Playtime Kiddo Summer 2017 day Camp : $160/week
PlayTime Kiddo offers a one-of-a-kind Summer Camp that features a variety of programs: Indoor and Outdoor
Playtime, Anti-bully camp, Self-defense classes and arts & crafts.
PlayTime Kiddo Kiddo 2017 Summer Camp is a Monday to Friday day-camp program for children ages 5-12
from 7:30am to 5:30pm.
What is Anti-Bully Camp?
Anti-Bully Camp uses classroom training, workshops, and physical fitness as tools to teach students to identify, understand, and
bring awareness to bullying in all its forms.
What is Indoor/Outdoor PlayTime?
The kids will have an epic time while staying active! We offer water walking balls, bouncy castles, obstacle course bouncy castle
with water slide, water slide bouncy castles, a Ninja obstacle course, swings, climbing domes, teeter totters, sand boxes and more
for unlimited fun.
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How do children benefit from Self-Defense?
Improves physical fitness and coordination
Teaches concentration, discipline and respect
Develops confidence
Develops assertiveness, tenacity and
determination
Develops communication, listening and social skills
Teaches nutrition, anatomy and hygiene
Teaches spatial concepts
Teaches awareness of danger
Teaches gentle solutions to bullying and rough play
Helps kids to stay safe and avoid accidents
Playtime Kiddo Inc.
274 Halifax Street, Moncton NB
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Benefits of Arts & Crafts for children:
Improves their coordination
Can hone fine motor skills
Helps with important visual processing abilities
Promotes executive functioning
Can skyrocket self-esteem
Teaches them to express themselves
Encourages creativity
Flexible activity
506-389-5829 or wwww.playtimekiddo.com
PlayTime Kiddo Day Camp Registration Form
Campers Information
First Name
Last Name
Birth Date
Preferred Name
Health Card Number
PART B: FAMILY/GUARDIAN INFORMATION
Parent 1
First Name
Last Name
Phone Number(s)
E-mail
Parent 2
First Name
Last Name
Phone Number(s)
E-mail
PART C: ADULT EMERGENCY & AUTHORIZED PICK UP CONTACT INFORMATION
A minimum of 2 other adult emergency contacts are required. Only the adults listed below & Family Guardian
will be allowed to pick up camper.
Adult 1
First Name
Last Name
Phone Number
Relationship to camper
Adult 2
First Name
Phone Number
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Last Name
Relationship to camper
Please select which week the camper will be at PlayTime Kiddo Camp:
Week 1 - June 26th To June 30th
o Week 7 - Aug 7th to Aug 11th
Week 2 - July 3rd To July 7th
o Week 8 - Aug 14th to Aug 18th
Week 3 - July 10th To July 14th
o Week 9 - Aug 21st to Aug 25th
Week 4 - July 17th To July 21st
o Week 10 - Aug 28th to Sept 1st
Week 5 - July 24th To July 28th
o Week 11 - Sept 4th to Sept 8th
Week 6 - July 31st to Aug 4th
Playtime Kiddo Inc.
274 Halifax Street, Moncton NB
506-389-5829 or wwww.playtimekiddo.com
Confidential Health Information:
Medications if any?
Allergies if Any?
Other Conditions or Treatments if any?
Special Dietary requirement(s)?
Waiver Agreement
CAMPER & PARENT AGREEMENT: Both the parents and camper have discussed the upcoming camp experience. The
camper understands and commits to fully participating in camp activities. The camper will follow safety directions and
refrain from behaviour which is harmful to themselves or others. In addition, the parent understands and supports
Playtime Kiddo day Camp’s policy that prohibits possession or use of tobacco, alcohol or non-prescription drugs and
understands use of these substances or other abusive behaviour is cause for dismissal without refund of camp fees.
AUTHORIZATION: (NOTE: A “Participant Informed Consent Form” must also be completed & will be included in your
Camp Confirmation Package) I/we grant permission for our child named above to take part in Playtime Kiddo summer
Camp and I/we agree to assume financial responsibility in case of injury or accident arising out of such event. In case of
injury or illness, I/we authorize Playtime Kiddo staff to administer treatment, and in such case, it is understood that
Playtime Kiddo day Camp is not responsible for medical costs. Photo/Video Release: I/we give permission to use my
child’s photo/video in any Playtime Kiddo day Camp.
REFUND POLICIES: Fee is NON refundable
PRIVACY STATEMENT: Playtime Kiddo day Camp Playground Inc. respects your privacy. We protect your personal
information and adhere to all legislative requirements to protecting your privacy. We do not rent, sell or trade our
mailing lists. We use your personal information to provide programs/services and to keep you informed and up-to-date
on Playtime Kiddo day Camp activities including programs, services, funding needs, volunteer opportunities or provide
support through periodic communication. If at any time you wish to be removed from any of these types of contact or
receive a full copy of our privacy statement, simply notify us by phone or in writing and we will gladly accommodate
your request.
By signing, you confirm that you have read the terms and conditions in the waiver, that you understand them and
that you agree to be bound by them.
Full Name
Playtime Kiddo Inc.
Date of application
274 Halifax Street, Moncton NB
Signature
506-389-5829 or wwww.playtimekiddo.com