SUMMER CAMP The Millhopper Way
June 12th - July 21st 2017 /millhoppermontessorischool millhopper.com 352-375-6773
Schedule & Fees v
Week 1
June 12 - June 16
Week 2
June 19 - June 23
Week 3
June 26 - June 30
Week 4
July 3- July 7
Week 5
July 10 - July 14
Week 6
July 17 - July 21
*No Camp July 4th
Half Day Option - Beginners Only
9:00 a.m. - Noon
$140/Week
Full Day Option
9:00 a.m. - 3:00 p.m.
$200/Week
Junior Counselor
9:00 a.m. - 3:00 p.m.
No Charge
Morning Program*
7:30 a.m. - 9:00 a.m.
$5.50/Hour
After Camp Program*
3:00 p.m. - 5:30 p.m.
$5.50/Hour
Afternoon Academics w/ Ms. Liz
3:30 p.m. - 5:15 p.m.
$55/Session
P.M. Tech w/ Ms. Sylvia
3:30 p.m. - 4:30 p.m.
$50/Week
*The Morning Program and After Camp Program are charged at a rate of $5.50/hour and are billed after use. Children must be 3 years of age and potty trained to stay past 3:00 p.m. A family’s second and each subsequent child will be charged half price for morning and after camp fees. The after camp program is only available for children that are enrolled in our summer camps. Meals & Snacks All full day students will need to bring their lunches. Please note, lunches cannot be heated or refrigerated. Snacks are provided mid-morning and during the After Camp. Naps For Ms. Crystal Sorrow’s camp, naps are required for all children from Noon - 2:15 p.m. each day. Terms Due to high demand and limited camp space, a non-refundable deposit equal to one week’s camp tuition is due upon enrollment to hold a spot for each child. This deposit will be credited towards one of your registered weeks. All changes and cancellations must be done in writing a minimum of four weeks before a scheduled camp and all fees are 100% non-refundable after that time. Changes inside four weeks are possible, but only within the same week of camp, with camp director approval, with space available, and a $25 fee. Some camps may have an additional field trip and/or supply fees and parents may be needed to drive.
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Discounts Available Early Bird Discount Receive a 10% discount when you register for five or more weeks of camp. *Must register no later than March 31st, 2017 to receive discount
Sibling Discount If enrolled in the same week of camp: First child - $200; Second child - $180 All additional siblings - $160 *May not be combined with Early Bird discount.
Bring a Friend Discount Receive a 10% discount on the week you bring a NON-MMS student to camp with you. *May be combined with the Early Bird or Sibling Discounts
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Ms. Crystal Sorrow’s Beginners Camp Ages 2—4 Half Day 9:00 a.m. - Noon Full Day 9:00 a.m. - 3:00 p.m. (Nap Noon to 2:15 p.m.) The Beginners summer camp is a Montessori hands-on curriculum combined with weekly educational fun themes, arts and crafts, music, and playground fun! Every Wednesday is dress-up day, corresponding with the weekly theme. Splash Day is each Friday.
June 12 - June 16
Cirque de Little House
Run away to join the circus! This circus focuses on the fun of the human body, coupled with imagination. Costuming, face painting, tumbling, crafts, and a dress-up day will inspire you under our little "Big Top."
June 19 - June 23
Little Chefs
Come to camp and explore implements, ingredients, and techniques as you cook up some excitement! New foods equal new fun when you make it yourself. Throughout the week there will be peeling, slicing, mixing, and more, and followed by eating the tantalizing results. Have fun on “dress as a chef” day and finish the week with splash day. **There is an additional $20 supply fee for this camp.
June 26 - June 30
Globe Trotting
Prepare to set forth on a tour to distant lands. We will make a passport and travel to a new place each day; trying new foods, "seeing" the sights, and embracing diversity and culture wherever we go. Dress-up as an explorer or a local in themed clothes. Students everywhere love water, and we will talk about ocean travel on splash day!
July 3 - July 7 (No Camp Tuesday, July 4th)
Caped Crusaders
Attend camp as your alter ego as capes are made, masks adorned, and villiany thwarted. Dress in your hero's best. Practice with your invisible lasso, activate your wonder twin powers, and make this week the most super camp around.
July 10 - July 14
Adventurous Art
This week wear your old clothes as we will be getting messy exploring large art in outdoor settings. We will paint with water, sculpt with shaving cream, create with chalk, and explore more fabulous art techniques and materials. It will be one colorful week!
July 17 - July 21
Pirates
Join the crew of Captain Crystal Blackheart as she sets sail on the high seas. All buccaneers welcome. Shanties shall be sung, a treasure chest shall be discovered, eye patches will be adorned. Show off your piratical finery on pirate dress-up day. Never has such a crew sailed into port at MMS. 4
Ms. Elizabeth Falls Preschool & Kindergarten Ages 3 years through Rising Kindergarten Students *Students must be potty trained and no longer requiring a nap The Preschool/Kindergarten summer camp focus is to engage the children in themerelated activities utilizing the Montessori hands-on curriculum. They will experience fun educational activities including music and songs, arts and crafts, cooking, and indoor/ outdoor games to continue their love of learning through the summer. Splash Day is each Friday. June 12 - June 16
Explore the Rainforest
Come travel with us as we explore the largest tropical rainforest in the world – the Amazon! Rainforests like the Amazon are homes to plants and animals found nowhere else in the world. The children will study the beauty of, as well as the importance of protecting, our rainforests through classroom activities, creating arts & crafts, as well as preparing special treats!
June 19 - June 23
Under the Sea
The ocean covers approximately 70% of Earth’s surface! Join us for some seaside fun and a peek below the waves! The children will learn about the ocean and sea life through ocean-themed science fun, math and language activities, art projects, as well as preparing ocean-themed snacks!
June 26 - June 30
Nature World
Come and explore the world outside our classroom! Activities will include learning about insects that inhabit our world; especially those in our own backyard! Arts & crafts activities will evolve utilizing materials from nature.
July 3 - July 7 (No Camp, Tuesday, July 4th)
Science World
Science activities are an important part of a child's learning experience. Come join us as we encourage children to wonder about the science around them. We will do fun science activities and experiments to inspire science inquiry and continue to stimulate their learning of science!
July 10 - July 14
Let’s Explore Art
Come and experience the joy and fun that art can bring! Children will learn the beginning elements of art through the use of a variety of media, processes, and techniques to create unique art pieces.
July 17 - July 21
Ahoy Mateys! Pirate Week
Arrgh! Set sail with us as we go on a Pirate Adventure! Pirate campers will take a voyage into fun-filled art projects and activities such as: creating treasure maps, going on a treasure hunt, creating Caribbean-themed paintings and having a Pirate Dress-Up Day! Prepare to have fun or walk the plank! 5
Ms. Joanne Mcfarland & Ms. Widline senecharles Elementary Enrichment Rising 1st - 3rd grade students June 12 - June 16
Little Sprouts
Join us while the weather is still relatively moderate to learn all about plants! We will hoe, plant, sprout, water, and beautify a garden plot at MMS, and also grow potted plants to take home and nurture. Each day will include a craft, working outside (weather permitting), and a lesson about the life cycle of plants. We'll be digging, hoeing, and weeding, so wear clothes that can withstand some dirt!
June 19 - June 23
Culinary Kids
Let's get cookin'! Rising 1st through 2nd graders will learn how to make and cook a variety of dishes. Some will be cooked in the oven or on the stove, and some will be a no bake recipe. Then comes the fun part - we get to taste our creations! We will also make crafts in this camp.
June 26 - June 30
Around the World
We will "visit" a different country every day in this camp. Each day we will learn about the culture from different countries, and make a craft, have a snack, and play a game from that country. Join us for a trip Around the World in Five Days!
July 3 - July 7 (No Camp, Tuesday, July 4th)
Future Scientists
Engage your mind and stretch your horizons through hands-on, lab-based science activities. We will use inquiry-based learning techniques instructed by true scientists to discover the world around us. But don't worry, parents, it will be safe for the little ones!
July 10 - July 14
Arty Party
Bring out your inner artist! Students will learn several different art and crafts in this camp, including painting, collage, sculpture, and clay, to name a few. This is a messy camp, so be sure to wear clothes that you don't mind getting paint on!
July 17 - July 21
Junior Builders
In Junior Builders camp, we'll be using age appropriate materials to build sculptures, cities, birdhouses, and more! We'll learn all about how to build things - out of cardboard, paper, and wire, to name a few. Join us as we construct objects on an early elementary level!
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Mr. Richard Aslanian & Coach Cam Parker Elementary/Middle School Enrichment Rising 2nd - 8th grade students. Varies by week June 12 - June 16
Rising 2nd through 8th graders
Let It Fly
This week is all about exploring things that fly through the air. Campers will design and build different kinds of rockets, airplanes, and more. We will learn about the history of flight and flying objects. We may even fly a drone for the first time! Join us for a week of fun, science, and flight!!
June 19 - June 23 Rising 2nd through 8th graders
The Great Outdoors
Our goal is to put the summer back in summer camp. This week will get our children back outside to the roots of nature, literally. Students will learn about the Florida spring system before jumping in, how to bait a hook before reeling in a big one, and maybe even how to make the biggest splash before seeing if they are right. As we go, students will encounter geocaching and geodes to make this a perfect combination of science and summer. Parent drivers will be needed during this week. **There is an additional $25 field trip fee for this week.
June 26 - June 30 Rising 2nd through 8th graders
Construction Junction
Strap on your tool belt and get ready to build. Students will be guided through the construction process for building projects made of wood, PVC pipes, and more! Each day we will learn about the various materials, tools and processes we use in creating our masterpieces. Be ready for lumberjack games too! **There is an additional $20 supply fee for this camp.
July 3 - July 7 Rising 2nd through 8th graders (No Camp Tuesday, July 4)
Science of Summer
Staying active in the Florida heat isn't always easy. This camp will keep us in motion at places where we can stay fit while in the air conditioning or cool water. We will go bowling, bouncin big and more. Cup stacking will be a part of each day. Add in learning about the science and physics behind all the activities and this camp will be blast! Parent drivers will be needed during this week. **There is an additional $25 field trip fee for this week.
July 10 - July 14
Rising 4th through 8th graders
Lego Robotics
We will be building, programming, and testing the EV3 Robot from LEGO Robotics. Students will work cooperatively and creatively to complete challenges set forth by the program and staff. Students will learn as they overcome the difficulties of the progressive challenges. The STEM style of learning enhances math, science, technology, and thinking skills.
July 17 - July 21
Rising 3rd through 8th graders
H2OMG
Grab your bathing suit and towel for this week of aquatic activity. We will have onsite water-based activities and venture off site to get wet in the Florida sun, highlighted by a trip to Aquatica in Orlando! Parent drivers will be needed during this week. **There is an additional $55 field trip fee for this week. 7
Ms. Sylvia Aslanian Improv, Technology, Drama & Video Production Rising 3rd - 8th grade Students. Varies by week. June 12 - June 16
Rising 3rd - 8th Graders
Week of Code
This week beginning coders will explore programming languages by learning the basics with Tynker, Kodable and Code.org. More advanced coders will continue building on their knowledge. All coders will be guided through step by step lessons at their own pace.
June 19 - June 23 Rising 3rd - 8th Graders Broadway Jr. Ms. Liz Bublitz will be joining Ms. Sylvia Aslanian to co-direct! Broadway Jr. workshop will teach young performers the basics of auditioning, understanding and performing pieces of classic and contemporary musical theatre. Beginning and Intermediate performers will be guided in acting, singing and dance through a fun and exciting week of theatre. This workshop is open to students wanting dive into all aspect of technical theater as well. The week will culminate in a public performance at a local stage. **All students will need all black dress shoes (boys) or black flats (girls) and must attend camp all week from 9:00am - 3:00pm.
June 26 - June 30 Rising 3rd - 8th Graders
Improvisation
This workshop is for new to advanced players. Students can hone acting skills, acquire new skills, or try something new. This Improv workshop is based on the technique used by the award-winning Spotlight Kids Drama Troupe. Students will develop skills such as quick-thinking, self-confidence, and enjoy games that encourage imagination, creative expression, team building, and characterization in a small environment. At the end of the week the students will showcase their skills.
July 3 - July 7
No Camp
July 10 - July 14 Rising 5th - 8th Graders Broadway Now 2 Ms. Liz Bublitz will be joining Ms. Sylvia Aslanian to co-direct! Broadway Now 2 is back by popular demand In this musical theater camp students will hone their auditioning, acting, singing and dancing skills. They will learn about some of Broadway’s most popular shows and learn what it takes to be a "triple threat performer." At the end of the week the cast will present a show at a local stage. **All students will need all black dress shoes (boys) or black flats (girls) and must attend camp all week from 9:00am - 3:00pm.
July 17 - July 21
Rising 3rd - 8th Graders
Knights News
Students will write, act, and develop their own News Show. They will interview campers and teachers, have special guests, and create commercials. They will learn how to use green screen technology, film, edit, and how to effectively deliver a news segment. Students will showcase their work to family and friends at the end of the week. 8
Ms. Susan Hansen Elementary & Middle School Enrichment Rising 5th - 8th grade students June 12 - June 16
Code Breakers
If you are interested in spy craft and making and breaking codes, this week is for you! We will look at some of the most popular forms of codes and learn how to break them. We will also examine some introductory problems in Game Theory. Strategic thinking and deduction skills will be honed as we play games with hidden identities like Resistance, Coup, Codenames, and Spyfall.
June 19 - June 23
Camp Half Blood
Calling all demigods! If you like Rick Riordan's Percy Jackson novels, this week is for you! We will begin by decorating the room to honor the different cabins. Campers will train in archery and rock climbing, and even go on a quest! We will also play capture the flag and many Greek themed board games! Parent drivers will be needed during this week. **There will be an additional field trip fee of $50 for this week.
June 26 - June 30
Boardgame Design
This week we will delve deep into board game design. Students will first learn by doing as we play with a variety of different game mechanics: worker placement, card drafting, deck building, etc. Then students will chose a theme and apply these mechanics while developing a game of their own. We will take a field trip for lunch at our local game store. At the end of the week, campers will host a game day with other camps as we play our new games. Parent drivers will be needed during this week.
July 3 - July 7 (No Camp Tuesday, July 4th)
Camp Hogwarts
You're a wizard! Come to Camp Hogwarts to show your skills! We will begin with sorting and then decorate the room for the different houses. Campers will have the opportunity to visit many of the Hogwarts classes such as potions, transfiguration, and charms. We will learn to play muggle Quidditch and craft our own standard book of spells as well as other Harry Potter themed activities and games.
July 10 - July 14
Hexagometry
What is Hexagometry? Well, it's a made up word! We will explore string art, hexaflexagons, look at geometry with an artistic eye, and take a field trip to the art museum to examine geometric influences there. Later students will apply what they have learned to their own canvas. We will also play some hexagon based games like Settlers of Catan, Hive, and Takenoko. If that doesn't sound like Hexagometry, I don't know what does! Parent drivers will be needed during this week.
July 17 - July 21
Word Play!
Word Play is a week all about language. Students will work on creative writing skills, short stories, poetry, and play word and story games like Once Upon a time, Story Cubes, Paperback, and Unspeakable Words. The students will create "Luminara," MMS Summer Camp Literary Magazine and at the end of the week share their poems in a poetry showcase for other campers and parents.
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Junior Counselor Rising 9th - 12th Graders MMS High School Alumni 9:00 a.m. - 3:00 p.m. No camp fee charged Weeks 1 through 6 June 12 - July 22, 2017 Not all Camps are available each week.
Become a member of the MMS Summer Camp Crew! Requirements: Applicant must be a rising ninth through twelfth grade student. Prior attendance at MMS summer camp is desirable. Must have an interest in leadership skills, willingness to learn, a positive attitude and understand organizational skills and group dynamics. Must have an ability for and an interest in assisting with a variety of activities including all camps being offered at MMS. Must have a genuine interest in working with people. Jr. Counselors will be required to sign a policy manual form. All Jr. Counselors are expected to set an example in regards to following the school’s dress code.
Junior Counselor's roles are to: • •
Participate under the supervision of the Camp Directors and implement activities in the safest manner possible Be a positive role model
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Actively interact with the children to promote and encourage their personal growth
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Assist in the creation of online camp newsletter and/or social media posts for families
Personal Development: •
Develop skills in planning and implementing activities with children
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Be prepared to receive feedback and support from anyone at camp
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Maintain a positive and open outlook
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Learn to serve in a role under the guidance of a camp director
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Be a positive role model for the children. Encourage good behavior with attention and appropriate affection
Junior Counselors will receive volunteer credit hours which are needed for high school graduation and are often helpful in scholarship and grant applications.
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After Camp Studios Afternoon Academics Individual Lessons with Ms. Elizabeth Falls | $55.00/session* *plus after camp program fee of $5.50/hour Ms. Elizabeth Falls will be teaching private lessons from 3:30 - 5:15 p.m. each afternoon. Lessons will focus on math and language (Pre-Reading/Reading and handwriting) lessons are open to all Preschool through elementary students. Lessons are filled on a first come first serve basis and will be offered every
afternoon in 45 minute increments (3:30 - 4:15 p.m. & 4:30 - 5:15 p.m.). In order to keep the lessons individualized, please note there is a two student maximum per session. To register for Afternoon Academics, please contact Ms. Elizabeth Falls to schedule the exact day/time at efalls@millhopper.com.
P.M. Tech Small Group with Ms. Sylvia Aslanian | $50.00/week* *plus after camp program fee of $5.50/hour Ms. Sylvia Aslanian will be teaching technology from 3:30 - 4:30 p.m. each afternoon for weeks 1, 3 & 6. Lessons are open to all Elementary and Middle School Students. Space is limited to 15 students per week.
Discounts: To Be Completed By Office Staff Only ____ Check here for Early Bird Discount. 10% for 5+ weeks before March 31, 2017 Sibling Discount (Enter Amount)
Friend Discount (Enter friend’s name on first week brought) 10% for each week
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*Sibling discount may not be combined w/ Early Bird discount. Bring a friend discount may be combined with Early Bird OR Sibling, but not both. 8505 NW 39th Avenue | Gainesville, FL 32606 | mmsfrontoffice@millhopper.com | www.millopper.com Phone: (352) 375-6773 Fax: (352) 374-7125 11
Summer camp registration form Child’s Name _____________________________ Summer Camps
Week 1 June 12 to June 16 Week 2 June 19 to June 23 Week 3 June 26 to June 30 Week 4 July 3 to July 7 Week 5 July 10 to July 14 Week 6 July 17 to July 21
After Camp
Ms. Crystal Sorrow
Ms. Elizabeth Falls
Ms. Joanne & Ms. Widline
Mr. Richard & Coach Cam
Ms. Sylvia Aslanian
Ms. Susan Hansen
Ms. Elizabeth Falls
Ms. Sylvia Aslanian
Beginner’s
Pre-K / K
Rising 1st - 3rd
Rising 2nd – 8th Rising 3rd - 8th *Unless Noted *Unless Noted
Rising 5th - 8th
Afternoon Academics
P.M. Technology
Cirque De Little House ( ) Half Day ( ) Full Day
Rainforest ( )
Little Sprouts ( )
Let it Fly ( )
Week of Code ( )
Code Breakers ( )
( ) 3:30 - 4:15
3:30 - 4:30
( ) 4:30 - 5:15
( )
Little Chefs $20 Fee ( ) Half Day ( ) Full Day
Under the Sea ( )
Culinary Kids ( )
Great Outdoors $25 Fee ( )
Broadway Jr. Rising 3rd - 8th ( )
Camp Half Blood $50 fee ( )
Globe Trotting ( ) Half Day ( ) Full Day
Nature World ( )
Around the World ( )
Construction Junction $20 Fee ( )
Improvisation ( )
Boardgame Designers ( )
( ) 3:30 - 4:15
3:30 - 4:30
( ) 4:30 - 5:15
( )
Caped Crusaders ( ) Half Day ( ) Full Day
Science World ( )
Future Scientists ( )
Science of Summer $25 Fee ( )
Camp Hogwarts ( )
( ) 3:30 - 4:15
No Camp
Adventurous Art ( ) Half Day ( ) Full Day
Let’s Explore Art ( )
Arty Party ( )
Lego Robotics Rising 4th - 8th ( )
Broadway Now 2 Rising 5th - 8th ( )
Hexagometry ( )
( ) 3:30 - 4:15
Ahoy Mateys! ( ) Half Day ( ) Full Day
Pirate Week ( )
Junior Builders ( )
H2OMG! Rising 3rd - 8th $55 Fee ( )
Knights News ( )
Word Play ( )
( ) 3:30 - 4:15
3:30 - 4:30
( ) 4:30 - 5:15
( )
( ) 3:30 - 4:15 No Camp ( ) 4:30 - 5:15
No Camp ( ) 4:30 - 5:15
No Camp ( ) 4:30 - 5:15
Camp tuition is paid through Tuition Express the Friday before each week of camp. You may pay by ACH or credit card. You may obtain these forms online or at the front desk. Submit one of them with your registration paperwork along with the deposit equal to one week’s camp tuition to register. Returning families do not need tuition paperwork, but must submit deposit with registration form in order for a spot to be reserved for your camper(s). I understand that by signing below I am enrolling my child in summer camp at Millhopper Montessori School. It is my responsibility to notify the school in writing a minimum of four weeks before a scheduled camp if I wish to cancel for any reason. Failure to notifiy the school in writing with the proper notice will result in my account being charged for the full cost of the week(s) of camp I have indicated above. I attest that I have submitted all of the required documents to Millhoper Montesssori School and that I have read the above information and understand this to be a binding agreement. ________________________________________ Primary Parent’s Signature
_________________________________________ Secondary Parent’s Signature
8505 NW 39th Avenue | Gainesville, FL 32606 | mmsfrontoffice@millhopper.com | www.millopper.com Phone: (352) 375-6773 Fax: (352) 374-7125 12
Summer Camp Application If your child is currently enrolled at MMS & all information on file is correct please initial here _____. You do not need to fill out the following two pages of information.
Child's Name:___________________________________________________________________________________ (Last) (First) (Middle) (Alias) Birth date:
____/_____/_____
Gender: _______
Child Lives With: ________________________
Primary Parent’s Name:___________________________ Relationship to Child: ______________________ Address Information:____________________________________________________________________________ Email Address ________________________________________________________________________________________ Home Address City/State/Zip ________________________________________________________________________________________ Work Address City/State/Zip Phone Information (please circle the number we should call first): (_____)_____________________ Home Phone
(_____)_____________________ Work Phone
(_____)_____________________ Cell Phone
Secondary Parent’s Name:_________________________ Relationship to Child: ___________________ Address Information: ___________________________________________________________________________ Email Address ________________________________________________________________________________________ Home Address City/State/Zip ________________________________________________________________________________________ Work Address City/State/Zip Phone Information (please circle the number we should call first): (_____)_____________________ Home Phone
(_____)_____________________ Work Phone
(_____)_____________________ Cell Phone
Additional Pickup & Emergency Contacts Name : _________________________________
Name : _________________________________
Relationship to child: ______________________
Relationship to child: ______________________
Cell Phone :
Cell Phone :
(______)_____________________
(______)_____________________
Home Phone: (______)_____________________
Home Phone: (______)_____________________
( ) Pickup Permitted
( ) Pickup Permitted
( ) Emergency Contact
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Picture Release Name of Child ___________________________________________________________ Primary Parent’s Name ___________________________________________________________ Secondary Parent’s Name ___________________________________________________________ I hereby give permission for Millhopper Montessori School to use photographs and/or video footage of my child as needed on the schools website, in the school’s newsletter, magazines, social networks and newspapers. I understand compensation will not be awarded for the use of my child’s photographs and/or video footage. I hereby release any and all claims to said photographs and/or video footage both present and future. Please select the appropriate disclaimer below. I, ______________________________, authorize the Millhopper Montessori School to use pictures and/or video footage of my child/ren on the schools website, in the school’s newsletter, yearbook, magazines, social networks and newspapers. OR I, _____________________________________, authorize the Millhopper Montessori School to use pictures and/or video footage of my child/ren on the schools website, in the school’s newsletter, yearbook, magazines, social networks and newspapers, and I request that surnames not be used in print to protect my child’s identity. OR ___________________________________, do not authorize the Millhopper Montessori School to use pictures and/or video footage of my child/ren on the schools website, in the school’s newsletter, yearbook, magazines, social networks and newspapers.
Allergies & Food/Diet Restrictions MMS incorporates food preparation in the Montessori curriculum area of Practical Life **MMS does not have a nurse on staff. The teachers and assistant teachers are all certified in first aid and CPR. MMS can give medication orally or assist with an Epi-Pen if the parent has filled out the appropriate form for the dispensing of medicine. **If a child is allergic to an ingested substance (such as red food coloring or chocolate) and is old enough to monitor himself or herself, there should not be any difficulty in the MMS environment. It is the parent’s responsibility to have alternate food available for birthday parties or the child can be proactive and abstain from special snacks. It will not be the responsibility of the school or the teachers to notify parents in advance of an in-class event such as a special snack or a practical life activity containing food. Allergies, Medicine, Environmental & Food/Diet Related Restrictions (List all known) Allergen Reaction Medical protocol if exposed ______________________ _____________________ _____________________________ ______________________ _____________________ _____________________________
Medical Release In case of emergency, MILLHOPPER MONTESSORI SCHOOL, or its staff, has my permission to have my child _____________________________________, transported to the closest hospital at the time. I understand that MMS will make every effort to contact me and my child's physician in an emergency. If it is necessary for my child to be transferred to a hospital, I would prefer he/she be taken to ___________________________________. (Name of Hospital) In the event that I cannot be reached by the MMS in an emergency, I give my permission to _____________________________________, (CHILD'S PHYSICIAN) to render any medical service that may, in the sole discretion of the doctor, be necessary.
Guarantee of Insurance Primary Payer
______________________________
Secondary Payer
_____________________________
Child or children’s name(s) ___________________________
Name of insurance company _________________________
Policy Number
Phone # of insurance company _______________________
______________________________
I guarantee that the above information is correct and I understand that it is my responsibility to inform Millhopper Montessori School, Inc. of any changes in insurance coverage for my child. ________________________________________ Primary Parent’s Signature
________________________________________ Secondary Parent’s Signature
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Summer camp FYI Dress Code •
All campers must wear closed toed shoes. No crocs, flip flops, sandals or any other slide on. Our camps are often active outside and at minimum have time on the playground. Proper footwear keeps them safe.
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Please send your child in comfortable attire that can get dirty. We recommend appropriate length shorts and a t-shirt. Skirts are allowed, but should have bloomers or leggings underneath as our camps are very active.
Lunches •
Send your child with a packed lunch each day, with a mat to place their lunch on. Please do not send items that need to be refrigerated or microwaved. Campers will not have access to either. Should your child be in a camp that has field trips, please be aware of the circumstances of that trip and pack your child’s lunch in the appropriate bag or cooler. •
Snacks are provided in the morning. However, you are free to pack your own.
Splash Day •
Weather permitting each Friday, we will have splash day. Please send a bathing suit, towel, and sunscreen with your child each Friday. Water shoes are optional. Our splash day typically consists of an inflatable slide, inflatable pool, and sprinklers. Participation is optional but should your child not participate they will still be outside with the rest of their camp.
Medications •
All medications MUST be given to the front office and the appropriate forms completed. Regardless of age, students are not allowed to keep medication on their person, in their bags, or in their locker. Please be specific when leaving instructions.
Camp Changes and Cancellation
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All changes and cancellations must be done in writing a minimum of four weeks before a scheduled camp and all camp fees are 100% non-refundable after that time.
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Changes inside four weeks are possible, but only within the same week of camp, with camp director approval, with space available, and a $25 fee. Should a camp be cancelled for any reason, you will have the option of choosing another camp with no penalty or receiving a full refund for that week.
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