Summer Camp @ Noah's Ark 2011
4214 Old Town Rd.
Huntingtown, MD 20639
www.noahsarklearningcenter.com
410-414-5084
Dear Parents,
Thank you for choosing Summer Camp @ Noah's Ark for your child this year. Our desire is to provide your child with a
summer of memories that will last a lifetime.
A Christian perspective is intentionally woven into our Summer Camp program with Bible teachings and Praise and Worship
music. Activities will include outdoor recreation, center time, arts and crafts, activity clubs and field trips (refer to the S.C.
Calendar for complete list.). Please know that our Summer Camp Staff have experience working with children and are trained
in CPR, First Aid and emergency procedures.
Summer Camp @ Noah's Ark is for children who have completed KDG through 5th grade. Until April 1st, a Preferred
Enrollment Period will be offered for families that are already enrolled at Noah's Ark. Enrollment will open to the general
public on April 11th.
We offer the flexible enrollment with the option of attending all summer of choosing and participating in a combination of
Summer Sessions. Please note the following conditions apply:
1. Camp is offered in sessions ONLY (see application). There are 5 sessions this summer.
2. Children currently enrolled in Noah's Ark's Before and After Care program must attend at lease three (3) sessions to
maintain their space for Fall attendance.
3. Choose sessions wisely as there can be no cancellations or splitting sessions. NO EXCEPTIONS!!!
4. Summer Camp tuition is $165.00 per week. ($330.00 per 2 week session). There is an additional $50.00 fee for
Session I to cover the cost of RainbowLand Week.
5. A $100.00 activity fee (or $35.00 per session) and $165.00 deposit (tuition for your child's last week) must accompany
your application (NO REFUNDS). Tuition is to then be paid bi-weekly or at the BEGINNING of each session.
6. Breakfast and snack are included in tuition. Please be aware that breakfast ends at 8:30am. Lunch must be brought
to Summer Camp each day. Lunch should be brought in portable lunch boxes with ice packs. (Lunches are
available for purchase for $3.50 on Mondays.)
7. T-shirts will be required for all field trips. T-shirts are $15.00 each. At least 2 shirts per child are recommended.
If your child has shirts from previous years, it is not necessary to purchase new ones.
8. Please complete the Application, Discipline Form, and Emergency Form and return with your activity fee ($100.00) and
deposit ($165.00) prior to your first session. Please update the Emergency Form if any changes occur while your
child is with us. You MUST notify Noah's Ark if your child is to be picked up by someone else.
9. If your child is not currently enrolled in Before & After Care, tuition must be paid in full before Summer Camp begins.
Pre-payments and payment installment plans may be arranged prior to enrollment.
10. Children enrolled in Noah's Ark School-Age program year round have enrollment priority. Outside applicants will be
notified within 48 hours upon receipt of your application of your child's acceptance.
11. Camp activities begin at 9:00am and end at 4:00pm. Before Care (6:00am-9:00am) and After Care (4:00pm-6:00pm) are
provided at no extra charge.
12. We prohibit toys, trading cards, and IPods. Please leave them at home.
13. When a ($$) sign is indicated on the Calendar, money may be sent on the fieldtrip. If a ($$) is not indicated,
do not send money because your child will not be able to spend it. (All monies sent are the responsibility of your child.)
If you have any questions or concerns, please don't hesitate to call me at 410-414-5084 or email me at thealey10@verizon.net.
In Christ's Love,
Toni Healey
Director / Owner
Noah's Ark Learning Center
Summer Camp @ Noah’s Ark
A PROGRAM FOR CHILDREN
KINDERGARTEN TO 5TH GRADE
2011 REGISTRATION FORM
PLEASE USE ONE REGISTRATION FORM FOR EACH CAMPER
Full Name of Camper ____________________________ Current Age of Camper _____ Shirt Size ____
Birth Date _____/_____/_____ Sex: M F Nickname ________________ Completed Grade ____
Name of Parent(s) ___________________________________________________________________
Street Address _________________________________ City ________________________________
State ______________________ Zip Code __________ Home Phone # ( ) _______________
Father’s Work # ________________________ Mother’s Work # _________________________
Father’s Cell # _______________________ Mother’s Cell # _________________________
Father’s Email _________________________ Mother’s Email __________________________
Father's SSN __________________________ Mother's SSN ___________________________
Has Camper previously attended Summer Camp at Noah’s Ark? __________ Year? _____________
Choose the following:
______ Session 1: Week of June 20th – June 24th - RAINBOWLAND WEEK (additional $50 fee)
______ Session 2: Weeks of June 27th – July 1st & July 4th - 8th
(Center closed July 5th for Independence Day)
______ Session 3: Weeks of July 11th – July 15th & July 18th – July 22rd
______ Session 4: Weeks of July 25th – July 29th & August 1nd – August 5th
______ Session 5: Weeks of August 8th – August 12th & August 15th – August 19th
______ Enclosed is my check for $265 (payable to Noah’s Ark) to cover the one time activity fee
($100 or $35 per session) and security deposit ($165) of one week's tuition.
(Deposits are applied to your child’s last week of enrollment of Summer Camp at Noah’s Ark.)
Date of last tetanus shot (must have in order to process enrollment)? __________
Is your child currently enrolled in a Maryland school? YES NO
If no, then please provide Immunization Records and Health Inventory forms.
Is your child missing any immunizations for medical or religious reasons? YES NO
If yes, please sign the Religious Objection statement below.
Religious Objection: I am the parent/guardian of the child identified above. Because of my
religious beliefs and practices, I object to any immunization being given to my child.
Signature: ___________________________________ Date: ________________
Photo Release: I grant Noah’s Ark Learning Center permission to use any photograph
of my child taken during camp for promotional purposes.
Signature: ___________________________________ Date: _________________
Agreement: I hereby grant permission for my child to participate in Summer Camp programs at Noah’s Ark Learning
Center, traveling to and from Noah’s Ark, to the pool or other places included in the activities for which my child is
registered. I understand that Noah’s Ark may deny enrollment to or dismiss at any time any student/participant whom it
considers not to be participating properly in the program.
In the event of an emergency requiring immediate medical treatment, I understand that the staff of Noah’s Ark Learning
Center will try to reach me by using the telephone numbers listed on the camp registration form. In the event that I cannot be
reached, I authorize treatment by appropriate medical personnel as approved by Noah’s Ark Staff. We understand and accept
the need for Noah’s Ark to be fully informed as to the physical and mental health of my child. Failure to disclose such
essential information at the time of enrollment or upon request of Noah’s Ark may be cause for immediate dismissal.
Noah’s Ark pledges to respect the confidentiality of such information and use it only for professional purposes.
Signature: ___________________________________ Date: ____________________
Release Statement: In consideration of acceptance of my child for enrollment in Summer Camp at Noah’s Ark, I hereby
release and discharge Noah’s Ark, its agents, employees, and officers from all claims, demands, actions, judgments, and
executions which the undersigned as parents of the camper, ever had or now has or may have or claim to have against Noah’s
Ark, its successors or assigns, for all personal injuries, known or unknown, and injuries to property, real or personal, caused
by or arising out of the camper’s enrollment in Summer Camp at Noah’s Ark.
EMERGENCY MEDICAL INSTRUCTIONS
Please note below any specific conditions your child may have that the Noah’s Ark staff needs to be aware of (i.e. Allergies,
medications, does not sweat, sensitivity to the sun etc.):
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
_____________________________________________________
Do you consider your child a weak ___ or strong ___ swimmer? (please check one)
We recommend Rash Guard (R) swim shirt for sun sensitivity.
SUNSCREEN MUST BE APPLIED EVERYDAY BEFORE ARRIVAL AT SUMMER CAMP!
Signature: ________________________________ Date: _________________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
T-SHIRT ORDER FORM
Please indicate your child’s shirt size and quantity requested. T-shirts will be required for all field trips. They are $15.00
each. We recommend at least 2 shirts per child. If your child has shirts from previous years, it is not necessary to purchase
new ones.
Include payment of $15.00 per shirt with your registration form.
QUANTITY SIZE AMOUNT
__________ CHILD SMALL (6-8) _________
__________ CHILD MEDIUM (10-12) _________
__________ CHILD LARGE (14-16) _________
__________ ADULT MEDIUM _________
__________ ADULT LARGE _________
Total # of shirts ordered ____________ X $__________ = $_____________
(Cash or check accepted. Please include shirt payment with registration fee and security
deposit.)
Noah’s Ark Learning Center, Inc.
Discipline Policy
Summer Camp at Noah's Ark has developed the following procedures regarding discipline. Please know that the majority of
our children behave wonderfully and discipline rarely becomes an issue. A certain testing of limits is expected and our
counselors are adept in correcting minor behavioral problems. The goal of Summer Camp at Noah’s Ark is to help
the children continue to grow and learn appropriate social behavior. Therefore, our desire is to work with the children,
parents, and staff to find the best solution concerning any behavioral problems.
Should it become necessary to move into formalized steps you will be advised what behavior is prompting this decision. For
those children that exhibit unusually aggressive, dangerous or persistent misbehavior that is not corrected, the following steps
will be implemented.
STEP ONE: For the first occurrence the counselor will discuss with the child the inappropriate behavior and the
consequences should the behavior continue (steps 2, 3, and 4). Documentation and signature by all parties.
STEP TWO: Continued inappropriate behavior will require a conference between the child, the counselor and the Director.
Documentation and signature by all parties.
STEP THREE: Child will stay behind at Noah’s Ark and miss a field trip if behavior continues, parents will be notified of this
action. Documentation and signature by all parties.
STEP FOUR: The parent will be contacted. A conference will be required for the parent, child, counselor and Director to
discuss the situation. Step Five will be explained to the parent and child. Documentation and signature by all parties.
STEP FIVE: The parent will be notified and the child will be picked up immediately. This practice will continue until behavior
is corrected. Documentation and signature by all parties.
FIGHTING: If a physical altercation takes place, the children involved will be given a one day suspension. If a child has three
(3) fights in one Summer, he will be removed from the Summer Camp.
I acknowledge receipt of a copy of the Noah's Ark Discipline Policy and agree to abide by its terms.
___________________________________ ____________
Signature of Parent Date
I have reviewed this policy with my child (name) _______________________ and my child has signed this agreement.
__________________________________ ____________
Signature of Child Date