MSCR CAMPS GUIDE Summer 2021 - FOLLOW US ON
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MSCR CAMPS GUIDE
Summer 2021
FOLLOW US ON:
Fee Assistance Available
Disponible en Español
MSCR IS A DEPARTMENT OF THE MADISON METROPOLITAN SCHOOL DISTRICT • MSCR.ORG • 608.204.3000
CAMP POLICIES & PROCEDURES 608.204.3000
Why Spend Your INDEX
PRESCHOOL CAMPS
Summer with MSCR? Fascination Station Ages 4-5 • E/W C4-C5
VALUE! ELEMENTARY CAMPS
• More than 90 weekly camp sessions and Camp Compass Gr 1-6 • E/W C10
6 full summer sessions Camp Tall Oaks Gr 1-5 • W C8
• Affordable, quality, structured programs Fascination Station Gr 1-5 • E/W C4-C5
• Options for ages 4-14 years Kids Kamp at Warner Park Gr 1-5 • N C11
• Scheduling options for every family Super Center Arts Camp Gr 1-5 • W C6-C7
including half day, full day and
extended care MIDDLE SCHOOL CAMPS
• Fee assistance & payment plans available Camp Adventure Gr 6-9 • E/W C14
Creative You Gr 6-9 • E/W C12
EXPERIENCE! Greenhouse Gardening Gr 6-9 • W C13
• Thorough health & safety protocols following Mad City Sports Camp Gr 6-9 • E/W C15
all MMSD & public health guidelines STEM Explorations Gr 7-8 • N C13
• Opportunities for campers challenge SPORTS CAMPS
themselves, stretch their imaginations Mad City Sports Camp Gr 6-9 • E/W C14
and discover new talents
All Star Sports Gr 2-5 • E/W C9
• Engaging activities to keep every camper
Sports of All Sports Gr 2-5 • E/W C9
entertained
• Caring and competent staff enthusiastic REGISTRATION
about sharing their skills and interests with Policies & Procedures C16
campers Health & Safety, Camps Form C17
• Peace of mind knowing your child is having Registration Form C18
fun in a safe place
Fee Waiver Form C19
• Your source for recreation since 1926! Grade: Grade the child will enter in the 2021-2022 school year.
Location: E = East N = North W = West/South
REGISTRATION INFORMATION
HOW TO REGISTER:
• Register online at mscr.org or return your completed MSCR Registration Form and
Camp Supplemental Information Form to MSCR at 3802 Regent St, Madison, WI 53705
Call
• First time registering with MSCR? Create your customer account at mscr.org before 204-3000
registration begins to streamline your online registration process.
• Include first and alternate choice where applicable. If your first choice is full, we will try
for help.
your alternate choice. If both choices are full, your fee will be returned and you will be wait listed.
REGISTRATION BEGINS:
• Monday, March 22 at 8:00am for MMSD Residents
• Monday, April 5 at 8:00am for Non-MMSD Residents
FEE ASSISTANCE:
• Fees may be fully or partially waived for MMSD residents based on need.
• Submit the Fee Assistance Request Form at the time of registration. Fee Assistance is not available online.
• See Camp Policies for full fee assistance and payment plan processes.
C2 Register at mscr.org
608.204.3000 CAMP POLICIES & PROCEDURES
HOW DO YOU WANT TO CHOOSE YOUR CAMP?
PROGRAM SCHEDULE
1/2 day - One Week Full Day - Full Day - Full Summer
Sessions One Week Sessions Registration
All Star Sports Camp Tall Oaks *
Sports of All Sorts Super Center Arts Camp Camp Compass (Gr 1-6)*
Fascination Station Creative You
Kids Kamp*
Greenhouse Gardening Camp Adventure
Mad City Sports Camp STEM Explorations
*extended hours available
PROGRAM LOCATIONS
East/North West/South
Camp Adventure Burrows Park Camp Adventure Garner, Rennebohm Parks
Camp Compass Henderson, Lake View Camp Compass Falk, Thoreau
Creative You Sherman Camp Tall Oaks at School Forest Badger Rock (Bus Stop)
Fasciation Station Nuestro Mundo Creative You Hamilton
Kids Kamp Warner Park CRC Fascination Station Stephens
Mad City Sports Camp Sherman Greenhouse Gardening Spring Harbor
STEM Explorations Sherman Mad City Sports Camp Hamilton
Super Center Arts Camp Hoyt Park
CAMP TYPE
All Around Arts Outdoor Adventure
Camp Compass Super Center Arts Camp Camp Tall Oaks
Kids Kamp at Warner Park Creative You Camp Adventure
Fascination Station Greenhouse Gardening
Special Interest Sports
Fascination Station Mad City Sports Camp
STEM Explorations All Star Sports
Greenhouse Gardening Sports of All Sorts
INCLUSION SERVICES
The mission of Madison School & Community Recreation (MSCR) WHAT ARE INCLUSION SERVICES?
Inclusion Services is to enhance the quality of life for individuals with Inclusion means individuals with and without disabilities participate together in the
same way, in the same place and enjoy the same benefits.
disabilities in the Madison Metropolitan School District, and for the
community, by providing recreation and enrichment opportunities HOW CAN YOU ACCESS SERVICES?
year-round that are accessible to all. MSCR is committed to an 1. When you register, mark “YES” in the Require Accommodations section of the
Registration Form or check the box when registering online.
inclusive approach to recreation and will provide reasonable
accommodations to enhance program participation without 2. Complete the Online Participant Profile Form or print this form at mscr.org and
return to MSCR, 3802 Regent St, Madison, WI, 53705.
fundamentally altering a program.
3. Upon receipt of the necessary documents, MSCR’s Inclusion Services Staff
review your request and work with you to establish an individualized inclusion
Please go to mscr.org/registration/Inclusion-Services for full information. plan.
4. We request at least 2 weeks to plan and secure reasonable accommodations.
In some cases reasonable accommodations may take longer. All attempts
Contact: will be made to accommodate the needs of all participants. However, due
to staffing constraints and/or capacity limits of the requested activity,
Kate Dvorak Jason Busack registrations or accommodations may be limited. If so, other options (days,
Therapeutic Recreation Specialist Inclusion Services Specialist times, locations) may be discussed.
Supports Westside programs Supports Eastside programs By requesting Inclusion Services, I understand that:
Email: kdvorak@madison.k12.wi.us Email: jbbusack@madison.k12.wi.us • Inclusion services is not designed for therapeutic or 1:1 care
Office Phone: 608-204-3043 Office Phone: 608-204-4586 • It is my responsibility to provide MSCR with the most current information to
assist in providing accommodations to meet my or my child’s needs
Cell Phone: 608-856-5674 Cell Phone: 608-622-6927
• The participant’s inclusion plan does not exempt them from meeting activity
rules, expectations and health and safety guidelines, but may assist them in
meeting them.
Register at mscr.org C3
ELEMENTARY SCHOOL CAMP 608.204.3021
FASCINATION STATION
Fascination Station Camps are half-day programs providing in-
depth exposure to specific topics in a fun, enriching environment.
Camps are designed to provide a variety of fascinating choices for
campers. Individual camp structures vary based on the nature of
the program, but generally include small group activities developing
continuity throughout the week. Some themes may include special
presenters or a field trip. Registration closes one week prior to the
start of each session.
Each day bring in a bag or backpack labeled with full name:
• 1 Snack
• Water bottle
• Sunscreen, bug repellant and hand sanitizer
• Swimming suit and towel daily
• At least one mask (two preferred)
• Sun hat and/or sunglasses Camp Themes
Guardian handbooks are emailed approximately one week prior to
the start of camp. Please review camp policies prior to registering. FARM TO FORK
Do you ever wonder where your food actually comes from? It’s not the grocery
store! Get your hands dirty and discover the world of gardening and farming
through activities such as planting seeds and designing a garden. Learn about
pollination and irrigation on the farm, and learn how to grow your own delicious
HEALTH & SAFETY INFORMATION recipes! Travel the path our food takes before it gets to our forks in this week’s
farm to fork theme!
• Masks are required for participants, ages 5 and older, in indoor
programs or when inside any MSCR facility. SILLY SCIENCE
• Participants should maintain 6 feet of physical distance to the Did you know astronauts cannot belch? Why?! Well, because there is no gravity
greatest extent possible. to separate liquid from gas in their stomachs! Science is fun, it’s play with a
• Participants not from the same household should maintain 6 purpose and sometimes it’s silly! Camp turns into a laboratory as campers
feet of physical distance to the greatest extent possible. experiment with the silly side of science. Grab your lab coat and get ready to
explore!
All MSCR programs follow health & safety practices to ensure
a safe, positive experience that follows all current public health TOWERS, RAMPS & MACHINES
guidelines. Changes may be made to program structures or plans Build towers, bridges, race tracks and more. Explore the basics of motion, force
in accordance with changing guidance and requirements from and the fundamentals of physics and engineering with exciting projects and
MMSD or public health authorities. activities. Campers catapult, propel, construct and experiment their way to an
understanding of these sciences. No camp July 5.
UNDER THE SEA
Let’s take a deep dive under the sea! Come with us in our submarine as we
explore what is happening under the sea. Swim with the fishes and explore ocean
life for some wet, nautical fun!
Look for summer fun for all ages
in the Summer Program Guide GRADE IS THE GRADE
on April 26. YOUR CHILD WILL
Registration begins
ENTER FALL 2021.
Monday, May 3 for residents and
Monday, May 17 for non-residents.
Please see page C16 for Camp Policies.
Please complete the Camps Supplemental Information Form
in addition to the MSCR Registration Form.
Fee Assistance is available, please see C16. Please call 608-204-3000 if you have questions.
C4 Register at mscr.org
608.204.3021 ELEMENTARY SCHOOL CAMP
Eastside
Age/Grade Camp Theme Location Days Dates Time Fee Course #
4 yrs-Gr 1 Silly Science Nuestro Mundo M-F 7/19-7/23 9am-12pm $90 29972
Gr 2-3 Silly Science Nuestro Mundo M-F 7/19-7/23 9am-12pm $90 29973
Gr 4-5 Silly Science Nuestro Mundo M-F 7/19-7/23 9am-12pm $90 29974
4 yrs-Gr 1 Farm to Fork Nuestro Mundo M-F 7/26-7/30 9am-12pm $90 29978
Gr 2-3 Farm to Fork Nuestro Mundo M-F 7/26-7/30 9am-12pm $90 29979
Gr 4-5 Farm to Fork Nuestro Mundo M-F 7/26-7/30 9am-12pm $90 29980
4 yrs-Gr 1 Towers, Ramps & Machines Nuestro Mundo M-F 8/2-8/6 9am-12pm $90 29982
Gr 2-3 Towers, Ramps & Machines Nuestro Mundo M-F 8/2-8/6 9am-12pm $90 29983
Gr 4-5 Towers, Ramps & Machines Nuestro Mundo M-F 8/2-8/6 9am-12pm $90 29984
4 yrs-Gr 1 Under the Sea Nuestro Mundo M-F 8/9-8/13 9am-12pm $90 29986
Gr 2-3 Under the Sea Nuestro Mundo M-F 8/9-8/13 9am-12pm $90 29987
Gr 4-5 Under the Sea Nuestro Mundo M-F 8/9-8/13 9am-12pm $90 29988
Westside
Age/Grade Camp Theme Location Day Date Time Fee Course #
4 yrs-Gr 1 Silly Science Stephens M-F 6/21-6/25 9am-12pm $90 29954
Gr 2-3 Silly Science Stephens M-F 6/21-6/25 9am-12pm $90 29955
Gr 4-5 Silly Science Stephens M-F 6/21-6/25 9am-12pm $90 29956
4 yrs-Gr 1 Farm to Fork Stephens M-F 6/28-7/2 9am-12pm $90 29958
Gr 2-3 Farm to Fork Stephens M-F 6/28-7/2 9am-12pm $90 29959
Gr 4-5 Farm to Fork Stephens M-F 6/28-7/2 9am-12pm $90 29960
4 yrs-Gr 1 Towers, Ramps & Machines Stephens T-F 7/6-7/9 9am-12pm $72 29962
Gr 2-3 Towers, Ramps & Machines Stephens T-F 7/6-7/9 9am-12pm $72 29963
Gr 4-5 Towers, Ramps & Machines Stephens T-F 7/6-7/9 9am-12pm $72 29964
4 yrs-Gr 1 Under the Sea Stephens M-F 7/12-7/16 9am-12pm $90 29966
Gr 2-3 Under the Sea Stephens M-F 7/12-7/16 9am-12pm $90 29967
Gr 4-5 Under the Sea Stephens M-F 7/12-7/16 9am-12pm $90 29968
NOW HIRING FOR
SUMMER JOBS
Make a Difference &
get great experience!
Apply today at mscr.org
Register at mscr.org C5
ELEMENTARY SCHOOL CAMP 608.204.3021
SUPER CENTER REMIX
Celebrating our 25th year, Super Center Arts Camp is one of MSCR’s
oldest day camps. Camp looks a little different this summer, and we
have renamed it Super Center REMIX (SCR)! Super Center REMIX
provides campers an opportunity to develop artistic interests
in dance, theater music and visual arts skills in a creative camp
format. Due to health and safety guidelines, campers have an
in-depth experience of two of these fine arts subjects each week.
See the theme descriptions below. In addition to activities in
music, drama, dance and/or visual arts, daily activities also include
games and other traditional camp activities, as well as a mid-day
mindfulness break. Depending on health guidelines other activities
may include swimming, guest performers, field trips and special
camp performances. Registration closes one week prior to the first Camp Themes
day of camp. ARTS AROUND THE WORLD
Each day bring a labeled bag/backpack with full name on all items: Get your passport ready! Join us as we explore the globe, learning about different
cultures and distant lands. Experience the fine arts, games and more from places
• Lunch that does not require refrigeration or heating all around the world!
• 2 Snacks CAMP WITH A CAUSE
• Water bottle Do you like helping others? Learn about community needs and the ways each
camper can make a difference and lend a helping hand. Join the Super Center
• Sunscreen, bug repellant and hand sanitizer team for a week dedicated to serving the community.
• Swimming suit and towel STEP INTO THE STORY
• At least one mask (two preferred) Learn the ropes of stage performance and the ins and outs of producing a play.
Explore the elements of putting on a show. Auditions, casting, set and costume
• Sun hat and/or sunglasses design and rehearsal lead up to the campers performing their favorite stories on
Guardian handbooks are emailed approximately one week prior to the final day of this special 2-week session. No camp July 5.
the start of camp. Please review camp policies prior to registering. SUPER CENTER’S GOT TALENT
Super Center is full of talent! Can you juggle, sing, dance, create music or perform
HEALTH & SAFETY INFORMATION magic? Explore, perfect and showcase your talents. Jazz up your dancing, rock
the mic and add pizzazz to your art projects. Session culminates in a summer
• Masks are required for every individual, age 5 and older, when it is favorite - the Talent Show!
not possible to maintain 6 feet of physical distance. WITCHES, WIZARDS, AND DRAGONS, OH MY!
• Masks are strongly recommended for participants at all other Do you dream of a world where people can cast magic and fantastical beasts are
times. around every corner? Spend the week with Super Center doing magic, making
• Participants not from the same household should maintain 6 feet potions and creating your own magical beasts! No camp July 5.
of physical distance to the greatest extent possible.
WONDERFUL WATER WEEK
All MSCR programs follow health & safety practices to ensure a safe, positive Dive right in and kick off the summer with some water fun! Stay cool with H2O
experience that follows all current public health guidelines. Changes may be themed activities designed with the fine arts in mind! Learn fluid dance moves,
made to program structures or plans in accordance with changing guidance the depths of drama, the drip drop of musical beats and how to water (color) your
and requirements from MMSD or public health authorities. world!
ART CART RETURNS THIS SUMMER!
Look for this free, traveling art program June 14 to August 18. Art Cart is a
free traveling art program that visits parks and schools throughout Madison
every summer. The program is a partnership between Madison School &
Community Recreation (MSCR) and Madison Museum of Contemporary Art
(MMOCA), and offers fun, art activities exposing children to a variety of art
mediums and opportunities.
Look for more information in the Summer Program Guide.
Look for summer fun for all ages
in the Summer Program Guide 2021
on April 26.
Registration begins
Monday, May 3 for residents and
Monday, May 17 for non-residents.
C6 Register at mscr.org
608.204.3021 ELEMENTARY SCHOOL CAMP
Grade Camp Theme Activities Location Day Date Time Fee Course #
1-2 Wonderful Water Week Dance & Music Hoyt Park M-F 6/21-6/25 8am-4pm $150 28740
3-5 Wonderful Water Week Drama & Art Hoyt Park M-F 6/21-6/25 8am-4pm $150 29944
1-2 Witches, Wizards, and Dragons, Oh My! Part 1 Dance & Music Hoyt Park M-F 6/28-7/2 8am-4pm $150 29929
3-5 Step Into the Story (Wk 1 Music & Art, Wk 2) Drama & Dance Hoyt Park M-F 6/28-7/9 8am-4pm $270 29940
1-2 Witches, Wizards, and Dragons, Oh My! Part 2 Music & Art Hoyt Park T-F 7/6-7/9 8am-4pm $120 29930
3-5 Witches, Wizards, and Dragons, Oh My! Part 1 Drama & Dance Hoyt Park M-F 7/12-7/16 8am-4pm $150 29942
1-2 Step Into the Story (Wk 1 Music & Art, Wk 2) Drama & Dance Hoyt Park M-F 7/12-7/23 8am-4pm $300 29931
3-5 Witches, Wizards, and Dragons, Oh My! Part 2 Music & Art Hoyt Park M-F 7/19-7/23 8am-4pm $150 29943
1-2 Arts Around the World Part 1 Art & Dance Hoyt Park M-F 7/26-7/30 8am-4pm $150 29932
3-5 Arts Around the World Part 1 Music & Drama Hoyt Park M-F 7/26-7/30 8am-4pm $150 29937
1-2 Arts Around the World Part 2 Music & Dram Hoyt Park M-F 8/2-8/6 8am-4pm $150 29933
3-5 Arts Around the World Part 2 Art & Dance Hoyt Park M-F 8/2-8/6 8am-4pm $150 29938
1-2 Camp with a Cause Art & Drama Hoyt Park M-F 8/9-8/13 8am-4pm $150 29934
3-5 Super Center’s Got Talent Music & Dance Hoyt Park M-F 8/9-8/13 8am-4pm $150 29941
1-2 Super Center’s Got Talent Music & Dance Hoyt Park M-F 8/16-8/20 8am-4pm $150 29935
3-5 Camp with a Cause Art & Drama Hoyt Park M-F 8/16-8/20 8am-4pm $150 29939
MMSD Summer Semester & MSCR Programs - Call 608-663-1914
Students enrolled in the in-person Summer Semester program have the option to stay for an MSCR program each day in the
afternoon: Summer Recreation & Enrichment Centers (SREC) for elementary students and Youth Resource Centers (YRC) for
middle school students. To enroll in MSCR after Summer Semester, select the full day option when completing online Summer
Semester enrollment.
MMSD Summer Semester Information:
Registration: Summer Semester enrollment opens March 15 at 9 am.
Summer Semester Dates:
Grades 4K-8: June 21 - July 30 (M-F) (No programs July 5)
Grades 9-12: June 21 - July 29 (M-Th) (No programs July 5)
Times:
Summer Semester: 8:00am-12:15pm
MSCR SREC/YRC: 12:15pm-4:00pm
Contact the MMSD Summer Semester office with additional questions at 608-663-1914 or summerschool@madison.k12.wi.us.
Participants who attend summer semester may register for MSCR camps in August. Register at mscr.org or by completing an
MSCR Registration Form.
What happens if I signed up for an MSCR camp prior to enrolling for Summer Semester? Go ahead and enroll in Summer Semester,
then contact MSCR at mscr@madison.k12.wi.us to be unenrolled from your MSCR camp with no penalty.
Register at mscr.org C7
ELEMENTARY SCHOOL CAMP 608.204.3025
HEALTH & SAFETY INFORMATION
• Masks are required for every individual, age 5 and older, when it is
not possible to maintain 6 feet of physical distance.
• Masks are strongly recommended for participants at all other
times.
• Participants not from the same household should maintain 6 feet
of physical distance to the greatest extent possible.
All MSCR programs follow health & safety practices to ensure a safe,
positive experience that follows all current public health guidelines.
Changes may be made to program structures or plans in accordance
with changing guidance and requirements from MMSD or public health
authorities.
CAMP TALL OAKS Camp Themes
Camp Tall Oaks is your go to camp for exploring the outdoors! Camp AMAZING RACE
Tall Oaks combines outdoor leadership, environmental education Explore the School Forest like you're on the Amazing Race! Each day campers
work together to solve clues and accomplish tasks and challenges.
and outdoor recreation activities designed to foster camper
relationships with themselves, each other and nature. Each week’s ANIMAL PLANET
theme highlights different activities and campers are encouraged Explore the living creatures and plants of the Madison School Forest and
to sign-up for themes that spark their curiosity! No previous surrounding area! Take hikes through the woods discovering the landscape, find
animal signs, make animal crafts and play animal themed games!
experience in any activity is required. Weekly itineraries are emailed
prior to the start of the camp week. Parent handbook is available DIGGING IN THE DIRT!
online at the time of registration. Get ready campers, this week is your chance to get dirty! Discover what critters
live in the dirt, learn about the colors you find in the soil layers and grow your own
LOCATION & BUSSING: plant.
Camp is held at Madison School Forest Campground, a beautiful
300 plus acre property that camp calls home for the summer! OLYMPICS IN NATURE!
Learn what it takes to be an Olympic Champion! Campers participate in nature
Camper pick up & drop off: inspired Olympic-like activities and discover the characteristics of a champion in
Campers meet at Badger Rock Middle School (501 E Badger Rd, nature and the champion within themselves!
Madison, WI 53713) and take a bus to and from the Madison School SURVIVAL CAMP
Forest Campground. Camper drop off is 7:30-8am and pick-up is Are you ready to survive in the woods? Campers learn outdoor survival skills
5-5:30pm. through activities, games and the land.
*Please bring the following each day: TAKING FLIGHT!
• Backpack Do you ever wonder about flying? How do birds, insects and mammals do it?!
Learn about flight from the original flyers and experiment with flight through
• Sunscreen activities at camp!
• Sunhat THE FANTASTIC FIVE: EXPLORING OUR SENSES
• Water Bottle All animals have their own special sensory super powers, including humans! We
spend the week exploring our senses and the senses of the creatures around us
• Bug Spray through games, crafts and nature activities! No programming July 5.
• Rain Poncho WACKY WATER WEEK
• Swimsuit and Towel All water, all week! Campers learn about the life cycle of water and the important
role it plays at School Forest. Throughout the week campers play a variety of
• Sack lunch with a morning and afternoon snacks games and complete activities all involving water! Come prepared to get wet!
*Please contact the Camp Tall Oaks Program Coordinator if you
need help getting the required items.
Grade Camp Theme Location Day Date Time Fee Course #
1-5 Amazing Race Jackson School Forest M-F 6/21-6/25 7:30am-5:30pm $215 28547
1-5 Animal Planet Jackson School Forest M-F 6/28-7/2 7:30am-5:30pm $215 28548
1-5 The Fantastic Five: Exploring Our Senses Jackson School Forest T-F 7/6-7/9 7:30am-5:30pm $172 28549
1-5 Wacky Water Week Jackson School Forest M-F 7/12-7/16 7:30am-5:30pm $215 28550
1-5 Rarrrr Dinosaurs! Jackson School Forest M-F 7/19-7/23 7:30am-5:30pm $215 28551
1-5 Olympics in Nature! Jackson School Forest M-F 7/26-7/30 7:30am-5:30pm $215 28552
1-5 Digging in the Dirt! Jackson School Forest M-F 8/2-8/6 7:30am-5:30pm $215 28553
1-5 Survival Camp Jackson School Forest M-F 8/9-8/13 7:30am-5:30pm $215 28554
1-5 Taking Flight! Jackson School Forest M-F 8/16-8/20 7:30am-5:30pm $215 28555
C8 Register at mscr.org
608.204.3026 ELEMENTARY SCHOOL CAMP
SPORTS CAMPS
SPORTS ALL STARS
This camp is perfect for the athlete who enjoys playing a variety
of sports and also those non-traditional recreation games. Camp
focuses on a different sport each week and campers are taught skills
and participate in games and activities in sports such as soccer,
basketball, flag football and more. We cap it all off with an Olympics
Week to celebrate the Olympic Games, highlight our campers, and
learn a little bit about international sports and athletes. All of our
camps have an emphasis of sportsmanship, teamwork, leadership
and being kind to our fellow campers. This camp offers two separate
four-week sessions. Registration for the full session is required.
HEALTH & SAFETY INFORMATION
SPORTS OF ALL SORTS
This camp focuses on non traditional recreation games like • Masks are required for every individual, age 5 and older, when it is
not possible to maintain 6 feet of physical distance.
dodgeball, capture the flag, kickball, quidditch and more! Games
• Masks are strongly recommended for participants at all other
and activities are geared around those non traditional sports times.
and campers will have a blast learning and creating new games • Participants not from the same household should maintain 6 feet
to play! We cap it all off with an Olympics Week to celebrate the of physical distance to the greatest extent possible.
Olympic Games, highlight our campers, and learn a little bit about
international sports and athletes. All of our camps have an emphasis All MSCR programs follow health & safety practices to ensure a safe,
of sportsmanship, teamwork, leadership and being kind to our positive experience that follows all current public health guidelines.
Changes may be made to program structures or plans in accordance
fellow campers. This camp offers two separate four-week sessions. with changing guidance and requirements from MMSD or public health
Registration for the full session is required. authorities.
What to bring each day:
• Athletic clothes
• Athletic footwear
• Water bottle GRADE IS THE GRADE
*No program the week of July 5-9.
YOUR CHILD WILL
ENTER FALL 2021.
Grade Camp Theme Location Day Date Time Fee Course #
Eastside
2-5 All Stars Sennett M-F 6/21-7/23* 9am-12pm $300 29924
2-5 Sports of All Sorts Sennett M-F 6/21-7/23* 1pm-4pm $300 29951
2-5 All Stars Sennett M-F 7/26-8/20 9am-12pm $300 29946
2-5 Sports of All Sorts Sennett M-F 7/26-8/20 1pm-4pm $300 29948
Westside
2-5 All Stars Midvale M-F 6/21-7/23* 9am-12pm $300 29923
2-5 Sports of All Sorts Midvale M-F 6/21-7/23* 1pm-4pm $300 29950
2-5 All Stars Midvale M-F 7/26-8/20 9am-12pm $300 29947
2-5 Sports of All Sorts Midvale M-F 7/26-8/20 1pm-4pm $300 29949
Register at mscr.org C9
ELEMENTARY SCHOOL CAMP 608.467.8360
CAMP COMPASS
REGISTRATION INFORMATION
Children must register for the entire 8-week program. In order to
attend the first week of the program the registration process must
be completed by Friday, June 4. Enrollment is on a first-come, first-
served basis and space is limited. Participants are grouped by age
when possible. Based on health and safety guidelines regarding
group size, groups may fill prior to the program reaching max
enrollment. Registration cannot be done on a weekly basis. Please
see other MSCR camps for weekly registration options.
• Payments are scheduled on a bi-monthly basis. Fee assistance
is available for those who qualify based on family financial
status.
• Choose from the MSCR Camp Compass sites listed below.
• Registration is for the entire eight week session from
MSCR Camp Compass provides structured activities in such June 21- August 13. Registration for residents begins on
areas as arts & crafts, dramatic play, science, sports & games Monday, March 22. A resident or non-resident child can
and nutrition. We focus on learning, exploring and growing register at any program location. They do not need to live in the
through fun and educational programming and experience. All school attendance area or in the Madison Metropolitan School
MSCR programs follow health & safety practices to ensure a District. However, non-residents pay 50% more than residents.
safe, positive experience that follows all current public health • Registration for non-residents begins on April 5, 2021.
guidelines. Changes may be made to program structures or plans in
accordance with changing guidance and requirements from MMSD
or public health authorities. Any changes to program structure Electronic registration forms are available:
(such as the addition of field trips) will be done in accordance • At mscr.org
with Public Health guidelines and communicated with families. • By email at vmejeris@madison.k12.wi.us
Breakfast, lunch and an afternoon snack are provided. Programs
are offered June 21 - August 13 from 7:45 am until 5:30 pm. MSCR 2021 MSCR Camp Compass Fees
does not provide transportation to and from the program. All MSCR (4 equal payments due June 15, July 1, July 15 and August 1)
programs are closed on Monday, July 5. Get your kids up and
exploring this summer with:
• Weekly MSCR swim lessons
• Fun literacy and math activities GRADE IS THE GRADE
• Special activities in partnership with the Madison
Public Library, Girls Inc. of Greater Madison and Rooted YOUR CHILD WILL
ENTER FALL 2021.
• Teambuilding, special interest clubs and group activities
Grade Location Day Date Time Fee
Eastside
Gr 1-6 Henderson M-F 6/21-8/13 7:45am-5:30pm $1,120
Gr 1-6 Lake View M-F 6/21-8/13 7:45am-5:30pm $1,120
Westside
Gr 1-6 Falk M-F 6/21-8/13 7:45am-5:30pm $1,120
Gr 1-6 Thoreau M-F 6/21-8/13 7:45am-5:30pm $1,120
Please see page C16 for Camp Policies.
KIDS KAMP & CAMP COMPASS FEE ASSISTANCE INFORMATION
If requesting fee assistance for Warner Park Kids Kamp and Camp Compass programs, families must apply for
Wisconsin Shares child care assistance and provide written documentation of ineligibility before MSCR approves
fee assistance and registers your child. Please see page C16 for more information.
C10 Register at mscr.org608.467.8360 ELEMENTARY SCHOOL CAMP
WARNER PARK KIDS KAMP
A structured day camp featuring activities based on weekly
themes, including arts & crafts, sports, indoor and outdoor
games, swimming, science, nature, and field trips or special
events. Campers typically spend at least one afternoon a week
swimming at an indoor pool. Breakfast snacks and lunch are
provided. For children entering grades 1-5 in the Fall. Program is
offered June 21-August 20, 2021, Monday through Friday. All camp
programs are closed Monday, July 5.
Camper drop off is between 7:30-9:00am and camper pickup
is between 4-5:30pm. Main activities for the day start at 9am
and end at 4pm. You must register for the entire nine weeks, no
exceptions.
Please review camp policies before registering. Warner Park ID
required ($5 per year). Call 245-3690, ext. 0, for more information.
Children should bring the following each day:
• Sunscreen
• Swimsuit
• Towel
• Insect Repellent
The cost for the 9 week program is $1395/ summer (i.e.$155 per week).
MSCR payment plans are available. We accept Dane County child care subsidy.
Grade Location Day Date Time Fee Course #
Gr 1-2 Warner Park CRC M-F 6/21-8/20 7:30am-5:30pm $1395 28655
Gr 3-5 Warner Park CRC M-F 6/21-8/20 7:30am-5:30pm $1395 28657
HEALTH & SAFETY INFORMATION PAYMENT PLAN INFORMATION
Payment plans are available for all camps. Payment plans must be requested
• Masks are required for participants, ages 5 and older, in indoor using an MSCR Registration Form and are not available during online registration.
programs or when inside any MSCR facility. A non-refundable deposit is required for each day camp session and is due at the
• Participants should maintain 6 feet of physical distance to the time of registration, except for families requesting fee assistance:
greatest extent possible. • $20 deposit for each full day camp session
• $10 deposit for each half-day camp session
All MSCR programs follow health & safety practices to ensure a safe, A credit card number is required and is automatically charged the week prior for
positive experience that follows all current public health guidelines. the outstanding weekly balance. Your signature on the registration authorizes
Changes may be made to program structures or plans in accordance MSCR to initiate recurring credit card charge(s) as per the schedule.
with changing guidance and requirements from MMSD or public
health authorities.
PAYMENT PROCESSING SCHEDULE
Camp Dates Payment Camp Dates Payment
Processing Processing
Week Week
Look for 6/21-6/26 6/14/21 7/26-7/30 7/19/21
Summer fun 6/28-7/2 6/21/21 8/2-8/6 7/26/21
for all ages 7/6-7/9 6/28/21 8/9-8/13 8/2/21
in the Summer 7/12-7/16 7/6/21 8/16-8/20 8/9/21
Program Guide 7/19-7/23 7/12/21
on April 26.
Registration begins LOOKING FOR CHILD CARE
Monday, May 3 for residents and
ALL SUMMER?
Monday, May 17 for non-residents.
This camp is for you!
Register at mscr.org C11MIDDLE SCHOOL CAMP 608.204.3022
CREATIVE YOU
Creative You is an arts-based summer day camp that caters to
adolescent artists of all experience levels. Throughout the week,
staff lead students through a variety of structured art projects using
diverse mediums and techniques. In addition to exploring the world
of art, campers take breaks for classic camp games and local field
trips. Campers are broken into cohorts and spend a significant part
of the day outdoors. Previous CR8TV U campers will find plenty of
new activities and projects to keep them interested and having fun.
Creative You is for the creative camper who loves art.
Camp Themes - Sherman
ANIMAL ADVENTURE
Animals and nature are the focus of this week. Make animal
sculptures, draw from nature; and be inspired by the world around us.
ART AROUND US
Art surrounds us every day. Find inspiration from your environment,
using traditional methods like painting, drawing and photography as
well as non-traditional materials to turn the designs that surround us
into art. Camp Themes - Hamilton
WORDS TO WONDERS COLOR YOUR WORLD
A picture is worth a thousand words. Learn graffiti lettering, create a Explore the world of color with drawing, painting; and sculpture.
story, draw with words, and much more. Color surrounds us everyday. From colored pencils and painting to
sculpture; everything you create this week incorporates the colors of
our world.
HEALTH & SAFETY INFORMATION IMAGINE IT, CREATE IT
• Masks are required for participants, ages 5 and older, in indoor Release your inner creativity and bring your ideas out into the world.
programs or when inside any MSCR facility. Create your own cartoon characters, find inspiration in the great
• Participants should maintain 6 feet of physical distance to the outdoors, explore mixed media projects, and use sculpture to bring
greatest extent possible. your ideas to life.
SAMPLER PALETTE
All MSCR programs follow health & safety practices to ensure Variety is the spice of life and the goal of this week. From the
a safe, positive experience that follows all current public health
guidelines. Changes may be made to program structures or plans
ordinary to the extraordinary, try a variety of mediums; including
in accordance with changing guidance and requirements from drawing, painting; and sculpture, as well as natural materials.
MMSD or public health authorities.
Grade Camp Theme Location Day Date Time Fee Course#
Eastside
6-9 Animal Adventure Sherman M-F 6/21-6/25 8am-4pm $180 28561
6-9 Art Around Us Sherman M-F 6/28-7/2 8am-4pm $180 28565
6-9 Words to Wonders Sherman T-F 7/6-7/9 8am-4pm $144 28562
Westside
6-9 Color Your World Hamilton M-F 7/26-7/30 8am-4pm $180 28566
6-9 Sampler Palette Hamilton M-F 8/2-8/6 8am-4pm $180 28563
6-9 Imagine It, Create It Hamilton M-F 8/9-8/13 8am-4pm $180 28564
Please see page C16 for Camp Policies.
Please complete the Camps Supplemental Information Form
in addition to the Registration Form.
Fee Assistance is available, please see C16. Please call 608-204-3000 if you have questions.
C12 Register at mscr.org608.204.3022 MIDDLE SCHOOL CAMP
SPRING HARBOR GREENHOUSE GARDEN
Have a blast in Spring Harbor’s gardens and sustainable
greenhouse while making art, picking ripe fruits and veggies,
making great-tasting food and learning to care for chickens!
Participants learn the basics of composting, irrigation, planting
and best of all...eating! Each camp is unique, so youth can sign up
for more than one week. A healthy snack, prepared and cooked by
the campers, is provided daily.
Please note that program plans are subject to change if necessary
due to current Public Health regulations and guidelines.
Youth should bring the following each day:
• Comfortable clothes that can get dirty
• Water Bottle
Grade Camp Location Days Date Time Fee Course #
6-9 Greenhouse Garden Camp Spring Harbor M-F 6/21-6/25 8:30-11:30am $85 28727
6-9 Greenhouse Garden Camp Spring Harbor M-F 7/19-7/23 8:30-11:30am $85 28728
6-9 Greenhouse Garden Camp Spring Harbor M-F 8/2-8/6 8:30-11:30am $85 28729
6-9 Greenhouse Garden Camp Spring Harbor M-F 8/16-8/20 8:30-11:30am $85 28730
STEM EXPLORATIONS
Did you know that scientists gather information about the world
around them using their powers of observation? In this week-
long program, middle school students explore STEM (science,
technology, engineering, and math) fields connected to research at
UW Madison. Students engage in activities to make observations
and investigate environmental science, explore a variety of STEM
careers, and discover their science identity. The majority of
activities take place outdoors and allow students to explore the
natural world while maintaining physical distancing.
Grade Camp Location Days Date Time Fee Course #
7 Stem Explorations Sherman M-F 7/12-7/16 8-4pm $180 28731
Register at mscr.org C13MIDDLE SCHOOL CAMP 608.204.3022
CAMP ADVENTURE
This camp focuses on teaching leadership and team building while
exploring and experiencing the great outdoors. Each week’s theme
consists of daily activities and trips including canoeing, hiking,
swimming, ropes course and a day trip to a local state park (there
are no overnight trips this summer).*NEW: Offering two locations
this summer: west side location is Garner Park or Rennebohm Park
and the east side location is Burrow’s Park.
Parent handbook and weekly itineraries are mailed prior to the start
of camp.
Youth should bring the following each day:
• Athletic clothes
• Athletic footwear RUSTIC ADVENTURE
• Water bottle Learn outdoor survival skills, fire building, outdoor cooking, nature trail exploration
and more. (Day trip to Devil’s Lake State Park)
No programs on July 5.
SUMMER SPLASH
Camp Themes Get ready to get your feet wet! Cool down this summer with fun outdoor water
games and activities! (Day trip to Blue Mounds State Park)
ANIMAL ADVENTURE
Experience the outdoor nature, animals, sights and trails. (Day trip to Yellowstone TAKE IT TO THE LIMIT
Lake State Park) Climbing, hiking and exploring! Push yourself to the limit and have an outdoor
adventure! (Day trip to Devil’s Lake State Park)
LAKES, RIVERS, & STREAMS
Float, paddle and swim! Have fun exploring and playing in local Wisconsin lakes WATER OLYMPICS
and waterways. (Day trip to Mirror Lake State Park) Suit up! Enjoy friendly fun competitions and water games to cool you off this
summer! (Day trip to Blue Mounds State Park)
NATURAL WONDERS
Take your adventure out in nature! Explore and discover the wonders of the WATER PALOOZA
outdoors! (Day Trip to Yellowstone Lake State Park) Swimming, paddling, and water games galore! This week is all about water!
(Day trip to Mirror Lake State Park)
Grade Camp Theme Location Day Date Time Fee Course #
Eastside
6-9 Water Palooza Burrows Park M-F 6/21-6/25 8am-4pm $200 29994
6-9 Natural Wonders Burrows Park M-F 6/28-7/2 8am-4pm $200 29995
6-9 Water Olympics Burrows Park T-F 7/6-7/9 8am-4pm $160 29998
6-9 Rustic Adventure Burrows Park M-F 7/12-7/16 8am-4pm $200 29997
6-9 Lakes, Rivers & Streams Burrows Park M-F 7/19-7/23 8am-4pm $200 29996
6-9 Animal Adventure Burrows Park M-F 7/26-7/30 8am-4pm $200 29991
6-9 Summer Splash Burrows Park M-F 8/2-8/6 8am-4pm $200 29992
6-9 Take It to the Limit Burrrows Park M-F 8/9-8/13 8am-4pm $200 28755
Westside
6-9 Natural Wonders Rennebohm Park M-F 6/21-6/25 8am-4pm $200 28539
6-9 Water Olympics Garner Park M-F 6/28-7/2 8am-4pm $200 28541
6-9 Rustic Adventure Rennebohm Park T-F 7/6-7/9 8am-4pm $160 28543
6-9 Lakes, Rivers, & Streams Garner Park M-F 7/12-7/16 8am-4pm $200 28545
6-9 Animal Adventure Rennebohm Park M-F 7/19-7/23 8am-4pm $200 28751
6-9 Summer Splash Garner Park M-F 7/26-7/30 8am-4pm $200 28753
6-9 Take It to the Limit Garner Park M-F 8/2-8/6 8am-4pm $200 28755
6-9 Water Palooza Garner Park M-F 8/9-8/13 8am-4pm $200 28757
C14 Register at mscr.org608.204.3026 MIDDLE SCHOOL CAMP
MAD CITY SPORTS CAMP
Practice fundamentals of sports while focusing on building
knowledge, skills and confidence! Learn health and fitness tips
that can improve athletic ability and coordination. Get ready to be
active and sweat! All skill levels welcome! Registration closes the
Wednesday at 5 pm prior to the first day of Mad City Sports.
Youth should bring the following each day:
• Athletic clothes
• Athletic footwear
• Water bottle
No programs on July 5.
Camp Themes
GROUP GAMES
Fit as many different sports and games into one week as possible kickball,
dodgeball, capture the flag, tag games and more.
RUN THE FIELD
Each day focuses on a different field sport from ultimate frisbee to soccer, flag
football and more.
TAKE A SWING
Everything swings like badminton, wiffleball, tennis and more.
Grade Camp Theme Location Day Date Time Fee Course #
Eastside
6-9 Run the Field Sherman M-F 7/19-7/23 12:30pm-4:30pm $100 28765
6-9 Group Games Sherman M-F 7/26-7/30 12:30pm-4:30pm $100 28767
6-9 Take a Swing Sherman M-F 8/2-8/6 12:30pm-4:30pm $100 28769
Westside
6-9 Run the Field Hamilton M-F 6/21-6/25 12:30pm-4:30pm $100 28766
6-9 Group Games Hamilton M-F 6/28-7/2 12:30pm-4:30pm $100 28768
6-9 Take a Swing Hamilton T-F 7/6-7/9 12:30pm-4:30pm $80 28770
HEALTH & SAFETY INFORMATION
• Masks are required for every individual, age 5 and older, when it is
not possible to maintain 6 feet of physical distance.
• Masks are strongly recommended for participants at all other
GRADE IS THE GRADE
YOUR CHILD WILL
times.
• Participants not from the same household should maintain 6 feet
of physical distance to the greatest extent possible.
All MSCR programs follow health & safety practices to ensure a safe, ENTER FALL 2021.
positive experience that follows all current public health guidelines.
Changes may be made to program structures or plans in accordance
with changing guidance and requirements from MMSD or public health
authorities.
Register at mscr.org C15Policies & Procedures 608.204.3000
REGISTRATION CHANGES & REFUNDS FEE ASSISTANCE
Participants are encouraged to pay a partial fee. Complete the Fee Assistance
CAMP COVID-19 REFUND POLICY Request on the reverse of the Registration Form to apply. Fee assistance
Participants who are unable to attend a camp program for reasons related to requests must accompany the Registration Form and are not granted after
COVID-19, may request to withdraw and receive a full refund minus the applicable registration is processed.
service charge above. If a participant must withdraw for reasons related to COVID-19 MSCR youth program fees may be partially or fully waived for persons meeting
after a program has started, they will receive a prorated refund minus the applicable the criteria for free or reduced price school meals. Fee assistance is limited to
service charge. two programs per season per person (i.e. 2 weeks of summer camp)* and is
available only to MMSD residents.
ALL OTHER REGISTRATION CHANGES
All changes to your registration including cancellations, withdrawals and *If your family needs fee assistance for more than two programs, please
indicate this on the Fee Assistance Form on page 58.
transfers must be made in writing and received in the MSCR administrative
office, (3802 Regent Street) at least 7 days prior to the start of the session. Fee assistance is not available online and must be submitted to our office at
the time of registration; fee assistance is not granted after the registration has
Refunds for withdrawals are issued up to 7 days prior to the start of the been processed.
program, minus the service charge listed below:
KIDS KAMP & CAMP COMPASS ONLY FEE ASSISTANCE
• $20 per full-day camp session If requesting fee assistance for Warner Park Kids Kamp and Camp Compass
• $10 per half-day camp session programs, families must apply for Wisconsin Shares child care assistance
• $5 per non-camp program and provide written documentation of ineligibility before MSCR approves fee
• No refunds or credits are issued with less than 7 days advance notice. assistance and registers your child.
Prior to submitting the MSCR Registration Form, you must complete the following
PAYMENT PLANS steps:
Payment plans must be requested using an MSCR Registration Form and are
not available during online registration. 1. Go the access.wi.gov to check for your eligibility for Wisconsin
Shares Child Care subsidy.
A non-refundable deposit is required for each day camp session and is due at 2. Click on the link “Am I Eligible?”
the time of registration, except for families requesting fee assistance:
3. Scroll to the bottom of the page and click “Next” to start the process.
• $20 deposit for each full day camp session
4. Provide all the information requested
• $10 deposit for each half-day camp session
a.) If the Result Page shows that you may not be able to get Child
A credit card number is required and is automatically charged the week prior Care Assistance, print the Result Page and submit with your
to camp for the outstanding weekly balance. Your signature on the registration Registration Form and Fee Assistance Request Form.
authorizes MSCR to initiate recurring credit card charge(s) as per the b.) If the Result Page shows that you may be able to get Child
scheduled listed below. Care Assistance, then click on “Apply for Benefits” to initiate your
child care application or contact the Dane County Capital Call
PAYMENT PROCESSING SCHEDULE Center at 1-888-794-5556 to apply by phone.
Camp Dates Payment Camp Dates Payment WARNER PARK COMMUNITY RECREATION CENTER PHOTO IDS
Processing Processing WPCRC ID Cards are required for all participants in MSCR programs, including
Week Week Kids Kamp, at the Warner Park Community Recreation Center. Please go to
mscr.org for the ID form.
6/21-6/26 6/14/21 7/26-7/30 7/19/21
GENDER
6/28-7/2 6/21/21 8/2-8/6 7/26/21 MSCR recognizes that not all individuals identify with the gender assigned
at birth or may identify as a gender other than male or female. Participants
7/6-7/9 6/28/21 8/9-8/13 8/2/21 are encouraged to register for programs based on the gender with which they
identify.
7/12-7/16 7/6/21 8/16-8/20 8/9/21
NON-DISCRIMINATION STATEMENT
7/19-7/23 7/12/21 MSCR does not discriminate on the basis of religion, race, creed, color,
national origin, ancestry, age, sex, physical appearance, marital status, sexual
orientation, gender identity, gender expression, disability, arrest or conviction
COVID-19 DISCLAIMER record, membership in the national guard, state defense force, or any reserve
All programs listed in this program guide are subject to change, temporary component of the military forces of the United States or this state, political
closure or cancellation due to COVID-19. MSCR follows all guidance from state belief, sexual orientation, less than honorable discharge, source of income or
and local authorities as well as the MMSD Superintendent. the fact that an individual is a student.
CANCELLATIONS SERVICES FOR PEOPLE WITH DISABILITIES
In the event of severe weather, please check mscr.org or call 608-204-3044 for MSCR welcomes individuals with disabilities to participate in any program. We
program cancellations. MSCR may cancel programs due to severe weather, provide reasonable accommodations in compliance with the Americans with
facility conflicts, staff illness or other unforeseen circumstances. Disabilities Act (ADA). Please see page 40 for more information on MSCR’s
CUSTOMER PRIVACY STATEMENT Inclusion Services.
For the privacy and protection of our participants, we only disclose participant WAIT LIST
information to individuals listed on the individual or family account. If a program is full, you can add your name to a waiting list. You will be
MISSED PROGRAMS contacted if an opening becomes available for that program or if additional
Programs missed for individual participant absences (i.e. schedule conflict, programs are added. If we do not hear from you, your space will be given to
vacation, etc.) are not made up, nor may participants attend a program other the next customer on the waiting list. If you do not want to be placed on the
than the one in which they are registered. waiting list, click the Remove button that appears on the Shopping Cart screen.
RESIDENCY *Please Note: Placement on a waiting list does not guarantee a space in the
A resident resides at an address within the MMSD; a resident also includes program. It is recommended that you choose another program with space.
a student who does not reside at an address within the MMSD, but attends
school in the MMSD under the Madison School Board’s Open Enrollment Policy.
Non-residents pay 50 percent more than the listed fees except for programs
with a different pricing structure.
GRADE IS THE GRADE
YOUR CHILD WILL
ENTER FALL 2021.
C16 Register at mscr.orgMSCR Registration Form
Madison School & Community Recreation Office: MSCR 3802 Regent St, Madison, WI 53705 Phone: 608-204-3000 Fax: 608-204-0557
(Head of Household) Last Name First Name Birth Date (mm/dd/yy) Does the participant have a disability? __Yes __No If yes, what type(s) of
disability?
Street Address City State Zip If you require accommodations related to a disability to participate in this activity,
please explain:
Email (Required for registration confirmation OR send a stamped, self-addressed envelope) *I agree to receive MSCR promotional email
Primary Phone Cell Phone Are you an MMSD resident? (Check one) Do you have any medical conditions or concerns of which our staff need to be
aware?
___Yes ___ No, Non MMSD residents pay 50% more. (Asthma, Allergies, etc.)
See page the Policy Page.
Emergency Contact Name Emergency Contact Phone
Gender *Fee
Date of Grade Race
*See Start Start Assis-
Participant’s Full Name Birth 2021- (see Choice Program Title Location Course # Fee
page 16. Date Time tance
mm/dd/yy 2022 below)
Request
1st
*Must complete form on back.
Alternate,
if any
1st
Alternate,
if any
1st
Alternate,
if any
1st
Alternate,
if any
Race: Please indicate above using corresponding number: (Optional) T-Shirt Size (if applicable to program) Fee Total $__________
Name:__________________________ Donation $__________
1. American Indian or Alaskan Native 5. Hispanic
2. Asian 4. Native Hawaiian or 6. White Size:______
Total $__________
3. Black or African American Other Pacific Islander 7. Multiracial
Name:__________________________ Size:______
Payment: (check all that apply) ____ Cash ____ Check #_________ (Payable to MSCR) ______ Credit Card: MasterCard or Visa Only
Liability Waiver - Signature Required for Participation
608.204.3025
_______ I am requesting a Payment Plan (Camps Only)
By registering or participating, the registrant understands that individual accident insurance is not provided for MSCR
programs and agrees to adhere to program rules. I do hereby, for myself, my heirs, executors, and administrators,
Credit Card Number: waive, release, and forever discharge any and all rights and claims for damages that I may have or that may hereafter
accrue to me arising out of or, in any way connected with my participation in MSCR Program. Photos or videos may
be taken during program for educational and marketing purposes. I have read and agree to follow the registration and
Name as printed on card:________________________________________________________________ Three Digit Code refund policies.
\
Payment Amount $_______ Authorized Signature:____________________________________ Expiration Date: x Signature: _____________________________________________________________________________________________________
IDs are required for classes at Warner Park Community Recreation Center. Go to www.mscr.org for more information.Camps Supplemental Information Form
You are welcome to complete one form for multiple children. Please indicate any differences as needed. All information will be able
to be reviewed or updated at camp during drop-off. Items with a * are required.
Participant Name(s)*: _______________________________________________________________________________________________________
Guardian 1 Name*: ____________________________________________________________ Guardian 1 Cell Phone*: _____________________
Guardian 1 Email Address: ___________________________________________________ Guardian 1 Alt. Phone: ______________________
Guardian 2 Name: _____________________________________________________________ Guardian 2 Cell Phone: ______________________
Guardian 2: Email Address: ___________________________________________________ Guardian 2 Alt. Phone: ______________________
Emergency Contact Name*: _________________________________________ EC Cell Phone*: ____________________________
(and relationship to the participant)
Other Adults Authorized to Pick Up Participant from Program*: _______________________________________________________________
Participant may check themselves out at the end of program to walk or bike home: YES NO
Health Insurance Provider: ____________________________ Group / Subscriber Number: ________________________________________
Hospital Preference: _________________________________ Doctor’s Name: ______________________________________________
Other information we should know about your child: __________________________________________________________________________
______________________________________________________________________________________________________________________________
Participation Agreement
By registering for MSCR youth programming, I hereby understand and agree to the following:
1. I and my child(ren) will adhere to MSCR rules and procedures.
2. I have read the Youth Programs Policy Handbook and I am aware of MSCR policies, procedures and guidelines.
3. I have read the Participant Expectations of Behavior and am aware that MSCR staff will use these guidelines when working with
participants and families to resolve any behavior issues.
4. My child and I will treat all MSCR participants, staff, volunteers and families with respect and dignity in language, attitude,
behavior and mannerisms regardless of race, creed, color, gender, sexual orientation, gender identity or ability.
5. I will provide MSCR with current information regarding my child’s address, phone number, medication, disabilities,
swimming abilities and any other relevant information that will enable MSCR staff to serve my child in the best possible manner.
6. I hereby give permission for MSCR to take or transport my child(ren) on supervised field trips during program hours.
7. All children must leave the building at the close of the program. Guardians are responsible for their children at closing time.
8. I hereby grant permission for MMSD/MSCR staff to share with each other any information or records regarding my child. This
includes the ability of MMSD school staff to disclose to MSCR staff pupil records or information related to disability status,
health conditions and behavioral concerns for the purpose of providing appropriate accommodations and supports in MSCR
youth programming.
9. MSCR/MMSD staff have my permission to assist my child in the application of sunscreen and/or insect repellent prior to
outdoor activities. It is my understanding that children are required to bring both sunscreen and insect repellent for use during
MSCR programs. Children should come to their program in the morning with sunscreen already applied.
10. If emergency medical care is deemed necessary and I am unable to be reached, MSCR staff is authorized to act in my child’s
behalf in granting permission for my child to receive emergency treatment or surgery.
Participant Health & Safety Agreement
1. I will not attend MSCR programming, unless everyone in our home is healthy and symptom free, with no known exposure to
COVID-19.
2. I will practice proper social distancing while on program premises.
3. I will discuss the importance of social distancing with my child, if applicable.
4. I understand and accept that there may be increased health risk due to COVID-19 and the possibility that I may be unknowingly
exposed to COVID-19.
5. I understand the COVID-19 situation is fluid and subject to change per state, other local authority, and program needs.
6. I understand that due to COVID-19 or health or safety issues, the state, other local authorities or the MMSD Superintendent may
require the immediate closure of the program for a short period of time, or for the duration of the program
pending the circumstances.
7. I understand failure to follow all program safety guidelines may result in me being discontinued from the program.
_______________________________________________________________________________________ ______________________________________
Guardian Signature: Date:You can also read
