camp lotsafun 2015

What is Camp Lotsafun?Camp Lotsafun is a four-week summer day camp offered by South

Arkansas Community College division of Community Education. Open to area youth, kindergarden through sixth grade, Camp

Lotsafun emphasizes the idea of intersecting education with FUN. Registration is on a per-week basis and campers can attend

half-days or full-days. Additional information can be found at the end of this booklet.

Camp Lotsafun takes place at the southark center for

workforce development (3698 e. main rd.)

TARA ANGLINCAMP LOTSAFUN [email protected]

Welcome!South Arkansas Community College

is excited to announceCamp Lotsafun 2015: Under the Sea!

Coming into my third year as director of Camp Lotsafun, I can honestly say this is probably my

favorite year yet. The talent on our staff just continues to amaze me; They do such a

wonderful job, not only with your children throughout camp, but in all of the nitty gritty

preparation stages as well.

New this year is the Adventure Pass, which is available until May 8. It will include four weeks

of full day sessions at Camp Lotsafun for only $320! That’s over 10% off!!! There are a limited

number of Adventure Passes available, so claim yours today!

Also new this summer, Camp Lotsafun will begin using Remind 101 for communication purposes

between camp staff and camp parents. Additional information regarding this can be

found in the Camp Information section.

SO, what are you waiting for? Grab your scuba gear and meet me....under the sea!

See you soon!

MR. JIQUINTAS BROWN (MR. JAY)JUNIOR NURSING MAJOR AT THE UNIVERSITY OF CENTRAL ARKANSAS

ORGINALLY FROM STRONG, ARCAMP LOTSAFUN STAFF MEMBER SINCE 2013

MRS. T’REVAH COBB (MRS. COBB)HOLDS A MASTERS DEGREE IN MENTAL HEALTH COUNSELING

2006 GRADUATE FROM EL DORADO HIGH SCHOOLCAMP LOTSAFUN STAFF MEMBER SINCE 2013

MRS. BOBBIE GORMAN (PREFERS ‘MISS BOBBIE’)CURRENTLY PURSUING A MASTERS OF FORENSIC PSYCHOLOGY

MARRIED THE LOVE OF HER LIFE IN 2013CAMP LOTSAFUN STAFF MEMBER SINCE 2008

MRS. STEPHANIE LOWREY (MRS. STEPHANIE)1ST GRADE TEACHER AT HUGH GOODWIN ELEMENTARY

ALSO TEACHES BALLET AT THE SOUTH ARKANSAS ARTS CENTERCAMP LOTSAFUN STAFF MEMBER SINCE 2011

MS. TABITHA LOWERY (MS. TABITHA)CURRENTLY PURSUING DOCTERATE DEGREE IN ENGLISH LITERATURE

2008 GRADUATE FROM STEPHENS HIGH SCHOOLCAMP LOTSAFUN STAFF MEMBER SINCE 2013

MS. JAMIE MCCONATHY (MS. JAMIE)HOLDS A MASTERS DEGREE IN COMMUNICATIONS

PREVIOUS CAMP LOTSAFUN DIRECTORCAMP LOTSAFUN STAFF MEMBER SINCE 2007

MRS. DIANNE NUCKOLLS (MRS. DIANNE)RETIRED NURSE, TEACHER, AND BOSSIER PARISH SCHOOL BOARD MEMBER

LOVES CRAFTING AND SPENDING TIME WITH HER GRANDCHILDRENCAMP LOTSAFUN STAFF MEMBER SINCE 2012

MS. RACHEL STOVER (MS. RACHEL)CURRENTLY TEACHES AT BARTON JUNIOR HIGH SCHOOL

2007 GRADUATE FROM EL DORADO HIGH SCHOOLCAMP LOTSAFUN STAFF MEMBER SINCE 2011

As a safety precaution, detailed schedules will only be provided (upon request) to parents after registration is complete. Each age group will rotate between the below camp courses:

SHARK WEEKINSTRUCTOR: MISS RACHELGREAT WHITE, TIGERS, BULLS, OH MY! DURING THIS CLASS, MISS RACHEL AND HER CAMPERS WILL TAKE A BITE OF FUN AS THEY COMBINE SHARK FACTS WITH OUTDOOR GAMES LIKE CHUM TOSS AND SHARK ISLAND. GET READY FOR A FRENZY OF GOOD TIMES AT CAMP LOTSAFUN!

OCEAN STORIESINSTRUCTOR: MRS. STEPHANIEIMAGINATIONS ARE SURE TO BE STRENGTHENED DURING THIS CLASS! MRS. STEPHANIE AND HER CAMPERS WILL BRING THEIR OCEAN STORIES TO LIFE WITH A PERSONALIZED MASTERPIECE FROM THEIR READS THROUGHOUT THE WEEK.

OCEAN COMMOTIONINSTRUCTOR: MR. JAYTHINGS ARE SEEMING A LITTLE FISHY (HEHE) IN THE OCEAN LATELY, AND SALLY THE STARFISH NEEDS HELP FIGURING OUT WHAT’S GOING ON! IN THIS CREATIVE EXPRESSION COURSE, CAMPERS WILL CREATE THEIR OWN SCENARIOS OF THE RECENT OCEAN COMMOTION, THEN SHARE WITH THE GROUP AS A PRESENTATION, PLAY, SONG, STORY, OR PICTURE.

WHAT’S A KID TO DO UNDER THE SEA?INSTRUCTOR: MISS BOBBIEHAS ANYONE ELSE EVER WONDERED THIS? WHAT DO KIDS DO UNDER THE SEA?? MISS BOBBIE IS HERE TO HELP! FROM A LIFE SIZED KERPLUNK GAME TO FRISBEE TIC-TAC-TOE, THERE IS PLENTY OF FUN TO GO AROUND! WHAT IS A PARENT TO DO UNDER THE SEA, YOU ASK?? FIND OUT FRIDAY (6/12) AT FAMILY FRIDAY!! SEE ADDITIONAL INFORMATION BELOW.

BUBBLE GUPPIESINSTRUCTOR: MRS. COBBBUBBLE, BUBBLE, BUBBLE, GUPPIE, GUPPIE, GUPPIE...IT’S TIME FOR BUBBLE GUPPIES WITH MRS. COBB! FROM GRAFFITI JELLYFISH TO GROWING SEA CREATURES TO MASON JAR AQUARIUMS, THIS CLASS IS WILL BE ONE BIG BUBBLE OF EXCITING TIMES!

AMAZING ANIMALS OF THE SEAINSTRUCTOR: MISS TABITHADURING AMAZING ANIMALS OF THE SEA, MISS TABITHA AND HER CAMPERS WILL EXAMINE THE BEAUTY THAT LIES WITHIN THE DEEP BLUE SEA, STARTING WITH JELLYFISH AND ENDING WITH SEASHELLS. CAMPERS ARE SURE TO WALK AWAY IN AWE.

JOIN YOUR CAMPER FOR LUNCHAND SEE WHAT THEY HAVE BEEN UP TO ALL WEEK!

WEEK ONE:Friday, June 12

12:00-12:30

If possible, please let us know you’re comingso we can save you a seat!E-mail [email protected]


WEEK ONE:Friday, June 12

12:00-12:30



WAVIN’ WORKOUTSINSTRUCTOR: MISS RACHEL

THIS FITNESS-FOCUSED CLASS WILL INCLUDE CORAL CARDIO, PIRATE PILATES, YOGA DOWN UNDER,ZUMBA BELOW SEA LEVEL, AND RADIATING RECREATION. CAMPERS WILL LAUGH, SOCIALIZE,

AND LEARN NEW ACTIVITIES IN A LESS COMPETITIVE ATMOSPHERE.

SEASHORE SCIENCEINSTRUCTOR: MRS. STEPHANIE

MRS. STEPHANIE AND HER CAMPERS CAMPERS WILL PERFORM VARIOUS EXPERIEMENTS TO EXPLAINTHE SCIENCE BEHIND SALTWATER, SAND, WAVES, BOUYANCY, AND MORE!

ABSORBANT AND YELLOW AND POROUS IS HE!INSTRUCTOR: MR. JAY

WHOOOOOO....LIVES IN A PINEAPPLE UNDER THE SEA??? IN HONOR OF OUR FRIEND, SPONGEBOB,THIS WEEK WILL CONSIST OF ALL THINGS SPONGE-RELATED. SPONGE BOAT ENGINEERING, SPONGE CHIA PETS,

SPONGE PAINTING, AND MORE! THIS WEEK IS SURE TO BE THE ENVY OF ALL BIKINI BOTTOMS!

GONE FISHIN’ IN THE DEEP BLUE SEAINSTRUCTOR: MISS BOBBIE

HERE FISHY, FISHY...IS ANYBODY THERE?? OH WELL...OUR CAMPERS ARE THE MOST CREATIVE AROUND, WE WILL MAKE OUR OWN FISHIES

AFTER THAT? YOU GUESSED IT! ...WE’LL GO FISHIN‘!

THE REEFINSTRUCTOR: MRS. DIANNE

BASED ON THE MOVIE, THE REEF, THIS CLASS WILL EXPLORE WHAT REEFS ARE,WHO LIVES THERE, AND WHY THEY’RE IMPORTANT.

SAILING THE SEVEN SEASINSTRUCTOR: MISS TABITHA

ALL ABOARD! MISS TABITHA IS READY TO TAKE HER CAMPERS ON A SAIL THROUGH THE SEVEN SEAS!WHAT TO PREPARE FOR? LOTSA CRAFTS, DISCUSSION, AND FUN!


WEEK TWO:Friday, June 19

12:00-12:30


WEEK TWO


WEEK TWO:Friday, June 19

12:00-12:30



FUN IN THE SUNINSTRUCTOR: MISS RACHELARGHHH! DURING THIS ACTIVE CLASS, CAMPERS WILL LEARN THE IMPORTANCE OF EXERCISE AND A HEALTHY DIET, WHILE TALKING ABOUT { SEA } FOOD AND DOING THE CRAB WALK (TO NAME A FEW).

OCEAN HABITATS AND ANIMALSINSTRUCTOR: MISS JAMIETMISS JAMIE AND HER CAMPERS WILL EXPLORE THE OCEAN ZONES AND HABITATS, ALL WHILE CONSTRUCTING A MASSIVE WALL MURAL TO BE AVAILABLE FOR VIEWING DURING FAMILY FRIDAY.

A SONGWRITER’S PARADISEINSTRUCTOR: MR. JAYCAMP LOTSAFUN IS THE PLACE FOR YOU...WE EVEN LET YOU BRING YOUR SHOES!!! OKAY, SO MAYBE SONGWRITING ISN’T FOR US, BUT IT CAN BE FOR YOU! DURING THIS CLASS, CAMPERS WILL WRITE SONGS IN GROUPS, THEN EACH THE REST OF THE CLASS WHAT THEY’VE COMPOSED. EACH CLASS WILL PERFORM THE SONGS THEY CREATED FOR ALL TO HEAR AT FAMILY FRIDAY!

MINUTE TO WIN IT -- OCEAN STYLEINSTRUCTOR: MISS BOBBIETHIS CLASS WILL TEST { AND GROW } YOUR SKILLS, NO DOUBT! SUSHI STACK, FISH HEADS, FEATHERS ON A PLATE...WHAT WILL YOUR MINUTE LOOK LIKE?

FINDING NEMOINSTRUCTOR: MRS. DIANNEJOIN THE ADVENTURE! MEET THE FISH OF THE SEA, WITNESS THE HUNT (TO FIND NEMO), LEARN ENJOY EDIBLE SEA CREATURES, AND MORE!

SAVE THE OCEAN!INSTRUCTOR: MISS TABITHAGO ON A WHALE WATCH, GET T O KNOW SEA TURTLES, PERFORM A SEA TURTLE PLAY, TRACK SHARKS, ALL WHILEDISCUSSING WAYS TO ENSURE THE FUTURE LONGEVITY OF OUR GREAT OCEANS AND ALL THAT THEY ENCOMPASS.


WEEK THREE:Friday, June 26

12:00-12:30


WEEK THREE


WEEK THREE:Friday, June 26

12:00-12:30



INTO THE BLUE!INSTRUCTOR: MISS RACHEL

SHARKS AND MINNOWS, FISH OUT OF THE WATER, ANIMALS, SNAILS, PLANTS, AND TIDE POOLS. THIS OUTDOOR CLASS IS FULL OF WATER-BASED FUN! WARNING! WATER FRIDAY!! CAMPERS SHOULD WEAR BATHING SUITS UNDER THEIR CLOTHES ON

FRIDAY AND BRING A TOWEL AS WELL AS A DRY CHANGE OF CLOTHES.

OCEAN ARTINSTRUCTOR: MRS. STEPHANIE

THIS CLASS WILL COMBINE ART WITH THE MANY FACETS OF OCEAN LIFE. CAMPERS ARE ENCOURAGED TO BRING AN OLD T-SHIRT THAT CAN BE SLIPPED OVER CLOTHES FOR PROTECTION. SHIRTS CAN BE STORED AT CAMP LOTSAFUN FOR THE WEEK.

THE GREAT WAVEINSTRUCTOR: MR. JAY

GRAB YOUR BOARD AND JUMP ON THE GREAT WAVE WITH MR. JAY! A WEEK FULL OF FUN AND FACTS,YOU’RE SURE TO HAVE A BLAST WHILE LEARNING WHAT CAUSES WAVES AND ALL THAT THEY

AFFECT (ASIDE FROM OUR BEAUTIFUL SAND CASTLE CREATIONS)

COOKING UNDER THE SEAINSTRUCTOR: MISS BOBBIE

ALL CHEFS UNITE IN THIS SEA-TASTIC, HANDS-ON COOKING CLASS. ON THE MENU: SQUIDAMON ROLLS, OCTOPIZZA, OCTODOGS, AND MORE! PARENTS WILL BE ABLE TO EXPERIENCE OCTODOGS FOR THEMSELVES DURING FAMILY FRIDAY!

A SHARK’S TALEINSTRUCTOR: MRS. DIANNE

YIKES! SHARKS, AGAIN! THIS TIME, LEARN ABOUT SHARKS FROM THE FUN LOVING MOVIE, A SHARK’S TALE.CREATE CARICATURES, PLAY SHARK TRIVIA, COUNT TEETH, AND MORE!

PIRATE ADVENTURESINSTRUCTOR: MISS TABITHA

ARGHHH, MATEY! JOIN MISS TABITHA FOR ALL THINGS PIRATE -- TREASURE { + HUNTS },PARROTS, EYE PATCHES, TELESCOPES, AND MORE!


WEEK FOUR:Friday, July 312:00-12:30


WEEK FOUR

T h e d e t a i l s :

The Adventure Pass includesFOUR weeks of full day attendance at Camp Lotsafun.

Only $320.00! ONLY AVAILABLE UNTIL MAY 8

Limited number available per age group.Only available until May 8 (must be paid in full). Non-transferrable, non-refundable.No partial payments accepted.

WEEK ONE :: JUNE 8-12 ___ FULL DAY ___ HALF DAY

WEEK TWO :: JUNE 15-19___ FULL DAY ___ HALF DAY

WEEK THREE :: JUNE 22-26___ FULL DAY ___ HALF DAY

WEEK FOUR :: JUNE 29-JULY 3 ___ FULL DAY ___ HALF DAY

WEEK ONE :: JUNE 8-12 ___ FULL DAY ___ HALF DAY

WEEK TWO :: JUNE 15-19___ FULL DAY ___ HALF DAY

WEEK THREE :: JUNE 22-26___ FULL DAY ___ HALF DAY

WEEK FOUR :: JUNE 29-JULY 3 ___ FULL DAY ___ HALF DAY

F U L L D A Y : $ 8 9 P E R W E E KH A L F D A Y : $ 4 9 P E R W E E K

c o m p l i m e n t a r y c a m p t - s h i r t p r o v i d e d t o c a m p e r s r e g i s t e r e d f o r a n y s e s s i o n b y m a y 2 2 .

Follow our Under the Sea journey!Photos will be posted to:

facebook.com/SouthArkCorporateAndCommunityEducation

twitter.com/SouthArkCommEd { @SouthArkCommEd }

instagram.com/SouthArkCommEd { @SouthArkCommEd }

Out of respect for our campers and their families, we will only post pictures of campers for which the photo release (located in the registration packet) has been submitted.

Remind 101We will be using Remind 101 for any important announcements. Remind 101 is a free web-based communication system. After registration is complete, a Camp Lotsafun representative will touch base regarding weekly course codes.

REGISTRATION PROCEDURE1. Select sess ion(s) of interest.2. Complete the regist rat ion form and emergency medical information found at the back of this booklet.3. Return regist rat ion packet along with payment to SouthArk Community Education.

SNAIL MAIL ( INCLUDE PAYMENT - CHECK ONLY) OR IN PERSON ( INCLUDE PAYMENT - CHECK OR EXACT CASH ONLY): ATTN: TARA ANGLIN SOUTH ARKANSAS COMMUNITY COLLEGE 3698 E. MAIN ROAD EL DORADO, AR 71730

E-MAIL (FOLLOW WITH PAYMENT): [email protected]

FAX (FOLLOW WITH PAYMENT): 870-864-8495

**Please note: regist rat ions are not complete and spaces are not secure unt i l payment has been received.

5. Payment made with credit or debit card can be made in the SouthArk Bookstore which is located in the El Dorado Conference Center. Payments with credit or debit card can also be made over the phone at 870-864-7163. I f payments are made through the bookstore, please not i fy the camp director at tangl [email protected]. A completed regist rat ion packet must accompany the debit/credit t ransaction.

CANCELLED COURSES AND CHANGESSouthArk Off ice of Community Education reserves the r ight ot cancel any course before the f i rst sess ion begins due to low enrol lment. In the event the course is cancel led, parents/guardians wi l l be not i f ied and course fee wi l l be refunded. SouthArk also reserves the r ight to adjust course instructors at any t ime.

STUDENT DISMISSALIn order to maintain a safe and pleasant environment, Camp Lotsafun instructors reserve the r ight to dismiss students f rom his/her course i f the student demonstrates a behavioral or attendance pattern that does not comply with the Camp Lotsafun pol icies and procedures.

WILL MY CHILD NEED EXTRA SUPPLIES OR MATERIALS?Unless denoted before camp begins, chi ldren should not be asked to br ing extra suppl ies or mater ials . I f a need ar ises dur ing camp, a not i f icat ion wi l l be sent home by the camp director.

PICK UP AND DROP OFFCamper drop off begins at 7:30 a.m. The faci l i ty wi l l not be open pr ior to this t ime. For half day campers, pick up is at 12:00. For ful l day campers, pick up begins at 4:30. I f extended t ime is needed, i t should not go beyond 5:30. Parents wi l l be charged $15 per 15 minutes for campers that arr ive before 7:30 a.m. and/or are picked up after 5:30 p.m.

CAMPERS WILL BE EXPECTED TO:1. Wear their suppl ied nametag throughout the day. I t i s important to remember that this i s an active col lege campus and i t i s very l ikely that others wi l l be on campus at the same t ime that camp is in sess ion. Safety is the name of this game.

2. Stay with their ass igned camp group at al l t imes and part icipate in sess ion activ i t ies. Whi le we hope that this wi l l be a FUN summer, we also hope that you learn a few things.

3. Treat fel low campers, teachers, and al l staff with respect and understanding. We wi l l do the same fro you.. .scouts honor.

4. Always fol low the rules of good behavior establ ished by parents and teachers. Again, we want to have a blast with gyou! Bel ieve me, more fun is had when we al l play nicely.

5. Under absolutely no circumstances shal l campers bul ly other campers. This wi l l absolutely not be tolerated by Camp Lotsafun staff , and shal l be reported immediately.

CAMP RULES1. Vis i tors (parents/guardian and other immediate fami ly members) must check in at the Off ice of Corporate or Community Education before vis i t ing a camper (even for lunch). Our off ices can be found in the glass administ rat ive suite in the SouthArk Center for Workforce Development.

2. Cel l phones and other electronic i tems are not al lowed unless expl icit instruct ions are provided by the camp director. In cases of emergency, the camper my ut i l i ze phones in the front off ice (with teachers permiss ion only). I f cel l phones or other electronic i tems are out and cause disrupt ion, they wi l l be conf iscated by camp staff .

3. Campers are responsible for their own personal belongings and should not br ing any money or valuables. Campers are not al lowed to use the vending machines. Campers should eat breakfast before camp begins, but they may br ing snacks f rom home. Campers must br ing their own lunch i f staying past 12:00. A refr igerator wi l l be avai lable for storage i f absolutely necessary, but i t i s recommended that lunches be sent in an insulated lunch box. Please label al l i tems.

4. Campers must receive permiss ion before leaving the classroom or recreational area for any reason. They wi l l not be al lowed to leave campus without being accompanied by an author ized adult (see transportat ion contact form).

5. Campers should contact their instructor or camp director i f they have any problems with other campers or staff . Campers should not intent ional ly harm himself/herself or cause harm to another student or staff member.

6. Offensive speech or act ions are str ict ly prohibited.

7. I l legal behavior wi l l be reported to parents and proper author i t ies.

X X Parent/Guardian S ignature Camper S ignature

OFFICE STAFF

Date: _____

Rcvd by: _____

CAMPERS WILL BE EXPECTED TO:1. Wear their suppl ied nametag throughout the day. I t i s important to remember that this i s an active col lege campus and i t i s very l ikely that others wi l l be on campus at the same t ime that camp is in sess ion. Safety is the name of this game.

2. Stay with their ass igned camp group at al l t imes and part icipate in sess ion activ i t ies. Whi le we hope that this wi l l be a FUN summer, we also hope that you learn a few things.

3. Treat fel low campers, teachers, and al l staff with respect and understanding. We wi l l do the same fro you.. .scouts honor.

4. Always fol low the rules of good behavior establ ished by parents and teachers. Again, we want to have a blast with gyou! Bel ieve me, more fun is had when we al l play nicely.

5. Under absolutely no circumstances shal l campers bul ly other campers. This wi l l absolutely not be tolerated by Camp Lotsafun staff , and shal l be reported immediately.

CAMP RULES1. Vis i tors (parents/guardian and other immediate fami ly members) must check in at the Off ice of Corporate or Community Education before vis i t ing a camper (even for lunch). Our off ices can be found in the glass administ rat ive suite in the SouthArk Center for Workforce Development.

2. Cel l phones and other electronic i tems are not al lowed unless expl icit instruct ions are provided by the camp director. In cases of emergency, the camper my ut i l i ze phones in the front off ice (with teachers permiss ion only). I f cel l phones or other electronic i tems are out and cause disrupt ion, they wi l l be conf iscated by camp staff .

3. Campers are responsible for their own personal belongings and should not br ing any money or valuables. Campers are not al lowed to use the vending machines. Campers should eat breakfast before camp begins, but they may br ing snacks f rom home. Campers must br ing their own lunch i f staying past 12:00. A refr igerator wi l l be avai lable for storage i f absolutely necessary, but i t i s recommended that lunches be sent in an insulated lunch box. Please label al l i tems.

4. Campers must receive permiss ion before leaving the classroom or recreational area for any reason. They wi l l not be al lowed to leave campus without being accompanied by an author ized adult (see transportat ion contact form).

5. Campers should contact their instructor or camp director i f they have any problems with other campers or staff . Campers should not intent ional ly harm himself/herself or cause harm to another student or staff member.

6. Offensive speech or act ions are str ict ly prohibited.

7. I l legal behavior wi l l be reported to parents and proper author i t ies.

X X Parent/Guardian S ignature Camper S ignature

STUDENT INFORMATION

FULL NAME: _____________________________________

BIRTH DATE: ________________ AGE BY CAMP: ________________ GRADE: ________________

ADDRESS: _____________________________________________________________________________

CITY, STATE, Z IP: ________________________________________________________________________

T-SHIRT S IZE: YOUTH SMALL YOUTH MEDIUM YOUTH LARGE YOUTH XL ADULT SMALL ADULT MEDIUM ADULT LARGE ADULT XL

GUARDIAN INFORMATION

FULL NAME: _____________________________________

RELATIONSHIP TO CAMPER: ___________________________________

PRIMARY DAY PHONE: ________________ (C)(W)(H)

SECONDARY DAY PHONE: ________________ (C)(W)(H)

ACTIVE EMAIL ADDRESS: ________________________________________________________________

BEST WAY TO CONTACT YOU DURING THE DAY: CALL TEXT EMAIL

WHERE DID YOU FIRST HEAR ABOUT CAMP LOTSAFUN? ____________________________________

ENROLLMENT AND PAYMENT INFORMATION

____ K-2ND GRADE ____ 3RD-6TH GRADE

____ ADVENTURE PASS (FOUR WEEKS, FULL DAYS; ONLY AVAILABLE BEFORE MAY 8)

____ WEEK ONE (JUNE 8-12) ____ FULL DAY ____ HALF DAY____ WEEK TWO (JUNE 15-19) ____ FULL DAY ____ HALF DAY____ WEEK THREE (JUNE 22-26) ____ FULL DAY ____ HALF DAY____ WEEK FOUR(JUNE 29-JULY 3) ____ FULL DAY ____ HALF DAY

TOTAL NUMBER OF ADVENTURE PASSES: ______ X $320 = __________ TOTAL NUMBER OF FULL-DAY WEEKS: ______ X $89/WK = ___________ TOTAL NUMBER OF HALF-DAY WEEKS: ______ X $49/WK = __________ TOTAL = ___________

PAYMENTS CAN BE MADE IN THE SOUTHARK BOOKSTORE, IN THE SOUTHARK CENTER FOR WORKFORCE DEVELOPMENT, OR OVER THE PHONE AT 870-864-7163. FOR MORE INFORMATION, CALL 870-864-8456.

EMERGENCY CONTACT INFORMATION

CAMPER NAME: _____________________________________ B IRTH DATE: ________________

KNOWN ALLERGIES OR SIGNIFICANT MEDICAL HISTORY: _______________________________

DOES YOUR CHILD TAKE ANY MEDICATIONS THAT CAMP LOTSAFUN STAFF NEEDS TO BE AWARE OF? IF SO, PLEASE L IST: _________________________________________________________________

IN CASE OF EMERGENCY, CONTACT _____________________ AT _____________________

RELATION: ___________________

SECONDARY CONTACT: ____________________ AT _____________________ RELATION: _______

If the contacts l i s ted above cannot be reached to make medical plans in case of emergency, I give permiss ion for South Arkansas Community Col lege to take my chi ld or have an ambulance take my chi ld to:

Dr. ______________’s off ice located at _____________________________or to the Medical Center of South Arkansas.

Off ice number of pr imary physician: __________________

X __________________________________ _______________ PARENT OR GUARDIAN’S SIGNATURE DATE FOR MEDICAL RELEASE

TRANSPORTATION CONTACT INFORMATIONEach camper must be s igned out on the designated s ign-out sheet each day of camp. I f a person other than the parent/guardian wi l l be picking up your camper, a s igned and dated note must be sent to our off ice or a phone cal l needs to be received the day of the pick-up. Unless we are not i f ied, the chi ld wi l l not be al lowed to leave with anyone other than who s igns below.

X __________________________________ _______________ PARENT OR GUARDIAN DATE

PUBLICITY RELEASE

I g ive my permiss ion for media in which my chi ld may appear to be used forSouth Arkansas Community Col lege publ icity purposes.

X __________________________________ _______________ PARENT OR GUARDIAN DATE

REGISTRATION PROCEDURE

1. SELECT COURSES OF INTEREST.

2. COMPLETE ENTIRE REGISTRATION PACKET.

3. SUBMIT REGISTRATION PACKET TO CAMP DIRECTOR VIA E-MAIL ([email protected]), FAX (870-864-8495), OR IN PERSON AT (OR MAILED TO) THE SOUTHARK CENTER FOR WORKFORCE DEVELOPMENT (3698 E. MAIN RD., EL DORADO, AR 71730)

4. MAKE PAYMENT IN THE SOUTHARK BOOKSTORE, LOCATED IN THE EL DORADO CONFERENCE CENTER, OR IN THE SOUTHARK CENTER FOR WORKFORCE DEVELOPMENT. PAYMENTS CAN ALSO BE MADE OVER THE PHONE AT 870-864-7163.

DEADLINES AND LATE PAYMENTSDeadl ine for regist rat ion is two weeks pr ior to the f i rst sess ion. Space is not guaranteed as courses are open on a f i rst come, f i rst serve basis . Payment must accompany regist rat ion form in order to secure the camper’s spot. Spots are not reserved unti l payment has been received. Students register ing late ( less than two weeks pr ior to f i rst sess ion) wi l l be charged a $25 late fee. Late regist rat ion is subject to avai labi l i ty. To check avai labi l i ty, cal l 870-864-8456 or e-mai l [email protected].

PLEASE READ BEFORE SIGNING1. I approve of my camper’s appl icat ion and enrol lment.

2. Refunds/Transfers: I understand that t ransfer requests must be made no later than three working days before the f i rst sess ion and that I must actual ly speak to an off ice staff member before my request wi l l be considered. I understand that there are no refunds for days missed.

3. I wi l l take responsibi l i ty for seeing that my camper compl ies with Camp Lotsafun pol icies and procedures. I understand that inappropr iate behavior or discipl ine problems may result in dismissal f rom camp without a refund.

4. I wi l l ensure that my camper receives t ransportat ion according to the fol lowing schedule: -Dropped off no earl ier than 7:30 am. -Half day campers, picked up no later than 12:00 pm (unless previously arranged with camp director) -Ful l day campers, picked up at 4:30 pm, or no later than 5:30 pm -Campers dropped off before designated drop off t ime, or picked up later than designated pick-up t ime wil l be charged $5 for every 5 minutes.

I have read and understand the above information along with the Camp Lotsafun pol icies and procedures and I voluntar i ly agree.

X _______________________________________ _______________ PARENT/GUARDIAN DATE

camp lotsafun 2015

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