Austin Montessori School
presents…
2013 Registration Packet
“A leadership journey for the realms of the imaginative child”
See what’s inside……..
About our Program………….. p. 1
The Staff………………………......p. 1-2
Sessions, Dates, and Cost…p. 3
Sample Schedule………………..p. 4
Registration Form……..........p. 5
Contact Information…….....p. 5
Health Form……………............p. 6
Transportation Form………..p. 7
Photography Form…………….p. 7
Register by April 1, 2013 for
Early Registration Discount!
0
About Camp Montessaurus
The Montessaurus Summer Camp offers a diverse and stimulating environment for enriching your
elementary child’s summer experience. It is a unique way for children from all of the Elementary
classrooms to get to know one another.
The camp is limited to an enrollment of 30 and campers participate in small groups – “montessaurus
herds” – each led by a counselor and with a Jr. Counselor from Gaines Creek. One of the first
activities of each group is to decide what kind of montessaurus herd they are and create a unique
“herd environment” for their “dens.” Each herd creates a unique identity for itself based on a
different dinosaur. Herds participate in camp programs together as well as gather together as a
larger group.
Camp Programs
Science for Fun: This program brings science down to earth. We will observe scientific principles
through a variety of activities such as cooking, dyeing and candle making.
Creation Station: This program encourages creativity through arts and crafts in a community
setting where children work individually and as a group.
Theatre Arts: In this program, groups of children work together to create a performance, such
as a play, a puppet show, and a musical number.
Fun Friday: The final day for both camp sessions is held Zilker Park where we play team building
games, picnic, hike, swim at Barton Springs pool, and tour the splash exhibit.
Outdoor Activities: Outdoor activities and games encourage physical activity through a variety of
outdoor activities.
Camp Staff
Mandy Weeks has worked at Austin Montessori for 12 years, both as a Classroom Assistant,
Commons Leader and Commons Director. A former first grade teacher, she has taught swimming,
art, science and a variety of other subjects. She is a graduate of The University of Texas with a
major in English and a minor in Psychology. Mandy plays the mandolin (beginner), and has extensive
training in music theory and voice, as well as ceramics, painting and textile arts. This is her seventh
year as a counselor at Camp Montessaurus and will be exploring the fun side of science with the
children.
Lynn Hunt As a native Austinite, Lynn was excited to become a part of the Montessori movement.
She started working with children as a teenager and knew she had found her calling. She is a lover
of art and teaching. Lynn is going in to her fourth year at AMS, and is currently the Casita Leader
at Great Northern.
1
In addition: Margarita Ruiz, Nick Pippins, Erin Cozart, Monse Alvarado-Ruiz, Adriane Pippins,
Toto Miranda and Casey Neumann will be joining us as Counselors this year.
All of these counselors have a long time affiliation with the school either as staff or alumni and we
are excited to have the opportunity to share this final year with them.
In addition to our counselors we have 3-4 assistants per session that we hire from the Austin
Montessori School Adolescent Community or long time campers who have been invited to
become a Jr. Counselor.
2
Session Dates and Costs
Session 1: July 1,2,3,5
Session 2: July 8-12
Session 3: July 15-19
Camp hours: Monday- Friday 8:30 – 4:30 p.m.
Fees:
Registration fee $100
Total Tuition for Sessions 1 before April 1st
$205
Total Tuition for Sessions 1 after April 1st $230
Total Tuition for Sessions 2 & 3 before April 1st
$235
Total Tuition for Sessions 2 & 3 after April 1st $260
Camp sessions are limited to 30 students, so register early.
Deposit:
A $100.00 deposit for each session is required at the time of registration. Balance is due, in full,
on or before June 17, 2013. Make checks payable to: Austin Montessori School.
Cancellation policy: prior to May 1st, 50% of deposits for cancelled camp registrations will be
refunded. After May 1st, deposits are nonrefundable. After June 17th (when the full balance of
camp tuition has been received) refunds will be given only in emergency situations.
Contact Information:
For questions or concerns regarding Camp Montessaurus, you may contact Mandy Weeks:
e-mail: mandyw@austinmontessori.org .
3
This is a sample schedule from last year, there may be
minor changes, but it will be very similar.
Camp Montessaurus Schedule 2012
Monday-Thursday
8:30-9 Arrival
9:00-9:50 Big Group Meeting/Free Time
9:50-10:00 Snack
10-11 Counselor Led Activities
11-12 Counselor Led Activities
12-1:45 Lunch/ Free Time
1:45-2:45 Counselor Led Activities
2:45-3:00 Snack
3-4 Counselor Led Activities
4-4:30 Gathering, Departure
Friday- Splash Day at Zilker & Barton Springs (for Sessions 2&3)
8:30-9 Arrival
9-11 Clean-up and Preparation of the Environment/ Free Time
11-11:30 Depart for Zilker
4-4:30 DEPARTURE FROM PICNIC AREA BY PLAYGROUND
4
Summer 2013 Camp Montessaurus Registration Form
Please complete a separate form for each camper and fill out completely.
Registering for: Session 1 _____________ Session 2 _____________ Session 3_____________ All __________
(July 1,2,3,5)
(July 8-12)
(July 15-19)
Camper: ______________________________________________________________________________________
(Last)
(First)
(M.I.)
Address:______________________________________________________________________________________
(Street)
(City)
(State)
(Zip)
Date of Birth: ___________________________________ Gender: M/F
T-Shirt Size (circle one): Youth: S
M
L
Adult: S
XL
M
Camper’s AMS Guide for the previous school year: _________________________
We provide healthy snacks each day, please list a couple of items your child enjoys:
__________________________________
____________________________________
Parent/Guardian ______________________________________________________________________________
(Last)
(First)
(M.I.)
Address (if different from camper address) ___________________________________________________________
Telephone (specify primary/secondary contact numbers): _______________________________________________
E-mail Address:__________________________________________________
Parent/Guardian ______________________________________________________________________________
(Last)
(First)
(M.I.)
Address (if different from camper address) ___________________________________________________________
Telephone (specify primary and secondary contact numbers): ____________________________________________
E-mail Address:__________________________________________________
Other Emergency Contacts:
Name: ____________________________________________________________________________________
(Last)
(First)
(M.I.)
Address: ___________________________________________________________________________________
Relationship to Camper:______________ Telephone (specify primary/secondary contact numbers) ______________
__________________________________ e-mail address: ______________________________
Is this person authorized to pick-up your child? Y/N
Name: ____________________________________________________________________________________
(Last)
(First)
(M.I.)
Address: ___________________________________________________________________________________
Relationship to Camper:______________ Telephone (specify primary/secondary contact numbers) ______________
__________________________________ e-mail address: ______________________________
Is this person authorized to pick-up your child? Y/N
5
Summer 2013 Camp Montessaurus Health Form
Please complete a separate health from for each camper and fill out completely.
Dates of Camp Attendance: ________________________
Camper: ___________________________________________________________________________________
(Last)
(First)
(M.I.)
Home Address: __________________________________________________________________________________
(Street)
(City)
(State)
(Zip)
Physician: ____________________________________________________________________________________
(Name)
(Address)
(Phone)
Medical conditions that the Summer Programs should know about (e.g., allergies), or that might limit participation ___
_____________________________________________________________________________________________
Medication to be taken by the camper during the Summer Programs: ______________________________________
If your camper will be taking prescription medicine, please supply the medication in the original package that identifies the
prescribing physician, the name of the medication, the dosage and frequency of administration. If the medication requires
special storage (e.g., refrigeration), be sure to specify this in writing.
If your camper will be taking over-the-counter medications, please supply it in the original container with written instructions for
dispensing and storing.
May we give your child Tylenol without first contacting you? Yes/No
Health Insurance _____________________________________________________________________________
(Co. Name)
(Group or Policy Number)
(Primary Beneficiary)
Please attach a photocopy of the front and back of your insurance card to this form.
Health Care Release:
I hereby give permission to the camp to administer medications and seek emergency medical treatment including ordering xrays or routine tests. I agree to the release of any records necessary for insurance purposes. I give permission to the camp
to arrange necessary related transportation for my child.
In the event I (or my designated emergency contact) cannot be reached in an emergency, I hereby give permission to the
physician selected by the camp to secure and administer treatment, including hospitalization, for the person named above.
This completed form may be photocopied for trips out of camp.
I agree that the financial responsibility for any medical treatment is mine, and I release the Austin Montessori School and
Camp Montessaurus from any claims resulting from injury.
Signature of Parent/Guardian: ________________________________ Date: __________________________
Printed Name: _______________________________________________
6
TRANSPORTATION / FIELD TRIPS
I give my student permission to be transported between the Austin Montessori Sunset Valley Location and the Austin Parks
and Wildlife Zilker Park facilities on either/both Friday, July 12 and Friday, July 19 by a counselor or parent. It is my
understanding that the school does not assume responsibility in the event of an accident during the course of travel.
Parent/Guardian Signature: _________________________________________ Date: ______________________
PHOTOGRAPHY
I give Austin Montessori School permission to use any individual or group photographs showing my student in Summer
Programs' activities for future publicity.
Parent/Guardian Signature: _________________________________________ Date: ______________________
7