2024 VIP Summer Camp Application

3/21 UPDATE: Due to  application numbers, all future applicants will be placed on a waitlist.  We have accepted almost all applicants off the waitlist in the past, so please complete the application.  You will be notified closer to the start of camp if placement is possible.   

The VIP Summer Program will be held in-person at Rocky Run Middle School this summer!  Rising 7th and 8th graders residing in Fairfax County in boundaries for the follow middle schools are invited to register: Franklin MS, Katherine Johnson MS, Liberty MS, Rocky Run MS, Stone MS.

Program Details:
Mondays - Fridays, 9 am - 4 pm (site is available at 8 am for drop-offs)
Monday, July 1 - Thursday, August 1 (no camp on July 4, July 5, and August 2)

Space in VIP is limited.  Though timing of registration is a factor, it is not solely a first come, first serve acceptance process.  We consider a variety of factors when processing applications to provide a balanced camp (such as, but not limited to: number of participants per middle school, grade level, registration timing, participant availability, etc.).  An email notification of acceptance status will be sent by April 12th .  Program paperwork and payment procedures will be reviewed in the email of acceptance.   All camp paperwork and registration payments will be due by May 9th .  We will offer rolling admission from a waitlist as campers drop out or fail to enroll.  You will be notified as space becomes available. 

VIP camp costs $100 to attend (scholarships are available in cases of financial hardship - reach out to your school's After-School Specialist).  Families will be notified about payment procedures in their acceptance email.  All payments will be accepted from April 12 until May 9.  Participants who have not paid by that time will be removed from the list and we will offer the spot to the next student on our waitlist.

Field Trips - We will take approximately 3-5 field trips throughout the summer.  There is a cost for students to attend the field trips.  The field trip fees will cover admission costs and bus transportation.  Field trip information (dates, locations, and fees) will be available by the parent meeting on May 9.  The field trip fees need to be paid for in cash or through MySchoolBucks.  Fees will be collected in advance and will not be accepted the day of the trip.  To maintain safe staff to student ratios, we will send all staff members on the field trips and none will remain at the VIP site.  If your student chooses not to attend a field trip, please make alternate plans as sites will be closed that day.  Please speak with your After-School Specialist if financial assistance is required.

Review the attached VIP Registration document with all policies and procedures prior to completing this registration form.  The registration document is posted on the after-school sections of the middle school website and was also linked in the Western Fairfax News You Choose message.

There will be a mandatory in-person parent meeting on May 9th at 6:30 pm.  We will review all camp activities, field trips, procedures, and introduce some of our camp staff.  

Participants should plan on bringing the following to camp every day:
o  Bagged lunch - we may be providing lunch but this has not yet been confirmed - we will notify families during the parent meeting on May 9.
o  Snacks (optional)
o  Water bottle (Label with your child’s full name) 
o  Hand sanitizer (optional)

 The VIP summer program being operated at this site is exempt from licensure as per §22.1-289.030 of the Code of Virginia and has no direct oversight by the Virginia Department of Education.

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Email *
FCPS Student ID Number *
Please enter your student's 7 digit FCPS student ID number.  To ensure that FCPS students are properly enrolled, IT IS IMPORTANT THAT YOU ENTER A CORRECT STUDENT ID.  (If your child does not attend a Fairfax County Public School, you may enter 9999999 in this required field.)
Camper's FIRST Name *
Camper's LAST Name *
Siblings - Does this child have any siblings who will also be applying to our 2024 VIP camp?
Does this child have any siblings who are also applying to camp this summer?  If so, please enter their FULL NAME(S) in the space below.  *** BE SURE TO SUBMIT A FULL APPLICATION FOR EACH CHILD.
Grade (in 2024 - 2025 School Year) *
Your student's t-shirt size *
VIP is a 5-week program.  Participation in all weeks of camp is strongly encouraged in order to receive the greatest benefit from the planned enrichment, recreation, and academic activities.  However, we do understand that families have other commitments in the summer.  Please check the boxes for the program dates your teen WILL BE ATTENDING the VIP Camp.   *
Required
Current School *
School in Fall *
What school will he/she attend in the Fall?
Gender *
If you need Morning Bus Transportation to Rocky Run MS, please choose from the list of options.  We will be requesting several elementary feeder school stops based on need and location of campers.  Stops are subject to change as they still need to be approved by FCPS Transportation.  Route lists will be available in June prior to the start of camp. *
Buses will pick up between 7:45 and 8:30 am, depending on stops, and drop off by 9:00am at Rocky Run MS.  Bus information will provided in June prior to the start of VIP.
If you need Afternoon Bus Transportation, please choose from the list of options *
Buses will pick up students around 3:45 and drop off between 4:10 and 4:45, depending on stops.   All parent pick-ups from camp must take place no later than 4:00 pm.  Continued late pick-ups may result in the loss of services.   If you are running late, please notify the VIP site by 3:45 pm.
Camper's Address - Please Complete Each Entry below as asked
YOU MUST PROVIDE A COMPLETE AND ACCURATE ADDRESS or risk being dropped due to an incomplete application.
 House #, Street Name, and Apt # if applicable *
City *
Zip Code* *
#1 Parent/Guardian to Contact *
Please list the parent or guardian to contact FIRST in case of an emergency or to discuss the camp.
#1 Parent/Guardian Name *
#1 Cell Phone *
Parent/Guardian cell phone number
#1 Work/Daytime Phone *
Parent  or Guardian's work or daytime number.
#1  Email Address *
Email address for parent/guardian.  Please double check for accuracy.
#2 Parent/Guardian to Contact *
Please list the second adult to contact to discuss camp information or in case of an emergency.
#2 Emergency Contact Name *
#2 Cell Phone *
Emergency Contact's cell phone number.
#2 Work/Daytime Phone *
Emergency Contact's daytime phone number.
#2 Email Address
optional
Other Parent/Guardian's Name
If you wish, provide an additional parent or guardian's name and information here.
Other Parent/Guardian's Daytime Phone
optional
Other Parent/Guardian's Email Address
optional
Physician *
Physician name and phone number
Any allergies? *
Please check all that apply and enter any other allergies or food restrictions under "Other."
Required
Emergency Medications *
Please check any emergency medications your child must have available. You must supply prescribed medications and medical authorization forms for each Rx that may require administration at camp.
Required
Restrictions
Let us know if there is any condition that might limit your child's ability to participate in any aspect of camp.
Your VIP History
optional
Students will participate in a variety of electives. Please check all elective choices that your student would be interested in.  Students will participate in 8 electives over the course of the summer.  Your selections here will help guide our planning for the summer in terms of which electives we will offer, how many times per day, etc.  Students will sign up for their actual electives when camp starts. All of these options are subject to change based on capacities, enrollment, and budget constraints.   *
Required
Has your student been offered a spot in the Imagine or Young Scholars summer programs?  We will be reserving some VIP spots for students in these programs.  We are working on logistics to get FCPS buses to transport students mid-day from Imagine/Young Scholars to VIP.  Spaces in VIP are limited so we will be in touch if your student is selected to participate in VIP after the Imagine/Young Scholars mid-day dismissal. *
Please review the VIP Information Packet and certify that you and your child have read and understand all policies and procedures of the VIP Summer Camp and have been made aware of the rules including FCPS Student Rights & Responsibilities. *

By completing this form, I give permission for my child to be photographed and/or videotaped for use in publicizing FCPS/NCS programs and services.  Youth registration information provided to the VIP Camp is public record and as such may be released under the Virginia Freedom of Information Act (VFOIA) unless the parent/guardian specifically requests that this information not be released.  Please note here if you do not grant the camp permission to release your child’s registration information.

 *
How did you hear about the VIP Camp? *
This helps us evaluate the effectiveness of our advertisement efforts.
Required
Is there any other information you would like to share that will help us support your child's experience in camp?
A copy of your responses will be emailed to the address you provided.
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