tuition must be paid in-full before June 1, 2020 and must be paid by cash or check payable to Camp Bailey. Credit cards are

accepted with a 4% processing fee.

Drop-in days may be requested and approved based on availability. Payment must be dropped off at the office before dropping your camper off in the Elementary Building. Please contact campbailey@thehillschool.com or message through the KidReports app to request drop-in days.

A one-time transportation fee of $40 per camper will be due upon enrollment.

Returned checks will be resubmitted and the check writer will be responsible for a $35 returned check fee. A check returned a second time is grounds for dismissal from the program and the camper cannot return until payment is received in full.

Refunds/credits will not be issued for any reason. There are no tuition or fee reductions for absent/sick days.

Camp Bailey closes at 5:30pm. If your camper is picked up after 5:35pm or later, a substantial late fee will be due before camper can return. ($5.00 per minute per camper).

Check In/Check Out & Absences: It is imperative that we have parental cooperation in this area so that all campers can be accounted for at all times.

Parents are required to take their camper to the check-in station every morning at drop-off time. Counselors will check campers in through KidReports via tablets. Failure to adhere to this policy will result in immediate termination from the program without refund.

Every parent needs to use the Camp Bailey 4 digit code to enter the building. This code will be granted to each family after enrollment.

Please call the office if your camper will be absent on a day they are scheduled to attend. Parents can also message the office through the KidReports app or by email (campbailey@thehillschool.com)

Communication: Every parent should download the KidReports app (additional info included) to receive important notifications and reminders throughout the

sessions. **This is our main form of communication. If parents can’t download the app on their smart phone, they can also go to www.KidReports.com

Parents can message the Camp Bailey admin through the KidReports app, call the office at 479-582-3333, or email campbailey@thehillschool.com

Camp Counselors post pictures to our private Instagram account @campbaileynwa every day. Please request to follow us!

Drop-Off & Pick-Up: Breakfast is served from 8:00-8:30am, so if campers would like to eat breakfast, they must be dropped off no later than 8:15am.

Campers must be dropped off by 9:00am on field trip days or they will miss the field trips. Campers that miss departure of the field trip will need to go back home with parents and cannot be dropped-off until campers and counselors return from the field trip. Due to DHS transportation regulations, parents are not permitted to drop campers off at the field trip location.

Campers should not be picked up before 3:00pm on field trip days. If parents need to pick up before 3:00pm, they should send a written request to the office via KidReports or email.

Discipline & Behavior Expectations: Camp Bailey expects each camper to be respectful of other campers and camp counselors, listen carefully, work & play safely, respect

school & personal property, and follow directions.

Camp Bailey has the right to suspend and/or dis-enroll any camper who cannot or does not adhere to Camp rules.

When inappropriate behavior occurs, counselors will redirect behavior, discuss the problem with the camper to determine the causes & help find ways to resolve it.

If the conflict remains, an incident report describing the behavior will be given to the parent. If a camper receives 3 incident reports, the camper will be suspended effective at the end of the 3rd report. Parents will be required to meet with the Camp Director and camp leaders in order to determine conditions of reinstatement or permanent withdrawal from the program. If the camper is reinstated into the program and receives a 4th incident report, the camper’s enrollment will be terminated immediately.

Meals: Camp Bailey will provide breakfast & afternoon snack for all campers.

Breakfast: Camper’s choice (pick 2): Nutrigrain Bars, Special K Pastry Crisps, Pop-Tarts, Go-Gurt, GoGo Squeeze Applesauce or banana

Snack: Camper’s choice (pick 1): variety chips, crackers, cookies, WOW Butter sandwich

Campers must bring a sack lunch each day. On field trip days, campers will eat lunches off campus so please keep that in mind when making lunches.

1. All campers will need to bring a labeled lunch each day. Lunches must have ice packs if items need to be kept cold (a refrigerator will not be available due to field trips).

2. Please do not send anything that needs to be heated in a microwave. 3. Campers should have a labeled water bottle each day. Soda is not allowed. Juice box with lunch is permitted. 4. If a camper forgets to bring their lunch, parents will not be allowed to drop off for the day until they get a lunch for their

camper. A sack lunch can be purchased from the THS cafeteria for $5.00.

5. Remember that we have campers with severe allergies. And thus THS Campus is a nut-free facility (PB&J not allowed. Lunchables cannot contain any nut candy).

6. Lunches will be inspected by a camp counselor at drop-off. If lunches do not pass inspection parents will be required to purchase a sack lunch from the office or bring a different lunch before dropping off their camper.

7. Although Camp Bailey provides an afternoon snack, campers are welcome to pack extra snack items and/or eat their leftover lunch at afternoon snack time.

What to Wear:

Modesty policy: o Girls:

Camp Bailey does not allow 2 piece/bikini/tankini swimsuits. If girls arrive in a 2 piece swim suit, they will be given an oversized t-shirt to wear over their swimsuit.

Midriff/crop tops are not allowed. o Boys:

Boys must wear swim shirts. An oversized shirt will be provided for those that do not bring a swim shirt. o Camp Bailey recommends that ALL campers wear swim shirts for extra protection from the sun.

1 Camp Bailey shirt will be given to each camper. Families will be notified when shirts are ready to be picked up at the THS office.

Camp shirts MUST be worn on all field trips. If campers arrive without their camp shirt, parents will be asked to purchase an additional shirt from the office.

Extra Camp Bailey shirts can be purchased in the office for $10.

For the safety of all campers, Camp Bailey does not allow flip-flops. There are so many outdoor games & activities and we recommend that campers wear sport sandals or tennis shoes.

Field Trips: Transportation will be provided for all field trips by the Camp Baily school bus.

A $40 transportation fee (per camper) will be due upon enrollment.

Older Elementary will have field trips on Monday, Wednesday and Friday. Younger Elementary will have field trips on Tuesday, Thursday and Friday. Field trips are subject to change.

Signed activities release is required to attend any field trip.

If campers bring extra money, it must be filed in the provided money pouch and left in the team’s FUNDS TUB. Parents are responsible for checking their camper’s money pouch and keeping up with their balance. Camp Bailey is not responsible for lost or stolen money.

The same BEHAVIOR GUIDELINES are enforced on field trips as on campus. Campers who cannot adhere to the rules on field trips are subject to the following consequences: parent called to pick up camper from the field trip (regardless of the location), suspension from one or more field trips, dis-enrollment from camp.

Field trips may have to be modified due to weather or scheduling, in which case, no refunds will be given. Parents will be notified of any changes via the KidReports app.

What to Bring: LABEL EVERYTHING!!!

Every camper is required to have a backpack with the following:

o Swimsuit, towel & water shoes

o Waterproof sunscreen

o Water Bottle

Lunch Box

Camp Shirt on field trip days

**Camp Bailey is NOT responsible for lost or stolen items so

we recommend that campers leave all electronics, tablets,

phones, etc. at home**

**Items left at Camp Bailey will be taken to Lost & Found in

the THS office**

Teams: Each camper will be assigned to a team before camp starts.

Each team of 10-12 campers will have a Camp Counselor for the entire 10 week program.

Teams will be divided by grade; younger campers (entering Kindergarten through completed Kindergarten) and older campers (1st-3rd grades)

A counselor to camper ratio of 1:15 is maintained to ensure individual attention and proper supervision for campers.

Jr. Counselor Program: Our Jr. Counselor Internship Program is exclusively designed for former campers that have aged out of Camp Bailey upon completion of

4th and 5th grade.

Jr. Counselors will build their leadership and responsibility skills by guiding activities in THS classrooms and leading service projects throughout the summer.

While the Jr. Counselor Internship program is part of Camp Bailey, participants will primarily spend their days doing separate activities and events from the Younger and Older Elementary campers.

______________________________________________ ________________________________________________

Mother /Guardian Printed Name Mother/Guardian Signature & Date

______________________________________________ ________________________________________________

Father/Guardian Printed Name Father/Guardian Signature & Date

Camp Bailey Photographic Waiver

I, _____________________________ [printed parent] hereby agree to allow Camp Bailey and/or its agents or

representatives to take photographic images, digital or otherwise, of my camper

_____________________________ [printed camper’s name] at Camp Bailey or any related activities. I agree

that these photographic images of my camper may be posted on the Camp Bailey Instagram, school Instagram,

the school Facebook page, and the school website.

I hereby agree to waive my right to approve or inspect any finished photographs prior to its posting. This waiver

shall remain valid until revoked in writing.

I hereby agree to hold harmless Camp Bailey and any of its agents, teachers or representatives regarding the

use and distribution of any photograph, electronic media or otherwise, from damages or liability resulting or

arising from the use of such materials including but not limited to any 3rd party misuse, distortion, alteration,

either intentionally or otherwise, that may occur or be produced in taking, processing, reduction or production of

such photograph.

I submit that I am the parent or legal guardian of the camper named above and have the authority to sign this

waiver on his or her behalf.

_____________________________________ ______________________ Signature of Parent/Guardian Date

Camp Bailey, LLC. 88 West Joyce Blvd

Fayetteville, AR 72703

Camp Bailey Security Agreement

The responsibility of Camp Bailey is to ensure you, the parents and/or custodial guardians, of the safety of

your camper while in the physical parameters of the school. Camp Bailey is armed with a security system

and confidential code for each family which protects your camper while they are at our facility. Additionally,

Camp Bailey closely monitors all entrance and exits to the school and is aware who should be in the facility

and who should not. For the safety of your camper and our camp counselors and school faculty it is a

requirement that all families/staff possess a four digit confidential code to enter the school and/or the

Elementary Building.

Instructions are as follows: (Initials of both parents and/or camp counselor next to each)

______The main door to the Elementary Building is the only door to be used by families and staff to gain

entrance to the building. Families and counselors are required to use the assigned 4-digit code.

______Families and counselors entering the school may NEVER open any door, whether standing inside

or outside, for anyone regardless if you know that person or not.

______Families and counselors must use the Camp Bailey 2020 assigned code.

______Families and counselors questioning the appropriateness to open/not to open the front door are

required to ring the doorbell. Camp Bailey representative(s) will open the door. Codes will not permit non-

paid tuition families or a non-custodial person to enter the school. Failure to comply will result in immediate

dismissal of the family or counselor. (Do not hold the door open for anyone and make sure the door

closes behind you.)

______Families and counselors need to be sure the school is open before entering. If the City of

Fayetteville fines the school for a false alarm, the family/counselor that set off the alarm will be required to

reimburse the school for the cost of the fine prior to returning to our program.

_____Every school classroom, as well as common areas, playgrounds, and Elementary Building are

monitored and recorded by security cameras constantly recording both audio and video feeds. Recordings

are for the exclusive use and benefit of the school and Camp Bailey for security, training and supervision

purposes. Recordings are never available to families regardless of the circumstance.

I have read and agree to comply with the Security Agreement for Camp Bailey.

Signatures:

Custodial Guardian ____________________________ Date____________________________

Custodial Guardian ____________________________ Date____________________________

Counselor__________________________________ Date____________________________

Camp Bailey, LLC. 88 West Joyce Blvd

Fayetteville, AR 72703

Camp Bailey Activities Release & Field Trip Permission

By signing this activities release “Release” of liability, I, __________________________,

parent/legal guardian (hereinafter “Parent”) give permission for _________________________, my

camper (hereinafter “Camper”), to participate in any and all Camp Bailey events and/or activities

including, but not limited to, transportation to and full participation in any field trip(s), event(s) and/or

activity(ies) (hereinafter “Activities”).

In consideration for Camp Bailey accepting my Camper’s enrollment, the receipt and sufficiency

of value and consideration as hereby acknowledged, I waive any and all claims of any kind whatsoever

against Camp Bailey/The Hill School and further agree to indemnify and hold Camp Bailey/The Hill

School harmless from and against any loss, claim, damage or liabilities that may arise out of any Camp

Bailey transportation and/or Activities. I unequivocally waive any and all liability from injuries, faults, and

any other emergency situations that may arise during such transportation and/or Activities. By signing, I

waive all rights, claims, and other legal actions whatsoever now or in the future.

Further I understand and agree that this release shall apply to Camp Bailey/The Hill School and

any Camp Bailey/The Hill School principals, affiliates, successors and assigns now or in the future. I

further understand and agree that this Release shall continue and remain in full force and effect until such

time as I revoke this release in writing and provide such revocation to Camp Bailey by email to

campbailey@thehillschool.com.

As Parent, I hereby affirm that I am the Parent with primary custody of the above reference

Camper and have full authority to execute this waiver on Camper’s behalf.

Camper Name:

____________________________________________________________________________ ______________________________________________________________________ Signature of Parent or Legal Guardian Printed name of Parent or Guardian Date

EMERGENCY CONTACT INFORMATION

Parents/Guardians

Phone Numbers Phone Type

(Cell, work, etc.)

Name(s)

Street Address

City State Zip

Parents/Guardians Names

Best email addresses to reach Parents/Guardians

Camp Bailey

Allergy Form

Camper’s Name: __________________________________________

D.O.B: ____________________

Emergency Contact Info:

1. ______________________________ Ph: ______________________

2. ______________________________ Ph: ______________________

3. ______________________________ Ph: ______________________

Please list all your camper’s allergies & describe the expected

reaction:

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

ALL allergies listed on this form must have a doctor’s note

and action plan.

Camp Bailey, LLC. 88 W. Joyce BLVD.

Fayetteville, AR 72703 CampBailey@thehillschool.com

Camp Bailey TRANSPORTATION FORM

This document will be kept in the transportation binder on the school bus.

CAMPER’S INFORMATION Camper’s Full Name: __________________________________________D.O.B: _____/_____/_____

PARENT/GUARDIAN INFORMATION Father’s Full Name: ________________________________________D.O.B. _____/_____/_____

Address: __________________________________________________________________________

City: _____________________ State: ________Zip Code: _________ Cell #:_____________________

Mother’s Full Name: _______________________________________D.O.B: _____/_____/_____

Address: __________________________________________________________________________

City: _____________________ State: ________Zip Code: _________ Cell #:_____________________

Parent/Guardian with legal custody ____________________________________________________ Parents are: Married ___ Divorced ___ Separated ___ Widowed ___ Single ___

EMERGENCY CONTACTS

2 Emergency Contacts in NWA (other than parents or guardian)

1. Name: ____________________________ Cell Phone:____________________________________

Relationship to Camper: _______________________________________________________________

2. Name: ____________________________ Cell Phone:____________________________________

Relationship to Camper: _______________________________________________________________

**Does your camper have any allergies? _________________________________________________**

Please submit any special instructions on how to care for your camper: (allergy from included in packet) __________________________________________________________________________________

___________________________________________________________________________________

CAMPER PICK-UP INFORMATION

Please list below the people who *Do Have Permission* to pick up your camper. *Note: Anyone picking up your camper must have picture ID. Name: __________________________ Phone: _________________ Relationship: __________

Name: __________________________ Phone: _________________ Relationship: __________

Name: __________________________ Phone: _________________ Relationship: __________

Revised 1/2020

Acknowledgments Required for DHS Minimum Licensing Regulations

This is a statement of verification that I have been informed that childcare licensing/child

maltreatment investigators and/or law enforcement may possibly interview my camper for the

purpose of determining licensing compliance or for investigative purposes.

Signature: _______________________________ Date: ___________________

This is a statement of verification that I have been informed in the Camp Bailey Parent

Information and Policies Form of the behavior guidance policy practiced.

Signature: ________________________________ Date: ___________________

I, ______________________________, mother/father/guardian (circle one) of

_________________________________, do hereby give my consent to the Director of THS and

Camp Bailey, or his/her duly appointed representative, for said camper to receive medical or

surgical aid as may be deemed necessary and expedient by a duly licensed or recognized

physician or surgeon in case of an emergency when parents cannot be reached. Consent is also

given to the Director or his/her duly appointed representative to transport said camper for

emergency medical treatment, if the parents cannot be reached.

Signature: _______________________________ Date: ___________________