Instructions for Camp Paperwork
Hello Cordy Camp Parents! We are so excited for another great summer at Cordy Camp! Please complete all attached
forms as required before your child comes to camp. Advanced registration is strongly encouraged as an additional $10
daily fee is applied to the standard camp rate for drop ins.
How to submit:
1. Email all forms to [email protected]
2. Fax all forms to 970-926-5577
Forms
1. Registration & Waiver
2. Credit Card Authorization Form
a. We charge daily so you will not be charged until your child attends camp
b. We do keep cards on file, your credit card charge will be from “Rec 1” and you will be emailed a receipt
each day
3. Emergency Card
a. This card will be put in our camp vans in case of an emergency
4. Dates & Elections Form
a. This form is to help you select the dates you would like to register your child for camp as well as select
any sports camps you would like to enroll them in
b. All kids get to participate in open swim every day regardless if they take a sports clinic
c. We will be charging an additional $10/day for camp if your child is a drop in. Please let us know by 5pm
the day before if your child will be coming to camp the next day. We do this so we can plan activities and
staff appropriately.
5. Parent Handbook
a. Please read the Parent Handbook and sign the last page (page 14) of the document
b. We only need the signature page from you
6. Health Care Recommendations Form
a. Please have this form completed by child’s physician along with the immunization form
b. Physician’s office can fax forms to us at 970-926-5577 with ATTN: Cordy Camp
7. Immunization Form
a. Form must be completed by child’s physician
Please let us know if we can help with any questions on the paperwork and we look forward to having your child at
camp this summer!
Contact Information:
Aubrey Lewis
Assistant Recreation Manager
[email protected]
[email protected]
970-569-6273
**NO ST CLARE SHUTTLE 1ST WEEK OF CAMP
ALL CHILDREN MUST BE DROPPED OFF/PICKED
UP AT THE TRAILHEAD
ST CLARE SHUTTLE RESUMES MON, JUNE 5
Cordillera Day Camp
REGISTRATION FORM
Is parent a Cordillera property owner or relative of property owner? Y__N__
Date: ______________
Is parent a member of the Club at Cordillera? Y___N___
Child’s Name: ___________________________________M__F__ Birth Date: ___/___/_____ Age: ____
Physical Address: _______________________________________________________________________
Mailing Address (if different): _____________________________ Home Phone: ____________________
Cell Phone: _________________________ Email*: ____________________________________________
Parent/Guardian #1: _________________________Parent /Guardian #2:__________________________
Employer: _________________________________ Employer: ___________________________________
Work Hours: _______________________________ Work Hours: _________________________________
Work Phone: _______________________________Work Phone: _________________________________
*email addresses will be used for parent email list and camp event information
Person other than parent/guardian to be notified in an emergency when not available:
Name: ________________________________________________ Phone: _________________________
Address: ______________________________________________________________________________
Name(s) of person(s) other than parent/guardian to whom the child may be released:
1. ________________________________________ 2. _________________________________________
3. ________________________________________ 4. _________________________________________
Child’s Specific Medical Information:
Allergies: _____________________________________________________________________________
Medications: __________________________________ Frequency: ______________________________
Other: _______________________________________________________________________________
Physician: _____________________________________ Phone: _________________________________
Address: ______________________________________ Office Hours: ____________________________
Hospital preferred for emergency treatment: ________________________________________________
Child’s Physician: ______________________________________ Phone: __________________________
Address: ______________________________________________________________________________
Child’s Dentist: ________________________________________ Phone: __________________________
Address: ______________________________________________________________________________
Health Insurance Company: _______________________________ Policy # ________________________
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Cordillera Day Camp Waiver
Child’s Name _________________________________________
Please read and initial the following statements:
 I have read Cordillera Day Camp’s Parent Handbook. I understand and agree to abide by these rules. ___
 I understand that the Trailhead is a nut-free facility. I will make every effort to ensure that my child’s lunch does not contain
nuts. ____
 I have notified Camp staff on any concerns or special challenges my child may have, including medication or learning needs,
while attending the program and have listed any special instructions. ___
 I understand if my child arrives after 9:30 am (without prior notification), his/her space may be released to another
participant. ____
 I understand that pick-up for camp is from 4:45 pm – 5 pm at St Clare of Assisi and from 4:30 pm – 5 pm at the Trailhead,
Monday-Friday unless otherwise noted. ____
 I understand that I must cancel at least 24 hours in advance. If I do not cancel within 24 hours, the full day camp fee will be
charged. ____
 I will allow my child to watch a video or movie rated ___G ___PG in the event of inclement weather.
 I ___agree ___ do not agree to let Camp staff put on and use any sunscreen with SPF 30 or higher on my child___
o If no, I agree to provide sunscreen for my child in a labeled container with written approval for Camp staff to put on
my child. ____
 I agree not to send my child to Camp if he/she is showing signs of illness or communicable disease. ___
 I understand that the following items must be on file with the Camp Director before the first day of Camp ____
o Registration Form/Signed Waiver
o Updated Credit Card Form
o Emergency Card
o Immunization Records on Official Colorado Immunization Form
o Enrollment Health Form Signed by Physician
ACKNOWLEDGMENT, WAIVER AND RELEASE FROM LIABILITY BY PARENT OR GUARDIAN OF MINOR CHILD
In consideration of my child being permitted to take part in the summer camp known as Cordillera Day Camp (the “Camp”), I
expressly agree as follows: I hereby acknowledge and accept that there are certain risks arising from or in connection with the
activities offered with the Camp for which I am registering my child, including but not limited to bodily injury or death to my child.
Therefore, on behalf of myself and my child, I hereby agree to assume full responsibility for all risks related to my child’s
participation in the Camp, including field trips and/or other off-site activities. I hereby waive, release, indemnify and hold harmless
St. Clare of Assisi Catholic School, Cordillera Property Owners Association, Cordillera Metropolitan District, and Cordillera Day
Camp, and each of their officers, directors, employees, agents, and volunteers (collectively, “Cordillera”) from any and all claims,
actions, demands, costs, liabilities, expenses or judgments whatsoever, including attorney’s fees and costs, which are related to,
arise out of, or are in any way connected with my child’s participation in the Camp, including, but not limited to, claims of
negligence or acts of omissions or some other cause of any kind or nature, whether foreseen or unforeseen, resulting in any loss
or damage to property or any loss, bodily injury, or death to my child or other person. I agree to waive, release and covenant not
to sue Cordillera with respect to any of the aforesaid actions or causes of action which may hereafter arise for the benefit, directly
or indirectly, of my child, as well as those that might have a cause of action, by, through or under my child, and agree that under
no circumstances will I prosecute or present any claim for property damage, bodily injury, or death against Cordillera, whether
the same shall arise in whole or in part from the ordinary negligence of Cordillera or the ordinary negligence, gross negligence or
willful misconduct of any third party and whether such is the sole or a concurring cause of the property damage, bodily injury, or
death. My child is in good health and physically able to participate in Camp activities. I hereby acknowledge that I am responsible
for any medical costs incurred from any injury my child may sustain while involved in Camp activities. I also authorize and consent
to any emergency x-ray examination, medical diagnosis or treatment and hospital care to be rendered to my child under the
general or special supervision and on the advice of any physician licensed to practice in the State of Colorado. I give permission for
my child to ride in any Cordillera vehicle, on Town of Vail or Beaver Creek buses, and resort chairlifts and gondolas. I give permission
for my child to leave the Trailhead facility on foot for short hikes or nature excursions. Participants in the Camp including my child
may be photographed and such photographs may be used to publicize events.
BY SIGNATURE BELOW, I HEREBY CLAIM THAT I HAVE CAREFULLY READ, CLEARLY UNDERSTAND, AND VOLUNTARILY SIGN THIS
ACKNOWLEDGEMENT, WAIVER AND RELEASE FROM LIABILITY BY PARENT OR GUARDIAN OF MINOR CHILD
Parent/Guardian Print Name ___________________________________________
Date: ________________
Parent/Guardian Signature _____________________________________________
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Cordillera Property Owners Association
Credit Card Billing Authorization Form
Customer Name: _________________________________
Phone: _________________
**Cordy Camp charges will appear as “Rec 1” on credit card statments
Credit Card Type:
Credit Card Number:
Expiration Date:
________________________
_____________________________
______/______
Cardholder’s Name:
Billing Zip Code (required):
______________________________________________
(as shown on card)
______________________________
Security Code (located on back of card):
________________________________
I authorize Cordillera Property Owners Association (CPOA) to bill the card listed
above for my registration charges at the Cordillera Day Camp.
Cardholder’s Signature:
Date:
__________________________________________________________
__________________
CPOA accepts Visa, MasterCard, and American Express
Emergency Card For: _______________________________________
Address:__________________________________________________
City:_______________________________ St: _____ Zip:__________
Phone #:
_________________________________________________________
Physician:
_________________________________________________________
Physicians Phone #:
_________________________________________________________
Contact Lens: Yes No
Blood Type: _______________________
Medical Conditions:
_________________________________________________________
Dangerous Allergies:
_________________________________________________________
Medications (dose, color, what for, when to take):
_________________________________________________________
_________________________________________________________
Camper Name: ________________________
Please mark the dates and activities your child will attend
Not Available
Legend
Golf
Clinic
Swimming
Lessons
Available
Tennis
Clinics
Week 1
Camp
**NO SHUTTLE
Tuesday, May 30
Wednesday, May 31
AT ST CLARE
Thursday, June 1
1ST WEEK OF
Friday, June 2
CAMP
**ALL KIDS MUST BE DROPPED OFF/PICKED UP AT THE TRAILHEAD THIS WEEK
Week 2
Monday, June 5
Tuesday, June 6
Wednesday, June 7
Thursday, June 8
Friday, June 9
Week 3
Monday, June 12
Tuesday, June 13
Wednesday, June 14
Thursday, June 15
Friday, June 16
Week 4
Monday, June 19
Tuesday, June 20
Wednesday, June 21
Thursday, June 22
Friday, June 23
Week 5
Monday, June 26
Tuesday, June 27
Wednesday, June 28
Thursday, June 29
Friday, June 30
Week 6
Monday, July 3
Tuesday, July 4
Wednesday, July 5
Thursday, July 6
Friday, July 7
NO CAMP ON JULY 4
Please mark the dates and activities your child will attend
Week 7
Monday, July 10
Tuesday, July 11
Wednesday, July 12
Thursday, July 13
Friday, July 14
Week 8
Monday, July 17
Tuesday, July 18
Wednesday, July 19
Thursday, July 20
Friday, July 21
Week 9
Monday, July 24
Tuesday, July 25
Wednesday, July 26
Thursday, July 27
Friday, July 28
Week 10
Monday, July 31
Tuesday, August 1
Wednesday, August 2
Thursday, August 3
Friday, August 4
Week 11
Monday, August 7
Tuesday, August 8
Wednesday, August 9
Thursday, August 10
Friday, August 11
Week 12
Monday, August 14
Tuesday, August 15
Camp Golf Clinic
Swimming
Lessons
Tennis
Clinics
CORDILLERA DAY CAMP
PARENT HANDBOOK
Each parent and/or guardian is responsible for reading this parent handbook and any
supplements which we may give to you from time to time. Cordillera Day Camp will
attempt to notify you in writing of significant changes in the services, policies or procedures
listed in this handbook we encourage you to offer suggestions, comments, and constructive
criticism as well as provide moral support.
Revised April 2017
GENERAL INFORMATION
Cordillera Day Camp is located at the Trailhead facility in Cordillera.
Physical Address:
3000 Fenno Drive
Cordillera, CO 81632
Mailing Address:
0408 Carterville Road
Cordillera, CO 81632
Phone:
(970) 926-5590
Hours:
Fax: (970) 926-5577
9 am – 5 pm
Days:
Monday – Friday
*No camp on Tuesday, July 4
Dates:
2017: Tuesday, May 30 – Tuesday, August 15
Ages:
5 - 12 years
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CORDILLERA DAY CAMP
At Cordillera Day Camp our purpose is to provide the children of our Property Owners and
guests with the opportunity to build new friendships and experience the best of the Rocky
Mountains in a fun and safe atmosphere. We provide a staff that is outgoing and open-minded
and always on the lookout for new activities for our young day campers. We believe in treating
all of our campers as if they are guests in our home. We strive to make those guests comfortable
and to establish relationships that could last for years.
We are open to all children who may benefit from our program regardless of race, religion, sex,
nationality, or disability. A child with special physical, mental, or emotional requirements will be
considered for enrollment on an individual basis. Our greatest concern is for the well being of
the child and that we are able to meet these needs without undue burden upon our staff and
facilities. Cordillera Day Camp has handicap access and toilet facilities. All children must be at
least 5 years of age, and must have completed their immunizations.
The center is licensed by the State of Colorado as a school-age child care center. Our camp is in
compliance with the standards set by the State pertaining to program, facilities, health & safety,
and staff qualifications.
Our quality standards follow guidelines set by the Colorado Department of Social Services, Eagle
County Department of Health, and the Eagle County Fire Protection District.
CAMP GOALS AND OBJECTIVES

To enable children to experience the outdoors in an active and positive environment.

To provide the opportunity for new friendships through various group games and unique
group activities.

To allow children to learn new sports or hone current sports skills.

To enable children of all ages and interests the opportunity to try new activities away
from homes or second homes that are often located in urban areas.

To provide positive feedback and a comfortable environment to children who may be new
to the area or who may not know anyone at the camp.

To create memories of summer camp that will last a lifetime.
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OUR PHILOSOPHY
Our philosophy is to provide a safe and nurturing environment for your child. A warm, positive
relationship will be established between staff and children. Children will be recognized as
individuals. Our staff will facilitate each child's involvement in the program by asking questions,
making suggestions, stimulating thinking, and frequently varying available materials.
Our staff is selected for their love of and commitment to children. Each employee is required to
meet the state licensing requirements for education and experience. Our staff adheres to
employment policies including the commitment to a drug and smoke free work place.
CORDILLERA DAY CAMP VISION STATEMENT
To ensure property owner/guest satisfaction, contribute to the growth and development of the
Cordillera Community and above all add, to the fulfillment of the Cordillera Vision Statement.
CORDILLERA METROPOLITAN DISTRICT/
CORDILLERA PROPERTY OWNERS ASSOCIATION
JOINT VISION STATEMENT

Offer top-tier amenities, outstanding infrastructure, and exceptional community services
in a financially prudent manner consistent with resident and property owner expectations.

Provide year-round amenities desired by our residents and property owners and do so in
harmony with The Club at Cordillera.

As stewards of the Cordillera Property Owners Association and Cordillera Metro District,
manage Cordillera as one unit and collaborate on all issues.

Operate in an open, transparent manner and seek community input on important
initiatives.

Show great respect for our land and preserve its integrity.

Employ staff who are professional, highly trained, and committed to the community.

Provide an experience that captures the warmth of family, neighbors, and friends.

Be known for giving and caring within the Vail Valley.

Be a benchmark for other communities striving for excellence!
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POLICIES AND PROCEDURES
ENROLLMENT POLICY
Children ages 5 - 12 will be admitted to Cordillera Day Camp. Cordillera Property Owners will
have registration priority over non-Cordillera Property Owners. Drop-ins are permitted based on
availability. Children must be registered by 5 pm the day prior to the day they wish to attend
camp for the first time.
All registration forms and liability release must be turned in before the first day the child starts
at Cordillera Day Camp. All current forms will be kept on file as long as the child is enrolled at
the camp. If the required forms are not received within the proper time limit, the child will
be denied admission to the camp until the forms are submitted.
All children must submit a health status form signed by an approved health care professional.
This form is available in the office and online and includes a statement by a physician concerning
any special needs of the child. Additionally, an up to date record of immunization, including the
month and year each immunization was administered is required. This record must be recorded
on the Certificate of Immunization supplied by the Colorado Department of Health and
Environment. This health status form must be turned in before the first day the child starts at
Cordillera Day Camp. Cordillera Day Camp requires that it be submitted immediately. The
health status forms and immunization forms must remain in the child’s file at camp.
LATE DROP-OFF
Daily drop-off takes place from 9 am – 9:30 am. Drop-off after 9:30 am is not permitted
without the Camp Director’s consent. If a child arrives and his/her group has already left the
premises for a field trip or other activity, the late arrival will have to leave for the day unless an
alternate group or activity can be established. The Camp Director or head counselor will ensure
that the late child is placed in an appropriate group.
LATE PICK-UP
Pick-up takes place daily from 4:45 pm – 5 pm at St Clare of Assisi and from 4:30 pm – 5 pm at
the Trailhead, unless otherwise posted. If a parent shows up late to pick-up a child, he/she is
required to pay the camp staff present $5.00 for every five minutes past the final pick-up time.
Payment is due immediately and parents are warned that continued late pick-up will result in
their child not being permitted to attend camp.
If a parent doesn’t show up at all, repeated phone calls are made to the phone numbers on file and
finally the person listed on that child’s file for emergency contact is called. At no time will a
child be left at camp alone. If a parent fails to show up, the Camp Director will remain with the
child until a parent or the emergency contact arrives to pick up the child. If no contact can be
made whatsoever, the Department of Social Services will be called to pick up the child.
ARRIVAL AND DEPARTURE
It is the parent's responsibility to sign your child in and out each day on the enrollment sheet in
your child’s room. Signing your child in & out is required by CO State Law and is crucial to
our head counts in the event of an emergency. Cordillera Day Camp will not assume
responsibility for a child who has not been signed in when they arrive for the day. Once a child
has been picked up by an authorized person, that child is no longer the camp's responsibility.
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RELEASE OF CHILDREN
Only those persons listed on your authorization for pick up will be allowed to sign out your child
from our camp. Please make sure that the information on your registration form is current,
especially in regard to authorized and unauthorized pick up persons. YOU MUST give prior,
written notification to the camp if you wish to add a person to your authorization for pick up list.
In the case of an emergency, you may telephone the center and give a verbal authorization or fax
in with your signature when available. You must give the person's name and a description of the
person. Notify the pick-up person that he/she will be required to show proper I.D. before the
child can be released to them. We will notify the Eagle County Police or Public Safety if we
have problems with an unauthorized person wishing to pick up a child.
If you should arrive at the camp to pick up your child and it appears that you are physically,
mentally or emotionally impaired, Cordillera Day Camp reserves the right to call your spouse or
child’s other guardian, Cordillera Public Safety and/or Eagle County Police Department to
ensure your child’s safety.
We expect the parent or guardian to behave in an appropriate manner when they are in the camp.
We will not permit excessive discipline of your child by you on Cordillera Day Camp premises.
"Excessive" includes any physical discipline, loud or disruptive verbal reprimands, or threats.
Additionally, we will not tolerate inappropriate behavior towards our staff, other parents
or other children. You may be asked to leave the camp and/or your child may be disenrolled based on your actions.
Each counselor is responsible to check that all of the children under their care have signed out
before leaving for the day. The Director/head counselor will recheck all classrooms, bathrooms,
and kitchen before leaving.
If an unauthorized person attempts to pick-up a child at any time, they will be denied permission
and parents will be called immediately. If the unauthorized visitor refuses to leave the premises,
Cordillera Public Safety or the Eagle County Sheriff will be called to escort the visitor off the
property.
If there is a custody battle over a child and a parent is denied access to that child, a court order
must be on file with the Camp Director. Cordillera Day Camp’s staff is not permitted to deny
access of a parent to a child without a court order on file.
VISITORS
Cordillera Day Camp requests that parents/guests/friends refrain from visiting camp between the
hours of 9 am and 5 pm. However, if a visit is requested, camp staff will ensure that the child is
available for a visit based upon a pre-determined timeframe. Visitors must have written
permission from a parent (verbal notification is also appreciated) before coming to camp. Dropin visitors will not be turned away if they have proper consent. Visitors must sign in upon arrival
to the camp.
DISCIPLINE
The staff at Cordillera Day Camp believes young children need our help in developing the skills
needed to make good choices and accepting the consequences of their decisions. Our staff will
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create an environment that supports self-discipline. Children are given space and encouragement
to function within their environment. The staff will treat each child with dignity, allowing
children to learn mutual respect for individual differences.
Cordillera Day Camp’s discipline policy directs the staff as follows:
 Redirect children to an acceptable activity by suggesting appropriate alternatives.
 Talk on the child's level.
 Speak softly and slowly.
 Be positive, patient, friendly, but firm.
 Guide children to resolve their own problems, and explain an acceptable behavior.
 Remind children of rules and the consequences; encourage children to think about the impact
their behavior has on people, objects, and events.
 Reinforce appropriate and adjacent behavior.
 Reassign camper to an alternative activity or group of children in order to prevent the
negative incident from reoccurring.
 Use positive reinforcement to help build new patterns of behavior.
 Use "sit and watch" or "time out" techniques as positive reinforcement. The child will be
taken to the Camp Director’s office to sit in a chair and explain to the Director what he/she
did wrong and why they did it.
 Never use physical or verbal abuse or corporal punishment.
 Punishment shall not be associated with rest period, toileting, or food.
If the inappropriate behavior occurs again that day, the child is brought into the Camp Director’s
office and instructed to call his/her parents to come pick-up him/her for the day. If parents are
called repeatedly, the child will no longer be welcome to the camp.
HEALTH ISSUES
Our goal at Cordillera Day Camp is to maintain a healthy environment. Please follow these rules
and keep your child home if:
 He/she has a fever, or has had one within the previous 24 hours.
 He/she has been taking antibiotics for less than 24 hours.
 He/she has a cold, accompanied by sneezing and coughing.
 He/she had a noticeable sore throat. If a Strep culture is given, he/she may not return to the
camp until the test results are negative.
 He/she is unusually fussy, cranky, and not him/herself.
 He/she has symptoms of a communicable disease (strep. throat or chicken pox, etc.) such as
the following symptoms listed by the Health Department:
*Abdominal Pain
*Diarrhea
*Impetigo (until MD releases)
*Lice (Pediculosis)
*Malaise (general listlessness)
*Pink Eye / Conjunctivitis
*Rash
*Ringworm
*Upper Respiratory infection
*Vomiting
7
Cordillera Day Camp reserves the right to require a note from your doctor stating your
child can return to camp, regardless of how long your child has been absent.
Any time your child has seen a physician or physician’s assistant for an illness or accident,
Cordillera Day Camp requires that you get a note stating your child’s illness and the date they are
cleared to return to camp.
ILLNESS DURING CAMP
Your child may be sent home if any of the above listed items appear while at camp. In such
cases, your child may be isolated from other children in a supervised area. You will be contacted
and expected to arrange for your child to be picked up within one hour. A late charge of $12.00
per 15 minutes will go into effect after one hour. If we are unable to reach you, we will call the
“emergency contact” person listed on your child’s registration form.
The State of Colorado requires you to notify the camp if your child has been exposed to a
communicable illness such as mumps, chicken pox or strep. We reserve the right to exclude
the child from the camp upon the recommendation of the child’s physician, local health
department, or our nurse consultant. We are required to report if a child has been diagnosed with
a communicable illness. This report will be made to the State Department of Public Health, all
staff members and all parents.
INJURY
In case of injury, we will comfort your child and make immediate attempt(s) to contact you. We
will call an ambulance or paramedics, when necessary. As directed in the Cordillera Day Camp’s
liability release, you have authorized the Director or head counselor present to make all
emergency care decisions involving your child in your absence. If the child needs to be
transported for emergency care and you are not here, a staff person will always accompany the
child. Any injury or illness involving medical treatment will be reported to the Colorado Dept. of
Human Services within 24 hours.
MEDICATION
You are always welcome to come administer medication to your child at any time. We will
document what you have given your child and when so we know what to look for if there is a
problem or complication.
Only authorized medication compliance staff are authorized to administer medication to your
child during camp hours. You must have your child’s physician sign a Medical Authorization
Form (available at the front desk) for all prescription, and “over the counter” medication.
This form should be given to the designated staff person in your child’s room.
It is necessary that:
 We have the Permission for Medication Form filled out for ALL medication from the
treating physician with his/her signature, PRIOR to administering medication at camp.
 The child’s health status form lists permission to administer “over the counter medication”
(example: Tylenol / Motrin). This permission needs to list the brand name and dosage. The
child’s health status form must be current, and have the physician’s signature.
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








Prescription medication must bear the original pharmacy label, showing the name of
medication, physician's name, child's name, and directions for dosage, and expiration date.
All medication must be in the original container and have the child’s name on it. You must
provide a medicine dispenser (example: spoon, dropper, etc.)
The medication must be given to the designated staff person for storage that is inaccessible to
children and is in accordance with pharmacy instructions.
Do not add medication or vitamins or homeopathic medicines to your child’s drink or food.
Do not store medications in your child’s pack or lunch box, please give them directly to the
counselor.
The designated staff person will keep a written record of medication administration.
We are NOT allowed to administer any vitamins, supplements or homeopathic remedies.
Due to our child/counselor ratio’s we may not be able to accommodate your child if they are
undergoing allergy treatments. Please schedule these treatments on the weekend or consider
keeping the child home for the duration so your child doesn’t eat or come in contact with
something they were not suppose to.
We are required to return all expired medication to parents for disposal.
EMERGENCY PROCEDURES
We are required to list these procedures in the event of the following emergencies:
 INCLEMENT WEATHER: In case of inclement weather, appropriate indoor games
will be arranged by the staff. Inclement weather includes but not limited to
excessively hot or cold weather, lightning strikes and rain/snow showers. If campers
are in the pool during lightning storms, the pool staff will remove the campers
immediately and have them sit in a warm, dry place until the storms have passed (at
least 30 minutes after the last strike). If a storm looks to last more than 30 minutes,
children will get dressed and participate in indoor games for the duration of the swim
activity.
 BLIZZARDS: In the event of a blizzard so severe that the parents cannot reach the
camp, the staff will stay in the camp and see that the children are fed and cared for.
They will be put to bed if their parents cannot reach the camp by 9 pm. We will not
close for bad weather unless the storm is so severe that the community is shutdown.
 FOREST FIRE: Due to the location of Cordillera Day Camp, a forest fire evacuation
plan has been set up with Cordillera Public Safety to ensure that all children are
removed from an area of danger. The Divide Gatehouse is required to call the Camp
Director at the first sign of a forest fire in the area. If the Camp is located within the
fire zone, campers will be loaded into vans and removed from the area. The Camp
Director is responsible for ensuring that all children enrolled in the Camp for the day
are on the vans prior to the evacuation. The parking lot at the bottom of Squaw Creek
Road (St. Clare’s parking area) will be used as a meeting area for campers and their
parents. Parents will be notified via cell phone that they need to pick up their children
immediately. Camp staff will stay in that location until all remaining campers have
been picked up.
 FIRE: Fire evacuation procedures are posted in each room.
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 TORNADOES: Children will be moved to the inside corridors of the Trailhead
Building. This is an area away from exterior windows.
 LOST CHILD: Each staff person is assigned a small number of children for which
he/she is responsible at different times during the day. It is the counselor’s
responsibility to do head counts on a regular basis and to follow up with any campers
who may have stepped into the restroom or moved on to another activity with the
permission of his/her counselor. Each counselor who leaves the building is in direct
contact with the other counselors and the Camp Director at all times.
If a child goes missing while at camp or on a field trip, the remaining campers are
collected into one small room or area. The Camp Director or head counselor stays
with that group of children while the other counselors perform a search. If this
happens while on a field trip, the staff at the location being visited is informed
immediately and facility-wide search is conducted. If necessary, the local authorities
will be brought in to help conduct the search. If the camper is lost at camp, a search of
the pool area, playground and local trails will be conducted. If necessary, Cordillera
Public Safety will be notified to help with the search. The child’s parent(s) will also
be called at this point and the local authorities will be brought in to assist. The
Colorado State Department of Human Services Division of Child Care will be
notified within 24 hours of a lost child.
 EMERGENCY NUMBERS: Cordillera Day Camp (970) 926-5590, Cordillera Public
Safety (970) 926-2335
 LOCK DOWN – We have a policy in effect, however due to security protocols we are
not allowed to publicize our procedure. You will be notified as to what to do when
the time is right. You will not be permitted into the building or allowed to leave with
or without your child if you are already in the camp during a lock down.
CHILD ABUSE
All employees of Cordillera Day Camp are required to sign a statement clearly defining child
abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility
to report all incidents of child abuse or neglect according to state law.
Staff members are mandated reporters of suspected child abuse. If a staff member suspects any
form of child abuse, it will be reported immediately.
If you would like to report any form of child abuse, please contact:
Eagle - Department of Health and Human Services
(970) 328-8840
(970) 328-8829 (fax)
Jone Bosworth, Director
P.O. Box 660
551 Broadway
Eagle, CO 81631
After Hours: Vail Police Dispatch (970) 479-2200
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REPORTING OF LICENSING COMPLAINTS
If you have any complaints about Cordillera Day Camp, please contact:
Division of Child Care - Colorado Department of Human Services
1575 Sherman Street
Denver, CO 80203-1714
(303) 866-5958
CAMP FEES
2017 Fees for Cordillera Day Camp are as follows:
 $40*/day for children, grandchildren and relatives of primary Cordillera Property Owners
and Residents.
 $50*/day for children and relatives of non-Cordillera Property Owners and Residents.
 *An additional $10/day fee applies for drop-ins
Additional fees for tennis clinics, golf clinics (please wear a collared shirt & appropriate
pants/shorts for Golf Clinic), swimming lessons, as well as day/field trips. Please bring own golf
clubs and tennis racquets as extra equipment is limited.
PAYMENT POLICY
We only accept credit cards (visa/mc/amex) as a method for payment. A credit card must be on
file for your child to be registered for camp. Charges will be made the day your child attends
camp. All transactions will appear on your credit card statement as “Rec 1”.
SICK DAYS & FAMILY EMERGENCIES
 You need to notify the camp by 9 am if your child will be absent from camp. Special
adjustments may be made for extended hospitalization on a case by case basis.
Cordillera Day Camp reserves the right to require a note from your doctor or appropriate
representative stating your child was sick and/or stating the nature of the emergency.
CANCELLATIONS FROM CAMP
If you need to cancel a camp day for your child, we require a written notice via email, 24 hours in
advance. The full charge of camp for the day cancelled will be charged if 24 hours notice is not
given.
We reserve the right to ask that a child leaves Cordillera Day Camp, with two weeks’ notice, if
we feel that the child has not adapted to our program.
WITHDRAWAL OF CAMP SERVICES
If, at any time, Cordillera Day Camp must suspend day camp services, parents will be notified
immediately via e-mail or telephone. Notification will occur in the manner that best suits the
situation and depends upon the timeframe for the closure.
FIELD TRIPS
Approximately two times each month campers have the opportunity to leave the Trailhead
facility to attend field trips. If an outside vendor is going to be used, a signed waiver from that
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vendor must be on hand for each child. The Cordillera Day Camp waiver from the original
registration form must also be on file.
A roster for the field trip is kept by the Cordillera Day Camp staff to ensure that the proper
numbers of children are in the van(s) at all times. These rosters include health information,
parent’s phone numbers, and healthcare provider information.
Children are required to bring a cold, sack lunch on these excursions. Drinking water and
sunscreen are transported with the vehicle for all children. The child:counselor ratio for field trips
is no greater than 8:1.
CAMP TRANSPORTATION
It is often necessary to transport children from camp to golf and tennis clinics or for field trips.
Children are transported by approved counselors, the Director of Recreation, Assistant Manager
of Recreation or the Camp Director. Only Cordillera Day Camp approved drivers are permitted to
transport campers.
In order for a child to attend a clinic or field trip, a signed travel waiver must be on hand in the
Camp Director’s office. If a child still meets the state requirements for a car seat or booster seat,
the seat must be left for camp staff to install in a camp van. It is recommended that parents stay
to install the seat themselves prior to a field trip or clinic.
All campers must wear a seatbelt at all times while riding in camp vehicles. All seatbelts are
checked by camp staff before a camp vehicle leaves the property. If a child unbuckles his/her
seatbelt while the vehicle is moving, the vehicle will immediately pull over until the seatbelt is
buckled. If a child continues to unbuckle or will not buckle up at all, parents will be called to
pick up that child immediately and he/she will no longer be permitted to attend field trips or
clinics. Children are not permitted in the front passenger seat at any time.
VEHICLE BREAK DOWN POLICY
In the instance that a Camp vehicle breaks down while on a field trip, a back-up van will be
called immediately from Camp to transport passengers to their destination. If it becomes
necessary to remove passengers from the van while waiting for back-up and a tow truck, children
will be moved as far away from the line of traffic as possible and will be instructed to sit in a
shaded area (if available) to wait.
TELEVISION OR VIDEO VIEWING
On rare occasions, campers are given the opportunity to view a video or DVD at camp. Parents
must sign a waiver permitting campers to view movies rated G or PG. If no waiver is on file and
parents cannot be reached, children will be given an alternate activity in which to participate
during the movie.
Television is not viewed during Cordillera Day Camp at any time. We also request that all video
game players, cell phones, iPods, iPads & DVD players are left at home or locked up in the camp
safe for the day.
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CHILDREN'S BELONGINGS
All of your child's belongings are to be labeled with his or her name. A cubby is provided
for each child to store his or her belongings. All children are asked to bring an extra change of
clothes (labeled). Your child’s lunch box should be labeled with his/her name. Please label the
top and bottom of each individual container (example: Rubbermaid or Tupperware) that you use
for food storage. We try our best to keep track of each childs’ personal belongings, but we
cannot be responsible for misplaced items. Money and other valuables are not recommended at
camp. If a child must bring valuables to camp, it is recommended that they be turned into the
Camp Director to be stored in the camp safe.
TOYS FROM HOME
Please do not bring toys from home!
It is your responsibility as a parent to explain to your child that things brought to camp could
become broken or lost. If your child wants to share a special book, please ask the counselor
when the best day would be to bring it for sharing. Cordillera Day Camp is not responsible for
items brought from home.
WHAT TO WEAR
Your child should come to camp comfortably dressed for indoor and outdoor activities. “Busy
children do get dirty!” Please consider our changeable weather and dress your child accordingly.
Please always have a swimsuit, appropriate shoes for physical activities and a light jacket or
sweater available for your child at camp. We encourage all children to wear sunglasses and sun
hats. Label everything!
SUNSCREEN
You will be informed of the type of sunscreen we will be using for the summer. Sunscreen
provided by camp will be SPF 30 or higher. If you prefer to provide your own sunscreen,
you must fill out, and sign, a medication authorization form.
We request that you apply sunscreen at home, before your child comes to camp.
NUTRITION
Please send a nutritious and well balanced lunch for your child. All lunches shall not be less than
one-third of your child's daily food needs. The serving size shall be suitable for the child's age
and appetite. Please restrain from sending sweets/candy with lunch. We are able to chill lunches
in the refrigerator and to warm simple lunch items in the microwave. If a child forgets his/her
lunch, parents will be called to bring one to camp before 11 am.
Due to severe allergies, Cordillera Day Camp does not allow peanut butter or nuts at our
camp. Please be aware of this and do not pack these items in your child’s lunch. These items are
subject to change as needs change and additional items may be added to the list of non-allowable
food.
We serve a nutritious afternoon snack each day.
CELEBRATIONS
We celebrate special holidays in traditional fashions. Please let us know if you need to make
alternate arrangements for your child.
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Cordillera Day Camp Parent Handbook Signature Page
I have received a copy of the Cordillera Day Camp Parent Handbook and it is my responsibility
to read and understand all of its contents.
_________________________________________
Signature
_________________________________
Printed Name
_____________/_______/_________
Date
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**Form should be completed by child’s physician
Health Care Recommendations
I have examined _______________________________________ Date of Examination ___________________
BP ___________
Weight __________ Height __________ Blood Type __________ Contact Lenses Y / N
_________ He/she is able to participate in an active camp program.
The applicant is under the care of a physician for the following conditions:
__________________________________________________________________________________________
Treatment to be continued at camp:
__________________________________________________________________________________________
Surgery/Accidents/Illnesses/Chronic Health Problems:
_________________________________________________________________________________________
Medications to be administered at camp (name, dosage, frequency):
__________________________________________________________________________________________
Any dietary restrictions: ______________________________________________________________________
Known allergies: ____________________________________________________________________________
Description of any limitation or restriction on camp activities:
__________________________________________________________________________________________
Additional information for health care staff at camp:
__________________________________________________________________________________________
1
Which of the following has the camper had (please give approximate date)
_______________Chicken Pox
_______________ Measles
_______________ Rubella
_______________Rheumatic Fever
_______________ Asthma
_______________ Hay Fever
_______________Diabetes
_______________ Mumps
_______________ Epilepsy
_______________ Whooping Cough
_______________ Poliomyelitis
_______________ Hepatitis
General Questions
1. Had any recent injury, illness or infectious disease?
2. Has a chronic of recurring illness/conditions?
3. Have frequent headaches?
4. Ever had a head injury?
5. Ever been knocked unconscious
6. Wear glasses, contacts or protective eye wear?
7. Ever had frequent ear infections?
8. Ever had chest pain during or after exercise?
9. Ever had high blood pressure?
10. Ever had back problems?
11. Ever had problems with joints (i.e. knees & ankles)
12. Have any skin problems (i.e. Itching, rash, acne)
13. Had mononucleosis in the past 12 months?
14. If female, have an abnormal menstrual history?
15. Ever had emotional difficulties for which professional help was sough?
_____ Yes
_____ Yes
_____ Yes
_____ Yes
_____ Yes
_____ Yes
_____ Yes
_____ Yes
_____ Yes
_____ Yes
_____ Yes
_____ Yes
_____ Yes
_____ Yes
_____ Yes
_____ No
_____ No
_____ No
_____ No
_____ No
_____ No
_____ No
_____ No
_____ No
_____ No
_____ No
_____ No
_____ No
_____ No
_____ No
Please explain “yes” answers, noting the number of the question:
__________________________________________________________________________________________
Signature of Licensed Medical Personnel: ________________________________________________________
Printed Name: _______________________________________ Title: __________________________________
License Number: _____________________________________ Phone: ________________________________
Address: __________________________________________________________________________________
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CERTIFICATE OF IMMUNIZATION
www.coloradoimmunizations.com
Colorado law requires this form to be completed by a school health authority or health care provider for each immunized student attending
Colorado schools.
6 CCR 1009-2 The Infant Immunization Program and Immunization of Students Attending School: Schools shall have on file an official
immunization record for every student enrolled.
Name:
Date of birth:
Parent/guardian:
Required vaccines
Each immunization date MM/DD/YY
Titer date
Hep B Hepatitis B
DTaP Diphtheria, Tetanus, Pertussis (pediatric)
DT Diphtheria, Tetanus (pediatric)
Tdap Tetanus, Diphtheria, Pertussis
Td Tetanus, Diphtheria
Hib Haemophilus influenzae type b
IPV/OPV Polio
PCV Pneumococcal Conjugate
MMR Measles, Mumps, Rubella
Measles
Mumps
Rubella
Varicella Chickenpox
Varicella date of disease
Varicella positive screen date
Recommended vaccines
Each immunization date MM/DD/YY
HPV Human Papillomavirus
Rota Rotavirus
MCV4/MPSV4 Meningococcal
Men B Meningococcal
Hep A Hepatitis A
Flu Influenza
Other
Optional review signature by the school health authority or health care provider
I have reviewed this immunization record
Signature:
Date:
(Optional) TO BE COMPLETED BY PARENT/GUARDIAN/ADULT STUDENT
I authorize my/my student’s school to share my/my student’s immunization records with state/local public health and the Colorado
Immunization Information System, the state’s secure, confidential immunization registry.
Signature:
Revised September 2016
Date: