Day Camp brochure 2015 by Jewish Community Center

a r ck me ! Pa m un su f f o

u m S m 5 e 1 r 0 2 p m s a C G u y a ide D

jccstl.org

t n a t r o p Im n o i t a m r Info Director: Brad Chotiner 314-442-3423 bchotiner@jccstl.org

for program questions

Registrar: Sara Jones 314-442-3432 sjones@jccstl.org

for registration questions

Important Dates: January 5 . . . . . January 18 . . . . March 8 . . . . . . May 26 . . . . . . . May 31 . . . . . . . August 7 . . . . . .

Registration begins Day Camp Reunion & Registration Day (last day for raffle entry, see back cover for details) Early Bird pricing ends Camp begins Open House Last day of camp

Two great locations!

Staenberg Family Complex (SFC) 2 Millstone Campus Dr, Creve Coeur, MO 63146 Marilyn Fox Building (Fox) 16801 Baxter Rd, Chesterfield, MO 63005

J Day Camps include certified swim instruction

Both J locations have multiple indoor and outdoor pools and offer certified swim instruction or free swim daily. Our swim program helps campers achieve confidence and success in the pool. To join the Alpha Waves Summer Swim Team or Swim Academy after-camp lessons, contact Heather Cheseman, 314-442-3296, hcheseman@jccstl.org at SFC or Tracy Branson, 314-442-3495, tbranson@jccstl.org at Fox.

Everyone is welcome at J Day Camps!

The J invites and welcomes ALL persons, including those with disabilities, to participate in camp and other programs. Individualized inclusion support is available to those campers with developmental disabilities who may need support getting acclimated to the camp environment. This service is tailored to best fit your camperâ&#x20AC;&#x2122;s needs as discussed among the parent, camper and coordinator. Space is limited. Be advised that we may not be able to accommodate all families who apply. Please contact Inclusion Coordinator, Jasmine Rangel at jrangel@jccstl.org or 314-442-3295. The J Day Camps encourage diversity. Campers of all backgrounds are welcome regardless of race, faith or national origin. We strive to instill a sense of community and connection to Jewish culture, values and history. Jewish values are integrated into our programs and activities in a manner which appeals to people of all faiths.

Financial Aid

To apply for financial assistance, download a scholarship application at jccstl.org, or contact Sally Lang at slang@jccstl.org or 314-442-3241. A Day Camp application, non-refundable deposit and scholarship application must be submitted in order to be considered. Scholarship dollars are limited. Applications must be received no later than April 15, 2015, with payment arrangements made prior to the start of camp. Due to the high volume in applications, the scholarship process can take 3-4 weeks.

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All campers swim daily! page 2

Load up your backPac k!

Feeling sporty? Sports camps offered at both locations! Don’t want to make lunch? Try …Plus Lunch!

page 5 and page 11

page 7 and

Don’t just play video games, create them!

page 14

page 7 and page 12

Unleash your inner Picasso with Camp of the Arts! page 6 and page 13

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s p m a C y a D J in

e v e Cr Coeur

More than just a summer of fun, J Day Camps provide a lifetime of memories. Campers make new friends, learn new skills and have fun all summer long. Campers participate in many specialized activities including arts, sports, singing, nature and science with their camp groups. We also offer awesome, all-camp programs such as Maccabi Color Day, morning flag pole, Wacky Wednesday and Friday Shabbat. All campers participate in swim lessons four times per week (unless otherwise noted). We partner with a variety of organizations to bring the best St. Louis has to offer to the J. In addition, there is an optional trip to Camp Sabra*, our overnight camp at the Lake of the Ozarks for campers entering grades 3-5. This summer’s trip is June 24-26. *additional fee applies

Maryville Basketball Camp

Campers entering grades 1 – 8 Staenberg Family Complex 9am – 3pm May 26 – 29 Contact: Tyler Tatum, 314-442-3498,

ttatum@jccstl.org

Maryville University Head Coach Kevin Carroll and his team of players and coaches lead a week of basketball training. Campers enhance their skills on the hardwood including passing, dribbling, shooting and defense.

Camp Kehillah-Sidney R. Baer Campers entering grades K – 5 Staenberg Family Complex 9am – 3pm June 1 – August 7 Contact: Lory Cooper, 314-442-3198, lcooper@jccstl.org

For campers who want a well-rounded day camp experience, Camp Baer provides a little bit of everything. Based mostly outdoors in our Day Camp Pavilion, activities include arts and crafts, sports, nature, cooking, science, music, Israel alive and drama. Expanded this summer, all campers choose a weekly elective activity. Campers also have one “Sababa Afternoon” (Hebrew slang for cool) each week, where they participate in special programming like Amazing Race, Minute to Win it, trivia and more.

Blast Off

Campers entering grades K – 5 Staenberg Family Complex 9am – 3pm May 26 – 29 Contact: Brad Chotiner, 314-442-3423, bchotiner@jccstl.org There’s no better place to kick off your summer! Campers experience the “best of camp,” including lots of swimming in the outdoor recreational pool and games on the sports fields. Hang out, meet new friends and have a blast!

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Gymnastics, Cheer & Dance Camp Campers entering grades K – 5 Staenberg Family Complex 9am – 3pm June 1 – August 7 Contact: Natalie Lesko, 314-442-3104, nlesko@jccstl.org

Boys and girls learn to love everything about gymnastics in this camp favorite! Campers are placed in skill groups (levels 1-4) to accommodate each child’s ability and progress. Campers develop new skills and techniques including tumbling, dance and cheer. A special performance for family and friends is included.

Camp Kehillah-Hyman Multin Sports

Campers entering grades K – 5 Staenberg Family Complex 9am – 3pm June 1 – August 7 Contact: Natalie Lesko, 314-442-3104, nlesko@jccstl.org Ideal for the sports-loving camper, this features the right balance of professional instruction and recreational play. Every week is filled with a variety of individual and team sports and features a sport-specific tournament. Along with traditional sports like baseball, basketball, soccer, floor hockey and flag football, campers may have the opportunity to experience wiffleball, Olympic handball, lacrosse, ga-ga, hit the pin, pillo polo, kickball, capture the flag, wall ball, & more! Afternoon activities may feature sports, art, nature, cooking, music and Israeli culture to provide campers with a variety of experiences.

Racquetball

Campers entering grades K – 5 Staenberg Family Complex 9am – 3pm (Racquetball specific 9 – 11:30am) July 27 – 31 Contact: Phil Ruben, 314-442-3279, pruben@jccstl.org

Camp Kehillah-Girls Got Game All Girls Hyman Multin Sports Campers entering grades K – 5 Staenberg Family Complex 9am – 3pm July 6 – 10 & July 13 – 17 Contact: Natalie Lesko, 314-442-3104, nlesko@jccstl.org

Learn the rules and techniques (including serves, forehand and backhand) and participate in drills, games and match play as part of skill building. The game of racquetball improves hand-eye coordination, speed and agility and develops good sportsmanship. This camp includes professional instruction and conclude with a competitive tournament. Racquets, balls and eye protection will be provided, but those with their own equipment are welcome to bring it. Non-marking athletic shoes are required. Camp may be split into separate age groups depending on enrollment. Campers join Hyman Multin Sports Camp at 11:30am for swim lessons, lunch and activities, which may feature sports, art, nature, cooking, music and Israeli culture.

A week-long sports camp just for girls! Ideal for the active, sportsloving camper, this camp features the right balance of professional instruction and recreational play. Girls learn new skills, make new friends and compete all week long. Activities include lacrosse, basketball, floor hockey, soccer, volleyball and more.

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Milton Frank Camp of the Arts Campers entering grades K – 5 Staenberg Family Complex 9am – 3pm June 1 – August 7 Contact: Laura Enstall, 314-442-3239, lenstall@jccstl.org

Campers experience all facets of art and let their creativity shine at Milton Frank Camp of the Arts. This is a great opportunity to explore various art forms. In Theatre Camp, campers learn about acting and performing, while in the popular Pottery Camp, campers use the pottery wheel and create their own sculptures with clay. We focus on various forms of dance, ballet, jazz, musical theatre in our Dance Camp and in the newly added Recycled Art Camp, we up-cycle and create art and learn why it’s important for our environment. Finally, we end the summer with a Digital Photography Camp. Campers may also participate in other activities such as swimming, cooking music and all-camp programs. June 1-12 . . . . . . . . . . Theatre June 15-26 . . . . . . . . . Pottery June 29-July 10 . . . . . . Dance July 13-24 . . . . . . . . . Recycled Art July 27-August 7 . . . . . . Photography

Two week sessions!

Computer Animation

Campers entering grades 3 – 5 Staenberg Family Complex 9am – 3pm June 1 – 12 Contact: Brad Chotiner, 314-442-3423, bchotiner@jccstl.org Are you the next Walt Disney? Campers develop the skills of animation production utilizing the latest version of ToonBoom Animate. The ToonBoom Animate is currently being used by the Cartoon Network for preproduction work on Chowder and will provide campers with the knowledge to produce industry-standard projects. The end project is a camper-created, two minute animation with voice-over. All projects will be uploaded to a YouTube channel to share with friends and family members! Campers also participate in traditional camp activities including sports, arts and swimming.

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Camp Nat Koplar

Video Game Design

Campers ages 3 – 5 years Staenberg Family Complex Full Day – 9am – 3pm Half Day – 9am – 12:30pm or Combo – 3 Full Days & 2 Half Days June 1 – July 31 Contact: Ellen Scholten, 314-442-3230, escholten@jccstl.org

Campers entering grades 3 – 5 Staenberg Family Complex 9am – 3pm June 15 – 19 Contact: Brad Chotiner, 314-442-3423, bchotiner@jccstl.org Don’t just play video games; create them! Utilizing GameSalad, campers develop multi-scene arcade and platform-style video games ready for use on the iPad, iPhone or Android devices. Campers are introduced to programming languages and different styles of video games. By the end of the week, campers have created a complete video game and have the knowledge and skills to create even more! No previous programming knowledge needed. Campers also participate in traditional camp activities including sports, arts and swimming.

LEGO® Robotics

Campers ages 3 – 12 years Staenberg Family Complex 7am – 9am and/or 3pm – 6pm May 26 – August 7 Contact: Brad Chotiner, 314-442-3423, bchotiner@jccstl.org

Campers spend a week learning to make a LEGO® robot using the MindstormsTM NXT set. Program it to perform tasks ranging from the very simple to the most complex. It’s up to you! On the last day, invite friends and family to see what your robot can do. Campers also participate in traditional camp activities including sports, arts and swimming.

Monday Hot Dog

Limited space available.

Pre and Post Care

Campers entering grades 3 – 5 Staenberg Family Complex 9am – 3pm June 22 – 26 Contact: Brad Chotiner, 314-442-3423, bchotiner@jccstl.org

Back by d eman popular d ems! it with new

Camp Nat Koplar has been the best camp program for preschool age children for over 25 years. Campers have tons of fun with music, storytelling, art, swimming, sports and nature in our one-of-a-kind wooded campground. Camp is uniquely designed for young children and their interests. Campers must be fully toilet trained.

Ideal for working families, campers may extend their days with even more fun and structured activities, including arts and crafts, games, science and swimming. A kosher snack is provided in the afternoon. Campers are grouped by age, and enrollment is only permitted by the week.

...Plus Lunch!

Take a break from making lunch! For just $25 per week , campers can enjoy a delicious, nutritious kosher lunch. Register for lunch when you register for camp. Lunch registrations must be completed at least one week in advance. All meals include a side, drink and dessert. Sorry, no substitutions.

Tuesday Cheese Quesadillas

Wednesday Chicken Nuggets

Thursday Pizza Bagel

Friday Hamburger

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Teen s e i t i v i t Ac and Trips Ben Akiba Teen Mitzvah

Campers entering grades 6 – 8 Staenberg Family Complex 9am – 3pm June 1 – August 7 Contact: Brad Chotiner, 314-442-3423, bchotiner@jccstl.org Teen Campers split their time between in traditional camp activities and day trips to St. Louis attractions. Teen Camp places an emphasis on Mitzvah (charity) and social action. We team up with other organizations, such as the St. Louis Area Food Bank to provide community service opportunities for the campers. Everyone receives community service project hours for school or Bar/Bat Mitzvahs. Campers enjoy recreational swimming instead of instructional swim lessons. Some highlights of Teen Camp include a lock-in and cookout at the J. If you enroll in Teen Camp the week of June 22-26, you will enjoy a multi-stop road trip adventure through Missouri.

Leaders in Training (L.I.T.)

Campers entering grade 9 Staenberg Family Complex 9am – 3pm June 1 – August 7 Contact: Brad Chotiner, 314-442-3423, bchotiner@jccstl.org Half-priced tuition! The Leaders In Training program prepares campers for high school and becoming a camp counselor. LITs focus on team-building, leadership development, sports, arts and crafts and Jewish education. During each week, LITs have their own programs and training, spend time with Teen Camp and work with our younger camps, while gaining hands-on experience in the work world. LITs receive community service hours for their participation in this program. Campers enjoy recreational swimming instead of instructional swim lessons.

Counselor in Training (C.I.T.)

Campers entering grade 10 Staenberg Family Complex & Marilyn Fox Building 9am – 3pm June 1 – August 7 Contact: Brad Chotiner, 314-442-3423, bchotiner@jccstl.org Our CIT program is the bridge from camper to counselor. CITs receive both hands-on training and guidance from our most senior and experienced staff. CITs participate in pre-camp orientation and ongoing training by our CIT director. CITs have the opportunity to work with a variety of different age groups and camps throughout the summer, gaining experience and skills necessary to become a counselor in future summers. CITs also receive community service hours for school. CITs are required to fill out a staff application (found at jccstl.org) and must go through the interview process. There is no fee for the CIT program.

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Senior Maccabi Sports Camp Campers entering grades 6 – 8 Marilyn Fox Building 9am – 3pm June 1 – August 7 Contact: Tyler Tatum, 314-442-3498, ttatum@jccstl.org

Sports camp in Chesterfield features great competition, skill-building and camaraderie. “Race for the Cup” is a four-week, ongoing competition that creates rivalries, enhances friendships and facilitates some of the greatest sports moments in J history! The “Race” concludes with an overnight sleepover/lock-in and party. Don’t miss this awesome opportunity to compete! Cool off and join us for a week of fun-filled field trips to water parks and local pools during Wet & Wild Camp. Campers participate in water sports, water parks and water games throughout the week. Note, our specialty weeks featuring instruction from professionals throughout the community!

Teen Skills

16 – 21 year olds with developmental disabilities Staenberg Family Complex 8am – 4pm June 1 – August 7 Contact: Lyndsey Hartmann, 314-442-3294, lhartmann@jccstl.org Campers work on acquiring essential social and vocational skills as they transition into adulthood. Participants spend time in the community, engaging in a variety of interesting volunteer and recreational activities. In the past, we’ve gone to the Harvey Kornblum Jewish Food Pantry, Habitat for Humanity, Missouri Botanical Garden, Worth Industries and more. At the J, the group works on interviewing skills, money skills and interpersonal skills that are vital once they enter the workforce. Participants also enjoy many traditional camp activities such as recreational swimming, cooking, fitness classes and nature. Contact Lyndsey Hartmann for pricing and an application.

June 1 – June 26 . . . June 29 – July 3 . . . . July 6 – July 10 . . . . July 13 – July 17 . . . July 20 – July 24 . . . July 27 – July 31 . . . August 3 – August 7 . .

Multi Sports “Race for the Cup” Wet & Wild Camp J Baseball and Softball Academy Camp Mark Goldenberg Flag Football Camp* St. Louis Scott Gallagher Soccer Camp Kelvin Lee Basketball Camp Maryville Basketball Camp

*Campers entering grades 6-7 only.

Camp Sabra

Campers entering grades 3 – 10 Session 1: June 14 – July 9 Session 2: July 12 – August 6 Contact: Terri Grossman, 314-442-3180, terri@campsabra.com Website: campsabra.com Spend a magical summer at the Lake of the Ozarks sleeping in cabins, eating s’mores and singing camp songs! With more than 205 acres of wooded terrain and 3.5 miles of private shoreline, you’ll never run out of things to do. Develop new skills, new interests and make lifelong friendships as you sail, water tube, water ski, funyak, climb the high & low ropes courses, act, sing, play sports and so much more…and did we mention the food is awesome?! 1-,2- and 4- week options available.

Not quite ready for sleep-away camp? Some day camps (entering grades 3-5) offer a short, optional trip to Camp Sabra, June 24-26.

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s p m a C y J Da in

D L E I F ESTER

More than just a summer of fun, J Day Camps provide a lifetime of memories. Campers make new friends, learn new skills and have fun all summer long. Campers participate in many specialized activities including arts, sports, singing, nature and science with their camp groups. We also offer awesome all-camp programs such as Maccabi Color Day, morning flag pole, Wacky Wednesday and Friday Shabbat. All campers participate in swim lessons four times per week (unless otherwise noted). We partner with a variety of organizations to bring the best St. Louis has to offer to the J. In addition there is an optional trip to camp Sabra*, our overnight camp at the Lake of the Ozarks for campers entering grades 3-5. This summer’s trip is June 24-26.

Cheer, Dance & Spirit

Campers entering grades K – 5 Marilyn Fox Building 9am – 3pm May 26 – 29 Contact: Fanchon Auman, 314-442-3420, fauman@jccstl.org Learn to cheer, jump, tumble, dance and build self confidence, teamwork and friendships. Focus includes healthy heart awareness, community service project, arts and crafts and fun in the pool. Campers receive a t-shirt and poms. Families are invited to a culminating pep rally.

*additional fee applies

Hi-NRG Gymnastics

Campers entering grades K – 5 Marilyn Fox Building 9am – 3pm August 3 – 7 Contact: Tyler Tatum, 314-442-3498,

Blast Off

Campers entering grades K – 5 Marilyn Fox Building 9am – 3pm May 26 – 29 Contact: Brad Chotiner, 314-442-3423, bchotiner@jccstl.org There’s no better place to kick off your summer! Campers experience the “best of camp,” including lots of swimming in the outdoor recreational pool and games on the sports fields. Hang out, meet new friends and have a blast!

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ttatum@jccstl.org

Hi-NRG Gymnastics is back! Gymnastics builds coordination, strength and flexibility, but it also builds determination, confidence and self-esteem! Knowledgeable coaches instruct campers as they cartwheel and bounce their way through the gym. Space is limited – sign up early!

Maccabi Sports Camp

Campers entering grades K – 5* Marilyn Fox Building 9am – 3pm June 1 – August 7 Contact: Tyler Tatum, 314-442-3498, ttatum@jccstl.org “Race for the Cup,” is back for summer #5! The four-week, ongoing competition inspires rivalries, builds friendships and creates some of the greatest sports moments in J history! Don’t miss this awesome opportunity to compete in The Multi Sports “Race for the Cup.” At Wet & Wild Camp, cool off and join us for a week of fun-filled field trips to water parks and local pools. Campers participate in water sports, water parks and water games throughout the week. Note, our specialty weeks featuring instruction from professionals throughout the community.

June 1 – June 26 . . . Multi Sports “Race for the Cup” June 29 – July 3 . . . . Wet & Wild Camp July 6 – July 10 . . . . J Baseball and Softball Academy Camp July 13 – July 17 . . . Mark Goldenberg Flag Football Camp July 20 – July 24 . . . St. Louis Scott Gallagher Soccer Camp July 27 – July 31 . . . Kelvin Lee Basketball Camp August 3 – August 7 . . Maryville Basketball Camp

Girls Got Game All-Girls Maccabi Sports Camp Campers entering grades K – 8 Marilyn Fox Building 9am – 3pm July 6 – July 24 Contact: Tyler Tatum, 314-442-3498, ttatum@jccstl.org

Back by popular demand, this girls-only camp provides an opportunity to learn new skills, make new friends and compete in a variety of different sports and games. The week of July 6 allows girls to sample a little bit of all sports, like field hockey, softball, soccer and more. The week of July 13 focuses on soccer with St. Louis Scott Gallagher, the local amateur soccer club, training the girls. The week of July 20 focuses on basketball. Girls participate in a variety of different drills and games all week long. Come for all three weeks and be prepared for fun!

July 6 – July 10 . . . . Multi Sports Camp July 13 – July 17 . . . St. Louis Scott Gallagher Soccer Camp July 20 – July 24 . . . Basketball Camp

*Check out the Teen Opportunities on page 9 for Senior Maccabi Sports Camp for grades 6 – 8.

Camp Essman Gadol

Campers entering grades K – 5 Marilyn Fox Building 9am – 3pm June 1 – August 7 Contact: Jessica Bauer, 314-442-3431, jbauer@jccstl.org A great way for kids to enjoy a little bit of everything: sports, music, nature, arts and crafts and cooking. Campers participate in lip syncs, talent shows, games, relay races, trivia and more. New this summer: an elective period for all kids to choose their own activity. Come make new friends and have a blast this summer!

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Computer Animation

Two week session!

Campers entering grades 3 – 5 Marilyn Fox Building 9am – 3pm June 22 – July 3 Contact: Brad Chotiner, 314-442-3423, bchotiner@jccstl.org Are you the next Walt Disney? Campers develop the skills of animation production utilizing the latest version of ToonBoom Animate. The ToonBoom Animate is currently being used by the Cartoon Network for pre-production work on Chowder and provide campers with the knowledge to produce industry-standard projects. The end project is a camper-created, two minute animation with voice-over. All projects will be uploaded to a YouTube channel to share with friends and family members! Campers also participate in traditional camp activities including sports, arts and swimming.

LEGO® Robotics

Campers entering grades 3 – 5 Marilyn Fox Building 9am – 3pm July 13 – 17 Contact: Brad Chotiner, 314-442-3423, bchotiner@jccstl.org Campers spend a week learning to make a LEGO® robot using the MindstormsTM NXT set. Program it to perform tasks ranging from the very simple to the most complex. It’s up to you! On the last day, invite friends and family to see what your robot can do. Campers also participate in traditional camp activities including sports, arts and swimming.

Video Game Design

Campers entering grades 3 – 5 Marilyn Fox Building 9am – 3pm July 6 – 10 Contact: Brad Chotiner, 314-442-3423, bchotiner@jccstl.org Don’t just play video games; create them! Utilizing GameSalad, campers develop multi-scene arcade and platform style video games ready for use on the iPad, iPhone or Android devices. Campers are introduced to programming languages and different styles of video games. By the end of the week, campers have created a complete video game and have the knowledge and skills to create even more! No previous programming knowledge needed. Campers also participate in traditional camp activities including sports, arts and swimming.

Camp Teva – Outdoor Skill Building Campers entering grades K – 8 Marilyn Fox Building 9am – 3pm June 1 – 5 K-3rd grade June 8 – 12 3rd-8th grade Contact: Ela Bokobza, 314-442-3137, ebokobza@jccstl.org

Building on the great start of Camp Teva last summer, we are adding new excitement to this camp. Get ready for a week-long adventure as we encounter the great outdoors. Campers gain experience preparing for outdoor adventure through a wide variety of hands-on activities including knot tying, campfire construction, outdoor cooking, hiking, group leadership skills, fun games and other general camp activities. Campers will take a field trip to Babler State Park. Led by and based on the Israel Youth Scouting movement, Tzofim.

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J Players

Campers entering grades 6 – 9 Marilyn Fox Building 9am – 3pm June 1 – 26 June 29 – July 24 Contact: Laura Enstall, 314-442-3239, lenstall@jccstl.org

Milton Frank Camp of the Arts

Campers entering grades K – 5 Marilyn Fox Building 9am – 3pm June 1 – August 7 Contact: Laura Enstall, 314-442-3239, lenstall@jccstl.org

Now in its third year, the J Players Theatre Troupe gives campers the opportunity to learn all about theatre from a professional and perform their very own show. Campers learn the art and humor of improvisation and sketch comedy, and play a variety of theatre games. Additionally, they write scripts and rehearse scenes from plays and movies to strengthen acting skills. Campers put a short performance together to share with Fox campers and SFC campers based on improvisation and acting. Campers swim every day and participate in other camp activities. This camp is a great continuation of the J’s Youth Theatre Program or a chance to explore the art of theatre for the first time. No experience is necessary. *Registrations are by four-week sessions only.

Campers learn all facets of art and let their creativity shine at Milton Frank Camp of the Arts. This is a great opportunity to explore various art forms. In Theatre Camp, campers learn about acting and performing, while in the popular Pottery Camp, campers use the pottery wheel and create their own sculptures with clay. We focus on various forms of dance, ballet, jazz, musical theatre in our Dance Camp and in the newly added Recycled Art Camp, we up-cycle and create art and learn why it’s important for our environment. Finally, we end the summer with a Digital Photography Camp. Campers also participate in other camp activities.

June 1 – 12 . . . . . . Pottery June 15 – 26 . . . . . Theatre June 29 – July 10 . . . Dance July 13 – 24 . . . . . . Photography July 27 – August 7 . . . Recycled Art

Two week sessions!

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Camp Essman Katan

Campers age 3 – 5 years Marilyn Fox Building Full Day - 9am – 3pm Half Day - 9am – 12:30pm or Combo - 3 Full Days & 2 Half Days June 1 – July 31 Contact: Linda Rosenblatt, 314-442-3436, lrosenblatt@jccstl.org This is the perfect camp experience for your preschooler. We spend time outdoors as well as indoors. Campers enjoy music, storytelling, art, nature, cooking, sports, yoga and building a foundation for fun Jewish experiences. Campers must be fully toilet trained. Limited space available.

Pre and Post Care

Campers ages 3 – 12 years Marilyn Fox Building 7am – 9am and/or 3pm – 6pm May 26 – August 7 Contact: Brad Chotiner, 314-442-3423, bchotiner@jccstl.org Ideal for working families, campers may extend their days with even more fun and structured activities, including arts and crafts, games, science and swimming. A kosher snack is provided in the afternoon. Campers are grouped by age and enrollment is only permitted by the week.

Camp Potpourri (Both locations)

Campers age 18 months – 3 years with an adult June 15 – July 23 Contact: Emilie Brockman, 314-442-3267, ebrockman@jccstl.org (SFC) Contact: Marianne Chervitz, 314-442-3454, mchervitz@jccstl.org (Fox) Attend camp on Tuesdays at Fox and/or Thursdays at SFC. Contact for pricing and to register.

Back by popular demand!

Monday Hot Dog

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...Plus Lunch!

Tuesday Cheese Quesadilla

Wednesday Chicken Nuggets

Thursday Pizza Bagel

Friday Hamburger

on i t a r t s i g Re on i t a m r o f n I How to Register:

• Day Camp Applications and registration forms are located online at jccstl.org or in the back of this guide. • ONE application per camper must be completed. • In order for registration to be complete, ALL forms must be completed and accompanied by the appropriate deposit or payment and your account must be in good standing. Forms include: • Day camp Application, Camp Waiver and Releases of Liability, Protocol Medication Consent/Behavior Policy and a Physician’s Statement (signed and dated by a physician from September 2013 - present) • Complete registrations may be submitted by: Mail: Sara Jones (Day Camp Registrar), c/o J Days Camps, 2 Millstone Campus Drive, St. Louis, MO 63146 Fax: 314-442-3404 Email: sjones@jccstl.org In person: at either J location • Registrations are accepted only until 4:30pm the Friday before a session begins.

Late Registrations

• Applications submitted less than one week prior to the start of camp are assessed an additional $25 processing fee.

Change policy

• A $25 camp change fee is assessed for the second and each subsequent requested change to a camper’s schedule.

Cancellation Policy

Payment Information:

• A credit card must be on file for ALL registrations. Please fill out the credit card information to be used for camp payments and additional camp charges. This authorizes all Day Camp payments to be charged to this credit card. • A $50 non-refundable deposit per child per week (up to $200) is required to complete an application and will be applied toward camp fees. • All camp fees must be paid in full by May 15. If registering after May 1, camp fees must be paid in full with application.

• Notify the day camp registrar in writing of any cancellations. • Cancellations at least 14 days prior to the start of camp results in a full refund; less the non-refundable deposit (deposit is NOT withheld if total registration remains greater than four weeks). • No refund is issued for any programming that begins within 14 days of cancellation notice. • No pro-rated or full refund shall be permitted if a camper leaves before the end of the period for which he or she has been registered. • No refunds for missing camp due to illnesses. We do not offer partial payment for days missed.

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2015 JCC DAY CAMP APPLICATION

Return your completed application and forms by: Mail-‐ J Day Camps, Attn: Sara Jones, 2 Millstone Campus Drive, St. Louis, MO 63146 Fax-‐ 314-‐442-‐3404 Email-‐ sjones@jccstl.org In Person-‐ at either J location

IMPORTANT REGISTRATION INFORMATION Please read carefully before completing application. Complete ONE application for each child. Registrations are not processed until ALL forms have been completed with appropriate deposit or payment and your account is in good standing. Registration includes ALL FORMS: Day camp Application completed, Camp Waiver and Releases of Liability signed, Protocol Medication Consent/Behavior Policy signed and a Physician’s Statement (signed and dated by a physician from September 2013-‐ present)

CAMPER INFORMTION: J Membership #

Camper’s First Name

Camper’s Last Name

Grade Entering in Fall

Camper’s Date of Birth

Buddy Request

T-‐shirt Size (circle one) Youth S M L Adult S M L

Address

City

State

Zip

Home Phone

Religious Affiliation

E-‐mail address to use for camp communication

[ ] Non Member [ ] Male [ ] Female

School Attending

Parent # 1 Full Name Work Phone Address (if different from child)

Cell Phone Home Phone

Phone Phone

Parent #2 Full Name Work Phone Address (if different from child)

PICK UP FOR CHILD: The following people are authorized to pick up my child from the JCC: Name Phone Name Phone Name Phone

INSURANCE INFORMATION: Camper’s Primary Physician & Phone # Insurance Company Name of Insured

Insurance ID#

In the event that you can’t be reached in an emergency, who should be contacted? Name Cell Phone Name Cell Phone

Please Check Yes or No for all of the following questions: Allergies: Does your child have food or other allergies? [ ] Yes [ ] No If yes please describe Inclusion Services: Does your child have an IEP during the school year? [ ] Yes [ ] No If yes, please check all that apply: [ ] Speech Therapy [ ] Occupational Therapy [ ] Resources Does your child have special needs that require a shadow at camp? [ ] Yes [ ] No In order to reserve a space for your child, please call our Inclusion Coordinator, Jasmine Rangel at 314-‐442-‐3295. Inclusion coordinator MUST confirm your registration. SPACE IS LIMITED! How did you hear about us? [ ] Returning Camper [ ] J Member [ ] Website [ ] Camp Fair [ ] Word of Mouth [ ] Other-‐ please describe 16 | 2015 Summer Day Camp Guide

Payment Information PLEASE READ CAREFULLY AND SIGN:

A credit card must be on file for ALL registrations. Please fill out the credit card information to be used for camp payments and additional camp charges. This authorizes all payments regarding Day Camp to be charged to this credit card.

A $50 REQUIRED NON-‐REFUNDABLE DEPOSIT per child per week up to $200 is required to complete an application and is applied toward camp fees.

All camp fees must be paid IN FULL by May 15. If registering after May 1 camp fees must be PAID IN FULL with application.

Registrations are accepted only until 4:30pm the Friday before a session begins.

POLICIES FOR CANCELLATIONS • Notify the day camp registrar in writing of any cancellations. • Cancellations at least 14 days prior to the start of camp results in a full refund, less the non-‐refundable deposit (No deposit is withheld if total registration remains greater than four weeks). • NO REFUND is issued for any programming that begins within 14 days of cancellation notice. • NO PRO-‐RATED OR FULL REFUND shall be permitted if a camper leaves before the end of the period for which he or she has been registered. • NO REFUNDS for missing camp due to illnesses. We DO NOT offer partial payment for days missed.

Change policy If two or more changes in a camper’s summer schedule are requested a $25 camp change fee is assessed for the second and each subsequent change.

Late Registrations Applications submitted LESS THAN 1 WEEK prior to the start of camp is assessed and additional $25 processing fee.

***I have read and understand all of the policies stated above. REQUIRED Signature of Parent or Guardian

Date

PAYMENT OPTIONS (A credit card must be on file for all registrations) [ ] Check for full amount is enclosed (Check payable to JCC) [ ] Charge my credit card for the full amount today [ ] Check enclosed for deposit and a VOIDED check for automatic payments* [ ] Charge my credit card for the deposit today, then for automatic payments* [ ] Check for deposit is enclosed, then charge my credit card for automatic payments* [ ] I will submit an application for Financial Assistance**, check is enclosed for non-‐refundable $25 deposit per child [ ] I will submit an application for Financial Assistance**, charge my credit card for non-‐refundable $25 deposit per child

Type of card: [ ] Visa [ ] Mastercard [ ] Discover [ ] AMEX [ ] Card Number

Name of Cardholder

Billing Address (if different)

Signature of cardholder

Expiration Date

Date

*Automatic payments Automatic payments are available to those who submit a complete application before May 1, 2015. Otherwise payment is due in full. Automatic payment schedule: th th Applications received before March 1: three automatic payments of one third of camp balance each will be processed between the 5 and 10 business day of March, April and May. th th Applications received March 1 – March 31: two automatic payments of half of camp balance will be processed between the 5 and 10 business day of April and May. th th Applications received April 1-‐30: one automatic payment of camp balance will be processed between the 5 and 10 business day of May. Processing dates are subject to change.

**Financial Assistance To apply for financial assistance go online to jccstl.org and download a scholarship application, or contact Sally Lang at 314-‐442-‐3241 or slang@jccstl.org. A Day Camp application and scholarship application must be submitted in order to be considered. Scholarship applications must be received no later than April 15, 2015, with payment arrangements made prior to the start of camp. Due to the high volume in applications, the scholarship process can take 3-‐4 weeks.

Jewish Community Center | jccstl.org | 17

CREVE COEUR - STAENBERG FAMILY COMPLEX

2015 J Day Camp Application

Camper’s Name:_______________________________________________ Parent’s Name:________________________________________________

Page 1 of 2

Week of:

PLEASE CHECK WHITE BOXES FOR CAMP SELECTIONS

CAMPS

Grade

Time

Blast Off

K–5

9a – 3p

Camp Kehillah-Sidney R Baer

K–5

9a – 3p

Maryville Basketball Camp

1–8

9a – 3p

Hyman Multin Sports Camp

K–5

9a – 3p

Racquetball Camp

K–5

9a – 3p

Girls Got Game Multi Sports

K–5

9a – 3p

Gymnastics, Cheer & Dance

K–5

9a – 3p

Arts

Theatre

K–5

9a – 3p

Camp

Pottery

K–5

9a – 3p

Dance

K–5

9a – 3p

Recycled Art

K–5

9a – 3p

Photography

K–5

9a – 3p

Computer Animation

3–5

9a – 3p

Video Game Design

3–5

9a – 3p

Lego Robotics

3–5

9a – 3p

Ben Akiba Teen Mitzvah

6–8

9a – 3p

Teen/LIT Trip - MO Roadtrip

6–9

9a – 3p

Leaders in Training (L.I.T)

9a – 3p

Camp Nat Koplar Full Day

3 – 5yrs

9a – 3p

Camp Nat Koplar Half Day

3 – 5yrs

9a – 12:30p

Camp Nat Koplar Combo 3 full days & 2 half days

3 – 5yrs

Varies

Optional Camp Sabra Trip

3–5

6/24 – 6/26

Pre Care

3 – 12yrs

7a – 9a

Post Care

3 – 12yrs

3p – 6p

Pre and Post Care

3 – 12yrs

Both

All

Lunch

Traditional Camp Sports Camp

Gymnastics

Technology

Teen Camps

Preschool Camp

Trips Pre/Post Care Lunch

…Plus Lunch

*No camp May 25 Key: m = members, p = public

18 | 2015 Summer Day Camp Guide

5/26*

6/1

6/8

6/15

6/22

6/29

CREVE COEUR - STAENBERG FAMILY COMPLEX

Camper’s Name:_______________________________________________

2015 J Day Camp Application

Parent’s Name:________________________________________________

Page 2 of 2

7/6

7/13

7/20

7/27

8/3

Fees per session Total Sessions

Two week session 6/29 – 7/10

Early Bird through 3/8

Regular after 3/8

Total Fee

$195m/$220p

$215m/$240p

$225m/$250p

$245m/$270p

$195m/$220p

$215m/$240p

$225m/$250p

$245m/$270p

$225m/$250p

$245m/$270p

$225m/$250p

$245m/$270p

$225m/$250p

$245m/$270p

$450m/$500p

$490m/$540p

$450m/$500p

$490m/$540p

$450m/$500p

$490m/$540p

$450m/$500p

$490m/$540p

$450m/$500p

$490m/$540p

$450m/$500p

$490m/$540p

$225m/$250p

$245m/$270p

$225m/$250p

$245m/$270p

$225m/$250p

$245m/$270p

$420m/$445p

$440m/$465p

$113m/$125p

$123m/$135p

$225m/$250p

$245m/$270p

$146m/$163p

$159m/$176p

$191m/$213p

$208m/$230p

$125

$40m/$45p

$45m/$50p

$60m/$65p

$65m/$70p

$80m/$85p

$85m/$90p

$25

Subtotal Discounts

-$50

-$100

-$150

Sibling discount - 10% off the child with equal or fewest weeks

Grand Total Jewish Community Center | jccstl.org | 19

CHESTERFIELD - MARILYN FOX BUILDING

Camper’s Name:_______________________________________________

2015 J Day Camp Application

Parent’s Name:________________________________________________

Page 1 of 2

Week of:

PLEASE CHECK WHITE BOXES FOR CAMP SELECTIONS

Traditional Camp Sports Camp

Cheer Camp Arts Camp

Technology

Outdoor Preschool Camp

Trips Pre/Post Care Lunch

CAMPS

Grade

Time

Blast Off Essman Gadol

K–5 K–5

9a – 3p 9a – 3p

Multi Sports "Race for the Cup" Wet and Wild Camp J Baseball and Softball Academy Mark Goldenberg Flag Football St Louis Scott Gallagher Soccer Kelvin Lee Basketball Camp Maryville Basketball Camp Hi-NRG Gymnastics Girls Got Game Multi Sports Girls Scott Gallagher Soccer Girls Basketball

K–8 K–8 K–8 K–7 K–8 K–8 K–8 K–5 K–8 K–8 K–8

9a – 3p 9a – 3p 9a – 3p 9a – 3p 9a – 3p 9a – 3p 9a – 3p 9a – 3p 9a – 3p 9a – 3p 9a – 3p

Cheer, Dance & Spirit

K–5

9a – 3p

Pottery Theatre Dance Photography Recycled Art The J Players

K–5 K–5 K–5 K–5 K–5 6–9

9a – 3p 9a – 3p 9a – 3p 9a – 3p 9a – 3p 9a – 3p

Computer Animation Video Game Design Lego Robotics

3–5 3–5 3–5

9a – 3p 9a – 3p 9a – 3p

Camp Teva Camp Teva

K–3 3–5

9a – 3p 9a – 3p

3 – 5yrs 3 – 5yrs

9a – 3p 9a – 12:30p

3 – 5yrs

Varies

Optional Sabra Trip

3–5

6/24 – 6/26

Pre Care Post Care Pre and Post Care

3 – 12yrs 3 – 12yrs 3 – 12yrs

7a – 9a 3p – 6p Both

All

Lunch

Essman Katan Essman Katan Half Day Essman Katan Combo 3 full days & 2 half days

…Plus Lunch

*No camp May 25 Key: m = members, p = public 20 | 2015 Summer Day Camp Guide

5/26*

6/1

6/8

6/15

6/22

Four week session 6/1 – 6/26

6/29

CHESTERFIELD - MARILYN FOX BUILDING

Camper’s Name:_______________________________________________

2015 J Day Camp Application

Parent’s Name:________________________________________________

Page 2 of 2

7/6

7/13

7/20

7/27

8/3

Fees per session Total Sessions

Two week session 6/29 – 7/10

Four week session 6/29 – 7/24

Discounts

Early Bird through 3/8

Regular after 3/8

Total Fee

x x

$195m/$220p $225m/$250p

$215m/$240p $245m/$270p

= =

x x x x x x x x x x x

$225m/$250p $255m/$280p $225m/$250p $225m/$250p $225m/$250p $225m/$250p $225m/$250p $225m/$250p $225m/$250p $225m/$250p $225m/$250p

$245m/$270p $275m/$300p $245m/$270p $245m/$270p $245m/$270p $245m/$270p $245m/$270p $245m/$270p $245m/$270p $245m/$270p $245m/$270p

= = = = = = = = = = =

$195m/$220p

$215m/$240p

x x x x x x

$450m/$500p $450m/$500p $450m/$500p $450m/$500p $450m/$500p $900m/$1000p

$490m/$540p $490m/$540p $490m/$540p $490m/$540p $490m/$540p $980m/$1080p

= = = = = =

x x x

$450m/$500p $225m/$250p $225m/$250p

$490m/$540p $245m/$270p $245m/$270p

= = =

x x

$225m/$250p $225m/$250p

$245m/$270p $245m/$270p

= =

x x

$225m/$250p $146m/$163p

$245m/$270p $159m/$176p

= =

$191m/$213p

$208m/$230p

$125

x x x

$40m/$45p $60m/$65p $80m/$85p

$45m/$50p $65m/$70p $85m/$90p

= = =

$25

Subtotal Register for a total of 4-7 weeks per camper receive $50 off total Register for a total of 8-10 weeks per camper receive $100 off total Register for all 11 weeks per camper receive $150 off total Sibling discount - 10% off the child with equal or fewest weeks

-$50 -$100 -$150

Grand Total Jewish Community Center | jccstl.org | 21

Camp Waiver and Release of Liability The Jewish Community Center of St. Louis REQUIRED FORM

As a condition of my child’s participation in JCC Day camps for which I am registering at Jewish Community Centers and, on behalf of myself and my child, I agree that: STATEMENT OF PHYSICAL CAPABILITY I warrant and represent to JCC that: 1. My child is in good physical health condition and is physically able to participate or compete in the Activity I have selected; 2. I know of no physical restriction whatsoever which would prohibit my child’s participation or competition in the Activity that I have selected. I have been advised by JCC that it would be in my best interest to consult my physician prior to my child’s preparation in regard to my child’s participation in the Activity; 3. I recognize and understand that the preparation and participation in the Activity may necessitate strenuous physical activity and could activate any unrecognized pre-existing cardiovascular disorder which my child may have, thereby resulting in serious or life threatening physical harm to my child. 4. I certify that my child is healthy and able to participate in camp activities as of the date of making this application. PERSONAL INJURY RELEASE As a condition of my child being permitted to participate in the Activity, I, the undersigned parent, on behalf of myself and my child agree that: 1. I recognize that participation in the Activity involves risks of physical and emotional injuries and damages, including, but not limited to, injuries, damages or losses relating to or resulting from slips, falls, collisions, car accidents, drowning, trauma, health failure, and/or other mishaps whether known or inherent to the Activity or whether foreseeable or unforeseeable. Possible injuries to my child can include death, personal injury, paralysis, property damages, loss of service and other injuries and damages to my child or to third parties. 2. I and my child assume full responsibility for any injuries, damages or losses which may occur to my child and agree that JCC and its trustees, officers, agents, employees, representatives, volunteers, students and assigns (the “JCC Parties”) shall not be liable for any damages arising from any personal injuries that my child may sustain in connection with the Activity whether occurring on or about the premises of the Millstone Campus at 2 Millstone Campus Drive or on the Harry and Jeanette Weinberg Campus at 16801 Baxter Road occurring adjacent to or outside the property of JCC, or as a result of my child’s preparation for or participation in the Activity, to the extent that this Personal Injury Release provides for the release of such liability. 3. On behalf of myself and my child, we hereby fully and forever release and discharge and hereby agree to indemnify and hold harmless the JCC Parties from any and all present and future claims, demands, damages, rights of action or causes of action (collectively “Claims”) arising out of, resulting from, or connected in any way with my child’s preparation for and/or participation in the Activity, whether known or unknown, anticipated or unanticipated, and specifically including, but not limited to, any Claims arising out of or resulting from JCC Parties’ own negligence or fault or the negligence or fault of their agents, employees, representatives, volunteers and assigns, provided that this release and discharge shall in no way affect any claims which we cannot legally waive, such as grossly negligent acts, intentional acts occurring in the future and acts done with malfeasance. 4. We understand that we are releasing the JCC Parties from liability to the full extent that the law allows not only from any risk inherently associated with participation in the Activity, but also any enhanced exposure to injury occasioned by any carelessness, negligence or fault of the JCC Parties or anyone acting on the JCC Parties’ behalf, including any and all liability for damage and injury or death to my child or to any person or property to the full extent that the law allows. 5. I understand that THIS RELEASE OF LIABILITY IS INTENDED TO BE AS BROAD AS LEGALLY POSSIBLE, and I accept the terms as a condition of a Minor being permitted to use the property and facilities of JCC and JCC Day Camps and to participate in the JCC programs and activities and JCC sponsored programs and activities sponsored and programs and activities occurring at the JCC. RELEASE FOR PERSONAL PROPERTY I acknowledge and agree that JCC and its agents, employees, representatives, volunteers and assigns (the “JCC Parties”) shall not be liable for any loss or theft of personal property and I release the JCC Parties for any liability for loss or theft of any personal property in connection with the Activity. INDEMNIFICATION BY PARENT OR GUARDIAN In consideration of the below named child (“Minor”) being permitted by JCC to participate in the Activity and use its equipment and facilities, we further agree to indemnify and hold harmless JCC and Jewish Federation from any and all claims which are brought by, or on behalf of Minors or any of them, which are in any way connected with such use or participation by Minors or any of them. In the event parents are divorced or separated, the custodial parent must sign the registration form. In the event the parents have joint custody, both parents must sign this form. MISCELLANEOUS CAMP MATTERS ACCEPTANCE WITH COMPLETED PHYSICIAN’S STATEMENT: I, as parents, understand that the application is subject to a physical examination of the child by a physician and review and approval of the examination of the Camp Director. Acceptance of enrollment will result in the camp reserving a place for the child. FIELD TRIPS: The parent or guardian grants permission to the camp for the child to participate in trips away from the camp and this camp waiver and release of liability applies during such trips. I agree that the camp may adopt any other regulations that the camp deems necessary for the welfare of the camp and the campers. RELEASE OF INFORMATION: I give permission for my child’s quotes and photos to be used for publicity purposes. NOTICE: JCC Day Camps do not permit discrimination because of race, color, age, sex, handicap or national origin.

THIS DOCUMENT CONTAINS RELEASES OF THE RIGHTS OF PARTICIPATING CHILD AND PARENTS WHICH ARE INTENDED TO BE AS BROAD AS LEGALLY POSSIBLE. I HAVE READ AND UNDERSTAND THE TERMS OF THIS WAIVER AND RELEASE AND I AGREE TO THE TERMS CONTAINED IN THIS DOCUMENT. Minor’s Name (Please Print) _______________________

22 | 2015 Summer Day Camp Guide

Parent or Guardian Name (Please Print) ________________________________

Parent or Guardian Signature ________________________

Date ________

2015 PROTOCOL FOR ADMINISTERING MEDICATION AND BASIC FIRST AID REQUIRED FORM

It is anticipated that there may be situations which arise during camp activities which necessitate treatment of a child for a minor injury or unanticipated physical symptoms which develop or evolve unexpectedly in the camp setting. Often times, the injury or physical symptoms can be remedied with first aid treatments or over-thecounter, non-prescription medications and do not necessitate a significant loss of camp time. These medications are referred to as a protocol medication and include but are not limited to *Acetaminophen (for headache, fever over 101, discomfort associated with flu-like symptoms, sore throat, earache), Bacitracin (for cuts and abrasions), Bactine (for insect bites, cuts and abrasions), Hydrogen Peroxide (to cleanse cuts and abrasions), Dacriose/Normal Saline (to clean the eyes if something has gotten into them), Baking Soda/meat tenderizer packets (for insect bites), Solarcaine or equivalent (for sunburn, local treatment of minor abrasions, breaks in the skin), Aloe Gel (for sunburn), Calamine lotion (for weed rash) and sunscreen. *Adrenaline (or Epipen or Epipen Jr.) will be available for use by the camp nurse or J staff in the event of a severe life-threatening event involving campers 3 years of age or older. *These medications have age restrictions for use and may only be administered by emergency medical personnel or the camp nurse or staff. See Protocol Policy. To this end, protocols or standing orders have been established with approval by Dr. Bruce Berwald, for use in the above noted situations. a.

The Recommended Procedures for Emergency Care of Illness and Injuries published by the Missouri Department of Health will be used as the guide for treatment of sudden illness or injury at camp.

Guidelines for protocol medication administration including indications for use will be used.

Protocols are reviewed and modified on a yearly basis as needed.

The medications/treatments included in the protocols will only be administered with written consent or phone consent from the parent/guardian.

Only one dose of oral medication covered under the protocols will be given during any camp day. If symptoms are not relieved, the parent/guardian will be notified.

The camp will notify the parent/guardian if oral protocol medication is to be given. It is most important that a parent/guardian notify the camp office if a medication was given to their child before camp, other than that which is taken regularly.

Personnel designated by the J Day Camps Administrator to administer the medication/provide treatment following protocols will maintain documentation on each child who requires treatment or medication covered under the protocols.

The parent/guardian may review the standing order and protocols that will be kept on file in the camp office by contacting the J Day Camps Administrator or designee.

Please note that a 2015 PHYSICIANâ&#x20AC;&#x2122;S STATEMENT must be on file for every camper. The PROTOCOL FOR ADMINISTERING MEDICATION AND BASIC FIRST AID form must also be on file in the camp office. Please fill out and return to the office by May 8, 2015. A MEDICATION CONSENT FORM is available for those campers needing prescribed medication administered at camp. (Have on file if needed). 1) A signed consent form from the parent/guardian to administer the medication as prescribed must be on file in the camp office. 2) In addition to the parent/guardian consent, one of the following must also be on file in the camp office, which includes the name of the camper, name of the drug, administration schedule, duration of administration, reason for medication, route of administration and any other specific instructions. a. A Medication Consent form completed and signed by a licensed health care provider OR b. A written note signed by a licensed health care provider OR c. A faxed statement from the licensed health care provider. d. In the event prescription medication is to be given during camp, the medication must be brought to the camp in a container appropriately labeled by a pharmacist or physician, and given to the camp nurse or director by a parent/guardian. 3) The following medication protocols will apply: a. Due to the potential of an adverse reaction, the J Day Camps will not administer the first dose of any medication. Even if the camper has had the medication in the past, but this is the first dose in a series of doses, the first dose will not be given at camp. b. The J Day Camp Nurse or designee will designate staff who will be responsible for the administration of medication. Those designated may not have had previous medical training. c. All medication must be in the original container (example: over-the-counter medication such as is given for cold symptoms) or in a container that had been appropriately labeled by a pharmacist or physician (example: prescription medication such as an antibiotic). Since some campers take medication at home and at camp, the pharmacist can be asked to put the medication into two containers with one containing the supply for home and one for camp. d. Medication containers must contain only the amount of medication necessary for the doses to be given at camp. For medication which is to be given once a day for two weeks, this generally means that 8-10 pills will be in the container depending on when the medication was started. e. When medication is brought to the J Day Camp, it must be turned in to the camp nursing office or day camp director at the beginning of the camp day where it will be stored in a locked cabinet if refrigeration is not required. Parents/guardians are encouraged to count the medication before delivering it to camp. No child is to have medication with them at camp unless it has been determined that the child can self-manage medications (See g). f. All discontinued or unused medication must be picked up by the parent/guardian. g. Consideration of self-managed medication administration by a camper will be evaluated on an individual basis following a written request by the parent/guardian to the J Day Camp administrator and a signed authorization from the prescribing health care provider.

Jewish Community Center | jccstl.org | 23

PROTOCOL FOR ADMINISTERING MEDICATION AND BASIC FIRST AID REQUIRED FORM Specific medications have been approved for use by campers as needed during camp-related activities if parent/guardian consent is on file. These medications are available for use by designed camp staff or the camp nurse as outlined in the “Protocol for Administering Medication Policy”. I acknowledge that I have reviewed and am familiar with the Protocol for Administering Medication and Basic First Aid and consent to terms and conditions of Policy. I realize a physician will not be present or available during the administration of medication, which the Camp Nurse may not be present for this purpose, and that medication may be administered by a non-medical person. Further, I indemnify and hold harmless the Jewish Community Center employees from and against all claims arising out of the implementation of the Protocol Medication Policy and administration of medication under this policy and the Medication Policy. The J has my permission to have a physician treat my child if needed during participation in the Activity or while my child is on the property of the J. I authorize the Camp Director to use his or her judgment in arranging for any medical care for my camper which the Camp Director deems necessary. I hereby consent to any first aid, medication, medical treatment or surgery deemed necessary by the Activity Camp Director in his or her judgment. I release the J and its agents, employees, representatives, volunteers and assigns of and from all claims for injuries or damages incurred by my child in connection with the delivery of such care in good faith. This release is also a condition of participation in the Activity. I consent that my child may be assessed and/or treated by the Camp Nurse or, if the Nurse is not available, by a designated Camp Staff in case of illness or injury. I agree to pay all expenses of care administered to my child. Camper’s Name Parent/Guardian Signature

Date

BEHAVIOR POLICY REQUIRED FORM

The J programs are designed for children to function in an atmosphere dedicated not only to individual growth but also to group cohesion. These situations sometimes stimulate various behaviors including both positive and negative peer pressures. Since our program population is a sampling of the world we live in, we deem it advisable to delineate very clearly what the J’s standards and rules are and what action we will take in our role as “substitute parents” in the event that these rules are broken.

NOT ALLOWED:

a. b. c. d. e. f. g.

h. i.

Illegal activity, including possession or use of any drug or substance. Possession or consumption of alcoholic beverages. Possession of tobacco products. Possession or sale of pornographic materials. Possession of knives or weapons of any kind. Activity detrimental to the welfare or health of others, including, but not limited to, persistent physical or verbal abuse, theft, or vandalism. The J will charge the offender for repairs or removal of graffiti. Certain items and activities at the J are not necessary or are inappropriate by J staff (i.e., violent or abuse lyrics, etc.), matches, lighters, fireworks, or incense of any kind. Unauthorized cell phones are not permitted at the J. Unauthorized animals are not permitted at the J.

Should we have reason to suspect a participant of violating any of the above rules, we respond as follows: For a, b, c, d, & e, and in cases of theft (f), we reserve the right to search the participant’s possessions in their presence. If we determine a violation of the rules has occurred, we will notify the participant’s parents. Violation of a or b will result in immediate dismissal. In the case of c, d, or f, disciplinary action may be taken after full consideration. In regard to f, the J encourages respect of other participants and staff. Any participant who does not adhere to this philosophy will be counseled, and if necessary, disciplined by us. If such counseling and discipline does not result in cooperation and better behavior, we will consult with parents. We then reserve the right to suspend a participant from the program. This behavior may also affect future enrollment, and we do reserve the right not to allow a participant back into the program. We also feel that a safe and successful programming experience requires adherence to a few rules and regulations regarding safety procedures. Persistent and willful disregard for these rules and regulations is considered sufficient reason for expulsion. This will not be enforced without first communicating with parents and making every effort to secure cooperation. Being a part of the J community means doing activities together. Participants are expected to join in group activities and are encouraged to participate in all program activities. Camper’s Name Parent/Guardian Signature

24 | 2015 Summer Day Camp Guide

Date

2015 PHYSICIAN’S STATEMENT REQUIRED FORM

To ensure an informed response in case of an emergency, your child WILL NOT BE PERMITTED to attend J Day Camp without a completed 2015 Physician’s Statement signed by a physician. Your child must have had an exam since September 1, 2013 and have a copy on file. THIS FORM TO BE COMPLETED BY A PHYSICIAN FILL IN CHILD’S NAME AND FORWARD TO YOUR PHYSICIAN. Child’s Name

Weight:

lbs

Note any abnormal findings:

Birth Date:

Height

Is the current examination normal?

Yes

____________________________________________________________________________

List name of drug(s) currently used, dosage, frequency needed: List any known allergies (drug, food, plants, insects, etc): IMMUNIZATION DATES: (Please complete this section or attach a copy of the current immunization record.)

DPT:

1. 2.

POLIO:

1. 2.

MMR/MR:

1. 2.

HIB: TB:

Reaction:

HEP-B:

Is child under a physician’s care for any conditions? If so explain:

Is any treatment/medication needed during program participation? Please describe any camp activities from which the child should be exempt for health reasons: Is child under any dietary restrictions? If so, please explain: Please mark information pertinent to this child: Hearing Deficiency

Heart Defect/Disease

Asthma

Developmental Disability

Behavioral Disorder

Down’s Syndrome

Speech Delay

Glasses/Contacts

Hearing Aids

Tourette’s Syndrome

Autism

Blind

Walker

Anxieties

Seizure Disorder

Orthopedic Disability

Attention Deficit Disorder

Wheelchair

Social/Emotional Disorder

Any other special concerns (including behavioral) DATE OF EXAM: Type or print Physician’s name:

PHYSICIAN’S SIGNATURE: Date Signed:

** RETURN THIS FORM BY MAY 8, 2015** (If signing up for camp after this date, form is due immediately!) Please return to: Jewish Community Center, Attn: Sara Jones Day Camp Registrar, 2 Millstone Campus Dr, St. Louis, MO 63146 or Fax to Attn: Sara Jones Day Camp Registrar 314-442-3404

Jewish Community Center | jccstl.org | 25

J DAY CAMPS MEDICATION CONSENT FORM (This form is to be used only if a child is taking medication during camp) I hereby request and authorize JCC DAY CAMPS to give my child medication as specified below, according to the “Medication Protocol”. In making this request, I acknowledge that a physician or nurse will not be present or available during the administration of medication, and that medication may be administered by a non-medical person. *This form is to be completed by the health care provider who is prescribing the medication and signed by the health care provider and parent/guardian. CAMPER’S NAME: ____________________________________________________________________ 1. Medication: _______________________________________________________________________ Reason for Medication: _____________________________________________________________ Dosage/Route: _________________________ Time(s) of day: _____________________________ Start date: _____________________________ End Date: _________________________________ Side Effects/Special Instructions: ____________________________________________________ __________________________________________________________________________________

2. Medication: _______________________________________________________________________ Reason for Medication: _____________________________________________________________ Dosage/Route: _________________________ Time(s) of day: _____________________________ Start date: _____________________________ End Date: _________________________________ Side Effects/Special Instructions: ____________________________________________________ __________________________________________________________________________________

____________________________________ Physician Signature/Date

____________________________________ Parent/Guardian Signature/Date

____________________________________ Physician Phone Number

____________________________________ Parent/Guardian Phone Number

26 | 2015 Summer Day Camp Guide

mark Monday

Tuesday

your camps

Wednesday

Thursday

Friday

May 25

June 1

July 1

Aug 3

Memorical day No Camp

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Jewish Community Center 2 Millstone Campus Drive St. Louis, MO 63146-5776

2015 Summer Camp Reunion and Early Registration Day

Sunday, January 18, 2015 Time: 3:30 â&#x20AC;&#x201C; 5:30pm Location: Myseum 283 Lamp and Lantern Village, 63017 Sign up for camp on or before January 18 and register to win FREE camp.*

For more information or to register, contact Sara Jones at 314-442-3432 or sjones@jccstl.org *Day Camp registration must be received by 5:30pm, January 18, 2015 to be eligible to win. For each week of day camp that a child is registered, his or her name will be entered in the random drawing. Grand Prize: Free 2015 Summer Camp. One (1) name will be randomly drawn to receive a free summer of day camp based on the number of weeks that child has registered for before the January 18 deadline. Other Prizes: Free 2015 Day Camp Week. Five (5) names will be randomly drawn to receive one free week of day camp. Prizes are not transferable.