Welcome to Black Canyon Gymnastics Day Camp. It is our purpose to provide a healthy and safe environment for your child during summer. It is our goal to help keep you child active and fit for the summer.

Activities might include: Open gym, going to the park, gymnastics, swimming, biking / skating at the park, climbing, arts and crafts, special guests, theme days, board games, reading, field trips to the library, open play and snacks. We will provide a weekly calendar of events so that you and your child may be prepared for the upcoming activities. Policies . Day Camp is for children between the ages of 5 - 12. . Campers must sign up at least two weeks in advance. Deadline to sign up is Thursday for the following week. Drop-ins will only be taken if we have room. . Payment is due at the time of sign up. No refunds are given for missed days. . We reserve the right to change or amend our posted schedule. . Day Camp packets must be filled out before your child may participate. . You will be charged a late pick up fee of $1.00 per minute after five minutes. . Day Camp doors open at 7:30 a.m. There is NO early drop off. . Drop off is from 7:30 – 9:00 a.m. or from 12:30 – 1:00 p.m. For your child’s safety please adhere to these times. Drop off only at Black Canyon Gymnastics. We will not accept drop offs or pick ups at any other location. . If your camper is doing full day, they must bring a sack lunch and drink. . Parents or authorized individuals must sign the camper in and out. Campers will not be released to anyone who is not on their card. . Photo i.d.’s are required for identification at sign in and sign out.

Hours of Operation Half Day Camp is from 7:30am – 12:00 or from 12:30 p.m. – 5:30 p.m.; Monday - Friday Full Day Camp is from 7:30 a.m. – 5:30 p.m.; Monday - Friday

Fees . $20.00 for a half day 7:30-12:30 or 12:30-5:30. . $32.00 for a full day 7:30-5:30. . A 10% discount will be given to siblings for full day sign ups. . A discount will be given for full day – full week sign ups. . There will be no refunds for missed days. . Members will pay a $25 annual registration fee. . There is late fee of $1.00 per minute after 5 minutes. . There will be a $25.00 fee on all returned checks. . Payment is due at the beginning of the week. . There will be no refunds or makeup days.

Day Camp Cancellation Policy When you sign up for day camp you are given a calendar on which to mark your days. All circled days are assumed to be full days. To sign up for a half day write am or pm across the date. To cancel a day, you need to notify the office by phone or in person no later than Thursday at 5:00 pm before the start of the next week. The calendar must then be initialed and dated for the cancellation to be valid. If the calendar is not initialed and dated, you may still be charged for that day. Extreme weather In the event of extreme snow or heat you will be notified if Day Camp is canceled before the start of the day. Our facility is equipped with all first aid materials to be kept safe in the event that your child is at the facility.

Registration All registration packets must be filled out in order to participate. Day Camp students must supply a copy of current immunization records and statement of health. There is an annual registration fee of $25.00.

Immunization Record *Please submit a copy of your child’s immunization record. If you do not have a copy you may obtain one from your health care provider or have them fill out the attached form. You may also bring us a printed copy from the Montrose County School District’s parent portal page for your child (a password is required which you may set up with the School’s Administration office if you do not already have one.) Log in to the parent portal through the mcsd.org website and click on the “health” tab under the desired student’s name then print that page.

*If you have opted to not immunize your child then please fill out the “Statement of Exemption to Immunization Law” portion at the bottom of the attached Immunization record form.

General Health Appraisal From: *Please submit a current “General Health Appraisal Form” for your child. It must be completed, signed and dated within the last year by your health care provider. A form has been included in this packet for your convenience.

Special Needs Reasonable accommodations will be made for children with disabilities, as long as the accommodations do not fundamentally alter the Day Camp program.

Diapering and Toilet Training The Gym N’ Learn and Day Camp policies require that your child must be potty trained to attend our Gym N’ Learn and Day Camp programs. In the event of an accident you are asked to provide extra clothes or a pull- up if necessary. If in a pull-up please provide any necessary wipes or cream. Cream will not be applied to broken skin.

Signing in and out You must sign your child in and out every day. Children will not be released to anyone who is not on their card and cannot show a photo id. If children are not picked up with in 15 minutes of the end of class your emergency contacts will be called. If not picked up within one hour social services will be called and your child will be considered abandoned. You may not drop off or pick up your child away from the facility. You will need to wait until the group is back at the facility to sign in or out.

Visitors All visitors are required to check in at the main office. Visitors must be accompanied by a staff member to the Day Camp area. At no time are adults or siblings allowed on the gym floor.

Where is my child at You can pick up a copy of our daily schedule or call the office for our daily schedule. Children are in the care of their teachers at all times..  Sample daily Schedule 7:30-9:30 arrival: Check in. Free play in the gym, socialization time 9:30-10:00 snack 10:00-11:45 Field Trip to park / library 11:45-12:45 Lunch (mid-day drop-off and pick-up) 12:45-3:30 Field Trip to pool 3:45-4:15 Snack 4:30-5:30 Gym Time 5:30 Departure Storage of Personal items Each child has a cubbie to store their personal belongings in. Children are responsible for keeping tack of their items. Black Canyon Gymnastics is not responsible for lost, stolen or damaged items. Attire for your day camper I agree to dress my child appropriately for the day’s activities. Jacket, gloves, hat, boots (when necessary) Walking shoes (when necessary; on all walking field trip days) Gym clothes (please do not wear shorts or pants with buttons/zippers) Swim Suit and Towel on swim days Snacks Day Campers will be provided with a daily healthy snack in the am and pm. If your child is allergic to our posted snack an alternative will be provided. Lunch If your Day Camper is full day they must bring a sack lunch. Discipline procedures Our facility believes in the time out philosophy. For serious infractions a child may be sent directly home. Example of discipline procedures may be: 1st offense Short time out away from activity 2nd offense An age appropriate time out for and apology if necessary 3rd offense Parents called and child sent home If a child is sent home, there will need to be a meeting with the staff, parents, and child to see if they will be able to return to Day Camp.

Communication The day camp director is available at drop off or pick up time to discuss any concerns you may have. If your child has any special circumstances that we need to be aware of please let the director know. If at any time you feel that you need to schedule a conference, please feel free to contact the director or the office and we will be happy to set one up. Please check white boards, bulletin boards, and your child’s cubby for information. There is an anonymous suggestion/comment box located on the sign in/out desk. Also, located on this desk is an informational resource area for parents to utilize upon check-out. Remember to check bulletin boards and sign in books for information.

Field Trips Black Canyon Gymnastics L.L.C. has my permission to take my day camper on any field trip away from the facility.

I understand that my child will be walking to the park, pool, and library. I understand that First Student will transport my child in the event of a field trip that is not within walking distance.

I agree to provide my child with the proper walking shoes and attire for field trips and recognize that is not Black Canyon Gymnastic L.L.C.’s responsibility to ensure that my child is properly dresses.

Park Policies I understand that in order for my child to ride their bike, skate board, scooter or heeleys that they must have a helmet on.

Sunscreen policy Black Canyon Gymnastics L.L.C. will assist with applying sunscreen to bare surfaces including but not limited to the face, tops of ears, bare shoulders, back, legs, arms, and feet. Sunscreen will not be applied to any broken skin or if a skin reaction has been observed. Special instructions Black Canyon Gymnastics L.L.C. will supply the following sunscreen for all children’s use: NO- AD 30spf, UVA / UVB Sunblock Lotion with Aloe and Vitamin E. If your child has an allergy to the above sunscreen you may supply sunscreen specifically for your child. Please provide your child’s name written on the side of the bottle.

Swimming Ability: Parents are required to put the appropriate bracelet on their child upon check in.

. needs flotation(your child will only be in the outdoor pool- you must provide flotation device)

. outside pool only

. fair swimmer (can go indoor and outdoor- no diving boards)

. swims well (can go indoor outdoor and diving boards)

Media Policies All television, video, music, computer and video games used in the classroom will be age appropriate and for educational purposes.

You agree to provide Black Canyon Gymnastics, L.L.C. with specifics about your child that they should know e.g. allergies seizures, diabetes, asthma, surgeries, unusual behaviors, extreme fears, etc. Please note these in the space provided on the registration agreement page at the end of this document. Medication Administration Black Canyon Gymnastics has a non-administration of medication policy. We will only administer medication in the event of a life threatening emergency, which includes epi pens and nebulizers or inhalers for asthma. To administer these meds, they must be accompanied by: . The permission to administer medication form. . They must have a current prescription label, be in the original container bearing the original pharmacy label that shows the prescription number, patient’s name, name of medication, date filled by pharmacy, expiration date, physician’s name and directions for dosage. . Accompanied by an individual health care plan filled out by your health care provider which will be kept in their file. Medication must be given directly to the director who will enter medication in the medication log. Parents must initial that information is correct.

Illness Policy Deciding whether to keep your child at home or when to send them to Day Camp can be difficult. It is important for parents and staff to discuss what observations have been made and agree on a plan. Please contact the facility when your child is ill and describe the illness. If a specific diagnosis is made, e.g., strep throat, conjunctivitis, chicken pox, etc., let the facility know so that other families can be alerted. The following is a guideline and recommendation: Illness Come to Day Camp Diarrhea with vomiting, fever no Chicken pox no Pink eye no Head lice no Strep throat no Hepatitis A no Mild cold symptoms yes-if able to participate in normal activities Upper Respiratory complications no - large amounts of yellow or green nasal discharge - extreme sleepiness - ear pain - fever above 100 degrees Children cannot attend if they have a fever or other sickness, which may harm other children. If your child becomes ill during class they will be sent to the office and will need to be picked up within one hour of the call. You will be notified of any exposure to contagious illness, infection or disease. If Black Canyon Gymnastics feels that your child’s illness is harmful to others you will be notified and should pick up your child as soon as possible. Emergency Procedures: I have read the following emergency procedures and give my permission for Black Canyon Gymnastics to direct my child in the manner indicated during an emergency. Lost Child In the event of a lost child at the facility: All doors will be locked and the facility checked for the missing child. If the child is not found 911 will be called. If away from the facility all children will be seated next to their instructor and the additional staff will check the area. If the child is not found 911 will be called. In the event of a fire, gas leak, electrical problems The children will follow the posted evacuation plan to the safety zone. In the event of an emergency that does not allow us to return to the facility parents will be contacted to pick up their children. Flood In the event of a flood the children and staff will seek higher ground and parents will be called to pick up. Tornado In the event of a tornado alert, the children will be seated on the floor next to an interior wall away from all windows or put in the pit and covered with mats. Earthquake In the event of an earthquake the children will be instructed to get under tables or into the pit and covered with mats. Lockdown In the event of an unsafe situation our phones are able to receive reserve 911 calls and the facility would be immediately locked down and all windows covered. In the event we are away from the facility, we will go to the nearest secure location and remain there until the threat is over.

Child Abuse or Neglect We are required by law to report any signs of abuse or neglect. Failure to report such signs could cause our facility to be fined. Children’s Protective Services and or the Police Department will be notified if it appears that a child is being physically, sexually, emotionally abused, neglected or exploited. If you would like to report a case of abuse the number to call is listed below Montrose County Social Services 1845 S Townsend Montrose CO 81401 970-252-5000

Where to file a complaint about child care If you have concerns about a child care facility or would like to review a licensed file please consult the Colorado Division of Child Care 175 Sherman St Denver CO 80203. 303-866-5958 or 800-799-5876.

Registration Agreement:

Swimming ability: For our records / knowledge please mark the appropriate box

□ needs flotation(your child will only be in the outdoor pool- you must provide flotation device)

□outside pool only

□ fair swimmer (can go indoor and outdoor- no diving boards)

□ swims well (can go indoor outdoor and diving boards)

Specifics about your child that should be known e.g. allergies seizures, diabetes, asthma, surgeries, unusual behaviors, extreme fears, etc.

Please list any activities you would like your child to be exempt from: ______

I have carefully read, understand and agree to all the above Policies, Fees and other general information provided to me on the previous 6 pages:

Signature______Date______Enrollment / Emergency Card

Enrollment Date______

Child’s Name______BirthDate______

Address______City______Zip______

Mother’s Name______Home phone______

Employer______Mother’s E-mail Address:______

Work Hours______Work phone______Cell phone______

Father’s Name______Home phone______

Employer______Father’s E-mail Address:______

Work Hours______Work phone______Cell phone______

Emergency contact other than parents

Name______Phone number______Address______

Name______Phone number______Address______

Names of persons and phone number other than parent to whom the child may be released:

Name______Phone #______Name______Phone #______

Name______Phone #______Name______Phone #______

Specific Medical Information

Allergies______

Medications______Frequency______

Other______

Hospital______Phone number______Address:______

Physician______Phone number______Address:______Dentist______Phone number______Address:______Insurance______

I hereby give permission to Black Canyon Gymnastics L.L.C. to secure emergency medical treatment for the above named child while in the care of the above named school. If emergency care is warranted, all expenses of such care will be accepted by the parents.

Signature______Date______

Black Canyon Gymnastics General Release and Waiver of Liability

General Release Acknowledgement of Risk and Waiver of Liability I am the parent or legal guardian of (child’s name)______. I hereby consent to the above named person participating in the programs offered by Black Canyon Gymnastics L.L.C. I recognize that potentially severe injuries, including sprains, strains, broken bones, permanent paralysis or death, can occur in any activity involving height or motion, including gymnastics, dance, karate, swimming, diving, and field trips. I UNDERSTAND AND ACCEPT THAT RISK. I also realize that my child will be performing and training on flooring and apparatus specific to each sport. For gymnastics all Olympic event plus various other training devices including trampolines will be used. I further understand that my child will not be able to participate unless this release form is signed. Therefore, in consideration for allowing my child to use the Black Canyon Gymnastics L.L.C.’s equipment and facilities, I hereby forever release Black Canyon Gymnastics, L.L.C., it’s owners, officers, employees, teachers, and coaches from all liability for any and all damage and injuries. Further, for the child, and myself, I acknowledge and assume all attendant risk and hold harmless Black Canyon Gymnastics, L.L.C., its agents and employees. As the parent or legal guardian of the aforementioned person, I hereby agree to individually protect and insure for the possible future medical expenses which may be incurred by my child as a result of any injury sustained while at, for, or under the direction of Black Canyon Gymnastics, L.L.C. THIS ACKNOWLEDGMENT OR RISK AND WAIVER OF LIABILITY, HAVING BEEN READ THOROUGHLY AND UNDERSTOOD COMPLETELY, IS SIGNED VOLUNTARILY AS TO ITS CONTENT AND INTENT

Signature:______Date______