SUMMER
CAMPS Summer Camps for Grades Preschool and up Basketball • Engineering • Film • Fitness • Leadership Performing Arts • Music • Technology
tri-c.edu/summercamps | 216-987-3075, option#1
2017
COMMUNITY EDUCATION (AGES 6-16)
AMERICAN FOLK ART STUDIO Ages: 6-8 | Cost: $275 | CRN: 30013 Discover the beginnings of American folk art and why it is so popular today. Students will learn interesting facts of American history while creating a small sample of the day’s theme using many different techniques and supplies. Here is a sample of what students will be creating: • • • • • •
• • • • •
Ice fishing decoy Weather vane Heart & Han paper valentine Sailor’s treasure box American eagle Theorem painting
Rag doll Penny rug Pennsylvania Dutch hex sign Cross stitch sampler Fraktur birth certificate
Contact for information: Fran Tomba, 216-987-2333 | Student must bring lunch and snacks
July 17-21
9 a.m.-4 p.m.
M-F
Eastern Campus
ART TRAVELOGUE STUDIO Ages: 6-8 | Cost: $275 | CRN: 41866 During this fun, relaxed approach to art, students will “visit” a foreign country and learn the type of art originating from there. Each student will create a simple example of this art form. A passport can also be created to show each country visited by making a hand stamped image representing that country. Students will work on projects from countries and regions including: • • • • • •
• • • •
China – block prints British Columbia – Inuit rug, paper sewing France – Notre Dame stained glass window Japan – marbling on paper, bookmaking Caribbean – sailor’s shell box Russia – nesting doll
Ireland – illumination Australia – dot and x-ray painting Africa – mask (tin or paper), mancala game Mexico – tin art, bark painting
Contact for information: Fran Tomba, 216-987-2333 | Student must bring lunch and snacks
June 19-23
3
9 a.m.-4 p.m.
M-F
Eastern Campus
CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
BEGINNER GOLF CAMP Ages: 8-11 | Cost: $150 Beginning golf emphasizes proper grip, stance, swing, club selection, shot making and etiquette. Students will receive technical, mental and physical fitness training. Contact for information: Fran Tomba, 216-987-2333 | Student must bring snacks
June 19-23 July 17-21
9 a.m.-noon 9 a.m.-noon
M-F Western Campus M-F Eastern Campus
CRN 41865 CRN 30015
STEM K’NEX® Ages: 8-11 | Cost: $150 Students will learn the concept of “going green” using STEM concepts with K’NEX®. Working in groups, students will address critical science, technology and engineering concepts in a classroom setting using hands-on exploration in conjunction with an engaging inquiry-based approach to learning. Students are encouraged to work cooperatively as they build, investigate, discuss and evaluate concepts, ideas and designs. Contact for information: Fran Tomba, 216-987-2333 | Student must bring snacks
June 12-16 June 26-30 July 17-21 July 24-28
9 a.m.-noon 9 a.m.-noon 9 a.m.-noon 9 a.m.-noon
M-F M-F M-F M-F
Brunswick University Center Eastern Campus Westshore Campus Western Campus
CRN: 41863 CRN 41868 CRN 30017 CRN 30020
CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
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STOP MOTION ANIMATION Ages: 8-11 | Cost: $150 Stop motion is a powerful animation technique that makes static objects appear to be moving. Creating stop motion draws attention to placement framing, direction and speed of movement. Students will create stop motion projects that communicate ideas in both 2-D and 3-D media, including hand drawing, cell, cut-paper, sand, and clay animation. They will also be able to define the concepts of placement, framing, direction and speed. Contact for information: Fran Tomba, 216-987-2333 | Student must bring snacks
June 12-16 June 26-30 July 17-21 July 24-28
1-4 p.m. 1-4 p.m. 1-4 p.m. 1-4 p.m.
M-F M-F M-F M-F
Brunswick University Center Eastern Campus Westshore Campus Western Campus
CRN 41862 CRN 41867 CRN 30016 CRN 30019
TECH KIDS Ages: 8-11 | Cost: $275 Is your child into high tech? Our Tech Kids summer program includes 2-D game design, 3-D game design, digital video production, web design with animation, digital anime, and digital art and animation. Each day campers learn fun new skills and gain practical knowledge of careers in the world of gaming and digital design! All courses are taught by professionally-trained Tri-C staff. Each staff member holds a bachelor’s degree or higher in technology, has real-world business experience in her or his area of expertise and has been teaching for at least two years in the field. This adventure is reasonably priced and exciting with games, videos and other digital projects your child will create! Weather permitting, some outside activity will be provided during lunch and breaks. Contact for information: Fran Tomba 216-987-2333 | Student must bring a flash drive, lunch and snacks
June 12-16 June 19-23 June 26-30 July 24-28
5
9 a.m.-4 p.m. 9 a.m.-4 p.m. 9 a.m.-4 p.m. 9 a.m.-4 p.m.
M-F M-F M-F M-F
Eastern Campus Western Campus Westshore Campus Brunswick University Center
CRN 41850 CRN 41851 CRN 41852 CRN 30012
CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
AMERICAN FOLK ART STUDIO Ages: 9-11 | Cost: $275 | CRN: 30022 Discover the beginnings of American folk art and why it is so popular today. Students will learn interesting facts of American history while creating a small sample of the day’s theme using many different techniques and supplies. Here is a sample of what students will be creating: • • • • • •
• • • • •
Ice fishing decoy Weather vane Heart & Han paper valentine Sailor’s treasure box American eagle Theorem painting
Rag doll Penny rug Pennsylvania Dutch hex sign Cross stitch sampler Fraktur birth certificate
Contact for information: Fran Tomba, 216-987-2333 | Student must bring lunch and snacks
Aug. 14-18
9 a.m.-4 p.m.
M-F
Eastern Campus
ART TRAVELOGUE STUDIO Ages: 9-11 | Cost: $275 | CRN: 30021 During this fun, relaxed approach to art, students will “visit” a foreign country and learn the type of art originating from there. Each student will create a simple example of this art form. A passport can also be created to show each country visited by making a hand stamped image representing that country. Students will work on projects from countries and regions including: • • • • •
• • • • •
China – block prints British Columbia – Inuit rug, paper sewing France – Notre Dame stained glass window Japan – marbling on paper, bookmaking Caribbean – sailor’s shell box
Russia – nesting doll Ireland – illumination Australia – dot and x-ray painting Africa – mask (tin or paper), mancala game Mexico – tin art, bark painting
Contact for information: Fran Tomba, 216-987-2333 | Student must bring lunch and snacks
August 7-11
9 a.m.-4 p.m.
M-F
Eastern Campus
CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
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TRI-C CULINARY ACADEMY Ages: 9-12 | Cost: $250 Explore the exciting world of culinary arts by learning skills from Tri-C’s expert chefs. Learn the basics of food safety and proper handling of utensils. Have fun learning proper culinary techniques like chopping, dicing, reading recipes, the importance of measuring ingredients, while making delicious and healthy foods. Students will also participate in cleaning the kitchen. Duties will be rotated daily. Note: Food supplies, use of equipment, and handouts are included in the price. Students must wear closed-toe, non-slip shoes with long pants. If you have long hair, please bring a hair tie. Contact for information: Fran Tomba 216-987-2333 | Student must bring snacks
June 12-16 July 10-14
8:30 a.m.-12:30 p.m. 8:30 a.m.-12:30 p.m.
M-F M-F
HMC CRN 41845 Eastern Campus CRN 30011
YOUNG FILMMAKERS AND PHOTOGRAPHY STUDIO Ages: 10-13 | Cost: $275 For aspiring young filmmakers who are interested in exploring the process of making movies. This weeklong movie camp is a fantastic way to inspire creative young minds. Contact for information: Fran Tomba, 216-987-2333 | Student must bring a flash drive, lunch and snacks
June 12-16 June 19-23 June 26-30 July 24-28
7
9 a.m.-4 p.m. 9 a.m.-4 p.m. 9 a.m.-4 p.m. 9 a.m.-4 p.m.
M-F M-F M-F M-F
Western Campus Westshore Campus Brunswick University Center Eastern Campus
CRN 41847 CRN 41848 CRN 41849 CRN 30014
CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
TEEN CULINARY ACADEMY Ages: 13-16 | Cost: $250 Explore the exciting world of culinary arts by learning skills from Tri-C’s expert chefs. Learn the basics of food safety and proper handling of utensils. Have fun learning proper culinary techniques like chopping, dicing, reading recipes and the importance of measuring ingredients, while making delicious and healthy foods. Students will also participate in cleaning the kitchen. Duties will be rotated daily. Contact for information: Fran Tomba, 216-987-0233 | Students must bring a snack. Note: Food supplies, use of equipment and handouts are included in the price. Students must wear closed‑toe, non-slip shoes with long pants. If you have long hair please bring hair tie.
June 26-30 July 17-21
8:30 a.m.-12:30 p.m. 8:30 a.m.-12:30 p.m.
M-F M-F
HMC Eastern Campus
CRN 41846 CRN 30013
CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
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CREATIVE ARTS (4-18)
DANCE ACADEMY INTRO/BEGINNER CAMP Ages: 4-13 | Cost: $400* | CRN: 41990 Students learn ballet and modern dance techniques, floor work, center work and movement across the floor. Camp culminates in a final performance. Contact for information: 216-987-6145 | Lunch is provided and included in the cost. Costume fee for the final concert is also included.
June 26 - July 14
9 a.m.-4 p.m.
M-F
Metropolitan Campus
*$400 before May 18. $450 after May 18.
STRINGS ATTACHED CAMP Ages: 6-18 | Cost: $300* | CRN: 41844 This camp combines string ensemble (violin, viola, cello, bass) classes with a language arts class, in which students learn journaling, storytelling and poetry. The students then select one of their poems or stories, from which a team of fellow students creates a performance with original words and music. There will be a final public performance on the last day of camp. Contact for information: 216-987-6145 | Lunch is provided and included in the cost.
June 26-July 14
9 a.m.-3 p.m.
M-F
Metropolitan Campus
*$300 before May 18. $350 after May 18
TRI-C JAZZFEST CAMP Ages: 8-18 | Cost: $250* | CRN: 41518 Spend two weeks at a jazz camp that culminates in a world-class jazz festival June 23-25. Contact for information: 216-987-6145 | Lunch is not provided. Students can bring a packed lunch.
June 12-23
9 a.m.-4 p.m.
M-F
Metropolitan Campus
*$250 before May 18, $300 after May 18.
CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
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MUSIC AND MATH CAMP Ages: 9-12 | Cost: $200* | CRN: 41843 Have fun making music while you sharpen your math and literacy skills. Cleveland deejay and producer Phatty Banks teaches using the latest technologies in the music industry. Contact for information: 216-987-6145 | Lunch is not provided. Students can bring a packed lunch.
June 5-9
9 a.m.-3 p.m.
M-F
Metropolitan Campus
*$200 before May 18. $250 after May 18
MIDDLE SCHOOL PERFORMING ARTS CAMP Ages: 10-14* | Cost: $245** | CRN: 41733 The 21st Annual Tri-C Performing Arts Camp is taught by professionals for students interested in acting, singing, dancing, playwriting, pantomime, directing and more. Included is a public performance on the last day of camp, July 1. Contact for information: 216-987-6145 | Students can bring a packed lunch or can purchase lunch from the college cafeteria for less than $10 a day. Note: This camp offers an early arrival time of 7:30 a.m. and late pickup time of 5:15 p.m., offered free for parents who need extended hours. Reservations for early arrival and late pickup should be made by calling camp director Kira Seaton at 216-987-5279.
June 19-30 July 1
8:30 a.m.-3 p.m. 8:30 a.m.-6 p.m.***
M-F Saturday
Western Campus Western Campus
*For students entering grades 5-9 in fall 2017. **$245 before May 18, $295 after May 18. ***Public performance at 3 p.m.
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CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
NORTH COAST WINDS CHAMBER MUSIC CAMP Ages: 12-18 | Cost: $250* | CRN: 41992 This camp includes music instruction, master classes and performances by the award-winning members of the North Coast Winds. Students will participate in chamber ensembles for all ability levels; seminars on music theory, music history and the music business; standard quintet repertoire; a professional recording of the final performance; and fun musical games. Contact for information: 216-987-6145 | Lunch is not provided. Students can bring a packed lunch.
June 5-9
9 a.m.-4 p.m.
M-F
Metropolitan Campus
*$250 before May 18, $300 after May 18.
HIGH SCHOOL PERFORMING ARTS CAMP Ages: 13-17* | Cost: $315** | CRN: 30009 The 21st Annual Tri-C Performing Arts Camp is taught by professionals for students interested in acting, singing, dancing, playwriting, pantomime, directing and more. Included is a public performance on the last day of camp, July 29. Contact for information: 216-987-6145 | Students can bring a packed lunch or can purchase lunch from the college cafeteria for less than $10 a day. Note: This camp offers early arrival time of 7:30 a.m. and late pickup time of 5:15 p.m., offered free for parents who need extended hours. Reservations for early arrival and late pickup should be made by calling camp director Kira Seaton at 216-987-5279.
July 10-28 July 29
8:30 a.m.-3 p.m. 8:30 a.m.-6 p.m.***
M-F Saturday
Western Campus Western Campus
*For students entering grades 8-12 in fall 2017. **$315 before May 18, $365 after May 18. ***Public performance at 3 p.m.
CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
DANCE ACADEMY INTERMEDIATE CAMP Ages: 13-18 | Cost: $375* | CRN: 41991 Students learn ballet and modern dance techniques, floor work, center work and movement across the floor. Camp culminates in a final performance. Contact for information: 216-987-6145 | Lunch is provided and included in the cost. Costume fee for the final concert is also included.
July 3-14
9 a.m.-4 p.m.
M-F
Metropolitan Campus
*$375 before May 18, $425 after May 18.
THE A CAPPELLA CAMP Ages: 13-19 | Cost: $200* | CRN: 30010 A Cappella Camp is a summer vocal music program where teenagers have the opportunity to explore the a cappella genres of contemporary pop, jazz, gospel and other art music. This fun-filled camp is an educational music program designed to help build character, self-discipline and musicianship in teens. The camp is directed by Reginald Bowens, a member of the award-winning group, Afro-Blue, which performed on the third season of NBC’s The Sing-Off. Contact for information: 216-987-6145, or visit the website at www.theacappellacamp.com Lunch is not provided. Students can bring a packed lunch.
July 17-28
9:30 a.m.-4 p.m.
M-F
Metropolitan Campus
*$200 before May 18, $250 after May 18.
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CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
PUBLIC SAFETY (15-18)
PUBLIC SAFETY CAREER PATH ACADEMY Ages: 15-16* | Cost: Free Thinking about a career in public safety? The Cuyahoga Community College (Tri-C®) Public Safety Summer Academy is a tuition-free, grant-funded program that includes experiences with a wide variety of public safety careers and activities. Students will learn about careers in police, fire, EMS, C.E.R.T., homeland security, 9-1-1 dispatch, environmental health and safety, private security, bailiff, corrections, crime scene investigation, command post (ICS) and court reporting. The Tri-C Public Safety Summer Academy is made possible through a partnership with KeyBank.
Contact for information: Melva Henderson, 216-987-3606 or melva.henderson@tri-c.edu Craig Ali, 216-987-5474 or craig.ali@tri-c.edu
June 12-30
9 a.m.-3:30 p.m.
M-F
KeyBank Public Safety Training Center
*High school sophomores and juniors.
PUBLIC SAFETY CAREER PREPARATION ACADEMY Ages: 17-18* | Cost: Free Thinking about a career in public safety? The Cuyahoga Community College (Tri-C®) Public Safety Summer Academy is a tuition-free, grant-funded program that includes experiences with a wide variety of public safety careers and activities. Students will learn about careers in police, fire, EMS, C.E.R.T., homeland security, 9-1-1 dispatch, environmental health and safety, private security, bailiff, corrections, crime scene investigation, command post (ICS) and court reporting. The Tri-C Public Safety Summer Academy is made possible through a partnership with KeyBank.
Contact for information: Melva Henderson, 216-987-3606 or melva.henderson@tri-c.edu Craig Ali, 216-987-5474 or craig.ali@tri-c.edu
June 12-30
9 a.m.-3:30 p.m.
M-F
KeyBank Public Safety Training Center
*High school seniors and 2017 graduates.
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CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
RECREATION (4-14)
CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
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TRI-C CHALLENGERS COED BASKETBALL CAMPS Ages 4-7 | Cost: $65 | CRN: 41945 Tri-C Western Campus is pleased to offer two coed basketball camps for 4-7 year olds and 8-14 year olds. Campers will enjoy the ultimate basketball camp experience by developing skills in shooting, passing, dribbling, rebounding, defense and footwork. Campers will not only learn what it takes to be successful both on and off the court, by practicing good sportsmanship, and developing an appreciation for the game and how it is played. Campers will participate in drills and games throughout the week. Most of all, our campers will have fun! To receive a required camp packet, please call the Western Campus Recreation Department at 216-987-5456. About the instructor: Craig Richardson is a former high school and collegiate coach, part-time physical education instructor at Tri-C West and has experience teaching in a K-12 educational setting. Richardson coaches youth travel basketball through the Berea Recreation Center and personal basketball instruction. Richardson believes strongly in empowering youth and helping them reach their full potential. Each registered camper will receive a t-shirt on the first day of camp. Campers must sign up by June 2 in order to receive a t-shirt. Contact for information: Craig Richardson at 216-987-5456 | Student must bring lunch and snacks
June 11, 18, 25
17
1-3 p.m.
Sundays
Western Campus WRC F100
CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
TRI-C CHALLENGERS COED BASKETBALL CAMPS Ages 8-14 | Cost: $195 | CRN: 41940 Tri-C Western Campus is pleased to offer two coed basketball camps for 4-7 year olds and 8-14 year olds. Campers will enjoy the ultimate basketball camp experience by developing skills in shooting, passing, dribbling, rebounding, defense and footwork. Campers will not only learn what it takes to be successful both on and off the court, by practicing good sportsmanship, and developing an appreciation for the game and how it is played. Campers will participate in drills and games throughout the week. Most of all, our campers will have fun! To receive a required camp packet, please call the Western Campus Recreation Department at 216-987-5456. About the instructor: Craig Richardson is a former high school and collegiate coach, part-time physical education instructor at Tri-C West and has experience teaching in a K-12 educational setting. Richardson coaches youth travel basketball through the Berea Recreation Center and personal basketball instruction. Richardson believes strongly in empowering youth and helping them reach their full potential. Each registered camper will receive a t-shirt on the first day of camp. Campers must sign up by June 2 in order to receive a t-shirt. Contact for information: Craig Richardson at 216-987-5456 | Student must bring lunch and snacks
June 19-23
8 a.m.-4 p.m.
M-F
Western Campus WRC F100
CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
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TRI-C SPORT AND FITNESS ACADEMY BASKETBALL Ages 9-13 | Cost: $250 | CRN: 42168 This co-ed camp will focus on skill development. T-shirt included in the cost of camp. To register, call 216-987-3075 Contact information: John Bailey at 216-987-3096 | Student must bring lunch and snacks
June 19-30
TBD
TBD
Metropolitan Campus WRC F100
TRI-C SPORT AND FITNESS ACADEMY BASKETBALL Ages 9-13 | Cost: $250 | CRN: 30042 This co-ed camp will focus on skill development. T-shirt included in the cost of camp. To register, call 216-987-3075 Contact information: John Bailey at 216-987-3096 | Student must bring lunch and snacks
July 10-21
19
TBD
TBD
Metropolitan Campus WRC F100
CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
NUTS AND BOLTS ACADEMY (10-18)
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CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
FLYING HIGH WITH DRONES Ages: 14-18 | Cost: $500 Build and program your very own drone! Campers will learn GPS mission planning as they construct and program their own personal quadcopter for flight. They will also gain experience piloting a drone on a fun and challenging indoor obstacle course. The finished product is theirs to keep.
July 31-Aug. 4
9 a.m.- 4 p.m.
M-F
Advanced Technology Training Center
KRAZY KITCHEN KHEMIST Ages 11-14 | Cost: $325 Did you know that you can cook with chemicals? Learn about molecular gastronomy – the science of cooking. Campers will cook a new dish each day using chemicals, syringes, pH meters and other things usually found in a science lab. Molecular gastronomy kit and apron included. Contact for information: Alethea V. Ganaway, 216-987-4424 or aletheaganaway@tri-c.edu
July 24-28
9 a.m.-1 p.m.
M-F
Eastern Campus
ROCK THE FAB LAB CLE Ages 12-18 | Cost: $375 Are you creative and interested in music? If you answered yes, then this is the camp for you. Campers will learn how to customize and mill a block of wood to build their own guitars in our stateof-the-art fab lab. No prior experience required to register. Contact for information: Alethea V. Ganaway, 216-987-4424 or aletheaganaway@tri-c.edu
June 26-30
21
9 a.m.-3 p.m.
M-F
Unified Technologies Center
CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
CREATION STATION Ages 12-15 | Cost: $350 Interested in learning what you can do in a fab lab? Campers will explore Tri-C’s Ideation Station, a fully equipped fab lab with 3D printers, laser engravers and much more. Participants will create and design their own projects and learn to use 3D modeling software to print their own creations. Lunch will be provided. Contact for information: Alethea V. Ganaway, 216-987-4424 or aletheaganaway@tri-c.edu
June 19-23
9 a.m.-3 p.m.
M-F
Unified Technologies Center
WELDING WIZARDS Ages 10-13 | Cost: $325 This weeklong session includes eight hours of virtual welding experience plus live demonstrations of new technologies such as underwater welding. Campers will also have the opportunity to solder a project live in the classroom. Each participant will receive a beginners soldering kit and can select one of several potential projects to fabricate. The kit and finished project are theirs to keep. Participants will use their creative abilities to customize a woodworking project in the classroom as well. Class size is limited to 12. Contact for information: Alethea V. Ganaway, 216-987-4424 or aletheaganaway@tri-c.edu
July 10 -14
9 a.m.-3 p.m.
M-F
Advanced Technology Training Center
CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
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REGISTER AND PAY ONLINE OR FILL OUT THE FORM BELOW The link below allows the convenience of registering and paying for noncredit classes online by credit card or electronic check. You can also search for current courses by title, course number or key words.
www.tri-c.edu/summercamps SUMMER CAMP REGISTRATION FORM Please complete the Registration/Consent form for each attendee and mail the form to Cuyahoga Community College, 3409 Woodland Ave., Cleveland, OH 44115, Attention: Summer Camps Registration. Tri-C ID/Social Security Number (last four digits) __________
Payment must accompany registration
Student Name ____________________________________
Select payment type
Address _________________________________________
q Check enclosed q Money order
City ________________________ State ____ Zip ________ Parent/Gaurdian Name _____________________________ Home Phone _____________________________________ Work Phone ______________________________________
q Visa q MasterCard q Discover Account Number _____________________________ Name on Card _______________________________ Expiration Date ____________ CID Number ________ Total amount $ ____________
E-Mail address ___________________________________
Credit card billing address, if different.
School or Current Address ___________________________
__________________________________________
Birthday ____________ Grade (as of Spring 2017) ________ __________________________________________ Course No. Camp Title
Start Fee Date
Cardholder Signature __________________________ Workforce and Economic Development Division Refund Policy A 100% refund is given if a completed withdrawal request is received before the camp begins. No refund is given after the camp begins.
Total
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CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
MEDICAL INFORMATION AND CONSENT FORM Please list any known health problems (such as allergies, diabetes, heart trouble, epilepsy or asthma, etc.) that we should be aware of: ________________________________________________________
Tri-C Summer Camp Participation Agreement Participant (Child) Name ________________________________________
________________________________________________________ ________________________________________________________
Description of activity (the “Event(s)”): Tri-C Summer Camp ________________________________________
Please list any physical activities that your child should not participate in: ________________________________________________________ ________________________________________________________ ________________________________________________________ Please list any foods that your child should not eat: ________________________________________________________ ________________________________________________________ ________________________________________________________ Please list any religious restrictions regarding what can be done for your child in emergencies/health care situations: ________________________________________________________ ________________________________________________________ ________________________________________________________
IN CASE OF EMERGENCY Consent is granted to the staff of the Cuyahoga Community College program to provide medical services through the appropriate medical facilities and/or medical service provider(s) to: ________________________________________________________ (Student’s name) throughout my child’s participation in the Cuyahoga Community College program. ___________________________________________ _____________ Signature of Parent or Guardian Date Emergency contact (other than parent) ___________________________________________ _____________ (Last) (First) ___________________________________________ _____________ Relationship to student _____________________________ ______________ ____________ Daytime Telephone Home Phone
Date(s) of Event(s) ________________________________________ I am entering into this legally binding agreement for good and valuable consideration, the receipt and sufficiency of which I hereby acknowledge. I am the parent or guardian of the child named above, and hereby request that my child be permitted to participate in Cuyahoga Community College District’s (the “College” or “College’s”) “Summer Camp Program.”All College actions, requirements, directions, and standards shall be deemed to have been intended for the benefit of my child. Although a minor, my child is aware of the risks involved with participating in Tri-C’s Summer camp Program. I assure the College that I have carefully counseled my child on the risk of participating. Further, I warrant and represent that no physical or other reason would restrict or preclude my child’s participation. I authorize the College and its trustees, officers, students, vendors, consultants, and employees (collectively, the “Affiliates”) to obtain such medical care, emergency or otherwise, that it or they may deem necessary for my child. Further, I warrant and represent that I have adequate health insurance or personal funds to provide payment for all costs of such medical care, which shall be my responsibility. I acknowledge and agree that the College may dismiss my child from [Tri-C’s Summer Camp Program], either temporarily or permanently, in the event of behavior that is disruptive, dangerous, uncooperative, or otherwise unacceptable in the sole judgment of the College; and in such event, the College will owe no refund or other compensation whatsoever. I grant irrevocable permission to the College and its Affiliates to use my child’s name, photograph, video, likeness, voice, statements, or biographical material (collectively, “Material”) associated with the Event(s) in any and all manner and media throughout the world, in perpetuity. I irrevocably assign all worldwide copyrights in the Material to the College. I waive any rights of inspection or approval. I agree that the Material may be edited, adapted, expanded, revised, or modified at the sole discretion of the College and its Affiliates. I consent to use of the Materials in connection with publicity, advertising, promotion, publication, and any other purposes. I understand that the College and its Affiliates may use the Materials in any media or format it chooses, whether or not for profit, including without limitation television, radio, print, promotional materials, and Internet. I warrant and represent that this agreement does not in any way conflict with any existing commitment on my (or my child’s) part. I agree that the College is not under any obligation to exercise any of the rights, licenses, and privileges herein granted. I agree to release and discharge the College and its Affiliates from all claims, liabilities, losses, and costs (including without limitation, attorneys’ fees and other costs of defense) that I (or my child) may now or hereafter have against any of them arising out of or relating to participation in the Event(s) or the College’s or any Affiliate’s exercise of rights granted by this agreement, including without limitation claims for compensation, defamation, infringement, and invasion of privacy. I agree to indemnify and hold harmless the College and its Affiliates from and against any liabilities, losses, claims, costs (including without limitation attorneys’ fees and other costs of defense) and expenses arising out of or relating to this agreement, except to the extent caused by the gross negligence or deliberately wrongful acts of the College or its Affiliates. This agreement impacts my legal rights and duties, and those of my child. I have read this document and fully understand it. Agreed and accepted:
________________________________________ Parent or Guardian (Print Name) ________________________________ ________ Parent or Guardian Signature Date
CUYAHOGA COMMUNITY COLLEGE | 2017 SUMMER CAMPS
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SUMMER
CAMPS ADVANCED TECHNOLOGY TRAINING CENTER 3409 Woodland Ave. Cleveland, OH 44115 BRUNSWICK UNIVERSITY CENTER 3605 Center Road Brunswick, OH 44212
2017
EASTERN CAMPUS 4250 Richmond Road Highland Hills, OH 44122
METROPOLITAN CAMPUS 2900 Community College Ave. Cleveland, OH 44115
LAKE ERIE NATURE & SCIENCE CENTER 28728 Wolf Road Bay Village, OH 44140
WESTERN CAMPUS 11000 Pleasant Valley Road Parma, OH 44130
CORPORATE COLLEGE® WEST 25425 Center Ridge Road Westlake, OH 44115
WESTSHORE CAMPUS 31001 Clemens Road Westlake, OH 44145
Summer Camps for Grades Preschool and up Basketball • Engineering • Film • Fitness • Leadership Performing Arts • Music • Technology
tri-c.edu/summercamps | 216-987-3075, option#1
16-3337