Living WisdomYoga Day Camp2015
Dear Friends,
Thank you for your interest in Living Wisdom Yoga Day Camp. This is our 17th year offering this program, and we have been gratified over the years to have many repeat attendees. We offer the camp for ages 5-11 years old and for two one-week sessions, taken either together or separately: July 20-24 & July 27-31, 2015. The Camp will once again be held at the Ananda Community located at 20715 Larch Way in Lynnwood, WA 98036.
Each day starts at 9:30am and ends at 3:00 pm. The program offers a variety of experiences: yoga postures, circle time-sharing with an uplifting theme, music, nature activities, cooking, projects, crafts, free play, and—a favorite among all children—swimming! Our garden and chickens, too, are much loved. Our adult teachers and volunteers, and teenage counselors offer a variety of projects throughout the week to keep the children engaged and happy.
To complete registration for the program, pleasereturn the form(s), plus the $15 non-refundable registration fee for each child. The cost of each week is $220 if registration is received before April 30th. Registration received after April 30th is $245/week.
There is a 10% discount for each additional child from the same family. Admittance is on a space available basis.
Please make checks out to Living Wisdom School and send all materials to:
LWS office, 20715 Larch Way #18, Lynnwood, WA 98036.
Please feel free to call me at Living Wisdom School at 425-772-9862 if you have any questions. We look forward to being able to serve you and your children (and/or grandchildren) this summer! We hope you will tell your friends about our camp too.
Joy!
Christy Johnston
Program Coordinator
Living Wisdom School of Seattle 2000 NE Perkins Way, Shoreline, WA 98055
Living Wisdom Yoga Day Camp 2015
Application for Admission
Location of Program: Ananda Community, 20715Larch Way, Lynnwood, WA98036
Mail Application & Payment to: LWS office, 20715 Larch Way #18, Lynnwood, WA 98036
Please make checks out to: Living Wisdom School
Please register my child for: (circle one or both weeks) July 20 - 24 & July 27 – 31
Child’s Name:
Last First Middle Nickname
Sex:______Age:______Birthday:______Grade for Fall ______
School most recently attended (if any):
Parent’s names and address (if you live separately, please give both addresses and phone #’s) ______
______
*Email ______
Home Phone: ______Cell Phone:
(How can we best get a hold of you?) ______
1. How did you learn about Living Wisdom Yoga Day Camp?
2. Will your child be coming with a friend? If so, what is/are the names(s) and age(s)?
3. What are your primary interests in bringing your child to the Living Wisdom Yoga Day Camp?
4. Is there anything about your child that we should know that would help us in working with him or her?
Please return with a $15 nonrefundable application fee. The Camp registration fee is $220 per week if received by April 30th,and $245 after April 30th.All payments are due by June 15th.There is a 10% discount for each additional child from the same family. Refunds for paid tuition will be made up to June 15th as the need arises, and thereafter, only if a replacement is available.
Living Wisdom Yoga Day Camp 2015
Health Information
Child’s Name:
Last First
Primary Emergency Contact: Phone:
Second Emergency Contact: Phone:
Family doctor:Name:
Address:
Phone:
What is your preferred medical approach (traditional/alternative/both)?
Does the child have any allergies to foods, medications, or anything else that we should know about?
Are there other food restrictions?
Any other health conditions?
Does your child have permission to use the swimming pool? (circle one) Yes No
Does your child know how to swim? (circle one) Yes No
(Child will be required to show his/her ability to swim before being allowed to swim in the deep end. If a child cannot swim, then we require the parent to provide a life jacket which the child must wear at all times in the pool, even in the shallow end.)
Parent Signature ______Date ______
Please also sign and return separate Emergency/Medical Treatment Release
Living Wisdom Yoga Day Camp 2015
EMERGENCY/MEDICAL TREATMENT RELEASE
As parent and/or legal guardian of
Child’s Last NameFirst Name
I grant permission for Living Wisdom Yoga Day Camp in case of emergency to obtain medical treatment and to transport my child to the emergency room at the nearest hospital.
Parent/Guardian Signature Date
Living Wisdom Yoga Day Camp 2015
SUNSCREEN AUTHORIZATION FORM
Living Wisdom Yoga Day Camp is aware of how damaging UV rays from the sun can be to your child’s skin. We encourage application of sunscreen. It is the parents’ responsibility to apply sunscreen to their child before sending their child to camp in the morning. During the day, however, the protection wears off. If you would like for the camp staff to reapply sunscreen after lunch, please give us your permission below. Children eight years of age and older may administer their own sunscreen under the supervision of a staff member.
Sunscreen must be provided by parents and must be in the original container labeled with the child’s name and must be current.
A sunscreen authorization form must be on file in order for staff to administer sunscreen. If no form is completed, our staff will not apply sunscreen. This permission slip will be valid for as long as your child is attending LW Yoga Day Camp or until a written request is submitted to nullify the above stated terms.
Choose :_____Yes, apply sunscreen that I provided
_____I do NOT authorize sunscreen application.
I,______authorize The Living Wisdom Yoga Camp
Staff to apply sunscreen designated above to ______(Child),
and agree to the above terms stated in this policy.
Living Wisdom Yoga Day Camp 2015
PHOTO PERMISSION FORM
I give permission for Living Wisdom Yoga Day Camp and/or Living Wisdom School of Seattle to use my child’s photograph in their promotional materials.
______
Parent’s Name date
______
Child’s(Children’s) Name(s)