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RECREATION PROGRAM 2020 KIDS W.O.R.L.D. SUMMER (City of Sierra Vista)

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EXTRAORDINARY SKIES. UNCOMMON GROUND.EXTRAORDINARY SKIES. UNCOMMON GROUND.
KID’S W.O.R.L.D. SUMMER
RECREATION PROGRAM 2020
May 26
- July 24 (No program 5/25 or 7/3)
6:40 am – 5:40 pm
Sierra Vista Activity Center
3030 E Tacoma Street
$110 for the week
Open to children entering grades 1 - 5
Completed registration forms should be emailed to
Registration@SierraVistaAZ.gov at or after 8:00 am, on
Tuesday, May 19
th
. Forms sent in prior to that will not be
accepted. Payment for the first week is due at the time of
registration. Payment for each week thereafter will be due no
later than Wednesday at 5:00 pm of the current week.
Registration forms are available online, just search “Summer
Recreation Program”.
Children are required to bring:
Lunch Water bottle Sunscreen/Hat
For more information:
OSCAR YRUN COMMUNITY
CENTER (OYCC)
3020 E Tacoma St
(520) 458-7922
Monday - Friday 8:00AM - 5:00PM
For questions or info:
KidsWORLD@SierraVistaAZ.gov
To register:
Registration@SierraVistaAZ.gov
EXTRAORDINARY SKIES. UNCOMMON GROUND.
• All check in and out procedures will occur outside of the facilities.
• Parents and caregivers will not be allowed in the facility.
• All children will have their temperature checked at the time of drop off.
• Group size will be limited.
• Groups will move independently within the facility(ies) separated from other groups.
• Staff will wear masks.
• Groups will sanitize and disinfect their areas between transitions.
• Groups will wash their hands regularly and follow a hand washing schedule.
• Field Trips are not permitted at this time.
PERSONAL ITEMS REQUIRED:
• Water Bottle
• Lunch
• Sunblock/Hat
NO OTHER PERSONAL ITEMS ALLOWED
Due to limited availability we are asking that individuals who are able to work from home or who do
not need to work during this time leave the limited spots we have available for those individuals who
are working in positions of critical need.
Keep in mind that we are working with what the current situation allows us to do under our
guidance and that is subject to change. If our guidance tightens again, we will be required to close
the program. If a confirmed case of COVID-19 is identified in our program, we will be required to
close the program for 2-5 days, under current CDC recommendations. As the guidance expands, as
is expected, we will be able to accommodate an increased number of participants.
KID’S W.O.R.L.D. SUMMER RECREATION PROGRAM 2020
PROGRAM INFORMATION & COVID-19 PRECAUTIONS
Our efforts to reduce risk to your child(ren) and are outlined below. Please be aware that while we
will do our part to keep everyone safe, placement in any group program increases potential risk of
exposure to your child(ren).
PLEASE NOTE THE FOLLOWING: YOU MUST PRESENT YOUR ID AT CHECK OUT FOR CHILD PICK
UP
EXTRAORDINARY SKIES. UNCOMMON GROUND.
REGISTRATION PROCESS
The information and registration packet for the summer program are only available at
SierraVistaAZ.gov.
The steps for registration are as follows:
1. Thoroughly read all information in the Summer Program packet found at SierraVistaAZ.gov
2. Fill out the registration form completely
3. Beginning at 8:00 AM on Tuesday, May 19, submit completed form via email to
Registration@SierraVistaAZ.gov
• Forms will ONLY be accepted by email to Registration@SierraVistaAZ.gov, there will be
NO in person registration
• Forms will ONLY be accepted beginning at 8:00 AM on Tuesday, May 19, forms received
prior to that will NOT qualify
4. Staff will review forms, and call the registrants for payment on a first come, first served basis
• Payments will ONLY be taken over the phone by credit or debit card, payment for first
week is due to register
• Spot is not secure until registered
5. After program capacity, additional registrants will be informed that they are the waitlist
6. Participants on the waitlist will be contacted if we have space available
For questions or information, please call the Oscar Yrun Community Center (458-7922) during
regular business hours, or email KidsWORLD@SierraVistaAZ.gov
KID’S W.O.R.L.D. SUMMER RECREATION PROGRAM 2020
EXTRAORDINARY SKIES. UNCOMMON GROUND.
KID’S W.O.R.L.D. SUMMER RECREATION PROGRAM 2020
PARENT INFORMATION SHEET
SCREENING – Drop off/Pick up will be contactless. All children will be screened at the time of drop off. They
CANNOT attend the program if they have a fever above 99.9 and/or a dry cough. Children MUST be fever free
(without medication) for AT LEAST 24 hours.
PICK UP DUE TO ILLNESS – Immediate pick up is required for children with a fever above 99.9, a dry cough, or
any other illness for safety concerns. Children MUST be fever free (without medication) for AT LEAST 24 hours
to return to the program.
FEE PAYMENT – Fees for each week are due PRIOR to the child being signed in. No exceptions. Payments are
not accepted at the program site. No exceptions. I understand weekly attendance fees can be paid on-line, via
credit card or over the phone at the OYCC during business hours.
REFUNDS/CREDITS - The $110 weekly fee applies to any number of days attended Monday-Friday. To receive
a credit or refund for participation fees paid in advance (for the current week or beyond), notification must be
sent in writing to KidsWORLD@SierraVistaAZ.gov no later than 1:00 p.m. Monday of that week. No refunds or
credits will be given for absences, sickness, or days otherwise missed during the current week of participation
(including suspensions). A 15% administrative fee will be charged on any refunds.
LATE PICK UP FEES – The program ends at 5:40 p.m. late pick ups will be charged $10/child for every 10
minutes (5:41 -5:50 p.m. = $10, 5:51 - 6:00 p.m. = $20, etc.) No drop offs allowed prior to 6:40 a.m. Multiple late
pick ups may result in a suspension or removal from the program.
SIGN IN/OUT - Daily attendance is tracked for program purposes. Children will be signed in/out daily by staff
member. Participants must be picked up by someone on the registration form. An ID is required when signing
out a child. We cannot physically / otherwise restrain participants who choose to leave the program of their
own volition.
BEHAVIOR MANAGEMENT – We promote a “hands off” approach, so participants MUST be able to respond
to verbal direction from staff. Emphasis is placed on each child taking responsibility for their own actions.
Participants do not have the right to endanger or interrupt the activity of other children. If your child is having
trouble with another participant or needs assistance, they should notify a staff member. Behavioral problems
will be approached as deemed appropriate:
Verbal Warning/Redirection Time Out/Loss of Privileges Short/Long-Term Suspension
Extreme behaviors that put a child, or those around them in danger or harms way, may accelerate this process.
These include, but are not limited to:
Leaving the Program Inappropriately
Throwing Objects Physical Attacks Inappropriate Language
Disrespect to Staff
EMERGENCY CARE - In the event I cannot be reached in an emergency, I hereby give my permission to
employees of Sierra Vista Leisure Services to secure medical care for my child as deemed necessary. I
understand 9-1-1 can be used for urgent medical care.
PHOTOS - The City of Sierra may take photos of participants enrolled in our programs or activities. These
photos are for department use/promotion or may be used in future promotional materials. As a public program,
participants may also be exposed to outside sources/media.
LIABILITY WAIVER - As a participant in the above activity, I recognize that there are certain risks of physical
injury and I agree to assume the full risk of any injuries, including death, damages or loss which my child may
sustain as a result of participating in any and all activities connected with or associated with such programs. I
agree to waive and relinquish all claims I may have as a result of participating in the program against the U.S.
Government or City of Sierra Vista, their officers, agents, servants, and employees. I do hereby release and
discharge the U.S. Government, City of Sierra Vista and their officers, agents, servants, and employees from
any and all claims from injuries, including death, damage or loss which I may have or which may occur to
me on account of my participation in the program. I do further agree to indemnify and hold harmless
the U.S. Government, City of Sierra Vista and their officers, agents, servants, and employees from
any and all claims resulting from injuries, including death, and losses sustained by me and
arising out of, connected with, or in any way associated with the activities of the program.
EXTRAORDINARY SKIES. UNCOMMON GROUND.
PROGRAM INFORMATION & COVID-19 PRECAUTIONS
Kid’s W.O.R.L.D. is a group-recreation focused program. All participants must be able to feed & toilet themselves,
follow verbal directions, and interact appropriately in a group environment. If a child has a disability that requires
an ADA accommodation, please contact the OYCC to receive a *Request for Accommodation (RFA) packet and
submit prior to enrollment. If a request has already been granted for KW 2019-20, another one is not necessary.
This packet must be filled out COMPLETELY and all fees paid prior to enrollment & attending the program.
1) CHILD
: Grade: School: Birth date: Sex(M/F):
2) CHILD: Grade: School: Birth date: Sex(M/F):
3) CHILD: Grade: School: Birth date: Sex(M/F):
ADDRESS: CITY: ZIP CODE:
FATHER/GUARDIAN
: E-mail:
Employer: Wk. Ph#: Cell /Hm. Ph#:
MOTHER/GUARDIAN: E-mail:
Employer: Wk. Ph#: Cell/Hm. Ph#:
HEALTH INFORMATION (Please initial all below):
YES: I understand my child must be able to toilet them self (includes identify need, proper use, dress self, no
pull-ups, etc)
NO / YES: Are there any health issues (food allergies, etc) affecting the child/ren?
If so, please identify child & details:
NO / YES: Does a child have an ADA disability requiring an accommodation? If so, attach completed *RFA
packet.
NO / YES: Is child/ren on any medication? If so, please list:
MEDICATIONS - Meds are not allowed on site, except for Rescue Inhalers & EPI-pens. These must be left with
staff in the prescription box.
EMERGENCY CONTACTS – List (2) or more LOCAL individuals BESIDES Parents/Guardians listed above.
We attempt to contact the parent(s) first. The following may also be contacted (or) remove my child/ren from
the program.
The following person, or persons, may not remove my child from the program: (Copy of custody or court papers
MUST be provided for any name given for us to enforce):
PARTICIPATION FEES
Total # of children attending: x $110 =
(Due at time of registration) TOTAL $:
For Office Use Only Below This Line
CC Cash Check# Receipt #
Staff Initials Date Amount $
KID’S W.O.R.L.D. SUMMER RECREATION PROGRAM 2020
NAME – As it appears on ID
(Do not re-list parent/guardian above)
RELATIONSHIP HOME PHONE/
CELL
WORK PHONE
EXTRAORDINARY SKIES. UNCOMMON GROUND.
KID’S W.O.R.L.D. SUMMER RECREATION PROGRAM 2020
PROGRAM TERMS & CONDITIONS (PAGE 1 OF 2)
Initial ALL Below:
: SCREENING – Drop off/Pick up will be contactless. All children will be screened at the time
of drop off. They CANNOT attend the program if they have a fever above 99.9 and/or a dry cough.
Children MUST be fever free (without medication) for AT LEAST 24 hours.
: PICK UP DUE TO ILLNESS – Immediate pick up is required for children with a fever above
99.9, a dry cough, or any other illness for safety concerns. Children MUST be fever free (without
medication) for AT LEAST 24 hours to return to the program.
: FEE PAYMENT – Fees for each week are due PRIOR to the child being signed in. No
exceptions. Payments are not accepted at the program site. No exceptions. I understand weekly
attendance fees can be paid online, via credit card or over the phone at the OYCC during business
hours.
: REFUNDS/CREDITS - The $110 weekly fee applies to any number of days attended Monday-
Friday. To receive a credit or refund for participation fees paid in advance (for the current week
or beyond), notification must be sent in writing to KidsWORLD@SierraVistaAZ.gov no later than
1:00 p.m. Monday of that week. No refunds or credits will be given for absences, sickness, or
days otherwise missed during the current week of participation (including suspensions). A 15%
administrative fee will be charged on any refunds.
: LATE PICK UP FEES – The program ends at 5:40 p.m. late pick ups will be charged $10/child
for every 10 minutes (5:41 -5:50 p.m. = $10, 5:51 - 6:00 p.m. = $20, etc.) No drop offs allowed prior to
6:40 a.m. Multiple late pick ups may result in a suspension or removal from the program.
: SIGN IN/OUT - Daily attendance is tracked for program purposes. Children will be signed in/
out daily by staff member. Participants must be picked up by someone on the registration form. An
ID is required when signing out a child. We cannot physically / otherwise restrain participants who
choose to leave the program of their own volition.
: BEHAVIOR MANAGEMENT – We promote a “hands off” approach, so participants MUST be
able to respond to verbal direction from staff. Emphasis is placed on each child taking responsibility
for their own actions. Participants do not have the right to endanger or interrupt the activity of other
children. If your child is having trouble with another participant or needs assistance, they should
notify a staff member. Behavioral problems will be approached as deemed appropriate:
Verbal Warning/Redirection Time Out/Loss of Privileges Short/Long-Term Suspension
Extreme behaviors that put a child, or those around them in danger or harms way, may accelerate
this process. These include, but are not limited to:
Leaving the Program Inappropriately Throwing Objects Physical Attacks Inappropriate Language
Disrespect to Staff
EXTRAORDINARY SKIES. UNCOMMON GROUND.
KID’S W.O.R.L.D. SUMMER RECREATION PROGRAM 2020
PROGRAM TERMS & CONDITIONS (PAGE 2 OF 2)
EMERGENCY CARE - In the event I cannot be reached in an emergency, I hereby give my permission
to employees of Sierra Vista Leisure Services to secure medical care for my child as deemed
necessary. I understand 9-1-1 can be used for urgent medical care.
PHOTOS - The City of Sierra may take photos of participants enrolled in our programs or activities.
These photos are for department use /promotion or may be used in future promotional materials. As
a public program, participants may also be exposed to outside sources/media.
LIABILITY WAIVER - As a participant in the above activity, I recognize that there are certain risks
of physical injury and I agree to assume the full risk of any injuries, including death, damages or loss
which my child may sustain as a result of participating in any and all activities connected with or
associated with such programs. I agree to waive and relinquish all claims I may have as a result of
participating in the program against the U.S. Government or City of Sierra Vista, their officers, agents,
servants, and employees. I do hereby release and discharge the U.S. Government, City of Sierra Vista
and their officers, agents, servants, and employees from any and all claims from injuries, including
death, damage or loss which I may have or which may occur to me on account of my participation in
the program. I do further agree to indemnify and hold harmless the U.S. Government, City of Sierra
Vista and their officers, agents, servants, and employees from any and all claims resulting from
injuries, including death, and losses sustained by me and arising out of, connected with, or in any way
associated with the activities of the program.
I agree to the program terms and conditions. I certify the information provided is true, and accept
full responsibility for payment of all registration, usage, and miscellaneous fees required for my
child to attend this program.
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