2020 Sportopia Summer Camp at Printscape Arena Presented by Macaroni Kid Summer Camp Single Child Registration Packet
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2020 Sportopia Summer Camp
at Printscape Arena
Presented by Macaroni Kid
Summer Camp Single Child
Registration PacketSportopia Summer Camp
at Printscape Arena
Camp Overview
Sportopia Summer Camp, conveniently located in Southpointe, is a 10-week
summer camp. Our goal is to provide and create an atmosphere to encourage
children to try new experiences, develop new friendships and enjoy fun &
fitness along the way! Sportopia will be held from June 8th - August 14th,
2020. Finally, there will be days that ice time will change due to scheduling,
those days will be updated closer to July.
Each day of the week we will have different sports, games and activities, as
well as crafts, movies, free time and snacks to go hand in hand with the theme
that week. Each participant will have the option to pack a lunch or order their
lunch ahead of time through Bubbas for additional fee.
Price for each day of camp includes: care of child, all supplies for crafts and
activities, t-shirt if you choose to attend the field trips and snack each day
registered for camp. Any sports, games, activities include but not limited to;
basketball, soccer, volleyball, ice skating, capture the flag, dodgeball, four
square, board games, crafts and an educational “unplugged” hour each day.
Days that we attend field trips there will be a discounted day rate.
Camper must be between the ages of 5 - 12 by June 8th, 2019. Multi child,
Southpointe employee, and returning camper discounts are available. Due to
the demand there will be a $20 nonrefundable registration fee. Contact the
camp director for directions on how to sign up for Sportopia or for more
information.
Emily West - Sportopia Director - summercamp@printscapearena.com
Kayla McKelvey - Program and Marketing Manager -
kayla@printscapearena.comCAMP DAY-TO-DAY
• Camper drop off is from 7:00am-9:00am and camper pickup is
from 4:00pm-6:00pm, activities will run from 9:00am-4:00pm.
• Only those who are on the authorized to Pick up List will be able
to pick up your child. They must have Photo ID MUST be
presented at the time of pick up.
• Lunches will be sent to Bubbas at 9:30 am, you must have paid
and ordered lunch before 9:30am the same day.
• Make sure your child is wearing proper attire for camp for the
daily activities as well as tennis shoes. You may also want to pack
an extra pair of clothing for your child.
• All electronics must be kept in child’s bag and are only to be used
if they earn the privilege. If they earn it, they will only be
permitted to go on for 30 minutes (Printscape Arena is NOT
responsible for lost or damaged electronics).
• Campers are expected to be respectful of each other and the
counselors. Bullying, inappropriate language and violence will not
be tolerated.
• Campers are responsible for cleaning up after themselves and
helping keep the camp room safe and organized.
• Campers are expected to display good sportsmanship while
participating in all activities.
• When ice skating, all campers MUST wear a helmet. Please bring
a helmet (bike helmets are acceptable), gloves, socks, long pants
and long sleeve shirt or sweatshirt. No horseplay will be permitted
while skating. The child may be removed from the ice if the
counselor deems fit. (Please make sure all belongings are properly
labeled with child's name).CAMP PRICING
$20 Registration fee
1 Day $55
5 Days $250
*5 Days in one week *$25 discount
FIELD TRIP PRICING
On days that there will be a field trip there will be a discounted day rate.
Day Rate: $30 PLUS Field Trip Rate: $30
Second Child Discount 5% off
the second child
Returning Camper 10% off
Discount *Camper must have attended more than
10 days of previous summer
Southpointe Employee 10% off
*Must show valid ID
Bubbas Box Lunch
If you are interested in ordering a box lunch through Bubbas
the pricing wil go as follows…
$7 per lunch per childA day at camp
Time Monday Tuesday Wednesday Thursday Friday
7:00AM- Drop off: Drop off: Drop off: Drop off: Drop off:
9:00AM FREE PLAY FREE PLAY FREE PLAY FREE PLAY FREE PLAY
30 MINS OF 30 MINS OF 30 MINS OF 30 MINS OF 30 MINS OF
ELECTRONICS ELECTRONICS ELECTRONICS ELECTRONICS ELECTRONICS
9:00AM- Morning Morning Morning Morning Morning
9:15AM Meetings Meetings Meetings Meetings Meetings
9:15AM- Activities based Activities based Activities based Activities based Activities based
10:45AM on the theme on the theme on the theme on the theme on the theme
11:00AM- Lunch Lunch Lunch Lunch Lunch
12:00PM
12:00PM- Free Time Free Time Free Time Free Time Free Time
12:30PM
12:30PM- Ice Time ED HOUR Ice Time ED HOUR Ice Skating
2:30PM *Subject to change *Subject to change *Subject to change
2:30PM-3:30 Snack Snack Snack Snack Snack
3:00PM-4:00PM ED HOUR Activites based ED HOUR Activites based ED HOUR
on theme on theme
4:00PM-6:00PM Pick Up: Pick Up: Pick Up: Pick Up: Pick Up:
FREE PLAY FREE PLAY FREE PLAY FREE PLAY FREE PLAY
30 MINS OF 30 MINS OF 30 MINS OF 30 MINS OF 30 MINS OF
ELECTRONICS ELECTRONICS ELECTRONICS ELECTRONICS ELECTRONICSWeekly Themes
Week 1 Week 2 Week 3 Week 4 Week 5
Let the Sports Backyard All Mission
Games Around Sports American Impossible
Begin the Sports
World Week
Week 6 Week 7 Week 8 Week 9 Week 10
Pirate Science Camp Water Wild and
Week Week Olympics Sports Wacky
Week Week
Each week there will be a theme that leads our
activites, sports, and crafts that are done
throughout the day. In the table above there is
an over view of all the themes.Behavior System
This year there will be a new behavior system put into place.
The children will each have a sticker chart. Each day the
children will start off with a blank chart. When a counselor
sees a camper doing something sticker worthy, they will
receive one. At the end of the day any child that ends up with
at least 3 stickers will be able to pick from the prize bin. Any
child that does not have 3 stickers will participate in helping
hands.
The second behavior plan will be our bead system. Each
color bead will have a purpose (the purposes are listed
below). When a child exhibits a behavior that aligns
with a bead, they will receive that bead to put on their
kite!CAMPER INFORMATION
Childs Name: _______________________________________ ID: ______________
Childs Date of Birth: ___________________________ Age: ___________
Mailing Address: _______________________________________________
(Street Address)
_____________________ __________ _____________
(city) (State) (Zip)
Parent or Legal Guardian#1: _____________________
Mailing address: _________________________________________
(Street Address)
______________ __________ ______________
(city) (State) (Zip)
Cell Phone #: ___________________
Home Phone #: __________________ Best number to call: _________
Email Address: ____________________________________________
Parent or Legal Guardian#2: _________________________________
Mailing address: _________________________________________
(Street Address)
_____________________ __________ __________
(city) (State) (Zip)
Cell Phone #: __________________
Home Phone #: _________________ Best number to call: __________
Email Address: ____________________________________________Camper Authorized Pick Up List
Only those who are authorized to pick up list will be able to pick up your child. Photo
ID MUST be presented at the time of pick up. Do not forget to list parent(s) as well on
this list.
Parent or Legal Guardian: _____________________________________
Cell Phone Number: ______________Work Phone Number: _____________
Relationship to child: ____________________
Parent or Legal Guardian: _____________________________________
Cell Phone Number: ______________Work Phone Number: _____________
Relationship to child: ____________________
Parent or Legal Guardian: _____________________________________
Cell Phone Number: ______________Work Phone Number: _____________
Relationship to child: ____________________
Parent or Legal Guardian: _____________________________________
Cell Phone Number: ______________Work Phone Number: _____________
Relationship to child: ____________________Parent or Legal Guardian: _____________________________________ Cell Phone Number: ______________Work Phone Number: _____________ Relationship to child: ____________________ Parent or Legal Guardian: _____________________________________ Cell Phone Number: ______________Work Phone Number: _____________ Relationship to child: ____________________ Parent or Legal Guardian: _____________________________________ Cell Phone Number: ______________Work Phone Number: _____________ Relationship to child: ____________________ Parent or Legal Guardian: _____________________________________ Cell Phone Number: ______________Work Phone Number: _____________ Relationship to child: ____________________ Parent or Legal Guardian: _____________________________________ Cell Phone Number: ______________Work Phone Number: _____________ Relationship to child: ____________________
Liability Waiver Form
Waiver, Parental Waiver and Release of
Liability
I, the undersigned, parent or legal guardian, acknowledge the inherent risk involved in ice skating, and
all sports related thereto. Accordingly, in consideration of myself, or my child being allowed to
participate in any skating activities and/or other activities at the ice rink facility commonly known as
“Printscape Arena at Southpointe” located at 114 Southpointe Blvd., Canonsburg, PA 15317, I agree
to the following:
1. I ACKNOWLEDGE AND FULLY UNDERSTAND THAT I (or child) WILL BE ENGAGING
IN ACTIVITIES THAT INVOLVE RISK OF SERIOUS INJURY WHICH MIGHT RESULT
NOT ONLY FROM MY (or child) ACTIONS, BUT ALSO FROM THE ACTION, IN-
ACTION OR NEGLIGENCE OF OTHERS; AND FURTHER, THAT THERE MAY BE
RISKS NOT KNOWN TO ME OR NOT REASONABLY FORESEEABLE.
2. ON BEHALF OF MYSELF (or child), I AGREE TO ASSUME ALL THE FOREGOING
RISKS AND ACCEPT PERSONAL RESPONSIBILITY FOR MY OWN DAMAGES
FOLLOWING SUCH INJURY.
3. ON BEHALF OF MYSELF (or my child), I RELEASE, DISCHARGE, WAIVE AND
COVENANT NOT TO SUE BLACK BEAR SPORTS GROUP INC, AND ALL THEIR
RESPECTIVE AGENTS, AFFILIATES, ASSOCIATES, OFFICERS, DIRECTORS,
OWNERS, AND EMPLOYEES (COLLECTIVELY “RELEASEES”) FROM DEMANDS,
LOSSES, OR DAMAGES ON ACCOUNT OF ANY INJURY, DEATH OR DAMAGE TO
PROPERTY CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY RE-
LEASEES OR ANY OTHER PARTY'S ACTIONS, INACTION, OR OTHERWISE; AND
AGREE TO INDEMNIFY RELEASEES FROM ANY AND ALL THIRD PARTY CLAIMS
CAUSED IN WHOLE OR IN PART BY MY (or child) ACTIONS.
The undersigned hereby given permission for digital images of the camper named below to be taken
during Sportopia Fun & Fitness Summer Camp. These digital images may be shared throughout our
social media. Camper will not be identified by name in any such images.
I have read the above Waiver and Release, and understand that by signing below, I have given up
substantial rights on behalf of myself or my child.
Name of Child/Camper (Printed): __________________________________
Parent or Legal Guardian (Printed): ________________________________
Signature of Parent or Legal Guardian: _________________________
Date: ___________________Policies and Procedures
By registering my child for Sportopia Fun & Fitness Summer Camp I understand
the following:
• I may sign my child up for additional days or weeks at any time (provided that
space is available) but that I am responsible for the full payment amount for that
day or week in advance.
• I understand that my child will need to pack a lunch if we did not purchase a
lunch by 9:00 am day of.
• My child will be dropped off between 7:00am-9:00am on the days registered to
ensure they are there for the start of activities.
• My child will be picked up between 4:00pm-6:00pm or a late fee will be
assessed.
• I will receive the multi-child discount if applicable throughout the summer, I must
register all children at the same time to receive the discount.
• Southpointe employees must present a photo ID or proof of employment, at the
time of registration, in order to receive the Southpointe discount.
• Your child must have attended at least five days the previous summer to receive
the returning camp discount
• Only those who are on the authorized pickup list will be able to pick up my
child. Photo ID MUST be presented at the time of pick up.
• Once paid, no days will be refunded unless for medical reasons, or notified
three weeks in advance. Any child removed from camp will not receive a
refund.
• By signing this document, you are agreeing to all the stated policies and
procedures. You will receive a copy of this form for your files.
Parent or Legal Guardian (Printed): ________________________________
Signature of Parent or Legal Guardian: ______________________________
Date: ___________________Camper Medical Information Childs Name: _____________________________________________ Health history and medical information pertinent to routine child care and diagnosis/treatment in emergency (describe if any). Describe all medication and reason for medication. All medications should be documented in the event the child requires medical care. Describe any special diets the child receives and the reason for the special diet. List any health problems or special needs and recommended treatment/services. List any allergies (describe, if any, and the reactions to the allergy). Other important information regarding the child
August 31st, 2020
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