Camp Diva Leadership Academy

RESIDENTIAL CAMP REGISTRATION & PAYMENT FORM

 
 
 
 
 

TAKE THE LEAP AND LEAD THIS SUMMER!

GIRLS FOR A CHANGE  presents

The 2017 CAMP DIVA Leadership Academy

RVA…get ready for Black Girl Magic!

 With 4 Experiences to Choose From...

 

About Girls For A Change (GFAC)
GFAC is a 501(c) (3) non-profit organization whose mission is to support and inspire Black girls and other girls of color to visualize their bright futures and potential through discovery, development and social change innovation in their communities. In doing so, we help girls develop key skills needed for their success.

Who can attend?
All girls entering grades 1- 9 in September 2017 can attend Camp Diva Leadership Academy. Offerings are designated both by grade, and availability. Register Today! Space is Limited!

APPLY FOR A SCHOLARSHIP (Full and Partial available)
REGISTRATION -OPENS FEBRUARY 25, 2017 | CLOSES MAY 1, 2017
SCHOLARSHIP APPLICATION DEADLINE: MARCH 31, 2017
SIBLING DISCOUNTS AND PAYMENT PLAN OPTIONS AVAILABLE

If you believe in our program and goals, but are not able to pay the published program fee or transportation costs, PLEASE APPLY ANYWAY! Your commitment to participating is important!
GFAC promises to make every effort to help you become a part of our programs regardless of your family's financial situation.

 

 

  • REVamping Fashion Leaders
  • FOR: Girls in 9th -12th grades
  • TYPE: Residential Program
  • DATES: June 19, 2017-July 1, 2017
  • COST: $1,350 (full/partial scholarships available)
  • APPLICATION DEADLINE: March 31, 2017 ($25 fee)
  • LOCATION: Virginia Union University - 1500 N Lombardy Street Richmond VA 23220

High school girls will experience a 10-day program behind the scenes of the fashion industry as they learn about trend forecasting and career and internship options, develop a new skill, build a network, and meet fashion leaders from around the globe. Girls will visit New York City for five days and spend the other five days at Virginia Commonwealth University exploring their passion for fashion via the Department of Fashion Design and Merchandising. As a bonus, creative projects developed by the girls as individuals and in teams will be presented at a showcase at the close of the program.

 

It’s no secret that the fashion industry has a diversity problem with very few women of color on magazine covers, campaigns, gracing runways or landing leadership roles in the industry. Girls For A Change is breaking barriers and creating opportunities in the world of fashion as we inspire the creative and resourceful fashion leader in your girl via exposure to this transformational fashion-focused summer residency.

 

  • She Can Lead…A Middle School Girls Experience
  • FOR: Girls in 6th -8th grades
  • TYPE: Residential Program
  • DATES: July 2, 2017-July 15, 2017
  • COST: $1,400 (full/partial scholarships available)
  • APPLICATION DEADLINE: March 31, 2017 ($25 fee)
  • LOCATION: Virginia Union University - 1500 N Lombardy Street Richmond VA 23220 

The transition to intermediate or middle school is often challenging for Black girls and other girls of color due to massive fundamental achievement gaps. The supportive and hands-on environment of this camp strives to meet this challenge by fostering increased independence, self-esteem and confidence in girls in transition through fun, interactive experiences, exposure to workshops, taking part in Girl Action Teams, guest speakers, and field trips.

The focus during this two-week residential program is on developing the skills and capabilities that will enable girls to speak up in class, solve problems creatively and communicate with confidence, leading them to embrace their power and become leaders. Ultimately, this skill-building is expected to significantly contribute to girls gaining leadership positions at an early age. Winners are shaped and molded at She Can Lead!

 

  • Let Her Lead…A High School Girls Experience
  • FOR: Girls in 9th -12th grades
  • TYPE: Residential Program
  • DATES: July 16, 2017-July 28, 2017
  • COST: $1,400 (full/partial scholarships available)
  • APPLICATION DEADLINE: March 31, 2017 ($25 fee)
  • LOCATION: Virginia Union University - 1500 N Lombardy Street Richmond VA 23220

This two-week camp is designed specifically for Black high school girls and other girls of color with big dreams for their lives and careers. During this experience, we celebrate stories and successes of women of color; actively engage girls in workshops, projects, college tours and mock college classes; and introduce girls to the inner workings of government, business, and entrepreneurship. Girls are also given opportunities to secure internships and jobs, and receive intentional coaching to enhance their understanding of networks and reveal their opportunities for career success.

Despite the great strides African American women have made in education, many continue to experience higher rates of unemployment than white women and earn less than their male counterparts and white women, leaving a growing portion of our population more vulnerable to poverty and its implications. Let Her Lead focuses on addressing these issues, and moving Black girls from stuck to soaring! We help girls shape their personas, and unleash their infinite potential.

 

 

** IMPORTANT NOTICE FOR RESIDENTIAL CAMPS **

 Girl members family/caregiver is responsible for arranging her transportation to and from Richmond and/or New York.  We will gladly help put other members in contact each other so that they may travel in groups. We will drive members from and to the airport, train, or bus station.

 Accommodations and Meals

Girl members share single-sex rooms in a secure college dormitory. Staff are onsite and available 24/7. Breakfasts, lunches, and dinners are served in the main dining room. There is always a vegetarian/vegan option on the menu; we can work with you to accommodate other dietary needs.

Program fee covers room & board, activities, staffing, and materials for the 2-week program. Fee waivers are available. No one will be turned away for lack of funds!

 

SAVE THE DATES:

OPEN HOUSE - Teleconference 
Tuesday, March 14th, 7 pm EST
Thursday, March 23rd, 7 pm EST
Dial In - 605.475.4900 Passcode 889291#
 

OPEN HOUSE - In Person 
April 29th, 1pm -2 pm
Trinity Family Life Center
3601 Dill Road
Richmond, VA 23223
 


Residential Orientation - On Campus
Saturday, May 20, 2017
Virginia Union Unversity
Wall Auditorium 
1500 North Lombary Street
Richmond, VA 23220 


Residential Orientation - Teleconference 
Tuesday, May 2, 2017, 7 pm EST
Tuesday, May 9, 2017, 7 pm EST
Dial In - 605.475.4900 Passcode 889291#
 
 

 

 
Sibling Discount and Payment Plan 
 
Registration Fee is Waived and 10% off for additional participant. 
 
Savings of $135.00 per participant*
I would like to Register for Camp Diva Leadership Academy *

Participant Information

Returning Participant *

PARENT/GUARDIAN Information

Relationship to Participant: *
 
Additional Parent/Guardian Contact Info

Additional PARENT/GUARDIAN Information

Relationship to Participant: *
 

Medical Treatment/First Aid Authorization

I grant permission for the administration of First Aid to my child by the staff of CAMP DIVA, and those transporting my child to and from programs as their judgment deems advisable, and to make the necessary referrals to qualified physicians for treatment of illness or accidents of a more serious nature. I understand I will be promptly notified in the event of any serious illness or accident and prior to any major surgery, except when delay in such communication would endanger life. In case of medical emergency, I understand that every effort will be made to contact the parent/ guardian of the participant and emergency contact. In the event that I cannot be reached, I hereby give permission to the physicians selected by the adult staff to hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery, if deemed necessary for my child. *

Insurance Information

Transportation Consent

To insure the safety of your child, please list other adults to whom your child may be released to and transported by (MUST SHOW PROPER IDENTIFICATION)

Publicity/ Media Consent

Unless a letter to the contrary is received by CAMP DIVA, I give permission to use my child’s picture on the official CAMP DIVA website, social media, in newspaper advertisements, or other publications.

Field Trip Transportation Consent

I hereby give permission for my child to be picked up and transported to the field trip location and returned to the camp location for field trips and other CAMP DIVA activities. *
You will be provided with a list of field trips and dates.

Liability Waiver

I, the undersigned parent or legal guardian, release CAMP DIVA, or any other person acting on their behalf, from liability for any bodily injury sustained and loss or damage of any personal article while on the premises or participating in any activity sponsored by CAMP DIVA. I also permit CAMP DIVA to seek medical treatment as deemed appropriate through EMS/911 and/or local hospitals. *

Code of Behavior Agreement

Must be read by Parent/Guardian and Participant

For Participant- You are representing yourselves, your family and community. We expect you will represent us well, and display mature and responsible behavior expected of respectable young ladies in society.

1. All participants are expected to demonstrate common courtesy and respect at all times. Inappropriate language/behavior will not be tolerated.

2. Participants should be modestly dressed. Writing on clothing should be respectful and positive.

3. The possession or consumption of any alcoholic beverage and/or possession/use of any illegal drug by an individual is not permitted.

4. Smoking is not permitted.

5. Weapons and/or drug paraphernalia are not allowed.

6. Prescription drugs need to be given to a staff member for storage and distribution.

7. Violation of these rules may lead to counseling, parental conference, or unfortunately, dismissal from the program. Camp Diva has a strict policy regarding the possession and usage of electronic devices (cell phones, mp3 players, etc.) and it will be discussed in more detail at orientation.

For Full-Day Parent/Guardian  All participants are expected to dismiss on time. A late fee of $5/minute will be assessed beginning at 5:45p.m. If a child remains at the camp location beyond 6:30 p.m., the following calls will be made until a response is received. If an emergency arises that will delay pick up, we must be notified immediately and another person authorized to pick your child up must come.

1. A call to the parent’s work place and/or home.
2. A call to those authorized to pick up the child.
3. A call to the emergency contact.
4. A call to the local police department and Child Protective Services.

PICK UP BY AN INTOXICATED PARENT OR AUTHORIZED REPRESENTATIVE
CAMP DIVA will not permit parents or authorized representatives who are intoxicated to pick children up from our camp location. We do not wish to expose the location to any legal action for improper release of children, but more importantly, we do not wish to expose the children enrolled in our programs to any danger resulting from their parents’ or authorized adult’s impaired faculties.  Therefore, we will expect our staff to be alert to the possibility of parental intoxication, and if there is evidence of such intoxication by means of speech, gait, or manner, that staff member will call a second staff member to corroborate. If both staff members agree that the parent is intoxicated, the staff will not permit transportation by that person, and the Richmond Police Department will be called to assist the program staff in determining the course of action to be taken.  If the parent insists on removing a child in spite of these actions, a conference will be held that week between the parent and the Director that could result in termination of the child’s participation in the program.

NON-CUSTODIAL PARENT POLICY
A parent of a child enrolled in the program who is not the child’s custodial parent will be permitted unlimited access to the camp location and be afforded the same rights as the custodial parent unless there is court documentation limiting access and contact by the non-custodial parent. This documentation must be on file in our office. Upon entering the camp location, the non-custodial parent must report to the director or designee in the child care office.

GRIEVANCE POLICY FOR PARENTS
It is the intent of the CAMP DIVA program to provide all parents and guardians with an avenue for discussing and resolving any concerns they may have with regard to the care being provided by the center. When a concern has been identified, the parent should first discuss the issue with the program staff members. It is suggested that in order to facilitate the conversation, an appointment should be scheduled and the individual requesting the appointment should prepare a written list of pertinent discussion points prior to the appointment. Notes of what was discussed and agreed to during the meeting are also encouraged. Once the staff member(s) has/have addressed the issue, based on the response, the parent or guardian should consider the issue resolved. If the staff member was unable to address the issue because of its administrative nature, or if the parent or guardian is dissatisfied with the response or outcome, he/she should then discuss the issue with the Director. At that meeting, the parent or guardian should be prepared to discuss what has transpired to-date. The Director will research the issue and respond to the parent in a follow-up meeting, or at the initial meeting if no research is needed.

Camp Diva Leadership Academy

I understand that my obligation to pay the fees for Camp Diva Leadership Academy is unconditional and that after payments have been made, no portion of fees paid or outstanding will be refunded or cancelled in the event of absence, withdrawal or dismissal of the participant from summer camp. I agree to assume full responsibility for the fees agreed upon. I accept the rules and regulations of CAMP DIVA. *

Questionnaire

General Behavior

Has your child experienced any of the following during the past year? (check all that apply)
 
Does she usually get her own way with other children?

Volunteer

Do you have a skill or talent that you are willing to share with CAMP DIVA participants? *

To Be Completed By The Participant

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Make a Payment

I would like to Make a Payment *
Buy extra Camp Diva t-shirts $15 ea. How many would you like to order? 

I would like to Sponsor A Girl

Sponsorships 
Current Total:
$0.00