For more information please call:
(818) 349-0535 or (818) 349-7341
18300 Lemarsh St.
RE
SE
DA
DEVONSHIRE BLVD.
LASSEN BLVD.
X
City of Los Angeles Department of Recreation and Parks
Tiny Tots Camp • Day Camp • Sports Camp
At Kamp Kaleidoscope we provide a program designed to offer your child a diverse recreation experience in a positive
atmosphere where they can learn new skills, enjoy sports, arts & crafts, science, games, cooking, drama, special guests,
special events, activities, develop new interests, make new friends, and have lots of fun. We emphasize positive social
behavior, a comfortable environment, and quality programs.
Our Sports Camp is perfect for girls and boys looking for a summer dedicated to sports and are open to learning the value of
team work, sportsmanship, discipline, fundamentals, patience, perseverance, and most of all have lots of FUN!!!
Our Camp’s reputation is built on the excellence of it’s 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, cleared from fingerprinting, and have been trained to
respond to many different situations. Many of the staff have been campers in the past. They bring their individual skills and
experiences making Kamp Kaleidoscope the upbeat and unique program that it is.
A. Registration begins March 9, 2020 and will continue until each week of camp is filled. Spaces are on a first
come first serve basis. Full payment of the first week your child is attending camp is due at registration
including the registration fee.
B. Spaces are not guaranteed unless a reservation deposit is paid for each week your child will be attending
camp.
C. All weekly deposits are non-transferable and non-refundable.
D. Campers must be entering Kindergarten in the Fall of 2020.
E. Sports Camp children must be entering the third grade in the Fall of 2020.
F. You are considered registered for a week of camp once we receive the full payment for that specific week.
G. Payments may be made by Visa, MasterCard, check or money order, payable to: Los Angeles City, Dept.
of Rec. & Parks. CCRC payments are not accepted.
H. A one time registration fee of $40.00 per camper is required. This fee is waived for current Northridge After
School and Pre-School enrollee’s. Once registered, ANY switches made between day camp and sports
camp will require an additional $40.00 registration fee.
I. All scheduled field trips and activities are subject to change or cancellation without prior notice.
J. There are no alternate activities for campers on Trip Days. (All trips subject to change without prior notice)
Times may vary on trip days, please check each week for trip times! Space is limited on Field Trip Days
and are not guaranteed.
K. Universal Studios Field Trip is an additional $40.00 each. This fee may be waived if your child uses their
season pass to enter Universal Studios. We are not responsible for lost or stolen passes. (Please check
passes for black out dates prior to trip)
L. Campers who require a one-on-one aide must provide their own assistants. All assistants MUST be
fingerprinted and cleared through our department prior to working. The fingerprinting process may take up
to 2 months to clear. Please see the office for details.
M. For safety purposes, please submit a recent photo of your child with their registration application.
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-UPS, 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 for long-term illnesses only (5 consecutive camp days or more), provided that we
receive a signed note from a licensed physician within 3 days of illness. A 15% processing fee will apply.
Refunds take 8-12 weeks to be processed.
Kamp Kaleidoscope
There is a one time non refundable registration fee of $40.00
which includes 1 (one) camp t-shirt. A non-refundable
deposit fee of $40.00 per week is required at time of registra-
tion 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:
City of L.A. Dept. of Rec and Parks
To pick-up an application, register, or reserve a space for
your child in camp, please stop by the Camp Office located at
the lower end of the park near the pool & large playground,
Monday-Friday, 11:00am-6:00pm.
For Evening and Saturday registration please stop by the
Recreation Center’s Main Office, Monday-Friday,
6:00pm-8:00pm and Saturday, 9:00am-4:00pm.
MARCH 9, 2020
WALK-IN registration begins Monday,
March 9, 2020.
Online payments will be accepted only
after the initial registration and deposits
have been made. You may pay the
balance online for each week your child is
registered for camp by Visa or
Mastercard. Please check with the office
on exact amounts owed prior to paying
each weekly balance online.
IMPORTANT:
Patrons are responsible to keep their
receipts for tax purposes. Staff will not be
able to pull up that information for you at
a future date.
TAX ID: 95-6000735
DAILY / WEEKLY RATES & FEES
$40.00 One time 2019 registration fee (per child) - Includes one camp t-shirt
$190.00 4 or 5 days - (FIELD TRIP INCLUDED)
$170.00 2 or 3 days- (FIELD TRIP NOT INCLUDED)
$40.00 Additional Universal Studios Trip Fee
$10.00 Additional Camp T-Shirt (must be worn daily)
$1.00 Late Fee- $1.00/ Every minute child is left after 6:00pm
CAMP HOURS
7:30AM - 6:00PM
ATTENTION PATRONS! IMPORTANT NOTICE
The Park does not carry insurance. All Patrons must assume responsibility for their own policy.
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.
Kamp Kaleidoscope
WEDNESDAYS ARE FIELD TRIP DAYS UNLESS OTHERWISE NOTED
WE ARE CLOSED ON FRIDAY AUGUST 14, 2020.
Scheduled Field Trips and Activities are subject to change or cancellation without prior notice. *Closed August 14*
Week Dates TRIP DATE
Weekly Theme Rockin’ Tuesdays Sports Camp Weekly Field Trip
1 June 15-June 19 June 17 The Amazing Game Show
Wacky Socks Day Basketball Universal Studios
2 June 22-June 26 June 24 Water Warz! Backwards Day Soccer Raging Waters
3 June 29-July 3 June 30 Space Jam Cartoon Day Baseball LA Sparks
4 July 6-July 10 July 8 Kamp K’s Got Talent Twin Day Flag Football Magic Mountain
5 July 13-July 17 July 15 Mad Scientist Group Colors Day Volleyball CA Science Center
6 July 20-July 24 July 22 Summer Olympics Crazy Hat Day Hockey Knott’s Berry Farm
7 July 27-July 31 July 29 Shark Week Wild Hair Day Baseball Aquarium of the Pacific
8 Aug 3-Aug 7 August 5
Gold Rush! College Day Soccer Hurricane Harbor
9 August 10 - August 13 August 12
California Adventures Mix & Match Day Basketball Castaic Lake
June 15- August 13, 2020 Monday - Friday 9:00am - 4:00pm 7:30am - 6:00pm
Kamp Kaleidoscope 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!
Children MUST wear camp t-shirts, closed toe tennis shoes, bring lunch, swimsuit and sun block daily.
Ages 5 - 12 years
In our Day Camp program, the children will enjoy
a wide variety of age appropriate activities which
include but are not limited to; dress-up days,
spirit, singing songs, arts & crafts, sports, games,
cooking, drama, science, weekly special events,
special guests, daily swimming, field trips,
& more!
Children Entering 3rd Grade & Up
Our Sports Camp focuses on a selected sport
each week. We provide a fun, friendly, and highly
motivating sports program in which the children
will develop the knowledge for a wide variety of
sports, build on individual skills and techniques,
and understand the importance of teamwork.
The children will participate in selected sport
related; fundamental instruction, drills, skills,
calisthenics, personal achievements, contests,
tournaments, weekly themed activities, special
events, daily swimming, field trips, and more!
Child’s Name __________________________ Grade in Fall (2020) ______ Group________
Registration Application/Worksheet
Weekly / Daily Rates & Fees $40.00 Registration Fee per child (includes 1 camp shirt)
$190.00 4 or 5 days per week (field trip included)
$170.00 2 or 3 non-trip days per week
$40.00 Additional Universal Studios Trip Fee
$10.00 Camp T-Shirt (must wear daily)
$1.00 Late Pick-up Fee (per minute, per child after 6pm)
To reserve a space, please put an X in each box for the days you
wish your child to attend camp.
A $40.00 deposit is required each week marked with an X . 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. Please see due dates below.
$40.00 Registration Fee $
$40.00 X______ Weeks Reserved $
$190.00 X______ Weeks Paid in Full $
$180.00 X______ Weeks Paid in Full $
$40.00 Universal Studios Field Trip $
$10.00 X______ T-Shirt(s) $
Total Received $
Receipt #
Initial Payment Date
Staff Name
Yes / No T-Shirts Received? Qty_________
Please attach a recent picture of your child to the application.
Please check one of the following
DAY CAMP SPORTS CAMP
Parent Handbook Form Received? _______ Staff Initial _______
Kamp Kaleidoscope
PLEASE INITIAL BELOW. I have read and understand the following:
Spaces are not guaranteed unless a reservation deposit is paid for each day your child will be attending camp.
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.
A deposit of $40.00 per week is required in order for you to reserve days in camp. Your child is not guaranteed enrollment unless deposits are paid in advance.
If payment is not made by said 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.
A $1.00 per child, per minute late fee will apply to any child picked up after 6:00pm.
All registration fees and $40.00 weekly deposits are Non-Refundable/Non-Transferable. Any full payment transfer requests will incur a $5.00 per day charge.
All refunds will be accessed a 15% administration fee in addition to the non-refundable deposits and registration fees.
All Kamp Kaleidoscope rules and policies stated in the Registration Booklet and in the Parent Handbook.
Session 3: Payment due in full by JULY 9, 2020
July 13
July 14
CA Science Center
July 16
July 17
July 20
July 21
Knott’s Berry Farm
July 23
July 24
MON TUES WED THUR FRI
Session 1: Payment due at Registration
June 15
June 16
Universal Studios
June 18
June 19
June 22
June 23
Raging Waters
June 25
June 26
Session 2: Payment due in full by JUNE 25, 2020
June 29
LA Sparks
July 1
July 2
July 3
July 6
July 7
Magic Mountain
July 9
July 10
Session 4: Payment due in full by JULY 16, 2020
July 27
July 28
Aquarium of the Pacific
July 30
July 31
August 3
August 4
Hurricane Harbor
August 6
August 7
Session 4: Payment due in full by JULY 30, 2020
August 10
August 11
Castaic Lake
August 13
August 14
Deposit Receipt Date Balance Receipt Date T-Shirt Other Receipt Date
Deposit Receipt Date Balance Receipt Date T-Shirt Other Receipt Date
Deposit Receipt Date Balance Receipt Date T-Shirt Other Receipt Date
Deposit Receipt Date Balance Receipt Date T-Shirt Other Receipt Date
Deposit Receipt Date Balance Receipt Date T-Shirt Universal Studios
Receipt Date
Balance Due at Registration
Kamp Kaleidoscope
Child’s Gender: (please circle) Male / Female Current Grade: _________ School:________________________
Child’s Name: _________________________________________ Age: _________ Birth date:______ / ______ / ______ First Last
Address__________________________________City_____________________State ________Zip Code____________
Parent 1 (Guardian’s) Name: ____________________________ E-mail Address: _______________________________
Home Phone: ( )_________________ Cell Phone: ( )_________________ Work Phone: ( )_________________
Parent 2 (Guardian’s) Name: _____________________________ E-mail Address: ______________________________
Home Phone: ( )_________________ Cell Phone: ( )_________________ Work Phone: ( )_________________
I authorize ONLY these additional persons to pick up my child (include car pools) and to be contacted in case of an emergency: Please Note: If you do not wish a biological parent to pick your child up , written documentation by the court is required.
Name_____________________________Relation___________________________Phone:( )_____________________
Name_____________________________Relation___________________________Phone:( )_____________________
Name_____________________________Relation___________________________Phone:( )_____________________
Name_____________________________Relation___________________________Phone:( )_____________________
Name_____________________________Relation___________________________Phone:( )_____________________
MEDICAL INFORMATION Insurance Provider______________________________Policy #______________________
Physician_________________Phone( )________________Dentist_________________Phone( )________________ Is child on medication? Yes____ No____ If so, what Kind:______________________________Amount______________________Frequency___________________
List any allergies, medical conditions, or behaviors that we should be aware of incase of an emergency _________________________________________________________________________________________________
Reason for limitations of physical activities, if any ___________________________________________________________
PLEASE READ THOROUGHLY AND SIGN IN THE PERTINENT PLACES. CAMPERS WILL NOT BE PERMITTED TO PARTICIPATE IN ANY KAMP KALEIDOSCOPE PROGRAMS UNLESS THIS FORM IS FILLED OUT CORRECTLY AND SIGNED.
AUTHORIZATION TO PARTICIPATE
My child, ___________________________________________, a minor has my authorization to participate in Kamp Kaleidoscope’s Summer Camp Program and all activities (print name)
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 authoriza-tion 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 (5 consecutive camp days or more), provided that we receive a signed note from a licensed physician within 3 day after illness. A 15% processing fee will apply to all refunds in addition to all other non-refundable fees. Allow 8 to 12 weeks for processing of refunds. 3) All camp deposits are absolutely nonrefundable, NO EXCEPTIONS. 4) Tuition, must be paid in full on day of registration. 5) Staff reserves the right to require proof of age at any time. Campers must meet age requirements by the start of camp. 6) For safety purposes, parents must obtain an early release from 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 anytime 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, 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 accordingly. 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) Although parents are welcome to drop in and observe the camp program, for the safety and happiness of the children and staff, paren ts are not permitted to linger in or around the program for extended periods of time. 10) Parents are not permitted to 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, Department of Recreation and Parks are not responsible for any broken, lost or stolen items/articles. 13) Camp Hours are from 7:30am to 6:00pm. Camp ends at 6:00 pm. If your child is not picked up by 6:00 pm 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 Northridge Recreation Center. 15) The City of Los Angeles, Department of Recreation & Parks, its agents and assigned representatives, has permission to use the image (digital, film, and/or audio) of your child, a minor, for the promotion of Department Programs and/or Events via any City of Los Angeles media platforms (audio, fi lm, internet, print and/or social media) 16) On Field Trip Days, children will be transported by either CHARTER BUS, CITY VECHILE, or WALKING. 17) Child may be suspended or terminated from our program at any time if they do not abide by the rules and/or policies of our program.
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
For more information on any of the above listed programs please call: (818) 349-0535
$40.00 Registration Fee per child (includes 1 camp shirt)
$75.00 4 days per week (M,T,TH,F)
$10.00 Camp T-Shirt. (Must wear daily)
$1.00 Late Pick-up Fee (per minute, per child after 12pm)
Activities are based on weekly themes and
include; individual & group awards, contests,
dress up days, special guests, special events,
arts & crafts, sports, cooking, science, drama,
singing, games, water play activities, and FUN!
Children must wear camp t-shirt, closed toe
shoes, and bring a lunch daily.
Camp Days / Hours M, T, TH, F
9:00am - 12:00pm
To pick-up an application, register, or reserve a space for your child in any of the above listed
programs, please stop by the Camp Office located at the lower end of the park near the pool & large
playground, Monday-Friday, 9:00am-6:00pm. For Evening and Saturday registration please stop by
the Recreation Center’s Main Office, Monday-Friday, 6:00pm-8:00pm and Saturday, 9:00am-4:00pm.
Hours of Operation
Monday-Thursday, 9:00am-12:00pm
Rates & Fees $40.00 Registration Fee
$70.00 Weekly Fee
About Our Program
Our Philosophy in working with early childhood
is to provide a caring and loving environment
as well as an atmosphere conducive to
learning. We believe that each child is to be
treated as an individual and given the
opportunity to learn and grow at their own
pace. Through our program we hope to build
each child’s social skills, sense of security,
motivation, responsibility, self-confidence, and
self-esteem.
We pick up from the following schools…..
Darby, Topeka, Andasol
(No Kinder from Andasol)
Hours of Operation Monday-Friday, 2:00pm-6:00pm
Rates & Fees $40.00 Registration Fee
$70.00 5-Day Weekly Fee (Includes Transportation) $55.00 3-Day Weekly Fee (Includes Transportation)
About Our Program
We offer low ratios and homework help daily.
Our program includes a variety of activities
including; daily snack, arts & crafts, sports,
games, cooking, music, special guests, drama,
field trips and more! We are located in a
recreational setting and have experienced and
diverse staff members.
Call for More Info!
Mayor Eric Garcetti
Council Member Mitchell Englander, 12th District
Board of Recreation and Parks Commissioners
Sylvia Patsaouras, President
Lynn Alvarez, Vice-President
Joseph Halper, Member
Pilar Diaz, Member
Administration
Dwayne Finley, Senior Recreation Director II
Kristen Demmerle, Recreation Coordinator
Department Administration
Michael A. Shull, General Manager
Anthony-Paul Diaz, Esq., Executive Officer & Chief of Staff
Vicki Israel, Assistant General Manager Recreation Services
Ramon Barajas, Assistant General Manager
Planning, Maintenance &
Construction Branch
Valley Region Administration
Charles Singer, Superintendent
Michael L. Harrison, Principal Recreation Supervisor II
Therman Calloway, Principal Recreation Supervisor II
Marc Israel, West Valley District Supervisor
Recreation Assistants
Marilyn Alas, Abigail Ben-Nun, Paige Burk,
Bruce Christensen, Isabella Flores, Danielle Landavazo,
Ashlyn Kelly, Edith Perez, Josh Pratt, Steven Quirarte,
Adele Steffes, Robert Stigile, Kyle Thomas,
Carlos Trujillo
Maintenance
Jimena Marquez, Gardener Caretaker
Walter Cortez, Suzy Zamudio, Maintenance Staff
