FAMILY CAMP Registration 2015

May 1-3, 2015 Lazy F Campground
Ellensburg, WA
Parent Ac vi es
Saturday, May 2
8‐8:45 a.m. Registra on at Trading Post
9‐9:45 a.m. Families meet staff
Children’s Program
Saturday 10 a.m.‐12 p.m. & 1‐5 p.m. Sunday 8:50 a.m. ‐ 12:00 p.m. Deaf, hard of hearing and hearing children are welcome.
9:45 Children go to children’s program
10‐11:30 a.m. Keynote Speaker: Jennifer White
Age Birth up to 3
11:30‐11:50 a.m. Parent introduc ons/small groups
Children will enjoy participating in language rich and 12‐1 p.m. Lunch
developmentally appropriate activities. Adult to child ratio is 1:1. 1:00 Children return to children’s program
1:10‐3:00 p.m. Workshop Selec on: Parent
discussion
Ages 3 ‐ 12
3:00‐3:10 p.m. Break
Drama: Children will have the opportunity to develop 4:15‐4:45 p.m. Free me to visit with other parents
performance pieces for the Sunday morning program. 5:00 Pick up children from children’s program
5‐6:00 p.m. Free me for hay ride, playground, or
fishing
6‐7:00 p.m. Dinner
7:15‐8:00 p.m. Free play me
8‐9:00 p.m. Campfire me with stories and
marshmallows
Arts & Crafts: Children will have the opportunity to work on art and craft projects and showcase them at the Sunday morning program. Outdoor Recreation: Fun & games outdoors including fishing. Many volunteers will be helping with these activi‐
ties. Age 13 to 18
Teen Challenge Program: A fun program of physical ac‐
tivities designed for the development of interpersonal skills, problem solving and self‐esteem is offered for teens. Sunday, May 3
8‐8:50 a.m. Breakfast
8:50 Children go to children’s program
9‐10:20 a.m. State and Na onal Ac vi es: Rick
Hauan (Ridgeview)
10:30‐12 p.m. Children’s Performance
Return registration to: Christy Camarata, WSDS/CWU – 7409, 400 E.
University Way, Ellensburg, WA 98926
12‐1 p.m. Lunch and then Home
Directions, additional forms and confirmation of registration will be
mailed to you.
Questions—camaratc@cwu.edu, 509.963.1670
2015 Family Camp Registration Form
Package A: 2 nights lodging - Friday, May 1, Saturday,
May 2 (Friday arrival after 6:00 p.m.)
5 meals - Saturday: Breakfast, Lunch, Dinner,
Sunday: Breakfast, Lunch
Package B: 1 night lodging - Saturday May 2
(Saturday 8:00 a.m. arrival)
4 meals – Saturday: Lunch, Dinner
Sunday: Breakfast, Lunch
Package C: Offsite Lodging
4 Meals – Saturday: Lunch, Dinner
Sunday: Breakfast, Lunch
PACKAGE A
COST
PACKAGE B
PACKAGE C
Adult
Child 13 – 18
Child 6 - 12
99.00
89.00
79.00
73.00
63.00
53.00
49.00
42.00
37.00
Child 2 - 5
Child and under 2
69.00
No Cost
43.00
No Cost
26.00
No Cost
NAME – List names of all adults and
children who will be attending
PKG
AGE
EX: Flossie Ann Smith (adult)
A
N/A
EX: Sally Joy Smith
A
3
*Child
t-shirt
size
GENDER
HEARING,
HH,
DEAF
COST
Female
Hearing
$ 99.00
Female
Deaf
$ 69.00
3T
Subtotal:
*t-shirts will be available for children in sizes 2T, 3T, 4T, child XS, S, M, L, XL and adult S, M, L and XL…………………
RV Space Requested _______
______
TOTAL DUE:
Your Name:
__________________
Address: ____________________________City: ____________________State: ___Zip:_______
E-Mail Address: ______________________________ Phone: (
)___________ Cell: (
)_________
Payment Options:
Check: Payable to: Central Washington University
Credit Card: fax (509-963-1608) or mail the following information:
Visa
Master Card
Expiration Date
Account No.
Name (as it appears) on Card
Signature
Do you have a family that you would prefer to room with? ______________________________
Do you need vegetarian meals? Yes/No
Food allergies? ______________________________
Do any adults in your party need Spanish interpreting? Yes/No
Do you need wheelchair accessibility or other accommodations? Yes/No ____________________
Emergency Contact #1:____________________________________________________________________________________
NAME
RELATIONSHIP
PHONE #
Emergency Contact #2____________________________________________________________________________________
NAME
RELATIONSHIP
PHONE #