Madam President Camp 2015 - UMKC WordPress (info.umkc.edu)

 The Madam President Camp is for girls ages 10 to 14. Girls this age are getting serious about who they are and about the world around them. They face tough challenges and make difficult decisions. Help your daughter build leadership skills, learn about politics, and join a fun and supportive network of peers, civic mentors and parents. ‐ THE TAKEAWAYS ‐
Madam President Camp is for girls ages 10‐14 (grades 5‐8) in the Greater Kansas City metro area. Campers will: 
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Build a sense of confidence and pride. Develop skills for political/school campaigns. Learn key concepts in government and politics; Discover the history of women in politics. Meet women political mentors. Participate in field trips and fun games. Practice public speaking and negotiations. and Have a wonderful time. ‐ THE DETAILS ‐
2015
Options  June 8 – 12, UMKC Campus 8:30 a.m. to 4:30 p.m.  June 15 – 19, KU Edwards Campus 8:30 a.m. to 4:30 p.m. Preference given to Kansas residents $300 includes lunch and all supplies Limited scholarships available. Priority deadline is 5/1/2015 ‐ INVEST IN GIRLS ‐
‐ RESPOND ‐ ‐Enrolling Now‐ Contact umkc.edu/civicengage Julie Warm, Ph.D. – Camp Director [email protected] 816‐235‐5371  Donate to sponsor a camper at wip‐
foundation.com/camp.html  Or make checks payable to Women in Politics Foundation‐ CAMP FUND c/o Alexia Norris, WIP Treasurer, 8304 NW 83rd St., KCMO 64152. WIP is a 501(c)(3) so your donation is tax deductible! Staff: Julie Warm, Ph.D. - Camp Director. Dr. Warm has extensive experience in local government, non-profit management, and higher education
administration. She originally trained as a city planner and city manager and served in those capacities in Ohio, Nevada, and Missouri. Her last
position was as City Manager in Reno, Nevada. For more than twenty years, she has worked in academe as a community liaison, administrator, and
researcher. Dr. Warm’s academic preparation focused on organizational drivers for social entrepreneurship. Dr. Warm’s current duties with the
UMKC Institute for Human Development focus on supporting the civic engagement of women and students. As a volunteer, Warm advocates for
people with disabilities and has served on the board of the Developmental Disability Services of Jackson County-EITAS, a county-level funding
agency, and the Business Leadership Network. Currently she is a board member of the Kansas City Mayor’s Committee for People with Disabilities
and is the founding Executive Director of a nonprofit to support inclusion of people with intellectual disabilities in higher education.
Dr. Warm will be assisted by three paid high-school and/or college interns and women community volunteers and civic leaders.
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You can register online at www.umkc.edu/civicengage or complete these two pages and
send it to the address below.
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Name of Attendee: ____________________________________________________________________________________________
First Name
Nickname, if applicable
Last Name
Street Address: _______________________________________________________________________________________________
City: __________________________________ State: __________________________________ Zip: __________________________
Phone __(__________)_________________________________ Contact email ____________________________________________
Area code
Please check
1st camp preference
2nd camp preference
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__ Week of June 8th (UMKC)
__ Week of June
8th
(UMKC)
__ Week of June 15th (KU Edwards)
__ Week of June 15th (KU Edwards)
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Age at time of camp: ______________________________ Grade completed: ____________________________________________
School which camper will attend in Fall 2015 ______________________________________________________________________
Any special considerations such as food allergies, special diets or disabilities: ____________________________________________
____________________________________________________________________________________________________________
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Parent/Guardian Name: _______________________________________________________________________________________
If contact information is different:
Street Address: _______________________________________________________________________________________________
City: _________________________________ State: __________________________________ Zip: ___________________________
Phone __(______)__________________________________ Contact email _______________________________________________
Area code
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Please return pages 2 and 3 along with a check made payable to:
Refund policy
UMKC Civic Engagement
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Full refund 45 days before the first day of camp.
Institute for Human Development
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50% refund 30 days before the first day of
215 West Pershing, 5th floor
camp.
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No refund 15 days before the first day of camp.
Kansas City, MO, 64108
Institute for Human Development Authorization and Permission I do hereby authorize The University of Missouri Kansas City Institute for Human Development, for the promotion of their endeavors, to: a. record my participation and appearance on audio/video tape, film, photograph, or any other medium. b. publish, use, and disseminate audio/video tapes, films, photographs, and/or any other medium. copyright the same in its name or any other name it may choose. c. It is stipulated and agreed that: a. I make no claim for any compensation or payment for anything within the scope of this authorization. b. UMKC Institute for Human Development may use such photographs or images in reports and promotional material for the benefit of their programs. c. no inducements or promises have been made to me to secure my consent to this authorization. I hereby release and discharge The Curators of the University of Missouri, a public corporation, its successors and assigns, its officers, employees and agents, and members of the Board of Curators, from any and all claims and demands arising out of or in connection with the use of such photographs, film or tape, including but not limited to any claims for defamation or invasion of privacy. I hereby consent to the release of said video tape, audio tape, film, photograph or any other medium for the above‐stated purposes and in accordance with the terms stated above, pursuant to the consent provisions of the Family Educational Rights and Privacy Act, 20 U.S.C. 1232 et.seq. Name (printed): _________________________________________________________________ Address: _______________________________________________________________________ Phone: ________________________________________________________________________ Date: _________________________________________________________________________ Signature: ______________________________________________________________________ Parent/Guardian Signature (if under 18): _____________________________________________ Name (printed): _________________________________________________________________ UNIVERSITY OF MISSOURI KANSAS CITY INSTITUTE FOR HUMAN DEVELOPMENT 215 W. Pershing, 6th Floor • Kansas City, MO 64108 • p 816 235‐1770 • f 816 235‐1762 • www.ihd.umkc.edu