Poly Prep Summer Programs 2014 by Poly Prep Country Day School

Poly PreP Summer ProgramS 2014 June 16–August 22, 2014

Three new Specialty Camps!

✺ Summer Academics ✺ Summer Experience Day Camp ✺ Performing Arts Camp easier online registration!

Two new Teaching Pools!

✺ Swim Lessons ✺ Specialty Camps: • Art • Dance • Sports • Tech

poly prep summer 2014 calendar P O LY P R E P S U M M E R 2 0 1 4 C A L E N DA R J U N E 1

J U L Y

A U G U S T

Summer Experience

Summer Experience Performing Arts 9

closed

Sports Performance B

Specialty Camps – Session III

Sports Performance B Summer Academic Programs Summer Experience Performing Arts 15

Specialty Camps – Session IV

Sports Performance B

Summer Academic Programs Sports Performance A

Summer Experience Performing Arts

Specialty Camps – Session I 22

Specialty Camps – Session V

Sports Performance B

Summer Academic Programs Sports Performance A

Summer Experience Performing Arts

Specialty Camps – Session II 29

closed

Sports Performance B

Summer Academic Programs

Summer Experience Performing Arts

Registration deadlines

table of contents Letter from Associate Head of School and Associate Head of Ancillary Programs...................................3

2014 Camp and Busing Deadlines

Summer Academic Programs................................................4 Summer Experience Day Camp.............................................6

Camp:

Reg. Deadline** Deposit*/Payment Due

Academic Programs

June 27

Due Upon Registration

Summer Experience

June 1

$500/May 15, 2014

Performing Arts Camp........................................................10

Performing Arts Camp

June 1

$500/May 15, 2014

Specialty Camps.................................................................13 Basketball Camp............................................................... 14 Lacrosse Camps................................................................. 14 Squash Camp.................................................................... 15 Rookie Multisports Camp.................................................... 15 Sports Performance Camp.................................................. 16 Soccer Camp.................................................................... 16 Baseball Camp.................................................................. 17 Girls’ Running and Wellness Camp...................................... 17 Tech Camp........................................................................ 18 Visual Arts Camp............................................................... 19 Dance Camp..................................................................... 19

Swimming Lessons

June 13

Due Upon Registration

Specialty Camps:

June Camps

May 15

$100/May 15, 2014

August Camps

July 15

$100/July 15, 2014

Busing:

Reg. Deadline

Deposit/Payment Due

June Specialty Camps

May 15

Due Upon Registration

Summer Experience

June 1

Due Upon Registration

Performing Arts

June 1

Due Upon Registration

Swimming Lessons.............................................................20

August Specialty Camps July 15

Due Upon Registration

Registration/ Information Form...........................................21

* Deposits are refundable until April 15, 2014. Refunds should be requested via email to ekinnane@polyprep.org. ** Due to overwhelming demand, applications are accepted on a first-come, first-served basis until each program/division reaches maximum capacity.

Bus Application Form.........................................................23 Medical Forms...................................................................25 Contact Information...........................................................27 All forms are downloadable at our website: polyprep.org/summer2014

Dear Parents, As sure as winter turns to spring, and spring to summer, so too does the 25-acre Poly Prep campus transform at the conclusion of the academic year. Each June, for as long as I can remember, our campus becomes both a playground for the body, and a learning ground for the mind. Consistent with Poly’s mission, our Summer Programs are filled with choices rich in pursuits to grow the mind, body, and character of our student body—your children. Faculty, coaches, and industry professionals, all of who have achieved high honors and accolades in their respective fields, run our activities and courses. Our unique and extraordinary variety of programs and camps includes day camp, academics, athletics, and performing arts in small, supportive, and nurturing environments that engage students in a setting very different from that which they experience during the school year. It is relaxed and safe. Yet challenging and fun. Programs provide ample opportunities for children to flourish and to sharpen their skills in endeavors they already know and love. They can even choose to pursue new interests, all in state-of-the-art facilities that we continually grow and expand. We hope you will consider joining us this summer. We promise it will be an experience your child will not soon forget, and one for which you will be eternally grateful.

POLY PREP SUMMER PROGRAMS 2014

Three open houses for all programs take place on:

Sunday, January 26, 2014 9am – noon *changed from 1/12/14 Saturday, February 8, 2014 9am – noon Saturday, March 1, 2014 9am – noon Please join us, meet our staff, and tour our campus. Children welcome, no RSVP necessary

Steven Andersen ’71, P’13, ’22 Associate Head of School for Advancement and Operations

Dear Parents, As I write you late afternoon in December, the sun has set and a blanket of snow covers the grounds at Poly Prep. My thoughts, however, are on long, warm, and sunny summer days when our campus is alive with the vibrant sounds and sights of engaged and smiling children. Are you as excited as we are about the start of Poly Prep’s 2014 Summer Programs? Every summer, campers and students tell us how much they appreciated their opportunities to make new friends, relate to kind adults, and master a talent or skill. This year, we have designed a summer for your child to remember. It begins in June and runs for 10 full weeks. Whether it is designing a set in Performing Arts camp, learning to catch a ball on the lacrosse field, animating a stop-motion movie in Summer Experience, or developing swim strokes in one of our pools, our caring and energetic team of counselors will be there to encourage your child’s development of friendships, confidence, decision making and respect. Most importantly, our counselors will ensure that each day your child comes home with a smile that is wider than the day is long. We cannot wait to make a positive difference for you and your child this summer. We look forward to seeing you soon! Carrie Quigley

Carrie Quigley Associate Head of Ancillary Programs

summer academic programs Summer Academic Programs For boys and girls entering grades 3-11 July 7-August 1 Between 9:00 AM–12:30 PM

Summer learning at Poly Prep gives your child the chance to leap ahead! We offer 3 programs: SUMMER STARS: Individualized academic enrichment program for students entering grades 3–8 TEST PREP PROGRAM: Group instruction to prepare students for the SAT, PSAT, and ISEE UPPER SCHOOL CLASSES: Subject area courses targeted to students entering grades 9–12

SUMMER STARS Academic Enrichment Programs

Summer learning can help strengthen your child’s fall success. Whether your child is at the top of his or her academic game or has room to improve, Poly Prep’s Summer Stars Academic Clubs prepare students for their best school year ever. Summer Stars is designed for students entering grades 3–8. It offers academic skill-building in reading/writing and math. Students receive small group instruction (4:1) on personalized curriculum in a casual, yet engaging setting that makes learning fun. Summer Stars programs are tailored to each student following the teacher’s analysis of diagnostic assessments. The skills addressed in the Summer Stars Clubs will help students in school and on standardized tests.

Reading/Writing Club

Can I combine Summer Stars Program with Summer Experience Day Camp? Sure! Summer Stars and Summer Experience together provide a wonderfully enriching opportunity to bolster student confidence while having fun. For students who enroll only in Reading/Writing Club, the day begins in class at 9:00 AM. Camp begins at 10:30 AM. Math Club enrollees begin the day in camp and leave between 10:30 AM–11:30 AM, at which time they are returned to their camp group. Students enrolled in both Reading/Writing and Math Club will begin their camp day at 11:30 AM.

Times: 9:00 AM–10:30 AM Dates: July 7–August 1 Tuition: $1,300

If students combine these programs, will they miss any camp? Students enrolled in both programs will miss parts of the camp day that cannot be made up. We are unable to reschedule camp activities that are missed during class time, however, we do ensure that Summer Stars have their own unique and special events to look forward to in addition to their regular camp events.

The Summer Stars Reading/Writing Club gives each younger student an opportunity publish a nonfiction “expert book” while each older student produces a well-crafted literary essay. At age-appropriate levels, students learn to ask questions while reading, take notes, organize and synthesize information, analyze quotes, develop vocabulary, improve fluency and determine author’s purpose. Instruction is collaborative and students benefit from small group discussions and lessons while boosting their confidence for the school year ahead.

Math Club

Summer Stars Math Club improves conceptual math knowledge as well as computational and problem-solving skills for students. Teachers use the results of assessment tests to customize curriculum to each student. This program is a perfect opportunity to review math from the previous school year and to preview concepts for the upcoming year. Students become mathmatically self-reliant as they master the skills required for independent success. Times: 10:30 AM–11:30 AM Dates: July 7–August 1 Tuition: $900

ENROLLMENT GUIDELINES: Application Class size is limited in all Summer Academic Programs to maintain low teacher-student ratios. Registration is on a first-come, firstserved basis. Summer Stars: After completing registration, parents of Summer Star registrants will be contacted in the spring to arrange a date for their child’s diagnostic evaluation. Test Prep: You will receive an email after registration requesting submission of your child’s most recent SAT/PSAT scores. Upper School Classes: Open to students entering grades 9–12. Students not enrolled at Poly Prep must submit a copy of his or her current school transcript with registration form. Students taking courses for credit must indicate that on their registration forms.

Is there a discount if students do both? If students register for both the Summer Experience Day Camp and the Summer Stars Academic Enrichment Program, the tuition for any course in Summer Stars is half-price, provided they are accepted into the day camp. Due to attendence requirements, students enrolled in the Performing Arts Camp are unable to participate in the Summer Stars Program.

Schedule The four-week session runs from July 7– August 1. All classes take place between 9:00 AM–12:30 PM, with specific times noted in each course description.

Payment Payment is due upon registration. No refunds will be issued after the first day of class. There will be no fee reductions for absence, late arrival, late registration, withdrawal, or dismissal.

Attendance Policy Consistent attendance leads to student success. Students are expected to attend every class during the Summer Academic Program. For Upper School classes, a student who misses more than one class risks not receiving credit for the course in which he or she is enrolled.

Lunch and Bus Service We are unable to provide lunch or bus service to students enrolled solely in Summer Academics. We do offer access to soft drink and vending machines.

Evaluation Written evaluations of progress are mailed home for both Upper School and Summer Stars’ students. Upper School class students will receive grades. 4

QUESTIONS? Carrie Quigley, Director of the Summer Academic Program (718) 836-9800, ext. 3050 cquigley@polyprep.org

summer academic programs TEST PREP PROGRAM Summer is a perfect time for students to prepare for fall/winter standardized tests. These courses will help them develop a confident and healthy attitude toward the PSAT, SAT, or ISEE with the help of a Poly Prep/CATES Tutoring Summer Intensive Test Prep Program. By preparing for these critically important exams during summer mornings when they are more relaxed, students focus effectively on techniques and strategies to master test content.

SAT and PSAT Preparation

SAT and PSAT prep courses are designed for rising juniors and seniors. Students take a real SAT or PSAT on day one of the program, then CATES Tutors analyze the results. The remaining class time in this 50-hour on-site test prep program is spent focusing on areas in need of improvement. Students work in small groups with qualified CATES instructors to prepare for the Critical Reading, Writing, and Math sections of the exam. They will take four full-length practice exams over the course of the program. Supportive instructors

manage progress and performance to ensure the greatest chance of achieving target scores. Nearly 50% of last summer’s students increased their scores by over 200 points. Consistent attendance is essential to success. Times: 9:30 AM–12:30 PM Dates: July 7–July 31 Tuition: $2,075

ISEE Preparation

If your child is applying to an independent school such as Poly Prep for Grades 5 or 6 next year they must take the Lower Level Independent School Entrance Exam (ISEE). To help him or her prepare, Poly Prep/ CATES Tutoring offers this one-week, 10-hour introductory course for those entering Grades 4 and 5 in September 2014. Small-group instruction familiarizes students with the exam and helps build confidence. This is offered only at Poly Prep’s Lower School in Park Slope. Times: 9:30 AM–11:30 AM Dates: August 4–8 Tuition: $775

Algebra I

A basic review of Algebra I will help students master skills and concepts before entering geometry. Students work to understand the following topics: solving one-variable linear equations and inequalities, absolute value, graphing two-variable linear equations and inequalities, solving linear systems of equations and inequalities, simplifying and factoring polynomial expressions, simplifying radical expressions, and solving quadratic equations using a variety of methods. The course employs a variety of educational technologies, including interactive SmartBoard lessons and the TI-83/84 graphing calculator.

UPPER SC H OOL CLASSES

Geometry

If the best school year ever is your child’s goal, look no further than a summer class at Poly Prep with a veteran teacher who will inspire excellence. These classes are targeted at students entering Grades 9 through 12 who would like to prepare for the upcoming school year or make up a course for credit. All classes run for 90 minutes between 9:30 AM–12:30 PM (exact class times to be determined in June). Dates: July 7-July 31 Tuition: $1,225

This course will reinforce the understanding of geometry skills and concepts for students entering Algebra II. Students work to grasp the following topics: angle relationships, slope, investigating properties of triangles and the entire quadrilateral family, proving triangles congruent, similar figures, the Pythagorean Theorem, special right triangles, trigonometry, circles (measuring angles, arcs, tangents, secants, and special segments), and area of polygons and composite figures. This discovery-based course explores these topics with the use and manipulation of real-world data and ideas.

Critical Reading & Writing

Algebra II

Students learn the reading and analytical skills necessary for mastering a wide variety of subjects, including history, English, science, and math. Students improve critical reading, writing, and research skills and practice time management, organization, note-taking procedures, and test preparation. This course is an enrichment opportunity for students who want to develop more sophisticated skills. It also offers a review for credit in either history or English.

In Algebra II, students solidify their grasp of skills and concepts before entering more advanced math courses. They will master the following topics: functions (including linear, quadratic, cubic, trigonometric, rational, exponential, and logarithmic) and the rules for sketching, translating, reflecting, and applying them; systems for understanding linear equations, complex numbers, the binomial theorem, and inequalities; and verbal problems using real-world data, and digital applications. 5

Spanish I

A skill booster before advancing to Spanish II, this course is designed for students who have completed Spanish I. The major goals of this course include mastery of vocabulary for basic conversations, conjugations of both common and irregular verbs, and pronunciation by engaging in frequent dialogues and readings. Students master basic writing and take the first steps toward functioning as a true Spanish speaker.

Spanish II

Spanish II prepares students for the demands of Spanish III. This course is geared toward students who have completed Spanish II, but would like to master all principal concepts of syntax and grammar. Students will enrich vocabulary and improve Spanish reading, writing, listening, and speaking skills.

Spanish III

This course offers a heavy review of Spanish grammar, including the subjunctive mood. Instruction is geared toward students who have completed Spanish III, but need additional instruction to analyze the course’s complex concepts. It allows students to further develop oral and listening skills through video and audio sources.

summer experience Summer Experience Day Camp 2014

For boys and girls ages 3½ –15 June 30-August 8 9:00 AM–3:30 PM Cost: $2950 (Nursery–Senior Divisions)/$1650 for CIT program

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Lu is nc inc no h in lud w tui ed tio n!

TAKE a 25-acre, tree-filled campus with hills, ponds, ducks and turtles….

ADD three swimming pools… six tennis courts… air-conditioned classrooms… spacious dance and art studios… gymnasiums… athletic fields, and a greenhouse. HIRE experienced and caring counselors who understand and love children. FILL each day with creative opportunities for kids to discover, learn, and have fun. SERVE fresh and healthy lunch in a cool space. Put it all together and what do you get? POLY PREP’S SUMMER EXPERIENCE DAY CAMP. A learning camp that fosters a sense of community where youth feel safe, included, engaged, and connected. It is an experience that creates lasting friendships and lifelong memories.

Our Mission Poly Prep’s Summer Experience Day Camp offers children a safe environment to build friendships, explore new interests, master skills, and develop confidence. In line with Poly’s mission, our program values diversity, imagination, intellectual growth, and character development. Bringing Camp to Life Skilled counselors and program specialists are the backbone of Summer Experience at Poly Prep. Michael Junsch ’71, P’94, ’95, a Poly faculty member and 30-year veteran of camp leadership, guides the program. He is joined by a team of skilled educators and coaches, and counselors chosen for their maturity, compassion, energy, and proven experience with children. They work with campers in small groups leading age-appropriate activities that meet varied physical, social, emotional, and intellectual needs. They act as role models, encouraging campers to act in a kind and responsible manner and challenging them to develop

their individual strengths each day. They are zany and fun, and energize campers as they make new friends, try new things, and blossom into confident youngsters. Many counselors are former campers and return year-after-year to create a meaningful and unique Summer Experience. How Children Grow Campers are divided into five age divisions, allowing them to participate in developmentally appropriate programs while also being part of a larger camp community. Each division is made up of multiple camp groups who travel and play together through much of the day and join each other for division-wide events. Daily programs support the growth of self-esteem, independence, and skills in friendship, communication, decision-making, and leadership. We Build in Fun, Too You may find intermediate campers walking on stilts or nursery-division campers hiding under a billowing parachute. Senior 6

campers might be challenged by a popsicle stick bridge-building project, while junior campers are hunting for rings during a scavenger hunt in the pool. Each division is distinct in how it meets the age-appropriate needs of its campers. However, all Summer Experience campers experience all this: • • • • • • • • • • • • •

Full camp day: 9:00 AM–3:30 PM Daily lunch and snack(s) Camp t-shirts Instructional morning swim lesson Recreational afternoon swim period Arts and crafts Movement and dance Tennis lessons Team sports Music Group games Weekly outdoor barbeque picnic Special events, such as Camp Olympics, Tie Dye Day, and Carnival

summer experience

served basis. A $500 deposit is due at the time of registration (refundable until April 15â&#x20AC;&#x201D;see the enclosed registration form). What else is required? May 15 is the deadline for full payment once your child is registered and the deposit has been paid. If you apply after May 15, full payment must be included with your application. Medical forms enclosed in this brochure must be completed by a licensed physician and must be received no later than May 15 in order for the child to participate. Please note that children with life-threatening allergies may require a separate medical form and action plan. Anything else? Refunds will not be issued after the first day of camp. There will be no reduction of fees due to absence, late arrival, late registration, withdrawal, or dismissal. If there is a waiting list, you will receive notification of availability as soon as possible after June 1. How are campers nourished? Delicious and nutritious lunch, snacks and beverages are included in camp tuition and are served daily to camp groups in our airconditioned dining hall. We use fresh, natural ingredients to design healthy food options that kids want to eat. See our website for our mouthwatering menu: www.polyprep.org/ summercamp2014. Can I sign up for Summer Experience and Summer Academics? Sure! We love when kids balance academic

skill-building with an afternoon at camp. Campers who enroll in the Summer Stars Academic Program or another summer class receive 50% off the course fee. Please see page four for important details. How do we sign up? Camp tuition is $2,950 for all programs, with the exception of our CIT program that costs $1,650. Online registration is the easiest way to ensure that your child has a spot in Summer Experience 2014. Space is limited and we process registration forms on a first-come, first7

What is next? In early June, you will receive a welcome packet containing important camp information. Included in this packet will be an emergency card that must be completed and sent back to Poly. All registered campers and their parents are invited to camp orientation on June 25. Parents will receive an overview of what to expect each day and all will get to enjoy a delicious lunch sample. Orientation is not required.

SUMMER EXPERIENCE Summer Experience Programs Nursery Division: Designed specifically for first-time campers, this program offers your child a wellrounded camp experience in a nurturing and supportive pre-school environment. • Children turning four years old by December 31, 2014 • Emphasizes fun, friendship, imagination, and play in air-conditioned, selfcontained classrooms • Provides 4:1 camper-to-staff ratio with a maximum of 15 campers per group • Delivers hands-on activities in art, reading, music, movement, sports, and science • Incorporates one daily instructional/ recreational swim period and playground time • Includes an afternoon nap/quiet time and two daily snacks Junior Division: Whether your child is new to Summer Experience or a “veteran” camper, our junior division is a welcoming environment for him or her to explore, discover, and build a sense of independence. • Children entering Kindergarten and Grade 1 in September 2014 • Emphasizes socialization, problemsolving, and self-direction in airconditioned, self-contained spaces • Provides 6:1 camper-to-staff ratio with 24-30 coeducational campers per group • Includes fun weekly themes that foster a love of learning through literacy, art, music, and creative projects • Develops gross motor skills and coordination through physical sports and dance • Incorporates instructional and recreational swim periods daily • Provides two daily snacks Intermediate Division: Exploration is the name of the game for intermediate campers! In this program, campers participate in activities that span our spacious campus and make choices in how they would like to spend their day. • Children entering Grades 2 and 3 in September 2014 • Provides 9:1 camper-to-staff ratio with coeducational groups • Fosters independence through supervised campus exploration • Develops athletic skills in a noncompetitive environment • Encourages decision-making and creativity by offering activity choices in the arts • Strengthens mind and body with our Circus Arts program • Incorporates instructional and recreational swim periods daily 8

summer experience Senior Division: For “tweens” who want to make new friends, build new skills, and be actively engaged this summer. Our senior division helps campers share their uniqueness through varied activities and special events, while learning core values and becoming an integral part of our camp community. el

ec w • Children entering Grades 4-8 in ti se for ves September 2014 nio rs! • Groups campers into single-sex, age-appropriate clusters • Includes a rotation through four weeklong electives including digital animation, cartooning, building design, and handson science • Fosters creativity through ceramics and art studio time • Teaches teamwork, fair play, and athletic skills through coach-led workshops • Incorporates instructional and recreational swim periods daily

Counselors in Training (CIT): Our CIT program is a hands-on leadership program designed for high school students looking to gain professional experience by working with young children and adults. • Children entering Grades 9 and 10 in September 2014 • Perfect for past Summer Experience campers • Includes training in leadership, counseling, and communication skills • Requires creative, friendly, and responsible participants • Allow for hands-on participation with younger campers • Certifies participants in American Red Cross CPR and First Aid • Incorporates a half-day of camper supervision with half-day of CIT team sports, including tennis and swimming

performing arts

Performing Arts Camp

For students entering Grades 4–9 in September 2014 Dates: June 30–August 1 Times: Full day (8:45 AM–3:30 PM) Cost: $2,175

Let your child join talented and experienced teaching artists and nearly 100 other boys and girls to develop and perform a piece of original musical theater. This comprehensive five-week program will develop students’ creativity by adapting a story for the stage. Students will be able to: • Create their own characters and dialogue • Write lyrics and compose their own songs • Structure a dramatic progression • Choreograph dance and movement • Design costumes and sets • Train as performers and set technicians Under the guidance of teachers, students will: • Learn to read music • Learn to play an orchestral instrument • Learn stage combat and acrobatics • Strengthen vocal skills, including articulation and vocal production • Improve hand-eye coordination • Strengthen concentration skills

Kinesthetic learners flourish in the camp, as texts and ideas are directly connected with movement. Abstract thinkers also benefit as they learn to physically express ideas and emotions. The collaborative structure of Performing Arts Camp fosters improved communication skills, increased selfconfidence, a feeling of belonging, and the opportunity for creative self-expression. When possible, students are grouped together according to years of training. Our oldest campers perform in a scripted musical from the Broadway canon and follow a different five-week progression, focusing intensively to build and perfect performance techniques rather than create new material. They also participate in the instrumental program and play in the gala concert at the end of the five weeks, whether or not they have had previous musical experience. Group instruction is provided on the following instruments: • Woodwinds: flute, clarinet, and alto and tenor saxophone • Brass: trumpet and trombone • Percussion: drum set and bells • Strings: violin, viola, and cello Our excellent facilities include: • Air-conditioned performing arts center • Richard Perry Theatre • Dance studio 10

• Tennis courts* • Swimming pools* • Outdoor fields and space* *The program includes daily outdoor recreation.

Registration: This unique and popular five-week camp fills quickly! Students are registered on a firstcome, first-served basis. Note: Applicants entering Grades 8 or 9, applying for the first time, must have performing arts experience and should arrange an interview with the director before enrolling. Fee: $2,175 (includes a rental fee for instruments—provided by Poly Prep—method books and sheet music.) Deposit: $500 (refundable until April 15) or payment in full is due with application. Applications received after May 14 must include full payment. If space is available, applications may be submitted until June 1. Refunds will not be issued after the first day of camp. There is no fee reduction for absence, late arrival, late registration, withdrawal, or dismissal. Because Performing Arts Camp is a cumulative instructional program that requires consistent attendance, children may not enroll in the Summer Academic Program or plan for extended absences during this five-week camp.

performing arts Lunch and Recreation Lunch and a daily snack are included in tuition. We use fresh, natural ingredients and create healthy, kid-friendly, and nutritious options. See our website for our mouthwatering menu: www.polyprep.org/ summercamp2014. Recreational swim and instructional tennis are offered several times a week to performing arts campers. Staff Our leadership team: Founding Director Sonya Baehr P’00 has directed and acted professionally, both off-Broadway and in regional theatre. She has been designing curricula and teaching creative dramatics for over 20 years, and currently teaches acting and directs theater productions in Poly Prep’s Theatre and Dance Program. She is a member of the International Drama Educators’ Association as well as the American Alliance for Theatre and Education. For more information, contact Sonya Baehr at (718) 836-9800, ext. 3250 or by email at sbaehr@polyprep.org. Musical Director Laurie Uguccione attended NYU’s special graduate program in musical theatre composition. She is a composer of

film scores, musicals, and operas. Uguccione works with campers on their vocal skills and helps them write songs to create original scores for our shows. Uguccione has taught at the 92nd Street Y and the Third Street Music School in Manhattan. Jeffrey Adler directs our instrumental program and has extensive teaching experience ranging from elementary schools to music conservatories. He teaches at Poly Prep and regularly performs in Broadway productions such as Les Misérables, Passion, Crazy for You, Secret Garden, and Jerome Robbins’ Broadway, and with musical ensembles such as the Long Island Philharmonic, the American Symphony, the Connecticut Grand Opera, and the Goldman Band. William Treviño is a licensed stage combat instructor who has toured internationally. Chris Heller is a teaching artist for Arts Connection, teaching theater in schools throughout New York City. She is also on the faculty of Dance New Amsterdam and is the artistic director of the Brooklyn Children’s Theatre in Park Slope.

ch Lun ow n is ded u incl ition! u in t

Cynthia Babak is a professional actress and writer with extensive experience teaching playwriting and drama to young people at programs such as the Roundabout and Manhattan Theatre Club. She received her BFA from NYU Tisch School of the Arts.

performing arts

specialty camps Specialty Camps Explore your passion or build new skills at a Poly Prep Specialty Camp! Poly Prep offers 13 specialty camps in the arts, athletics, and technology. These oneweek programs provide students with an opportunity to focus intensively on areas of interest or curiosity. All specialty camps: • Accommodate beginner, intermediate, and advanced-level participants • Provide a balance of individualized and group instruction • Offer training from a team of professionals who are experts in their field • Teach collaboration, communication, teamwork, and goal-setting • Emphasize learning through fun, organized activities Facilities Each camp takes place in one or more of our state-of-the-art facilities including: • The Mondo turf playing field • The Harlow Parker Baseball Field • The Jordan Center for Physical Education and Dance • The Mark Hindy ’91 Baseball/Softball Training Center • Three international-caliber squash courts • 10 indoor gymnasium hoops • Team rooms, weight rooms, and training rooms • Light-filled art studios • Two computer labs filled with cutting-edge technologies Logistics: • Camps run Monday – Friday from 9:00AM–3:00 PM • Campers must bring their own lunch • Visit our website to download: • Designated Stop Bus Service Application Form • Specialty Camp Required Equipment List • Medical Form • www.polyprep.org/summercamps2014

Specialty Camp

(in September 2014)

Grade level of participants Available Sessions:

Rookie Multi-Sport Coed Junior Lacrosse Dance Tech Baseball Soccer Squash Visual Arts Basketball Girls’ Running and Wellness Boys’ Lacrosse Girls’ Lacrosse Sports Performance

Kindergarten–Grade 4 Kindergarten–Grade 4 Kindergarten–Grade 4 Kindergarten–Grade 6 Grades 1–9 Grades 1–9 Grades 2–12 Grades 3–6 Grades 4–9 Grades 4–8 Grades 5–9 Grades 5–9 Grades 7–12

I and II I and II I and II III, IV, and V IV V I and II I and II I and II IV I and II I and II See page 14*

*Session lengths differ from other specialty camps.

Schedule: Session I: June 16–20 Session II: June 23–27 Session III: August 4–8 Session IV: August 11–15 Session V: August 18–22

Registration: • Space is limited • Slots are filled on a first-come, firstserved basis upon receipt of deposit and registration forms. • Deadlines: A $100 deposit is required if registering before May 15. Any balance is due by May 15. Late registration is extended to July 15 for August camps. • Medical forms are due May 15. All campers must submit completed medical forms, signed by a licensed physician, in order to participate. Registration is not considered complete until the medical form is submitted.

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specialty camps basketball

Lacrosse

BASKETBALL CAMP

LACROSSE CAMPS

For boys and girls entering grades 4–9 Session I: June 16–20 Session II: June 23–27 Cost: $375/session

Boys: For boys entering grades 5-9 Girls: For girls entering grades 5-9 Coed juniors: For campers entering Kindergarten–grade 4 Session I: June 16–20 Session II: June 23–27 Cost: $425/session

This is a slam dunk! A team of highly respected coaches trains new and experienced players to reach their potential while having fun. Director Bill McNally has over 20 years of successful coaching experience. He and his staff of professional coaches, college basketball stars, and special guests teach kids how to excel. Past guests have included NBA and college coaches and players. This course focuses on and features:

Learn a sport that is fast-paced and full of action! Lacrosse tests coordination, agility, and speed. Lacrosse camp accommodates novice and experienced players looking to improve their skills, make new friends, and develop a love of the game. Coach Brooks Sweet, a former U.S. World Team member, and Coach Anni Zukauskas, a record-holder including All-Time Leading Scorer at University of Rochester, are both esteemed varsity coaches at Poly Prep. They staff their camps with elite coaches and players from competitive high schools and college lacrosse programs and help students:

• Fundamental skills, including shooting, dribbling, passing, screening, cutting, ball-handling, and rebounding • Team and individual strategies for offense, defense, out-ofbounds play, and special situations • Games and tournaments • Play with campers at similar skill levels

• Develop individual skills in catching, carrying, and passing the balls with power and precision • Learn to work with one or more players to develop tactical plays for game situations • Become adept of offensive and defensive strategies • Receive personalized training in goalkeeping

specialty camps Rookie Multisport

Squash SQUASH CAMP

ROOKIE MULTISPORT CAMP

For boys and girls entering grades 2–12 Session I: June 16–20 Session II: June 23–27 Cost: $550/session

For boys and girls entering Kindergarten–grade 4 Session I: June 16–20 Session II: June 23–27 Cost: $375/session

Hit off the wall at Poly Prep’s Squash Camp! Work with the head coaches of Poly’s varsity squash teams including Meredeth Quick, top Princeton player, former member of the US National Team, professional player and Junior Women’s National Coach, and Ben Oliner, former #1 player at Brown University, AllAmerican, professional player and assistant college coach. This camp is geared towards children of all age and skill levels and offers a fun and action-packed week aimed at fostering love and success with the sport. Highlights include:

Show your child how to embrace a love of sports. A group of enthusiastic youngsters and coaches gather for a weeklong camp packed with more than 10 sports from around the world. A range of physical activities and games are taught and played in a low pressure, high-energy environment. This camp is a great way for rookies to excel. Under the leadership of Poly Prep’s physical education faculty, our coaches ensure that campers have ample time to “learn by doing”, make friends, and have fun. Campers will: • • • • • •

• • • •

Individual and group instruction Players learn swing techniques, movement, and footwork Campers practice aerobic and anaerobic outdoor fitness Players apply strategies in daily match play and an end of week tournament • A written evaluation of the players’ progress is provided

Receive instruction in varied team and individual sports Practice control, accuracy, coordination, and timing Develop large motor skills Learn respect, teamwork, and self-discipline Play games and controlled scrimmages Learn varied skills and strategies

specialty camps Sports Performance

Soccer

SPORTS PERFORMANCE CAMP

SOCCER CAMP

For boys and girls entering grades 7–12 Days/Times: Monday, Wednesday, and Thursday from 4 PM–6 PM Session A: June 16–26* Cost: $150 Session B: June 30–August 7* Cost: $375 *Session lengths differ from other specialty camps.

For boys and girls entering grades 1–9 Session V: August 18–22 Cost: $375 Kids get a kick out of soccer camp. Soccer camp brings together 150 soccer enthusiasts from around the city for a week of learning and fun. Coach Bill McNally, a 20-year veteran who’s developed accomplished players at Poly Prep, partners with both the boys’ and girls’ varsity coaches, Gerry Stone and Devon Whalen, to deliver an engaging program to players of all levels. Staff includes players and coaches from elite high school and college teams and helps campers:

If your child is an athlete in the making, this camp will maximize his or her athletic potential. Designed to enhance speed and agility through individualized instruction in body control, strength training, and conditioning, this camp offers a structured, progressive training plan to each participant. John Pomponio, Poly Prep’s head athletic trainer leads this camp with Vin Caposio, a coach at Poly and certified specialist in personal training, and strength and conditioning. Campers will:

• Develop fundamental skills through dribbling, shooting, and passing games • Learn proper techniques for striking, trapping, and heading • Apply individual skills in team environment • Cultivate strategies for both offense and defense

• • • •

Apply daily stretching and warm-up techniques Participate in proper speed and agility exercises Enhanced athletic experience Benefit received from personalized strength and conditioning drills • Learned recovery strategies

specialty camps Girls’ Running & Wellness

Baseball BASEBALL CAMP

GIRLS’ RUNNING AND WELLNESS CAMP

This is always a home run! Matt Roventini ‘92, Poly’s varsity coach who has steered his team to national prominence on the baseball diamond, leads baseball camp. The camp teaches players of all levels how to play successful baseball. Coach Roventini’s staff is comprised of an outstanding lineup of top high school, college, and professional coaches and players. Players are grouped by skill level and:

Girls can hit their stride at the Poly Prep Girls’ Running and Wellness Camp! Led by Adrien Ricci, Poly’s head coach of cross-country and indoor and outdoor track teams, this camp emphasizes how running fits into the lifelong wellness of the female body. Ricci, a former All-American and college coach, has prepared her runners to continually qualify in the top five at the Ivy League and NYSAIS championships. Campers will:

• Receive personalized instruction in hitting, throwing, base running, and fielding • Develop skills in pitching, catching, infield, and outfield • Learn situations for bunting, sliding, and stealing • Are challenged in league games and competitions

• • • • • •

For boys and girls entering grades 1–9 Session IV: August 11–15 Cost: $375

For girls entering grades 4–8 Session IV: August 11–15 Cost: $375

Learn running fundamentals Receive technique analysis and goal-setting Participate in aquatic cross-training Practice yoga, stretching, strength, and conditioning Understand value of nutrition, hydration, and mental wellness Meet special guest coaches and runners

specialty camps Dance DANCE CAMP

For boys and girls entering Kindergarten–grade 4 Session I: June 16–20 Session II: June 23–27 Cost: $550/session Kids can put their best foot forward in the Poly Prep Dance Camp. Poly Prep dance teacher and professional choreographer, Ashley Hacker leads two, one-week sessions of theme-based dance workshops. Dance instruction is geared toward age-appropriate groups where students explore various dance styles and musical genres through fun, expressive creative movement. • Use imagination and creativity to design dances, costumes, and props for an end-of-week performance • Learn skills individually and apply them cooperatively in groups • Develop spatial awareness by practicing self-control and refining gross and fine motor skills • Build self-confidence while learning varied techniques in a noncompetitive environment

specialty camps Tech

visual Arts

TECH CAMP

VISUAL ARTS CAMP

For boys and girls entering Kindergarten–grade 6 Session III: August 4–8 Session IV: August 11–15 Session V: August 18–22 Cost: $550/session

For boys and girls entering grades 3–6 Session I: June 16–20 Session II: June 23–27 Cost: $550/session Explore! Discover! Experiment! Create! Both budding and experienced artists will thrive artistically in Poly Prep’s weeklong studio arts programs. Led by Deirdra Hazeley ’00, a Poly Prep teacher and trained professional artist, this camp provides meaningful opportunities for kids to make art. Campers joyfully share their uniqueness through self-expression in their work and:

Students discover exciting new technology and develop computer literacy in this weeklong tech camp. Maya Bentz, Poly Prep’s Director of Educational Technology and an expert in media arts, digital design, and game design, leads these workshops with a staff of talented “techies” who love to share their expertise with children. The curriculum is flexible enough to encourage each student to reach his or her own level of mastery in different applications and projects. Campers: • • • • • •

• Utilize varied mediums such as paint, charcoal, collage, and textiles • Practice fundamentals of drawing 3-D shapes • Gain inspiration from famous artists through history • Craft cartoons and comic books • Experiment with costume design • Develop original artwork

Design and program games and develop mobile apps Create and edit a film using special effects Learn code and design websites and graphics Build computers and program robots Explore virtual worlds with an avatar Utilize cutting edge technology and equipment

swimming lessons Schedule: Children 2 to 5 years old Tuesday and Thursday Date: July 1 – 31 Cost: $195 for a total of ten 30 minute sessions Times: 2-3 year-olds 4:30pm-5:00pm (adult participation required) 4-year-olds 5:05pm-5:35pm (adult participation required) 5-year-olds 5:40pm-6:10pm (adult participation required) Children 6 to 16 years old Monday and Wednesday Date: June 30 – July 30 Cost: $195 for a total of ten 30 minute sessions Times available: 4:30pm-5:00pm 5:05pm-5:35pm 5:40pm-6:10pm

Swimming Lessons Take the plunge! Learn to swim this summer at Poly Prep! Poly Prep offers swims lessons to campers and other children from ages 2 through 16. Led by Kevin Dolan, veteran aquatics director at Poly Summer Program, and a team of highly qualified instructors, our swim program teaches swimming skills and fosters comfort and confidence in the water. Ages 2-5: Our Tuesday/Thursday program is designed for children ranging from 2-5 years of age. Using Poly’s two newly constructed teaching pools which provide large shallow areas of water, our instructors encourage children to develop the basic steps required to learn to swim. Each child must be accompanied by a parent/ guardian who is willing to participate in the lesson. Only one child per adult will be allowed in the pool. Ages 6-16: Our Monday/Wednesday program provides personalized swimming instruction that helps each swimmer meet his or her potential. On the first day, each swimmer’s ability is reviewed. Instructors will then place children in small groups according to swimming ability and comfort in the water. Swimming skills and strokes will be taught throughout the lessons.

ly newted o Tw struc g con achin e s t l ! poo

Registration Form 2014 Child’s name (last) Home address Home telephone

Grade in 9/14

(first) City Date of birth

State /

Age

Zip code Male r Female r

Deposits/Payments: A $500 deposit is due if registering for Summer Experience Day Camp or the Performing Arts Camp before April 15th. A $100 deposit is due if registering for any Specialty Camp before April 15th. Summer Academics and Swimming Lessons must be paid in full at time of registration. All balances are due by May 15th. All deposits/payments made before April 15th are refundable by following the instruction detailed online at www.polyprep. org/summercamp2014. No refunds will be issued after the first day of camp or class. There will be no reduction of fees due to absence, late arrival, late registration, withdrawal, or dismissal. I have read and understand the payment terms and refund policy. Initialed

Date

poly prep SUMMER ACADEMIC PROGRAMS (7/7–8/1) Summer Stars Academic Enrichment Programs:................................................................................................... $1300/$900............. $ Reading/Writing Club for students entering Grade r 3 r 4 r 5 r 6 r 7 r 8 Math Club for students entering Grade r 3 r 4 r 5 r 6 r 7 r 8 Upper School Classes: r Critical Reading and Writing r Algebra I r Geometry r Algebra II r Spanish I r Spanish II r Spanish III........... $1225....................... $ Test Prep: SAT/PSAT and ISEE Preparation r SAT/PSAT r ISEE .......................................................................... $2075/$775............. $ poly prep SUMMER EXPERIENCE DAY CAMP (6/30–8/8) r Nursery Division (Children turning 4 by 12/31/2014)...........................................................................................$2950...................... $ r Junior Division (Children entering Kindergarten and Grade 1 in September 2014)..................................................$2950...................... $ r Intermediate Division (Children entering Grades 2 and 3 in September 2014)........................................................$2950...................... $ r Senior Division (Children entering Grades 4–8 in September 2014).......................................................................$2950...................... $ r CIT Program (Students entering Grades 9 and 10 in September 2014)..................................................................$1650...................... $ Request to be with 1* other camper. (Camper must be the same age.) *If more than one name is indicated we will honor only the first name listed.

r poly prep PERFORMING ARTS CAMP (6/30–8/1).......................................................................................$2175...................... $ Please indicate number of years of dance training Instruments studied and for how many years SWIMMING LESSONS 2–5 years old ADULT PARTICIPATION REQUIRED (7/1–7/31) r 2–3 years old: Tuesday and Thursday 4:30pm–5:00pm . .....................................................................................$195........................ $ r 4 years old: Tuesday and Thursday 5:05pm–5:35pm r 5 Years Old: Tuesday and Thursday 5:40pm–6:10pm.........$195........................ $ 6–16 years old Monday and Wednesday (6/30–7/30) r 4:30pm–5:00pm r 5:05pm–5:35pm r 5:40–6:10pm.....$195........................ $ Poly Prep Specialty Camps: Basketball r Session I (6/16-6/20) r Session II (6/23-6/27).....................................................................................$375.........................$ Squash r Session I (6/16-6/20) r Session II (6/23-6/27).........................................................................................$550.........................$ Boys’ Lacrosse r Session I (6/16-6/20) r Session II (6/23-6/27)...............................................................................$425.........................$ Girls’ Lacrosse r Session I (6/16-6/20) r Session II (6/23-6/27)..............................................................................$425.........................$ Co-Ed Lacrosse r Session I (6/16-6/20) r Session II (6/23-6/27).............................................................................$425.........................$ Rookie Multisport r Session I (6/16-6/20) r Session II (6/23-6/27)..........................................................................$375.........................$ Visual Arts r Session I (6/16-6/20) r Session II (6/23-6/27)....................................................................................$550.........................$ Dance r Session I (6/16-6/20) r Session II (6/23-6/27)..........................................................................................$550.........................$ Sports Performance r Session A (6/16-6/26) r Session B (6/30-8/7)........................................................................$150/$375................$ Tech r Session III (8/4-8/8) r Session IV (8/11-8/15) r Session V (8/18-8/22) .......................................................$550.........................$ Girls’ Running and Wellness r Session IV (8/11-8/15)...............................................................................................$375.........................$ Baseball r Session IV (8/11-8/15)............................................................................................................................$375.........................$ Soccer r Session V (8/18-8/22)...............................................................................................................................$375.........................$ ......................................................................................................................................................................... Total due.................. $ Payment Options: ............................................................................................................................................ Enclosed check $ Balance due 5/15/14$ American Express*: Total due: Name on credit card:

add 2.5% convenience fee

Total to be charged to AmEx: $

Signature:

Credit card number:

Expiration date:

Date:

**American Express is the only credit card accepted for payment. If you choose to process only the necessary deposits at this time, you must contact us by May 15, 2014 to process the outstanding balance. Your card will be processed twice, once for the camp fee and one for the convenience fee. The convenience fee is non-refundable.

child information form 2014 Please complete one form per student. Additional forms can be found at www.polyprep.org/summercamp2014. Both sides must be completed and signed for registration to be processed. Child’s name (last):

(first):

Home telephone:

Date of birth:

Age:

rM rF

Parent’s name: Daytime phone:

E-mail:

Cell phone:

E-mail:

Cell phone:

Parent’s name: Daytime phone: Current school with address:

Grade in September 2014:

Please tell us how you learned about our programs: (please check all that apply) r Return Camper r Sibling is a Camper r Word of Mouth r School r Newspaper/Magazine Ad r Internet Ad r Internet Search r Other Phone:

If parent is not available in an emergency, please notify: Name of physician:

Phone:

Health condition(s) that staff should be aware of:* *The Camp Health Professional may require additional documentation or wish to speak to you prior to completing your registration.

Life-threatening allergies r No r Yes* (describe): Operations or serious injuries (with dates): Is your child under a doctor’s care for an ongoing condition? r No

r Yes* (describe):

Any permanent disability or chronic or recurring illness r No r Yes* (describe): Does your child take any medication (prescribed or over-the-counter)? r No

rYes*

If yes, please provide reason, dosage, and frequency: Activities in which your child should not participate: Do you give permission for your child to swim? r No r Yes

Level:

r Beginner

r Intermediate

r Advanced

(2014 Health Record form must be completed)

Date of last physical examination:**

**Please note that all children attending camps must have a complete physical examination within 12 months of attendance of camp and the Health Record form must be completed by a licensed physician. I, the parent/guardian of the above named student, hereby give permission to Poly Prep Country Day School, its agents, representatives, and employees, to enroll my child in all activities offered by Poly Prep Summer 2014, except those activities in which I or the examining physician have recommended that the student not participate. In consideration of my child’s participation in Poly Prep Summer 2014, I the undersigned waive all claims for damages I may have against Poly Prep Country Day School, its directors, officers, trustees, faculty, and employees for any and all injuries suffered by my child. I also give permission to Poly Prep Country Day School, if its staff is unable to contact me, to take any necessary steps to obtain proper treatment of my child in the event of a sudden illness or injury. I understand that every effort will be made to notify me immediately in case of such an emergency. I further agree to be totally and completely responsible for the payment of all debts, expenses, or bills incurred in connection with any illness or injury of my child. Consent is hereby expressly granted for the collection, retention, and use of written, auditory, photographic, videographic, and other materials pertaining to our/my child’s activities during the program at Poly Prep Country Day School’s Summer Camp (the “Summer Camp”), for non-commercial educational purposes in print and on the Internet consistent with the Summer Camp’s philosophy, provided that the Summer Camp shall retain control of, and have complete responsibility for, any use thereof. Date:

Parent/guardian name (printed): Signature:

Relation to child:

Please complete both sides of this form and return with the appropriate payment to Poly Prep Country Day School / Summer Experience, 9216 Seventh Avenue, Brooklyn, NY 11228-3698. Please contact Ellen Kinnane at (718) 836-9800, ext. 3220 or ekinnane@polyprep.org with any questions you may have. 22

bus application form 2014 DiMino Bus Service, Inc. e-mail: diminobus@yahoo.com (718) 257-2422

Deadlines June camps: Registration forms must be received by June 1 August camps: Registration forms must be received by August 1 Summer Experience and Performing Arts camps: Registration forms must be received by by June 1.

Transportation to and from Poly Prep is available through DiMino Bus Service, Inc., 1040 Rockaway Avenue, Brooklyn, NY 11236. DiMino Bus Service, Inc., a family-owned and operated company, has provided safe and reliable bus service for Poly Prep students for over 25 years.

Our Safety Guidelines All vans are equipped with two-way radios and seatbelts. Each van is inspected by the New York City Department of Transportation. All bus drivers are approved by the New York City Board of Education.

Transportation costs are in addition to camp fees. Upon receipt of a completed application and full payment, DiMino Bus Service, Inc., will e-mail you a confirmtion receipt. Please note that neither a cancelled check nor the e-mail constitutes a confirmed seat for your child. Service is provided on a first-come, first-served basis, and is only available in areas of sufficient interest. Demand for transportation has increased, so we suggest early enrollment. Registration forms received after deadlines will not be accepted.

If your child will be absent from camp for any period of time, please provide the driver, as well as the camp, with a note detailing the days your child will not need service. If it is an unexpected absence, please call dispatch as early as possible with your driver’s name and your child’s name. The dispatcher will then alert the driver.

Service is provided on a round-trip basis only. Discounts and refunds are not supplied if a child is absent or uses the service for one way only.

The DiMino Staff will be working on the bus routes through the Wednesday before the beginning of camp. This allows the staff to make any last minute adjustments due to construction and minimize the amount of time your child will be on the bus. You will receive a phone call or email from the DiMino Staff on the Wednesday or Thursday before camp begins with full details of your child’s transportation to and from camp.

Summer Experience and Performing Arts Camps

Specialty Camp Bus Service

Summer Experience Day Camp and Performing Arts Camp service will continue to offer door-to-door pick-up and drop-off as well as an option for designated stop service in a selected area of Brooklyn.

Designated stop service We offer designated stop service during the weeks of June 16, June 23, August 11, and August 18.

Door-to-door service is offered to Lower Manhattan (below Canal Street) and most parts of Brooklyn. Specific areas will be added as determined by interest. Brooklyn door-to-door service: $775 per child Manhattan door-to-door service: $825 per child.

(No service is available for the week of August 4 for Tech Camp.) Brooklyn Service costs $225 per child per week. Manhattan service costs $250 per child per week. Manhattan 5th Avenue and 89th Street (pick-up estimated to be at 7:15am each week) 5th Avenue and 36th Street Broadway and Houston Street Broadway and Wall Street

Designated stop service will be available in the DUMBO, Brooklyn Heights, Cobble Hill and Park Slope areas at a discounted rate. Designated stop service: $675 per child.*

Brooklyn Court Street and Remsen Street Court Street and Bergen Street Prospect Park West and 1st Street

Anticipated stops: Court and Pacific Streets Henry and DeGraw Streets Washington and Front Streets Clark and Hicks Streets 6th Avenue from Prospect Ave to 6th Avenue & President Sreet Prospect Park West from President to PPW & Prospect Avenue (making stops at most streets)

Brooklyn 3rd Avenue and Bay Ridge Avenue 3rd Avenue and Bay Ridge Parkway 3rd Avenue and 86th Street 3rd Avenue and 92nd Street

*Please note that children enrolling in the Nursery Division of Summer Experience must use door-to-door service and provide a booster seat.

(over for application)

bus application form 2014 DiMino Bus Service, Inc. 1040 Rockaway Avenue Brooklyn, NY 11236 (718) 257-2422 Please print all information clearly. Child’s name: ______________________________________________________________________________ Child’s age:* ________________ Home address: ____________________________________________________________________________________ DOB ________________ Cross streets: ___________________________________________________________________________________________________________ Home phone: ___________________________________________________________________________________________________________ Parent’s name and cell phone: _______________________________________________________________________________________________ Parent’s name and cell phone: _______________________________________________________________________________________________ Additional emergency contact: _____________________________________________________________________________________________ Primary e-mail (please print clearly): ______________________________________________________________________________________ SERVICE REQUIRED Bus Service for Specialty Camps

r r r r

Week of June 16:

Camp:

Stop:

Week of June 23:

Camp:

Stop:

Week of August 11:

Camp:

Stop:

Week of August 18:

Camp:

Stop:

Total weekly camps

@ $225/250 per week =

Summer Experience and Performing Arts Camps

r Summer Experience or Performing Arts Camp: r Door-to-door service r Designated stop service

@ $775/$825 = @ $675 =

Stop: Please enclose a check or money order payable to DiMino Bus Service, Inc.

Total $

Please mail to: DiMino Bus Service, Inc., 1040 Rockaway Avenue, Brooklyn, NY 11236 I,

parent/guardian of

, will

r meet my child every afternoon at the bus stop/at my home. r authorize to pick my child up at the bus stop/my home. r give the driver/matron permission to let my child off at the bus stop/house alone. I accept full responsibility for this action. Signed:

Date:

Relationship to camper: Route and pick-up times are not available until the Wednesday before camp starts. You will receive an e-mail or phone call from a member of the DiMino Staff with full details of your child’s transportation. Therefore, it is important to include contact phone numbers and a primary e-mail address where you can be reached.

health record for children in camp 2013 This record must be submitted by may 15, 2014 Registration is not complete without submission of this required health form. Parents, please fill out this side before presenting this form to your child’s physician. Child’s last name:

First name:

Date of birth:

Home address:

rM rF

Home phone:

Parent’s name:

Daytime phone: Daytime phone:

If parent or guardian is not available in an emergency, please notify: Family physician:

Phone:

Other emergency contact:

Phone:

Health History (Please check and give approximate dates.) Allergies Ear infections Yes r No r Hay fever Yes r No r Rheumatic fever Yes r No r Poison Ivy Yes r No r Convulsions Yes r No r r Insect stings Yes r No r Diabetes Yes r No r Penicillin Yes r No r Behavior problems Yes r No r Other drugs Yes r No r Food Yes r No r Past illnesses:

Disease Chicken pox Yes r No r Measles Yes r No r German measles Yes r No r Asthma Yes r No r

Hospitalization (give dates):

Operations or serious injuries (give dates): (You MUST contact the Camp Health Office to coordinate a safety plan for your child.)

Life-threatening allergies: Chronic or recurring illnesses: Other diseases or details of above: Any specific activities to be encouraged? Any specific activities, including swimming, to be restricted?

(Children will participate in all program activities unless noted here or by physician.)

Significant Health History/Current conditions (please list) Medications or supplements taken: (You MUST have your physician complete an allergy action plan if medication is taken or administered during camp hours.)

Emergency medication needed for allergy listed above Appliances worn (glasses, etc.):

Conditions that restrict activity (seizures, amnesia, heart conditions, etc.): New York State requires parent permission for our staff to assist campers in applying parent provided sunscreen. Do you provide permission? r Yes r No Please note that we are unable to apply sun screen unless it is specifically for that child due to allergies. Additional information will follow. Consent for Emergency Medical Treatment In the event of any emergency involving my child and during which I or my designee is not accessible, I do hereby give authority to the staff of Poly Prep Summer 2014 to obtain necessary emergency medical treatment for my child, with the understanding that the family will be notified as soon as possible. Signature:

Relationship:

Date:

Phone: DO NOT SEND THIS PORTION OF THE FORM WITHOUT PHYSICAL EXAM PORTION ATTACHED. 25

physical examination 2014

Patient’s name:

Date of birth:

This side must be filled out by a licensed physician. In place of this form, a physical examination and immunization history form may be provided by the physician. Immunization History DPT/DTaP or Td

Date:

IPV/OPV Date:

Date:

Measles Date:

Date:

Rubella Date:

Date:

Mumps Date:

Date:

Hepatitis B

Date:

HIB Date:

Date:

Other:

Date given:

VZV Date:

Date read: Date:

PCV (Pneumococcal Conjugate) Medical Examination

Tdap:

Meningitis Date: PPD (Mantoux)

Result mm:

Disease date:

Date:

Code: S = Satisfactory

X = Not satisfactory (explain)

O = Not examined

General appearance: Height:

Weight:

Urinalysis:

Blood pressure:

Hgb. test:

Posture and spine:

Throat and tonsils:

Eyes:

Vision:

Glasses:

Extremities:

Ears:

Hearing:

Feet:

Lungs:

Skin:

Hernia:

Genitalia:

Nose:

Teeth:

Abdomen:

Heart :

Allergies (please specify): Life-threatening allergies: r Yes r No (If yes, separate order and action plan required.)

Neurological findings: Abnormal findings or handicapping conditions (please describe): Recommendations and restrictions while in camp Special diet: Medications (list names and dosages): Is camper able to self-administer medication? r Yes r No Swimming:

Strenuous activity:

General appraisal: I have examined this child, reviewed his or her health history, and state that in my opinion he or she is physically able to engage in activities offered by Poly Prep Summer 2014, except as noted above. Examining physician’s signature:

Date of examination:

Physician’s name: Address:

Telephone: 26

Poly Prep Summer Programs 2014 S ummer Programs Administration Associate Head of School, Steven W. Andersen, ext. 3280 Associate Head of Ancillary Programs, Carrie Quigley, ext. 3050 Director of Ancillary Program Operations, Ellen Kinnane, ext. 3220 Director of Summer Experience Day Camp, Michael A. Junsch, ext. 3420 Director of Swim Program, Kevin Dolan Director of Performing Arts Camp, Sonya Baehr, ext. 3250 Director of Specialty Sports Camps, Bill McNally, ext. 3490 Director of Dance Camp, Ashley Hacker, ext. 6741 Director of Tech Camp, Maya Bentz, ext. 6690 Director of Visual Arts Camp, Deirdra Hazeley, 718-768-1103

Poly Prep Country Day School Dyker Heights Campus 9216 Seventh Avenue Brooklyn, NY 11228-3698

Phone: (718) 836-9800, ext. 3220 Fax: (718) 238-3190 www.polyprep.org

directions to poly prep From the Belt Parkway Heading west, take Exit 4, 14th Avenue-Bay 8 Street. At the light, turn left onto Cropsey Avenue and go two blocks to 14th Avenue. Turn left and continue around the golf course for about one quarter of a mile. 14th Avenue runs into 7th Avenue. Poly is on the left.

Poly Prep

From M anhattan Take the Brooklyn Battery Tunnel and follow the signs for I-278 West. Stay to the right when the road divides (around 60th Street), and continue for another two miles, exiting at 92nd Street-Fort Hamilton Parkway (Exit 17), the last exit before the Verrazano Bridge. At the light at the top of the ramp, turn left onto 92nd Street. Go through three traffic lights to 7th Avenue. Poly is on your right. For more directions and maps, please visit www.polyprep.org/directions.

PoLy PrEP CounTry DAy SChooL 9216 Seventh Avenue Brooklyn, new york 11228-3698 rETurn SErviCE rEquESTED

Non-Profit Org. US Postage PAID Brooklyn, NY Permit No. 944