March 2017 Registration Form

March 2017
Adult/Teen Social Club - Ages 16 and up
March 3rd (Friday) Jazz Game: The Utah Jazz will battle the Brooklyn Nets on the basketball court at the Vivint Smart Home Arena. This is sure to be a great time as
we help our Jazz battle on to victory in this exciting match. Prices for this season’s games will vary. Sign up early as tickets are limited. ADA seating is also limited.
This is a combined adults/teens/kids activity located at the Vivint Smart Home Arena.
*Please note the times for this activity*
Pick-ups: 5:00-6:30 pm
Drop-Offs: 9:00-10:30 pm
Cost: $80.00
March 4th (Saturday) Natural History Museum of Utah: History will come alive as we visit exhibits about the sky, life, land, gems and minerals, past worlds, and
Native Americans at the Natural History Museum! Decide what exhibits you would like to see with your friends from Camp K. This is a combined adults/teens/kids
activity located at the Natural History Museum of Utah.
*Please note the times for this activity*
Pick-ups: 8:30-10:00 am
Drop-Offs: 12:00-1:30 pm
Cost: $60.00
March 7th (Tuesday) International House of Pancakes: Come enjoy the finest pancakes available at one of the best restaurants in town, IHOP! Enjoy large, fluffy
hotcakes, smothered with mouthwatering maple syrup. Choose from an assortment of delicious flavors. This is a combined adults/teens/kids activity located at IHOP
in Salt Lake.
Pick-Ups: 5:30-7:00 pm
Drop-offs: 9:00-10:30 pm
Cost: $65.00
March 10th (Friday) Clark Planetarium: 1, 2, 3 BLAST OFF! Join us for a night of fun as we explore the wonders of space. We will begin the night by exploring
interactive space exhibits that will be sure to capture your imagination. We will end the night by relaxing in movie theater quality chairs located in the impressive
Hansen Dome and enjoying 360 degrees of immersive space entertainment. It will be out of this world! This is a combined adults/teens/kids activity located at the
Clark Planetarium.
*Please note the times for this activity*
Pick-ups: 4:30-6:00 pm
Drop-Offs: 8:00-9:30 pm
Cost: $60.00
March 11th (Saturday) Disney on Ice- Worlds of Enchantment: Rev up for non-stop fun with four of your favorite Disney stories! Thrill to high-speed stunts as
Lightning McQueen and the crew of Pixar’s Cars race across the ice! Dive into adventure with Ariel and The Little Mermaid’s undersea kingdom. The toys are also back
in town with heroic action when Buzz, Woody, Jessie and the Pixar Toy Story gang escape Sunnyside Daycare in their most daring adventure! This is a combined
adults/teens/kids activity located at the Vivint Smart Home Arena.
*Please note the times for this activity*
Pick-Ups: 9:30-11:00 am
Drop-Offs: 1:30-3:00 pm
Cost: $70.00
March 14th (Tuesday) Tie Dye Tuesday: It’s time to get our creative juices flowing as we tie dye! Please bring a white shirt that you can color with fun and exciting
shapes and dye colors! This will be a creation you can show off to all of your friends by wearing it to future Camp K activities! A masterpiece made unique for you! This
event is a combined adults/teens/kids activity located at Camp K.
Pick-Ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $55.00
March 17th (Friday) St. Patrick’s Day Party: Be sure to wear green to avoid the pinches from our participants at Camp K on St. Patrick’s Day! We will play some
festive games, have some green treats & refreshments, and hunt for the lucky 4-leaf clover! This is a combined adults/teens/kids activity located TBA.
Pick-ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $60.00
March 18th (Saturday) Treasure Island Children’s Theater: Join us on an epic action adventure by Robert Louis Stevenson. Young Jim Hawkins is taken into a
daring world of ships, pirates, a desert island and treasure! A swashbuckling tale sure to keep you on the edge of your seat! Sign up early as tickets are limited! This is a
combined adults/teens/kids activity located at the Children’s Theatre.
*Please note the times for this activity*
Pick-ups: 11:00am-12:30 pm
Drop-Offs: 3:00-4:30 pm
Cost: $60.00
March 21st (Tuesday) Bowling: Because bowling never gets old! Join us for another night of bowling bliss at Fat Cats and cheer on your friends as they strike and
spare their way to victory! This is a combined adults/teens activity located at Fat Cats Fun Center located in Salt Lake.
Pick-ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $60.00
March 24th-25th (Fri-Sat) Superstar Mini Camp: Calling all Superstars! Come get ready to show your performing skills and join us for a weekend of karaoke, Just
Dance, skits, and award shows. Friday night dinner will be provided by Ruth’s Diner, as well as a hot breakfast and lunch on Saturday. We will be staying overnight
in our heated cabins, so bring your overnight gear! This is a combined adults/teens/kids activity located at Camp K.
*Please note the times for this activity*
Drop-Offs: Friday, 5:00pm at Camp K
Pick-Ups: Saturday, 2:00pm at Camp K
Cost: $125.00
March 28th (Tuesday) Fire Station Tour: Have you ever dreamed of riding in the big red fire truck or being a fire fighter? Now is your chance to learn the ropes. Join
us for an amazing tour of the Fire Station by our fantastic Murray Fire Fighters! You will get to see the fire trucks and gear and hear the sounds of the sirens as you
spend time learning and exploring with all of your friends! This is a combined adults/teens/kids activity located at the Murray Fire Station.
Pick-ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $50.00
March 30th (Thursday)- Dollar Movie Night: Fun and laughter is good for the soul! Let’s get together and watch an entertaining movie at the theater! Enjoy a dark
theater and comfortable seats! Bring money if you’d like to purchase a treat. Movie is TBA. This is combined adults/teens activity located at Sandy Movies 9.
Pick-ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $55.00
March 31st (Friday)Pizza and Games: Who doesn’t love pizza? Come hungry, as you will be making yourself a delicious, personalized pizza topped with all of your
favorite toppings. While your pizza cooks, enjoy playing games with your friends at Camp K. Bring your favorite game or play one of ours. This is a combined
adults/teens activity located at Camp K.
Pick-Ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $55.00
K-Kids- Ages 7 – 16
March 3rd (Friday) Jazz Game: The Utah Jazz will battle the Brooklyn Nets on the basketball court at the Vivint Smart Home Arena. This is sure to be a great time as
we help our Jazz battle on to victory in this exciting match. Prices for this season’s games will vary. Sign up early as tickets are limited. ADA seating is also limited.
This is a combined adults/teens/kids activity located at the Vivint Smart Home Arena.
*Please note the times for this activity*
Pick-ups: 5:00-6:30 pm
Drop-Offs: 9:00-10:30 pm
Cost: $80.00
March 4th (Saturday) Natural History Museum of Utah: History will come alive as we visit exhibits about the sky, life, land, gems and minerals, past worlds, and
Native Americans at the Natural History Museum! Decide what exhibits you would like to see with your friends from Camp K. This is a combined adults/teens/kids
activity located at the Natural History Museum of Utah.
*Please note the times for this activity*
Pick-ups: 8:30-10:00 am
Drop-Offs: 12:00-1:30 pm
Cost: $60.00
March 7th (Tuesday) International House of Pancakes: Come enjoy the finest pancakes available at one of the best restaurants in town, IHOP! Enjoy large, fluffy
hotcakes, smothered with mouthwatering maple syrup. Choose from an assortment of delicious flavors. This is a combined adults/teens/kids activity located at IHOP
in Salt Lake.
Pick-Ups: 5:30-7:00 pm
Drop-offs: 9:00-10:30 pm
Cost: $65.00
March 10th (Friday) Clark Planetarium: 1, 2, 3 BLAST OFF! Join us for a night of fun as we explore the wonders of space. We will begin the night by exploring
interactive space exhibits that will be sure to capture your imagination. We will end the night by relaxing in movie theater quality chairs located in the impressive
Hansen Dome and enjoying 360 degrees of immersive space entertainment. It will be out of this world! This is a combined adults/teens/kids activity located at the
Clark Planetarium.
*Please note the times for this activity*
Pick-ups: 4:30-6:00 pm
Drop-Offs: 8:00-9:30 pm
Cost: $60.00
March 11th (Saturday) Disney on Ice- Worlds of Enchantment: Rev up for non-stop fun with four of your favorite Disney stories! Thrill to high-speed stunts as
Lightning McQueen and the crew of Pixar’s Cars race across the ice! Dive into adventure with Ariel and The Little Mermaid’s undersea kingdom. The toys are also back
in town with heroic action when Buzz, Woody, Jessie and the Pixar Toy Story gang escape Sunnyside Daycare in their most daring adventure! This is a combined
adults/teens/kids activity located at the Vivint Smart Home Arena.
*Please note the times for this activity*
Pick-Ups: 9:30-11:00 am
Drop-Offs: 1:30-3:00 pm
Cost: $70.00
March 14th (Tuesday) Tie Dye Tuesday: It’s time to get our creative juices flowing as we tie dye! Please bring a white shirt that you can color with fun and exciting
shapes and dye colors! This will be a creation you can show off to all of your friends by wearing it to future Camp K activities! A masterpiece made unique for you! This
event is a combined adults/teens/kids activity located at Camp K.
Pick-Ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $55.00
March 17th (Friday) St. Patrick’s Day Party: Be sure to wear green to avoid the pinches from our participants at Camp K on St. Patrick’s Day! We will play some
festive games, have some green treats & refreshments, and hunt for the lucky 4-leaf clover! This is a combined adults/teens/kids activity located TBA.
Pick-ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $60.00
March 18th (Saturday) Treasure Island Children’s Theater: Join us on an epic action adventure by Robert Louis Stevenson. Young Jim Hawkins is taken into a
daring world of ships, pirates, a desert island and treasure! A swashbuckling tale sure to keep you on the edge of your seat! Sign up early as tickets are limited! This is a
combined adults/teens/kids activity located at the Children’s Theatre.
*Please note the times for this activity*
Pick-ups: 11:00am-12:30 pm
th
Drop-Offs: 3:00-4:30 pm
Cost: $60.00
th
March 24 -25 (Fri-Sat) Superstar Mini Camp: Calling all Superstars! Come get ready to show your performing skills and join us for a weekend of karaoke, Just
Dance, skits, and award shows. Friday night dinner will be provided by Ruth’s Diner, as well as a hot breakfast and lunch on Saturday. We will be staying overnight
in our heated cabins, so bring your overnight gear! This is a combined adults/teens/kids activity located at Camp K.
*Please note the times for this activity*
Drop-Offs: Friday, 5:00pm at Camp K
Pick-Ups: Saturday, 2:00pm at Camp K
Cost: $125.00
March 28th (Tuesday) Fire Station Tour: Have you ever dreamed of riding in the big red fire truck or being a fire fighter? Now is your chance to learn the ropes. Join
us for an amazing tour of the Fire Station by our fantastic Murray Fire Fighters! You will get to see the fire trucks and gear and hear the sounds of the sirens as you
spend time learning and exploring with all of your friends! This is a combined adults/teens/kids activity located at the Murray Fire Station.
Pick-ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $50.00
East
Dan’s Foods
West Parking Lot
3981 S. Wasatch Blvd
North
Red Lion Hotel
North West Parking Lot
161 West 600 South
Pick-Up Locations
North-East
Red Robin
East Side (back)
1313 Foothill Drive
South
Famous Dave’s Parking Lot
West Corner
1166 E Ft. Union Blvd. (7200 S)
West
Taylorsville High
West Parking Lot
5225 S. Redwood Rd.
Van Cell 1: 801-673-9409
Van Cell 2: 801-673-7652
If you are new to the program and have never attended community-based season or summer camp, please call to set up a time to meet with program
managers before you attend an activity. Initial assessments are critical in order to set goals to work on! Please contact Jamie at [email protected]
or by phone at (801) 582-0700 ext. 100, or Parker Wilkinson at [email protected] or by phone at ext. 109, or Ally Souza at [email protected]
or by phone at (801) 582-0700 ext. 107. We look forward to meeting you!
March 2017 Registration Sheet
Please Return by 1/25/2017 to:
Kostopulos Dream Foundation, 4180 E. Emigration Canyon, Salt Lake City, UT 84108
Fax: (801) 583-5176 or scan and email to [email protected] (credit card or DSPD only)
Name: ____________________________________________________ Phone:
Address:
Please Circle Desired Pick-Up/Drop-Off Location:
Dan’s Foods
Red Lion
Taylorsville High
Famous Dave’s
Red Robin
Would you like us to email you the pick-up and drop-off times the day of the activity? Yes or No
If yes, please provide your e-mail address:
Would you like us to e-text you the pick-up and drop-off times the day of the activity? Yes or No
If Yes, please provide the cell number: _________________________ AND cell provider: (Verizon, T-Mobile, etc.) _________________
* Technology sometimes does not work, if you don’t receive a text /email the day of the activity call our Van Pick-Up Extension to get pick-up times*
***Call 801-582-0700 x. 120 after 12pm the day of the activity to receive the pick-up and drop off times***
Kids
Adults/Teens
March 3rd (Friday) $80.00 ________
Jazz Game
March 4th (Saturday) $60.00 ________
Natural History Museum
March 3rd (Friday) $80.00 ________
Jazz Game
March 4th (Saturday) $60.00 ________
Natural History Museum
March 7th (Tuesday) $65.00 ________
International House of Pancakes
March 7th (Tuesday) $65.00 ________
International House of Pancakes
March 10th (Friday) $60.00 ________
Clark Planetarium
March 10th (Friday) $60.00 ________
Clark Planetarium
March 11th (Saturday) $70.00_________
Disney on Ice
March 11th (Friday) $70.00_________
Disney on Ice
March 14th (Tuesday) $55.00_________
Tie Dye Tuesday
March 14th (Tuesday) $55.00_________
Tie Dye Tuesday
March 17th (Friday) $60.00__________
St. Patrick’s Day Party
March 17th (Friday) $60.00__________
St. Patrick’s Day Party
March 18st (Saturday) $60.00_________
Treasure Island Children’s Theater
March 18st (Saturday) $60.00_________
Treasure Island Children’s Theater
March 21st (Tuesday) $60.00_________
Bowling Night
March 24th-25th (Fri-Sat) $125.00_________
Superstar Mini Camp
March 24th-25th (Fri-Sat) $125.00_________
Superstar Mini Camp
March 28th (Tuesday) $50.00_________
Fire Station Tour
March 28th (Tuesday) $50.00_________
Fire Station Tour
March 30th (Thursday) $55.00_________
Dollar Movie
March 31st (Friday) $55.00_________
Pizza and Games
Space is limited; please return this form as soon as possible. If you
do not sign up by February 25th, please call for availability, as we
cannot guarantee.
TOTAL= $_________ (If Credit Card information is received, this is the amount we will charge)
PLEASE CHECK YOUR METHOD OF PAYMENT:
DSPD
CHECK/MONEY ORDER
CREDIT CARD
Name & Phone of Caseworker (DSPD only) ____________________________________________________________________
IF PAYING BY CREDIT CARD, PLEASE FILL OUT BELOW:
Card Number:
Exp. Date:
Signature:
Zip Code:
CVV/CVC:
*All money received is non-refundable* *Should DSPD deny payment, you are responsible to pay the cost of the program* *Cancellations not made 24 hours prior to the event are
non-refundable and not transferable for credit. **Only one cancellation per month, made at least 24 hours prior to the event, will be authorized for credit.* *Sign-up sheets must be
received by Camp K staff in order to reserve your spot on an activity. If you don’t sign up by February 25th, we cannot guarantee availability. *KDF Human Rights policy can be
found online at www.campk.org /about/human-rights-plan. Camp K will assess a $30 fee for all checks that are returned.