Transcript BNM Performing Arts Camp 2010

BNM Performing Arts
Summer Camps 2014
New Student
Registration Packet
WEEKLY THEMES & DAILY SCHEDULES
Week of
May 26 May 30
June 2June 6
Theme
Princess Party!
PRINCESS CAMP
Dancin Disney
PRINCESS CAMP
June 9-13
Glee
GEN. DANCE CAMP
June 16-20
American Idol
GEN. DANCE CAMP
June 23-27
Around the World
GEN. DANCE CAMP
June 30July 3
July 7-11
July 14-18
July 21-25
July 28Aug. 1
Aug. 4Aug.8
Pick your Star
GEN. DANCE CAMP
The Sweet Tooth
BREAK DANCE CAMP
Celebrity Rockstar
BREAK DANCE CAMP
Olympics
TUMBLE/CHEER
Activity Highlights!
Field Trip
Tea Party, Summer Camp
Wonderland
Movies
Dress up as your favorite Disney
Princess, Prince Charming
Young Chefs
Academy
Glee Karaoke, Broadway Jazz, Make
slushies
Atlanta Botanical
Garden
Got Talent! The Gong Show
Fernbank Museum
Dances from around the world.
Scavenger Safari Hunt
Zoo Atlanta!
Elections for Camp President, Camp
BBQ
Imagine It! Children's
Museum
Sports Buffet, Create your own
Obstacle Course
Movies
Dress your Counselor like a
Rockstar! Let's make a BAND! Team
Break-Dancing Competition
All American Skate
Center
Team Color War, Camp Art Contest,
Water Balloon FUN!
Water Park
In the Jungle
DANCE INTENSIVE
Lion King Production
So you think you can
Dance...
DANCE INTENSIVE
Dance Team Competition, Learn
Micheal Jackson's Magic Moves!
SCHEDULES ARE SUBJECT TO CHANGE - SWIM ONCE A WEEK!
Aquarium
Movies
115 Clairemont Ave.
Decatur, GA 30030
Summer Dance Camp 2014
Registration Form
Dancer’s last name________
Dancer’s first name
_______
Street address
City
Postal Code
_______
_______
Dancer’s birth date_______
Parent 1 Full Name
Dancer’s age (as of May/2014)______________
Cell #
______
Parent 2 Full Name
Home phone (
Cell #
)
Emergency phone (
______
)
How did you hear of BNM Dance Academy of Decatur?
______
______
_________________
Please list any known allergies
______
______
Previous dance experience
______
________________
Child’s T-Shirt Size
□ x-small
□ small
□ medium
□large
□x-large
________________
FOR OFFICE USE ONLY
Method of payment:
cash
check
Credit Card
Money Order
BNM Dance Academy Summer Intensive:
Full-day
$115.00/week
Half-day
$85.00/week
Registration Fee
$50.00 – Includes camp tee
Weeks of
Camp_____________________________________________________________________
_________________________________________________________________
Last name on checks):
date:
staff initials:
WHAT TO EXPECT
FREQUENTLY ASKED QUESTIONS
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How do I register?
Registration is a Quick & Easy Process. You may reserve your child’s space in any of
our Summer Dance Programs by visiting us online at www.barefootnmotion.com or in
the Studio at 115 Clairemont Ave., Decatur, GA 30030 . $50 RESERVES YOUR CHILD’S
SPACE!
Registration deadline?
Pre-Registration must be completed at the Studio anytime before May 26 . Camp is
subject to cancellation if enrollment minimums are not met. Camp will be closed to
further enrollment once maximums are met.
What form of payment is accepted?
Cash, Money Order, Credit Card or check is accepted. Please make check payable to:
Barefoot n Motion.
Who can sign up?
Boys and girls ages 5 to 15 can sign up for BNM Performing Arts Summer Programs.
Dancers must be fully potty trained. Dancers entering grades 4-12 are invited to
register for our Dance Intensive Programs.
What should my dancer wear?
Dancers can wear any appropriate clothing that is comfortable and easy to move in.
Dance Attire is encouraged.
Are dance shoes required?
Dance shoes are required at a minimum your child should have a pair of Jazz or
Ballet Shoes. Shoes can be purchased at Payless Shoe source or any of your local
Dancewear stores. Flip-flops not permitted.
Is there a performance?
Yes, an informal show is scheduled for end of Camp (Friday) of Each week. Campers
will have the opportunity to showcase what was learned throughout the week.
WHAT TO BRING TO CAMP EVERYDAY
 Dance Bag (w, Dance clothes & Shoes)
 Hand Towel or Wipes
 Bottled Water (2 bottles)
 Bagged Lunch (Full Day Dancers)
 Suntan Lotion (Fieldtrips)
 Change of Clothes
 Plastic Bag
 2- Healthy Snacks
 Dance Notebook
Comfortable Shoes for after class (OPTIONAL)
HEALTH AUTHORIZATION FORM
A copy of your child’s Immunization Record MUST be submitted prior to camp. (All forms expire annually)
Campers Name___________________________________________________________________
Gender _____________
Birth Date ___________________________ Age ______________
Healthy History
Has camper been hospitalized or had operations, serious injuries, fractures, etc. in the past five years?
___ No
___Yes (Give dates and details):
►Does camper have any chronic or recurring illness or conditions?
__________________________________________________________________________________
►Should any activities be limited?
__________________________________________________________________________________
►Current medications(s) (send with instructions)
__________________________________________________________________________________
Note: Medications must be checked in at the sign in table. Medications must be in an original prescription
bottle.
List Allergies: ________________________________________________________________________
Suggestions on health related information for camp personnel
__________________________________________________________________________________
This health history is correct as far as I know, and herein described has permission to engage in all
prescribed camp activities except as noted. Authorization of treatment: I hereby give permission to
the medical personnel selected by the camp director to order x-rays, routine tests, treatment: to
release any records necessary for insurance purposes; and to provide or arrange necessary related
transportation for me/or my child. In the event that I can not be reached in an emergency, I hereby
give my permission to the physician selected by the camp director to secure and administer
treatment, including hospitalization, for the person named above. The completed forms may be
photocopied for trips out of camp.
________________________________________
__________________
Signature of parent or guardian
Date
PARENT’S AUTHORIZATION
As the parent/guardian of the camper, I authorize ______________________________ (camper’s name) to
attend and participate in all prescribed BNM Dance camp activities. I give permission to the Camp
Director and any other designated camp staff to administer first aid and in the event of an emergency, to
secure a physician for any medical or surgical treatment needed for my child. I understand that a
conscientious effort will be made to locate me before action is taken. I understand and accept that this
expense will be my responsibility. I understand that it is my responsibility to carry primary accident
insurance. I give my permission for my child to participate in transportation to and from camp site, if
attending BNM Dance Camp Full Day programs I give permission that any photos or videos taken of my
child can be used for promotional purposes only.
___________________________________________
_________________
Signature of parent or guardian
Date
EMERGENCY FORM
PLEASE PRINT
CHILD’S LAST NAME
____________________
CHILD’S FIRST NAME
MI
School Attending:
HOME ADDRESS STREET
CITY
PARENT’S NAME
PLACE OF EMPLOYMENT
WORK #
CELL PHONE #
Emergency Contacts
HOME #
GENDER
STATE
NAME
AGE
DATE OF BIRTH
APT. #
ZIP
PARENT’S NAME
PLACE OF EMPLOYMENT
WORK #
CELL PHONE #
PHONE
RELATIONSHIP
____________________________________________________________________________________
____________________________________________________________________________________
(OTHER THAN PARENT)
____________________________________________________________________________________
SPECIAL NEEDS
COMMENTS – ALLERGIES / MEDICATIONS
□ Needs Noon Medication
□ Food Allergies – ___________________________________________
SPECIFY
___________________________________________
□ Needs Hourly Medication
□ Allergic to
___________________________________________
bees, ants, etc. – SPECIFY
___________________________________________
□ Diabetic
□ Carries Epi pen
___Yes ___No
□ Asthma Inhaler
□ ADD / ADHD
□ Convulsions
□ Other – SPECIFY
PLEASE PRINT NAMES (INCLUDE PARENTS’ NAMES)
DO NOT LEAEVE BLANK
PERSONS AUTHORIZED TO PICK UP MY CHILD.
__________________________________________
____________________________________
____________________________________
____________________________________
*(A copy of a court order is required for parent’s
whom are not authorized for pick – up.)
Are there any circumstances concerning your child’s
safety that we need to be aware?
___________________________________________
___________________________________________
___________________________________________
___________________________________________
BNM Dance Academy of Decatur
Full and Half Day Programs
Statement of Understanding
Please initial each statement below and sign at the bottom.
___1. I understand that any changes I make in my child’s camp registration must be in writing to the camp
office and that all deposits are non refundable.
___2. Any changes in camp will result in a $10 per camp transfer fee.
___3. I understand that if my balance is not paid at the time of camp or if I am not registered for the week, this
will delay or prevent my signing in.
___4. I understand that I / or whoever I have authorized to pick up my child must present a picture ID.
___5. I understand that my child will be participating in at least 4 hours of physical activity each day.
___6. I understand that if I have conflict with another parent, camper or staff, I will conduct myself in an
appropriate manner that is a positive example to all our campers.
___7. I understand that my camper is not to bring anything to camp that will be extremely upsetting if it is lost,
stolen or broken.
___8. I understand I am to NEVER lay my hands on another camper in an attempt to correct or intimidate.
___9. I understand that if my child is unable to adhere to the rules of the Barefoot n Motion Dance Camp, I
may be called upon to pick up my child early. I also understand that some behavior may warrant a
suspension and it is up to me and / or my family to accommodate those arrangements.
______________________________
Camper’s Name (print)
________________________________
Parent / Guardian’s Name (print)
______________________________
Date
________________________________
Parent / Guardian’s Signature