It Takes A Village Youth Services
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2019 Summer Camp Application
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ITAVYS SUMMER CAMP APPLICATION
Dear Potential Camp Parent:
Thank you for your interest in our Sports & Fitness Camp which will operate from
July 1, 2019 -August 16, 2019.
The camp will focus on fitness and sports as a way of cultivating focus, discipline and leadership among youth ages 6-11. Camp will run Monday through Friday from 8:00am-4:00pm. Below is a typical camp day schedule:
MONDAY, TUESDAY, THURSDAY & FRIDAY DAILY CAMP SCHEDULE
WEDNESDAY IS OUR DESIGNATED TRIP DAY.
8:00 am – 9:00 am -Supervised Free Play/ Drop off (Bring your own breakfast)
9:00 am – 9:30 am-Announcements, warm-up and team building activities
9:30 am – 11:00 am
-Sports:
Monday, Tuesday
- drills, readiness games/ Self- defense
Thursday, Friday
- Tournament games
11:00 am – 12:00 pm-
Group games/ activities
12:00 pm – 1:00 pm-Lunch
1:00 pm – 2:00 pm- Recharge Time: reading, summer h.w., board games, rest
2:00 pm-3:30 pm Clubs-Sports/Self-Defense/ Double Dutch/Dance
3:30 pm-4:00 pm-Snack
4:00 pm- 5:45 pm-Supervised Free Play/Special Workshops
5:45 pm – 6:00 pm- Dismissal
*Trip days are every Wednesday excluding the 1st and last week of camp. Trips to Brooklyn Bridge Park, Kids n Action and Bowling will be traveled by a charted bus. Trip to Prospect Park will be traveled by train.
Payment Schedule
Payments can be made on a weekly basis or as a lump sum prior to or at the beginning of the summer camp period. Weekly payment is $300/week due every Monday. Payment is accepted via credit card, check or cash once camp application has been submitted and approved.
Again, thank you for your interest in It Takes A Village Youth Services Sports & Fitness Camp. Please fill out the attached application and return with all supporting documents by June 15, 2019. Please do not hesitate to contact me with additional questions at jsmith@ittakesavillageys.com
"Intelligence plus character, this is the goal of true education."
-Dr. Martin Luther King, Jr.
Sincerely,
Jabari J. Smith
Founder & CEO
Guardian Information
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Indicates required field
Guardian's Name
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First
Last
Phone Number
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Email
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Number of Children Registering
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1
2
3
Student 1
Child's Name
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First
Last
Date of Birth
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Age
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School
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Food Restrictions/Allergy
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Grade
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Special Medical Condition(s)
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Student 2
Child's Name
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First
Last
Date of Birth
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Age
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School
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Grade
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Food Restrictions/Allergies
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Special Medical Condition(s)
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Student 3
Child's Name
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First
Last
School
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Food Restrictions/Allegies
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Date of Birth
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Grade
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Special Medical Condition(s)
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Age
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Weeks Attending Camp
Check all that apply
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Week 1 - July 1-5, 2019 (Closed July 4th)
Week 2 - July 8-12, 2019
Week 3- July 15-19, 2019
Week 4- July 22-26, 2019
Week 5 - July 29-August 2, 2019
Week 6 - August 5-9, 2019
Week 7 - August 12-16, 2019
Emergency Contact & Authorized Pick Up
By checking below, I am authorizing the following people to be contacted in case of an emergency if I can not be reached or to pick up my child.
*
I Agree
Emergency Contact Name
*
First
Last
Emergency Contact's Name
*
First
Last
Emergency Contact's Name
*
First
Last
Relationship
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Relationship
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Relationship
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Phone Number
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Phone Number
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Phone Number
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Photo Release & Social Media Posting
I give ITAVYS permission to take pictures of my child during summer camp.
*
Yes, please post and tag me
Yes, please do not post my child's pictures on social media
No, no pictures or posting
Social Media Handle
*
Submit
Summer Camp Schedule
File Size:
170 kb
File Type:
pdf
Download File
Summer Camp Calendar
File Size:
209 kb
File Type:
pdf
Download File
Home
About
ITAVYS Sports & Fitness Camp
>
2019 Summer Camp Application
Birthday Parties
Contact
