ECS Camp Registration - Form - B'nai Shalom of Olney

* Parent Name:

Confirmation Email:

* Child's First Name

Child's Middle Name

* Child's Last Name

* Child's Date of Birth

* Gender

* Are you a BSO member?

Please Select OneYesNo

If "Other" selected for gender, please explain

REQUIRED EMERGENCY FORMS

All students in the ECS must have a completed copy of the child's emergency form for office use. This must be completed for each child during this application. Please upload the completed form here.

Camp Week Selection
Please call to join waitlist and check availability.

Week 1 (June 27 - July 1) FULL

Week 1 Early Arrival (8:00am - 9:00am) FULLWeek 1 Core Day (9:00am - 1:00pm) FULLWeek 1 Afternoon Program (1:00pm - 4:00pm) FULL

Week 4 (July 18 - July 22) FULL

Week 4 Early Arrival (8:00am - 9:00am) FULLWeek 4 Core Day (9:00am - 1:00pm) FULLWeek 4 Afternoon Program (1:00pm - 4:00pm) FULL

Week 5 (July 25 - July 29)

Week 5 Early Arrival (8:00am - 9:00am)Week 5 Core Day (9:00am - 1:00pm)Week 5 Afternoon Program (1:00pm - 4:00pm)

Week 6 (August 1 - August 5) FULL

Week 6 Early Arrival (8:00am - 9:00am) FULLWeek 6 Core Day (9:00am - 1:00pm) FULLWeek 6 Afternoon Program (1:00pm - 4:00pm) FULL

Week 7 (August 8 - August 12) FULL

Week 7 Early Arrival (8:00am - 9:00am) FULLWeek 7 Core Day (9:00am - 1:00pm) FULLWeek 7 Afternoon Program (1:00pm - 4:00pm) FULL

* For children in the 3s and 4s classes who stay until 3pm or later, please select one of the options below. If this preference changes at a later date, please email the ECS office to update your request.

Please explain your child's symptoms and severity of reaction. Also indicate if you will keep emergency medication at the school.

Water Play Release

* I hereby grant permission to the ECS at BSO that my child has permission to participate in all water activities (sprinklers, water tables, etc.) that will be held at the camp. I hereby understand that water is splashed/sprayed on the children. I hereby release and discharge the above, its assigns, and all persons acting under its permission or authority or those for whom it is acting, from and against any liability as a result of injury that may occur while the child is participating in water play. I hereby warrant that I am of full age and competent to contract for the minor named below in so far as above is concerned. I have read the foregoing release and warrant that I fully understand the contents thereof. (12 month students only)

I hereby grant permission to the ECS at BSO that my child has permission to participate in all water activities (sprinklers, water tables, etc.) that will be held at the camp. I hereby understand that water is splashed/sprayed on the children. I hereby release and discharge the above, its assigns, and all persons acting under its permission or authority or those for whom it is acting, from and against any liability as a result of injury that may occur while the child is participating in water play. I hereby warrant that I am of full age and competent to contract for the minor named below in so far as above is concerned. I have read the foregoing release and warrant that I fully understand the contents thereof. (12 month students only)

Sunscreen/Ointment/Insect Repellent Permission: I hereby give the ECS permission to apply the non-prescription items selected below.

Sunscreen (For reapplication during Afternoon Enrichment or Late Stay)Ointment (Diaper cream/other)Insect Repellent

* I understand that I must provide the products I wish to be used on my child and that the school will not apply those provided for another child in the absence of one provided by me.

I understand that I must provide the products I wish to be used on my child and that the school will not apply those provided for another child in the absence of one provided by me.

* I understand that children must come to the ECS with sunscreen applied prior to arrival at the ECS each day.

I understand that children must come to the ECS with sunscreen applied prior to arrival at the ECS each day.

School Directory

Emergency Evacuation Plan

We have established an emergency evacuation plan for our school. Hopefully, we will never need to implement this plan, but we want to make sure you are aware of this just in case we must evacuate the building and are unable to return. Our friends at St. John’s Episcopal Church next door to us at: 3247 Olney-Laytonsville Road will welcome your children and our teachers. Parents would be expected to pick their children up at St. John’s Episcopal Church as soon as they are notified about the emergency. Teachers will stay with your children at all times until you or someone listed on your carpool form arrives. Our backup evacuation is KinderCare across the street at 3805 Gelding Lane.

* We are aware of the Emergency Evacuation Plan of B’nai Shalom of Olney Nursery School. If the building needs to be evacuated, we agree to promptly pick our child/children up next door at St. John’s Episcopal Church: 3247 Olney-Laytonsville Road or the second pick-up site across the street at KinderCare at 3805 Gelding Lane.

We are aware of the Emergency Evacuation Plan of B’nai Shalom of Olney Nursery School. If the building needs to be evacuated, we agree to promptly pick our child/children up next door at St. John’s Episcopal Church: 3247 Olney-Laytonsville Road or the second pick-up site across the street at KinderCare at 3805 Gelding Lane.

Children with Special Needs

All children are welcome in our Early Childhood School. We do not discriminate based on race, color or national origin in the admission of our students. We do everything that is possible to accommodate all children in our program. Our Early Childhood School is affiliated with the Jewish Social Service Agency (JSSA), the Partnership for Jewish Life and Learning (PJLL) and the Center for Outreach in Education (CORE). They can provide support help, classroom observations, and recommendations for professional referrals and training for staff to support children with special needs.

When we have a child that is having difficulty in our typical early childhood school classroom, we will consult with parents and our representatives from JSSA, PJLL or CORE. We will work exhaustively with parents, the Early Childhood School staff and any support personnel hired by the parents (for example, educational consultants, physicians, physical therapists, occupational therapists, psychologists, etc.) to accommodate your child.

If it is decided that the child can be accommodated in our classroom with a trained support person providing one-on-one help for that child, it is hoped that the early childhood school program will continue for that child. Our affiliated agencies will provide training for our staff and consult with the parents and the professional staff the parents are using.

It needs to be understood by all parties involved that parents must pay for the additional support person in the classroom and CORE’s training of that support person. The parents must also pay for consultations, testing and professional services. It would be expected that parents would work with the Early Childhood School staff to get the appropriate support help and be involved in the development and individual education plan for their child.

We will make every effort to work with you and your child. If, however, after exhaustive measures, we are not able to sustain a classroom environment for all of the children that is consistent with the Early Childhood School’s philosophy and goals, it may become necessary to find another program for your child.

* We have read the Early Childhood School at B’nai Shalom of Olney policy about children with special needs. We are aware of and will abide by the school’s policies.

We have read the Early Childhood School at B’nai Shalom of Olney policy about children with special needs. We are aware of and will abide by the school’s policies.

Parent Handbook

All families are required to read and abide by the Parent Handbook. Please visit www.ecsolney.org to read the handbook.

* I have read the Early Childhood School at B’nai Shalom of Olney Parents’ Handbook. I am aware of the terms and policies set forth in the Parents’ Handbook and will follow and abide by these policies.

I have read the Early Childhood School at B’nai Shalom of Olney Parents’ Handbook. I am aware of the terms and policies set forth in the Parents’ Handbook and will follow and abide by these policies.

Non-refundable Camp Registration Fee: $65

* Non-refundable camp registration fee ($65)

Non-refundable camp registration fee ($65)

* Parent/Guardian 1: By typing your name in the box below, you verify that all of the information above is true and accurate to your knowledge. Further, you acknowledge that you have given permission or approved of all parts of this application form.

* Please enter the date you have signed this application