Rustic Canyon
Recreation Center
City of Los Angeles Department of Recreation and Parks
Mail-In Registration Begins March 14th
Rustic Canyon Recreation Center
601 Latimer Road,
Santa Monica, CA, 90402
(310) 454-5734
Thank you for choosing Rustic Canyon Summer Camp!
We are excited to have you with us and are dedicated to your child’s safety, security, and happiness.
Summer 2011 promises to be full of fun, games, crafts, field trips and more! This year at Rustic we are offering Pre-School Fun Camp (Ages3-5yrs), Sixers Camp (Age 6), Day Camp (Ages 7-12yrs), and a Counselor in Training Program for teens (Ages 13-15yrs).
It’s going to be an amazing summer! We will see you at the Canyon! ~ Rustic Canyon Recreation Center
Persons with disabilities are encouraged to participate in our classes and programs.
Reasonable accommodations will be made with prior arrangement.
DIRECTIONS TO RUSTIC CANYON
From PCH: Turn onto W. Channel. Go to the traffic light at Mesa, turn left and go up the hill to Latimer. Turn left onto Latimer at the stop sign and continue for
a block. Park is on the left.
From Sunset: Turn onto Brooktree. At the stop sign turn left and continue until Latimer. Turn right on Latimer. Park is on the right.
Rustic Canyon
Recreation Center
601 Latimer Road
Santa Monica, CA 90402
(310) 454-5734
Rusticcanyon.rc@lacity.org
Dates to Remember
Monday, March 14th: Mail-In Registration Begins
Sunday, March 27th: Mail-In Registration Ends
Monday, March 29th: Walk-In Registration Begins
Saturday, June 18th: Parent Orientation
Monday, June 27st: Session 1 of Camp Begins!
Monday, July 4th: No Camp / Rec Center Closed
Monday, July 11th: Session 2 Begins!
Monday, July 25th: Session 3 Begins!
Monday, August 8th: Session 4 Begins!
Important Information
?‚· All campers must be signed in and out every day by a person listed on their registration form. Please indicate on the registration form if you would like your child to sign themselves in or out. All early pickups must go to the office.
?‚· A one-time $50 registration fee is required for all campers.
?‚· For any immediate pick up changes, parents or guardians must complete a “Pick up Changes form” and submit it to the office by 1:00pm on the day of the change.
?‚· Children not picked up by 3:30 PM will be placed in extended care.
?‚· Campers must wear closed toed shoes—no “wheelies” allowed—tennis shoes only. Children should wear comfortable clothes. Please have your child bring his/her lunch every day. We do not have the ability to make lunches for
?‚· children who forget theirs.
?‚· Camp shirts are to be worn daily. Campers without the required shirt will be given one at the cost of $10 to the parent. Campers must leave all electronics, cell phones, and toys at home. If a camper is discovered with one it will be con-fiscated and returned at the end of the day. Please label all clothes, jackets, backpacks, and lunch bags with the child’s name.
?‚· Cancellations prior to June 1st are subject to a $150 penalty fee;
?‚· NO refunds once a camp session begins. Rustic Canyon camp does not offer pro-rating for missed days of camp. Changes/transfers will be subject to a $45 administration fee. Absolutely no changes once a session has begun.
?‚· Units will be created based on camper’s age at the start of Summer 2010. Requests will only be considered if indicated on the registration form. Please write tall request, on the form. Requests are not guaranteed.
The Department of Recreation and Parks is proud to be part of the Mayor’s Million Tree Initiative. Achieving gender equality through a continuous commitment to girls and woman in sports. Good Sportsmanship is Everyone’s Responsibility. Be a Good Sport.
9:00am—2:00pm
AGES 3 TO 5
Session #1: June 27th—July 8th $475.00 no camp July 4th
Session #2: July 11th—July 22nd $500.00
Session #3: July 25th—August 5th $500.00
Session #4: August 8th—August 19th $500.00
*Preschool camp is Monday through Friday*
Children enrolled in all camps MUST be potty trained. NO EXCEPTIONS.
9:30am—3:30pm
Age: 6yrs
Session #1: June 27th—July 8th $500.00 no camp July 4th
Session #2: July 11th—July 22nd $525.00
Session #3: July 25th—August 5th $525.00
Session #4: August 8th—August 19th $525.00
*Sixers Camp is Monday through Friday without Field Trips*
Sixers Camp is perfect for children entering the first grade. Skills such as friendship building and teamwork will be emphasized with activities such as arts & crafts, field games, skits, songs, sports, and special events.
Parents must submit a Birth Certificate copy at time of registration.
Don’t forget your lunch!
This is the ideal camp for children who haven’t yet entered elementary school. Letters, numbers, shapes, colors, and more will be taught in a safe and engaging environment using activities such as crafts, songs, games, and other enrichment activities/special events, and theme days.
Parents must submit a copy of their child's Birth Certificate at time of registration.
Lunch Not Provided
Please note: There is no Field Trips or Extended Care for Pre-School Camp.
9:30am—3:30pm
Ages: 7-12yrs
Option A Option B
Session #1: June 27th—July 8th $500.00 $550.00
Session #2: July 11th—July 22nd $525.00 $575.00
Session #3: July 25th—August 5th $525.00 $575.00
Session #4: August 8th—August 19th $525.00 $575.00
Rustic Canyon Summer Camp offers a wide variety of activities for your child - every day will be a new adventure! Swimming, arts and crafts, skits, songs, field games, team building, special events and field trips are just some of the many activities we will offer. Skills such as friendship, cooperation, and teamwork will be emphasized.
Parents must submit a Birth Certificate copy at time of registration.
Don’t forget your lunch and swimming attire! Extended Care available.
9:30am—3:30pm
Ages: 13-15yrs
Session #1: June 27th—July 8th $200.00
Session #2: July 11th—July 22nd $225.00
Session #3: July 25th—August 5th $225.00
Session #4: August 8th—August 19th $225.00
This program is designed to mentor 13, 14, and 15 year olds to become future camp counselors. “CIT’s” will work directly with the staff to gain leadership skills, while learning to work with younger campers. Beach Tuesdays is one of the many exciting events that our CIT’s get to experience.
CIT’s must provide their own lunch.
Option A: Monday through Thursday only...No Friday Camp
Option B: Monday through Friday (includes Field Trips on Fridays)
9:15am—9:30am Sign In
9:30am—10:00am Songs
10:00am—10:30am Rotation One
10:30am—11:00pm Rotation Two
11:00am—11:30am Rotation Three
11:30am—12:00pm Rotation Four
12:00pm—12:45pm Lunch
12:45pm—1:00pm Cleanup
1:00pm—1:25pm Group Time
1:25pm—1:55pm Pool time/Versus
1:55pm—2:10pm Rotation
2:10pm—2:45pm Versus /Pool time
2:45pm—3:00pm Snack
3:00pm—3:15pm Pick-up
3:15pm—5:00pm Extended Care
Parent Orientation
Saturday, June 18th, 2011
Pre-School Camp: 11:00am—12:00pm
Sixers, Day Camp & C.I.T.: 1:30pm-2:30pm
Parents are invited to Rustic Canyon for an overview of Summer Camp 2011. Counselors,
Directors, Supervisors, Staff, and neighborhood representatives will be introduced as we walk you through a typical day of camp and go over policies. All questions will be answered and parents will receive a camp schedule. Also, camp shirts will be distributed at this time. Additional shirts will be available for purchase for $10 at the office for the duration of the summer.
If you are unable to attend, please
Contact us at (310) 454-5734.
SESSION ONE
Week One: BBQ
Week Two: Field Trip
SESSION TWO
Week One: BBQ/Special Event
Week Two: Field Trip
SESSION THREE
Week One: Special Event
Week Two: Field Trip
SESSION THREE
Week One: BBQ
Week Two: Field Trip
Field Trip Policies
1. Campers must wear their 2011 Rustic Canyon camp shirt to ALL field trips. Those who forget theirs will be provided with one at the charge of $10 to the guardian upon pick-up.
2. All children must ride the chartered bus to and from the trip destination. No Exceptions
3. Parents, relatives, or friends are not permitted on the field trips.
4. Parents will receive a full schedule the first day of a session. It is the parents’ responsibility to read and follow any information given out each week regarding camp. Flyers are sent home the Thursday prior to the Field Trip. Make sure you re-ceive this flyer from your child and/or your camp counselor as information such as drop off and pick times, spending money and attire will be stated on those flyers.
***Due to occasional changes in availability, field trip dates and/or locations are subject to change. On the rare occasion that a field trip must change, it will be substituted for one of approximately the same value.
Field Trip Locations May Include:
Disneyland, Knotts Berry Farm,
El Capitan Theater, & Mulligans
Registration Information
Instructions
1. Fill out the registration form completely—each child needs their own form.
2. Place the form plus a copy of the birth certificate and the check made out to LA City Department of Recreation & Parks for the total amount in a sealed envelope
3. Please mail to Rustic Canyon RC US Mail. FedEx, UPS, and large envelopes will not be accepted.
4. Please be sure to put a legible e-mail address on your registration form
5. Receipts confirming enrollment will be e-mailed within three weeks of receiving registration.
6. Any registration for sessions which are already full will be placed on the waiting list and the check shredded. *An e-mail notification will be sent to the e-mail ad-dress listed on the registration form.
7. In order to be admitted to camp, every section of the campers registration form must be filled out and signed. NO EXCEPTIONS. If your form is not complete, your child will not be registered and the forms will be mailed back.
Extended Care
8:00AM—9:30AM; 3:30PM—5:30PM
Extended Care prepaid punch cards are available as follows:
$25.00 = 5 hours $50.00 = 10 hours $100.00 = 20 hours
Children not picked up by 3:30pm for Day Camp
will automatically be placed in Extended Care. Children not picked up by 5:30 pm will be placed in the recreation office until picked up, and the guardian charged
a late fee of $10.00 per every 15 minutes or part thereof.
Extended Care Punch Card: must be purchased prior to using Extended Care
Day to Day Extended Care Payment is NOT permitted
THE FIRST ACCEPTABLE POSTMARK IS MONDAY, MARCH 14th
WALK-IN REGISTRATION BEGINS TUESDAY, MARCH 29th.
ONE FORM AND CHECK PER CHILD, PLEASE PRINT CLEARLY
SUMMER CAMP REGISTRATION FORM
City of Los Angeles Department of Recreation and Parks
Rustic Canyon Recreation Center
601 Latimer Road Santa Monica, CA 90402
*REGISTRATION FORMS WITH POSTMARKS BEFORE MARCH 14TH WILL NOT BE HONORED & WILL BE RETURNED BY MAIL
Camper’s Last Name___________________________________ First Name____________________________________
Birth Date___/____/___ Gender ____Grade in Fall 2009 _____ School Name _________________________________
Adult Last Name______________________________________ First Name____________________________________
Address_______________________________________________ City________________________ Zip______________
Day Phone ( )______________________________________ Evening Phone ( )__________________________
E-Mail _____________________________________________________________________________________________________
Emergency Contact ___________________________________ Emergency Phone ( )_______________________
AUTHORIZED PICKUP
Mother’s Name__________________________________ Bus. Phone_________________ Other Phone______________________
Father’s Name__________________________________ Bus. Phone_________________ Other Phone______________________
I authorize only these additional people to pick up my children):
Name________________________________ Phone_____________________ Relationship__________________
Name________________________________ Phone_____________________ Relationship__________________
Name________________________________ Phone_____________________ Relationship__________________
Name________________________________ Phone_____________________ Relationship__________________
RECOMENDATIONS AND RESTRICTIONS WHILE AT CAMP
Does your child have any conditions that would prevent him/her from participating in any camp activities:
__________________________________________________________________________________________________________________
Allergies (Foods, Nuts, Drugs, Bee Stings, Etc. ____________________________________________________________________
Asthma or Hay Fever: ____________________________________________________________________________________________
Does the camper take medication at present:______________________________________________________________________
If medication is to be given during camp, please contact the office.
Health Care Information
Insurance Provider:____________________________________ Policy #: ____________________________
Doctor Name: _________________________________________ Phone #: ____________________________
Additional Medical Information:__________________________________________________________________
PLEASE CHECK ACTIVITY AND SESSIONS
PRE-SCHOOL FUN CAMP SIXERS CAMP
Session 1: 6/27 — 7/8 $475.00__ Session 1: 6/27 — 7/8 $500.00__
Session 2: 7/11 — 7/22 $500.00__ Session 2: 7/11 —7/22 $525.00__
Session 3: 7/25 — 8/5 $500.00__ Session 3: 7/25 — 8/5 $525.00__
Session 4: 8/8 — 8/9 $500.00__ Session 4: 8/8 — 8/9 $525.00__
DAY CAMP OPTION A OPTION B COUNSELOR IN TRAINING
Session 1: 6/27 — 7/8 $500.00__ $550.00__ Session 1: 6/27 — 7/8 $200.00__
Session 2: 7/11 —7/22 $525.00__ $575.00__ Session 2: 7/11 —7/22 $225.00__
Session 3: 7/25 — 8/5 $525.00__ $575.00__ Session 3: 7/25 — 8/5 $225.00__
Session 4: 8/8 — 8/9 $525.00__ $575.00__ Session 4: 8/8 — 8/9 $225.00__
TOTAL ______________
NON-REFUNDABLE REG. FEE $ 50.00 .
GRAND TOTAL _____________
FOR OFFICE USE ONLY
RW #__________________________ T-SHIRT RECEIVED _______ UNIT______________
POLICIES AND PROCEDURES
RUSTIC CANYON SUMMER CAMP 2011
Please read carefully before you sign:
Campers must be signed into and out of camp and extended care daily by a person who has been authorized by you. Any person authorized to pick up must have their name on file with the Recreation Center and be prepared to show I.D. Rustic Canyon Rec-reation Center is not responsible for children before or after day camp unless they are currently enrolled in Extended Care. Writ-ten permission must be provided if you wish your child to be released to anyone other than those authorized on the registration form. We will check identification.
Children not signed out of Summer Camp by 3:30 p.m. for Day Camp will automatically be placed in Extended Care. Campers who are not signed out by 5:30 p.m. will be placed in the recreation center office and charged a late fee of $10.00 for every 15 minutes or part thereof. This applies to all children unless they have written parental permission (see below) to sign themselves out of camp. Children in Preschool Camp who are not picked up within 15 minutes of camp ending for the day will be charged $10 for every 15 minutes or part thereof.
I understand that my child must wear the appropriate Camp Shirt daily. Children not wearing the proper shirt will be given one and charged $10.00. I understand that all children must ride the charter bus to the field trips provided by the Recreation Center. There will be NO drop-offs or pick-ups at the trip sites. NO EXCEPTIONS. Staff is not responsible for lost or stolen items. Please write your child’s name on their belongings.
I acknowledge that I have read the 2011 Summer Camp Brochure. I understand and agree to all terms and requirements.
Signature of Parent/Guardian__________________________________ Date___________________
CANCELLATION PROCEDURES
If a refund is requested prior the beginning of the session for which they are enrolled, a $100 administration fee will be applied. NO refunds will be granted once a session has begun. No make-ups or credits will be given for missed days. NO refunds for suspensions or expulsions.
Signature of Parent/Guardian__________________________________ Date___________________
PERMISSION TO SIGN IN AND OUT OF CAMP (ONLY FOR AGE 9 AND UP)
Please be aware that by giving permission for your child to sign in and/or out of camp, the staff and recreation cen-ter are in no way responsible for your child until he/she signs in with a counselor.
Circle One:
YES NO My child has permission to sign him/herself INTO camp.
YES NO My child has permission to sign him/herself OUT of camp.
Signature of Parent/Guardian ________________________________ Date_________________
PARENTAL CONSENT
I give permission for my child ______________________________________to participate in the Palisades/Rustic Canyon Recreation Center Day Camp programs, including field trips by chartered bus. I agree to hold harmless the City of Los Angeles, Department of Recreation and Parks and its officials, agents/employees for injury to my child as a result of participation in Day Camps. I un-derstand that the park nor the Department of Recreation and Parks carries insurance. I also understand that any camper who does not cooperate with camp staff will lose privileges to activities and can be expelled from camp.
I, the undersigned parent(s) of _____________________________________, do authorize Rustic Canyon Recreation Centers as agent for the undersigned to consent to X-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by, and is to be rendered under the general or specialized supervision of any physician licensed under the provision of the Medical Practice Act on the staff of a licensed hospital, whether such diagnoses or treatment is rendered at the office of said physician or at said hospital.
Signature of Parent/Guardian ________________________________ Date_________________
Photo Release:
The City of Los Angeles’ Department of Recreation and Parks or its assigned agents has my permission to use images (digital, film, tape, or video) of my child _______________________(minor’s name) and/or myself for promotion of Rustic Canyon Recreation Center program
Signature of Parent/Guardian ________________________________ Date_________________
Circle One:
YES NO My child has permission to watch G or PG movies during Quiet Time (alternate activities available)
Signature of Parent/Guardian ________________________________ Date_________________
Mayor - Antonio Villaraigosa
District 11 Councilmember - Bill Rosendahl
DEPARTMENT OF RECREATION AND PARKS
BOARD OF COMMISSIONERS
Barry Sanders President
Luis Sanchez Vice-President
Jonathan Williams, W. Jermoe Stanley, Jill T Werner
ADMINISTRATION
Jon Kirk Mukri General Manager
Regina Adams Executive Officer
Kevin Regan Asst. General Manager—Operations West
WEST REGION
Sophia Piña-Cortez Superintendent
Carolyn James Principal Recreation Supervisor I
Laura Island Shoreline District Supervisor
Peggy Kelly Senior Park Maintenance Supervisor
Patricia Rubideau Park Maintenance Supervisor
RUSTIC CANYON STAFF
Jaqueline Koci Recreation Coordinator
RECREATION ASSISTANTS
Andrew Bell, Andrew Funke, Rudy Alvarez, Elysia Leassear, Tomas Villatoro, Carla Lemus, Darren Massey, Cienna Davis,
Marivel Alvarez, Taylor Brinkerhoff
The Department of Recreation and Parks is proud to be part of the Mayor’s Million Tree Initiative.
Achieving gender equality through a continuous commitment to girls and women in sports.
Good Sportsmanship is Everyone’s Responsibility. Be a Good Sport.
City of LA Dept of Recreation & Parks
Rustic Canyon Recreation Center
Stop #673
601 Latimer Road.
Santa Monica, CA 90402
Presorted
First Class Mail
U.S. Postage
PAID
Los Angeles, CA
Permit 12932