STRENGTHENING FAMILIES FOR OVER 40 YEARS

Summer application rsu9

1. 2026 Summer Program RSU9

  • THIS APPLICATION IS TO BE CONSIDERED IF A SLOT OPENS IN THE PROGRAM. YOU WILL BE PLACED ON A WAITLIST IN THE MEANTIME. You will be contacted to finalize your child's participation in the program.

    How the Camp Will Run:

    • The 21st Century Kids of FRANKLIN will provide an in-person summer camp opportunity to campers at Kineowatha Park. It is imperative that campers are able to adhere to the strict guidelines we are putting in place that make this summer camp possible. Campers will be evaluated for selection into the program based upon a number of factors, including behavior. Parents will be notified within 3-5 business days, and no later than June 16th whether or not their child has been selected for the program. We are capping registration at 85 students due to staffing.

    • Campers will have to be dropped off and picked up by designated adults at Kineowatha Park. The camp will run from June 22nd to July 30th Monday through Thursday 12:00-4:00pm.

    Students who attend RSU9 Summer School are welcome to join us after their morning academics.

    The summer program will provide fun, active, and engaging outdoor and indoor activities (when necessary) designed to maximize students' physical activity and to keep their brains from slipping into the summer slide.

    • Parents will be required to stay in their vehicles for drop off and pick up. Staff will chaperone campers to and from their vehicle.

    • Camper and staff member belongings will be separated from others’ and in individually labeled containers. All personal items brought to camp must be kept to a minimum and must be labeled with the owner’s name. Campers will only be allowed to bring 1 bag with a bathing suit, towel, a water bottle, and a change of clothing to program. Absolutely no toys (land or water) or electronics will be allowed.

    • Lunches will be provided by the Summer Feeding Program at Kineowatha Park.

    • Parents may send students with snacks to enjoy throughout the day.

    • Attendance Requirement: Students who can attend the entire program will receive priority enrollment. Sign ups this year will provide option for week-by-week basis, so by signing up for 1 week you are ensuring your camper will be there at least 3 of the 4 days that week. Students must attend 3 out of 4 days each week in order to remain enrolled in the summer program.

    Looking forward to a safe and fun summer,

    The 21st Staff

    • Please fill out the following information. This application is required if you would like to be considered for the 21st Century Kids of F.R.A.N.K.L.I.N. Summer Program. This application is not a guarantee that you will be selected for the summer program. You will be contacted to let you know if your child has been selected for the program within 3-5 business days. Thank you!

    • There is no fee for this Summer Program.

    • The camp will run from June 22-July 30th, Mon-Thurs 12:00-4:00pm.

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  • Students may have the opportunity to make shirts and/or receive camp shirts this summer. Please specify Adult or Child Size.

  • Parent/Guardian

  • This program is intended for students who do not have additional educational and/or behavioral supports. To discuss if this program is appropriate for your child, please call the Program Coordinator at 207-778-1523.

  • Emergency Contact (REQUIRED)

    In the case of an emergency and the parent or guardian cannot be reached, please notify:

  • Parent Pick Up

    21st Century staff is not allowed to walk children home. The Children's Task Force is concerned with unsupervised minors walking home alone and the safety of children during this time. Please contact the Program Coordinator at 207-778-1523 to discuss options.

  • Morning Drop Off / Afternoon Pick Up Authorized Adults

  • Please list below 3 adults that you would like to be able to pick your child up and/or sign your child out from the program.

    Parent/Guardian 1 and 2 will be listed as automatic authorized adults to pick up your child unless you note otherwise on your application.

    Adults will be required to stay in their vehicles for drop off and pick up. Staff will chaperone campers to and from their vehicle.

    Anyone who is picking up your child must provide a picture ID.

  • If there is a situation where none of the listed individuals can pick up your child, you are to call the Site Coordinator with the name and contact information for who may pick them up.
    • Please drop off your child on time. The program begins at 12PM Monday through Thursday. Please do not drop off your child before 12PM, they will need to stay in your car until that time. Our staff will not be responsible for your child until 12PM.
      • You must pick up your child by 4PM. The program ends promptly at 4PM Monday through Thursday.
      • Pick up after 4pm will result in a fee of $5.00 per 15 minutes late after the first occurance. This will be strictly enforced this year. Payment must be made before your child can return to program.
      • The 21st Century Kids of F.R.A.N.K.L.I.N. Summer Program Staff is relieved from the responsibility of looking after any child after s/he has left the 21st Century Kids of F.R.A.N.K.L.I.N. Summer Program.

    • Student Attendance

    • Attendance Requirement: Students who can attend the entire program will receive priority enrollment. Sign ups this year will provide option for week-by-week basis, so by signing up for 1 week you are ensuring your camper will be there at least 3 of the 4 days that week. Students must attend 3 out of 4 days each week that they are signed up for in order to remain enrolled in the summer program.

    • Swimming

    • Swimming lessons will be available through the Wilton Recreation Department this summer for a fee payable to Wilton Recreation Department. We do not provide these lessons through the summer program. Please contact the Wilton Recreation Dept. for more information on swimming lessons this summer.
    • Examples: No swimming experience, some swimming experience, good swimmer in shallow water, can swim with floaties/life vest, average swimmer, expert swimmer, etc. Your child will have daily swimming time at the summer program.

    • Health/Medical Information

    • For the safety and best care of your child, please check below for any of the following that apply to your child, and provide as many details as possible.

    • Additional Information

      Please include any additional information you feel would be important for us to know about your child.

    • Parent/Guardian Release and Liability Form

      Please read and sign the standard releases and permission forms that are required to attend the summer program. Thank you. If you do not agree, please mark below the release which you do not agree with.
      I authorize the 21st Century Kids of F.R.A.N.K.L.I.N. Summer Program and the 21st Century Kids of F.R.A.N.K.L.I.N. Summer Program Staff to arrange for transportation in case of accident or acute illness of the participant. It is understood that every effort will be made to contact the parents or other priority person before treatment is given but that treatment will not be withheld if a parent cannot be reached. In the event it is not possible to receive instruction for the participant’s care, consent is given to any EMS or licensed physician for treatment. I allow the EMS staff and/or physician to administer medication and to perform necessary treatment for the preservation of the participant’s health and well-being. I understand that any cost incurred for treatment of sudden illness or accident shall be paid by me. This authorization and consent for treatment is given to the 21st Century Kids of F.R.A.N.K.L.I.N. Summer Program and in conjunction with any authorized event. If you do not agree to this disclaimer, this will disqualify your child from acceptance into the program.
      I hereby assume full responsibility for any risk of illness, bodily injury, death, or property damage and/or while using the premises or any facilities or equipment hereon. I understand that this program includes physical activity and I also understand that any program or sport that includes such activity carries with it an inherent risk of physical injury. I further agree to hold harmless the 21st Century Kids of F.R.A.N.K.L.I.N. Summer Program, their partners, directors, officers, employees, agents, and volunteers from any and all claims that may result from any action for damages, included but not limited, to such claims that may result from injury or death, accident or otherwise, during or arising in any way from said activity. I acknowledge that this General Release of Liability of the 21st Century Kids of F.R.A.N.K.L.I.N. Summer Program, its partners is binding on me and my heirs, personal representatives, and successors. If you do not agree to this disclaimer, this will disqualify your child from acceptance into the program.
      As your child is enrolled in the 21st Century Kids of F.R.A.N.K.L.I.N. Summer Program, funded by Maine Dept. of Education through funding from the US Dept. of Education our use of this funding requires that we report certain results to the Maine DOE & U.S. DOE including free and reduced lunch status, special services, academic progress, student MEDMS (school identifier) number, attendance, discipline, behavior, surveys, activity participation, and classroom performance. In addition to compliance with reporting requirements, use of this data assists program managers to make informed decisions about program adjustments and improvements, matching students with needs, program sustainability, and program replication in other sites. Our reporting of positive student results may increase our chances of securing continued and additional funding to operate this program. All information collected will be restricted and used solely for serving student needs and approved program evaluation purposes. If you do not agree to this disclaimer, this will disqualify your child from acceptance into the program.
      The 21st Century Kids of F.R.A.N.K.L.I.N. Summer Program may take long distance or walking-distance field trips during some programming hours. These field trip locations and dates will be shared with parents and guardians. We will always return by normal dismissal time, unless we notify you in advance. I give permission for my child to leave Kineowatha property under supervision of the 21st Century Kids of F.R.A.N.K.L.I.N. Summer Program Staff, Partners, and Volunteers. While taking part in these community field trips I release the 21st Century Kids of F.R.A.N.K.L.I.N. Summer Program from responsibility for any risk of bodily injury, death, or property damage as covered in the “General Release of Liability”.
      I hereby consent to the use of my child’s name, likeness and speech in any audio tape, video tape, film or photograph made in any 21st Century Kids of F.R.A.N.K.L.I.N. Summer Program activity for the business or publicity purposes of the program and its partners. Publicity may include posts on our “21st Century Kids of Franklin” Facebook Page. We encourage you all to “like” us on Facebook to get the latest updates regarding the program. I understand that any participation offers no remuneration and that my child’s name, likeness, and speech may be edited, produced, recorded for distribution throughout the United States and abroad. I expressly release the 21st Century Kids of F.R.A.N.K.L.I.N. Summer Program and its licensees, assignees, affiliates and successors from any privacy, defamation, or other partners have arising out of broadcast, exhibition, publication, or promotion of this program.

    • Parent/Guardian Signature

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