CHILD Registration Packet

CHILD Registration Packet

Please complete one intake packet for each child attending camp. This form collects required emergency, medical, permission, and parent authorization information.
Child Information
Child Full Legal Name

First NameLast Name
Preferred First Name/Nickname
Date of Birth

MonthDayYear
Date
Age
Grade Entering this Fall
School Currently Attending
T-Shirt Size
Does your child have any physical, emotional, behavioral, or developmental considerations staff should be aware of?
Is there anything important about your child’s identity, communication style, comfort, or support needs that would help our staff create a positive experience?
Parent Guardian Information

Parent/Guardian #1
Name Parent Guardian #1

First NameLast Name
Relationship to Child Parent Guardian #1
Phone Number Parent Guardian #1
Please enter a valid phone number.Format: (000) 000-0000.
Address Parent Guardian #1

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Parent Guardian #2
Name Parent Guardian #2

First NameLast Name
Relationship to Child Parent Guardian #2
Phone Number Parent Guardian #2
Please enter a valid phone number.Format: (000) 000-0000.
Email Parent Guardian #2
example@example.com
Address Parent Guardian #2

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contacts
Use Parent Guardian #1
Emergency Contact #1

First NameLast Name
Relationship to Child Emergency Contact #1
Phone Number Emergency Contact #1
Please enter a valid phone number.Format: (000) 000-0000.
Use Parent Guardian #2
Emergency Contact #2

First NameLast Name
Relationship to Child Emergency Contact #2
Phone Number Emergency Contact #2
Please enter a valid phone number.Format: (000) 000-0000.
Authorized Pickup

Only listed individuals may pick up this child. Photo ID may be required at any time - especially until we get to know you.
Day Camp Attendance & Pick-Up Times Policy

Attendance Matters
Our camp space is limited and staffing, transportation, meals, activities, and supervision are planned based on enrollment and attendance, consistent participation is extremely important.

When campers are absent without notice or repeatedly arrive outside of scheduled times, it impacts:
- Camp programming and staffing
- Safety and supervision ratios
- Transportation and activity schedules
- Other families waiting for available spots
We ask families to partner with us by ensuring campers attend consistently and arrive and depart on time.

Attendance Expectations
Campers are expected to attend daily unless they are:
- Sick, contagious, vomiting, having diarrhea, experiencing fever
- Experiencing an emergency
- Participating in an approved absence communicated to camp leadership
Parents/guardians should notify the camp as soon as possible if a camper will be absent or late.

Unexcused Absences
An absence may be considered unexcused if:
- The camp is not notified
- No reasonable explanation is provided
- Repeated absences occur without communication
Because camp enrollment is limited and many families may be waiting for placement:
- Three (3) unexcused absences may result in loss of the camper’s spot in the program.
Camp administration reserves the right to review attendance patterns and determine continued enrollment eligibility.

Arrival & Pick-Up Times
Families are expected to follow designated drop-off and pick-up times.

For the safety of campers and staff scheduling:
- Arriving more than 15 minutes early or more than 15 minutes late for drop-off or pick-up will result in the following fees:
  - First occurrence: $10 fee
  - More than one occurrence within the same week: $50 fee for that week
  These fees help offset additional staffing and supervision costs incurred outside scheduled camp operating times.
Outstanding Fees
Campers with unpaid late/early pick-up fees may be:
- Temporarily suspended from attendance
- Restricted from participating in activities
- Removed from the program if fees remain unpaid
Camp attendance may resume once outstanding balances are paid.

Communication & Partnership
We understand emergencies and unexpected situations happen. Our goal is not punishment — it is maintaining a safe, reliable, and respectful environment for all campers, families, and staff.

Clear communication helps us support your child successfully.

Thank you for partnering with us to create a positive and dependable camp experience for everyone.
Use Parent Guardian #1
Name Authorized Pickup #1

First NameLast Name
Relationship to Child Authorized Pickup #1
Phone Number Authorized Pickup #1
Please enter a valid phone number.Format: (000) 000-0000.
Use Parent Guardian #2
Name Authorized Pickup #2

First NameLast Name
Relationship to Child Authorized Pickup #2
Phone Number Authorized Pickup #2
Please enter a valid phone number.Format: (000) 000-0000.
Name Authorized Pickup #3

First NameLast Name
Relationship to Child Authorized Pickup #3
Phone Number Authorized Pickup #3
Please enter a valid phone number.Format: (000) 000-0000.
Name Parent Guardian Authorizing Pick Up Listing and Policy Confirmation

First NameLast Name
Signature Parent Guardian - I confirm I have received and understand the Day Camp Attendance & Pick-Up Times Policy and agree to follow them. I am Authorizing the listed individuals to Pick Up my child. I understand proper identification may be necessary at pick up. I understand that camp policies are designed to support safety, supervision, organization, and positive camper experiences.
Medical Information
This information helps us provide a safe and supportive environment for your child. Please provide complete and accurate information.
Child's Primary Physician Name
Child's Primary Physician Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Insurance Provider
Policy Number
Child's Member ID
Child's Medical Card FRONT

Cancelof
Child's Medical Card BACK

Cancelof
Does your child have allergies?
What type of allergy

Other
Please describe allergy details, reactions and emergency instructions.
Does your child carry an EpiPen or Emergency Inhaler?
Will your child require medication during camp hours?
Medication Names and Dosage and Administration Instructions
Can your child self-administer medication?
Please identify any medical conditions staff should know about. Share support instructions staff should know.
Preferred Hospital or Medical Facility
I authorize Associated Neighborhood Centers, McGuffey Centre to seek emergency medical treatment for my child.
I certify that the medical information provided is accurate and complete to the best of my knowledge.
Signer Printed Name Person Providing Medical Information and Authorizations

First NameLast Name
Parent Guardian Signature Medical, Allergy, Medicine Information and Authorizations
Photo/Media Release
PHOTO & MEDIA RELEASE

I authorize Associated Neighborhood Centers, dba McGuffey Centre, and its authorized employees, volunteers, partners, representatives, and affiliates to photograph, record, or otherwise capture images, audio, and video of my child during camp and program activities for purposes including program documentation, community engagement, educational materials, marketing, fundraising, grant reporting, website content, social media, print materials, and promotion of organizational programs and services.
Please select one of the following:
Signer Printed Name for Media Authorization

First NameLast Name
Parent Guardian Signature Media Authorization
Camp Policies Acknowledgement
McGuffey Centre

Together We Are Better Summer Day Camp

Family Handbook & Policy Manual

Welcome!

Welcome to the Together We Are Better Summer Day Camp at McGuffey Centre.

Our goal is to provide children with a safe, structured, positive, and engaging summer experience where they can learn, grow, build friendships, stay active, and feel supported by caring staff.

This handbook explains camp policies, safety expectations, family responsibilities, and daily procedures. These policies exist to help protect campers, families, staff, volunteers, and the organization while creating a successful camp experience for everyone.

Camp Philosophy

We believe:
- children deserve safety and structure
- families deserve communication and professionalism
- camp should be fun, organized, respectful, and supportive
- all children should feel included and encouraged
We are committed to creating an environment where children feel:
- safe
- respected
- supervised
- encouraged
- connected
Camp Dates & Hours

Camp Dates: June 15, 2026 to August 14, 2026

Camp Hours: 9:00 a.m. to 3:00 p.m.

Drop-Off Time: 9:00 a.m.

Pick-Up Time: 3:00 p.m.

Late pickup may result in additional fees or removal from camp programming if repeated.

Camper Eligibility

Camp is open to children ages 5 to 12.

Campers must be able to safely participate in group activities with reasonable supervision and support.

Registration Requirements

All required forms must be completed before a child may attend camp. Incomplete registration packets will delay camp participation.

Required forms include:
- Registration Form
- Emergency Contact Form
- Medical/Allergy Information
- Authorized Pickup Form
- Liability Waiver
- Photo/Media Release
- Medication Authorization Form (if applicable)
Drop-Off Procedures

For camper safety:
- Families must sign campers in daily.
- Campers should not be dropped off before approved times.
- Staff must visually confirm camper arrival.
- Families should notify staff of important concerns at drop-off.
- Children should arrive prepared for the day with required supplies.
Pick-Up Procedures

For camper protection:
- Only approved individuals listed on the Authorized Pickup Form may pick up campers.
- Identification will be required until staff members become familiar with the authorized individual.
- Staff may refuse release if authorization cannot be verified.
- Families must sign campers out daily.
- Please notify camp leadership if someone new will be picking up your child.
Attendance & Absences

Please notify camp if your child will be absent.

Consistent attendance helps maintain:
- supervision
- activity planning
- staffing
- camper engagement
Daily Schedule

Camp operates on a structured daily schedule that may include:
- athletics/recreation
- educational activities
- arts and crafts
- leadership/team building
- reading/STEM activities
- group games
- outdoor activities
Schedules may change due to weather, staffing, field trips, or operational needs.

Camper Behavior Expectations

Campers are expected to:
- follow directions
- treat others respectfully
- participate safely
- use appropriate language
- respect property and equipment
- keep hands and feet to themselves
Unsafe, aggressive, threatening, bullying, or repeatedly disruptive behavior may result in:
- family contact
- removal from activities
- suspension
- dismissal from camp
- emergency services may be contacted if necessary
Physical violence, threats, harassment, or behavior creating safety risks will be taken seriously.

Bullying Policy

Bullying, teasing, intimidation, exclusion, threats, or harassment are not permitted.

Families should encourage children to:
- report concerns
- speak respectfully
- include others
- seek staff help early
Camp leadership will investigate concerns and respond appropriately.

Safety & Supervision

Camp staff are trained on:
- active supervision
- emergency procedures
- behavior management
- camper accountability
- mandated reporting requirements
- incident reporting
Campers are supervised throughout camp activities and transitions.

Emergency Procedures

Camp has procedures for:
- severe weather
- fire evacuation
- medical emergencies
- missing campers
- facility emergencies
Families will be contacted as quickly as possible during significant emergencies.

Illness & Injury

Families should keep children home if they are:
- sick
- contagious
- vomiting
- having diarrhea
- experiencing fever
- unable to safely participate
If a child becomes ill or injured during camp:
- families will be contacted
- emergency services may be contacted if necessary
- incidents will be documented
Medication Policy

Medication may only be administered according to camp procedures and completed authorization forms.

Medication must:
- be clearly labeled
- remain in original containers
- be turned in according to camp instructions
Camp staff may not administer unauthorized medication.

Allergies & Food Safety

Food allergies must be disclosed during registration.

Families are responsible for providing accurate medical and allergy information.

Camp will attempt to reduce exposure risks, but families should understand that shared environments cannot guarantee allergen-free conditions.

Food sharing between campers may be restricted for safety reasons.

Restroom Procedures

Camp staff supervise restroom usage while respecting camper privacy.

Campers are expected to:
- use restrooms appropriately
- follow directions
- avoid horseplay
- report concerns immediately
Staff are trained on child protection expectations regarding restroom supervision.

Phones, Electronics & Personal Property

Campers should not bring expensive personal items unless approved.

The camp is not responsible for lost, damaged, or stolen items.

Phone usage by campers may be limited during activities.

Photos & Media

Camp may take photos or videos for:
- camp promotion
- social media
- marketing materials
- community outreach
Only children with signed media permission may appear in camp media.

Family Communication

Camp will communicate through:
- phone
- email
- texting app
- social media updates
- printed notices
Families should ensure contact information remains current.

Transportation & Field Trips

Field trips and transportation activities may require additional waivers or procedures.

Families will receive information regarding:
- trip dates
- departure/return times
- expectations
- safety rules
- if any fees are required
- volunteering to chaperone
Family Conduct Expectations

Families are expected to:
- communicate respectfully
- follow camp procedures
- support camp safety expectations
- avoid disruptive behavior during camp operations
Threatening, abusive, or unsafe conduct may result in removal from camp property or dismissal from programming.

Reporting Concerns

Families should report concerns to camp leadership as early as possible so issues can be addressed promptly and professionally.

Camp Rights & Policy Changes

Camp leadership reserves the right to:
- modify schedules
- adjust activities
- update procedures
- remove campers for safety or behavior concerns
- suspend campers due to attendance infractions
- suspend campers due to unpaid fees
- revise policies as needed
Policies exist to protect the safety of children and staff as well as ensure the safe operation of the camp program.

This handbook/policy manual is intended to provide general guidelines, expectations, procedures, and standards for participation and operations. It is not intended to address every possible situation, circumstance, or issue that may arise. The organization reserves the right to interpret, modify, update, suspend, or deviate from policies and procedures as needed to support the safety, wellbeing, operations, and best interests of the organization and its participants. Additional rules, expectations, or decisions may be communicated verbally or in writing as situations require.
Family Acknowledgement I acknowledge that I received and reviewed the Together We Are Better Summer Day Camp Family Handbook & Policy Manual. I understand that camp policies are designed to support safety, supervision, organization, and positive camper experiences.
Signer Name Camp Handbook

First NameLast Name
Signature - I acknowledge that I received and reviewed the Together We Are Better Summer Day Camp Family Handbook & Policy Manual. I understand that camp policies are designed to support safety, supervision, organization, and positive camper experiences.
Liability Waiver
LIABILITY WAIVER & RISK ACKNOWLEDGMENT

I understand that participation in activities sponsored or operated by Associated Neighborhood Centers, dba McGuffey Centre, involves inherent risks, including but not limited to physical activity, recreational activities, transportation, outdoor exposure, use of equipment, interaction with other participants, and participation in supervised group activities.

I acknowledge that accidents and injuries may occur despite reasonable safety measures and supervision. I certify that my child is physically, emotionally, and medically able to participate unless otherwise disclosed in this form.

I authorize Associated Neighborhood Centers, dba McGuffey Centre, its employees, volunteers, partners, contractors, authorized representatives, and affiliates to take reasonable measures to protect my child’s health, safety, and wellbeing during participation in camp and program activities, including obtaining emergency medical treatment when necessary and when a parent or guardian cannot be reached immediately.

To the fullest extent permitted under Ohio law, I voluntarily assume the ordinary risks associated with participation and release Associated Neighborhood Centers, dba McGuffey Centre, its officers, directors, employees, volunteers, partners, affiliates, and authorized representatives from claims arising from ordinary negligence related to participation in camp or program activities. This release does not apply to conduct that cannot legally be waived under applicable law, including gross negligence or intentional misconduct.

I understand that participation may be suspended or terminated if my child’s behavior presents a safety risk to themselves or others.
I have read and understand the liability waiver and risk acknowledgment.
Signer Printed Name Liability Waiver

First NameLast Name
Parent Guardian Signature Liability Waiver - I acknowledge that I received and reviewed the Liability Waiver. I understand that camp policies are designed to support safety, supervision, organization, and positive camper experiences.
Authorizations
Parent Guardian Name Full Authorizations Registration Packet

First NameLast Name
Signer Email
example@example.com
Signature Parent Guardian Authorizations for Full Registration Packet: camper registration, parent/guardian and emergency contact information, pick up authorization listing, attendance and pick up times policies and procedures, family handbook and policy manual, medical information, allergy and medication information, medicine and treatment authorization, full liability waiver, and photo/media authorization.
Submit Forms
Should be Empty:

CHILD Registration Packet

Child Information

Parent Guardian Information

Parent Guardian #2

Emergency Contacts

Authorized Pickup

Medical Information

Photo/Media Release

Camp Policies Acknowledgement

Liability Waiver

Authorizations

Submit Forms