2010 Arlington County Guide to Summer Camps

2010 Arlington County

Guide to Summer Camps

Online Registration begins 8am March 3 2010 Just go to wwwarlingtonvausPRCR

Donrsquot let fee or ability be a barrier Check out the fee reduction and accommodation policies on page 17 El Condado de Arlington puede proveer acomodaciones necesarias a personas con necesidades especiales Arlington no quiere que ni costos ni idioma sean una barrera para que residentes participen en clases campamentos o programas llame al 703-228-4747 o TTY 703-228-4743 Informacioacuten en espantildeol disponible en la paacutegina 21

Great Places for Children to Learn Play and Grow

prsr

t st

dus

pos

tage

paid

arlin

gton

va

perm

it 9

24

2 2010 A r l i ng t o n C o u n t y G u i d e t o Su m m e r C a m p s rsaquo rsaquo on l i ne reg i s t ra t i on beg i n s Ma rc h 3 2010 rsaquo rsaquo w w wa r l i ng tonva u s p r c r

Table of ContentsLocations 4Camps by Age 5

Camps for Preschoolers 6

Classic Summer Camps 6

Overnight Camps 6

Nature Adventure amp History Camps 7

Creative Arts Camps 8

Sports Camps 9

Teen Camps amp Programs 13

Therapeutic Recreation Camps 14

Imagination Explorations 14

Volunteer 16

Tricks and Tips for Success 17

Registration Information 17

Registration Form 19

Camp Participant InformationEmergency Record 20

En Espantildeol 21

Summer in Arlington means fun safety friends and new challenges We have them all in the Arlington County Summer Camp Catalog Our camps and programs keep

kids engaged active and focused on expanding their horizons Arlington County programs offer lots of choices safe and inviting environments and the chance for children to develop strong bonds with their community Kids get their fill of thrills through sports showcase their talents through the arts reap the rewards of volunteerism invigorate their imaginations through creative play explore the outdoors through nature programs and have adventures galore All while making friends and lifelong memories Arlingtonrsquos quality programs encourage youth to get involved develop their sense of self and community show positive sportsmanship be creative and learn from those who have different life experiences than they do We call it ldquoasset buildingrdquo Itrsquos our way of taking advantage of the wonderful summer season mdash the perfect time to nurture healthy development that helps young people grow up confident caring and responsible

Send a Kid to CampPlease

PRCR established the Summer FUNd in 2004 to cover registration and field trip fees for children who could otherwise not

participate due to financial hardship Please help us ensure that all children in Arlington have

a fun engaging and asset-building summer Contribute to a childrsquos summer adventures by

donating during the registration process or on the Arlington County Camp

Registration Form

Want to get paid to have fun this summer Find out about summer jobs at Arlington County camps See page 3

2010 A r l i ng t o n C o u n t y G u i d e t o Su m m e r C a m p s rsaquo rsaquo w w wa r l i ng tonva u s p r c r rsaquo rsaquo G r e a t P l a c e s f o r C h i l d r e n t o Le a r n P l a y a n d G r o w 3

Qualif ied Staff Make it Happen Camp and playground counselors are special people prCr staff must love working with young people (or we wonrsquot hire them) they are creative enthusiastic committed and sincereplus super-patient and loads of fun in fact many of arlingtonrsquos camp and playground counselors have been campers themselves often in the programs they now direct a lot of our committed staff are schoolteachers college students or college graduates who hope to find a permanent job working with kids theyrsquore a talented and merry bunch each with much experience in their specialty areas all are committed to helping each child be the best he or she can be toward that end arlington County invests heavily in staff training and development in addition to meeting the qualifications for their position all summer staff attend mandatory training that focuses on promoting positive participation creative expression cooperative and adaptive games heart-healthy and wellness activities risk management and safety child protective services procedures and policies planning activities positive and productive scheduling and developing welcoming spaces

Want a Great Summer Job Join our Camp Staff Call 703-228-3327

Donrsquot Let Cost Deter Your Summer Fun Arlington values its children and is committed to making sure all our children have access to fun and fulfilling summer programs Camp registration fees are adjusted based on household size and income just like the school lunch program Fee reductions are on a sliding scale based on household income and size For reduced fee qualifications and procedures go to wwwarlingtonvausprcr call 703-228-4747 or go to a customer service desk at Thomas Jefferson Center Barcroft Sports amp Fitness Center or 3700 South Four Mile Run Dr

Ready set Summer A break from school a chance for new experiences a springboard to grow mentally physically and socially Whether your child wants to refine a sports skill go rafting be in a play play mind-adventure games learn magichellipor just plain hang Arlington has something to offer

Classic Camps (page 6) offer a variety of programming options both structured and unstructured that include art sports trips and more

Overnight Camps (page 6) combine classic camp natureadventure camp and sleepover

Nature amp Adventure Camps (page 7) are for kids who love the outdoors and want to learn about and enjoy naturehellipand maybe stretch their limits with challenges such as canoeing caving and more

Creative Arts Camps (page 8) give kids dozens of ways to express themselves through painting drama pottery music and more

Sports Camps (page 9) entice the sports enthusiast who enjoys every sport in a sport combo camp or allow a specialist (or would-be specialist) to learn or refine skills in a specific sport camp such as basketball or tennis

Imagination amp Exploration Camps (page 14) include some new camps Wersquore thrilled to offer these camps which bring kids with special interests in science magic history and imagination strategy games together

What You Wanna Do this Summer Therersquos Something for Everyone in Arlington County

Camps for all Ages and Intereststhroughout the aC summer Camp Catalog yoursquoll find camps for kids of all ages and abilities to ensure fun be sure to select a camp that not only meets your childrsquos interests but also is age and skill appropriate see the chart on page 5 for age-appropriate camps

bull Camps for Preschoolers (page 6) allow little ones to stretch their wings and grow in a safe nurturing environment

bull Elementary kids will find camps throughout all the camp categorieshellipcheck out the options some camps offer great day-care options while others are short sweet and quite the treat

bull Camps for children with special needs are listed on page 14 We have designated Fairlington and lubber run tot Camps mcKinley summerfest and summer express as sites that will have a lower camp maximum lower staff-to-participant ratio and additional training for staff on program modifications behavior management and inclusion of individuals with disabilities that said you can request accommodations in all our camps

bull Teens who are engaged over the summer have the most success during the school yearhellipand in life arlington offers classic sports arts and overnight camps for teens Your teen may also enhance leadership skills by volunteering or enrolling in the award-winning team program another option is to check out the Junior Jam programs at various centers For more refer to our Teen section on page 13 and remember that teens can participate in many of the camps listed throughout the catalog

Arlington Camps for All Abilities as part of our inclusion philosophy youth with disabilities are welcome to register for any programs of interest We have designated Fairlington and Lubber Run Tot camps McKinley Elementary Summerfest and teen summer express as sites that receive additional services these sites have a lower camp maximum lower staff to camper ratio and additional training for staff on program modifications behavior management and inclusion of individuals with disabilities also check our tr Camps on page 14

everyone benefits from arlington County programs trained therapeutic recreation staff can assist you in making sure your child has the right support and accommodations no matter the special needs to ensure that all participants have an enjoyable safe and successful experience we will upon request provide reasonable accommodations for individuals with disabilities this includes but is not limited to adapted equipment and techniques sign language interpreters accessible facilities and large print and Braille materials parents should know it may sometimes be necessary to change a camperrsquos placement if the support assistance and accommodation necessary for participation can best be provided at an alternate site Contact the Therapeutic Recreation Office at 703-228-4740 or TTY 703-228-4743 for more information


POTOMAC RIVER

N LY

NN

ST

ARLINGTON BLVD

S ARLINGTON MILL DR

N H

ARRISON

ST

S H

A YE

S ST

LEE HWY

S A

RLIN

GTO

N R

IDG

E R

DS GLEBE RD

ARLINGTON BLVD

GEO

RGE

WAS

HIN

GTO

N M

EM

OR

IAL

PK

WY

23RD ST S

S GLEBE RD

KIR

KWO

OD

RD

S JEFFER

SO

N ST

ROUTE 233

S WALTER REED DR

ROUTE

110

N GLEBE RD

SPOUT RUN PKWY

MEMORIAL BRIDGE

INTERSTATE 66

COLUMBIA PIKE

LORCOM LN

WILSON BLVD

INTERSTATE 66

GEORGE WASHINGTON M

EMORIAL PKW

Y

BOUNDARY D

R

S M

ANC

HES

TER

ST

INTE

RST

ATE

395

S CARLIN

SPRINGS

RD

N G

EOR

GE

MASO

N D

R

S W

ASHINGTON BLVD

WILSON BLVD

CR

YSTA

L D

R

LITTLE FALLS RD

KEY BLVD

10TH ST N

N Q

UI N

CY

ST

LEE HWY

N G

LEBE RD

PATR

ICK

HEN

RY DR

S E

AD

S S

T

S A

DAM

S S

T

LEE HWY

FAIRFAX DR

S FOUR MILE RUN DR

MILITAR

Y R

D

WASHINGTON BLVD

S G

EORG

E MASON DR

INTERSTATE 395

QU

AK

ER

LN

OLD DOMINION DR

S KING ST

LEE HWY

MEMORIAL DR

JEFF

ER

SO

N D

A VI S

HW

Y

JOH

N M

AR

SHA

LL D

R

WILLIAMSBURG BLVD

KEY

BRID

GE

COLUMBIA PIKE

N PERSHING DR

FAIRFAX DR

N G

LEBE

RD

CHESTERBROOK RD

N SY

CA

MO

RE

ST

N CARLIN SPRINGS RD

15TH ST S

CLARENDON BLVD

N V

EITC

H S T

2

3

4

5

6

7

89

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26 27

28

29

30

31

32

3334

35

36

37

38

39

40

41

42

43

44

45

46

47

48

50

51

5253

54

55

5657

58

59

60

61

62

63

64

65

66

67

68

69

70

71

72

73

7475

76

77

78

79

80

81

82

491

Pursuant to Section 541-402 of the Code of Virginia any determination of topographyor contours or any depiction of physical improvements property lines or boundariesis for general information only and shall not be used for the design modification orconstruction of improvements to real property or for flood plain determinationMap prepared by Arlington County GIS Mapping CenterProduced and copy January 2010

83

Cultural Arts Facilities1 arlington arts Center

3550 Wilson Blvd 703-248-6800

2 Fairlington Arts Studio 3308 S Stafford Street 703-228-6492

3 Gunston Arts Center 2700 s lang st 703-228-1850

4 lee arts Center 5722 lee Highway 703-228-0560

5 lubber run amphitheatre n 2nd amp n Columbus st 703-228-1850

6 rosslyn spectrum theatre 1611 n Kent st 703-228-1850

7 theatre on the run 3700 S Four Mile Run Dr 703-228-1850

8 thomas Jefferson Community theatre 125 s old glebe rd 703-228-1850

9 thomas Jefferson art studios 3501 S 2nd Street 703-228-5925

Community Centers amp Senior Centers10 aurora Hills Community Center

amp senior Center 735 18th Street S 703-228-5721

11 Barcroft Sports and Fitness Center 4200 S Four Mile Run 703-228-0701

12 Carver Community Center 1415 s Queen street 703-228-5706

13 Charles Drew Community Center 3500 23rd Street S 703-228-5725

14 Culpepper garden senior Center 4435 N Pershing Drive 703-228-4403

15 dawson terrace Community Center 2133 N Taft Street 703-522-6767

16 Fairlington Community Center 3308 S Stafford Street 703-228-6588

17 gunston Community Center 2700 s lang street 703-228-6980

18 langston Brown Community Center amp multipurpose senior Center 2121 n Culpepper st 703-228-5210

19 lee Community Center amp senior Center 5722 lee Highway 703-228-0550

20 lubber run Community Center 300 N Park Drive 703-228-4712

21 madison Community Center amp senior programs 3829 N Stafford St 703-228-5310

22 thomas Jefferson Community Center 3501 2nd Street S 703-228-5920

23 Walter Reed Community Center amp multi-purpose senior Center 2909 16th street s 703-228-0935

Community Locations24 Carlin Hall Center

5711 s 4th st 703-379-1390

25 Cooperative extension services 3308 S Stafford Street 703-228-6400

26 Quincy parking deck n 15th st amp n Quincy st 703-228-1805

27 Woodbury park 2335 N 11th St 703-807-1941

Nature Centers28 gulf Branch nature Center

3608 N Military Rd 703-228-3403

29 long Branch nature Center 625 s Carlin springs rd 703-228-6535

30 Potomac Overlook Park 2845 marcey rd 703-528-5406

Parks amp Playgrounds31 Arlington Heights Park

9th st s amp s irving st 703-228-6525

32 Barcroft Park 4200 S Four Mile Run Dr 703-228-6525

33 Bluemont Park 601 north manchester st 703-228-6525

34 Bon Air Park 850 north lexington st 703-228-6525

35 Fort Barnard Park 2101 s pollard st 703-228-6525

36 Fort CF Smith Park 2411 24th st n 703-228-6525

37 Fort Scott Park 2800 S Fort Scott Dr 703-228-6525

38 Glebe Road Park 4211 n old glebe rd 703-228-6525

39 Glencarlyn Park 301 S Harrison St 703-228-6525

40 greenbrier park 5201 28th st n 703-228-6525

41 gunston park 2700 s lang street 703-228-6525

42 Hayes park 1516 n lincoln st 703-228-6525

43 High View Park 1938 N Dinwiddie St 703-228-6525

44 Jennie dean park 3630 27th St S 703-228-6525

45 lacey Woods park 1200 n george mason dr 703-228-6525

46 lyon village park 1800 n Highland st 703-228-6525

47 madison manor park 6225 12th rd n 703-228-6525

48 marcey road park 2722 marcey rd 703-228-6525

49 maury park 3550 Wilson Blvd 703-228-6525

50 nauck park 2600 19th st s 703-228-6525

51 powhatan springs park 6020 Wilson Blvd 703-228-6525

52 Quincy park 1021 n Quincy st 703-228-6525

53 Rocky Run Park 1109 n Barton st 703-228-6525

54 towers park 801 s scott st 703-228-6525

55 tuckahoe park 2400 n sycamore st 703-228-6525

56 tyrol Hill park 5101 7th rd s 703-228-6525

57 virginia Highlands park 1600 s Hayes st 703-228-6525

58 Westover park 1001 n Kennebec st 703-228-6525

Schools59 ashlawn school

5950 8th rd n 703-228-5270

60 Arlington Science Focus School 1501 n lincoln street 703-228-7670

61 Barcroft school 625 south Wakefield street 703-228-5838

62 Barrett elementary school 4401 n Henderson rd 703-228-6288

63 Bishop OrsquoConnell School 6600 Little Falls Rd 703-237-1400

64 Carlin springs school 5995 south 5th rd 703-228-6645

65 glebe elementary school 1770 n glebe rd 703-228-6280

66 H-B Woodlawnstratford school 4100 vacation lane 703-228-6363

67 Jamestown school 3700 North Delaware Street 703-228-5275

68 Kenmore middle school 200 s Carlin springs rd 703-228-6800

69 Key school 2300 Key Blvd 703-228-4210

70 long Branch school 33 N Fillmore Street 703-228-4220

71 mcKinley elementary school 1030 N McKinley Rd 703 228-5280

72 nottingham school 5900 Little Falls Rd 703-228-5290

73 Patrick Henry Elementary School 701 s Highland st 703-228-5820

74 reed school 1664 n mckinley rd 703-812-9724

75 swanson middle school 5800 n Washington Blvd 703-228-5500

76 taylor elementary school 2600 n stuart st 703-228-6275

77 thomas Jefferson school 125 s old glebe rd 703-228-5900

78 tuckahoe elementary school 6550 n 26th st 703-228-5288

79 Wakefield school 4901 s Chesterfield rd 703-228-6700

80 Washington-lee school 1300 N Quincy St 703-228-6200

81 Williamsburg middle school 3600 N Harrison St 703-228-5450

82 Yorktown school 5201 n 28th st 703-228-5400

83 Campbell Elementary School 737 S Carlin Springs Rd 703-228-6770

Where it is

Camp Facts 101Everyone can have a great time this summer but not at anotherrsquos expense All participants must follow directions and be respectful to fellow campers staff property and program boundaries While each camp has specific policies for each session there are common policies among all Arlington camps These policies were developed to be sure all kids are safe and have the best chance of an enriching and fun summer

1 Children must wear appropriate clothing and shoes for the camp and its activities Sandals are not allowed except at the pool

2 Children must bring their lunch to full day camps

3 Caregivers should pick up a calendar of activities on the first day of each camp session on site

4 Anyone enrolled in Summer Fun Centers PRCR Camps and Nature Center Camps is automatically covered under a group accident policy

5 Behavior resulting in extreme disruption or intentional harm to self others or property can result in removal from the program at the discretion of program staff Camp counselors are trained to use supportive strategies and available resources to encourage positive participation as alternatives to removal

6 Locations are subject to change (this catalog conveys the most correct information available before going to press) For updates contact the registration office at 703-228-4747

7 The Arlington County Board approves all camp fees The goal is to provide programs for all county children You may qualify for reduced fees Call 703-228-4747 for more information

8 Camps with insufficient enrollment will be canceled Registration staff will help direct families to comparable open programs

9 To keep kids safe summer programs will limit or cancel outdoor activities or may even cancel programs on ldquoCode Redrdquo days Camper safety is the deciding factor

10 Field trips are subject to change or cancellation due to inclement weather or if appropriate transportation is unavailable

11 Want to know more about how we run our camps Our parent handbook will be available online on March 3 Visit wwwarlingtonvausprcr

Teen Summer Job Expo Get the Skinny on summer jobs for teens on April 24 from 11 am to 1 pm at the Arlington Career Center

816 South Walter Reed Dr 703-228-1404 wwwarlingtonteensummerexpocom


Pg 3 4 5 6 7 8 9 10 11 12 13 amp Offered Location Over Sessions

CAMPS FOR PRE-SCHOOLERSTot Camp 5 bull bull bull 1-8 24 16 17 20 2178Camp Abrakadoodle ldquoOnce Upon a time 5 bull bull bull 2 60Camp Abrakadoodle Colorama Camp 5 bull bull bull 3 60Camp Abrakadoodle Beach Party 5 bull bull bull 4 60Camp Abrakadoodle Yummy Art Camp 5 bull bull bull 5 60Where the Wild Things Roam 7 bull bull 9 33

CLASSIC CAMPSCamp Horizon 5 bull bull bull bull 2-8 83Summerfest Day Camp 5 bull bull bull bull bull bull bull 2-8 19 83YMCA TripOutdoor Adventure Camp 6 bull bull bull bull bull bull bull bull bull 1-8 78YMCA Specialty Camp 5 bull bull bull bull bull bull bull bull 1-8 72

OVERNIGHT CAMPSWilderness Bound 5 bull bull 6 29Arlington County 4-H Junior Resident Camp 6 bull bull bull bull bull July 4-8 Arlington County 4-H ParentChild Cloverbud Camp 6 bull bull bull bull July 23-25Shenandoah Overnight Camp 6 bull bull bull bull bull 4Overnight Cheerio Adventures Camp 5 bull bull bull bull bull 81-6

NATURE ADVENTURE amp HISTORY CAMPSCivil War Soldier 7 bull bull bull bull 1 36Battlefield Explorers 7 bull bull bull 7 36Hands on History Camp 7 bull bull bull bull 2 amp 3 36Naturersquos Senses 7 bull bull 1 amp 2 29Treks amp Travels Survival Skills 7 bull bull bull bull 5 29Animal Challenge 7 bull bull bull bull 3 amp 4 29First Child in the Woods 7 bull bull bull bull 1 amp 2 28Potomac Hikers 7 bull bull bull bull 3 amp 4 28Forest Creatures 7 bull bull 5 amp 6 28Talons and Teeth 7 bull bull bull 10 33Adventure Links Ultimate Adventure Camp 8 bull bull bull bull bull bull 1 2 456 20 9 amp 10Adventure Links Summit Adventure Camp 8 bull bull bull 8 20Adventure Links Primitive Teaching Camp 8 bull bull bull 6 20

CREATIVE ARTS CAMPSCreative Arts Camp 8 bull bull bull bull bull bull bull 1-10 16 21YMCA Fun amp Funky Art (ages 5-8) 8 bull bull bull bull 9 16YMCA Fun amp Funky Art (ages 9-12) 8 bull bull bull bull 9 16Digital Video Production or 3D Video 8 bull bull bull bull bull bull 10 16 Game Design with Panda 3DETC Page to the Stage Camp 8 bull bull bull bull bull 8 amp 9 16Itrsquos Elementary Theatre Camp 9 bull bull bull bull bull bull 630-79 74 3-4 5-6Stage Door 2010 9 bull bull bull bull 3-5 81Scenes for Tweens and Teens 9 bull bull bull bull 630-79 81

SPORTS CAMPSGymnastics Camp 9 bull bull bull 1-9 11Arlington Sports Camp 9 bull bull bull bull bull bull 2-8 79All-American Sports Camp 9 bull bull bull bull bull bull bull 1 4 amp 9 66YMCA Sports Festival 13 bull bull bull bull bull bull bull bull 1-10 64 18YMCA Sports Camp 13 bull bull bull bull bull bull bull bull 1-8 72Shooting Stars Sports Camp 9 bull bull bull bull 5 amp 6 11 amp 66UK Sports Week 9 bull bull bull bull bull bull bull 8 41Half-Day Summer Baseball Camp 9 bull bull 1 3 amp 4 78Arlington Summer Baseball Camp 10 bull bull bull bull bull bull 1 3 amp 4 40Chuck Driesell Basketball Academy 10 bull bull bull bull bull bull bull 5 80Chummy Gill Basketball Academy 10 bull bull bull bull bull bull bull bull 3 amp 6 17 amp 75NOVA Basketball School 10 bull bull bull bull 2 3 amp 7 66Patriot Girls Basketball Camp 10 bull bull bull bull bull bull bull bull 1 amp 9 75Orange Line Sports Basketball Camp 10 bull bull bull bull bull bull bull 4 80Washington Mystics Basketball Camp 10 bull bull bull bull bull bull bull bull bull 4 amp 8 68Wakefield Girls Basketball Camp 10 bull bull bull bull bull bull bull bull 5 79Warriors Basketball Camp 10 bull bull bull bull bull bull 1 2 amp 6 68Webb Hatch Basketball Camp 10 bull bull bull bull bull bull bull bull 4 75Academy International Field Hockey 10 bull bull bull bull 4 amp 5 80Arlington Youth Football Camp 10 bull bull bull bull bull bull bull 3 amp 5 40Momentum3 Football Camp 11 bull bull bull bull bull bull 1 amp 4 40

pg 3 4 5 6 7 8 9 10 11 12 13 amp Offered Location Over Sessions Knightrsquos Golf Camp-Plus 11 bull bull bull bull bull bull bull bull 1-3 63Academy International Lacrosse 11 bull bull bull bull bull bull bull 3 amp 8 81Patriot Boys Lacrosse Camp 11 bull bull bull bull bull bull bull 3 80Martial Arts Olympics 11 bull bull bull bull bull bull bull bull 1-3 61Ninja Ranger Camp 11 bull bull bull bull bull bull bull bull 4-6 61 amp 67American In-Line Skating amp Skateboard Camp 11 bull bull bull bull bull bull bull bull 2-4 amp10 26American Skateboard at Powhattan 11 bull bull bull bull 1 7 amp 9 51Arlington Soccer Association Summer 11 bull bull bull bull bull bull bull bull bull 1 3 4 80 68 81 75 57Golden Boot Soccer Camp 11 bull bull bull bull bull bull bull bull bull bull 7 amp 8 17Bishop OrsquoConnell Summer Soccer Camp 12 bull bull bull bull bull bull 2 78Jimenez Soccer Camp 12 bull bull bull bull bull bull bull bull 1 5 amp 6 79 68 40Soccer Academy Inc 12 bull bull bull bull bull bull bull bull bull 3 6 amp 8 33 amp 81Challenger Sports British Soccer Camp 12 bull bull bull bull bull bull bull bull bull bull bull 2 amp 9 17UK Elite Soccer Camp 12 bull bull bull bull bull bull bull bull bull bull bull 4 amp 5 17Girls Softball Camp 12 bull bull bull bull bull bull 6 11 amp 52Aqua Sports Camp 12 bull bull bull bull bull bull 9 amp 10 80Tennis on the Move 12 bull bull bull bull bull bull bull bull bull 1 2 amp 6 33First Serve Tennis Camp 12 bull bull bull bull bull bull bull bull bull bull 7-10 21 33 68 amp 23Tennis USA Academy Fun Tennis Camp 12 bull bull bull bull bull bull bull bull bull 3-5 33Capital Ultimate Camp 13 bull bull bull bull 2 amp 3 66

TEEN CAMPS amp PROGRAMSSummer Adventure 13 bull bull bull bull 1-8 80Teen Artist Series Pottery Camp 14 bull bull 1-3 80Teen Artist Series Drawing Camp 14 bull bull 4-5 80Teen Artist Series Painting Camp 14 bull bull 6-7 79Arlington Youth Street Theatre 8 bull 1-8 68iTravel 13 bull bull bull 4-8 80Last Lap 13 bull bull bull 9 amp 10 18TbullEbullAbullMbull Teen Entrepreneur Amusement Management 13 bull 1 amp 2 80Sports amp Fitness Camp 13 bull bull bull 1-8 68Volunteers 16 bull 1-10Junior Jam 13 bull bull bull 1-8 1318 20 23 3-8 17 27

THERAPEUTIC RECREATION CAMPSAdventure Quest 14 bull bull bull 2-8 65Camp Discovery 14 bull bull bull bull bull bull 2-8 65

SPECIALTY CAMPS FOR IMAGINATION amp EXPLORATIONKidRealm Advanced Strategy Camp 14 bull bull 76-16 719-30 KidRealm Age of Discovery Camp 14 bull bull bull bull bull 76-16 719-30 KidRealm Hobby Camp 14 bull bull bull bull bull bull bull 1KidRealm Science Camp 15 bull bull bull bull bull 719-30 82-13KidRealm Time Machine Camp 15 bull bull bull bull bull 76-16 82-13KidRealm Young Explorer Camp 15 bull bull bull bull bull 8KidRealm Young Wizards Camp 15 bull bull bull bull bull 719-30 82-13Mystery Academy Magical Fun 15 bull bull bull 76-10Mystery Academy Magic Performance 15 bull bull bull bull bull 720-24 93-7 Mystery Academy Junior Carnival 15 bull bull bull 713-17 Mystery Academy Circus Arts 15 bull bull bull bull 67 23Mystery Academy Magic Crafts 15 bull bull bull bull bull 67Mystery Academy Puppetry 15 bull bull bull bull bull 67Mystery Academy Stage Magic 15 bull bull bull bull bull 67Mystery Academy Magic Camp Intermediate 16 bull bull bull bull 67Left Noodle-Right Noodle Curator Kids 8 bull bull bull bull bull bull 1 21Left Noodle-Right Noodle Time Travelers 16 bull bull bull bull bull bull bull 9 21 thru Ancient Cultures and Mythics LandsLeft Noodle-Right Noodle Happy Birthday to you 16 bull bull bull bull bull bull bull 10 21Video Game Design Camp 16 bull bull bull bull bull 1 16Computer Build amp Repair or Robotronix 16 bull bull bull bull bull 9 16Silver Knights Chess Camp 16 bull bull bull bull bull bull bull bull bull bull 5 9 amp 10 21Super Duper Science 14 bull bull 9 33

Easy Camp Guide by Age Interest and SessionCamps listed in RED are operated by Arlington Countyrsquos Department of Parks Recreation and Cultural Resources

AGES AGES


Camps for Preschoolers

TOT CAMP

tot Camp provides a fun social environment for preschoolers each session features an exciting theme to enchant your little one through outdoor activities water play games arts and crafts and special events Field trips by bus are included at Tuckahoe Carlin Hall and gunston Campers should bring a snack every day staff to participant ratio 18Ages 3-5 Location Camp CodeCarlin Hall 510150Fairlington Center 510250Gunston Center 510330lubber run Center 510470madison Center 510490tuckahoe school (sessions 2-8) 510710 Date sessions 1-8 Times 915am-1215pm Fees Sessions 1 3-8 (each) $120Session 2 $96Registration rsaquo Complete the Camp Catalog registration Form (p19) Additional forms will be required See page 17 for details

CAMP ABRAKADOODLE ldquoONCE UPON A TIMErdquo CAMPCalling all lords and ladies enter the enchanted kingdom of abrakadoodle land prepare to encounter castles dragons fairies and stories of magic and surprise Wersquoll create our own royalty gear design our own castles and sprinkle fairy dust to create colorful and whimsical art Wersquoll learn about medieval life through the Book of Hours by the limbourg Brothers and create fairies like the designs of patience Brewster Wersquoll even make a royal Faberge Egg Yoursquoll get the regal treatment in this exciting camp Children must bring a snack and drink (no peanuts please) Children must be potty trained staff to participant ratio 18Ages 3-5 Location Arlington Science Focus School Date session 2 Times 9am-Noon Fees $190Registration rsaquo do not use arlington County Camp Registration Form Visit wwwabrakadoodlecom swaliaabrakadoodlecom or call 703-538-4ART

CAMP ABRAKADOODLE COLORAMA CAMPitrsquos a colorful life immerse yourself in a sea of reds blues and greens as you study a very important element of arthellipcolor theory Jump into a painting with Jackson pollock or help picasso create le Bouquet experience a variety of artists and artist techniques while learning how color makes it all come together Camp abrakadoodle focuses on creating a variety of art projects Children must bring a snack and drink (no peanuts please) Children must be potty trained staff to participant ratio 18Ages 3-5 Location Arlington Science Focus School Date Session 3 Times 9am-Noon Fees $190Registration rsaquo do not use arlington County Camp Registration Form Visit wwwabrakadoodlecom swaliaabrakadoodlecom or call 703-538-4ART

CAMP ABRAKADOODLE BEACH PARTYget ready for some wet and sandy fun design your own sun visor jam to the party music and create some incredible underwater art learn about the world-famous sidewalk chalk artist Julian Beevers while we create unique sidewalk designs there will be an obsta-Cool course spray bottle painting sand and shell designs beach party day and more fun on the run Children must bring a snack and drink (no peanuts please) Children must be potty trained staff to participant ratio 18Ages 3-5 Location Arlington Science Focus School Date session 4 Times 9am-Noon Fees $190

Registration rsaquo do not use arlington County Camp Registration Form Visit wwwabrakadoodlecom swaliaabrakadoodlecom or call 703-538-4ART

CAMP ABRAKADOODLE YUMMY ARTget your spoon paintbrush and chocolate syrup ready ndash wersquore going to create Art From cupcake design to mosaics with food to chocolate syrup painting ndash itrsquos all about the wonderful and wacky world of food art Wersquoll build spaghetti sculptures learn about food artists such as vic muniz and play ldquofoodierdquo games Wersquoll even make our own incredible edibles (no peanut or peanut oils will be used) Children must bring a snack and drink (no peanuts please) Children must be potty trained staff to participant ratio 18Ages 3-5 Location Arlington Science Focus School Date Session 5 Times 9am-Noon Fees $190Registration rsaquo do not use arlington County Camp Registration Form Visit wwwabrakadoodlecom swaliaabrakadoodlecom or call 703-538-4ART

Classic CampsCAMP HORIzON

Young campers will have days chock-full of arts sports drama music and games and field trips each new week brings a fresh theme with corre-sponding special events Campers must bring snacks and lunch daily structured activities run from 9am-3pm Campers may choose individual lei-sure activities such as board games pick-up art projects or reading from 8-9am staff to participant ratio 110Ages 4-7 (Four-year-olds must be five by September 30 2010) Location Camp CodeCampbell elementary school 570860 mcKinley elementary school 570520Date sessions 2-8 Times Core Hours 8am-3pm PM Extended Hours 3-6pmFees Session 2 Core Program $141 PM Extended Hours $29 Sessions 3-8 Core Program $177PM Extended Hours $36Registration rsaquo Complete the arlington County Camp Registration Form p19

SUMMERFEST DAY CAMP

this classic camp for elementary children offers high-energy fun designed around a weekly theme Children make friends and learn life-long skills while participating in sports games music drama arts and crafts special events and field trips Campers must bring snacks and lunch each day structured activities begin at 9am Campers may choose individual leisure activities such as board games pick-up art projects or reading from 8-9am staff to participant ratio 115Ages 5-11 Location Camp CodeGunston Community Center 521730Campbell elementary school 521860mcKinley elementary school 521740 Date sessions 2 - 8Times Core Hours 8am-3pm PM Extended Hours 3-6pmFees Session 2 Core Program $167PM Extended Hours $29Sessions 3-8 Core Program $209PM Extended Hours $36Registration rsaquo Complete the arlington County Camp Registration Form p19

YMCA TRIPOUTDOOR ADVENTURE CAMPSoffered in weeklong sessions trip and outdoor adventure Camps are designed for campers who have the maturity and readiness for daily field trip excursions throughout the Washington area trip Camps provide new experiences each day that may include museums swim parks amusement parks farms skating and more outdoor adventure campers will experience fun and exciting outdoor experiences including hiking sports nature crafts outdoor cooking water activities nature centers and programs and much more session choices include A Fair to Remember Aqua Adventure Animal Adventures Down on the Farm Little movers splish splash swim Bash Y survivor tracks amp trails outdoor discovery and more please refer to website for specific session offer-ings staff to participant ratio 18 and 110Ages 5 to 8 8 to 12 and 12 to 15 Location tuckahoe elementary schoolDate sessions 1-8 Times am extended Hours 7-9amCore Hours 9am-4pmPM Extended Hours 4-630pmFees Core Program $279-$590 per weekAM and PM Extended Hours $96 per weekRegistration rsaquo do not use arlington County Camp Registration Form Open registration begins on Wednesday March 3 Register at wwwymcadcorg or download registration packet and register in-person at 3422 N 13th Street Arlington VA Register early spaces are limited and fill quickly

YMCA SPECIALTY CAMPSdoes your child wish he or she could apply to Hogwarts shine on the stage go around the world Herersquos the camp for you offered in one and two week sessions YmCa specialty Camps allow campers to spend part of their day in the specialty focus and theme during the rest of the day campers enjoy traditional activities such as group games sports and fitness singing arts and crafts hands-on science theme days swimming and much more session choices include goop amp magical Solutions Jolts amp Volts Theatre Machine Funky Foods Exploring the World Harry Potter Wizardry Chess Cartooning active arcade running the runway and more staff to participant ratio 18 and 110Ages 5 to 8 and 8 to 12 Location nottingham elementary schoolDate sessions 1-8 Times am extended Hours 7-9amCore Hours 9am-4pmPM Extended Hours 4-630pmFees Core Program One week sessions $237 Two week sessions $458AM and PM Extended Hours $96 per weekRegistration rsaquo do not use arlington County Camp Registration Form Open registration begins on Wednesday March 3 Register at wwwymcadcorg or download registration packet and register in-person at 3422 N 13th Street Arlington VA Register early spaces are limited and fill quickly

Overnight CampsWILDERNESS BOUND

ready for a daily adventure thatrsquos not just an expression at Wilderness Bound this exciting nature center camp includes two days locally per-fecting campersrsquo outdoor skills (including maps and compass tracking fishing survival skills primitive fire making wilderness cooking and more) then itrsquos off to the backcountry by van for three days and two nights of cooperative camping We will provide the food tents and other necessary equip-ment for the campout except sleeping bags the camp will be in a safe but relatively remote site and campers will hike over mountainous terrain staff to participant ratio 17Ages 12-16 Location Camp CodeLong Branch Nature Center 540360Date session 6 Times Monday amp Tuesday 9am-3pm (at center) Wednesday 9am-Friday 3pm (camping)Fees $310Registration rsaquo Complete the arlington County Camp Registration Form p19

CHEERIO ADVENTURES OVERNIGHTenjoy backpacking caving climbing and fun on this overnight ultimate outdoor adventure guides lead the way with new friends and lots of new skills on this exciting weeklong overnight camp meals and lodging (tents) are provided You will receive a detailed itinerary and packing list approximately four weeks before the camp sessionAges 8-12 Location YmCa arlingtonDate august 1-august 6 Times sunday drop off at 10am Pickup 4pm on Friday Fees $590Registration rsaquo do not use arlington County Camp Registration Form Open registration begins on Wednesday March 3 Register at wwwymcadcorg or download registration packet and register in-person at 3422 N 13th Street Arlington VA Register early spaces are limited and fill quickly


Week 1 June 28 rsaquo July 2 rsquo10 2 July 6 rsaquo July 9 rsquo10 3 July 12 rsaquo July 16 rsquo10 4 July 19 rsaquo July 23 rsquo10 5 July 26 rsaquo July 30 rsquo10 6 Aug 2 rsaquo Aug 6 rsquo10 7 Aug 9 rsaquo Aug 13 rsquo10 8 Aug 16 rsaquo Aug 20 rsquo10 9 Aug 23 rsaquo Aug 27 rsquo10 10 Aug 30 rsaquo Sept 3 rsquo10

Camp 2010 SeSSionS

ARLINGTON COUNTY 4-H JUNIOR RESIDENT CAMPYour child need only spend one day with us to learn why this is one of our most popular camps 4-H camp programs include leadership environmental and aquatic science performing arts forestry outdoor adventures animal science horsemanship and science and technology time at this amazing facility will surely be a highlight of your childrsquos summerAges 9-13 Location northern virginia 4-H educational Center outside Front Royal Va Date July 4-8 Times Overnight Fees Campers $250 Counselors in Training $200Counselors $125Registration rsaquo do not use arlington County Camp Registration Form Register with Kisha Simpson at 703-228-6400 or fortunevtedu

ARLINGTON COUNTY 4-H PARENTCHILD CLOVERBUDCloverbud Weekend Camp is certain to provide special memories and bonding between a child and his or her parent or guardian together at 4-H Cloverbud Camp kids and adults participate in traditional camp activities and programshellip even cuddle around the campfire Cherish these fun-filled days and starry nights together at this weekend getaway staff to participant ratio 14Ages 5-8 Location northern virginia 4-H educational Center outside Front Royal Va Date July 23-25 Times Overnight Fees Contact the 4-H Center for price information 540-635-7171Registration rsaquo do not use arlington County Camp Registration Form Register with Kisha Simpson at 703-228-6400 or fortunevtedu

SHENANDOAH OVERNIGHT CAMPWhat better way to spend a week than roughinrsquo it the YmCa way Come hike swim and canoe with us in this fun-filled week long overnight camp meals and lodging (tents) are provided You will receive a detailed itinerary and packing list approximately four weeks before the start of the session staff to participant ratio 18Ages 8-12 Location YmCa arlingtonDate session 4 Times Monday drop off at 9am Pickup 4pm on Friday Fees $590Registration rsaquo do not use arlington County Camp Registration Form Open registration begins on Wednesday March 3 Register at wwwymcadcorg or download registration packet and register in-person at 3422 N 13th Street Arlington VA Register early spaces are limited and fill quickly

Nature Adventure amp History Camps

CIVIL WAR SOLDIERinfantry at attention no slouching in this camp our young enlistees will learn to march and drill like a well-trained infantry unit theyrsquoll learn how to quickly load cannon and how to design forts to protect the city But theyrsquoll also spend some quiet time setting up camp cooking lunch and playing Civil War-era games using the park as a resource wersquoll also learn about Civil War medicine staff-to-camper ratio 112Ages 9-12 (must have completed grade 4) Location Camp CodeFort CF Smith 540430Date session 1 Times 9am-Noon Fees $135Registration rsaquo Complete the arlington County Camp Registration Form p19

BATTLEFIELD EXPLORERS

each day wersquoll travel by van to local Civil War battlefields and sites to learn about the war and the soldiers who fought Wersquoll begin by learning about battle tactics and visit some of the forts around Washington during the week wersquoll hike on the bat-tlefields at Manassas Fredericksburg Antietam and gettysburg in order to learn about each battle Hike may include rocky and uneven terrain staff to par-ticipant ratio 112Ages 11-14 Location Camp CodeFort CF Smith 540430Date session 7 Times 9am to 4pm Fees $267Registration rsaquo Complete the arlington County Camp Registration Form p19

HANDS ON HISTORY CAMP

What was it really like during the Civil War Herersquos your childrsquos opportunity to find out in a way that reading a book or watching a movie simply canrsquot teach Campers will participate in Civil War communications and camp life fort construction artillery and infantry drilling nineteenth-century games and more Wersquoll eat food appropriate to the historical period too and take some time to enjoy the wonderful nature found in the park staff-to camper ratio 112Ages 6-9 (must have completed grade 1) Location Camp CodeFort CF Smith 540430Date Sessions 2 amp 3 (No camp July 5 or July 16) Times 9am-Noon Fees $108Registration rsaquo Complete the arlington County Camp Registration Form p19

NATURErsquoS SENSES

ever wanted to experience life from a birdrsquos-eye view or a catrsquos try it here as kids explore all of their five senses and learn about the super senses of animals Campers will learn to follow their noses keep their eyes peeled and much more each day wersquoll also have outdoor activities animal encounters games and crafts session content repeats campers should attend only one session staff to participant ratio 115Ages 5-6 (Must have completed Kindergarten) Location Camp CodeLong Branch Nature Center 540360Date sessions 1 amp 2 Times 9am-Noon Fees $135Registration rsaquo Complete the arlington County Camp Registration Form p19

TREKS amp TRAVELS SURVIVAL SKILLS

get on board for treks amp travelsrsquo exciting expeditions each day campers meet at long Branch nature Center then travel to a different local park by van to explore hike find fossils learn and play in a unique natural habitat Wersquoll go fish-ing practice fire building learn compass and map reading skills and much more note Hikes may include steep rocky terrain Campers should bring a bag lunch and water bottle each day staff to par-ticipant ratio 18Ages 9-12 (Must have completed fourth grade) Location Camp CodeLong Branch Nature Center 540360Date session 5Times 9am-3pm Fees $267Registration rsaquo Complete the arlington County Camp Registration Form p19

ANIMAL CHALLENGE

Think yoursquore as fast as a cheetah Find out in this animal Challenge camp each day wersquoll learn about the fastest smartest most industrious ani-mals in the world then wersquoll challenge campers to out run jump and build naturersquos best Kids will also participate in outdoor activities animal encounters play fun games and make cool crafts session con-tent repeats campers should attend only one ses-sion staff to participant ratio 115Ages 6-9 (Must have completed first grade) Location Camp Codelong Branch nature CenterDate Sessions 3 amp 4 Times 9am-Noon Fees Session 3 $108 Session 4 $135Registration rsaquo Complete the arlington County Camp Registration Form p19

FIRST CHILD IN THE WOODS

Kids will love exploring our woods building forts observing animals and splashing in the creek at this nature center camp each day great activi-ties crafts and hands-on encounters with animals will be balanced with safe unstructured time out-doors that kids can call their own session content repeats campers should attend only one session staff to participant ratio 112Ages 6-9 (Must have completed first grade) Location Camp CodeGulf Branch Nature Center 540350Date sessions 1 amp 2 Times 9am-Noon Fees $135Registration rsaquo Complete the arlington County Camp Registration Form p19

POTOMAC HIKERS

get ready for much more than your typical walk in the park each day campers will travel by van to a local park where wersquoll net insects catch fish hike explore and learn to identify our native plants and animals sturdy shoes are recommended for this camp as hikes may include steep rocky terrain staff to participant ratio 112Ages 9-12 (Must have completed fourth grade) Location Camp CodeGulf Branch Nature Center 540350Date Sessions 3 amp 4 Times 9am-3pm Fees Session 3 $214 Session 4 $267Registration Complete the arlington County Camp Registration Form p19

FOREST CREATURES

Wriggle like a worm touch a turtle meet a mouse and more at this camp for kids who love animals and want to learn more about them and their woodland habitat session content repeats campers should attend only one session staff to participant ratio 112Ages 5-6 (Must have completed Kindergarten) Location Camp CodeGulf Branch Nature Center 540350Date sessions 5 amp 6 Times 9am-Noon Fees $135 Registration rsaquo Complete the arlington County Camp Registration Form p19

TALONS AND TEETHFoxes wolves hawks and snakes are fantastic predators But did you know frogs dragonflies swallows and ladybugs can be just as fierce in this camp we will look for large and small predators and learn how they find their prey Campers will learn why predators are an important part of our food chain and what makes each one unique staff to participant ratio 110Ages 6-8 Location Camp CodeBluemont park 540040Date session 10 Times 9am-3pm Fees $310Registration rsaquo go to wwwaudubonnaturalistorg

WHERE THE WILD THINGS ROAMlet out your inner wild thing in this camp We will discover what is lurking in the woods underground and all around our neighborhood Fierce predators gentle giants and all manner of creatures will be investigated as we explore the wild things around us staff to participant ratio 18Ages 4-5 Location Camp Code Bluemont park 540400Date session 9 Times 9am-12pm Fees $165Registration rsaquo go to wwwaudubonnaturalistorg

ADVENTURE LINKS ULTIMATE ADVENTURE CAMPpush yourself to the limit this week features rock climbing caving outdoor survival and natural living skills kayakingcanoeing and our high ropes (11-14 yrs) or team challenge course (8-10 yrs) instruction begins on an introductory level and progresses with the group staff to participant ratio 18Ages 8-10 and 11-14 Location drop off and pick up at lubber run Center Date session 1 2 4 5 6 (ages 8-10 only) 9 10 Times 8am-5pm Fees $420Registration rsaquo do not use arlington County Camp Registration Form Contact Adventure Links at 800-877-0954 or 571-281-3556 or visit wwwadventurelinksnet

ADVENTURE LINKS SUMMIT ADVENTURE CAMPCouch potatoes need not apply Because wersquoll be mountain biking rock climbing sailing tackling our team challenge course and caving instruction for all these adventures begins on an introductory level and progresses with the group staff to participant ratio 17Ages 11-14 Location drop off and pick up at lubber run Center Date session 8 Times 8am-5pm Fees $455Registration rsaquo do not use arlington County Camp Registration Form Contact Adventure Links at 800-877-0954 or 571-281-3556 or visit wwwadventurelinksnet

ADVENTURE LINKS PRIMITIVE TEACHINGS CAMPCan you make it through our week in the woods our days will include learning hands-on essential living skills including tracking building shelters building small traps stalking fire making and tool making among other survival skills Friday wersquoll leave dry land and canoe the river survival special-ists will guide the grouprsquos interests throughout the week program takes place at adventure links base camp in Clifton va instruction for all these adventures begins on an introductory level and progresses with the group Fee includes an overnight camp-out on Wednesday night staff to participant ratio 17Ages 11-14 Location drop off and pick up at lubber run Center Date session 6 Times 8am-5pm Fees $450Registration rsaquo do not use arlington County Camp Registration Form Contact Adventure Links at 800-877-0954 or 571-281-3556 or visit wwwadventurelinksnet

Creative Arts Camps

CREATIVE ARTS CAMP

Whether beginning or advanced young artists love this popular two-week long visual arts camp Campers spend their days experimenting with a variety of art materials and techniques We empha-size developing creativity and imagination with a special focus on skill building our staff shares their expertise in a variety of techniques that may include drawing painting sculpture printmaking bookmaking maskmaking and multi-cultural arts participants invite their family and friends to their art show at the end of each session each session has its own theme and activities including up to two field trips for a well-rounded experience Campers should wear clothes that they can get messy Five year olds must have completed kinder-garten staff to participant ratio 110Ages 5-8 and 8-11 Location Camp CodeMadison Center (5-8) 531400Fairlington Center (8-11) 531240Date each camp runs for two-week sessions sessions 1-2 3-4 5-6 7-8 9-10 (Madison only)Times Core Program 8am-3pm PM Extended Hours 3-6pmFees Session 1-2 Core Program $405 PM Extended Hours $65Sessions 3-4 5-6 7-8 9-10 Core Program $450PM Extended Hours $72Registration rsaquo Complete the arlington County Camp Registration Form p19

YMCA FUN AND FUNKY ART (8-12)Herersquos an arts and crafts camp with a twist ndash or three Campers will create dream boxes facemasks and mini scrapbooks beaded jewelry candles tye dye t-shirts and even experiment with henna body art this is a YmCa specialty Camp that allows campers to spend part of their day in the specialty focus and theme during the rest of the day campers will share traditional camp activities such as group games sports and fitness singing arts and crafts hands-on science theme days swimming and much more staff to participant ratio 110Ages 8 to 12 Location Fairlington Center Date session 9 Times am extended Hours 7-9amCore Hours 9am-4pm PM Extended Hours 4-630pmFees Core Program $237AM and PM Extended Hours $96Registration rsaquo do not use arlington County Camp Registration Form Open registration begins on Wednesday March 3 Register at wwwymcadcorg or download registration packet and register in-person at 3422 N 13th Street Arlington VA Register early spaces are limited and fill quickly

YMCA FUN AND FUNKY ART (5-8)this camp is perfect for the younger arts and crafts lover who enjoys creating and finishing fun art projects Campers will create many of the same projects as their older counterparts including dream boxes face masks and mini scrapbooks this is a YmCa specialty Camp that allows campers to spend part of their day in the specialty focus and theme during the rest of the day campers will have fun with group games sports and fitness singing arts and crafts hands-on science theme days and much more staff to participant ratio 18Ages 5 to 8 Location Fairlington Center Date session 10 Times am extended Hours 7-9amCore Hours 9am-4pmPM Extended Hours 4-630pmFees Core Program $237AM and PM Extended Hours $96Registration rsaquo do not use arlington County Camp Registration Form Open registration begins on Wednesday March 3 Register at wwwymcadcorg or download registration packet and register in-person at 3422 N 13th Street Arlington VA Register early spaces are limited and fill quickly

DIGITAL VIDEO PRODUCTION OR 3D VIDEO GAME DESIGN WITH PANDA3Dstep inside a virtual world Campers who do so can choose between digital video production and 3D Video Game Design with Panda3D In Digital video production campers will learn the basics of using advanced digital video cameras students will storyboard and then shoot short documentaries ads and comedy sketch videos editing software is used to add special effects audio and graphics to the projects Or in 3D Video Game Design with Panda3D campers will add light and texture to create a realistic environment that looks like a real world they will use concepts learned from scratch and Alice and make a 3D game using Panda and Blender staff to participant ratio 110Ages 8 to 15 Location Fairlington Center Date session 10 Times 9am-3pm Fees $470Registration rsaquo do not use arlington County Camp Registration Form Go to wwwfunutationcom

LEFT NOODLE-RIGHT NOODLE CURATOR KIDS CAMPKids and museums are a natural fit now take it a step further by creating your own open extraordi-nary exhibits of exotic artifacts that capture your interest learn to design weird wild and wacky galleries full of the unexpected Wersquoll have a grand opening on Friday July 2 with special VIPrsquos at our ribbon cutting ceremony You wonrsquot want to miss out staff to participant ratio 110Ages 4-10 with kids split up by age Location madison Center Date session 1 Times am extended Hours 8-9amCore Program 9am-3pmPM Extended Hours 3-6pmFees AM Extended Hours $50 Core Program $275 if you register before 314 $300 on or after 314PM Extended Hours $100Registration rsaquo do not use arlington County Camp Registration Form Visit wwwnoodleclasscom

ARLINGTON YOUTH STREET THEATRE

are you the next ldquoamerican idolrdquo do you sing dance act or do all three are you an arlington resident are you between the age of 14 and just graduating high school if so the arlington Youth street theatre wants you this is an intensive eight-week program for teens to hone their per-forming arts skills through professional training sessions in dance drama vocal set design and costume design as members of a company partici-pants develop a production piece for a two-week performance tour the arlington Youth street theater develops potential careers in the perform-ing arts auditions will be held on may 6 at langston Brown Community Center from 4-8pm please come with photo headshot resume and a one-minute monologue must be an arlington resi-dent to audition For additional information please call 703-228-7781 Each session features a talent show and final performanceAges 14-graduating high school senior Location June 28-Aug 20Kenmore middle school Date one 8-week session Times 12-5pm Fees $125Registration rsaquo Call Desi Jerry at 703-228-7781 for a registration form

ETC PAGE TO THE STAGE CAMPthe lights of Broadway come to arlington and your child is the playwright Campers will be guided through writing their own lines creating the plot characters and the setting with the help of the educational theatre Companyrsquos professional teaching artists they will learn the structure of a play and story archetypes as well as taking part in many workshops that will include exploring conflict interesting characters stage combat dance and more We will also be bringing back the ever-popular lsquoetC masterpiece theatrersquo where campers will create mini plays that are inspired by music art and real-life people studentsrsquo imaginations can run wild as they call the shots in their own creation the camp will end with a performance the last day for family and friendsAges Grades 3-8 Location Fairlington Center Date sessions 8 amp 9 Times am extended Hours 8-9amCore Hours 9am-3pm PM Extended Hours 3-5pmFees AM Extended Hours $60Core Program $475PM Extended Hours $120Registration rsaquo do not use arlington County Camp Registration Form Register at 703-271-0222 or to read about other etC camps go to wwweducational-theatrecompanyorg


Camp 2010 SeSSionS


Look for our Teen Artist Series Camps on pg 14 Pottery Drawing and Painting


ITrsquoS ELEMENTARY CAMPon with the show in only two weeks young students learn improvisation dramatic play dance and theatre crafts students ages 6 and up will even try their hands at scripted drama a theme for each session provides consistency in material chosen for dramatic exploration note all children must be toilet trained to participateAges 4-9 Location swanson middle school Date sessions 1-6 Times All Day Session 830am-515pm AM Session 830am-1230PMpm session 115-515pmSessions June 28-July 9 July 12-23 July 26-August 6Fees $300Optional Lunch period available $35 Children bring their own lunchRegistration rsaquo do not use arlington County Camp Registration Form Contact Encore Stage amp Studio at 703-548-1154 ext 3 or wwwencorestageorg

STAGE DOOR 2010Join us this summer for an exploration of 100 years of american theatre Washington area actors guest artists and theatre educators teach our classes which are designed to nurture campersrsquo individual creativity while teaching the discipline required for performing arts students will learn improvisation classical texts scene study stage make-up stage combat dance styles directing for the stage and general technical theatre this program culminates in a student showcase performanceAges Grades 5-9 Location Williamsburg middle school Date Sessions 3 4 amp 5 Times AM Extended Hours 830-10amCore Hours 10am-4pmPM Extended Hours 4-530pmFees AM Extended Hours $100Core Hours $700PM Extended Hours $100Registration rsaquo do not use arlington County Camp Registration Form Contact Encore Stage amp Studio at 703-548-1154 ext 3 or wwwencorestageorg

SCENES FOR TWEENS AND TEENSaspiring actors take note Boost your chances of succeeding in your next audition by taking this special two-week scene study workshop Campers will learn acting and improvisation skills shakespearersquos characters and scenes contemporary characters and scenes and vocal and physical characterization these sessions are designed to allow tweens to study characters that are their own age and developmental level teens will work to increase their acting skills through focus on body and voice Character development will be stressed in the scenes that have been selected especially for teens this class is helpful for preparation of audition material staff to participant ratio 18Ages 10-12 and 13-15 Location Williamsburg middle school Date sessions 1 amp 2 Times AM Extended Hours 830-10amCore Hours 10am-4pm PM Extended Hours 4-530pmFees AM Extended Hours $75Core Hours $400PM Extended Hours $75Registration rsaquo do not use arlington County Camp Registration Form Contact Encore Stage amp Studio at 703-548-1154 ext 3 or wwwencorestageorg

AMERICAN CENTURY THEATER CAMPCome experience the theatre in a fun interactive way emphasis on participation each week of this exciting and educational camp allows the student campers to learn and perform different aspects of theatre improvisation will happen every week this is an excellent camp for newcomers to theatre as well as those wishing to improve their thespian skills Ages 8-13 and 14-18Location Fairlington Center Date sessions 2-5session 2 improvisational theatre ndash learn improvisational theatre culminating with a final performanceSession 3 American Comedy Classics ndash Perform classic comedy sketches from vaudeville tv and filmsession 4 radio theatre ndash learn about radio theatre and perform radio skits classic amp modernsession 5 improvisational theatre ndash a return to improv sharpen your ability to think on your feetTimes 930am-430pmFees $300

Registration rsaquo do not use arlington County Camp Registration Form To Register please call Rip Claassen at 703-371-7653 Contact Teens and Theatre at wwwTeensandTheatreorg or the american Century theater wwwamericancenturyorg for more information

Sports CampsGYMNASTICS CAMP

Boys and girls enjoy a variety of basic gymnas-tics movement and exploration activities in the gymnastics room at the Barcroft Sports amp Fitness Center each session features an exciting theme with indoor and outdoor activities group games relays water play and arts and crafts Campers participate in four gymnastics events vault bars beams and floor as well as our tumble track obstacle courses and foam pit staff to participant ratio 18Ages 5-7 Location Camp CodeBarcroft Sport amp Fitness Center 511190Date sessions 1-9 Times 915am-1215pm Fees Session 2 $126Sessions 1 3-9 $158Registration rsaquo Complete the arlington County Camp Registration Form p19

ARLINGTON SPORTS CAMP

Have an active child with energy to spare look no further arlington sports Camp provides an exciting and structured introduction to individual dual and team sports this lively paced camp includes competitions intramural tournaments skill clinics and field trips participants learn about teamwork sportsmanship and personal achievement as well as life-long lessons in wellness health fit-ness and nutrition specific camp weeks concen-trate on the fundamentals of specific sports so be sure to match your camper with the right sport camp and session Core programs take place between 9am and 3pm Other sports are played during extended times all camps provide pool time at least twice a week including water safety and water sports Campers will also visit the Kettler ice skating rink staff to participant ratio 112Session 2 Track amp Field Basketball and SwimmingSession 3 Flag Football Volleyball and SwimmingSession 4 SoftballWiffleball Soccer and SwimmingSession 5 Basketball Volleyball and SwimmingSession 6 Basketball SoftballWiffleball and Swimming Session 7 Lacrosse Soccer and SwimmingSession 8 Flag Football SoftballWiffleball and SwimmingAges 7-12 Location Camp CodeWakefield High School 530820Date sessions 2-8 (no camp on July 5) Times 9am-6pm

Fees Session 2 $154AM Extended Hours $18 Sessions 3-8 $193 AM Extended Hours $20Registration rsaquo Complete the arlington County Camp Registration Form p19

ALL-AMERICAN SPORTS CAMPHoops and more Basketball is the main focus here but campers also will play soccer flag football team handball wiffleball and floor hockey the director of the camp allan glascock is special education teacher at Wakefield High school with over 15 years of coaching experience in basketball football and baseball Campers participate in skill instruction games and tournaments each camper receives a camp t-shirt or water bottle staff to participant ratio 112Ages 6-12 Location H-B Woodlawn schoolDate sessions 1 4 9 Times am extended Hours 7-9amCore Hours 9am-3pm PM Extended Hours 3-6pmFees AM Extended Hours $20 Core Program $155PM Extended Hours $30Registration rsaquo do not use arlington County Camp Registration Form Contact All American Sports Camp at aasc6420coxnet 703-998-8123 or at sportzcampz-4kidzcom

SHOOTING STARS SPORTS CAMPignite a passion for sports in your young child Campers are captivated and enlightened by creative games competitions and challenging skill-building activities they will improve their kicking running jumping and throwing skills activities are modified to satisfy the needs and abilities of all campers Campers participate in a variety of sports such as soccer basketball wiffleball and floor hockey the camp director is Jim Harris boyrsquos varsity assistant coach at dominion and mathematics teacher at Briar Wood High school staff to participant ratio 112Ages 5-8 Locations and DatesH-B Woodlawn school session 5 amp 6 Barcroft Sports and Fitness Center Session 10 Timesmini Camp 9am-1pm am extended Hours 7-9amCore Hours 9am-3pmPM Extended Hours 3-6pmFees Mini Camp $95 AM Extended Hours $20 Core Program $155PM Extended Hours $30Registration rsaquo do not use arlington County Camp Registration Form Contact Shooting Stars Camp at sportzcampz4kidzyahoocom 703-998-8123 or at sportzcampz4kidzcom

UK SPORTS WEEKuK elite has combined a professional British coaching staff and a cutting-edge age and ability specific curriculum to guarantee your child the best possible sports camp experience uK sports Week introduces children to 15 British and irish sports in one week British physical education graduates teach games such as Kwik-Cricket Flag-Rugby gaelic soccer and netball thus providing a truly unique week of brand-new sports and games for all registrants Children receive a new sports ball uK sports Weeks t-shirt and certificate all partici-pants must bring water a small snack and sneakers or cleats parents should also send children with a spare t-shirt and wet weather gear in the event of inclement weather staff to participant ratio112Ages 7-14 Location gunston park Date session 8 Times 9am-3pm Fees $220Registration rsaquo do not use arlington County Camp Registration Form Register at wwwUKElitecom Contact 973-631-9802 with any questions

HALF-DAY SUMMER BASEBALL CAMPstep up to the plate little sluggers learn and develop skills in hitting base running fielding throwing and catching group interaction coopera-tion and team play emphasized games held each day along with enjoyable well-structured learning experiences for all skill levels the curriculum is designed for ldquomax touchrdquo providing plenty of repetitions t-ball and coach-pitch scrimmage games are held each day the camp offers an excellent baseball environment with three fields and two batting cages indoor air-conditioned accommodations are available in case of inclement weather staff to participant ratio 16Ages 5-6 Location tuckahoe school Date Sessions 1 3 amp 4 Times am extended Hours 7-9amCore Hours 9am-noon Fees AM Extended Hours $25Half-Day Camp $115Registration rsaquo do not use arlington County Camp Registration Form Contact Coach Mike Murray at 703-698-5599 or questionsgoVBCcom or visit wwwgoVBCcom

Questions about a sports camp Call Jennifer Groner at 703-228-1809


ARLINGTON SUMMER BASEBALL CAMPdiamonds are a kidsrsquo best friend baseball dia-monds that is this popular camp held in arlington since 1992 is ideal for players who love americarsquos favorite pastime the seasoned staff of high school coaches and certified public school educators provides an enjoyable well-structured learning experience for all skill levels the curriculum is designed for ldquomax touchrdquo providing plenty of repetitions Coach pitch scrimmage games are held each day players are divided by age and skill level the camp location offers an excellent baseball environment with its three fields and two batting cages indoor air-conditioned accommodations are available in case of inclement weather and pm extended hours go to the Yorktown swimming pool staff to participant ratio 19Ages 7-12 Location greenbrier park Date Sessions 1 3 amp 4 Times am extended Hours 7-9amCore Hours 9am-2pm pm extended Hours 2-6 pmFees AM Extended Hours $25Core Program $185PM Extended Hours $35Registration rsaquo do not use arlington County Camp Registration Form Contact Coach Mike Murray at 703-698-5599 or questionsgoVBCcom or visit wwwgoVBCcom

CHUCK DRIESELL BASKETBALL ACADEMYFocus on the fundamentals of the game at the Chuck driesell Basketball academy through daily stations lectures and individual and team competi-tion campers will practice the basics while having fun Chuck driesell assistant basketball coach at the university of maryland serves as the Camp director staff to participant ratio 112Ages 7-15 Location Washington-lee High schoolDate session 5 Times am extended Hours 7-9amCore Hours 9am-4pmpm extended Hours 4-6 pmFees AM Extended Hours $20Core Program $240PM Extended Hours $20Registration rsaquo do not use arlington County Camp Registration Form Contact Chuck Driesell at 703-753-8767 driesellaolcom or wwwdriesellbasketballcom

CHUMMY GILL BASKETBALL ACADEMYMISSION POSSIBLEthis yearrsquos theme says it all ndash our basketball academy focuses on extensive skill development intensity enthusiasm leadership and team work the essential pieces to making any mission possiBle Campers are separated into teaching groups and teams based on their age and ability We focus on elevating skills creating an environment of encouragement and success all while having FUN staff to participant ratio 112Ages 6-14 Locations Dates and Genders Swanson Middle School Session 3 amp 6 (girls only)gunston Center session 10 (boys amp girls teams) Times am extended Hours 7-9amCore Hours 9am-3pmPM Extended Hours 3-6pmFees AM Extended Hours $20Core Program $175PM Extended Hours $30Registration rsaquo do not use arlington County Camp Registration For registration form contact Coach Gill at 240-305-2732 or coachgill10yahoocom

NOVA BASKETBALL SCHOOLCalling all little hoopsters girls and boys can develop and improve their fundamental basketball skills in a fun and nurturing environment each day campers get a great workout mdash participating in skill development lead-up games and activities Campers will use eight-foot goals staff to participant ratio 112Ages 5-8 Location H-B Woodlawn schoolDate Sessions 2 3 amp 7 Times am extended Hours 7-9amCore Hours 9am-3pmPM Extended Hours 3-6pmFees AM Extended Hours $20 $16 for 4 dayCore Program $155 $125 for 4 dayPM Extended Hours $30 $24 for 4 dayRegistration rsaquo do not use arlington County Camp Registration Form Go to wwwsportzcampz4kidzcom or call 703-998-8123 or e-mail sportzcampz4kidzyahoocom

PATRIOT GIRLS BASKETBALL CAMPgirls get an opportunity to develop fundamental basketball skills under the direction of an experienced proven coach Former Yorktown varsity girls basketball coach Kip davis holds the record for most wins in the history of the girlsrsquo basketball program there additional staff will be local college and high school standouts the camp strives to provide a positive environment for girls to improve and expand their basketball skills the session includes skills clinics games tournaments intramurals etc Campers must bring their own lunch staff to participant ratio 112Ages Girls 6-14 Locations and Datesswanson middle school session 1 9Times am extended Hours 7-9amCore Hours 9am-3pmPM Extended Hours 3-6pmFees AM Extended Hours $25Core Program $160PM Extended Hours $25Registration rsaquo do not use arlington County Camp Registration Form Contact Kip Davis at 703-509-1605 for more information or registration forms

ORANGE LINE SPORTS BASKETBALL CAMPorange line sports Basketball Camp will teach boys and girls the skills needed to succeed in life through the fundaments of basketball student-athletes will leave camp with a better sense of teamwork communication time management and integrity the camp will improve their basketball skills while increasing overall fitness and challenging them mentally staff to participant ratio 112Ages 7-14 Location Washington-lee High school Date session 4 Times am extended Hours 7-9amCore Hours 9am-3pmPM Extended Hours 3-6pmFees AM Extended Hours $20Core Program $150PM Extended Hours $30Registration rsaquo do not use arlington County Camp Registration Form Contact Joe Reed at josephcreedgmailcom or online at wwworangelinesportscom

WASHINGTON MYSTICS BASKETBALL CAMPthe Washington mystics Youth summer Camps offer boys and girls the opportunity to learn from their favorite current and former mystics players coaches and staff in a fun and positive environment Whether yoursquore touching a basketball for the first time or an advanced player looking to sharpen your skills the mystics Camp is a perfect fit Campers are grouped by age and skill to ensure individual attention and competitiveness in addition to the high-level instruction each camper will receive an official camp t-shirt drawstring back-pack complimentary voucher to a 2010 mystics home game and much more Wersquoll help unlock the ldquogamerdquo within your child helping to reach his or her full basketball potentialAges 5-16 Location Kenmore middle school Date sessions 4 amp 8 Times 9am-1pm Fees $220Registration rsaquo do not use arlington County Camp Registration Form Contact David Deal at 202-527-7503 or ddealwashmysticscom

WAKEFIELD GIRLS BASKETBALL CAMPWakefield girls Basketball camp allows female athletes to improve their game while learning from a former college standout this camp provides a positive learning environment and will focus on skill development discipline and teamwork the camp is under the direction of Wakefield girls varsity basketball coach marcia richardson marcia is a former university of maryland player with three aCC championships one final four appearance an aCC mvp award and was a usa womenrsquos basketball team member Campers must bring their own lunch staff to participant ratio 112Ages Girls 6-14 Location Wakefield High school Date session 5 Times am extended Hours 7-9amCore Hours 9am-3pmPM Extended Hours 3-6pmFees AM Extended Hours $25Core Program $150PM Extended Hours $25Registration rsaquo do not use arlington County Camp Registration Form Contact Coach Ricahrdson at 571-220-8920 or email gyrlgearyahoocom

WARRIOR BASKETBALL CAMPgot a guy who loves basketball He belongs at Warrior Basketball Camp all instruction and fundamental stations are age appropriate the camp director is Coach rob anderson former Wakefield High school and george mason university player the entire staff consists of currentformer Warrior basketball playerscoaches staff to participant ratio 112Ages Boys 8-14 Location Kenmore middle schoolDate sessions 1 2 amp 6 Times am extended Hours 7-9amCore Hours 9am-3pmPM Extended Hours 3-6pmFees AM Extended Hours $20Core Program $155PM Extended Hours $30Fees session 2AM Extended Hours $16Core Program $125PM Extended Hours $24Registration rsaquo do not use arlington County Camp Registration Form Contact Warrior Basketball Camp at sportzcampz4kidzyahoocom 703-998-8123 or at sportzcampz4kidzcom

WEBB HATCH BASKETBALL CAMPFor more than 20 years Webb Hatch basketball camp has taught boys and girls the basic fundamen-tals of individual and team play in a fun and positive environment every camper receives a camp t-shirt and basketball the camp is directed by Webb Hatch the menrsquos head basketball coach at Frostburg state university who has over 25 years of coaching experience staff to participant ratio 112Ages 6-17 Location Washington-lee High school Date Session 3 Times am extended Hours 7-9amCore Hours 9am-4pmpm extended Hours 4-6pmFees AM Extended Hours $20 Core Program $220PM Extended Hours $20Registration rsaquo do not use arlington County Camp Registration Form Contact Webb Hatch at 757-613-8907 whatchfrostburgedu or wwwwebbhatchcom

ACADEMY INTERNATIONAL FIELD HOCKEYdoes your daughter play on her school field hockey team does she aspire to then this is the camp for her players ages 10-17 receive customized training from international coaches teams are formed according to age and skill level Beginners intermediate and advanced training programs are available all aspects of the game are covered as players learn new skills techniques and tactics while having fun at this lively sport evening session is for high school Junior varsity and varsity players only players will need to bring water stick and a mouth guard staff to participant ratio 112Ages Girls 10ndash18 (14-18 Only Session 4 PM) Locations and DatesWashington lee High school session 4 (am amp pm)greenbriar park session 5 (pm only)Times 9am-Noon or 5-8pm Fees $195Registration do not use arlington County Camp Registration Form Go to wwwacademyinternationalnet or call 703-816-0244

ARLINGTON YOUTH FOOTBALL CAMPArlington Youth Football Camp is a non-contact fundamental football camp designed to improve a childrsquos beginning intermediate or advanced skill level Fundamentals of all positions on offense defense and special teams are taught in addition to life skills such as teamwork communication sportsmanship and the importance of education Campers participate in skill instruction games and tournaments Campers will visit the Yorktown pool on tuesday and thursday afternoon the camp director is Coach Wayne Hogwood assistant football coach at Yorktown High school each camper will receive a camp t-shirt or water bottle staff to participant ratio 112Ages 6-12 Location greenbrier park Date Session 3 5 Timesmini Camp 9am-1pmam extended Hours 7-9amCore Hours 9am-3pmPM Extended Hours 3-6pmFees Mini-Camp $95AM Extended Hours $20Core Program $155PM Extended Hours $30Registration rsaquo do not use arlington County Camp Registration Form Go to wwwsportzcampz4kidzcom or e-mail at arlfbyahoocom

MOMENTUM3 FOOTBALL CAMPmomemtum3 Sports non-contact Football Camp is the place to be this summer if you love football our camp features fundamental skills training by our experienced staff and quickness training by our speed experts momemtum3 Football Camp is committed to providing youth football players with the ultimate youth football camp experience each camper will receive a momemtum3 Camp t-shirt and a momemtum3 player evaluation staff to participant ratio 112Ages 8-16 Location greenbriar park Date sessions 1 amp 4 Times am extended Hours 7-9amCore Hours 9am-3pmPM Extended Hours 3-6pmFees AM Extended Hours $20Core Program $175PM Extended Hours $30Registration rsaquo do not use arlington County Camp Registration Form rsaquo Do not use Arlington County Camp Registration Form Email mo3sportsgmailcom or visit wwwmomentumsportcom

KNIGHTrsquoS GOLF CAMP PLUSTime to hit the links Now in our 13th year Knightrsquos golf Camp plus provides instruction on the skills rules and etiquette of golf while maintaining a fun and dynamic atmosphere since many of our partici-pants are multitalented athletes the camp focuses on golf but provides an opportunity to sample several other popular sports for a well-rounded good time daily golf skill competitions and award presentations are highlights for camp participants Check wwwknightscampscom for scheduling and availability staff to participant ratio 18Ages 6-13 Location Bishop orsquoConnell school Date sessions 1 2 amp 4 Times am extended Hours 7-9amCore Hours 9am-3pmPM Extended Hours 3-6pmFees session 2AM Extended Hours $24Core Program $150PM Extended Hours $36Sessions 1 amp 3AM Extended Hours $30Core Program $185 PM Extended Hours $45Registration do not use arlington County Camp Registration Form Contact Knightrsquos Golf Camp at 301-537-3073 knightsgolfcampyahoocom or wwwknightscampscom

ACADEMY INTERNATIONAL LACROSSECalling all lady laxers academy international girls lacrosse Camps feature renowned coaches from england Canada and australia players ages 7-15 receive customized training as they are placed in teams according to age and skill level Beginners intermediate and advanced training programs are available all aspects of the game are covered as players learn new skills techniques and tactics while having fun working with international coaches players will need to bring water stick mouth guard and protective eyewear staff to participant ratio 112Ages Girls 7-15 Location Williamsburg middle school Date Sessions 3 amp 8 Times 9am-Noon Fees $195Registration rsaquo do not use arlington County Camp Registration Form Go to wwwacademyinternationalnet or call 703-816-0244

PATRIOT BOYS LACROSSE CAMPKnow a boy interested in learning lacrosse or already have a laxer who wants to bring his game to the next level this is your summer camp patriot Boys lacrosse Camp has helped aspiring lacrosse players become the athletes coaches are looking for this camp has helped mold some of the arearsquos top players many of which have gone on to successful high school and college careers staff to participant ratio 112Ages Boys 7-15 Location Washington-lee High school Date Session 3 Times am extended Hours 7-9amCore Hours 9am-3pmPM Extended Hours 3-6pmFees AM Extended Hours $40Core Program $200PM Extended Hours $40Equipment Rental $40Registration rsaquo do not use arlington County Camp Registration Form Contact Jon Reynolds at 703-867-8998 or visit wwwpatlaxcampcom

MARTIAL ARTS OLYMPICSgo for the gold at martial arts olympics Camp our journey to success begins immediately as your child enters the olympic compound and is assigned to an imaginary country From that point on the campers train in the competitive skills of martial arts including sparring board breaking (child proof) forms and archery at the end of the week they enter the arena and compete for top honors (friends and family are invited) Campers receive prizes awards badges and more all while practicing the lifeskills of concentration awareness balance and poise staff to participant ratio 112Ages 6-14 Location Barcroft school Date Session 1 2 amp 3 TimesHalf-day session 1 9am-noonHalf-day session 2 1-4pm am extended Hours 7-9amCore Hours 9am-4pmpm extended Hours 4-6pmFees Half-Day fee $100AM Extended Hours $25Core Program $200PM Extended Hours $25session 2AM Extended Hours $20Core Program $160PM Extended Hours $20Registration rsaquo do not use arlington County Camp Registration Form Contact Martial Arts Olympics Camp at 703-241-9272 or visit wwwwcrbkaratecom

NINJA RANGER CAMPprepare to be thrust back in time to ancient Japan participants in this martial arts camp are among the nationrsquos elite soldiers who are summoned by the king to fight off the attempts of a hostile takeover themes for the 2010 camp include stealth maneu-vers basic karate weaponry camouflage battle strategy and evasive escape training if capturedAges 6-14 Locations and DatesBarcroft school session 4Jamestown school sessions 5 amp 6TimesHalf-day session 9am-noon or 1-4pm am extended Hours 7-9amCore Hours 9am-4pmpm extended Hours 4-6pmFees Half-Day $100AM Extended Hours $25Core Program $200PM Extended Hours $25Registration rsaquo do not use arlington County Camp Registration Form Register at 703-241-9272 or visit wwwwcrbkaratecom

AMERICAN IN-LINE SKATING AND SKATEBOARDING CAMProll into this fun-filled skate camp packed with safe thrilling activities for skaters of all levels separate groups determined by ability are formed for inline skaters and skate boarders under the supervision of american inline instructors and coaches skateboard campers will receive instruction to safely ride tack turn olly grind stall jam and get air Held in a ldquoskate park on wheelsrdquo a mobile skate park with equipment designed for beginners the skate park has a mini-half pipe mini-quarterpipes grind box fun box launch ramps wedge ramps and grind rails skaters learn to gear up stand up avoid falling skate turn stop and go each day includes instruction skating games and skating tours to increase confidence and improve skills extended day activities include swimming and long boarding participants receive camp t-shirt and stickers required equipment include helmet knee and elbow pads wrist guards or hockey gloves staff to participant ratio 18Ages 6-13 Location Quincy parking deck Date Sessions 2 3 4 amp 10 Times am extended Hours 7-9amCore Hours 9am-3pmPM Extended Hours 3-6pmsession 2AM Extended Hours $20Core Program $212PM Extended Hours $60Fees AM Extended Hours $25Core Program $265PM Extended Hours $75Registration rsaquo do not use arlington County Camp Registration Form Register at wwwamericaninlinecom or contact American In-Line at 703-994-7617 and infoamericaninlinecom

AMERICAN SKATEBOARD AT POWHATAN SPRINGS SKATE PARKCatchinrsquo some air skateboarders who have at least one year of experience or have gone to one beginner skateboard camp are invited to the skate park at powhatan springs to learn intermediate to advanced skills including dropping in riding fakie kick flips advanced trick flips grinds and vert skills Beginning skateboard riders with less than one year of experience must enroll in a skateboard camp at the Quincy street location (above) participants receive camp t-shirt and stickers required equipment includes helmet knee and elbow pads Wrist guards recommended staff to participant ratio 18Ages Boys 10-14 Location skate park at powhatan springs Date sessions 1 7 amp 9 Times 8am-Noon Fees $175Registration rsaquo do not use arlington County Camp Registration Form Register at wwwamericaninlinecom Or contact American In-Line at 703-994-7617 For questions e-mail infoamericaninlinecom

ARLINGTON SOCCER ASSOCIATION (ASA) SUMMER SOCCER CAMPprepare for the fall season with soccer camps sponsored by the arlington soccer association the local youth soccer organization in arlington County all summer soccer camps will be under the direction of Bob Bigney the technical director for the asa Coach Bob holds a us soccer lsquoarsquo level Coaching license ns Caa advanced national Coaching diploma and has served on the national staff for US Soccer For more information on the advertised camps and clinics or other offerings of the arlington soccer association please visit wwwarlingtonsoc-cercom staff-to-participant ratio is 112Ages 5-15 Locations and DatesWashington-lee High school session 1Kenmore Middle School Session 3Williamsburg middle school session 4 swanson school session 9virginia Highland session 10Times morning program 9-11am (ages 5-8)Half-Day Program 9am-noon (Ages 9-13) Core Hours 9am-4pm (6-15)PM Extended Hours 4-530pmFees Morning Program $135Half Day $175Core Program $275PM Extended Hours $40Registration rsaquo do not use arlington County Camp Registration Form Visit wwwarlingtonsoccercom or contact Bob Bigney at coachbobarlingtonsoccercom

GOLDEN BOOT SOCCER CAMPSgolden Boot camps serve the experienced striker as well as the young child who just recently donned cleats for the first time the camp includes creative small-sided games and mini tournaments art of scoring goals is a half-day camp focusing on finishing and striking techniques and on how to create scoring opportunities it teaches players offensive skills and how to play a significant role in their teamsrsquo offensive play mini Kickers is a specially designed program for kids ages 4-6 the camp introduces young players to the basic fundamental skills of soccer through creative fun games it incorporates soccer skills with motor physical mental and social skills in a positive and non-competitive environmentAges 4-14 Location swanson middle school Date session 7 (half day) session 8 (full day) Times Half day 9am-noonFull Day 9am-3pm Fees Half Day $175Full Day $245Registration rsaquo do not use arlington County Camp Registration Form Please visit wwwgoldenbootsoccercom or call 703-287-0088


Camp 2010 SeSSionS



BISHOP OrsquoCONNELL SUMMER SOCCER CAMPorsquoConnell offers soccer skill sessions in the morning and small and large sided game playing in the afternoon Break for lunch in between (players bring their own lunches) We have a specific theme each day skills contests and other fun yet instructive play local high school and club coaches run the sessions with assistants from local college and high school varsity players players will receive a camp t-shirt staff-to-participant ratio 112Ages 8-15 Location Tuckahoe Field Date session 2 Times Core Hours 9am-3pm PM Extended Hours 3-6pmFees Core Program $200PM Extended Hours $60Registration rsaquo do not use arlington County Camp Registration Form Please contact John McAuley at 703-894-8844 or email aspmsscjmyahoocom

JIMENEz SOCCER CAMPJimenez soccer Camp welcomes soccer players of all levels of experience and ability small group and personalized instruction guarantee a week of fun and learning for all participants Campers learn new skills develop existing ones and learn about teamwork while having a great time each week features an exciting guest player or speaker and mini tournaments Coach Jimenez a state level coach with the us olympic development program and trainer of the nationally ranked Chantilly inter-milan is an experienced coach who makes improving soccer skills fun for everyone staff to participant ratio 112Ages 6-18 Locations and DatesWakefield High school session 1Kenmore middle school session 5greenbriar park session 6 Times am extended Hours 7-9amCore Hours 9am-3pm PM Extended Hours 3-6pmFees AM Extended Hours $25Core Program $200PM Extended Hours $25AM amp PM Extended Hours $50Registration rsaquo do not use arlington County Camp Registration Form Contact Arturo Jimenez 571-333-2588 or e-mail jimenezsocaolcom visit wwwjimenezsoccercom

SOCCER ACADEMY INCsoccer academy has a long and proven track record with its neighborhood day camps for developing soccer players the exceptional coaching staff guides beginners and advanced players so they all can develop skills improve performance and nurture a love for the game throughout the camp life skills such as sportsmanship self-reliance cooperation and enjoying hard work are encouraged staff to participant ratio 112Ages 5-13 Locations and Dates Bluemont Park Sessions 3 amp 8Williamsburg school session 6Times 9am-1pm Fees $185Registration rsaquo do not use arlington County Camp Registration Form Contact Soccer Academy at 703-393-7961 soccersoccer-academycom or at wwwsoccer-academycom

CHALLENGER SPORTS BRITISH SOCCER CAMPBritish soccer Camps provide young players with the rare opportunity to receive high-level soccer coaching from a team of international experts right in the heart of their own community each British soccer Camp provides players of all ages and abilities the appropriate program and level of curriculum each day includes individual foot skills technical drills tactical practices small-sided games coached scrimmages and a daily tournament equally important the Challenger coaching staff provides your child with lessons in self-discipline good sportsmanship and respect for others and for the game With each week-long camp your child will get a Challenger soccer ball camp shirt and camp award at the end of the week each child receives an evaluation and participates in a closing ceremonyAges 3-18 Location gunston Community Center Date sessions 2 amp 9 Times session 2 9am-noonSession 9 9am-3pm First Kicks (age 3-4) 1045-1145amMini Soccer (age 5-6) 9-1030am Half day (age 6-18) 9am-noon Full Day (age 10-18) 9am-3pmFees Half day $135Full day $190 First Kicks $80Mini Soccer $95Registration rsaquo do not use arlington County Camp Registration Form Please visit wwwchallengersportscom or call 1-800-878-2167 ext 239

UK ELITE SOCCER CAMPCheck out a professional British coaching staff and a cutting-edge age and ability-specific curriculum guaranteeing your child the best possible soccer camp experience this exciting global curriculum is based on maximum activity highly stimulating games and practices designed to ensure an enjoyable and educational time its international flavor will take your child around the world in five days as he or she learns the different skills that are made famous by the players from england Brazil Holland italy and the usa each day begins with the ldquomove of the dayrdquo and ends with a World Cup mini-tournament Children receive a reebok soccer ball uK elite t-shirt and written evaluation from their professional coach staff to participant ratio 112Ages 3-4 and 5-14 Location gunston Community Center Date sessions 4 amp 5 Times Half-day Camp 9am-1215pmPetite Camp A 9-1030ampetite Camp B 1045am-1215pm Fees Half-Day Camp (Ages 5-14) $155UK Petite Camp A amp B (Ages 3-4) $105Registration rsaquo do not use arlington County Camp Registration Form Please visit wwwUKElitecom or email soccerUKElitecom or call 410-884-6868

GIRLS SOFTBALL CAMPEnjoy a week of softball fun with your friends Fun skill development includes hitting base running fielding throwing and catching games held each day along with enjoyable well-structured learning experiences for all skill levels the curriculum is designed for ldquomax touchrdquo providing plenty of repetitions players are divided by age and skill level Coach pitch scrimmage games are held each day the camp is led by local high school softball coaches indoor air-conditioned accommodations are available in case of inclement weather staff to participant ratio 19Ages Girls 7-12 Locations and Dates Quincy park session 6Barcroft Sport and Fitness Center Session 7 Times 9am-2pm Fees $185Registration rsaquo do not use arlington County Camp Registration Form Contact Coach Mike Murray at 703-698-5599 or questionsgovBCcom or visit wwwgoVBCcom

AqUA SPORTS CAMPis your child a ldquofish in waterrdquo the child who loves aquatic sports can enjoy swimming diving trampoline free swim and more at this camp run by former Yorktown High school graduate and usa national team Coach mike tober Coach tober was the university of maryland Head dive Coach for 14 years and currently is the Head dive Coach at george Washington university the staff consists of highly skilled professionals note this is not a learn-to-swim program Children must be able to swim 25 yards and be comfortable in water over their heads staff to participant ratio 110Ages 7-12 Location W-l pool Date sessions 9 amp 10 Times am extended Hours 7-9amCore Hours 9am-4pmpm extended Hours 4-6pmFees AM Extended Hours $25Core Program $275PM Extended Hours $25Registration rsaquo do not use arlington County Camp Registration Form E-mail michaeltobergmailcom call 301-873-8411 or visit wwwaquasportscampscom

TENNIS ON THE MOVE ACADEMYserve it up Children of all ages and experience levels can benefit from the tennis on the move academy professional tennis instructors and former high school players teach and develop your childrsquos love of tennis as a lifelong sport the camp stresses safety fun and provides a great environment for making friends Camps are located at Bluemont park (ashlawn elementary school will be used in case of inclement weather) Coach mel labat serves as camp director staff to participant ratio 112Ages 5-15 (Future Stars Program for age 5) Location Bluemont park Date session 1 2 amp 6 Times Future Stars 9am-1pm only am extended Hours 7-9amCore Hours 9am-3pmPM Extended Hours 3-6pmFees Session 1 amp 6Future Stars $160AM Extended Hours $45Core Program $250PM Extended Hours $45session 2Future Stars $130AM Extended Hours $36Core Program $200PM Extended Hours $36Registration rsaquo do not use arlington County Camp Registration Form For more information about camps and registration call 703-256-3806 or email mellabatymcadcorg

FIRSTSERVE TENNIS CAMPJoin FirstServe Tennis Academy on court for first-rate camps in a friendly fun and supportive environment for players of all abilities ages 4-18 sessions will include stretching and light fitness stroke development games-based instruction modified match-play situations and match play for more advanced students all students will be taught by certified instructors with age appropriate modified equipment to achieve the best results Whatever your level of play you are just a few hours of FirstServe Tennis instruction away from a lifelong love of tennis Indoor rain facilities are available for all camps Staff to participant ratio for instruction is 41 (ages 4-6) 61 (ages 6-18) and 101 for matchplayTimes 8am-845am 9am-945am 10am-1045amFees $90Locations and DatesBluemont park session 7 8 9 amp 10Times and FeesCore Hours 9am-3pm $450Half-Day AM 9am-noon $270Half-Day PM noon -3pm $270 Half-day pm advanced High performance Clinic 3pm-6pm $270AM Extended Hours 730am-9am $25 PM Extended Hours 3-6pm $45Registration rsaquo do not use arlington County Camp Registration Form Visit wwwtenniseveryonenet or 703-868-8172

TENNIS USA ACADEMYunder the direction of Coach ron mcdonald a nationally certified uspta ptr professional the tennis usa academy offers a fun and challenging ldquoQuickstartrdquo camp program for ldquoaspiring starsrdquo peewees as well as beginner intermediate and advanced junior tennis players We serve players age 5 to 18 Camp options described below include our popular private Coaching Camp each camp provides just the right combination of instruction reinforcement drills and competitive play sessions our enthusiastic tennis usa academy pro staff critique and assign campers in appropriate age and play level groups refreshment and snack breaks are provided proper tennis attire and tennis shoes are required Campers must provide their own tennis racquet water and snack need equipment Contact our tennis usa pro shop visit wwwtennisusanet for additional area camps and to print out a discount coupon staff to participant ratio 112Ages 5-18 Location Bluemont park Date Sessions 3 4 amp 5 Times Pee-Wee Tennis (A) (ages 5-7) 9-1030amPee-Wee Tennis (B) (ages 5-7) 1030am-Noonpremier Core Camp am (ages 7-18) 9am-noonpremier Core Camp pm (ages 10-18) 1-4pmPrivate Coaching Camp Five 55-minute sessions held once daily between 8am and noon am extended Hours 8-9ampm extended Hours noon-1pmFees Peewee Tennis $155Premier Core Camp $295Private Coaching Camp (Series of 5 sessions) $295Three Core Camp Special $495AM or Noon Extended Hours $95Registration rsaquo Do not use PRCR Registration Form for Camps register on-line at wwwtennisusanet for promotion coupon or call 703-379-4455 Save 25 Family discounts Register at least two weeks prior to camp start date


CAPITAL ULTIMATE CAMPThis camp is the ultimate ndash Frisbee that is Coaches dave soles (from H-B Woodlawn) and Will smolinski (from Williamsburg middle school) bring a combined 23 years of Ultimate experience and have taken players to state and national champion-ships newer players will work on individual skills like throwing catching and cutting and basic offensive and defensive strategy more experienced players will work on advanced team skills like stacking forcing zone and specific fitness prin-ciples essential for ultimate most importantly all campers will get instruction and practice with life skills such as self-officiating conflict resolution and social responsibility each participant will receive a shirt official ultimate disc and great instruction staff to participant ratio 112Ages 10-14 Location H-B Woodlawn schoolDate Sessions 2 amp 3 Times am extended Hours 7-9amCore Hours 9am-4pmPM Extended Hours 3-6pmFees AM Extended Hours $25Core Program $275PM Extended Hours $25Registration rsaquo do not use arlington County Camp Registration Form Please visit wwwyhbultimateorg or contact Will smolinski at willsmolinskigmailcom

YMCA SPORTS FESTIVALCelebrate the love of the game in this camp featur-ing sports games and fitness activities running in one-week sessions this camp includes instruction in a medley of sports along with additional games and fitness activities swimming too part of the day includes stretching and warm-up skills practice drills educational games and scrimmages Campers will discover the importance of teamwork good sportsmanship and most importantly having fun all levels are welcome to participate during the rest of the day campers will share other fun enriching activities such as group games sports and fitness singing arts and crafts theme days and more staff to participant ratio 18 and 110Ages 5 to 7 and 8 to 12 Locations and Datesglebe elementary sessions 1-8 langston Brown Center session 9 amp 10Times am extended Hours 7-9am Core Hours 9am-4pm PM Extended Hours 4-630pmFees Core Program $196 per weekAM and PM Extended Hours $96 per weekRegistration rsaquo do not use arlington County Camp Registration Form Open registration begins on Wednesday March 3 Register at wwwymcadcorg or download registration packet and register in-person at 3422 N 13th Street Arlington Va Register early Spaces are limited and fill quickly

YMCA SPORTS CAMPStrue to their name YmCa sports Camps feature a sports focus for part of the day think stretching and warm-up skills practice drills educational games and scrimmages Campers will discover the importance of teamwork good sportsmanship and most importantly having fun all levels are welcome to participate during the rest of the day all camp-ers enjoy group games sports and fitness singing arts and crafts theme days swimming and more session choices include Ballet Basketball Biking Extreme Cheerleading Flag Football Kickball soccer Yoga and more staff to participant ratio 18 and 110Ages 5 to 8 and 8 to 12 Location nottingham elementary schoolDate sessions 1-8 Times am extended Hours 7-9amCore Hours 9am-4pmPM Extended Hours 4-630pmFees Core Program One week sessions $223 Two week sessions $422AM and PM Extended Hours $96 per weekoffered in one-week or two-week sessions please see website for specific session offeringsRegistration rsaquo do not use arlington County Camp Registration Form Open registration begins on Wednesday March 3 Register at wwwymcadcorg or download registration packet and register in-person at 3422 N 13th Street Arlington VA Register early spaces are limited and fill quickly

Teen CampsITRAVELready for a summer on the move itravel Camp provides your tween or teen an unforgettable summer filled with fun learning and making new friends each week provides five trips to some of the coolest places in the tri-state area with a group of excited teens adult staff that is experienced in working with teens supervises itravel campers they are trained in positive communication Cpr First Aid handling various teen issues and more For questions contact cdccampsgmailcom or 7039800335 Staff to participant ratio 115Ages 11-15 Location Washington-lee High school Date sessions 4-8 Times Core program 8am-3pmFees Core Program $275Registration rsaquo do not use arlington County Camp Registration Form Go to wwwarlingtonpridecom

LAST LAPthe end of summer can be bittersweet ndash herersquos the sweet ldquothe ultimate end of summer experiencerdquo will provide kids with a high energy and fun atmo-sphere before heading back to school enjoy six Flags or Kings Dominion swimming at area water parks and much more Your child will take five trips in five days adult staff that is experienced in working with teens supervises campers For questions contact us at cdccampsgmailcom or 7039800335 Staff to participant ratio 115Ages 11-15 Location langston Community Center Date sessions 9 amp 10 Times Core Program 8am-3pmFees Core Program $275Registration rsaquo do not use arlington County Camp Registration Form Go to wwwarlingtonpridecom

TEAM TEEN ENTREPRENEUR AMUSEMENT MANAGEMENT - A TEEN JOB READINESS PROGRAM

Fun is serious business And this camp will teach your teen how to run it at this camp teens learn all of the aspects of operating a small amuse-mentadventure business participants receive hands-on training on topics such as small business ownership the dos and donrsquots of starting and oper-ating a business workshops on the key ingredients of successful businesses money management diversity communication and leadership as a final project the team will plan and run a special event for elementary-age children upon completion teens are eligible for employment helping to run and manage a small amusementadventure business with the arlington County department of parks recreation and Cultural resources this program was recognized as the Best new program in 2006 by the virginia recreation and parks society and continues to grow in popularity staff to participant ratio 112 a mandatory parentstudent orientation will be held on June 3 6-7pm at Thomas Jefferson Community Center Ages 13-17 Location Camp CodeWashington-Lee High School 553830Date sessions 1 amp 2TimesCore Hours 8am-3pm PM Extended Hours 3-6pmFees Core Program $104PM Extended Hours $36Registration rsaquo Complete the arlington County Camp Registration Form p19

SPORTS AND FITNESSget off the couch out of the house or come by after summer school and get fit with us Wersquore all about the sports mdash teens and tweens mdash girls and boys of all abilities between the ages of 11 and 16 are welcome and invited to participate each week will have a different sports theme and will include activities such as soccer football basketball hockey softball and fitness training Come ready to play We will also join Junior Jam programs once or twice a week for trips and special events staff to participant ratio 115Ages 11-16 Location Kenmore middle school Date sessions 1-8 Times 1-5pm Fees FreeRegistration rsaquo Call Luis Matos at 703-228-5314 for a registration form

SUMMER ADVENTURE all aboard students ages 10-14 will not be

permitted to disembark until they have enjoyed trips sports wellness activities special events nature adventures art projects and more Be pre-pared for some local travel ndash this camp includes two or more trips a week via hike bus van or metro summer express campers practice responsi-bility explore new interests and have fun Campers make structured leisure choices such as board games pick up art projects or reading from 8-9am and again during afternoon extended hours staff to participant ratio 110Ages 10-14 Location Camp CodeWashington Lee High School 550830Date sessions 1-8 Times Core Hours 8am-3pm PM Extended Hours 3-6pmFees Session 2 Core Program $180PM Extended Hours $29Sessions 1 3-8 Core Program $225PM Extended Hours $36Registration rsaquo Complete the arlington County Camp Registration Form p19

each session runs two weeks TimesCore Hours 8am-3pm PM Extended Hours 3-6pmFees Core Program $104PM Extended Hours $36Registration rsaquo Complete the arlington County Camp Registration Form p19

JUNIOR JAM the ldquoJamrdquo is for ages 11-16 who already have a

busy summer schedule but still want to enjoy summer favorites such as sports swimming music arts group games and tournaments With support from staff teens share in the role of planning activities field trips and special events please note While teens are encouraged to stay at the site this is a drop-in program that allows teens to come and go For youth needing more accountability consider a camp program that requires parental consent to leave during the program hours For registration information contact any of the Junior Jam locations below or call Edson Bravo at 703-228-7783Ages 11-16Times 1pm-5pmFees Free Date sessions 1-8 Location Camp CodeDrew Center 532210Langston Center 532260Lubber Run Center 532280Walter Reed Center 532310Date Sessions 3-8 Gunston Community Center 532250Woodbury Park 532880summer school siteCarver Junior Jam hosted here transportation provided between Carver and Walter Reed For more information call Margo Watters at 703-228-5702There will be two open houses in May to give more information about Junior Jam amp Teen Activities Information that will be given during the open houses includes details about trips activities special events fitness program incentive program fee reduction and volunteer opportunities Meet program directors The two dates are May 13 from 7 pm to 8 pm at Langston and May 15 from 11 am to noon at Walter ReedRegistration rsaquo registration for Junior Jam cannot be done online please contact the Junior Jam center directly or call Edson Bravo at 703-228-7783

TEEN ARTIST SERIES OVERVIEW are you constantly doodling itching to try pot-

tery Yearning to express yourself through art make your creative side happy at these camps Beginner and returning teen artists will develop and expand their skills in painting drawing and pottery the programs are small enabling instructors to give individualized guidance a field trip to an art museum or art setting may be included in the ses-sion note Camp will be held at W-l High school due to tJ middle schoolrsquos renovations Consequenlty we will not be holding photo camp this summer session descriptions and information are listed below the program does not offer extended hours However note that drop-in activi-ties are available until 6pm through the Junior Jam program (above) also located at W-l (separate reg-istration needed) staff to participant ratio 18Ages 12-16 Times 9am-3pm Registration rsaquo Complete the arlington County Camp Registration Form p19


Camp 2010 SeSSionS

TEEN ARTIST SERIES POTTERY CAMP sometimes you have to make a mess to create

something beautiful and thatrsquos certainly the case in this three-week camp experience the hands-on satisfaction of clay sculpture learn the basics of the potterrsquos wheel hand building and glazing ceramics emphasis is on using your imagination to make both fun and functional pieces Wear old clothes and bring an old towel open to all skill lev-els returning students will further develop skills and techniques all materials provided staff to par-ticipant ratio 18Location Camp CodeWashington-Lee High School 532830Date Sessions 1-3 (this camp runs for one three-week session) Fees $787

TEEN ARTIST SERIES DRAWING CAMP

students of all skill levels will learn and strengthen their drawing techniques in this two-week program explore a variety of wet and dry media such as graphite charcoal pen and ink and colored pencils to learn about the basics of line perspective values and composition all materials provided staff to participant ratio 18Location Camp CodeWashington Lee High School 532830Date sessions 4-5 Fees $562

TEEN ARTIST SERIES PAINTING CAMP

teens will learn the basics of studio painting in this creative and imaginative environment this two-week camp offers a strong foundation for stu-dents to learn or strengthen skills in texture com-position values color theory and more students will use a variety of wet and dry materials returning artists will build upon existing skills new artists welcome staff to participant ratio 18Location Camp CodeWashington Lee High School 550830Date sessions 6-7 Fees $562

Therapeutic Recreation

Campsarlington County maintains a philosophy of inclusion whereby youth with disabilities are welcome to register for any program However we have designated Fairlington and Lubber Run tot camps mcKinley elementary summerfest and teen summer express as sites that receive additional services these sites have a lower camp maximum lower staff to camper ratio and additional training for staff on program modifications behavior management and inclu-sion of individuals with disabilities

everyone who enrolls in adventure Quest Camp discovery or requests inclusion support through the therapeutic recreation office must complete an accommodation packet in addition to the registration forms on page 19 and 20 the therapeutic recreation offfice will send the accommodation packet once your child is registered information provided in the accommodation packet enables prCr to plan a successful experience for each camper regardless of ability every effort is made to involve campers in recreation programs that best suit their interests and abilities note the therapeutic recreation office reserves the right to reassign campers if staff determines the camper would be served more effectively in another program

ADVENTURE qUEST

arts and crafts swimming community trips and special events are only a few of the activities teen and young adult campers experience in this specialized therapeutic recreation program designed for individuals with developmental disabilities or autism many campers require close supervision or assistance in personal care moderate to extensive support is provided with a ratio range of 12 to 13 all campers engage in theme-based recreation that encourages social interaction and development Campers choose activities ranging from sensory and auditory to expressive arts fitness and sports Ages 11-21 Location Camp Codeglebe elementary school 560870 Date sessions 2-8 Times Core Hours 8am-3pm PM Extended Hours 3-6pmFees session 2 Core Program $130PM Extended Hours $30 Sessions 3-8Core Program $163PM Extended Hours $36Registration rsaquo Complete the arlington County Camp Registration Form p19

CAMP DISCOVERY

arts and crafts swimming and special events are only a few of the activities younger campers dis-cover in this specialized therapeutic recreation camp designed for youth with developmental disabilities or autism many campers require close supervision or assistance in personal care moderate to extensive support is provided with a ratio range of 12 to 13 Campers engage in theme-based recreation that encourages social interaction as well as sensory and auditory development please note only a full day program will be offered this summerAges 6-11 Location Camp Codeglebe elementary school 561870Date sessions 2-8 Times Core Hours 8am-3pm PM Extended Hours 3-6pmFees session 2 Core Program $130PM Extended Hours $30Sessions 3-8 Core Program $163PM Extended Hours $36Registration Complete the arlington County Camp Registration Form p19

Imagination amp Exploration

CampsSUPER DUPER SCIENCEslime and bubbles to wheels and balls ndash we cover it all in this fun hands-on science exploration Hands-on science experiments will help us learn all about mixtures and movement in this camp perfect for budding scientists We will then go outside to find similar science in the outdoors staff to participant ratio 18Ages 4-5 Location Camp CodeBluemont park 541400Date session 9 Times 1-4pm Fees $165Registration rsaquo go to wwwaudubonnaturalistorg

KIDREALM ADVANCED STRATEGY CAMPare you a strategist do you enjoy magic the gathering WarHammer axis and allies World of WarCraft chess risk and other ldquothinkingrdquo games if so we have the camp for you Join the adventure in the new and expanded elfWell World enjoy hours of tournaments deckarmy building arcade time and hobby-filled fun learn to paint miniatures try new strategies and even create your own games Cool prizes awarded daily for tournaments and painting contests note this camp uses some ldquoteen levelrdquo video games staff to participant ratio 112Ages 12-14 Location ashlawn elementary school Date July 6-16 July 19-July 30 Times am extended Hours 7-9 amCore Hours 9am-3pmPM Extended Hours 3-6pmFees AM Extended Hours $40Core Program $370July 6-16 Core $335PM Extended Hours $60Registration rsaquo do not use arlington County Camp Registration Form Go to wwwKidRealmcom or call 703-283-5818

KIDREALM RENAISSANCE AGE OF DISCOVERY CAMPKnights and kings literature and science art and theater step back in time to the fun and fascinat-ing worlds of the middle ages and the renaissance Compete in sir lancelotrsquos Joust with your own magnetic Hover Knight make a masterpiece in the all-new da vincirsquos Woodshoppe design and build a marble maze or penny game perform fun plays on stage for your family in the legendary Fakespearersquos theatre try heraldry leather working archery and unique games like Castle squigg race and Koi traders enjoy creative games challenging logic puzzles awesome gym activities fun arts amp crafts and cool books experience Kidrealm traditions prize Wizard Bingo Kidrealm Cup Baggo Crazy Bones speedstacks and much more Charge into adventure staff to participant ratio 112Ages 8-12 Location ashlawn elementary school Date July 6-16 July 19-July 30 Times am extended Hours 7-9 amCore Hours 9am-3pmPM Extended Hours 3-6pmFees AM Extended Hours $40Core Program $350July 6-16 Core $335PM Extended Hours $60Registration rsaquo do not use arlington County Camp Registration Form Go to wwwKidRealmcom or call 703-283-5818

KIDREALM HOBBY CAMPitrsquos a one-week hobby showcase Come share a favorite and maybe even start some new ones KidRealm presents ldquoHobby-Festrdquo a time to learn all about cool hobbies such as coin stamp sports cards and pokemon collecting lessons include how to take care of your collections the value of them and their history play the latest games in our arcade explore the world of pokemon and try chal-lenging logic puzzles Win prizes such as pokemon cards rare coins sports cards and even stamps enjoy creative games awesome gym activities fun arts and crafts and explore cool books staff to participant ratio 112Ages 6-12 Location ashlawn elementary school Date June 28-July 2 Times am extended Hours 7-9 amCore Hours 9am-3pmPM Extended Hours 3-6pmFees AM Extended Hours $40Core Program $190PM Extended Hours $60Registration rsaquo do not use arlington County Camp Registration Form Go to wwwKidRealmcom or call 703-283-5818


Camp 2010 SeSSionS



KIDREALM SCIENCE CAMPCalling all future einsteins time to combine all of the Kidrealm traditions with a double dose of science fun get your minds in motion as we build and race vehicles over land sea and air make rubber band cars catamaran racers and hot air balloons then engineer a tower and subject it to an earthquake How much force can yours withstand Bonus project Build and launch rockets gear up for a microscopic safari study ant behavior in ant farms it will be two weeks of non-stop fun as we enjoy creative games awesome gym activities and try cool experiments larger camp fee due to high materials cost staff to participant ratio 112Ages 8-12 Location ashlawn elementary school Date July 19-July 30 August 2-13 Times am extended Hours 7-9 amCore Hours 9am-3pmPM Extended Hours 3-6pmFees AM Extended Hours $40Core Program $390PM Extended Hours $60Registration rsaquo do not use arlington County Camp Registration Form Go to wwwKidRealmcom or call 703-283-5818

KIDREALM TIME MACHINE CAMPtravel in time from dinosaurs to star wars design and build working catapults and lay siege to the castle get ready for the return of JunkYard Wars design and build the fastest land Yacht from junk prizes for fastest and most creative develop your own perfect village in animal Crossing Club learn and play games from all eras marbles shut the box tiddlywinks and many more enjoy creative games challenging logic puzzles awesome gym activities fun arts and crafts and explore cool books experience cool Kidrealm traditions prize Wizard Bingo Kidrealm Cup Baggo Crazy Bones speedstacks and much more more staff to participant ratio 112Ages 8-12 Location ashlawn elementary school Date July 6-July 16 August 2-August 13 Times am extended Hours 7-9 amCore Hours 9am-3pmPM Extended Hours 3-6pmFees AM Extended Hours $40Core Program $370July 6-16 Core $375PM Extended Hours $60Registration rsaquo do not use arlington County Camp Registration Form Go to wwwKidRealmcom or call 703-283-5818

KIDREALM YOUNG EXPLORERS CAMPJoin the voyage to imagination exploration in the spirit of the early sea going explorers set sail to fun in the great pirate ship race design build and race your pirate vessels for prizes and glory learn games from different countries and win foreign money as prizes explore the world of pokemon and win gym leader badges enjoy creative games challenging logic puzzles awesome gym activities fun arts and crafts and explore cool books experience the Kidrealm traditions prize Wizard Bingo Kidrealm Cup Baggo Crazy Bones speedstacks and much more staff to participant ratio 112Ages 8-12 Location ashlawn elementary school Date august 16-20 Times am extended Hours 7-9 amCore Hours 9am-3pmPM Extended Hours 3-6pmFees AM Extended Hours $20Core Program $190PM Extended Hours $30Registration rsaquo do not use arlington County Camp Registration Form Go to wwwKidRealmcom or call 703-283-5818

KIDREALM YOUNG WIzARDS CAMPWild about Harry (potter) love lord of the rings mad for merlin Herersquos your camp Become a ldquoWizrdquo at engineering as you design build and test the Wizard Bridge all new project design and build then launch rockets in the ghostBusters game Have fun with strategic tournaments such as chess Wizardrsquos duel Heroscape and Koi traders make your own magic wands try your skill in the Haunted squigg track and test yourself with mind- boggling logic puzzles enjoy creative games awesome gym activities fun arts and crafts and explore cool books experience cool Kidrealm traditions prize Wizard Bingo Kidrealm Cup Baggo Crazy Bones speedstacks and much more staff to participant ratio 112Ages 8-12 Location ashlawn elementary school Date July 19-July 30 August 2ndashAugust 13 Times am extended Hours 7-9 amCore Hours 9am-3pmPM Extended Hours 3-6pmFees AM Extended Hours $40Core Program $370PM Extended Hours $60Registration rsaquo do not use arlington County Camp Registration Form Go to wwwKidRealmcom or call 703-283-5818

MYSTERY ACADEMY MAGICAL FUNattention Beginning Wizards Children will learn magic tricks as well as puppetry and magic-themed craft projects this camp aims to develop art appreciation overcoming stage fright and building kinesthetic skills with magic props each child will develop hisher imagination and confidence while learning magical effects all supplies are included in the camp fee Campers must provide their own snacks lunch and beverages staff to participant ratio 110Ages 5-7 Location Jamestown elementary school Date June 28-July 2 amp August 9-13 TimesCore Hours 9am-3pmPM Extended Hours 3-5pmFeesCore Program $210PM Extended Hours $50Registration rsaquo do not use arlington County Camp Registration Form Go to wwwmysteryacademycomregister or call 240-449-9394

MYSTERY ACADEMY MAGIC PERFORMANCEFocusing primarily on the Performance Art of magic campers will train in a variety of forms of magic sleight of hand mentalism apparatus and coin as well as learn the basics of what it means to be a magician a variety of magical games craft projects and activities will accompany serious magic instruction a culminating performance allows campers to perform an effect they have mastered in a close-up setting for parents and friends all supplies are included in the camp fee Campers must provide their own snacks lunch and beverages staff to participant ratio 110Ages 8-11 Location Jamestown elementary school Date June 28-July 2 amp August 9-13 Times Core Hours 9am-3pm PM Extended Hours 3-5pmFees Core Hours $210PM Extended Hours $50Registration rsaquo do not use arlington County Camp Registration Form Go to wwwmysteryacademycomregister or call 240-449-9394

MYSTERY ACADEMY JUNIOR CARNIVALHave fun and experience a carnival atmosphere Campers will learn to speak through a puppet play a carnival game juggle handkerchiefs paint their faces to look like tigers and even learn a magic trick Bring your happy face and get ready for fun at the Junior Carnival all supplies are included in the camp fee Campers must provide their own snacks lunch and beverages staff to participant ratio 110Ages 5-7Location Jamestown Elementary School Session 3Walter reed Center session 9Times Core Hours 9am-3pm PM Extended Hours 3-5pmFees Core Hours $210PM Extended Hours $50Registration rsaquo do not use arlington County Camp Registration Form Go to wwwmysteryacademycomregister or call 240-449-9394

MYSTERY ACADEMY CIRCUS ARTSChildren will learn puppetry magic balloon sculp-ture face painting object painting juggling skit comedy and much more they will learn and play carnival themed games and put on a performance for parents demonstrating a variety of vaudevillian skills all supplies are included in the camp fee Campers must provide their own snacks lunch and beverages staff to participant ratio 110Ages 8-11 Location Jamestown Elementary School Session 3Walter reed Center session 9Times Core Hours 9am-3pm PM Extended Hours 3-5pmFees Core Hours $210PM Extended Hours $50Registration rsaquo do not use arlington County Camp Registration Form Go to wwwmysteryacademycomregister or call 240-449-9394

MYSTERY ACADEMY MAGIC CRAFTSthis camp is designed for children who are inter-ested in constructing their own props tricks and magic apparatus in order to perform magic make your own card tricks or learn how to make a magic box Create and paint your own magic wand mixed media will be used to foster engineering skills as well as artistic creativity specific instructions on how to use the props are all part of this camp this camp appeals to a wide age range previous experience in magic is not required all supplies are included in the camp fee Campers must provide their own snacks lunch and beverages staff to participant ratio 110Ages 6-10 Location Jamestown elementary school Date July 19-23 TimesCore Hours 9am-3pmPM Extended Hours 3-5pmFeesCore Program $210PM Extended Hours $50Registration rsaquo do not use arlington County Camp Registration Form Go to wwwmysteryacademycomregister or call 240-449-9394

MYSTERY ACADEMY PUPPETRYCampers will be introduced to a wide array of puppets including bag puppets shadow puppets human puppets marionettes tribbles sock puppets and improvisational puppets emphasis will be on comedy and script writing for the pupppets parents are encouraged to come on the last day of camp to see a performance by the children all supplies are included in the camp fee Campers must provide their own snacks lunch and beverages staff to participant ratio 110Ages 6-10 Location Jamestown school Date July 26-30 Times Core Hours 9am-3pmPM Extended Hours 3-5pmFeesCore Program $210PM Extended Hours $50Registration rsaquo do not use arlington County Camp Registration Form Go to wwwmysteryacademycomregister or call 240-449-9394

MYSTERY ACADEMY STAGE MAGICstage magic is for campers who are interested in the performance aspect of magic each camper will learn acting skills stage direction voice projection and audience management Campers will work with bigger props and perform tricks on stage with a larger audience in mind the campers will work on developing a stage performance that they can perform in front of their friends and family on the last day of camp previous experience in magic or performance is recommended but not required all supplies are included in the camp fee Campers must provide their own snacks lunch and bever-ages staff to participant ratio 110Ages 6-10 Location Jamestown school Date aug 2-6 Times Core Hours 9am-3pmPM Extended Hours 3-5pmFeesCore Program $210PM Extended Hours $50Registration rsaquo do not use arlington County Camp Registration Form Go to wwwmysteryacademycomregister or call 240-449-9394


MYSTERY ACADEMY MAGIC CAMP INTERMEDIATEare you an experienced magician are you looking to take your skills another step further then this is the camp for you Campers will engage in advanced sleight of hand and stage magic expanding and enriching the basics of their knowledge this camp is for veterans who have previously enrolled in another mystery academy Camp or course other campers may be admitted by permission of the instructor or by successful audition all supplies are included in the camp fee Campers must provide their own snacks lunch and beverages staff to participant ratio 110Ages 8-11 Location Jamestown school Date aug 16-20 Times Core Hours 9am-3pmPM Extended Hours 3-5pmFeesCore Program $210PM Extended Hours $50Registration rsaquo do not use arlington County Camp Registration Form Go to wwwmysteryacademycomregister or call 240-449-9394

VIDEO GAME DESIGN CAMPHerersquos a gamerrsquos dream come true Campers must choose between 2d game design (no experience needed) and Xbox360 Game Design (some program-ming knowledge required) For 2D Game Design campers will learn how to make 2d computer games working with two software programs scratch and Alice Or in Xbox360 Game Design campers will make games like pac-man asteroids or Bejeweled and learn to use a combination of typed commands and a drag-and-drop tool then play the games on your computer or Xbox 360 Staff to participant ratio 110Ages 8 to 11 for 2D game design 10 to 15 for Xbox 360 Game Design Location Fairlington Center Date session 1 Times 9am-3pm Fees $470Registration rsaquo do not use arlington County Camp Registration Form Go to wwwfunutationcom

COMPUTER BUILD amp REPAIR OR ROBOTRONIXsign your technology buff up now Campers can choose between How to Build amp repair a Computer and robotronix in Computer Build amp repair campers will learn how to make a faster computer with more memory they will take a computer completely apart and learn the hardware compo-nents reassemble install an operating system and software do technology upgrades amp add-ons and debug or in robotronix campers will build a robot (sumoBotreg) that can detect an opponent and avoid obstacles they will learn mechanical design construction and programming skills a computer program is used to control and modify the robots movements staff to participant ratio 110Ages 9 to 14 Location Fairlington Center Date session 9 Times 9am-3pm Fees $470Registration rsaquo do not use arlington County Camp Registration Form Go to wwwfunutationcom

LEFT NOODLE-RIGHT NOODLE TIME TRAVELERS THRU ANCIENT CULTURES AND MYTHIC LANDSZoom way back in time to visit ancient cultures and mythic lands Be the first to unearth the clues to lost civilizations and even create one of your very own in greece wersquoll learn about the greek gods try on togas and make golden laurel crowns Wersquoll dive into the depths of the waters around atlantis create our own mermaidmermen tails and dig for poseidonrsquos trident then wersquoll head to egypt to wrap ourselves like mummies and to discover hieroglyphics at the end of the week wersquoll dwell in the extremes with the cave people Have you ever made a Flintstone car Trust us this is the most fun kids have had since time began staff to participant ratio 110Ages 4-10 with kids split up by age Location madison Center Date session 9 Times am extended Hours 8-9amCore Program 9am-3pmPM Extended Hours 3-6pmFees AM Extended Hours $50Core Program $275 if you register before 314 $300 on or after 314PM Extended Hours $100Registration rsaquo do not use arlington County Camp Registration Form Visit wwwnoodleclasscom

LEFT NOODLE-RIGHT NOODLE HAPPY BIRTHDAY TO YOUsing and cheer mdash your birthdayrsquos here not even close no worries mdash itrsquos always a party at Birthday Camp and we take this one global learn about birthdays around the world while we celebrate You in denmark kids fly their birthday flags to signal that itrsquos their special day in China the birthday boy or girl eats noodles on his or her birthday Celebrations in england arenrsquot complete without fortune telling cakes in Jamaica the birthday child is showered in flour activities will include wacky games edible art unusual traditions and more staff to participant ratio 110Ages 4-10 with kids split up by age Location madison Center Date session 10 Times am extended Hours 8-9amCore Program 9am-3pmPM Extended Hours 3-6pmFees AM Extended Hours $50Core Program $275 if you register before 314 $300 on or after 314PM Extended Hours $100Registration rsaquo do not use arlington County Camp Registration Form Visit wwwnoodleclasscom

SILVER KNIGHTS CHESS CAMPitrsquos your move so strategize to spend a week playing and learning about chess our silver Knights chess coaches are highly-rated professional chess instructors We have taught tens of thousands of children including the 2008 national champions for first and second grade We accept players of all skill levels from beginners to tournament players Campers will be grouped accordingly each camper receives a t-shirt and tournament-style chess set Campers will take breaks for snacks and fresh air and full day campers have lunch and recess from 12-1 pm staff to participant ratio 18Ages 4-14 Location madison Community Center Date sessions 5 9 amp 10 Times Core Hours 9am-12pm 1-4pm Fees Half Day $175Full Day $300Registration rsaquo do not use arlington County Camp Registration Form Go to wwwsilverknightschesscom

Volunteer Arlington loves volunteers

If you are 13 or older please join hundreds of other energetic and committed Arlingtonians and have fun while contributing your talents to the community We need your support to assist staff with general interest special interest and therapeutic recreation camps (volunteers are placed only at camps operated by the department of parks recreation and Cultural resources not in contract camps) volunteers take a leadership role in all the fun and exciting activities campers enjoy including field trips arts and crafts swimming sing-alongs games and much more Whether you are seeking a personal or professional development opportunity or simply have a desire to work with young people volunteering can be extremely rewarding it is an opportunity to make friends work with children in a supervised recreational setting and gain valuable experience in a leadership role remember in order to become a paid student assistant in arlington County camps you must have been a volunteer with us for at least one summer prCr is not able to hire all of our volunteers but we will not hire anyone in an entry-level position who has not been a volunteer

Guidelines for Great Volunteer Opportunities

bull Volunteers must be at least 13 and at least two years older than the oldest camper in the program at which they are placed

bull Volunteers are not placed where they were campers the previous year or where their family members are current campers

bull Volunteers must work for four weeks (they do not have to be consecutive weeks except in camps that have two-week sessions) it may be possible to work additional weeks

bull Volunteers must work core program hours Working more than the core hours is determined by the needs of the site no one may volunteer more than eight hours a day

bull The goal is to place volunteers near their home and in the programs of their choice However we canrsquot guarantee placements

Ready to Apply Call 703-228-4730 to request an application form and interview or go to wwwarlingtonvausprcr and click on ldquovolunteerrdquo to complete an application online

Want to get paid to have fun this summer If you are 18 or older find out about summer jobs at Arlington County camps See page 3


Registering for PRCR Campsregister for arlington County camps (highlighted with this symbol ) online at wwwarlingtonvausprcr starting March 3 at 8am or with the Arlington County Camp registration form on page 19 mail-in and fax registration begins March 3 as well Phone registration begins March 17 walk-in march 22 if a camp is not an arlington County camp (does not have the by the camp name) follow the directions in the camp listing under registration arlington County cannot process registrations for camps that are not

arlington County camps

How to register for Arlington County Tot Camps (page 5)1 go to wwwarlingtonvausprcr starting March 3 or

complete and sign arlington County Camp registration Form (page 19) and fax mail call or walk in

2 Complete and sign participant informationemergency record found on web and page 20

3 Provide verified proof of child identity and age For children not registered in an arlington public school please provide a copy of any of the following certified birth certificate birth registration card or passport (valid or expired)

4 Complete and sign Commonwealth of virginia school entrance physical examination and immunization Certificate (also known as a School Health Form) obtain a blank copy from the prCr registration office from your childrsquos school or download at wwwarlingtonvausprcr please note if the prCr registration office has this form on file from the previous year resubmission is not necessary

How to register for Arlington County Camps1 go to wwwarlingtonvausprcr starting March 3 or


2 Complete and sign participant information emergency record found on web and page 20 all paperWorK and doCuments must Be delivered to tHe REGISTRATION OFFICE BEFORE ANY CHILD CAN ATTEND CAMP IF NOT RECEIVED BY JUNE 9 YOUR CHild maY Be unenrolled

How and Where to RegisterArlington County Camps are very popular For the best chance of enrollment register online beginning March 3 at 8am

bull Beginning March 3 at 8am register online at wwwarlingtonvausprcr For help with online processing read online registration tips for success on this page Have your Household id number camp codes sessions and credit card information readily available when you go online

bull Beginning March 3 at 800am mailed or faxed Arlington County Camp Registration Forms (page 19) will be processed through a random draw Forms can be mailed or faxed early both front and back but will be held until the March 3 random draw Fax to 703-228-4765 or mail to Registration Office 3700 S Four Mile Drive Arlington VA 22206

bull Beginning March 17 at 8am call the Registration Office at 703-228-4747 to register Have your Household ID number camp codes sessions and credit card informa-tion readily available

bull Beginning March 22 drop off your Arlington County Camp Registration Form (page 19) from 800am to 500pm at the Registration Office 3700 S Four Mile Drive If you drop off your registration form before march 22 it will be held and processed by random draw beginning at 800am on march 22

In accordance with Federal Law and US Department of Agriculture policy thus institution is prohibited from discriminating on the basis of race color national origin sex age or disability

Online Registration Tips for SuccessDid You Know The first day of camp registration is the busiest day online Make your online registration a success by preparing BEFORE the registration period beginsSET UP YOUR ACCOUNT before March 3 2010 if this is the first time you will be registering for a camp or class before March 3 go to wwwarlingtonvausprcr click on register for classes and camps then click on register in the middle of the page that opens yoursquoll see a link that states ldquoForgot your User Name or Password Need to Create an account Click here for helprdquo Click there You will be taken to a new webpage Click on the link under ldquoneed an accountrdquo enter the required information and click ldquosubmitrdquo to create an account with us

if you have taken a class or camp with arlington County parks recreation and Cultural resources before but never registered online go to the Registration web page click on the ldquoForgot your user name or password need to Create an account Click here for helprdquo link and under the section titled ldquoHave an accountrdquo fill in your Household id number and the e-mail address you provided when registering Call 703-228-4747 to get your household number or listed e-mail address if you arenrsquot sure

bull If the online data matches your responses your account information will be emailed to you and you can go online to verify it

bull If the online data doesnrsquot match your responses you will be prompted to register for a new account if you donrsquot have an e-mail address on file with us or do not know your Household id number contact the registration office at 703-228-4747 or registrationarlingtonvaus

REVIEW YOUR ACCOUNT before March 3 2010 Check the information we have about your account online to be sure we have your household listed correctly and all family members are listed if you have forgotten your username or password go to the registration site on the web and follow the prompts to retrieve your username or reset your password online You can also receive assistance from the registration Office 703-228-4747 and at registrationarlingtonvaus M-F 8am - 5pm

Be Prepared When You Sign In To Register on or after March 3You will speed through the online registration process if you have the information you need at your fingertips when registering online

4 Know your username and password

4 Know the camps camp codes and sessions you want Have second-choice options ready in case you are waitlisted for your first choice

4 after you login use the menus to select search -gt activity -gt search by number enter the 6-digit camp code into the field labeled activity number and click search all sessions of the camp will be listed with the date it is offered to register for a camp click on the shopping cart to the left of the desired camp session if the camp offers extended hours you will be asked if yoursquod like to sign up for them

4 Have your credit card information handy arlington County accepts visa master Card discover and american express

if you have questions about the online registration process contact the Registration Office (703-228-4747 registrationarlingtonvaus) before March 3 for the fastest service if you have trouble registering online contact the registration office for assistance

Registration Factsdonrsquot put it off Camps fill quickly and the sooner you register the more likely you will get the spot you want registrations will be processed to accommodate first and second choices if an opening is not available you can request a spot on a wait list print online registration confirmations using adobe acrobat 60 tentative enrollment confirmation will be mailed upon processing if paperwork is still owed please do not telephone for registration confirmations or changes prior to April 15 For more information refer to Registration Changes and Refunds below all required documents must be received no later than June 9 or campers may be unenrolled and their spots given to the Wait list registrations will be accepted up to one week prior to camp start date if space is available For late registration all documents must be delivered to the registration office no later than one week prior to the start of the camp session

Campers with Disabilitiesparents and guardians must request accommodations to the therapeutic Recreation Office (703-228-4740) at least two weeks in advance of the program session if a child requires frequent reminders to participate follow directions or stay with the group requires assistance with dressing feeding or toileting or has difficulty managing anger please note this on the Camp participant informationemergency record form this additional information is required in order to provide accommodations so that every participant will be successful in the chosen program there is no additional fee for this service

Non County Residents Fees and Registration Datearlington County Camps usually fill to capacity each year residents should register early to ensure spots non-resident registration for arlington County camps begins March 29 Non-residents pay 50 more than the fee listed in the catalog

How to Paybull All fees for Arlington County camps must be paid in full by June 9 Households

with an overdue balance must pay off their previous balance before registering a child for camp

bull Fee reductions are available for qualifying residents Arlington County doesnrsquot want fee to be a barrier for a fun and safe summer Call 703-228-4747 for more information or go to wwwarlingtonvausprcr keyword fee reduction

bull Checks and money orders may be used with mail and walk in registration Checks are payable to treasurer arlington County

bull On-line registration requires full payment by credit card at the time of registration Fax mail call and walk in registrations can pay in two installments At least 50 is due at the time of registration The remaining payment is due by June 9

bull The following credit cards can be used for every form of registration American express visa masterCard or discover

Discounts for FamiliesFamilies with more than one child in an arlington County camp are eligible for a Family Discount To receive a Family Discount register your children and then contact the registration office after april 15 to receive the discount

Financial AssistanceFee reductions for camps are available on a sliding scale based on household income and size anyone who is an active financial assistance client of arlington Countyrsquos department of Human services or aps freereduced lunch program as well as others who are below the threshold of the currently published Hudrsquos section 8 income limits is eligible for a reduced camp fee annual income verification is required For application qualifications guidelines and procedures please contact the registration office at 703-228-4747 or go to a customer service desk at one of these locations Registration Office 3700 South Four Mile Run Dr Thomas Jefferson Community Center (3501 S 2nd St) or Barcroft Sports amp Fitness Center (4200 S Four Mile Run Dr)

Registration Changesany arlington County camp registration changes (such as cancellations transfers or refunds) must be made through the prCr registration office after april 15 do not wait until camp begins or ask camp or recreation center staff to process camp changes only confirmed written changes through the prCr registration office are honored Keep your confirmation number for reference when asking about any changes transfers refunds or billing questions Without a confirmation number registrants are held responsible for payment

Refunds notify the registration office of any changes or cancellations as soon as possible after april 15 to ensure a Wait listed child can join the program requests for refunds or changes for arlington County camps must be received by the registration office no later than 5pm on the date listed below to ensure a spot for a Wait Listed child All refunds are subject to a $1500 administrative charge per camp session no refunds will be issued if you cancel after these dates

session 1 monday June 21session 2 monday June 28Session 3 Monday July 6session 4 monday July 12 session 5 monday July 19session 6 monday July 26session 7 monday august 2session 8 monday august 9 session 9 monday august 16Session 10 Monday August 23


Herersquos a Calendar to Help Plan your Summer fun 1 2 3 4 5

6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

June 2010

July 2010

August 2010

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY



Notes


2010

Arlin

gton

Coun

ty Su

mmer

Camp

Regis

trat

ion Fo

rmAd

ult

Resp

onsi

ble

for

Paym

ent

Firs

t Nam

e __

____

____

____

____

____

____

____

___

Last

Nam

e __

____

____

____

____

____

____

____

___E

-mail

___

____

____

____

____

____

____

____

_

Day

Phon

e (_

___

) ___

____

____

____

____

____

____

Eve

ning

Phon

e (_

___

) ___

____

____

____

____

____

__Ce

ll Ph

one

(___

_) _

____

____

____

____

____

___

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

____

_Sta

te__

____

_Zip

____

____

____

____

__

Child

Bein

g Re

gist

ered

Firs

t Nam

e _

____

____

____

____

____

____

____

____

____

____

____

____

____

_la

st n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

__

Grad

e __

____

____

_Birt

hday

____

___

____

__

____

_Sex

___

____

____

____

_sc

hool

____

____

____

____

____

____

____

____

____

____

____

____

____

_

plea

se fi

ll in

cam

p co

des b

elow

inse

rt th

e six

-digi

t cod

e as

socia

ted

with

the

arlin

gton

Cou

nty

cam

p int

o th

e fir

st or

sec

ond

choic

e fo

r eac

h se

ssion

you

des

ire C

hildr

en

mus

t be

regis

tere

d fo

r the

cor

e pr

ogra

m h

ours

to re

giste

r for

ext

ende

d ho

urs

not a

ll ca

mps

pro

vide

exte

nded

Hou

rs Y

ou w

ill ne

ed th

ese

sam

e se

ven-

digit

code

s to

regis

ter o

nline

if y

ou w

ish to

regis

ter f

or a

cam

p th

at is

not

an

arlin

gton

Cou

nty

Cam

p an

d do

es n

ot h

ave

a 6-

digit

cam

p co

de p

lease

follo

w th

e re

gistra

tion

instru

ction

s co

ntain

ed in

the

cam

p lis

ting

mon

th

d

ay

year

Fir

St

Ch

oiC

e

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

SeC

on

d C

ho

iCe

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

Dona

tion

and

Pay

men

t In

form

atio

n

Help

send

a k

id to

cam

p by

don

ating

to th

e ldquoS

UMME

R FU

Ndrdquo (

see

page

3)

Plea

se in

dicat

e am

ount

of d

onat

ion h

ere

$ __

____

____

____

____

__

to p

ay b

y ch

eck

Mak

e ch

eck

paya

ble to

Tre

asur

er A

rling

ton

Coun

ty A

t lea

st 50

is

due

with

regis

tratio

n 1048653r

emain

der i

s due

Jun

e 9

2009

to p

ay b

y Cr

edit

Card

plea

se fi

ll ou

t inf

orm

ation

belo

w

plea

se c

harg

e m

y m

vis

a m

mas

terC

ard

m d

iscov

er

m a

mer

ican

expr

ess

Card

Num

ber _

____

____

____

____

____

____

____

____

____

____

Expir

ation

Dat

e __

____

____

____

____

____

____

____

Nam

e of

car

dhold

er (p

lease

prin

t) _

____

____

____

____

____

____

____

__ S

ignat

ure

____

____

____

____

____

____

____

___

Mail

mat

erial

s by

Mar

ch 3

or d

rop

off b

eginn

ing M

arch

30

at R

egist

ratio

n Of

fice

3700

S F

our M

ile D

rive

Arlin

gton

VA

2220

6

August 18-22 2010

thomas Jefferson Community Center 3501 S 2nd Street Arlington VA

Go to wwwarlingtoncountyfairorg

for more information

2010Arlington County Fair

featuring Bixbyrsquos Rainforest Rescue


Participant Information Emergency RecordCa

mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Summer Fun CentersKids who want to experience a community center based program can sign up for one of these exciting camps Here they will enjoy games crafts trips and enhance their social skills Children ages 5 and 6 must have completed kindergarten 11 year olds must be entering 5th grade Sessions begin June 28 and run until August 20 Fees are based on household income Financial assistance is available for all PRCR Camps These programs have on site registration beginning April 5th Stop by a center to pick a ldquoSummer Funrdquo registration form

Location hours Ages telephoneCarver Center 9am-3pm 5-11 703-228-5705Drew Center 9am-3pm 5-11 703-228-5725Langston Center 9am-3pm 5-11 703-228-5210Lubber Run Center 12pm-4pm 5-11 703-228-4712Woodbury Park 12pm-4pm 5-11 703-807-1941

Carver site Extended Hours (3pm-6pm) TBD Woodbury site operates July 6- August 13


pg 3 4 5 6 7 8 9 10 11 12 13 y Sesiones Lugar mas

CAMPAMENTOS PARA PEqUEntildeOSCampamentos para pequentildeos (Tots) 5 bull bull bull 1-8 24 16 17 20 2178Abrakadoodle Habiacutea una Vez 5 bull bull bull 2 60Abrakadoodle Colorama 5 bull bull bull 3 60Abrakadoodle Fiesta de Playa 5 bull bull bull 4 60Abrakadoodle Arte Delicioso 5 bull bull bull 5 60Donde las Cosas Salvajes Andan 7 bull bull 9 33

CAMPAMENTOS CLaacuteSICOSHorizonte 5 bull bull bull bull 2-8 83Diversioacuten de Diacutea 5 bull bull bull bull bull bull bull 2-8 19 83YMCA Campamento de Aventura 6 bull bull bull bull bull bull bull bull bull 1-8 78YMCA Campamento de Especialidades 5 bull bull bull bull bull bull bull bull 1-8 72

CAMPAMENTOS DE NOCHEHacia el Desierto 5 bull bull 6 29Campamento Residencial 4-H para pequentildeos 6 bull bull bull bull bull July 4-8 Campamento 4-H para padreshijos 6 bull bull bull bull July 23-25Shenandoah de Noche 6 bull bull bull bull bull 4Aventuras Cheerio 5 bull bull bull bull bull 81-6

NATURALEzA AVENTURA E HISTORIASoldados de la Guerra Civil 7 bull bull bull bull 1 36Exploradores de Campo de Batalla 7 bull bull bull 7 36Historia 7 bull bull bull bull 2 amp 3 36Los Sentidos de la Naturaleza 7 bull bull 1 amp 2 29Supervivencia 7 bull bull bull bull 5 29Desafiacuteo de Animal 7 bull bull bull bull 3 amp 4 29Nintildeos en el Bosque 7 bull bull bull bull 1 amp 2 28Excursionistas del Potomac 7 bull bull bull bull 3 amp 4 28Criaturas del Bosque 7 bull bull 5 amp 6 28Garras y Dientes 7 bull bull bull 10 33Campamento de Aventuras ldquoUltimaterdquo 8 bull bull bull bull bull bull 1 2 456 20 9 amp 10Campamento de Aventuras ldquoSummitrdquo 8 bull bull bull 8 20Campamento de Aprendizaje Primitivo 8 bull bull bull 6 20

CAMPAMENTOS DE ARTES CREATIVOSArtes Creativos 8 bull bull bull bull bull bull bull 1-10 16 21YMCA Diversioacuten y Arte Funky (5-8 antildeos) 8 bull bull bull bull 9 16YMCA Diversioacuten y Arte Funky (9-12 antildeos) 8 bull bull bull bull 9 16Produccioacuten de Video Digital o Disentildeo de Video 3D 8 bull bull bull bull bull bull 10 16Teatro ETC 8 bull bull bull bull bull 8 amp 9 16Teatro Elemental 9 bull bull bull bull bull bull 630-79 74 3-4 5-6Teatro 2010 9 bull bull bull bull 3-5 81Escenarios para Adolescentes ldquoTeens amp Tweensrdquo 9 bull bull bull bull 630-79 81

CAMPAMENTOS DEPORTIVOSGimnasia 9 bull bull bull 1-9 11Deportes de Arlington 9 bull bull bull bull bull bull 2-8 79Deportes Americanos 9 bull bull bull bull bull bull bull 1 4 amp 9 66YMCA Festival de Deportes 13 bull bull bull bull bull bull bull bull 1-10 64 18YMCA Deportes 13 bull bull bull bull bull bull bull bull 1-8 72Deportes Variados ldquoShooting Starsrdquo 9 bull bull bull bull 5 amp 6 11 amp 66Deportes de Gran Bretantildea 9 bull bull bull bull bull bull bull 8 41Beacuteisbol de Medio Diacutea 9 bull bull 1 3 amp 4 78Beacuteisbol de Verano en Arlington 10 bull bull bull bull bull bull 1 3 amp 4 40Academia de Baloncesto Chuck Driesell 10 bull bull bull bull bull bull bull 5 80Academia de Baloncesto Chummy Gill 10 bull bull bull bull bull bull bull bull 3 amp 6 17 amp 75Escuela de Baloncesto NOVA 10 bull bull bull bull 2 3 amp 7 66Baloncesto ldquoPatriotrdquo para Nintildeas 10 bull bull bull bull bull bull bull bull 1 amp 9 75Baloncesto ldquoOrange Line Sportsrdquo 10 bull bull bull bull bull bull bull 4 80Baloncesto ldquoWashington Mysticsrdquo 10 bull bull bull bull bull bull bull bull bull 4 amp 8 68Baloncesto Wakefield para Nintildeas 10 bull bull bull bull bull bull bull bull 5 79Baloncesto para Warriors 10 bull bull bull bull bull bull 1 2 amp 6 68Academia de Baloncesto Webb Hatch 10 bull bull bull bull bull bull bull bull 4 75Hockey Academia Internacional 10 bull bull bull bull 4 amp 5 80Fuacutetbol Americano en Arlington 10 bull bull bull bull bull bull bull 3 amp 5 40Fuacutetbol de Momentum3 11 bull bull bull bull bull bull 1 amp 4 40Golf Knightrsquos Golf Camp-Plus 11 bull bull bull bull bull bull bull bull 1-3 63

pg 3 4 5 6 7 8 9 10 11 12 13 y Sesiones Lugar masLacrosse Academia Internacional 11 bull bull bull bull bull bull bull 3 amp 8 81Lacrosse Patriot para Varones 11 bull bull bull bull bull bull bull 3 80Artes Marciales Oliacutempicos 11 bull bull bull bull bull bull bull bull 1-3 61Campamento de Ninjas 11 bull bull bull bull bull bull bull bull 4-6 61 amp 67Patinaje en Liacutenea y Patineta 11 bull bull bull bull bull bull bull bull 2-4 amp10 26Patineta en el Parque Powhatan 11 bull bull bull bull 1 7 amp 9 51Asociacioacuten de Fuacutetbol de Arlington 11 bull bull bull bull bull bull bull bull bull 1 3 4 80 68 81 75 57Campamento de Fuacutetbol Botas de Oro 11 bull bull bull bull bull bull bull bull bull bull 7 amp 8 17Bishop OrsquoConnell Campamento de Fuacutetbol 12 bull bull bull bull bull bull 2 78Academia de Fuacutetbol Jimeacutenez 12 bull bull bull bull bull bull bull bull 1 5 amp 6 79 68 40Academia de Fuacutetbol Inc 12 bull bull bull bull bull bull bull bull bull 3 6 amp 8 33 amp 81Campamento de Aspirantes Fuacutetbol Britaacutenico 12 bull bull bull bull bull bull bull bull bull bull bull 2 amp 9 17Fuacutetbol de Gran Bretantildea 12 bull bull bull bull bull bull bull bull bull bull bull 4 amp 5 17Softball para Joacutevenes 12 bull bull bull bull bull bull 6 11 amp 52Deportes Acuaacuteticos 12 bull bull bull bull bull bull 9 amp 10 80Tenis en Movimiento 12 bull bull bull bull bull bull bull bull bull 1 2 amp 6 33Tenis ldquoFirst Serverdquo 12 bull bull bull bull bull bull bull bull bull bull 7-10 21 33 68 amp 23Tenis USA 13 bull bull bull bull bull bull bull bull bull 3-5 33Capital Ultimate Camp 13 bull bull bull bull 2 amp 3 66

CAMPAMENTOS Y PROGRAMAS PARA JoacuteVENESAventura 13 bull bull bull bull 1-8 80Campamento de Ceraacutemica 14 bull bull 1-3 80Campamento de Dibujo 14 bull bull 4-5 80Campamento de Pintura 14 bull bull 6-7 79Teatro de Arlington para Joacutevenes 8 bull 1-8 68iTravel 13 bull bull bull 4-8 80Ultima Vuelta 13 bull bull bull 9 amp 10 18Programa de Trabajos para Joacutevenes TEAM 13 bull 1 amp 2 80Deportes y Aptitud Fiacutesica 13 bull bull bull 1-8 68Voluntarios 16 bull 1-10Los centros de puertas abiertas ldquoJunior Jamrdquo 13 bull bull bull 1-8 1318 20 23 3-8 17 27

RECREACIoacuteN TERAPeacuteUTICACampamento de Aventuras Una Buacutesqueda 14 bull bull bull 2-8 65Campamento de Descubrimiento 14 bull bull bull bull bull bull 2-8 65

CAMPAMENTOS ESPECIALIzADOS DE IMAGINACIoacuteN Y EXPLORACIoacuteNKidRealm Estrategia Avanzada 14 bull bull 76-16 719-30 KidRealm Descubrimiento de Edades 14 bull bull bull bull bull 76-16 719-30 KidRealm Pasatiempos 14 bull bull bull bull bull bull bull 1KidRealm Ciencias 14 bull bull bull bull bull 719-30 82-13KidRealm Maacutequina de Transporte a traveacutes del Tiempo 15 bull bull bull bull bull 76-16 82-13KidRealm Exploradores Joacutevenes 15 bull bull bull bull bull 8KidRealm Magos Joacutevenes 15 bull bull bull bull bull 719-30 82-13Academia de Misterio Diversioacuten Maacutegica 15 bull bull bull 76-10Academia de Misterio Presentacioacuten de Magia 15 bull bull bull bull bull 720-24 93-7 Academia de Misterio Carnaval para Joacutevenes 15 bull bull bull 713-17 Academia de Misterio Artes del Circo 15 bull bull bull bull 67 23Academia de Misterio Artesaniacutea Maacutegica 15 bull bull bull bull bull 67Academia de Misterio Manejo de Marionetas 15 bull bull bull bull bull 67Academia de Misterio Magia de Teatro 15 bull bull bull bull bull 67Academia de Misterio Magia de Nivel Intermedio 15 bull bull bull bull 67Left Noodle-Right Noodle Arte de Museo para Nintildeos 8 bull bull bull bull bull bull 1 21Left Noodle-Right Noodle Culturas AntiguasLeft Noodle-Right Noodle Feliz Cumpleantildeos a Tiacute 16 bull bull bull bull bull bull bull 10 21Disentildeo de Juegos de Video 16 bull bull bull bull bull 1 16Construccioacuten y Reparacioacuten de Computadoras o Robotronix 16 bull bull bull bull bull 9 16Campamento de Ajedrez 16 bull bull bull bull bull bull bull bull bull bull 5 9 amp 10 21Campamento de Ciencia Suacuteper Duacuteper 14 bull bull 9 33

Guiacutea de campamentos por edad intereacutes sesioacuten y lugarLos campentos en rojo son administrados por el Departmento da Parques Recreacioacuten y Recursos Culturales del Condado de Arlington


Inscripcioacuten a los Campamentos del Departamento de Parques Recreacioacuten y Recursos Culturales (PRCR)Inscripcioacuten a los campamentos de PRCRinscriba a su hijo en un campamento de prCr (indicado con el siacutembolo ) en wwwarlingtonvausprcr a partir del 3 de marzo o con el formulario de inscripcioacuten a los Campamentos arlington County que se encuentra en la paacutegina 19 los correos y faxes seraacuten procesados a partir del 3 de marzo las llamadas el 17 de marzo y las visitas personales el 22 de marzo si el campa-mento no es un campamento prCr (no figura junto al nombre del campamento) siga las instrucciones en el listado de campamen-tos debajo de inscripcioacuten prCr no puede procesar las inscripcio-nes de los campamentos que no son de prCr

Coacutemo inscribirse en los campamentos de PRCR para Nintildeos Pequentildeos1 ingrese a la paacutegina web wwwarlingtonvausprcr a partir

del 3 de marzo o complete y firme el Formulario de Inscripcioacuten a Campamentos de arlington County (paacutegina 19) y enviacuteelo por fax correo llame o preseacutentese en persona (vea fechas abajo)

2 Complete y firme la informacioacuten para participantesregistro de emergencias que se encuentra en la paacutegina 20 (tambieacuten disponible por internet)

3 presente un comprobante vaacutelido de la identidad y edad del nintildeo si el nintildeo o nintildea no se encuentra inscrito en alguna escuela puacuteblica de arlington presente una copia de alguno de los siguientes documentos partida de nacimiento certificada tarjeta de inscripcioacuten de nacimiento o pasaporte (vigente o vencido)

4 Complete y firme el Examen Fiacutesico y Certificado de Vacunas para el ingreso en las escuelas del estado de virginia (tambieacuten denominado Formulario de Salud Escolar) Solicite una copia en blanco en la oficina de inscripciones de prCr o en la escuela a la que asiste su hijo o descaacuterguelo de wwwarlingtonvausprcr tenga en cuenta que si la oficina de inscripciones de prCr tiene este formulario archivado de alguacuten antildeo anterior no es necesario volver a presentarlo

Coacutemo inscribirse en los campamentos1 Ingrese a la paacutegina wwwarlingtonvausprcr a partir del 3

de marzo o complete y firme el Formulario de Inscripcioacuten a Campamentos de arlington County (paacutegina 19) y enviacuteelo por fax correo llame o preseacutentese en persona (vea las fechas abajo)

2 Complete y firme la informacioacuten para participantesregistro de emergencias que se encuentra en la Web y en la paacutegina 20 toda doCumentaCiOacuten deBerAacute presentarse en la OFICINA DE INSCRIPCIONES ANTES DE QUE EL NINtildeO ASISTA al Campamento en Caso de no ser reCiBido antes del 9 DE JUNIO EL NINtildeO NO QUEDARAacute INSCRITO

Coacutemo y doacutende inscribirselos campamentos del Condado de arlington son muy populares para tener mayores posibilidades de inscribir a sus hijos es recomend-able que realice la inscripcioacuten en liacutenea a partir del 3 de marzo

rsaquo El 3 de marzo a las 8 am vaya a wwwarlingtonvausprcr Tenga a mano su nuacutemero de Identificacioacuten Familiar (Household id) los coacutedigos del campamento las sesiones y la informacioacuten de su tarjeta de creacutedito

rsaquo A partir del 3 de marzo a las 8 am se procesaraacuten mediante sorteo los Formularios de Inscripcioacuten a los Campamentos (paacutegina 19) que se hayan enviado por correo o fax los formularios pueden enviarse por correo o fax antes de dicha fecha frente y reverso al (fax) 703-228-4765 o por correo a la Oficina de Inscripciones 3700 S Four Mile Run Drive Arlington VA 22206 estos seraacuten retenidos hasta el sorteo del 3 de marzo

rsaquo a partir del 17 de marzo a las 8am llame a la oficina de Inscripciones al 703-228-4747 para realizar la inscripcioacuten viacutea telefoacutenica Tenga a mano su nuacutemero de Identificacioacuten Familiar (Household id) los coacutedigos del campamento las sesiones y la informacioacuten de su tarjeta de creacutedito

rsaquo A partir del 22 de marzo entregue su Formulario de Inscripcioacuten a los Campamentos (paacutegina 19) de 800am a 500pm en la Oficina de Inscripciones 3700 S Four Mile Run Drive En caso de entregar el formulario de inscripcioacuten antes del 22 de marzo eacuteste seraacute retenido y procesado mediante un sorteo a las 800 am del 22 de marzo

Informacioacuten general sobre la inscripcioacutenlos campamentos prCr son muy populares Cuanto antes realice la inscripcioacuten maacutes posibilidades tendraacute de conseguir el lugar que desea las inscripciones seraacuten procesadas para tratar de acomodar las primeras y segundas elecciones si no hay vacantes disponibles usted podraacute solicitar un lugar en una lista de espera imprima en liacutenea las confirmaciones de inscripcioacuten usando adobe acrobat 60 se enviaraacute por correo una confirmacioacuten de inscripcioacuten en el campamento a todos los campistas luego de recibir toda la documentacioacuten y el pago el coacutedigo de horas extendidas tiene los primeros seis diacutegitos iguales al coacutedigo del campamento central con una e al final (por horario extendido) en contraposicioacuten a la C (por campamento central) no todos los campamentos brindan un Horario extendido por favor no llame por teleacutefono para solicitar confirmaciones ni cambios a la inscripcioacuten antes del 15 de abril para obtener maacutes informacioacuten remiacutetase a Cambios en la inscripcioacuten y reembolsos en esta paacutegina toda la documentacioacuten requerida deberaacute recibirse antes del 9 de junio o los campistas no quedaraacuten inscritos y se otorgaraacute su lugar a la proacutexima persona en la lista de espera las inscripciones se aceptaraacuten hasta una semana antes de la fecha de comienzo del campamento si hubiera vacantes disponibles respecto de las inscripciones tardiacuteas se deberaacuten entregar todos los documentos en la oficina de inscripciones con anterioridad a la semana previa al inicio de la sesioacuten de campamentos

La inscripcioacuten en los campamentos PRCR para los nintildeos que no residen en el Condado la inscripcioacuten en los campamentos para los nintildeos que no residen en el Condado de arlington comenzaraacute el 6 de abril la matriacutecula tendraacute un recargo de 50 respecto de los aranceles indicados para los residentes

Coacutemo pagarbull todos los aranceles de los campamentos prCr se deberaacuten

pagar en su totalidad antes del 9 de junio los hogares que tengan un saldo deudor deberaacuten cancelar dicho monto antes de inscribir a su nintildeo en los campamentos

bull Se aplicaraacuten descuentos hasta 75 en los aranceles para los residentes que califiquen (ver asistencia financiera a continuacioacuten)

bull se puede pagar con cheque por correo o en persona los cheques deben hacerse a nombre de ldquotreasurer arlington Countyrdquo

bull se aceptan las siguientes tarjetas de creacutedito para todas las modalidades de inscripcioacuten american express visa masterCard o discover

bull la inscripcioacuten en liacutenea requiere que se realice el pago total mediante tarjeta de creacutedito al momento de la inscripcioacuten las inscripciones por fax correo teleacutefono o en persona pueden pagarse en dos cuotas Como miacutenimo deberaacute pagarse el 50 al momento de la inscripcioacuten el pago restante deberaacute efectuarse antes del 9 de junio

Descuentos para las familiassi una familia tiene maacutes de un nintildeo en un campamento de PRCR la familia es elegible para recibir un Descuento Familiar Para recibir un Descuento Familiar inscriba a los nintildeos y luego contaacutectese con la Oficina de Inscripciones (703) 228-4747 despueacutes del 15 de abril para recibir el descuento

Asistencia financierase ofrece asistencia financiera en forma escalonada seguacuten los ingresos y el nuacutemero de miembros de la familia las personas que sean clientes activos del programa de almuerzos con costos reducidossin costo de las escuelas (aps) o del departamento de servicios Humanos del Condado de arlington como tambieacuten las personas que se encuentren por debajo del umbral de los liacutemites de ingresos actuales de la seccioacuten 8 de Hud seraacuten elegibles para obtener una tarifa reducida hasta 75 de descuento en los campamentos se requiere un comprobante de ingresos anuales

nuestra oficina de inscripciones puede brindarle opciones para que el costo no sea un factor que le impida mantener a su nintildeo seguro involucrado y lleno de alegriacutea durante este verano para maacutes informacioacuten llame a la oficina de inscripciones al 703-228-4747 o visite la mesa de servicio al cliente en uno de estos sitios Oficina de Inscripciones (3700 South Four Mile Run Dr) Centro Comunitario Thomas Jefferson (3501 S 2nd St) o Centro Deportivo ldquoBarcroft Sports and Fitness Centerrdquo (4200 S Four Mile run dr)

Cambios en la inscripcioacutenlos cambios en la inscripcioacuten a los campamentos prCr (tales como cancelaciones traslados o reembolsos) deberaacuten realizarse a traveacutes de la oficina de inscripciones prCr luego del 15 de abril no espere a que comience el campamento ni solicite al personal del campamento o del centro de recreacioacuten que procese los cambios Uacutenicamente se respetaraacuten los cambios confirmados y escritos que se lleven a cabo por medio de la oficina de inscripciones Conserve su nuacutemero de confirmacioacuten como referen-cia cuando pregunte sobre los cambios traslados o reembolsos

Reembolsosnotifique los cambios o las cancelaciones a la oficina de inscripciones lo maacutes pronto posible a partir del 15 de abril para garantizar que un nintildeo que se encuentra en la lista de espera pueda incorporarse en el programa la oficina de inscripciones deberaacute recibir las solicitudes de reembolso o cambio respecto de los campamentos prCr antes de las 5 pm de las siguientes fechas para garantizar una vacante para un nintildeo en la lista de espera todos los reembolsos se encuentran sujetos a un cargo administrativo de $1500 por cada sesioacuten de campamento No se reembolsaraacute dinero si cancela despueacutes de las siguientes fechas

sesioacuten 1 lunes 21 de juniosesioacuten 2 lunes 28 de junioSesioacuten 3 lunes 6 de juliosesioacuten 4 lunes 12 de juliosesioacuten 5 lunes 19 de juliosesioacuten 6 lunes 26 de juliosesioacuten 7 lunes 2 de agostosesioacuten 8 lunes 9 de agostosesioacuten 9 lunes 16 de agostoSesioacuten 10 lunes 23 de agosto

Mande a un nintildeo a un campamentohellip iexclPor favorEn el 2004 PRCR creoacute el Fondo de Verano para la Diversioacuten con el fin de poder pagar la inscripcioacuten y las excursiones para nintildeos que de otra forma no podriacutean participar debido a dificultades econoacutemicas por favor ayuacutedenos a garantizar que todos los nintildeos de arlington pasen un verano divertido y entretenido y que a la vez desarrollen valores Contribuya con las aventuras de verano de un nintildeo mediante una donacioacuten durante el proceso de inscripcioacuten o en el Formulario de Inscripcioacuten a Campamentos de Verano arlington County


Algo para todos los gustosel periodo de verano ha sido disentildeado para darles a los nintildeos un descanso de la escuela y para ayudarlos a experimentar cosas nuevas y a crecer mental fiacutesica y socialmente Ya sea que su hijo desee refinar sus habilidades en alguacuten deporte actuar en una obra realizar juegos de destreza mental aprender magiahellipo simplemente pasar el tiempo arlington tiene algo que ofrecerle

Los campamentos claacutesicos (paacutegina 5) ofrecen varias opciones de programas estructurados y desestructurados que incluyen artes deportes excursiones y maacutes

Los campamentos de naturaleza aventura e historia (paacutegina 7) son para los nintildeos que aman el aire libre y desean aprender sobre la naturaleza y disfrutarlay quizaacute ampliar sus liacutemites y desafiacuteos tales como piraguumlismo espeleologiacutea entre otras

Los campamentos de Noche (paacutegina 6 son un combo entre un campamento claacutesico un campamento de naturaleza y aventura y ademaacutes se pasa la noche fuera de la casa

Los campamentos de artes creativos (paacutegina 9) vienen en todas las formas y tamantildeos para los que quieren aprender a pintar un cuadro actuar en una obra crear una vasija cantar una cancioacuten y iexclmucho maacutes

Los campamentos de imaginacioacuten y exploracioacuten (paacutegina 14) son una nueva clase de campamentos que generan intereses especiales en los nintildeos en relacioacuten con la ciencia la magia la historia y los juegos de estrategia imaginativa en conjunto

Los campamentos deportivos (paacutegina 9) estaacuten disponibles para los maacutes deportistas y a quienes les gustan todos los deportes de los campamentos con combo deportivo o para los campistas que quieren aprender o refinar sus habilidades en un deporte especiacutefico tal como el baloncesto o el tenis

Los centros de puertas abiertas ldquoJunior Jamrdquo (cuadro de la derecha) son programas basados en centros comunitarios para aquellos que buscan programas flexibles de medio diacutea que mantengan ocupados a los nintildeos

Campamentos para todas las edades y habilidadesen el Cataacutelogo de Campamentos de verano del Condado de arlington encontraraacute campamentos para los nintildeos de todas las edades y habilidades aseguacuterese de escoger un campamento que no soacutelo satisfaga los intereses de su hijo sino que tambieacuten sea adecuado para su edadhabilidad observe el cuadro de la paacutegina 14 para ver los campamentos adecuados seguacuten la edad los campamentos para nintildeos de edad preescolar (paacutegina 6) son campamentos disentildeados especiacuteficamente para nintildeos en esa etapa de desarrollo los nintildeos de edad elemental encontraraacuten campamentos en todas las categoriacuteas de campamentoshellipconsulte las opciones algunos campamentos ofrecen opciones de cuidado diurno

Campistas con discapacidadeslos campamentos para nintildeos con necesidades especiales se encuentran en la paacutegina 14 Hemos designado a los Campamentos para Pequentildeos de Fairlington y Lubber Run McKinley Summerfest y summer teen express como sitios que tendraacuten un menor nuacutemero de campistas una proporcioacuten maacutes alta entre personal y participantes y capacitacioacuten adicional para el personal sobre modificaciones de los programas control de comportamientos e inclusioacuten de las personas con discapacidades el personal terapeacuteutico y recreacionista (tr) estaacute capacitado para asegurar que su hijoa tenga el apoyo y el alojamiento apropiado

los padres y tutores deberaacuten solicitar acomodaciones como miacutenimo con dos semanas de anticipacioacuten a la sesioacuten del programa en la Oficina de Recreacioacuten Terapeacuteutica (703-228-4740) si el nintildeoa necesita recordatorios frecuentes para participar seguir instrucciones o permanecer con el grupo si necesita ayuda para vestirse comer o ir al bantildeo o si tiene dificultades para controlar su ira por favor indique esta situacioacuten en el formulario de informacioacuten sobre los participantes del Campamentoregistro de emergencias esta informacioacuten es esencial a fin de brindar las acomodaciones necesarias para que todos los participantes tengan eacutexito en el programa elegido el alojamiento que brindamos para personas con discapacidades incluye pero no se limita a equipo y teacutecnicas adaptados inteacuterpretes de lenguaje de signos instalaciones asequibles y materiales con letra grande y en Braille es posible cambiar la ubicacioacuten de un campista si el apoyo asistencia y alojamiento necesario para su participacioacuten podriacutea brindarse en un sitio alternativo

para maacutes informacioacuten comuniacutequese con la oficina de recreacioacuten Terapeacuteutica al 703- 228-4740 o TTY 703- 228-4743 Como parte de nuestra poliacutetica de inclusioacuten los joacutevenes con discapacidades pueden inscribirse en cualquier programa que sea de su intereacutes este servicio no tiene costo adicional

Campamentos y Programas Para Joacuteveneslos adolescentes que estaacuten ocupados durante el verano tienen mayor eacutexito durante el antildeo escolarhellipy en la vida arlington ofrece campamentos claacutesicos deportivos artiacutesticos y nocturnos para los adolescentes los adolescentes tambieacuten podraacuten incrementar sus habilidades de liderazgo mediante el voluntariado o la inscripcioacuten en el programa TEAM (paacutegina 13) Otra opcioacuten es consultar los programas Junior Jam que se realizan en diferentes centros (paacutegina 13)

Oportunidad de empleoiquestdesea divertirse este verano y ganar dinero por ello el Condado de arlington estaacute buscando personas creativas entusiastas comprometidas y sinceras que deseen divertirse y que quieran hacer parte de nuestro personal en los campamentos de verano estos son puestos de medio tiempo y tiempo completo y gozan de un salario competitivo esta es una excelente oportunidad para estudiantes universitarios (debe ser mayor de 18 antildeos) y para cualquiera que desee adquirir experiencia trabajando con los mejores nintildeos de la nacioacutenhellipiexcllos nintildeos de arlington Tambieacuten puede apoyar alguacuten intereacutes especial en artes naturaleza deportes o trabajando con las personas con discapacid-ades iquestInteresado Llame al 703-228-3327

Un Personal calificado hace que las cosas funcionenlos asesores del campamento son personas especiales el per-sonal de prCr debe tener intereacutes y gusto por trabajar con joacutevenes (de lo contrario no los contratariacuteamos) debe ser creativos entusiastas comprometidos y sinceroshellip iexcly ademaacutes suacuteper-pacientes y divertidos de hecho muchos de los consejeros de los campamentos y campos de juego de arlington han sido campistas frecuentemente en programas que ahora dirigen mucho de nuestro personal consiste de maestros de escuela graduados de universidad que esperan hallar un trabajo permanente con joacutevenes son un grupo talentoso y divertido todos con mucha experiencia en su aacuterea de especializacioacuten y todos estaacuten comprometidos a ayudar a sus hijos a que sean lo mejor que puedan ser

para asegurarse de que sus hijos tengan una experiencia positiva y divertida el Condado de arlington invierte en capacitacioacuten y desarrollo de su personal ademaacutes de cumplir con las califica-ciones para su cargo todo el personal de verano de asistir a 38 horas de capacitacioacuten obligatoria que se centra en la promocioacuten de la participacioacuten positiva expresioacuten creativa y juegos de adap-tacioacuten actividades saludables y de bienestar manejo de riesgos y seguridad servicios de proteccioacuten de la infancia procedimientos y poliacuteticas programacioacuten positiva y productiva y desarrollo de apertura a nuevos espacios

Centros de Diversioacuten de Veranolos nintildeos que deseen horarios flexibles con actividades de medio diacutea (no horarios extendidos) en los centros comunitarios pueden inscribirse en estas actividades recreativas y disfrutaran juegos manualidades excursiones y desarrollaran sus habilidades sociales los nintildeos entre 5 y 6 antildeos deben haber completado el jardiacuten infantil las sesiones de una semana comienzan el 22 de junio y se extenderaacuten hasta la semana del 14 de agosto las tarifas se basan en los ingresos del hogar Hay Asistencia Financiera disponible para todos los campamentos PRCR Para obtener informacioacuten sobre los programas llame a los Centros de diversioacuten de verano

Lugar Horario Edad TeleacutefonoCarver Center 9am-3pm 5-11 703-228-5705

Drew Center 9am-3pm 5-11 703-228-5725

Langston Center 9am-3pm 5-11 703-228-5210

Lubber Run Center 1130am-330pm 5-10 703-228-4712

Woodbury Park Noon-4pm 5-10 703-807-1941

Walter Reed Center 9am-3pm 5-11 703-228-0935

Junior Jamel ldquoJamrdquo es para los adolescentes y pre-adolescentes que ya tienen actividades programadas para el verano pero que igualmente quieren disfrutar de actividades de verano tales como los deportes la natacioacuten la muacutesica las artes los juegos en grupo y los torneos los adolescentes participan en actividades planificadas excursiones y eventos especiales tenga en cuenta que si bien se alienta a los adolescentes a que permanezcan en el lugar donde se estaacute llevando a cabo el campamento este es un programa de puertas abiertas que les permite a los adolescentes entrar y salir cuando quieran se recomienda que para los joacutevenes que necesiten mayor supervisioacuten se consideren los programas de campamento que requieren la autorizacioacuten de los padres para retirarse durante el horario del programa

Lugar Horario Teleacutefono SesionesDrew Center 1-5pm 703-228-5725 1-8

Gunston Middle School 1-5pm 703-228-6983 3-8

Langston Center 1-5pm 703-228-5210 1-8

Lubber Run Center 1-5pm 703-228-7783 1-8

Walter Reed Center 1-5pm 703-228-0935 1-8

Woodbury Park 1-5pm 703-807-1941 3-8


Fabulous Free Fun this SummerDid you know Arlington county has six synthetic fields 29 playgrounds 36 miles of multi-use trails 47 park shelters 50 miles of connecting bike routes 91 fields 96 basketball courts and 107 tennis courtshellipall so you can play Go for it

The Skatepark at Powhatan Springs ParkCheck out the nearly 15000-squarefeet designed for both skateboarding and in-line skating that has a combination of street-style elements as well as bowls and half-pipes Call 703-228-2362 or go to wwwarlingtonvausprcr for more information

Programs in the Parksour staff facilitates fun recreational activities for the whole family - tots to grandparents - including arts amp crafts sports group games and special events June 28-august 20 6-9pm

bull High View 1945 North Dinwiddie Street (M-F)bull Tyrol Hill Park 5101 7th Road South (M W F)bull Doctors Run 1301 South George Mason Drive (M)bull Fort Barnard 2101 South Pollard Street (T)bull penrose 2200 6th street south (W)

Got NatureWe do Wanna see a flying squirrel polliwogs or maybe just the biggest tree this side of heaven arlingtonrsquos hidden treasures are our nature centershellipboth long Branch (625 s Carlin Springs Rd) and Gulf Branch (3608 N Military Road) Come to one of their exciting programs or camps or just come for a walk in the woods For more information go to wwwarlingtonvausprcr therersquos also potomac overlook regional park (2845 n marcey road) at wwwnvrpaorg

Get wetbull Stop by Hayes Parkrsquos sprayground at 1516 N Lincoln Street

bull Enjoy the sprayground at Lyon Village Park 1800 N Highland Street

bull Check out the new sprayground at Drew Park 3514 22nd St S

bull Powhatan Springs Park 6020 Wilson Blvd features a childrenrsquos rain garden

bull Upton Hill Park 6060 Wilson Boulevard features an enormous new outdoor water park for the ultimate in thrills and spills

bull You can also swim indoors at W-L Wakefield and Yorktown High Schools

Family FunFamily Fun ActivitiesFamily fishing and fossil finding trip to Purse State Park in Maryland

Saturday July 17 10am-3pm cost $10 per person

trip leaves and returns to lubber run Community Center

Family Fun Day at Bluemont ParkCome enjoy a day of outdoor fun with our inflatable obstacle course sports challenges and games and much much more We will have the grill going so feel free to bring something to grill or a picnic lunch

Saturday July 31st

activities run from 10am-2pm

Free

Family Hershey Park tripSaturday August 14 8am-8pm Cost $50


(middle and High school students may attend without a parent)

For more information on these and other family fun events call Mary McMullen at 703-228-4711 on email mmcmularlingtonvaus


Table of ContentsLocations 4Camps by Age 5

Camps for Preschoolers 6

Classic Summer Camps 6

Overnight Camps 6

Nature Adventure amp History Camps 7

Creative Arts Camps 8

Sports Camps 9

Teen Camps amp Programs 13

Therapeutic Recreation Camps 14

Imagination Explorations 14

Volunteer 16

Tricks and Tips for Success 17

Registration Information 17

Registration Form 19

Camp Participant InformationEmergency Record 20

En Espantildeol 21

Summer in Arlington means fun safety friends and new challenges We have them all in the Arlington County Summer Camp Catalog Our camps and programs keep

kids engaged active and focused on expanding their horizons Arlington County programs offer lots of choices safe and inviting environments and the chance for children to develop strong bonds with their community Kids get their fill of thrills through sports showcase their talents through the arts reap the rewards of volunteerism invigorate their imaginations through creative play explore the outdoors through nature programs and have adventures galore All while making friends and lifelong memories Arlingtonrsquos quality programs encourage youth to get involved develop their sense of self and community show positive sportsmanship be creative and learn from those who have different life experiences than they do We call it ldquoasset buildingrdquo Itrsquos our way of taking advantage of the wonderful summer season mdash the perfect time to nurture healthy development that helps young people grow up confident caring and responsible

Send a Kid to CampPlease

PRCR established the Summer FUNd in 2004 to cover registration and field trip fees for children who could otherwise not

participate due to financial hardship Please help us ensure that all children in Arlington have

a fun engaging and asset-building summer Contribute to a childrsquos summer adventures by

donating during the registration process or on the Arlington County Camp

Registration Form

Want to get paid to have fun this summer Find out about summer jobs at Arlington County camps See page 3





















POTOMAC RIVER

N LY

NN

ST

ARLINGTON BLVD

S ARLINGTON MILL DR

N H

ARRISON

ST

S H

A YE

S ST

LEE HWY

S A

RLIN

GTO

N R

IDG

E R

DS GLEBE RD

ARLINGTON BLVD

GEO

RGE

WAS

HIN

GTO

N M

EM

OR

IAL

PK

WY

23RD ST S

S GLEBE RD

KIR

KWO

OD

RD

S JEFFER

SO

N ST

ROUTE 233

S WALTER REED DR

ROUTE

110

N GLEBE RD

SPOUT RUN PKWY

MEMORIAL BRIDGE

INTERSTATE 66

COLUMBIA PIKE

LORCOM LN

WILSON BLVD

INTERSTATE 66

GEORGE WASHINGTON M

EMORIAL PKW

Y

BOUNDARY D

R

S M

ANC

HES

TER

ST

INTE

RST

ATE

395

S CARLIN

SPRINGS

RD

N G

EOR

GE

MASO

N D

R

S W

ASHINGTON BLVD

WILSON BLVD

CR

YSTA

L D

R

LITTLE FALLS RD

KEY BLVD

10TH ST N

N Q

UI N

CY

ST

LEE HWY

N G

LEBE RD

PATR

ICK

HEN

RY DR

S E

AD

S S

T

S A

DAM

S S

T

LEE HWY

FAIRFAX DR

S FOUR MILE RUN DR

MILITAR

Y R

D

WASHINGTON BLVD

S G

EORG

E MASON DR

INTERSTATE 395

QU

AK

ER

LN

OLD DOMINION DR

S KING ST

LEE HWY

MEMORIAL DR

JEFF

ER

SO

N D

A VI S

HW

Y

JOH

N M

AR

SHA

LL D

R

WILLIAMSBURG BLVD

KEY

BRID

GE

COLUMBIA PIKE

N PERSHING DR

FAIRFAX DR

N G

LEBE

RD

CHESTERBROOK RD

N SY

CA

MO

RE

ST

N CARLIN SPRINGS RD

15TH ST S

CLARENDON BLVD

N V

EITC

H S T

2

3

4

5

6

7

89

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26 27

28

29

30

31

32

3334

35

36

37

38

39

40

41

42

43

44

45

46

47

48

50

51

5253

54

55

5657

58

59

60

61

62

63

64

65

66

67

68

69

70

71

72

73

7475

76

77

78

79

80

81

82

491


83


3550 Wilson Blvd 703-248-6800

























5711 s 4th st 703-379-1390





3608 N Military Rd 703-228-3403























50 nauck park 2600 19th st s 703-228-6525










5950 8th rd n 703-228-5270

























Where it is




























AGES AGES



TOT CAMP









SUMMERFEST DAY CAMP









Camp 2010 SeSSionS










NATURErsquoS SENSES




ANIMAL CHALLENGE




POTOMAC HIKERS


FOREST CREATURES







Creative Arts Camps

CREATIVE ARTS CAMP










Camp 2010 SeSSionS











































Camp 2010 SeSSionS






























Camp 2010 SeSSionS










ADVENTURE qUEST


CAMP DISCOVERY








Camp 2010 SeSSionS











































































6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

June 2010

July 2010

August 2010




Notes


2010

Arlin

gton

Coun

ty Su

mmer

Camp

Regis

trat

ion Fo

rmAd

ult

Resp

onsi

ble

for

Paym

ent

Firs

t Nam

e __

____

____

____

____

____

____

____

___

Last

Nam

e __

____

____

____

____

____

____

____

___E

-mail

___

____

____

____

____

____

____

____

_

Day

Phon

e (_

___

) ___

____

____

____

____

____

____

Eve

ning

Phon

e (_

___

) ___

____

____

____

____

____

__Ce

ll Ph

one

(___

_) _

____

____

____

____

____

___

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

____

_Sta

te__

____

_Zip

____

____

____

____

__

Child

Bein

g Re

gist

ered

Firs

t Nam

e _

____

____

____

____

____

____

____

____

____

____

____

____

____

_la

st n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

__

Grad

e __

____

____

_Birt

hday

____

___

____

__

____

_Sex

___

____

____

____

_sc

hool

____

____

____

____

____

____

____

____

____

____

____

____

____

_

plea

se fi

ll in

cam

p co

des b

elow

inse

rt th

e six

-digi

t cod

e as

socia

ted

with

the

arlin

gton

Cou

nty

cam

p int

o th

e fir

st or

sec

ond

choic

e fo

r eac

h se

ssion

you

des

ire C

hildr

en

mus

t be

regis

tere

d fo

r the

cor

e pr

ogra

m h

ours

to re

giste

r for

ext

ende

d ho

urs

not a

ll ca

mps

pro

vide

exte

nded

Hou

rs Y

ou w

ill ne

ed th

ese

sam

e se

ven-

digit

code

s to

regis

ter o

nline

if y

ou w

ish to

regis

ter f

or a

cam

p th

at is

not

an

arlin

gton

Cou

nty

Cam

p an

d do

es n

ot h

ave

a 6-

digit

cam

p co

de p

lease

follo

w th

e re

gistra

tion

instru

ction

s co

ntain

ed in

the

cam

p lis

ting

mon

th

d

ay

year

Fir

St

Ch

oiC

e

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

SeC

on

d C

ho

iCe

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

Dona

tion

and

Pay

men

t In

form

atio

n

Help

send

a k

id to

cam

p by

don

ating

to th

e ldquoS

UMME

R FU

Ndrdquo (

see

page

3)

Plea

se in

dicat

e am

ount

of d

onat

ion h

ere

$ __

____

____

____

____

__

to p

ay b

y ch

eck

Mak

e ch

eck

paya

ble to

Tre

asur

er A

rling

ton

Coun

ty A

t lea

st 50

is

due

with

regis

tratio

n 1048653r

emain

der i

s due

Jun

e 9

2009

to p

ay b

y Cr

edit

Card

plea

se fi

ll ou

t inf

orm

ation

belo

w

plea

se c

harg

e m

y m

vis

a m

mas

terC

ard

m d

iscov

er

m a

mer

ican

expr

ess

Card

Num

ber _

____

____

____

____

____

____

____

____

____

____

Expir

ation

Dat

e __

____

____

____

____

____

____

____

Nam

e of

car

dhold

er (p

lease

prin

t) _

____

____

____

____

____

____

____

__ S

ignat

ure

____

____

____

____

____

____

____

___

Mail

mat

erial

s by

Mar

ch 3

or d

rop

off b

eginn

ing M

arch

30

at R

egist

ratio

n Of

fice

3700

S F

our M

ile D

rive

Arlin

gton

VA

2220

6

August 18-22 2010








mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__


































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free

























POTOMAC RIVER

N LY

NN

ST

ARLINGTON BLVD

S ARLINGTON MILL DR

N H

ARRISON

ST

S H

A YE

S ST

LEE HWY

S A

RLIN

GTO

N R

IDG

E R

DS GLEBE RD

ARLINGTON BLVD

GEO

RGE

WAS

HIN

GTO

N M

EM

OR

IAL

PK

WY

23RD ST S

S GLEBE RD

KIR

KWO

OD

RD

S JEFFER

SO

N ST

ROUTE 233

S WALTER REED DR

ROUTE

110

N GLEBE RD

SPOUT RUN PKWY

MEMORIAL BRIDGE

INTERSTATE 66

COLUMBIA PIKE

LORCOM LN

WILSON BLVD

INTERSTATE 66

GEORGE WASHINGTON M

EMORIAL PKW

Y

BOUNDARY D

R

S M

ANC

HES

TER

ST

INTE

RST

ATE

395

S CARLIN

SPRINGS

RD

N G

EOR

GE

MASO

N D

R

S W

ASHINGTON BLVD

WILSON BLVD

CR

YSTA

L D

R

LITTLE FALLS RD

KEY BLVD

10TH ST N

N Q

UI N

CY

ST

LEE HWY

N G

LEBE RD

PATR

ICK

HEN

RY DR

S E

AD

S S

T

S A

DAM

S S

T

LEE HWY

FAIRFAX DR

S FOUR MILE RUN DR

MILITAR

Y R

D

WASHINGTON BLVD

S G

EORG

E MASON DR

INTERSTATE 395

QU

AK

ER

LN

OLD DOMINION DR

S KING ST

LEE HWY

MEMORIAL DR

JEFF

ER

SO

N D

A VI S

HW

Y

JOH

N M

AR

SHA

LL D

R

WILLIAMSBURG BLVD

KEY

BRID

GE

COLUMBIA PIKE

N PERSHING DR

FAIRFAX DR

N G

LEBE

RD

CHESTERBROOK RD

N SY

CA

MO

RE

ST

N CARLIN SPRINGS RD

15TH ST S

CLARENDON BLVD

N V

EITC

H S T

2

3

4

5

6

7

89

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26 27

28

29

30

31

32

3334

35

36

37

38

39

40

41

42

43

44

45

46

47

48

50

51

5253

54

55

5657

58

59

60

61

62

63

64

65

66

67

68

69

70

71

72

73

7475

76

77

78

79

80

81

82

491


83


3550 Wilson Blvd 703-248-6800

























5711 s 4th st 703-379-1390





3608 N Military Rd 703-228-3403























50 nauck park 2600 19th st s 703-228-6525










5950 8th rd n 703-228-5270

























Where it is




























AGES AGES



TOT CAMP









SUMMERFEST DAY CAMP









Camp 2010 SeSSionS










NATURErsquoS SENSES




ANIMAL CHALLENGE




POTOMAC HIKERS


FOREST CREATURES







Creative Arts Camps

CREATIVE ARTS CAMP










Camp 2010 SeSSionS











































Camp 2010 SeSSionS






























Camp 2010 SeSSionS










ADVENTURE qUEST


CAMP DISCOVERY








Camp 2010 SeSSionS











































































6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

June 2010

July 2010

August 2010




Notes


2010

Arlin

gton

Coun

ty Su

mmer

Camp

Regis

trat

ion Fo

rmAd

ult

Resp

onsi

ble

for

Paym

ent

Firs

t Nam

e __

____

____

____

____

____

____

____

___

Last

Nam

e __

____

____

____

____

____

____

____

___E

-mail

___

____

____

____

____

____

____

____

_

Day

Phon

e (_

___

) ___

____

____

____

____

____

____

Eve

ning

Phon

e (_

___

) ___

____

____

____

____

____

__Ce

ll Ph

one

(___

_) _

____

____

____

____

____

___

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

____

_Sta

te__

____

_Zip

____

____

____

____

__

Child

Bein

g Re

gist

ered

Firs

t Nam

e _

____

____

____

____

____

____

____

____

____

____

____

____

____

_la

st n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

__

Grad

e __

____

____

_Birt

hday

____

___

____

__

____

_Sex

___

____

____

____

_sc

hool

____

____

____

____

____

____

____

____

____

____

____

____

____

_

plea

se fi

ll in

cam

p co

des b

elow

inse

rt th

e six

-digi

t cod

e as

socia

ted

with

the

arlin

gton

Cou

nty

cam

p int

o th

e fir

st or

sec

ond

choic

e fo

r eac

h se

ssion

you

des

ire C

hildr

en

mus

t be

regis

tere

d fo

r the

cor

e pr

ogra

m h

ours

to re

giste

r for

ext

ende

d ho

urs

not a

ll ca

mps

pro

vide

exte

nded

Hou

rs Y

ou w

ill ne

ed th

ese

sam

e se

ven-

digit

code

s to

regis

ter o

nline

if y

ou w

ish to

regis

ter f

or a

cam

p th

at is

not

an

arlin

gton

Cou

nty

Cam

p an

d do

es n

ot h

ave

a 6-

digit

cam

p co

de p

lease

follo

w th

e re

gistra

tion

instru

ction

s co

ntain

ed in

the

cam

p lis

ting

mon

th

d

ay

year

Fir

St

Ch

oiC

e

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

SeC

on

d C

ho

iCe

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

Dona

tion

and

Pay

men

t In

form

atio

n

Help

send

a k

id to

cam

p by

don

ating

to th

e ldquoS

UMME

R FU

Ndrdquo (

see

page

3)

Plea

se in

dicat

e am

ount

of d

onat

ion h

ere

$ __

____

____

____

____

__

to p

ay b

y ch

eck

Mak

e ch

eck

paya

ble to

Tre

asur

er A

rling

ton

Coun

ty A

t lea

st 50

is

due

with

regis

tratio

n 1048653r

emain

der i

s due

Jun

e 9

2009

to p

ay b

y Cr

edit

Card

plea

se fi

ll ou

t inf

orm

ation

belo

w

plea

se c

harg

e m

y m

vis

a m

mas

terC

ard

m d

iscov

er

m a

mer

ican

expr

ess

Card

Num

ber _

____

____

____

____

____

____

____

____

____

____

Expir

ation

Dat

e __

____

____

____

____

____

____

____

Nam

e of

car

dhold

er (p

lease

prin

t) _

____

____

____

____

____

____

____

__ S

ignat

ure

____

____

____

____

____

____

____

___

Mail

mat

erial

s by

Mar

ch 3

or d

rop

off b

eginn

ing M

arch

30

at R

egist

ratio

n Of

fice

3700

S F

our M

ile D

rive

Arlin

gton

VA

2220

6

August 18-22 2010








mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__


































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free






POTOMAC RIVER

N LY

NN

ST

ARLINGTON BLVD

S ARLINGTON MILL DR

N H

ARRISON

ST

S H

A YE

S ST

LEE HWY

S A

RLIN

GTO

N R

IDG

E R

DS GLEBE RD

ARLINGTON BLVD

GEO

RGE

WAS

HIN

GTO

N M

EM

OR

IAL

PK

WY

23RD ST S

S GLEBE RD

KIR

KWO

OD

RD

S JEFFER

SO

N ST

ROUTE 233

S WALTER REED DR

ROUTE

110

N GLEBE RD

SPOUT RUN PKWY

MEMORIAL BRIDGE

INTERSTATE 66

COLUMBIA PIKE

LORCOM LN

WILSON BLVD

INTERSTATE 66

GEORGE WASHINGTON M

EMORIAL PKW

Y

BOUNDARY D

R

S M

ANC

HES

TER

ST

INTE

RST

ATE

395

S CARLIN

SPRINGS

RD

N G

EOR

GE

MASO

N D

R

S W

ASHINGTON BLVD

WILSON BLVD

CR

YSTA

L D

R

LITTLE FALLS RD

KEY BLVD

10TH ST N

N Q

UI N

CY

ST

LEE HWY

N G

LEBE RD

PATR

ICK

HEN

RY DR

S E

AD

S S

T

S A

DAM

S S

T

LEE HWY

FAIRFAX DR

S FOUR MILE RUN DR

MILITAR

Y R

D

WASHINGTON BLVD

S G

EORG

E MASON DR

INTERSTATE 395

QU

AK

ER

LN

OLD DOMINION DR

S KING ST

LEE HWY

MEMORIAL DR

JEFF

ER

SO

N D

A VI S

HW

Y

JOH

N M

AR

SHA

LL D

R

WILLIAMSBURG BLVD

KEY

BRID

GE

COLUMBIA PIKE

N PERSHING DR

FAIRFAX DR

N G

LEBE

RD

CHESTERBROOK RD

N SY

CA

MO

RE

ST

N CARLIN SPRINGS RD

15TH ST S

CLARENDON BLVD

N V

EITC

H S T

2

3

4

5

6

7

89

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26 27

28

29

30

31

32

3334

35

36

37

38

39

40

41

42

43

44

45

46

47

48

50

51

5253

54

55

5657

58

59

60

61

62

63

64

65

66

67

68

69

70

71

72

73

7475

76

77

78

79

80

81

82

491


83


3550 Wilson Blvd 703-248-6800

























5711 s 4th st 703-379-1390





3608 N Military Rd 703-228-3403























50 nauck park 2600 19th st s 703-228-6525










5950 8th rd n 703-228-5270

























Where it is




























AGES AGES



TOT CAMP









SUMMERFEST DAY CAMP









Camp 2010 SeSSionS










NATURErsquoS SENSES




ANIMAL CHALLENGE




POTOMAC HIKERS


FOREST CREATURES







Creative Arts Camps

CREATIVE ARTS CAMP










Camp 2010 SeSSionS











































Camp 2010 SeSSionS






























Camp 2010 SeSSionS










ADVENTURE qUEST


CAMP DISCOVERY








Camp 2010 SeSSionS











































































6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

June 2010

July 2010

August 2010




Notes


2010

Arlin

gton

Coun

ty Su

mmer

Camp

Regis

trat

ion Fo

rmAd

ult

Resp

onsi

ble

for

Paym

ent

Firs

t Nam

e __

____

____

____

____

____

____

____

___

Last

Nam

e __

____

____

____

____

____

____

____

___E

-mail

___

____

____

____

____

____

____

____

_

Day

Phon

e (_

___

) ___

____

____

____

____

____

____

Eve

ning

Phon

e (_

___

) ___

____

____

____

____

____

__Ce

ll Ph

one

(___

_) _

____

____

____

____

____

___

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

____

_Sta

te__

____

_Zip

____

____

____

____

__

Child

Bein

g Re

gist

ered

Firs

t Nam

e _

____

____

____

____

____

____

____

____

____

____

____

____

____

_la

st n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

__

Grad

e __

____

____

_Birt

hday

____

___

____

__

____

_Sex

___

____

____

____

_sc

hool

____

____

____

____

____

____

____

____

____

____

____

____

____

_

plea

se fi

ll in

cam

p co

des b

elow

inse

rt th

e six

-digi

t cod

e as

socia

ted

with

the

arlin

gton

Cou

nty

cam

p int

o th

e fir

st or

sec

ond

choic

e fo

r eac

h se

ssion

you

des

ire C

hildr

en

mus

t be

regis

tere

d fo

r the

cor

e pr

ogra

m h

ours

to re

giste

r for

ext

ende

d ho

urs

not a

ll ca

mps

pro

vide

exte

nded

Hou

rs Y

ou w

ill ne

ed th

ese

sam

e se

ven-

digit

code

s to

regis

ter o

nline

if y

ou w

ish to

regis

ter f

or a

cam

p th

at is

not

an

arlin

gton

Cou

nty

Cam

p an

d do

es n

ot h

ave

a 6-

digit

cam

p co

de p

lease

follo

w th

e re

gistra

tion

instru

ction

s co

ntain

ed in

the

cam

p lis

ting

mon

th

d

ay

year

Fir

St

Ch

oiC

e

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

SeC

on

d C

ho

iCe

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

Dona

tion

and

Pay

men

t In

form

atio

n

Help

send

a k

id to

cam

p by

don

ating

to th

e ldquoS

UMME

R FU

Ndrdquo (

see

page

3)

Plea

se in

dicat

e am

ount

of d

onat

ion h

ere

$ __

____

____

____

____

__

to p

ay b

y ch

eck

Mak

e ch

eck

paya

ble to

Tre

asur

er A

rling

ton

Coun

ty A

t lea

st 50

is

due

with

regis

tratio

n 1048653r

emain

der i

s due

Jun

e 9

2009

to p

ay b

y Cr

edit

Card

plea

se fi

ll ou

t inf

orm

ation

belo

w

plea

se c

harg

e m

y m

vis

a m

mas

terC

ard

m d

iscov

er

m a

mer

ican

expr

ess

Card

Num

ber _

____

____

____

____

____

____

____

____

____

____

Expir

ation

Dat

e __

____

____

____

____

____

____

____

Nam

e of

car

dhold

er (p

lease

prin

t) _

____

____

____

____

____

____

____

__ S

ignat

ure

____

____

____

____

____

____

____

___

Mail

mat

erial

s by

Mar

ch 3

or d

rop

off b

eginn

ing M

arch

30

at R

egist

ratio

n Of

fice

3700

S F

our M

ile D

rive

Arlin

gton

VA

2220

6

August 18-22 2010








mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__


































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free


















AGES AGES



TOT CAMP









SUMMERFEST DAY CAMP









Camp 2010 SeSSionS










NATURErsquoS SENSES




ANIMAL CHALLENGE




POTOMAC HIKERS


FOREST CREATURES







Creative Arts Camps

CREATIVE ARTS CAMP










Camp 2010 SeSSionS











































Camp 2010 SeSSionS






























Camp 2010 SeSSionS










ADVENTURE qUEST


CAMP DISCOVERY








Camp 2010 SeSSionS











































































6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

June 2010

July 2010

August 2010




Notes


2010

Arlin

gton

Coun

ty Su

mmer

Camp

Regis

trat

ion Fo

rmAd

ult

Resp

onsi

ble

for

Paym

ent

Firs

t Nam

e __

____

____

____

____

____

____

____

___

Last

Nam

e __

____

____

____

____

____

____

____

___E

-mail

___

____

____

____

____

____

____

____

_

Day

Phon

e (_

___

) ___

____

____

____

____

____

____

Eve

ning

Phon

e (_

___

) ___

____

____

____

____

____

__Ce

ll Ph

one

(___

_) _

____

____

____

____

____

___

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

____

_Sta

te__

____

_Zip

____

____

____

____

__

Child

Bein

g Re

gist

ered

Firs

t Nam

e _

____

____

____

____

____

____

____

____

____

____

____

____

____

_la

st n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

__

Grad

e __

____

____

_Birt

hday

____

___

____

__

____

_Sex

___

____

____

____

_sc

hool

____

____

____

____

____

____

____

____

____

____

____

____

____

_

plea

se fi

ll in

cam

p co

des b

elow

inse

rt th

e six

-digi

t cod

e as

socia

ted

with

the

arlin

gton

Cou

nty

cam

p int

o th

e fir

st or

sec

ond

choic

e fo

r eac

h se

ssion

you

des

ire C

hildr

en

mus

t be

regis

tere

d fo

r the

cor

e pr

ogra

m h

ours

to re

giste

r for

ext

ende

d ho

urs

not a

ll ca

mps

pro

vide

exte

nded

Hou

rs Y

ou w

ill ne

ed th

ese

sam

e se

ven-

digit

code

s to

regis

ter o

nline

if y

ou w

ish to

regis

ter f

or a

cam

p th

at is

not

an

arlin

gton

Cou

nty

Cam

p an

d do

es n

ot h

ave

a 6-

digit

cam

p co

de p

lease

follo

w th

e re

gistra

tion

instru

ction

s co

ntain

ed in

the

cam

p lis

ting

mon

th

d

ay

year

Fir

St

Ch

oiC

e

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

SeC

on

d C

ho

iCe

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

Dona

tion

and

Pay

men

t In

form

atio

n

Help

send

a k

id to

cam

p by

don

ating

to th

e ldquoS

UMME

R FU

Ndrdquo (

see

page

3)

Plea

se in

dicat

e am

ount

of d

onat

ion h

ere

$ __

____

____

____

____

__

to p

ay b

y ch

eck

Mak

e ch

eck

paya

ble to

Tre

asur

er A

rling

ton

Coun

ty A

t lea

st 50

is

due

with

regis

tratio

n 1048653r

emain

der i

s due

Jun

e 9

2009

to p

ay b

y Cr

edit

Card

plea

se fi

ll ou

t inf

orm

ation

belo

w

plea

se c

harg

e m

y m

vis

a m

mas

terC

ard

m d

iscov

er

m a

mer

ican

expr

ess

Card

Num

ber _

____

____

____

____

____

____

____

____

____

____

Expir

ation

Dat

e __

____

____

____

____

____

____

____

Nam

e of

car

dhold

er (p

lease

prin

t) _

____

____

____

____

____

____

____

__ S

ignat

ure

____

____

____

____

____

____

____

___

Mail

mat

erial

s by

Mar

ch 3

or d

rop

off b

eginn

ing M

arch

30

at R

egist

ratio

n Of

fice

3700

S F

our M

ile D

rive

Arlin

gton

VA

2220

6

August 18-22 2010








mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__


































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free







TOT CAMP









SUMMERFEST DAY CAMP









Camp 2010 SeSSionS










NATURErsquoS SENSES




ANIMAL CHALLENGE




POTOMAC HIKERS


FOREST CREATURES







Creative Arts Camps

CREATIVE ARTS CAMP










Camp 2010 SeSSionS











































Camp 2010 SeSSionS






























Camp 2010 SeSSionS










ADVENTURE qUEST


CAMP DISCOVERY








Camp 2010 SeSSionS











































































6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

June 2010

July 2010

August 2010




Notes


2010

Arlin

gton

Coun

ty Su

mmer

Camp

Regis

trat

ion Fo

rmAd

ult

Resp

onsi

ble

for

Paym

ent

Firs

t Nam

e __

____

____

____

____

____

____

____

___

Last

Nam

e __

____

____

____

____

____

____

____

___E

-mail

___

____

____

____

____

____

____

____

_

Day

Phon

e (_

___

) ___

____

____

____

____

____

____

Eve

ning

Phon

e (_

___

) ___

____

____

____

____

____

__Ce

ll Ph

one

(___

_) _

____

____

____

____

____

___

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

____

_Sta

te__

____

_Zip

____

____

____

____

__

Child

Bein

g Re

gist

ered

Firs

t Nam

e _

____

____

____

____

____

____

____

____

____

____

____

____

____

_la

st n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

__

Grad

e __

____

____

_Birt

hday

____

___

____

__

____

_Sex

___

____

____

____

_sc

hool

____

____

____

____

____

____

____

____

____

____

____

____

____

_

plea

se fi

ll in

cam

p co

des b

elow

inse

rt th

e six

-digi

t cod

e as

socia

ted

with

the

arlin

gton

Cou

nty

cam

p int

o th

e fir

st or

sec

ond

choic

e fo

r eac

h se

ssion

you

des

ire C

hildr

en

mus

t be

regis

tere

d fo

r the

cor

e pr

ogra

m h

ours

to re

giste

r for

ext

ende

d ho

urs

not a

ll ca

mps

pro

vide

exte

nded

Hou

rs Y

ou w

ill ne

ed th

ese

sam

e se

ven-

digit

code

s to

regis

ter o

nline

if y

ou w

ish to

regis

ter f

or a

cam

p th

at is

not

an

arlin

gton

Cou

nty

Cam

p an

d do

es n

ot h

ave

a 6-

digit

cam

p co

de p

lease

follo

w th

e re

gistra

tion

instru

ction

s co

ntain

ed in

the

cam

p lis

ting

mon

th

d

ay

year

Fir

St

Ch

oiC

e

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

SeC

on

d C

ho

iCe

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

Dona

tion

and

Pay

men

t In

form

atio

n

Help

send

a k

id to

cam

p by

don

ating

to th

e ldquoS

UMME

R FU

Ndrdquo (

see

page

3)

Plea

se in

dicat

e am

ount

of d

onat

ion h

ere

$ __

____

____

____

____

__

to p

ay b

y ch

eck

Mak

e ch

eck

paya

ble to

Tre

asur

er A

rling

ton

Coun

ty A

t lea

st 50

is

due

with

regis

tratio

n 1048653r

emain

der i

s due

Jun

e 9

2009

to p

ay b

y Cr

edit

Card

plea

se fi

ll ou

t inf

orm

ation

belo

w

plea

se c

harg

e m

y m

vis

a m

mas

terC

ard

m d

iscov

er

m a

mer

ican

expr

ess

Card

Num

ber _

____

____

____

____

____

____

____

____

____

____

Expir

ation

Dat

e __

____

____

____

____

____

____

____

Nam

e of

car

dhold

er (p

lease

prin

t) _

____

____

____

____

____

____

____

__ S

ignat

ure

____

____

____

____

____

____

____

___

Mail

mat

erial

s by

Mar

ch 3

or d

rop

off b

eginn

ing M

arch

30

at R

egist

ratio

n Of

fice

3700

S F

our M

ile D

rive

Arlin

gton

VA

2220

6

August 18-22 2010








mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__


































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free







Camp 2010 SeSSionS










NATURErsquoS SENSES




ANIMAL CHALLENGE




POTOMAC HIKERS


FOREST CREATURES







Creative Arts Camps

CREATIVE ARTS CAMP










Camp 2010 SeSSionS











































Camp 2010 SeSSionS






























Camp 2010 SeSSionS










ADVENTURE qUEST


CAMP DISCOVERY








Camp 2010 SeSSionS











































































6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

June 2010

July 2010

August 2010




Notes


2010

Arlin

gton

Coun

ty Su

mmer

Camp

Regis

trat

ion Fo

rmAd

ult

Resp

onsi

ble

for

Paym

ent

Firs

t Nam

e __

____

____

____

____

____

____

____

___

Last

Nam

e __

____

____

____

____

____

____

____

___E

-mail

___

____

____

____

____

____

____

____

_

Day

Phon

e (_

___

) ___

____

____

____

____

____

____

Eve

ning

Phon

e (_

___

) ___

____

____

____

____

____

__Ce

ll Ph

one

(___

_) _

____

____

____

____

____

___

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

____

_Sta

te__

____

_Zip

____

____

____

____

__

Child

Bein

g Re

gist

ered

Firs

t Nam

e _

____

____

____

____

____

____

____

____

____

____

____

____

____

_la

st n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

__

Grad

e __

____

____

_Birt

hday

____

___

____

__

____

_Sex

___

____

____

____

_sc

hool

____

____

____

____

____

____

____

____

____

____

____

____

____

_

plea

se fi

ll in

cam

p co

des b

elow

inse

rt th

e six

-digi

t cod

e as

socia

ted

with

the

arlin

gton

Cou

nty

cam

p int

o th

e fir

st or

sec

ond

choic

e fo

r eac

h se

ssion

you

des

ire C

hildr

en

mus

t be

regis

tere

d fo

r the

cor

e pr

ogra

m h

ours

to re

giste

r for

ext

ende

d ho

urs

not a

ll ca

mps

pro

vide

exte

nded

Hou

rs Y

ou w

ill ne

ed th

ese

sam

e se

ven-

digit

code

s to

regis

ter o

nline

if y

ou w

ish to

regis

ter f

or a

cam

p th

at is

not

an

arlin

gton

Cou

nty

Cam

p an

d do

es n

ot h

ave

a 6-

digit

cam

p co

de p

lease

follo

w th

e re

gistra

tion

instru

ction

s co

ntain

ed in

the

cam

p lis

ting

mon

th

d

ay

year

Fir

St

Ch

oiC

e

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

SeC

on

d C

ho

iCe

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

Dona

tion

and

Pay

men

t In

form

atio

n

Help

send

a k

id to

cam

p by

don

ating

to th

e ldquoS

UMME

R FU

Ndrdquo (

see

page

3)

Plea

se in

dicat

e am

ount

of d

onat

ion h

ere

$ __

____

____

____

____

__

to p

ay b

y ch

eck

Mak

e ch

eck

paya

ble to

Tre

asur

er A

rling

ton

Coun

ty A

t lea

st 50

is

due

with

regis

tratio

n 1048653r

emain

der i

s due

Jun

e 9

2009

to p

ay b

y Cr

edit

Card

plea

se fi

ll ou

t inf

orm

ation

belo

w

plea

se c

harg

e m

y m

vis

a m

mas

terC

ard

m d

iscov

er

m a

mer

ican

expr

ess

Card

Num

ber _

____

____

____

____

____

____

____

____

____

____

Expir

ation

Dat

e __

____

____

____

____

____

____

____

Nam

e of

car

dhold

er (p

lease

prin

t) _

____

____

____

____

____

____

____

__ S

ignat

ure

____

____

____

____

____

____

____

___

Mail

mat

erial

s by

Mar

ch 3

or d

rop

off b

eginn

ing M

arch

30

at R

egist

ratio

n Of

fice

3700

S F

our M

ile D

rive

Arlin

gton

VA

2220

6

August 18-22 2010








mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__


































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free








Creative Arts Camps

CREATIVE ARTS CAMP










Camp 2010 SeSSionS











































Camp 2010 SeSSionS






























Camp 2010 SeSSionS










ADVENTURE qUEST


CAMP DISCOVERY








Camp 2010 SeSSionS











































































6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

June 2010

July 2010

August 2010




Notes


2010

Arlin

gton

Coun

ty Su

mmer

Camp

Regis

trat

ion Fo

rmAd

ult

Resp

onsi

ble

for

Paym

ent

Firs

t Nam

e __

____

____

____

____

____

____

____

___

Last

Nam

e __

____

____

____

____

____

____

____

___E

-mail

___

____

____

____

____

____

____

____

_

Day

Phon

e (_

___

) ___

____

____

____

____

____

____

Eve

ning

Phon

e (_

___

) ___

____

____

____

____

____

__Ce

ll Ph

one

(___

_) _

____

____

____

____

____

___

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

____

_Sta

te__

____

_Zip

____

____

____

____

__

Child

Bein

g Re

gist

ered

Firs

t Nam

e _

____

____

____

____

____

____

____

____

____

____

____

____

____

_la

st n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

__

Grad

e __

____

____

_Birt

hday

____

___

____

__

____

_Sex

___

____

____

____

_sc

hool

____

____

____

____

____

____

____

____

____

____

____

____

____

_

plea

se fi

ll in

cam

p co

des b

elow

inse

rt th

e six

-digi

t cod

e as

socia

ted

with

the

arlin

gton

Cou

nty

cam

p int

o th

e fir

st or

sec

ond

choic

e fo

r eac

h se

ssion

you

des

ire C

hildr

en

mus

t be

regis

tere

d fo

r the

cor

e pr

ogra

m h

ours

to re

giste

r for

ext

ende

d ho

urs

not a

ll ca

mps

pro

vide

exte

nded

Hou

rs Y

ou w

ill ne

ed th

ese

sam

e se

ven-

digit

code

s to

regis

ter o

nline

if y

ou w

ish to

regis

ter f

or a

cam

p th

at is

not

an

arlin

gton

Cou

nty

Cam

p an

d do

es n

ot h

ave

a 6-

digit

cam

p co

de p

lease

follo

w th

e re

gistra

tion

instru

ction

s co

ntain

ed in

the

cam

p lis

ting

mon

th

d

ay

year

Fir

St

Ch

oiC

e

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

SeC

on

d C

ho

iCe

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

Dona

tion

and

Pay

men

t In

form

atio

n

Help

send

a k

id to

cam

p by

don

ating

to th

e ldquoS

UMME

R FU

Ndrdquo (

see

page

3)

Plea

se in

dicat

e am

ount

of d

onat

ion h

ere

$ __

____

____

____

____

__

to p

ay b

y ch

eck

Mak

e ch

eck

paya

ble to

Tre

asur

er A

rling

ton

Coun

ty A

t lea

st 50

is

due

with

regis

tratio

n 1048653r

emain

der i

s due

Jun

e 9

2009

to p

ay b

y Cr

edit

Card

plea

se fi

ll ou

t inf

orm

ation

belo

w

plea

se c

harg

e m

y m

vis

a m

mas

terC

ard

m d

iscov

er

m a

mer

ican

expr

ess

Card

Num

ber _

____

____

____

____

____

____

____

____

____

____

Expir

ation

Dat

e __

____

____

____

____

____

____

____

Nam

e of

car

dhold

er (p

lease

prin

t) _

____

____

____

____

____

____

____

__ S

ignat

ure

____

____

____

____

____

____

____

___

Mail

mat

erial

s by

Mar

ch 3

or d

rop

off b

eginn

ing M

arch

30

at R

egist

ratio

n Of

fice

3700

S F

our M

ile D

rive

Arlin

gton

VA

2220

6

August 18-22 2010








mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__


































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free













































Camp 2010 SeSSionS






























Camp 2010 SeSSionS










ADVENTURE qUEST


CAMP DISCOVERY








Camp 2010 SeSSionS











































































6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

June 2010

July 2010

August 2010




Notes


2010

Arlin

gton

Coun

ty Su

mmer

Camp

Regis

trat

ion Fo

rmAd

ult

Resp

onsi

ble

for

Paym

ent

Firs

t Nam

e __

____

____

____

____

____

____

____

___

Last

Nam

e __

____

____

____

____

____

____

____

___E

-mail

___

____

____

____

____

____

____

____

_

Day

Phon

e (_

___

) ___

____

____

____

____

____

____

Eve

ning

Phon

e (_

___

) ___

____

____

____

____

____

__Ce

ll Ph

one

(___

_) _

____

____

____

____

____

___

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

____

_Sta

te__

____

_Zip

____

____

____

____

__

Child

Bein

g Re

gist

ered

Firs

t Nam

e _

____

____

____

____

____

____

____

____

____

____

____

____

____

_la

st n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

__

Grad

e __

____

____

_Birt

hday

____

___

____

__

____

_Sex

___

____

____

____

_sc

hool

____

____

____

____

____

____

____

____

____

____

____

____

____

_

plea

se fi

ll in

cam

p co

des b

elow

inse

rt th

e six

-digi

t cod

e as

socia

ted

with

the

arlin

gton

Cou

nty

cam

p int

o th

e fir

st or

sec

ond

choic

e fo

r eac

h se

ssion

you

des

ire C

hildr

en

mus

t be

regis

tere

d fo

r the

cor

e pr

ogra

m h

ours

to re

giste

r for

ext

ende

d ho

urs

not a

ll ca

mps

pro

vide

exte

nded

Hou

rs Y

ou w

ill ne

ed th

ese

sam

e se

ven-

digit

code

s to

regis

ter o

nline

if y

ou w

ish to

regis

ter f

or a

cam

p th

at is

not

an

arlin

gton

Cou

nty

Cam

p an

d do

es n

ot h

ave

a 6-

digit

cam

p co

de p

lease

follo

w th

e re

gistra

tion

instru

ction

s co

ntain

ed in

the

cam

p lis

ting

mon

th

d

ay

year

Fir

St

Ch

oiC

e

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

SeC

on

d C

ho

iCe

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

Dona

tion

and

Pay

men

t In

form

atio

n

Help

send

a k

id to

cam

p by

don

ating

to th

e ldquoS

UMME

R FU

Ndrdquo (

see

page

3)

Plea

se in

dicat

e am

ount

of d

onat

ion h

ere

$ __

____

____

____

____

__

to p

ay b

y ch

eck

Mak

e ch

eck

paya

ble to

Tre

asur

er A

rling

ton

Coun

ty A

t lea

st 50

is

due

with

regis

tratio

n 1048653r

emain

der i

s due

Jun

e 9

2009

to p

ay b

y Cr

edit

Card

plea

se fi

ll ou

t inf

orm

ation

belo

w

plea

se c

harg

e m

y m

vis

a m

mas

terC

ard

m d

iscov

er

m a

mer

ican

expr

ess

Card

Num

ber _

____

____

____

____

____

____

____

____

____

____

Expir

ation

Dat

e __

____

____

____

____

____

____

____

Nam

e of

car

dhold

er (p

lease

prin

t) _

____

____

____

____

____

____

____

__ S

ignat

ure

____

____

____

____

____

____

____

___

Mail

mat

erial

s by

Mar

ch 3

or d

rop

off b

eginn

ing M

arch

30

at R

egist

ratio

n Of

fice

3700

S F

our M

ile D

rive

Arlin

gton

VA

2220

6

August 18-22 2010








mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__


































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free





























Camp 2010 SeSSionS






























Camp 2010 SeSSionS










ADVENTURE qUEST


CAMP DISCOVERY








Camp 2010 SeSSionS











































































6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

June 2010

July 2010

August 2010




Notes


2010

Arlin

gton

Coun

ty Su

mmer

Camp

Regis

trat

ion Fo

rmAd

ult

Resp

onsi

ble

for

Paym

ent

Firs

t Nam

e __

____

____

____

____

____

____

____

___

Last

Nam

e __

____

____

____

____

____

____

____

___E

-mail

___

____

____

____

____

____

____

____

_

Day

Phon

e (_

___

) ___

____

____

____

____

____

____

Eve

ning

Phon

e (_

___

) ___

____

____

____

____

____

__Ce

ll Ph

one

(___

_) _

____

____

____

____

____

___

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

____

_Sta

te__

____

_Zip

____

____

____

____

__

Child

Bein

g Re

gist

ered

Firs

t Nam

e _

____

____

____

____

____

____

____

____

____

____

____

____

____

_la

st n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

__

Grad

e __

____

____

_Birt

hday

____

___

____

__

____

_Sex

___

____

____

____

_sc

hool

____

____

____

____

____

____

____

____

____

____

____

____

____

_

plea

se fi

ll in

cam

p co

des b

elow

inse

rt th

e six

-digi

t cod

e as

socia

ted

with

the

arlin

gton

Cou

nty

cam

p int

o th

e fir

st or

sec

ond

choic

e fo

r eac

h se

ssion

you

des

ire C

hildr

en

mus

t be

regis

tere

d fo

r the

cor

e pr

ogra

m h

ours

to re

giste

r for

ext

ende

d ho

urs

not a

ll ca

mps

pro

vide

exte

nded

Hou

rs Y

ou w

ill ne

ed th

ese

sam

e se

ven-

digit

code

s to

regis

ter o

nline

if y

ou w

ish to

regis

ter f

or a

cam

p th

at is

not

an

arlin

gton

Cou

nty

Cam

p an

d do

es n

ot h

ave

a 6-

digit

cam

p co

de p

lease

follo

w th

e re

gistra

tion

instru

ction

s co

ntain

ed in

the

cam

p lis

ting

mon

th

d

ay

year

Fir

St

Ch

oiC

e

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

SeC

on

d C

ho

iCe

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

Dona

tion

and

Pay

men

t In

form

atio

n

Help

send

a k

id to

cam

p by

don

ating

to th

e ldquoS

UMME

R FU

Ndrdquo (

see

page

3)

Plea

se in

dicat

e am

ount

of d

onat

ion h

ere

$ __

____

____

____

____

__

to p

ay b

y ch

eck

Mak

e ch

eck

paya

ble to

Tre

asur

er A

rling

ton

Coun

ty A

t lea

st 50

is

due

with

regis

tratio

n 1048653r

emain

der i

s due

Jun

e 9

2009

to p

ay b

y Cr

edit

Card

plea

se fi

ll ou

t inf

orm

ation

belo

w

plea

se c

harg

e m

y m

vis

a m

mas

terC

ard

m d

iscov

er

m a

mer

ican

expr

ess

Card

Num

ber _

____

____

____

____

____

____

____

____

____

____

Expir

ation

Dat

e __

____

____

____

____

____

____

____

Nam

e of

car

dhold

er (p

lease

prin

t) _

____

____

____

____

____

____

____

__ S

ignat

ure

____

____

____

____

____

____

____

___

Mail

mat

erial

s by

Mar

ch 3

or d

rop

off b

eginn

ing M

arch

30

at R

egist

ratio

n Of

fice

3700

S F

our M

ile D

rive

Arlin

gton

VA

2220

6

August 18-22 2010








mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__


































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free
















Camp 2010 SeSSionS






























Camp 2010 SeSSionS










ADVENTURE qUEST


CAMP DISCOVERY








Camp 2010 SeSSionS











































































6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

June 2010

July 2010

August 2010




Notes


2010

Arlin

gton

Coun

ty Su

mmer

Camp

Regis

trat

ion Fo

rmAd

ult

Resp

onsi

ble

for

Paym

ent

Firs

t Nam

e __

____

____

____

____

____

____

____

___

Last

Nam

e __

____

____

____

____

____

____

____

___E

-mail

___

____

____

____

____

____

____

____

_

Day

Phon

e (_

___

) ___

____

____

____

____

____

____

Eve

ning

Phon

e (_

___

) ___

____

____

____

____

____

__Ce

ll Ph

one

(___

_) _

____

____

____

____

____

___

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

____

_Sta

te__

____

_Zip

____

____

____

____

__

Child

Bein

g Re

gist

ered

Firs

t Nam

e _

____

____

____

____

____

____

____

____

____

____

____

____

____

_la

st n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

__

Grad

e __

____

____

_Birt

hday

____

___

____

__

____

_Sex

___

____

____

____

_sc

hool

____

____

____

____

____

____

____

____

____

____

____

____

____

_

plea

se fi

ll in

cam

p co

des b

elow

inse

rt th

e six

-digi

t cod

e as

socia

ted

with

the

arlin

gton

Cou

nty

cam

p int

o th

e fir

st or

sec

ond

choic

e fo

r eac

h se

ssion

you

des

ire C

hildr

en

mus

t be

regis

tere

d fo

r the

cor

e pr

ogra

m h

ours

to re

giste

r for

ext

ende

d ho

urs

not a

ll ca

mps

pro

vide

exte

nded

Hou

rs Y

ou w

ill ne

ed th

ese

sam

e se

ven-

digit

code

s to

regis

ter o

nline

if y

ou w

ish to

regis

ter f

or a

cam

p th

at is

not

an

arlin

gton

Cou

nty

Cam

p an

d do

es n

ot h

ave

a 6-

digit

cam

p co

de p

lease

follo

w th

e re

gistra

tion

instru

ction

s co

ntain

ed in

the

cam

p lis

ting

mon

th

d

ay

year

Fir

St

Ch

oiC

e

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

SeC

on

d C

ho

iCe

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

Dona

tion

and

Pay

men

t In

form

atio

n

Help

send

a k

id to

cam

p by

don

ating

to th

e ldquoS

UMME

R FU

Ndrdquo (

see

page

3)

Plea

se in

dicat

e am

ount

of d

onat

ion h

ere

$ __

____

____

____

____

__

to p

ay b

y ch

eck

Mak

e ch

eck

paya

ble to

Tre

asur

er A

rling

ton

Coun

ty A

t lea

st 50

is

due

with

regis

tratio

n 1048653r

emain

der i

s due

Jun

e 9

2009

to p

ay b

y Cr

edit

Card

plea

se fi

ll ou

t inf

orm

ation

belo

w

plea

se c

harg

e m

y m

vis

a m

mas

terC

ard

m d

iscov

er

m a

mer

ican

expr

ess

Card

Num

ber _

____

____

____

____

____

____

____

____

____

____

Expir

ation

Dat

e __

____

____

____

____

____

____

____

Nam

e of

car

dhold

er (p

lease

prin

t) _

____

____

____

____

____

____

____

__ S

ignat

ure

____

____

____

____

____

____

____

___

Mail

mat

erial

s by

Mar

ch 3

or d

rop

off b

eginn

ing M

arch

30

at R

egist

ratio

n Of

fice

3700

S F

our M

ile D

rive

Arlin

gton

VA

2220

6

August 18-22 2010








mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__


































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free

































Camp 2010 SeSSionS










ADVENTURE qUEST


CAMP DISCOVERY








Camp 2010 SeSSionS











































































6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

June 2010

July 2010

August 2010




Notes


2010

Arlin

gton

Coun

ty Su

mmer

Camp

Regis

trat

ion Fo

rmAd

ult

Resp

onsi

ble

for

Paym

ent

Firs

t Nam

e __

____

____

____

____

____

____

____

___

Last

Nam

e __

____

____

____

____

____

____

____

___E

-mail

___

____

____

____

____

____

____

____

_

Day

Phon

e (_

___

) ___

____

____

____

____

____

____

Eve

ning

Phon

e (_

___

) ___

____

____

____

____

____

__Ce

ll Ph

one

(___

_) _

____

____

____

____

____

___

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

____

_Sta

te__

____

_Zip

____

____

____

____

__

Child

Bein

g Re

gist

ered

Firs

t Nam

e _

____

____

____

____

____

____

____

____

____

____

____

____

____

_la

st n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

__

Grad

e __

____

____

_Birt

hday

____

___

____

__

____

_Sex

___

____

____

____

_sc

hool

____

____

____

____

____

____

____

____

____

____

____

____

____

_

plea

se fi

ll in

cam

p co

des b

elow

inse

rt th

e six

-digi

t cod

e as

socia

ted

with

the

arlin

gton

Cou

nty

cam

p int

o th

e fir

st or

sec

ond

choic

e fo

r eac

h se

ssion

you

des

ire C

hildr

en

mus

t be

regis

tere

d fo

r the

cor

e pr

ogra

m h

ours

to re

giste

r for

ext

ende

d ho

urs

not a

ll ca

mps

pro

vide

exte

nded

Hou

rs Y

ou w

ill ne

ed th

ese

sam

e se

ven-

digit

code

s to

regis

ter o

nline

if y

ou w

ish to

regis

ter f

or a

cam

p th

at is

not

an

arlin

gton

Cou

nty

Cam

p an

d do

es n

ot h

ave

a 6-

digit

cam

p co

de p

lease

follo

w th

e re

gistra

tion

instru

ction

s co

ntain

ed in

the

cam

p lis

ting

mon

th

d

ay

year

Fir

St

Ch

oiC

e

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

SeC

on

d C

ho

iCe

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

Dona

tion

and

Pay

men

t In

form

atio

n

Help

send

a k

id to

cam

p by

don

ating

to th

e ldquoS

UMME

R FU

Ndrdquo (

see

page

3)

Plea

se in

dicat

e am

ount

of d

onat

ion h

ere

$ __

____

____

____

____

__

to p

ay b

y ch

eck

Mak

e ch

eck

paya

ble to

Tre

asur

er A

rling

ton

Coun

ty A

t lea

st 50

is

due

with

regis

tratio

n 1048653r

emain

der i

s due

Jun

e 9

2009

to p

ay b

y Cr

edit

Card

plea

se fi

ll ou

t inf

orm

ation

belo

w

plea

se c

harg

e m

y m

vis

a m

mas

terC

ard

m d

iscov

er

m a

mer

ican

expr

ess

Card

Num

ber _

____

____

____

____

____

____

____

____

____

____

Expir

ation

Dat

e __

____

____

____

____

____

____

____

Nam

e of

car

dhold

er (p

lease

prin

t) _

____

____

____

____

____

____

____

__ S

ignat

ure

____

____

____

____

____

____

____

___

Mail

mat

erial

s by

Mar

ch 3

or d

rop

off b

eginn

ing M

arch

30

at R

egist

ratio

n Of

fice

3700

S F

our M

ile D

rive

Arlin

gton

VA

2220

6

August 18-22 2010








mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__


































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free






















Camp 2010 SeSSionS










ADVENTURE qUEST


CAMP DISCOVERY








Camp 2010 SeSSionS











































































6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

June 2010

July 2010

August 2010




Notes


2010

Arlin

gton

Coun

ty Su

mmer

Camp

Regis

trat

ion Fo

rmAd

ult

Resp

onsi

ble

for

Paym

ent

Firs

t Nam

e __

____

____

____

____

____

____

____

___

Last

Nam

e __

____

____

____

____

____

____

____

___E

-mail

___

____

____

____

____

____

____

____

_

Day

Phon

e (_

___

) ___

____

____

____

____

____

____

Eve

ning

Phon

e (_

___

) ___

____

____

____

____

____

__Ce

ll Ph

one

(___

_) _

____

____

____

____

____

___

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

____

_Sta

te__

____

_Zip

____

____

____

____

__

Child

Bein

g Re

gist

ered

Firs

t Nam

e _

____

____

____

____

____

____

____

____

____

____

____

____

____

_la

st n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

__

Grad

e __

____

____

_Birt

hday

____

___

____

__

____

_Sex

___

____

____

____

_sc

hool

____

____

____

____

____

____

____

____

____

____

____

____

____

_

plea

se fi

ll in

cam

p co

des b

elow

inse

rt th

e six

-digi

t cod

e as

socia

ted

with

the

arlin

gton

Cou

nty

cam

p int

o th

e fir

st or

sec

ond

choic

e fo

r eac

h se

ssion

you

des

ire C

hildr

en

mus

t be

regis

tere

d fo

r the

cor

e pr

ogra

m h

ours

to re

giste

r for

ext

ende

d ho

urs

not a

ll ca

mps

pro

vide

exte

nded

Hou

rs Y

ou w

ill ne

ed th

ese

sam

e se

ven-

digit

code

s to

regis

ter o

nline

if y

ou w

ish to

regis

ter f

or a

cam

p th

at is

not

an

arlin

gton

Cou

nty

Cam

p an

d do

es n

ot h

ave

a 6-

digit

cam

p co

de p

lease

follo

w th

e re

gistra

tion

instru

ction

s co

ntain

ed in

the

cam

p lis

ting

mon

th

d

ay

year

Fir

St

Ch

oiC

e

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

SeC

on

d C

ho

iCe

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

Dona

tion

and

Pay

men

t In

form

atio

n

Help

send

a k

id to

cam

p by

don

ating

to th

e ldquoS

UMME

R FU

Ndrdquo (

see

page

3)

Plea

se in

dicat

e am

ount

of d

onat

ion h

ere

$ __

____

____

____

____

__

to p

ay b

y ch

eck

Mak

e ch

eck

paya

ble to

Tre

asur

er A

rling

ton

Coun

ty A

t lea

st 50

is

due

with

regis

tratio

n 1048653r

emain

der i

s due

Jun

e 9

2009

to p

ay b

y Cr

edit

Card

plea

se fi

ll ou

t inf

orm

ation

belo

w

plea

se c

harg

e m

y m

vis

a m

mas

terC

ard

m d

iscov

er

m a

mer

ican

expr

ess

Card

Num

ber _

____

____

____

____

____

____

____

____

____

____

Expir

ation

Dat

e __

____

____

____

____

____

____

____

Nam

e of

car

dhold

er (p

lease

prin

t) _

____

____

____

____

____

____

____

__ S

ignat

ure

____

____

____

____

____

____

____

___

Mail

mat

erial

s by

Mar

ch 3

or d

rop

off b

eginn

ing M

arch

30

at R

egist

ratio

n Of

fice

3700

S F

our M

ile D

rive

Arlin

gton

VA

2220

6

August 18-22 2010








mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__


































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free














ADVENTURE qUEST


CAMP DISCOVERY








Camp 2010 SeSSionS











































































6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

June 2010

July 2010

August 2010




Notes


2010

Arlin

gton

Coun

ty Su

mmer

Camp

Regis

trat

ion Fo

rmAd

ult

Resp

onsi

ble

for

Paym

ent

Firs

t Nam

e __

____

____

____

____

____

____

____

___

Last

Nam

e __

____

____

____

____

____

____

____

___E

-mail

___

____

____

____

____

____

____

____

_

Day

Phon

e (_

___

) ___

____

____

____

____

____

____

Eve

ning

Phon

e (_

___

) ___

____

____

____

____

____

__Ce

ll Ph

one

(___

_) _

____

____

____

____

____

___

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

____

_Sta

te__

____

_Zip

____

____

____

____

__

Child

Bein

g Re

gist

ered

Firs

t Nam

e _

____

____

____

____

____

____

____

____

____

____

____

____

____

_la

st n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

__

Grad

e __

____

____

_Birt

hday

____

___

____

__

____

_Sex

___

____

____

____

_sc

hool

____

____

____

____

____

____

____

____

____

____

____

____

____

_

plea

se fi

ll in

cam

p co

des b

elow

inse

rt th

e six

-digi

t cod

e as

socia

ted

with

the

arlin

gton

Cou

nty

cam

p int

o th

e fir

st or

sec

ond

choic

e fo

r eac

h se

ssion

you

des

ire C

hildr

en

mus

t be

regis

tere

d fo

r the

cor

e pr

ogra

m h

ours

to re

giste

r for

ext

ende

d ho

urs

not a

ll ca

mps

pro

vide

exte

nded

Hou

rs Y

ou w

ill ne

ed th

ese

sam

e se

ven-

digit

code

s to

regis

ter o

nline

if y

ou w

ish to

regis

ter f

or a

cam

p th

at is

not

an

arlin

gton

Cou

nty

Cam

p an

d do

es n

ot h

ave

a 6-

digit

cam

p co

de p

lease

follo

w th

e re

gistra

tion

instru

ction

s co

ntain

ed in

the

cam

p lis

ting

mon

th

d

ay

year

Fir

St

Ch

oiC

e

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

SeC

on

d C

ho

iCe

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

Dona

tion

and

Pay

men

t In

form

atio

n

Help

send

a k

id to

cam

p by

don

ating

to th

e ldquoS

UMME

R FU

Ndrdquo (

see

page

3)

Plea

se in

dicat

e am

ount

of d

onat

ion h

ere

$ __

____

____

____

____

__

to p

ay b

y ch

eck

Mak

e ch

eck

paya

ble to

Tre

asur

er A

rling

ton

Coun

ty A

t lea

st 50

is

due

with

regis

tratio

n 1048653r

emain

der i

s due

Jun

e 9

2009

to p

ay b

y Cr

edit

Card

plea

se fi

ll ou

t inf

orm

ation

belo

w

plea

se c

harg

e m

y m

vis

a m

mas

terC

ard

m d

iscov

er

m a

mer

ican

expr

ess

Card

Num

ber _

____

____

____

____

____

____

____

____

____

____

Expir

ation

Dat

e __

____

____

____

____

____

____

____

Nam

e of

car

dhold

er (p

lease

prin

t) _

____

____

____

____

____

____

____

__ S

ignat

ure

____

____

____

____

____

____

____

___

Mail

mat

erial

s by

Mar

ch 3

or d

rop

off b

eginn

ing M

arch

30

at R

egist

ratio

n Of

fice

3700

S F

our M

ile D

rive

Arlin

gton

VA

2220

6

August 18-22 2010








mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__


































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free














































































6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

June 2010

July 2010

August 2010




Notes


2010

Arlin

gton

Coun

ty Su

mmer

Camp

Regis

trat

ion Fo

rmAd

ult

Resp

onsi

ble

for

Paym

ent

Firs

t Nam

e __

____

____

____

____

____

____

____

___

Last

Nam

e __

____

____

____

____

____

____

____

___E

-mail

___

____

____

____

____

____

____

____

_

Day

Phon

e (_

___

) ___

____

____

____

____

____

____

Eve

ning

Phon

e (_

___

) ___

____

____

____

____

____

__Ce

ll Ph

one

(___

_) _

____

____

____

____

____

___

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

____

_Sta

te__

____

_Zip

____

____

____

____

__

Child

Bein

g Re

gist

ered

Firs

t Nam

e _

____

____

____

____

____

____

____

____

____

____

____

____

____

_la

st n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

__

Grad

e __

____

____

_Birt

hday

____

___

____

__

____

_Sex

___

____

____

____

_sc

hool

____

____

____

____

____

____

____

____

____

____

____

____

____

_

plea

se fi

ll in

cam

p co

des b

elow

inse

rt th

e six

-digi

t cod

e as

socia

ted

with

the

arlin

gton

Cou

nty

cam

p int

o th

e fir

st or

sec

ond

choic

e fo

r eac

h se

ssion

you

des

ire C

hildr

en

mus

t be

regis

tere

d fo

r the

cor

e pr

ogra

m h

ours

to re

giste

r for

ext

ende

d ho

urs

not a

ll ca

mps

pro

vide

exte

nded

Hou

rs Y

ou w

ill ne

ed th

ese

sam

e se

ven-

digit

code

s to

regis

ter o

nline

if y

ou w

ish to

regis

ter f

or a

cam

p th

at is

not

an

arlin

gton

Cou

nty

Cam

p an

d do

es n

ot h

ave

a 6-

digit

cam

p co

de p

lease

follo

w th

e re

gistra

tion

instru

ction

s co

ntain

ed in

the

cam

p lis

ting

mon

th

d

ay

year

Fir

St

Ch

oiC

e

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

SeC

on

d C

ho

iCe

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

Dona

tion

and

Pay

men

t In

form

atio

n

Help

send

a k

id to

cam

p by

don

ating

to th

e ldquoS

UMME

R FU

Ndrdquo (

see

page

3)

Plea

se in

dicat

e am

ount

of d

onat

ion h

ere

$ __

____

____

____

____

__

to p

ay b

y ch

eck

Mak

e ch

eck

paya

ble to

Tre

asur

er A

rling

ton

Coun

ty A

t lea

st 50

is

due

with

regis

tratio

n 1048653r

emain

der i

s due

Jun

e 9

2009

to p

ay b

y Cr

edit

Card

plea

se fi

ll ou

t inf

orm

ation

belo

w

plea

se c

harg

e m

y m

vis

a m

mas

terC

ard

m d

iscov

er

m a

mer

ican

expr

ess

Card

Num

ber _

____

____

____

____

____

____

____

____

____

____

Expir

ation

Dat

e __

____

____

____

____

____

____

____

Nam

e of

car

dhold

er (p

lease

prin

t) _

____

____

____

____

____

____

____

__ S

ignat

ure

____

____

____

____

____

____

____

___

Mail

mat

erial

s by

Mar

ch 3

or d

rop

off b

eginn

ing M

arch

30

at R

egist

ratio

n Of

fice

3700

S F

our M

ile D

rive

Arlin

gton

VA

2220

6

August 18-22 2010








mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__


































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free


































































6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

June 2010

July 2010

August 2010




Notes


2010

Arlin

gton

Coun

ty Su

mmer

Camp

Regis

trat

ion Fo

rmAd

ult

Resp

onsi

ble

for

Paym

ent

Firs

t Nam

e __

____

____

____

____

____

____

____

___

Last

Nam

e __

____

____

____

____

____

____

____

___E

-mail

___

____

____

____

____

____

____

____

_

Day

Phon

e (_

___

) ___

____

____

____

____

____

____

Eve

ning

Phon

e (_

___

) ___

____

____

____

____

____

__Ce

ll Ph

one

(___

_) _

____

____

____

____

____

___

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

____

_Sta

te__

____

_Zip

____

____

____

____

__

Child

Bein

g Re

gist

ered

Firs

t Nam

e _

____

____

____

____

____

____

____

____

____

____

____

____

____

_la

st n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

__

Grad

e __

____

____

_Birt

hday

____

___

____

__

____

_Sex

___

____

____

____

_sc

hool

____

____

____

____

____

____

____

____

____

____

____

____

____

_

plea

se fi

ll in

cam

p co

des b

elow

inse

rt th

e six

-digi

t cod

e as

socia

ted

with

the

arlin

gton

Cou

nty

cam

p int

o th

e fir

st or

sec

ond

choic

e fo

r eac

h se

ssion

you

des

ire C

hildr

en

mus

t be

regis

tere

d fo

r the

cor

e pr

ogra

m h

ours

to re

giste

r for

ext

ende

d ho

urs

not a

ll ca

mps

pro

vide

exte

nded

Hou

rs Y

ou w

ill ne

ed th

ese

sam

e se

ven-

digit

code

s to

regis

ter o

nline

if y

ou w

ish to

regis

ter f

or a

cam

p th

at is

not

an

arlin

gton

Cou

nty

Cam

p an

d do

es n

ot h

ave

a 6-

digit

cam

p co

de p

lease

follo

w th

e re

gistra

tion

instru

ction

s co

ntain

ed in

the

cam

p lis

ting

mon

th

d

ay

year

Fir

St

Ch

oiC

e

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

SeC

on

d C

ho

iCe

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

Dona

tion

and

Pay

men

t In

form

atio

n

Help

send

a k

id to

cam

p by

don

ating

to th

e ldquoS

UMME

R FU

Ndrdquo (

see

page

3)

Plea

se in

dicat

e am

ount

of d

onat

ion h

ere

$ __

____

____

____

____

__

to p

ay b

y ch

eck

Mak

e ch

eck

paya

ble to

Tre

asur

er A

rling

ton

Coun

ty A

t lea

st 50

is

due

with

regis

tratio

n 1048653r

emain

der i

s due

Jun

e 9

2009

to p

ay b

y Cr

edit

Card

plea

se fi

ll ou

t inf

orm

ation

belo

w

plea

se c

harg

e m

y m

vis

a m

mas

terC

ard

m d

iscov

er

m a

mer

ican

expr

ess

Card

Num

ber _

____

____

____

____

____

____

____

____

____

____

Expir

ation

Dat

e __

____

____

____

____

____

____

____

Nam

e of

car

dhold

er (p

lease

prin

t) _

____

____

____

____

____

____

____

__ S

ignat

ure

____

____

____

____

____

____

____

___

Mail

mat

erial

s by

Mar

ch 3

or d

rop

off b

eginn

ing M

arch

30

at R

egist

ratio

n Of

fice

3700

S F

our M

ile D

rive

Arlin

gton

VA

2220

6

August 18-22 2010








mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__


































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free

















































6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

June 2010

July 2010

August 2010




Notes


2010

Arlin

gton

Coun

ty Su

mmer

Camp

Regis

trat

ion Fo

rmAd

ult

Resp

onsi

ble

for

Paym

ent

Firs

t Nam

e __

____

____

____

____

____

____

____

___

Last

Nam

e __

____

____

____

____

____

____

____

___E

-mail

___

____

____

____

____

____

____

____

_

Day

Phon

e (_

___

) ___

____

____

____

____

____

____

Eve

ning

Phon

e (_

___

) ___

____

____

____

____

____

__Ce

ll Ph

one

(___

_) _

____

____

____

____

____

___

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

____

_Sta

te__

____

_Zip

____

____

____

____

__

Child

Bein

g Re

gist

ered

Firs

t Nam

e _

____

____

____

____

____

____

____

____

____

____

____

____

____

_la

st n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

__

Grad

e __

____

____

_Birt

hday

____

___

____

__

____

_Sex

___

____

____

____

_sc

hool

____

____

____

____

____

____

____

____

____

____

____

____

____

_

plea

se fi

ll in

cam

p co

des b

elow

inse

rt th

e six

-digi

t cod

e as

socia

ted

with

the

arlin

gton

Cou

nty

cam

p int

o th

e fir

st or

sec

ond

choic

e fo

r eac

h se

ssion

you

des

ire C

hildr

en

mus

t be

regis

tere

d fo

r the

cor

e pr

ogra

m h

ours

to re

giste

r for

ext

ende

d ho

urs

not a

ll ca

mps

pro

vide

exte

nded

Hou

rs Y

ou w

ill ne

ed th

ese

sam

e se

ven-

digit

code

s to

regis

ter o

nline

if y

ou w

ish to

regis

ter f

or a

cam

p th

at is

not

an

arlin

gton

Cou

nty

Cam

p an

d do

es n

ot h

ave

a 6-

digit

cam

p co

de p

lease

follo

w th

e re

gistra

tion

instru

ction

s co

ntain

ed in

the

cam

p lis

ting

mon

th

d

ay

year

Fir

St

Ch

oiC

e

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

SeC

on

d C

ho

iCe

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

Dona

tion

and

Pay

men

t In

form

atio

n

Help

send

a k

id to

cam

p by

don

ating

to th

e ldquoS

UMME

R FU

Ndrdquo (

see

page

3)

Plea

se in

dicat

e am

ount

of d

onat

ion h

ere

$ __

____

____

____

____

__

to p

ay b

y ch

eck

Mak

e ch

eck

paya

ble to

Tre

asur

er A

rling

ton

Coun

ty A

t lea

st 50

is

due

with

regis

tratio

n 1048653r

emain

der i

s due

Jun

e 9

2009

to p

ay b

y Cr

edit

Card

plea

se fi

ll ou

t inf

orm

ation

belo

w

plea

se c

harg

e m

y m

vis

a m

mas

terC

ard

m d

iscov

er

m a

mer

ican

expr

ess

Card

Num

ber _

____

____

____

____

____

____

____

____

____

____

Expir

ation

Dat

e __

____

____

____

____

____

____

____

Nam

e of

car

dhold

er (p

lease

prin

t) _

____

____

____

____

____

____

____

__ S

ignat

ure

____

____

____

____

____

____

____

___

Mail

mat

erial

s by

Mar

ch 3

or d

rop

off b

eginn

ing M

arch

30

at R

egist

ratio

n Of

fice

3700

S F

our M

ile D

rive

Arlin

gton

VA

2220

6

August 18-22 2010








mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__


































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free







6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

June 2010

July 2010

August 2010




Notes


2010

Arlin

gton

Coun

ty Su

mmer

Camp

Regis

trat

ion Fo

rmAd

ult

Resp

onsi

ble

for

Paym

ent

Firs

t Nam

e __

____

____

____

____

____

____

____

___

Last

Nam

e __

____

____

____

____

____

____

____

___E

-mail

___

____

____

____

____

____

____

____

_

Day

Phon

e (_

___

) ___

____

____

____

____

____

____

Eve

ning

Phon

e (_

___

) ___

____

____

____

____

____

__Ce

ll Ph

one

(___

_) _

____

____

____

____

____

___

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

____

_Sta

te__

____

_Zip

____

____

____

____

__

Child

Bein

g Re

gist

ered

Firs

t Nam

e _

____

____

____

____

____

____

____

____

____

____

____

____

____

_la

st n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

__

Grad

e __

____

____

_Birt

hday

____

___

____

__

____

_Sex

___

____

____

____

_sc

hool

____

____

____

____

____

____

____

____

____

____

____

____

____

_

plea

se fi

ll in

cam

p co

des b

elow

inse

rt th

e six

-digi

t cod

e as

socia

ted

with

the

arlin

gton

Cou

nty

cam

p int

o th

e fir

st or

sec

ond

choic

e fo

r eac

h se

ssion

you

des

ire C

hildr

en

mus

t be

regis

tere

d fo

r the

cor

e pr

ogra

m h

ours

to re

giste

r for

ext

ende

d ho

urs

not a

ll ca

mps

pro

vide

exte

nded

Hou

rs Y

ou w

ill ne

ed th

ese

sam

e se

ven-

digit

code

s to

regis

ter o

nline

if y

ou w

ish to

regis

ter f

or a

cam

p th

at is

not

an

arlin

gton

Cou

nty

Cam

p an

d do

es n

ot h

ave

a 6-

digit

cam

p co

de p

lease

follo

w th

e re

gistra

tion

instru

ction

s co

ntain

ed in

the

cam

p lis

ting

mon

th

d

ay

year

Fir

St

Ch

oiC

e

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

SeC

on

d C

ho

iCe

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

Dona

tion

and

Pay

men

t In

form

atio

n

Help

send

a k

id to

cam

p by

don

ating

to th

e ldquoS

UMME

R FU

Ndrdquo (

see

page

3)

Plea

se in

dicat

e am

ount

of d

onat

ion h

ere

$ __

____

____

____

____

__

to p

ay b

y ch

eck

Mak

e ch

eck

paya

ble to

Tre

asur

er A

rling

ton

Coun

ty A

t lea

st 50

is

due

with

regis

tratio

n 1048653r

emain

der i

s due

Jun

e 9

2009

to p

ay b

y Cr

edit

Card

plea

se fi

ll ou

t inf

orm

ation

belo

w

plea

se c

harg

e m

y m

vis

a m

mas

terC

ard

m d

iscov

er

m a

mer

ican

expr

ess

Card

Num

ber _

____

____

____

____

____

____

____

____

____

____

Expir

ation

Dat

e __

____

____

____

____

____

____

____

Nam

e of

car

dhold

er (p

lease

prin

t) _

____

____

____

____

____

____

____

__ S

ignat

ure

____

____

____

____

____

____

____

___

Mail

mat

erial

s by

Mar

ch 3

or d

rop

off b

eginn

ing M

arch

30

at R

egist

ratio

n Of

fice

3700

S F

our M

ile D

rive

Arlin

gton

VA

2220

6

August 18-22 2010








mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__


































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free






2010

Arlin

gton

Coun

ty Su

mmer

Camp

Regis

trat

ion Fo

rmAd

ult

Resp

onsi

ble

for

Paym

ent

Firs

t Nam

e __

____

____

____

____

____

____

____

___

Last

Nam

e __

____

____

____

____

____

____

____

___E

-mail

___

____

____

____

____

____

____

____

_

Day

Phon

e (_

___

) ___

____

____

____

____

____

____

Eve

ning

Phon

e (_

___

) ___

____

____

____

____

____

__Ce

ll Ph

one

(___

_) _

____

____

____

____

____

___

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

____

_Sta

te__

____

_Zip

____

____

____

____

__

Child

Bein

g Re

gist

ered

Firs

t Nam

e _

____

____

____

____

____

____

____

____

____

____

____

____

____

_la

st n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

__

Grad

e __

____

____

_Birt

hday

____

___

____

__

____

_Sex

___

____

____

____

_sc

hool

____

____

____

____

____

____

____

____

____

____

____

____

____

_

plea

se fi

ll in

cam

p co

des b

elow

inse

rt th

e six

-digi

t cod

e as

socia

ted

with

the

arlin

gton

Cou

nty

cam

p int

o th

e fir

st or

sec

ond

choic

e fo

r eac

h se

ssion

you

des

ire C

hildr

en

mus

t be

regis

tere

d fo

r the

cor

e pr

ogra

m h

ours

to re

giste

r for

ext

ende

d ho

urs

not a

ll ca

mps

pro

vide

exte

nded

Hou

rs Y

ou w

ill ne

ed th

ese

sam

e se

ven-

digit

code

s to

regis

ter o

nline

if y

ou w

ish to

regis

ter f

or a

cam

p th

at is

not

an

arlin

gton

Cou

nty

Cam

p an

d do

es n

ot h

ave

a 6-

digit

cam

p co

de p

lease

follo

w th

e re

gistra

tion

instru

ction

s co

ntain

ed in

the

cam

p lis

ting

mon

th

d

ay

year

Fir

St

Ch

oiC

e

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

SeC

on

d C

ho

iCe

Wee

kCa

mp

Code

exte

nded

Hou

rs

1__

_ _

__ _

__ _

__ _

__ _

__ -

01 _

__Ye

s __

_No

2__

_ _

__ _

__ _

__ _

__ _

__ -

02 _

__Ye

s __

_No

3__

_ _

__ _

__ _

__ _

__ _

__ -

03 _

__Ye

s __

_No

4__

_ _

__ _

__ _

__ _

__ _

__ -

04 _

__Ye

s __

_No

5__

_ _

__ _

__ _

__ _

__ _

__ -

05 _

__Ye

s __

_No

6__

_ _

__ _

__ _

__ _

__ _

__ -

06 _

__Ye

s __

_No

7__

_ _

__ _

__ _

__ _

__ _

__ -

07 _

__Ye

s __

_No

8__

_ _

__ _

__ _

__ _

__ _

__ -

08 _

__Ye

s __

_No

9__

_ _

__ _

__ _

__ _

__ _

__ -

09 _

__Ye

s __

_No

10__

_ _

__ _

__ _

__ _

__ _

__ -

10 _

__Ye

s __

_No

Dona

tion

and

Pay

men

t In

form

atio

n

Help

send

a k

id to

cam

p by

don

ating

to th

e ldquoS

UMME

R FU

Ndrdquo (

see

page

3)

Plea

se in

dicat

e am

ount

of d

onat

ion h

ere

$ __

____

____

____

____

__

to p

ay b

y ch

eck

Mak

e ch

eck

paya

ble to

Tre

asur

er A

rling

ton

Coun

ty A

t lea

st 50

is

due

with

regis

tratio

n 1048653r

emain

der i

s due

Jun

e 9

2009

to p

ay b

y Cr

edit

Card

plea

se fi

ll ou

t inf

orm

ation

belo

w

plea

se c

harg

e m

y m

vis

a m

mas

terC

ard

m d

iscov

er

m a

mer

ican

expr

ess

Card

Num

ber _

____

____

____

____

____

____

____

____

____

____

Expir

ation

Dat

e __

____

____

____

____

____

____

____

Nam

e of

car

dhold

er (p

lease

prin

t) _

____

____

____

____

____

____

____

__ S

ignat

ure

____

____

____

____

____

____

____

___

Mail

mat

erial

s by

Mar

ch 3

or d

rop

off b

eginn

ing M

arch

30

at R

egist

ratio

n Of

fice

3700

S F

our M

ile D

rive

Arlin

gton

VA

2220

6

August 18-22 2010








mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__


































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free







mpe

rrsquos n

ame _

____

____

____

____

____

____

____

____

____

____

____

____

___

nick

nam

e __

____

____

____

Gend

er__

__Bi

rthda

te__

___

___

___

_Age

____

_

stre

et a

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

___

City

____

____

____

____

___S

tate

____

__Zi

p ___

____

____

____

____

____

__

scho

ol ca

mpe

r atte

nds _

____

____

____

____

____

____

____

____

____

____

____

__Gr

ade

____

__Te

ache

r __

____

____

____

____

____

____

____

____

____

____

lang

uage

spo

ken

at h

ome _

____

____

____

____

____

____

____

____

____

____

____

nam

e of

soc

ial w

orke

r __

____

____

____

____

____

____

____

____

____

____

_

Cam

perrsquos

phy

sician

___

____

____

____

____

____

____

____

____

____

____

____

__ph

one

num

ber

____

____

____

____

____

____

____

____

____

____

____

____

pare

ntg

uard

ian 1

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian 2

nam

e ___

____

____

____

____

____

____

____

____

____

____

___

plac

e em

ploy

ed __

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pare

ntg

uard

ian w

ith le

gal c

usto

dy o

f cam

per _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Hom

e ad

dres

s (if

diffe

rent

from

cam

per)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

nam

e amp

addr

ess o

f firs

t per

son

to c

onta

ct (

if pa

rent

gua

rdian

can

not b

e re

ache

d)

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

nam

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

addr

ess _

____

____

____

____

____

____

____

____

____

____

____

____

____

Hom

e Ph

one

(___

___)

____

____

____

____

____

____

___

Wor

k Ph

one

(___

___)

___

____

____

____

____

____

Cell

Phon

e (_

____

_) _

____

____

____

____

____

_

pers

ons a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

pers

ons n

ot a

utho

rized

to p

ick u

p ca

mpe

r __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(a

ttach

cop

y of

divo

rce

decr

ee o

r oth

er a

ppro

priat

e pa

perw

ork

if pa

rent

is n

ot a

llowe

d to

pick

up

child

)

INFO

RMAT

ION

amp C

HAR

ACTE

RIST

ICS

YES

NO

EXPL

ANAT

ION

amp C

OMM

ENTS

aller

gies

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

medic

ation

s m

m

Ty

pe amp

Dos

age_

____

____

____

____

____

____

___

seizu

res

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

diet

ary

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

phys

ical l

imita

tions

restr

iction

m

m

_

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Chro

nic c

ondit

ions

illnes

ses

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

any

unus

ual f

ears

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

easil

y up

set

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

phys

ically

agg

ress

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

(in

clude

s diff

iculty

con

trollin

g te

mpe

r)W

ithdr

awn

shy

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Hype

ract

ive

m

m

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

plea

se li

st an

y ne

eded

spec

ial a

ssist

ance

or a

ccom

mod

ation

s _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

PLEA

SE P

LACE

AN

X I

N TH

E BO

X T

HAT

IND

ICAT

ES Y

OUR

CAM

PERrsquo

S SW

IMM

ING

LEVE

L

m N

on-swi

mmer (mu

st sta

y in w

ater tha

t is

not ov

er s

houlde

rs)

m Inter

mediate

(allo

wed

to s

wim

in e

ntire

poo

l exc

ept diving

area)

m A

dvan

ced

(allo

wed

to s

wim

in e

ntire

poo

l inc

luding

diving

area

)

AGRE

EMEN

T TO

REL

EASE

ASS

UMPT

ION

OF R

ISK

AGR

EEM

ENTS

TO

HOL

D HAR

MLE

SS A

ND P

HOT

O RE

LEAS

Eth

e un

ders

igne

d is

awar

e th

at th

ere

are

certa

in ris

ks in

volve

d in

parti

cipat

ing

in th

e su

mm

er C

amp

prog

ram

inclu

ding

but

not

lim

ited

to th

e ris

k of

thef

t or d

amag

e to

my

prop

erty

and

the

risk

of p

er-

sona

l inj

ury

from

par

ticip

ation

in re

crea

tion

activ

ities

in

con

sider

ation

of m

y be

ing

gran

ted

perm

ission

to p

artic

ipat

e in

thes

e ac

tiviti

es a

nd to

use

the

facil

ities

of t

he C

ount

y an

dor

oth

er a

ctivi

ties a

nd

serv

ices p

rovid

ed b

y ar

lingt

on C

ount

y de

partm

ent o

f par

ks r

ecre

ation

and

Cul

tura

l res

ourc

es i

ts a

gent

s and

em

ploy

ees

inclu

ding

food

ser

vice

i on

beh

alf o

f mys

elf m

y ex

ecut

ors

adm

inist

rato

rs

heirs

nex

t of k

in a

nd s

ucce

ssor

s he

reby

cov

enan

t to

hold

harm

less a

nd in

dem

nify

the

Coun

ty a

nd a

ll its

offi

cers

dep

artm

ents

age

ncies

and

em

ploy

ees f

rom

any

and

all

claim

s les

sees

dam

ages

in

jurie

s fin

es p

enal

ties

and

cost

s (in

cludi

ng c

ourt

cost

s and

atto

rney

rsquos fe

es)

char

ges l

iabilit

ies o

r exp

osur

es h

owev

er c

ause

d re

sulti

ng fr

om o

r aris

ing

out o

f or i

n an

y wa

y co

nnec

ted

to m

y or

my

fam

ilyrsquos

parti

cipat

ion in

the

sum

mer

Cam

p pr

ogra

m

i hav

e re

ad a

nd u

nder

stan

d th

is Ho

ld Ha

rmles

s ag

reem

ent a

nd b

y m

y sig

natu

re a

gree

to it

s ter

ms

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

Phot

o re

LeAS

ei h

ereb

y gi

ve m

y pe

rmiss

ion w

ithou

t res

trict

ion to

arli

ngto

n Co

unty

and

its a

ssig

nees

to p

hoto

grap

h or

vid

eota

pe m

y ch

ild d

urin

g pa

rticip

ation

in s

umm

er C

amp

prog

ram

s

i spe

cifica

lly w

aive

any

righ

ts to

com

pens

ation

with

resp

ect t

o m

y ch

ildrsquos

nam

e lik

enes

s pi

ctur

e an

dor

voic

e th

e pu

rpos

e of

this

relea

se is

to fa

cilita

te p

ublic

ity fo

r Cou

nty

prog

ram

s

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__

reGi

StrA

tion

PoL

iCy

AGre

emen

ti h

ave

read

und

erst

and

and

agre

e to

the

paym

ent

refu

nd a

nd s

hang

es in

resg

istra

tion

polic

ies o

n pa

ge 1

7 of

the

2010

arli

ngto

n Co

unty

gui

de to

sum

mer

Cam

ps b

roch

ure

Pare

ntG

uard

ian S

igna

ture

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Date

___

____

____

____

____

____

____

__


































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free



































































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free






















































Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free
























Drew Center 9am-3pm 5-11 703-228-5725











Woodbury Park 1-5pm 703-807-1941 3-8

















Saturday July 31st


Free





















Saturday July 31st


Free





Documents

2010 Arlington County Guide to Summer Camps