Summer at SouthArk! by SouthArkCommEd

south arkansas community college 3698 east main rd.

Table of Contents

Camp Lotsafun // page 3 Black Rocket Creative Sciences and Digital Arts Academy // page 12 S.T.E.M. Engineering Academy // page 15 Summer at SouthArk Info guide // page 17 registration form // page 18 enrollment and payment information // page 19 Summer at SouthArk Policies and Procedures // page 21 check-out and emergency information // page 22

Coming into my second year as Camp Director, I am absolutely, positively, unapologetically ECSTATIC to get this summer started. Why, you ask? First of all, I cannot wait to see all of the returning campers! I loved getting to know all of their unique personalities and, even more so, loved seeing them have such a wonderful time learning and growing. Secondly, I cannot wait to meet all of the new campers and get to know each and every one of them. One of my favorite parts of being Camp Director is being able to witness, first hand, how well children mesh in a relaxed, close-knit environment. The joy on their faces once they grow a bond with other campers and camp leaders is probably one of the coolest things ever. And finally, I cannot wait to see all of our new and exciting courses in action. This summer, we will of course have the long-standing Camp Lotsafun during the month of June but we will also be having a S.T.E.M. Engineering Academy (formally LEGO Academy) and the newly added Black Rocket Creative Sciences and Digital Arts Academy. Everything offers something unique and different - there is surely something for everyone. So what are you waiting for? Join me for Summer at SouthArk 2014!

Ages 6-12 / 870.864-7192 $89 per week for full-day campers (8 am-4:30 pm) $49 per week for half-day campers (8 am-12 pm) Registration Deadline: Monday, May 19

IMAGINE YOU’RE A WEIRD SCIENTIST Discover the weird science behind the ickiest, wackiest, most unusual things ever to exist! We’ll investigate some of the most bizarre scientific oddities on Earth. So get ready to take a strange, creepy, and sometimes even gross journey through Weird Science. PUPPETS AND IMPROV Join Miss Bobbie for a week of fun performances while exploring the world of puppeteering. Campers will learn how to bring puppet characters to life in a team-centered setting. HAPPY FEET Make your feet happy, and mooooove!!! This class will get your feet going with fun games like hacky sack, jump rope, kickball, and more! Campers will also get a chance to work in teams to create a brand new game. OUR BIG BACKYARD This course will explore the great state of Arkansas and include a tiny sample of all the wonderful things it has to offer. During the week, campers will make animal track soap, create a toad abode, cultivate a “Camp Garden,” and even see a LIVE alligator! WHO WAS IT? Was it Scarlet in the Library? Was it Colonel Mustard in the Living Room? Put on your investigator cap and lets solve some mysteries! Campers will take on character roles and learn the art of using clues to decipher what’s really happening. PAPER ENGINEER Calling all imaginations! Through experimentation, you will learn how to create unique and awesome things out of something we use daily – PAPER! WHO’S ON FIRST? Who’s on first? No, Who’s on second! It’s everything Baseball! During this course, campers will build a fantasy team, create their own trading cards, and challenge other campers in a whiffle ball tournament. MONSTER, INC Get ready to enjoy a frighteningly fun time with Miss Bobbie with all things Monsters! Don’t worry; they’re not here to scare you…just to make life FUN! FIFTY NIFTY Red, White, and YOU! Pack your bags and lets tour each unique state while studying symbols like the American Flag, Statue of Liberty, and the White House!

IMAGINE YOU’RE AN AWARD WINNING ACTOR! Get ready to put a new spin on some old fairy tales. This week we’ll recreate some old favorites and give them a funny twist. Calling all actors, set designers, and directors! FITNESS FACTOR Have fun getting healthy with the ultimate sports challenge! Every day you will engage in absolute fun and fitness, from organized sports to obstacle courses. Be sure to wear tennis shoes for this course! YOUNG GEOLOGISTS Lets do some digging! Layer by layer, the very ground we stand on contains thousands of years worth of history. During this course, campers will survey land while paying special attention to the small evolutionary details and documenting what was discovered! PIONEER DAYS What was life like during the Pioneer days? How did children learn? What types of jobs did people have? What games did they play? What food did they eat? Learn about all of this (and MORE) here! CRACK THE CODE Want to learn a secret language? Become a cryptographer! They make codes, break codes, and send secret messages. Talk about cool! During this class, campers will brush up their decrypting skills as they solve clues for a hunt of their own. THE TRAVELING SUITCASE Experience a global tour focusing on foods, customs, and traditions! Campers will participate in a “Flat Stanley”-type project to hear from people all over the world. Parents, please be sure to let us know of any food allergies/restrictions before this class begins. SQUISHY SQUEEKY STRANGE SCIENCE WITH DR. BEE A camp favorite – Dr. Bee is back!!! Explore the ooey gooey with the lovable, mad scientist!

IMAGINE YOU’RE A FAMOUS ARTIST! Swirling, curling brushstrokes. Vivid colors. Thick layers of paint. These are the hallmarks of a painting by Vincent van Gogh, whose work his fellow artist Paul Cézanne once called “that of a madman.” We’ll journey from the Netherlands to Paris to southern France to learn about van Gogh’s friendships with four other like-minded painters who admired but were determined to depart from Impressionism: Paul Gauguin, Paul Signac, Émile Bernard, and Henri de Toulouse-Lautrec. We will learn not only how these Post-Impressionists’ daring shapes, colors, and techniques distinguished their work from what was painted before but also how the men helped one another and whether or not they always got along. We’ll also create some art of our own! OUTDOOR ADVENTURE Explore the great outdoors by paying attention to the details in our surroundings! Learn what to look for to tell what insects are nearby, what plants may be dangerous, and end the week with a scavenger hunt created just for you! MIDIEVAL TIMES Calling all Knights and Princesses! During this course, campers will trek through 500 years of midieval history while making swords, shields, castles, and more! TAKE MY WORD FOR IT This is a creative writing course for campers to truly engage their imagination. Each camper will work on their very own masterpiece (illustrations and all) to share with the class at the end of the week. THE CHOCOLATE FACTORY Join in on the sweetness and explore the fun world of chocolate! Learn how it’s made, where it comes from, and what all it is used for. You won’t believe your eyes, but hopefully you’ll believe your taste buds! Parents: please be sure to notify staff of any allergies before this class begins. CLOWN CAMP Join Sparkles the Clown and learn clown basics including etiquette, characters, costumes, makeup, balloon creations, juggling, comedy magic, performance skills, and acting! CREATION STATION During this class, Ms. Rachel will take campers on the thrill of a lifetime as they create their very own marshmallow catapults, homemade silly putty, glow-in-the-dark goop, and MORE.

IMAGINE YOU’RE A BRILLIANT INVENTOR During week four of Mrs. Stephanie’s “Imagine You’re” series, we’ll learn about Thomas Edison, one of the world's greatest inventors. We’ll learn how Edison ushered in an astounding age of invention with his unique way of looking at things and refusal to be satisfied with only one solution to a problem. Edison is sure to inspire us to be inventors and scientists, as well as persevere with our own ideas. We’ll try out a few of Edison’s experiments and perhaps dream up some of our own! MAGIC FOR MUGGLES During this course, the magical world of Hogwarts will come alive at Camp Lotsafun! Campers will make house banners, make their own wands, learn about mythical creatures, and play a few games of quidditch. VOLCANOES, A TORTOISE, AND ALASKA What do volcanoes, a tortoise, and Alaska have in common? They all play a part in how much FUN campers will have during this course! Be sure to bring your imagination and your tennis shoes! WORLD CUP Calling all junior Olympians for round 2 of the 2014 Olympics – Camp Lotsafun style! This class will create an atmosphere of friendly rivalry while campers quest to take home the gold! SEUSS ON THE LOOSE One fish, two fish, red fish, blue fish…learn about Dr. Seuss as much as you wish! Take an in-depth look at the whimsical world this one-of-a-kind author created. Share with your campmates what all you discovered through digitally illustrated stories! HOLA AMIGOS! Come explore the cultural wonders of Spanish-speaking countries, from how they speak to what they eat! Campers will play games, make colorful piñatas, perform skits, sing songs, and much more! GOOGLE EYED FOR GOOGLE EARTH With the evolution of technology, the world is literally at our fingertips. This class will consist of all the neat things that can be seen on Google Earth, complete with an online scavenger hunt! MOSAIC MARVELS Join Miss Bobbie for a week of creating colorful, beautiful, fun mosaics that you can show off to your friends and family! A gallery will be created to display camper work throughout the week. KIDS BIZ Calling all young entrepreneurs! From conception to execution, campers will learn how to cultivate their very own business idea. Miss Bobbie will cover money management tips, market research, and more!

APP ATTACK! MAKE YOUR FIRST APP! (ages 8-10)

MAKE YOUR FIRST VIDEO GAME (ages 11-14)

Take the first steps into the world of mobile app design and customize your own game app! Using a specialized game development tool, students will explore the world of phone-based and tablet applications. In addition to learning the basics of mobile app design and game development, you will also see firsthand how the world of App’s publishing functions. Student created apps will be accessible on a private site and can be played on any mobile device or computer. Parents may choose to publish apps if certain criteria are met and final decisions are the sole discretion of Apple or Google. No prior experience is necessary and students do not need to own a smartphone or tablet to take the class.

If you love playing video games, this is the camp for you! Make your first video game in this one-of-a-kind class that shows you the crucial keys to designing your first 2-D game. Conceptualization, play experience, challenge levels, graphics and elements, music and sound, software, and simple coding are just some of the concepts that we’ll explore as you learn how to really get into the game because you made it yourself! No prior experience necessary just a desire to have fun. Student created games will be available on a password protected Black Rocket website to share with friends and family. Games are only compatible on PC computers, Mac versions can be created after the program for a $15.00 conversion fee.

July 7-11 9:00 a.m.-12:00 Noon $175/student

APP ATTACK! MAKE YOUR FIRST APP! (ages 11-14) July 7-11 1:00-4:00 p.m. $175/student

July 14-18 9:00 a.m.-12:00 Noon $175/student

MAKE YOUR FIRST VIDEO GAME (ages 8-10) July 14-18 1:00-4:00 p.m. $175/student

MINECRAFT DESIGNERS (ages 11-14)

MINECRAFT DESIGNERS (ages 8-10)

If you love the game Minecraft, but always wanted to design your own characters and buildings for your games, this class is for you. Learn the basics of creating 3D modeling using a new industry grade software to design your very own characters and import them into your favorite Minecraft games. Students must have Minecraft at home to import characters and parent email address is required to create student accounts.

The Minecraft Designer curriculum is compatible with any desktop (and laptop) version of Minecraft software that is for a PC or Mac computer. Recently, Minecraft has come out with a version of their software for the Xbox 360 and mobile tablets/phones. These versions of Minecraft are not compatible with the desktop software we will use in the class. Since at the present time, the mobile and desktop files are not compatible, students must purchase the PC/Mac version of the software before they can continue to edit/play their maps from home.

July 21-24 9:00 a.m.-12:00 Noon $175/student

July 21-24 1:00-4:00 p.m. $175/student

The magic in every camper comes to life as never before when they are empowered to be as creative as they were all born to be. The Black Rocket Creative Sciences and Digital Arts Academy is powered by the camper’s innate imagination, and designed to bring their ideas to life in a fun, simple, learning environment. From concept to creation and from pre-production to premiere! Camps are designed under the creative direction of Bill Zengel, who has two decades of award winning work as a writer and producer in advertising, television and more. Richard Ginn, who won Teacher of the Year at US News and World Report’s #7 ranked High School in the United States, and is also an experienced school administrator, partners with Bill to ensure your child’s experience is of the highest level. Black Rocket provides unique enrichment and educational programs to children and young adults. Our distinct programs in Creative Sciences, Digital Arts and Leadership focus on the intersection of creativity and technology. Each course emphasizes self-empowerment, cognitive reasoning, and divergent thinking through hands on learning. Each of our classes are divided into age appropriate sections that increase in complexity and challenge your child to reach their full potential. All Black Rocket programs mirror real life experiences and the collaborative nature of the creative process. Students will work in pairs or teams for most of the design process.

VIDEO GAME ANIMATION (ages 11-14) VIDEO GAME ANIMATION (ages 8-10) July 28-August 1 9:00 a.m.-12:00 Noon $175/student

July 28-August 1 1:00-4:00 p.m. $175/student

Take your game design to the next level by creating and animating your own character sprites, objects, and backgrounds. Start with a name, develop the character’s personality, signature moves, special powers, and a story line. Finish with a fully animated character to be used in future games. Students do not need any prior experience in game design, animation, or sketching. Student created animations will be available on a password protected Black Rocket website to share with friends and family. Games are only compatible on PC computers, Mac versions can be created after the program for $15.00 conversion fee.

More information: All student projects are uploaded by the instructor on the last day of class to http://blackrocket.com/students. The students can access their project from anywhere in the world as long as they have a computer and internet. To access their projects the students must have an account. On the first day of class students receive a ‘golden ticket’ from their teachers. The parents of each student must fill out the golden ticket and return the second day of class. This allows the teacher to set up student accounts so they can access their projects at the end of the week. Projects are hosted for one year on our site and parents can access anytime 24/7. After a year the projects are sent to our archives and parents will need to send an email request to access their projects. All student projects must conform to organization and Black Rocket acceptable use policies. All sessions of the Black Rocket Digital Sciences and Creative Arts Academy will be held in the SouthArk Center for Workforce Development located on SouthArk’s east campus, 3698 E. Main Rd., El Dorado. All courses are open on a first-come, first-served basis. Class sizes are limited. Registration deadline for the Black Rocket Digital Sciences and Creative Arts Academy is Monday, June 23rd at 5:00 p.m.

Architecture and elements of engineering will be the focus of this exciting program. Students will be challenged to use their imagination to explore how buildings are designed and built. This program will incorporate the S.T.E.M. elements of learning and utilize 21st Century learning skills. Students will learn fundamental architecture principles, general application of design principles for both houses and commercial buildings. Utilizing building blocks with pre-set designs the students will be challenged to re-design their own structures using the learned principles and their applications.

Ages 11-14 July 7-11 8:30-11:30 a.m. $159/camper Ages 8-10 July 7-11 1:30-4:30 p.m. $159/camper Campers will be able to take home everything they make!

*BanBao Bricks are compatible with all major brands, such as LEGO and Mega Bloks

Pullback Car Frenzy is an enrichment course designed to stimulate problem solving and creativity using new and innovative ideas. Students become mini-engineers, challenged to design new vehicles utilizing pieces from supplied cars. Over the course of the class, students participate in experiments designed to demonstrate science and engineering concepts and laws such as gravity, potential energy, and kinetic energy.

Ages 8-10 July 14-18 8:30-11:30 a.m. $159/camper Ages 11-14 July 14-18 1:30-4:30 p.m. $159/camper Campers will be able to take home everything they make!

*BanBao Bricks are compatible with all major brands, such as LEGO and Mega Bloks

What is Summer at SouthArk?

Summer at SouthArk has been designed to offer enrichment courses that cover a variety of interests. The 2014 schedule is broken down into 3 main camps: Camp Lotsafun, which is open to students ages 6-12 and runs from June 2-27; Black Rocket Creative Sciences and Digital Arts Academy, which is open to students ages 8-14 and runs from July 7-May 1; and the S.T.E.M. Engineering Academy, which is open to students ages 8-14 and runs from July 7-18. Each course is specially designed to create a fun learning environment where students are able to explore new areas of interest and stretch their imagination. Courses are open at a first-come, first-served basis but registration deadlines are listed according to start date.

Registration Procedure

1. Select course(s) of interest. 2. Complete the registration form and emergency medical information (found at the back of this booklet). 3. To secure studentâ&#x20AC;&#x2122;s place in course, payment must accompany registration form. 4. Return to SouthArk Corporate and Community Education via Snail Mail (include payment - check only) or in person (include payment - check or exact cash only): Attn: Tara Anglin South Arkansas Community College 3698 E. Main Road El Dorado, AR 71730 E-mail (follow with payment): tanglin@southark.edu Fax (follow with payment): 870-864-8495 5. Registrations made with credit or debit cards must be made in the SouthArk Bookstore which is located in the El Dorado Conference Center. Payments may also be made over the phone at 870-864-7163. If payments are made through the bookstore, please notify the office of Corporate and Community Education at 870-864-7192 or ce@southark.edu. A completed registration packet must accompany the debit/credit transaction.

Cancelled Courses and Changes

SouthArk Office of Corporate and Community Education reserves the right to cancel any course before the first session begins due to low enrollment. In the event the course is cancelled, you will be notified and your fee will be refunded. SouthArk also reserves the right to change instructors.

Student Dismissal

The instructor reserves the right to dismiss a student from his/her course if the student demonstrates a behavioral or attendance pattern that does not comply with the Summer at SouthArk Policies and Procedures document signed upon course enrollment. If the behavioral issue continues to disrupt class, the student may be dismissed from the program without refund or credit. More information regarding this policy can be found in the Summer at SouthArk Policies and Procedures document.

Will my child need extra supplies or materials?

Unless denoted before camp begins, children should not be asked to bring extra supplies or materials. If a need arises during camp, a notification will be sent home by the camp director.

REGISTRATION FORM Student Information

FULL NAME: ______________________________________

AGE BY CAMP: ________________

ADDRESS: __________________________________________________ CITY: ____________________ STATE: _______________________ ZIP: ___________ BIRTH DATE: ___________________

Parent/Guardian Information

FULL NAME: ______________________________________ CELL PHONE: ________________ WORK PHONE: ________________ WORK PHONE: ________________ ACTIVE E-MAIL ADDRESS: _______________________________________________ WHERE DID YOU FIRST HEAR ABOUT SUMMER AT SOUTHARK? _____________________________________

Please read before signing:

1. I approve of my childâ&#x20AC;&#x2122;s application and enrollment. 2. Refunds/Transfers: I understand that transfer requests must be made no later than three working days before the first class meeting each week and that I must actually speak to an office staff member before my request will be considered. This can only be granted if slots are available. I understand that there are no refunds for missed days due to changed work or vacation schedules, sick days, or other non-emergency reasons. 3. While my child is enrolled in camp, I will take responsibility for seeing that he/she complies with the Summer at SouthArk Policies and Procedures. I understand that inappropriate behavior or discipline problems will result in dismissal from camp without a refund. 4. I will ensure that my child receives transportation according to the following schedule: Camp Lotsafun - Campers must arrive on campus no earlier than 7:30 a.m. and he/she will be picked up by 4:30 p.m. or no later than 5:30 p.m., if extended time is needed. - Half day students must be picked up by Noon and no later than 12:30 p.m., if eating lunch. - A half day child that is staying until 12:30 must bring a lunch. Black Rocket Creative Sciences and Digital Arts Academy/S.T.E.M. Engineering Academy - Campers must arrive on campus no earlier than 30 minutes before start time. - Campers that are attending morning and afternoon sessions may stay on campus for an additional fee. - Campers that stay on campus during the noon hour must bring a lunch. I have read and understand the above information along with the Summer at SouthArk Rules, Policies, and Procedues and I voluntarily agree. X_____________________________________ Parent/Guardian Signature

___________ Date

ENROLLMENT AND PAYMENT INFORMATION Enrollment and Payment Information

PLEASE CHOOSE WHICH SESSIONS YOUR CHILD WILL ATTEND: ___ CAMP LOTSAFUN ___ 6-8 YEAR OLDS ___ JUNE 2-6 ___ JUNE 9-13 ___ JUNE 16-20 ___ JUNE 23-27

___ 9-12 YEAR OLDS ___ FULL DAY (all week) ___ HALF DAY (all week) ___ FULL DAY (all week) ___ HALF DAY (all week) ___ FULL DAY (all week) ___ HALF DAY (all week) ___ FULL DAY (all week) ___ HALF DAY (all week)

TOTAL NUMBER OF FULL-DAY WEEKS _________ X $89 PER WEEK = TOTAL NUMBER OF HALF-DAY WEEKS _________ X $49 PER WEEK =

$___________ $___________

___ BLACK ROCKET CREATIVE SCIENCES AND DIGITAL ARTS ACADEMY ___ APP ATTACK: JULY 7-11 ___ 8-10 YEAR OLDS (9:00-12:00) ___ 11-14 YEAR OLDS (1:00-4:00) ___ MAKE YOUR OWN VIDEO GAME: JULY 14-18 ___ 8-10 YEAR OLDS (1:00-4:00) ___ 11-14 YEAR OLDS (9:00-12:00) ___ MINECRAFT DESIGNERS: JULY 21-25 ___ 8-10 YEAR OLDS (1:00-4:00) ___ 11-14 YEAR OLDS (9:00-12:00) ___ VIDEO GAME ANIMATION: JULY 28-MAY 1 ___ 8-10 YEAR OLDS (1:00-4:00) ___ 11-14 YEAR OLDS (9:00-12:00) TOTAL NUMBER OF WEEKS _________ X $175 PER WEEK =

$___________

___ S.T.E.M. ENGINEERING ACADEMY ___ DREAMWORLD: JULY 7-11 ___ 8-10 YEAR OLDS (1:30-4:30) ___ 11-14 YEAR OLDS (8:30-11:30) ___ PULLBACK CAR FRENZY: JULY 14-18 ___ 8-10 YEAR OLDS (8:30-11:30) ___ 11-14 YEAR OLDS (1:30-4:30) TOTAL NUMBER OF WEEKS _________ X $159 PER WEEK =

$___________

___ LUNCH SUPERVISION (Must pre-register. Drop-ins may or may not be accomodated. Students must bring a lunch.) **Only for campers attending Black Rocket AND S.T.E.M. Engineering. ___ JULY 7-11 ___ JULY 14-18 TOTAL NUMBER OF WEEKS _________ X $5 PER WEEK = TOTAL AMOUNT OWED:

$___________ $___________

ENROLLMENT AND PAYMENT INFORMATION Enrollment and Payment Information, Cont. Deadlines and Late Payments

Deadline for registration is two weeks prior to the first class meeting. Space is not guaranteed as courses are open on a first-come, first-served basis. Payment must accompany registration form in order to secure the camper’s spot. Spots are not reserved until payment is received. Students registering late will be charged a $25 late fee. Late registration is subject to availability. To check availability, call 870-864-7192 or e-mail ce@southark.edu.

Registration Procedure 1. Select course(s) of interest.

2. Complete the registration form and emergency medical information. 3. To secure student’s place in course, payment must accompany registration form. 4. Return to SouthArk Corporate and Community Education via Snail Mail (include payment - check only) or in person (include payment - check or exact cash only): Attn: Tara Anglin South Arkansas Community College 3698 E. Main Road El Dorado, AR 71730 E-mail (follow with payment): tanglin@southark.edu Fax (follow with payment): 870-864-8495 5. Registrations made with credit or debit cards must be made in the SouthArk Bookstore which is located in the El Dorado Conference Center. Payments may also be made over the phone at 870-864-7163. If payments are made through the bookstore, please notify the office of Corporate and Community Education at 870-864-7192 or ce@southark.edu. A completed registration packet must accompany the debit/credit transaction.

Weekly picture uploads will be made on social media. stay up to date with all of the fun your child is having by: “Liking” us on facebook > www.facebook.com/southarkcorporateandcommunityeducation “Following” us on twitter > @SouthArkcommed --------------------we’re also on pinterest! Find us at www.pinterest.com/southarkcommed

POLICIES AND PROCEDUES In an effort to guarantee an atmosphere that is enjoyable and conducive to learning, the Office of Corporate and Community Education expects each participant to adhere to the Summer at SouthArk Policies and Procedures. It is important that the parent or guardian and the camper understand these Policies and Procedures to ensure the safety and satisfaction of all participants. Please review these with your child:

Students will be expected to:

1. Wear their supplied name tag throughout the day. It is important to remember that this is an active college campus and it is very likely that there will be others on campus at the same time that camps are in session. Safety is the name of this game. 2. Come to class on time and be prepared to take part in classroom activities. While we hope that this will be a FUN summer, we also hope that you learn a few things. We promise, you WILL want to know how to make the ooey gooey stuff Dr. Bee has in store! 3. Treat fellow campers, teachers, and all staff with respect and understanding. We will do the same for you...Scouts honor. 4. Always follow the rules of good behavior established by parents and teachers. Again, we want to have a blast with you! Believe me, more fun is had when we all play nicely.

Camp Rules:

1. Visitors (parent/guardian and other immediate family members) must check in at the Office of Corporate and Communinty Education before visiting a camper (even for lunch). The office is found in the administrative suite of the Center for Workforce Development. 2. Cell phones and other electronic items are not allowed unless explicit instructions are provided by the camp director. In cases of emergency, the camper may come to the front office and use the phone (with teacher’s permission only). If cell phones or other electronic items are out and cause disruption, they may be confiscated by camp staff. 3. Campers are responsible for their own personal belongings and should not bring any money or valuables. Campers are not allowed to use the vending machines. Campers should eat breakfast before they arrive for camp. Campers may bring snacks from home. Campers must bring their own lunch if staying past 12:00. A refrigerator will be available for storage, but lunch must be labeled. 4. Campers must ask permission before leaving the classroom or recreational area for any reason and are not allowed to leave the campus without being accompanied by an authorized adult. 5. Campers should contact their teacher if they have any problems with other campers or staff. Campers should not intentionally harm himself/herself or cause harm to another student or staff members. 6. Offensive speech or actions are strictly prohibited. 7. Illegal behavior will be reported to parents and proper authorities. Your signatures indicate that you have read and understand the Summer at SouthArk rules, policies, and procedures. Breaking any of these rules may result in immediate dismissal without a refund. X_____________________________________ PARENT/GUARDIAN’S SIGNATURE

X_____________________________________ CAMPER’S SIGNATURE

____________ Date

CHECK-OUT AND EMERGENCY INFORMATION Emergency Contact Information CAMPER NAME: ______________________________________

DATE OF BIRTH: ________________

IN CASE OF EMERGENCY, CONTACT: ___________________________ RELATION: _______________ PHONE 1: ___________________ (H) (W) (C)

PHONE 2: ____________________ (H) (W) (C)

SECONDARY CONTACT: ___________________________ RELATION: _______________ PHONE 1: ___________________ (H) (W) (C)

PHONE 2: ____________________ (H) (W) (C)

If I cannot be reached to make plans for emergency medical care for my child, I give permission for South Arkansas Community College to take my child or have an ambulance take my child to Dr. ____________’s office located at __________________________________ or the Medical Center of South Arkansas. OFFICE NUMBER OF CAMPER’S PRIMARY PHYSICIAN: ______________________ X________________________________________ Parent/Guardian’s Signature for Medical Release

__________ Date

Transportation Contact Information Each camper must be signed out on the designated sign-out sheet each day of camp. If a person other than the parent/guardian will be picking up your child, a signed and dated note must be sent to our office or a phone call needs to be received the day of the pick-up. Unless we are notified, the child will not be allowed to leave with anyone other than who signs below. X________________________________________ PARENT/GUARDIAN’S SIGNATURE

__________ Date

Allergies and medications Does your child have any known allergies or significant medical history? If so, please list. ______________________________________________________________________________________________ ______________________________________________________________________________________________ Does your child take any medications that Summer at SouthArk staff should be aware of? If so, please list. ______________________________________________________________________________________________ ______________________________________________________________________________________________

Publicity Release I give my permission for media in which my child may appear to be used for South Arkansas Community College Summer at SouthArk publicity purposes. X________________________________________ PARENT/GUARDIAN’S SIGNATURE

__________ Date