Professional Documents
Culture Documents
111 NORTH OCEANSIDE ROAD, ROCKVILLE CENTRE, NEW YORK 11570 WWW.RVCREC.WEEBLY.COM
Phone (516) 678-9338 Fax: (516) 678-9266 Email: reccenter@rvcny.us Facebook: Rockville Centre Recreation
Please Choose Session: I approve of my child’s attendance at the RVC Summer Playground Program.
He/she is in good health and is able to participate in all activities.
______ Full Summer (6/27-8/8)
______ Session 1 (6/27-7/20)
Parent/guardian signature Date
______ Session 2 (7/16-8/8)
Cell phone and electronic device policy: Children who are registered and participating in the Summer Playground or Summer Rec. Program are prohibited from using
cell phones and other electronic devices such as iPads, iPods, smart watches, etc. during program hours. The Summer programs offer a great opportunity to learn
about and navigate social situations while not being constantly connected to and immersed within a digital/virtual world. If a child is involved in a video game or
texting friends or parents, then they’re not engaging in our wonderful array of activities. For those parents who simply want to keep in touch, we assure you that a
supervisor will contact you or your designated emergency contact with any issues that may arise that require your attention. We encourage parents and children to talk
about the day’s activities at pick-up time. Similarly, cell phones represent a tether to one’s parent and may serve as an impediment for a child to learn how to solve
problems on their own in a structured and supportive environment. Please respect our policy and take the time to discuss it with your child. Further information and
explanation can be found on our website, www.rvcrec.weebly.com
LAST NAME
Address ___________
Street Town Zip
Child will walk home will be picked up will take shuttle (Hewitt school to Wilson site)___________
Any
Allergies Req. epi-pen? Restrictions?
My child is healthy and able to participate in all activities, unless further notice attached, and all immunizations are up-to-date. As parent or legal
guardian, I authorize the RVC Recreation Dept. or one of its staff to request medical treatment as necessary to insure the well-being of my child.