City of Los Angeles Department of Recreation and Parks
Day Camp
Theater Camp
Phone (818) 995-1690 • Fax (818) 990-8467
e-mail [email protected]
web http://www.laparks.org/reccenter/encino-community
Camp Encino
At Camp Encino we provide a program designed to offer your child a diverse recreation experience in a positive atmosphere.
Campers will have lots of fun learning new skills, developing new interests, making new friends, and enjoying activities like
sports, arts & crafts, science, games, cooking, drama, special guests, and special events. We emphasize positive social
behavior, a comfortable environment, and quality programs.
Theater Camp’s main goal is to provide a wonderful summer experience for the children building up their self-esteem and
self-confidence by enhancing their savvy theater skills and knowledge.
Our Camp’s reputation is built on the excellence of its directors, counselors, and CIT’s. They exemplify dedication,
commitment, and perseverance. They are trained to interact, motivate, and inspire every child by being a positive role model
and mentor. Each staff member is certified in CPR and First Aid, fingerprinted and cleared through Live Scan, and is
extensively trained to respond to a variety of situations. Many of the staff have been campers in the past, bringing their
individual skills and creative experiences to Camp Encino, making the great program that it is.
A. Registration begins March 13, 2017 and will continue until camp is filled.
registration applications will be processed in the order received.
B. Campers must meet age requirements by the start of camp.
Enrollment is limited and
C. Campers must be entering Kindergarten/Transitional Kindergarten in the Fall of 2017.
D. You are considered registered for a week of camp once we receive the full payment for that specific week.
E. Payments may be made by Visa, MasterCard, check or money order, payable to: L.A. City, Dept. of Rec.
& Parks.
F. A one time registration fee of $35.00 per camper is required. Once registered, ANY switches made
between day camp and theater camp will require an additional $35.00 registration fee.
G. Camp deposits are required to hold your child’s space in camp. Deposits are non-refundable.
H. Payments are due in full by the said due date for the corresponding session. A $10.00 late fee will apply to
all payments made after the due date.
I. All scheduled field trips and activities are subject to change or cancellation without prior notice.
J. Field trips to Disneyland and Universal Studios are an additional $45.00 each. This fee may be waived if
your child uses their season pass to enter Disneyland and/or Universal Studios. We are not responsible for
lost or stolen passes.
K. Campers who require a one-on-one aide must provide their own assistants and pay $30.00 for each field
trip they will attend in addition to the child’s regular tuition. All assistants MUST be fingerprinted and
cleared through our department prior to working. Clearance can take between 6-8 weeks so please plan
accordingly. Please see the office for details.
L. Please retain all receipts for tax purposes as we do not provide duplicates. Our Tax I.D. # is 95-6000-735.
Refunds and Cancellations
Due to prior scheduling of staff, busses, trip reservations, pre-purchase of tickets, and the inability to replace
your child’s space on the days they are absent, NO REFUNDS, MAKE-UP DAYS, OR TRANSFERS of
money, including those related to illness or medical reasons, will be given for any day, including trip days.
Refunds will be processed ONLY if you meet the pre-requisites listed below.
Refunds may be issued only for long-term illnesses (3 consecutive camp days or more), provided that we
receive a signed note from a licensed physician within the same week the child was absent. A 15%
processing fee will apply. Refunds take 6-8 weeks to be processed.
All refund requests must be submitted in writing using a refund request form and turned into the office.
Full refunds will only be issued if the activity is cancelled by Encino Community Center.
June 12 - August 11
$35.00
Monday - Friday
Registration Fee per child (includes 1 camp shirt)
$180.00 5 days per week, includes most trips
9:00am - 4:00pm
7:30am - 6:00pm
A $30.00 deposit is required for each week you wish to
hold your child’s space. The balance is due in full prior to
your child attending camp by the dates listed below.
$175.00 **4th of July Week, 4 days includes trip**
$170.00 4 non-trip days per week
Weeks 1, 2, 3 are due by JUNE 1, 2017
$160.00 Any 3 non-trip days per week
Weeks 4, 5, 6 are due by JUNE 22, 2017
$20.00
Extended Care Weekly Fee (flat rate for 1-5 days)
$45.00
Additional Disneyland & Universal Studios Trip Fee
$10.00
Additional Camp T-Shirt (must wear daily)
$1.00
Late Pick-Up fee (per minute, per child after 6pm)
Weeks 7, 8, 9 are due by JULY 13, 2017
ATTENTION PATRONS! IMPORTANT NOTICE
The park does not carry insurance. All patrons must
assume responsibility for their own policy.
To pick-up an application, register, or reserve a space for
your child in camp, please stop by the facility’s main office.
WALK-IN and MAIL-IN registration begins
on Monday, March 13, 2017.
Pre-Camp Registration Hours
Monday-Thursday: 9:00am - 8:30pm
Friday:
9:00am - 5:30pm
Saturday & Sunday: 9:00am - 1:00pm
LAST DAY for mail-in registration is on
Friday May 19, 2017.
Once camp begins, all new registrations & tuition balances
will only be accepted between camp hours, 7:30am-6:00pm.
There is a one time registration fee of $35.00 which includes
1 (one) camp t-shirt. A non-refundable deposit fee of $30.00
per week is required at time of registration to reserve a space
in camp. Each session must be paid IN FULL prior to the
beginning of that session. There are no refunds, no transfers
and no make-ups due to illness, vacation, or absence. Credit
cards, checks, and money orders are accepted for payment.
Your child’s name is required on all checks and money orders.
Please make all payments payable to:
L.A. City, Dept. of Rec. & Parks
NO mail-in applications/payments that are
post-dated after May 19 will be accepted.
These applications will be returned. We
are not responsible for any lost, late or
missing applications/payments due to
mail or postage.
WALK-IN registration will continue until
camp is filled.
Register Early
Due to the popularity of our camp, spaces do
fill up quickly. Spaces are on a first come
first served basis. To ensure your child a
space and avoid being placed on a waiting
list, please register early.
Thank you kindly, ECC
As covered entity under Title II of the Americans with Disabilities Act, the City of L.A. does not
discriminate on the basis of disability, and upon request will provide reasonable accommodations to
ensure equal access to its programs, services and activities.
Camp Encino has a wide variety of activities including weekly themed events, individual awards,
group awards, contests, dress up days, special guests, and best of all FUN, FUN, FUN!
Ages 8 - 13 years
Ages 4.9 - 13 years
(Child must be age 5 years by Dec. 2, 2017)
In our Day Camp program, the children will enjoy
a wide variety of age appropriate activities
including: dress-up days, spirit, singing songs,
music, arts & crafts, sports, games, cooking,
drama, science, weekly special events, special
guests, water play, field trips, lunch on us every
Friday & more!
Our Theater Camp’s main focus is to provide a
wonderful summer experience for the children as
they participate in a wide variety of hands-on
workshops such as: production crews, sets,
props, costumes, scenery, make-up, sound and
lighting. Campers will also play creative drama
games, scene study, character development,
movement, learn improvisation, stand up, stage
presence, public speaking, critical thinking,
dance, experience great field trips, enjoy lunch
on us every Friday and much more!
Scheduled Field Trips and Activities are subject to change or cancellation without prior notice.
Week
Dates
Weekly Theme
Rockin’ Tuesdays
Field Trip
1
June 12 - June 16
Jurassic Park
Silly Socks Day
Universal Studios
2
June 19 - June 23
Let’s Cruise!
Wild Hair Day
Raging Waters
3
June 26 - June 30
Kids Just Want to Have Fun!
Crazy Hat Day
Magic Mountain
4
**Camp Closed July 4th**
UnDer thE BIG ToP!
USA Colors Day
Seaside Lagoon
5
July 10 - July 14
WiLd, WiLd, WeSt!
Mustache Day
Knott’s Berry Farm
6
July 17 - July 21
Gotta Catch em’ All
Backwards Day
7
July 24 - July 28
Space Warz!
Mix & Match Day
Disneyland
8
August 31 - August 4
Arrr, Matey!
Neon Nation Day
Hurricane Harbor
9
August 7 - August 11
Disco Fever
Pajama Day
July 3 - July 7
Santa Monica Pier’s
Pacific Park
Universal City Walk AMC
Movies
WEDNESDAYS ARE FIELD TRIP DAYS UNLESS OTHERWISE NOTED
Please Note: **Field Trips with an Asterisks next to them are scheduled on a NON-Wednesday (please see schedule)**
Parent Handbook Form Received? ________ Staff Initial ________
Child’s Name __________________________ Grade in Fall (2017) ____ GROUP_________
Camp Encino
Please check one of the following
DAY CAMP THEATER CAMP
Registration Application
$35.00
$180.00
$175.00
$170.00
$160.00
$20.00
$45.00
$10.00
$1.00
Registration Fee per child (includes 1 camp shirt)
5 days per week, includes most trips
**4th of July Week, 4 days includes trip**
4 non-trip days per week
Any 3 non-trip days per week
Extended Care Weekly Fee (flat rate for 1-5 days)
Additional Disneyland & Universal Studios Trip Fee
Additional Camp T-Shirt (must wear daily)
Late Pick-Up fee (per minute, per child after 6pm)
To reserve a space, please put an X in each box of the days you
wish your child to attend camp. Also, place an X in the EC box of
each week you will need extended care.
A $30.00 deposit is required for each week you wish to hold your
child’s space. This deposit is Non-Refundable / Non-Transferrable
but is deducted from the weekly tuition at the time of payment.
Payment is due prior to your child attending camp.
MON
TUES
WED
THUR
FRI
Week 3
Week 2 Week 1
Session 1: Payment due in full by JUNE 1, 2017
EC
June
12
June
13
Universal
Studios
June
15
June
16
EC
June
19
June
20
Raging
Waters
June
22
June
23
EC
June
26
June
27
Magic
Mountain
June
29
June
30
Week 6
Week 5 Week 4
Session 2: Payment due in full by JUNE 22, 2017
EC
**
July
3
July
4
Seaside
Lagoon
July
6
July
7
EC
July
10
July
11
Knott’s
Berry Farm
July
13
July
14
EC
July
17
July
18
Pacific
Park
July
20
July
21
Week 9
Week 8 Week 7
Session 3: Payment due in full by JULY 13, 2017
EC
July
24
July
25
July
27
EC
July
31
August Hurricane August
Harbor
1
3
August
4
EC
August
7
August Movies at August
City Walk
8
10
August
11
$35.00
Registration Fee
$
$30.00
X______ Weeks Reserved
$
$180.00 (5 days)
X______ Weeks Paid in Full
$
$170.00 (4 days)
X______ Weeks Paid in Full
$
$175.00 (WK of 7/4) X______ Weeks Paid in Full
$
$160.00 (3 days)
X______ Weeks Paid in Full
$
$20.00 (EC)
X______ Weeks Paid in Full
$
$45.00
Disneyland Field Trip
$
$45.00
Universal Studios Field Trip
$
$10.00
X______ T-Shirt(s)
$
Total Received
$
Receipt #
Initial Payment Date
Staff Name
Yes /
No
T-Shirts Received?
Qty_________
*Scheduled Activities and Field Trips are subject to change or cancellation without prior notice.*
Deposit
Receipt
Date
Balance
Receipt
Date
Other
Receipt
Date
Receipt
Date
Receipt
Date
UNIVERSAL FEE
Deposit
Receipt
Date
**
Deposit
Balance
Receipt
Date
**
Receipt
Date
July
28
Balance
Other
**
Receipt
Date
Other
DISNEYLAND FEE
PLEASE INITIAL BELOW. I have read and understand the following:
T-shirts are required to be worn daily. If your child arrives to camp without a t-shirt, one will be issued to them and you will be billed accordingly.
Each week it is my responsibility to obtain and thoroughly read the weekly newsletter as it contains important information regarding weekly activities and field trips.
A deposit of $30.00 per week is required in order for you to reserve space in camp. Your child is not guaranteed enrollment unless deposits are paid in advance.
If payment is not made by the due date, your child’s space may be filled. A late payment fee of $10.00 may be applied to your child’s tuition after said due date.
Extended Care is a flat rate of $20.00 per week whether the child attends 1 day or all 5 days. Extended care hours are from 7:30am-6:00pm.
All registration fees and $30.00 weekly deposits are Non-Refundable & Non-Transferable. Any full payment transfer requests will incur a $30.00 per week charge.
Once registered, ANY switches made between day camp and theater camp will require an additional $35.00 registration fee.
All refunds will be accessed a 15% administration fee in addition to the non-refundable deposits and registration fees.
A $1.00 per child, per minute late fee will apply to any child picked up after 6:00pm.
PLEASE COMPLETE BOTH SIDES OF THIS FORM AND
All Camp Encino rules and policies stated in the Registration Booklet and in the Parent Handbook.
RETURN IT WITH PAYMENT TO THE OFFICE.
Camp Encino
Child’s Gender: (please circle) Male / Female
Group
_______
.
Grade in Fall: _________ School:________________________
Child’s Name: ________________________________________ Age: _________ Birth date:______ / ______ / ______
First
Last
Address___________________________________City____________________State ________Zip Code____________
Mother’s (Guardian’s) Name: ____________________________ E-mail Address: ______________________________
Home Phone:(
)_________________ Cell Phone:(
)_________________ Work Phone:(
)_________________
Father’s (Guardian’s) Name: _____________________________ E-mail Address: ______________________________
Home Phone:(
)_________________ Cell Phone:(
)_________________ Work Phone:(
)_________________
I authorize these additional persons to pick up my child (include car pools) and to be contacted in case of an emergency:
Name_____________________________Phone:(
Name_____________________________Phone:(
Name_____________________________Phone:(
Name_____________________________Phone:(
)_____________________Relation__________________________
)_____________________Relation__________________________
)_____________________Relation__________________________
)_____________________Relation__________________________
**Persons listed below, ARE NOT authorized to pick up my child at any time.
**Please Note: If named person is a biological parent, written documentation by the court is required.
**Name______________________________________________Relation_______________________________________
**Name______________________________________________Relation_______________________________________
MEDICAL INFORMATION: Insurance Provider_______________________________Policy #_______________________
Physician_________________Phone:(
)_______________ Dentist_________________Phone:(
)_______________
Is child on medication? Yes____ No____ If so, list medication:________________________________________________
Does medication need to be distributed at camp? Yes____ No____
If so, list medication:_____________________________Amount__________________Frequency_________________
Parent Signature__________________________________Date__________________________
Reason for limitations of physical activities, if any___________________________________________________________
List any major illnesses, allergies, medical conditions, or behaviors we should be aware of in case of a major emergency
__________________________________________________________________________________________________
PLEASE READ THOROUGHLY AND SIGN IN THE PERTINENT PLACES. CAMPERS WILL NOT BE PERMITTED TO PARTICIPATE IN
ANY CAMP ENCINO PROGRAMS UNLESS THIS FORM IS FILLED OUT CORRECTLY AND SIGNED.
AUTHORIZATION TO PARTICIPATE
My child, print name___________________________________________, a minor has my authorization to participate in Camp Encino’s SUMMER Camp Program and all
activities therein (including chartered bus trips). I further agree to relieve the City of Los Angeles, Department of Recreation and Parks, its officers, agents and employees
from any liability for injury to my child resulting from and/or in connection with activities in this program. I, the undersigned, as parent/guardian of the above mentioned
minor do hereby authorize the City of Los Angeles to act as agent for the undersigned; to consent for any X-Ray examination, anesthetic, medical or surgical diagnosis,
treatment/hospital care which is deemed advisable by, and is to be rendered under the general or special supervision of any physician and/or surgeon licensed under the
provisions of the Medicine Practice Act and on the medical staff of a licensed hospital; whether such diagnosis or treatment is rendered at the office of said physician or at
said hospital. This authorization is given in advance of any specific diagnosis/treatment, etc., and is given to provide authority to aforesaid agents to give specific consent.
This authorization is given pursuant to the provisions of Section 25.8 of the Civil Code of California.
GENERAL POLICIES
1) Neither the Department of Recreation and Parks nor the Camp carries insurance. 2) Refunds may be issued for long-term illnesses only (3 consecutive camp days or more),
provided that we receive a signed note from a licensed physician within the same week the child was absent. A 15% processing fee will apply to all refunds in addition to all other
non-refundable fees. Allow 6 to 8 weeks for processing of refunds. No full refunds will be given unless activity is cancelled by the community center. 3) All camp deposits are
absolutely non-refundable and non-transferrable, NO EXCEPTIONS. 4) Tuition, must be paid in full (for all camps), no later than said due date, or you may lose your space in the
program and your deposit. If payment has not been paid by said due date, a late fee of $10.00 will apply. If you require a paid week to be transferred, there will be a $30.00 per week
charge. 5) Campers must meet age requirements by the start of camp. Staff reserves the right to require proof of age at any time. 6) For safety purposes, parents must obtain an
early release form the office before campers will be released during camp hours. 7) Only the parents and authorized individuals listed on the child’s application will be allowed to
sign-out the child. When picking up the child ALL authorized individuals will be required to present a picture I.D. at anytim e a staff member requests it, NO EXCEPTIONS. Written
permission must be provided by the parent/guardian if you wish your child to be released to anyone other than those authorized on the registration form. 8) For safety
purposes, a camp T-shirt and tennis shoes must be worn daily, NO EXCEPTIONS. Children attending camp without a t-shirt will be issued one and you will be billed appropriately.
Campers are responsible for providing and applying their own sun block as necessary. Staff WILL NOT be held responsible for providing, applying, or having to remind campers to
apply sun block. 9) For the safety and happiness of the children and staff, parents are not permitted to linger in or around the program for exte nded periods of time. 10) Parents are
not permitted to drop-off, pick-up, or accompany the children on any camp field trips. 11) Staff reserves the right to change or alter programming at any time without notice. 12) All cell
phones, personal toys, games and other items are NOT permitted at camp. The camp, the staff, and the City of Los Angeles, De partment of Recreation and Parks are not responsible
for any broken, lost or stolen items/articles. 13) Camp Hours are from 9:00am-4:00pm. On any day that a child is signed in before 8:50am or after 4:15pm, you will be charged the
$20.00 extended care fee. Extended Care hours are available from 7:30am to 6:00pm at an additional cost. Camp ends at 6:00pm. If your child is not picked up by 6:00pm a $1.00
per child late fee will be assessed for every 1 (one) minute late, over and above all other fees. 14) All activities, other than scheduled field trips will occur at Encino Community Center,
Encino Park, and/or Encino’s Women’s Center.
I have read and understand the AUTHORIZATION TO PARTICIPATE and GENERAL POLICIES. I hereby agree to abide by all the above-mentioned policies and
practices and further understand that transgression of any policy is cause for immediate expulsion from the program without refund.
__________________________________________________________________________________________________
Parent/Guardian (Signature)
Parent/Guardian (Print Name)
Date
Saturday, Oct. 28th from 12pm-4pm
Costume Parade Contest, Game Booths,
Arts & Crafts, Cookie Decorating, Button Making,
Face Painting, Bouncers, Prizes & More!
Fall Classes
Register Online beginning August 21st
Classes Begin: Sunday, Sept. 24
Classes End: Saturday, Dec. 2
We are always looking for instructors to teach
different classes at our facility.
If you have a talent and are interested in teaching
classes, please bring submit a class proposal as
well as your resume either to the office or by
e-mail to [email protected].
The Encino Women's Club holds up to 100 people and is a great space to host
children’s parties, baby & bridal showers, meetings, and special events. The
Club is located on Paso Robles Between Encino Park and Encino Community
Center and offers an open space concept, large kitchen, and a small stage. For
more information on renting the space, prices, and availability please call our
office at
For(818)
more995-1690.
information please call the Recreation Center at (818) 995-1690.
Mayor Eric Garcetti
Council Member Paul Koretz, 5th District
Board of Recreation and Parks Commissioners
Facility Administration
Sylvia Patsaouras, President
Cynthia Dib, Recreation Facility Director
Iris Zuňiga, Vice-President
Christian Lutz, Recreation Coordinator
Lynn Alverez, Commissioner
Camp Encino
Melba Culpepper, Commissioner
Misty M. Sanford, Commissioner
Roxanne Glaze, Camp Director
Hannah Ben-Nun, Assistant Camp Director
Department Administration
Recreation Assistants:
Mike Shull, General Manager
Hannah Ben-Nun, Theresa Houlberg
Anthony-Paul Diaz, Executive Officer
Roxanne Glaze, Amber Island,
Vicki Israel, Assistant General Manager Recreation Services
Daniel Juarez, Demian Laino
Ramon Barajas, Assistant General Manager Construction/Maintenance
Romina Laino, Lupita Lerma, Sandy Tabora
Valley Region Administration
Maintenance
Charles Singer, Superintendent
Pete Barajas, Gardener Caretaker
Michael Harrison, Principal Recreation Supervisor II
Dionisia Toscano, Maintenance Staff
Steve Cline, West Valley District Supervisor