SUMMER. Mt. Vernon Department of Recreation CAMP JULY & AUGUST
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1 Mt. Vernon Department of Recreation SUMMER 2016 JULY & AUGUST RICHARD THOMAS Mayor Darren M. Morton, Ed. D. Commissioner Diane Atkins, MPA Deputy-Commissioner CAMP MOUNT VERNON RECREATION OFFICE HOURS 8:30AM-4:30PM. FOR MORE INFORMATION CALL (914) OR *No refunds will be given after JUNE 1, In the event that a child withdraws from the program, a $25 processing fee will be assessed towards refund* FIND US, FRIEND US, LIKE US CAMPS!! CLINICS!!
2 City of Mount Vernon, New York Mount Vernon Department of Recreation Welcome Parents/Guardians Richard Thomas Mayor The Mount Vernon Department of Recreation is excited to announce the return of our Summer camps featuring an array of fun filled activities. The Recreation Department proudly offers a summer filled with healthy, safe and affordable activities organized under the leadership of Mayor Richard Thomas and Commissioner Darren Morton. Returning this year are: Senior Camp will be held at Holmes Elementary School, boys and girls ages 9 to 12 years old. Junior Camp will be held at Traphegan Elementary School for boys and girls ages 5 to 8 years old. The Rose Simon Camp is a specialized camp designed for children with disabilities. For more information please call (914) Darren M. Morton Commissioner The Recreation Department is dedicated to making this summer a memorable one for the youth of Mount Vernon. There are many activities that will be included in the camp experience such as but not limited to: swimming, arts and crafts, field trips, outdoor activities, dance, drama and organized games. Camp starts July 5, August 12, Monday - Friday, 9:00a.m. - 3:00p.m. Fee $ (Senior & Junior Camps). The Department also offers clinics which has a shorter day schedule Diane Atkins Deputy Commissioner Basketball Clinic - $ for six weeks or $90.00 per week. Mon.-Fri. 1:00pm-5:00pm Tennis Clinic - $ for ten week session. Fridays ONLY Soccer Clinic - $ per session or $50.00 per week, Mon. - Thurs. 4:00p.m. - 6:00p.m. Band Clinic - $ for five weeks Mon. - Thurs. 9:00a.m. - 12:00p.m. Ric Wright Director of Athletics, Programs and Services *Enrollment is based on a first come first served basis. Early registration is recommended as well. Registration will not be accepted without completing the Medical and Swim waiver. Families registering may do so at Mount Vernon City Hall, 1 Roosevelt Square (room #11)
3 Department of Recreation Summer 2016 City of Mount Vernon RECREATION THE CITY OF HOPE RICHARD THOMAS, MAYOR SUMMER CAMPSREGISTRATION FEE $ ALL REGISTRATION IS ON A FIRST COME FIRST SERVE BASIS Recreation Summer Fun!! JUNIOR CAMP SENIOR CAMP AGES 5-8 AGES 9-12 TRAPHEGAN ELEMENTARY HOLMES ELEMENTARY Join Us! Monday - Friday from 9:00 a.m. - 3:00 p.m for recreational activities! Activities include, basketball, kick ball, baseball, arts & crafts and more! Campers will enjoy trips along with weekly swimming. Monday, July 5, Friday, August 12, 2016 Register NOW (Checks, cash or money orders only!) Program Fee: $ for 6 weeks For more information call (914) Monday through Friday from 8:30 a.m. - 4:30 p.m.
4 BASKETBALL CLINIC TENNIS CLINIC BAND CLINIC SOCCER CLINIC THE DATES THE FEES CLINICS WILL START MONDAY, JULY 5, 2016 THROUGH AUGUST 12, 2016 BASKETBALL CLINIC - LOCATION - A.B. DAVIS MIDDLE SCHOOL SESSION 1 - JULY 5TH - JULY 8TH - 1pm-5pm SESSION 2 - JULY 11TH - JULY 15TH - 1pm-5pm SESSION 3 - JULY 18TH - JULY 22TH - 1pm-5pm SESSION 4 - JULY 25TH - JULY 29TH - 1pm-5pm SESSION 5 - AUGUST 1ST - AUGUST 5TH - 1pm-5pm SESSION 6 - AUGUST 8TH - AUGUST 12TH - 1pm-5pm TENNIS CLINIC - LOCATION - TENNIS CENTER JULY 1ST - AUGUST 26TH (9 WEEK SESSIONS) 6:30PM-8:30PM SOCCER CLINIC - LOCATION - HUTCHINSON FIELD SESSION 1 - JULY 11TH - JULY 14TH - 4pm-6pm SESSION 2 - JULY 18TH - JULY 22TH - 4pm-6pm SESSION 3 - JULY 25TH - JULY 29TH - 4pm-6pm SESSION 4 - AUGUST 1ST - AUGUST 5TH - 4pm-6pm SESSION 5 - AUGUST 8TH - AUGUST 12TH - 4pm-6pm BAND CLINIC - LOCATION - MANDELA HIGH SCHOOL SESSION 1 - JULY 11TH - JULY 14TH - 9am-12:00pm SESSION 2 - JULY 18TH - JULY 22TH - 9am-12:00pm SESSION 3 - JULY 25ST - JULY 29TH - 9am-12:00pm SESSION 4 - AUGUST 1ST - AUGUST 5TH - 9am-12:00pm BASKETBALL CLINIC $ FOR SIX WEEK SESSION OR $90.00 PER WEEK FRIDAY TENNIS CLINIC $ PER SESSION SOCCER CLINIC $200 FOR SIX WEEK SESSION OR $50.00 PER WEEK BAND CLINIC $200 FOR FIVE WEEK SESSION
5 Biddy-Midget Basketball League/CLINIC Hartley Park Boys and Girls ages 6-14 Register NOW City Hall, RM 11 Monday through Friday 8:30am - 4:30pm July 5, August 12, 2016 Monday, Tuesday: 4:30pm - 8:30pm Saturday: 9:00am - 11:00am FEE: $35.00
6 Department of Recreation Parks Activation Program Monday through Thursday 10:00 a.m. to 3:00 p.m. Tennis in the park! Tuesdays & Thursdays from 10:00am - 12:00pm. Tuesday Howard Street Playground Thursday Purdy Park Playground FREE Fleetwood Playground 10:00am-12:00pm - Corner of Fleetwood Avenue & Broad Street Madison Playground 10:00am - 12:00pm - Franklin Avenue & Madison Avenue Old 7th Avenue Playground 1:00pm - 3:00pm - 7th Avenue Howard Street Playground 1:00pm - 3:00pm - Howard street & High Street Come join the Department of Recreation as we bring our parks to life this summer. Children of all ages can join us for FREE activities. Children under the age of ten (10) must be accompanied by parent/guardian.
7 ! City of Mount Vernon Recreation Department! Richard Thomas, Mayor! Darren M. Morton, Commissioner Diane Atkins, Deputy Commissioner SUMMER CAMP APPLICATION FORM *No refunds will be given after JUNE 1, In the event that a child withdraws from the program, a $25 processing fee will be assessed towards refund.* CAMPER S NAME: Last Name ADRESS: Street City Zip HOME PHONE # ( ) - GIRL BOY PARENT/GUARDIAN NAME: ADRESS: CAMP IN WHICH PARTICIPANT WILL BE ENROLLED: CHOICES:!!! JR. CAMP! SR. CAMP! BASKETBALL CLINIC! TENNIS CLINIC (Circle one)!!!!!!! SOCCER CLINIC!! BAND CLINIC GRADE ENTERING SEPTEMBER 16 AGE: BIRTHDATE: MOTHER S FULL NAME: DAYTIME PHONE: ( ) - FATHER S FULL NAME: DAYTIME PHONE: ( ) - EMERGENCY CONTACT #1: DAYTIME PHONE: ( ) - (PLEASE MAKE SURE WE HAVE THE CORRECT PHONE NUMBERS TO REACH YOU IN CASE OF AN EMERGENCY) RELEASE OF LIABILITY As a participant in the Mount Vernon Recreation Department program, I hereby exempt, release, and hold harmless for myself, for my child, any minor in my legal custody, the City of Mount Vernon, it s officers, employees, agents (including independent contractors, if applicable), servants and volunteers from any all liability or causes of action whatsoever arising out of, or which may result from my participation or my child or that of any minor in my legal custody. I recognize and acknowledge that there certain risks of physical injury involved in my participation in the Summer Activities. I also give permission for my child to participate in all field trips. SIGNATURE OF PARENT/GUARDIAN: FOR OFFICE USE ONLY DATE: PROCESSED BY: RECEIPT#
8 2016 MEDICAL HISTORY NO ATTACHMENTS CAMPER S LAST NAME Please Print Clearly Camper s Name: MOUNT VERNON RECREATION DEPARTMENT Date of Birth: Last First Address: Zip Code: Street City State Parent s Name: Daytime Number: The following information is required by state law. This form must be completely filled out by parent/guardian, AND physician. Do not replace this section with a form or note from your doctor. Application is considered incomplete until this section is properly filled out. Immunization Date Date Date Diptheria/Tetunus Toxoid (3) Oral Polio Vaccine (3 doses)) MMR ( 1or 2 doses) HIB (1or 3 doses) Hepatitis B (3 doses) Varicella (1 dose) SPECIAL CIRCUMSTANCES: Please list any Allergies, Medications, Special Restrictions or Restriction on Activities Physician s Name: Physician s Signature: Address: Phone: Parent/Guardian Signature: Phone: HOSPITALIZATION RELEASE FORM In the event of an emergency, I hereby give permission to take my child to hospital for treatment, for evaluation of injuries, x-rays, and/or needed care. INSURANCE COMPANY: I.D. # *************************************************************************************** PERMISSION TO SWIM I grant my child permission to swim I do NOT grant my child permission to swim Waiver Release executed on, by the City of Mount Vernon, County of Westchester, State of New York, herein referred to as Releasor, to the City of Mount Vernon, whose principal office is located in the Municipal Building, City of Mount Vernon, County of Westchester, State of New York herein referred to as the Releasee. Releasor, with the intent of binding himself/ herself, his/her spouse, and his/her heirs, legal representatives, and assigns, expressly releases and (Parent/Guardian) discharges Releasee, its Department of Recreation and their officers, agents and employees from all claims, demands, actions, judgments, and executions that Releasor ever had, or now has, or may have, against Releasee, its Department of Recreation, their officers agents or employees created by or arising out of injury to, which may occur at Wilson (Name of Child) Woods Pool/Tibbett s Brook Pool and/or Saxon Woods during Summer Camp or any activities incident thereto for the entire summer of In witness whereof, Releasor has executed this release at the Recreation Department the day and the year first above written. Signature of Parent/Guardian:
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