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2024 Camper Registration
Camp Dates & Times
June 17th-June 21st, 2024
8:00 AM- 4:00 PM (Early pick up on the 21st, 2:00 PM)
Drop off 7:30-8:00 (ATTENDANCE/CHECK-IN TO SPORT)
Pickup Time 4:00 PM (CHECK-OUT BY SPORT)
Location
Rosemont High School
9594 Kiefer Blvd
Sacramento, Ca 95827
Permission Slip and Code of Conduct Agreement must be signed on the first day of camp.
Your first sport choice is not guaranteed. Each sport is limited. Your 2nd choice will be used if your 1st choice is full. Once your child has attended their assigned sport at camp, they will not be able to change sports, so that we aren't mixing cohorts.
Attendance will be taken each day. Please call or text the Camp Director at 916-412-4002 (PLEASE DO NOT CONTACT THIS NUMBER OTHER THAN THE WEEK OF CAMP, if you have camp questions prior to camp contact LILIA VASQUEZ at liliav@kopsnkids.com) if your child will be absent from camp. Please do not send an e-mail during camp.
The check-in table is located in front of the cafeteria near the main entrance for questions during camp. Your child must be signed in and out every day. THIS YEAR WE WILL HAVE SIGN IN/OUTS BY COACHES IN EACH SPORT.
The only people beside parents or guardians allowed to sign your child in or out are the people you listed under the "Emergency Contact" or "Pick-up" portion of your child's application. If you need to change this information, please contact us immediately! Be ready to show photo ID.
Your child will not need to bring any special equipment to camp; however, each child must be dressed in comfortable clothing and footwear appropriate for exercise. Do not send your child to camp wearing:
Sandals or flip-flops
Jeans
Short skirts or dresses
Excessively baggy or long clothing
For safety reasons, campers dressed inappropriately will not be allowed to participate in camp activities; parents/guardians will be contacted and asked to bring appropriate clothing to camp for their child.
Meals
Breakfast, Lunch, and an afternoon snack will be provided.
****Several Sports have filled, please choose from remaining options*****
Sport
Campers will be coached in one of the activities listed below. Assignments to activities are on a first come first serve basis. Please indicate your first through fourth choice.
Basketball (age 8-12)
Bikes (age 8-12)
Dance and Cheer (age 8-12)
Flag Football (age 8-12)
Soccer (age 8-12)
Tennis (age 8-12)
Volleyball (age 8-12)
Cadets (age 13-14) w/law enforcement interest
*
Child's Last Name:
*
Child's First Name:
*
Choice #1:
Basketball (age 8-12)
Bikes (age 8-12)
Dance and Cheer (age 8-12)
Flag Football (age 8-12)
Soccer (age 8-12)
Tennis (age 8-12)
Cadets (age 13-14) w/law enforcement interest
*
Choice #2:
Basketball (age 8-12)
Bikes (age 8-12)
Dance and Cheer (age 8-12)
Flag Football (age 8-12)
Soccer (age 8-12)
Tennis (age 8-12)
Cadets (age 13-14) w/law enforcement interest
*
Choice #3:
Basketball (age 8-12)
Bikes (age 8-12)
Dance and Cheer (age 8-12)
Flag Football (age 8-12)
Soccer (age 8-12)
Tennis (age 8-12)
Cadets (age 13-14) w/law enforcement interest
Registration Information
*
Parent, Guardian or Adult E-mail:
*
Child's Address:
*
City:
*
Zip Code:
*
List your child's ethnicity:
*
What languages are spoken at home?:
*
Which best describes your family?:
1 parent
2 parents
Other Guardian
*
Which best describes your family size (include all family members) :
1
2
3
4
5
6
7
8+
Which best describes your families annual income?:
11,170-15,129
15,130-19,089
19,090-23,050
23,049-30,970
30,969-34,929
34,930-38,889
38,890-42,849
42,850+
*
School Child Attends:
*
Age (at the time of camp):
8
9
10
11
12
13 JR CADET ONLY
14 JR CADET ONLY
*
Date of Birth:
*
Gender:
Male
Female
Non-Binary
List first and last names of siblings also attending camp:
*
Mother's Name:
*
Father's Name:
Guardian (if different than mother/father):
*
List all daytime phone numbers:
Emergency Contact & Pick-up Drop-off
The individuals listed as an Emergency Contact will be contacted in the event of an emergency only if you can not be reached first.
Emergency Contact #1
*
Emergency Contact #1 Name:
*
Emergency Contact #1 phone numbers:
Emergency Contact #2
*
Emergency Contact #2 Name:
*
Emergency Contact #2 Phone Numbers:
Authorized people who can pick-up or drop-off child
List the name and phone number of all of the people allowed to pick-up or drop-off your child:
Medical Information
I verify that my child has medical insurance and is physically able to participate in the Kops-N-Kids Camp. I hereby authorize Kops-N-Kids to act on my behalf according to their best judgment in any emergency requiring medical attention or in any routine medical care of an injury/accident. I, the minor’s parent/guardian, will assume the responsibility for any emergency or medical service that may be required during the course of the Kops-N-Kids camp.
*
Medical Insurance Company:
*
Policy Number:
*
Group Number:
*
Is your child on any medications?:
Yes
No
List any medication camp staff should be aware of:
Allergies
Does your child have any severe or life threatening allergies camp staff should be aware of?:
Yes
No
Please list severe or life threatening allergies:
Does your child have a recent illness, surgeries, medical restrictions, disabilities, behavior problems and or circumstances that camp staff should be aware of?:
Yes
No
Please describe medical/behavioral issues:
There are occasions when news media are at the Kops-n-Kids camp to interview, photograph and videotape campers for print and broadcast stories. These stories have been positive and highlight the good things happening at camp.
If you would like your child to be excluded from media stories, indicate that in the box below. Please know there could be times when the media will interview or photograph campers outside of camp, without permission from Kops-N-Kids staff. This form only acts as a guide to media coverage. It does not guarantee your child will not be interviewed or photographed. At all times our goal is to maintain student security and privacy.
*
Interviewed by Media:
Do not allow my child to be interviewed by the media
My child may be interviewed by the media
Each camper will receive one camp T-shirt on the first day of camp.
Camp T-shirt must be worn each day of camp.
Shirts are available in the following sizes:
Child: small, medium, large
Adult : small, medium, large, xlarge
*
Shirt size:
Small child
Medium child
Large child
X-Large child
small adult
Medium adult
Large adult
X-Large adult
XX-Large adult
XXX-Large adult
--------DO NOT FORGET---------
SELECT FEE BELOW TO PAY. When you click on the submit button your registration is complete. You will receive an email from one of our staff confirming your child(ren) registration within the week. Please be patient with this confirmation email as our staff are working regular jobs aside from their volunteer work with Kops N Kids. Thank you!
* indicates required fields
SELECT FEE
$32.00 - Camper Registration fee