Statement of Expectations

Statement of Expectations

District 7 Summer Camp operators: review the checklist, confirm compliance, and sign the certification.
Camp Information
Camp Name
Church/Organization Name
Camp Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Primary Contact Name

First NameLast Name
Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Contact Email
example@example.com
Pastor Name
Camp Session Dates

MonthDayYear
Date
Number of Enrolled Children
Statement of Expectations / Action Steps
Camp has provided a daily devotional led by the Pastor or designee
Camp operates from 8:00 AM or earlier until at least 4:30 PM
Daily attendance is taken and submitted to SMRCDC before each fund disbursement
Parental consent forms are completed and signed for each youth/child
Church or camp rules are visibly displayed and reviewed with campers
First-day introductions have been completed (name, age, grade, hobby, etc.)
Responsible professional adult leadership is provided at all times
A team-building exercise is provided to support social skills development
Lunch is served at the same time each day
MSCS Food Service training on May 20 has been attended
Daily Reading, Math, and Writing time slots are scheduled
A reading and comprehension focus is implemented
Books are displayed where they are easily accessible to children
Children know where and how to get writing materials
A technology time slot is scheduled
Outdoor supervised and free-range physical activity is scheduled
An arts and crafts time slot is scheduled
A Summer Camp Lesson/Activity Plan with time slots has been prepared
The complete schedule has been submitted prior to the first funds disbursement
A daily quiet or calming time is scheduled
Dress code has been set and communicated (boys with belts; girls age-appropriate and covered)
The Contract/Enrollment Form has been signed pledging to provide programming
A file folder is maintained for each child
An end-of-camp report has been prepared
Next Step Requirements Before Checks Issued
25) Parental consent form completed for each youth
26) At least 25 children enrolled and submitted to qualify for first checks
27) Mandatory operating hours met
28) Solid enrollment documented
29) Proof of books read collected
30) At least two field trips conducted
31) Pictures of activities collected
Certification and Signature
Camp Representative Name

First NameLast Name
Title / Role
Signature
Date

MonthDayYear
Date
Should be Empty:

Statement of Expectations

Camp Information

Statement of Expectations / Action Steps

Next Step Requirements Before Checks Issued

Certification and Signature