January 2017
Adult/Teen Social Club - Ages 16 and up
January 10th (Tuesday) New Year’s Party: Happy New Year! Come ring in 2017 with your friends at Camp K! We will party the night away with
games and dancing! We will end the evening with a delicious ice cream sundae with your choice of tasty toppings! This is a combined
Adults/Teens/Kids activity located at Camp K.
Pick-ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $55.00
January 13th (Friday) Chuck-A-Rama: The choice is yours at Chuck-A-Rama! Come join your friends for a fun night out at one of Utah’s most
popular restaurants! Enjoy mouthwatering mashed potatoes, homemade rolls, and you can’t forget the sticky buns! Camp K will provide the full
buffet, so come hungry! This is a combined Adults/Teens/Kids activity located at Chuck-A-Rama.
Pick-Ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $65.00
January 14th (Saturday) Karaoke Night: Come fulfill your dream of being a rock star and join us for a night of singing, dancing, laughing, and fun!!
Kick back and relax with your friends through lyrics and awesome tunes. We will have tons of songs to choose from that are sure you make your
talent shine! This is a combined Adults/Teens/Kids activity located at Camp K.
Pick-ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $50.00
January 17th (Tuesday) Dollar Movie: Fun and laughter is good for the soul! Let’s get together and watch an entertaining movie at the theater! Enjoy
a dark theater and comfortable seats! Bring money if you’d like to purchase a treat. Movie is TBA. This is combined Adults/Teens activity located at
Sandy Movies 9.
Pick-ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $55.00
January 20th-21st (Fri-Sat) Tropical Mini-Camp: Missing the summer sun? Let’s escape and enjoy a luau! What sounds better than a grass skirt, lei,
& Hawaiian dinner? We’ll play games, socialize, listen to island music and make sure there’s an umbrella in every drink. Come out for a weekend of
summer fun. Friday night dinner will be provided by Ruth’s Diner, as well as a hot breakfast and lunch on Saturday. We will be staying overnight
in our heated cabins, so bring your overnight gear! This is a combined Adults/Teens/Kids activity located at Camp K.
*Please note the times for this activity*
Drop-Offs: Friday, 5:00pm at Camp K
Pick-Ups: Saturday, 2:00pm at Camp K
Cost: $125.00
January 24th (Tuesday) So Cupcake Party: Let’s eat sweet and delicious treats! We will have lessons from the owner of So Cupcake, Natalie
Jensen, on how to decorate the most delicious of cupcakes! Choose your flavor, color of frosting, and sprinkles to create your own masterpiece! This
is a sweet treat you don’t want to miss out on! Thanks to our own Celina Jensen and her mom Natalie for hosting this exciting event! This is
combined Adults/Teens/Kids activity located at So Cupcake.
Pick-ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $55.00
January 27th (Friday) Nickelcade: We are thrilled to make our way to the Nicklecade Arcade! We will enjoy all kinds of arcade games and the great
atmosphere. Win tickets to win a prize! Enjoy choosing the game you want to play and eventually the prizes you will win! This is a combined
Adults/Teens/Kids activity located at the Nicklecade in Taylorsville!
Pick-ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $55.00
January 28th (Saturday) Jazz Game: The Utah Jazz will take on the Memphis Grizzlies on the basketball court at the Vivint Smart Home Arena.
This is sure to be a great time as we help our Jazz battle on to victory in this exciting match. Sign up early as tickets are limited. ADA seating is also
limited. This is a combined Adults/Teens/Kids activity located at the Vivint Smart Home Arena.
*Please note the times for this activity*
Pick-Ups: 5:00-6:30 pm
Drop-Offs: 9:00-10:30 pm
Cost: $75.00
January 31st (Tuesday) Pizza & Game Night: Who doesn’t love pizza? Come hungry, as you will be making yourself a delicious, personalized pizza
topped with all of your favorite toppings. While your pizza cooks, enjoy playing games with your friends at Camp K. Bring your favorite game or
play one of ours. This is a combined Adults/Teens activity located at Camp K.
Pick-ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $55.00
K-Kids- Ages 7 – 16
January 10th (Tuesday) New Year’s Party: Happy New Year! Come ring in 2017 with your friends at Camp K! We will party the night away with
games and dancing! We will end the evening with a delicious ice cream sundae with your choice of tasty toppings! This is a combined
Adults/Teens/Kids activity located at Camp K.
Pick-ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $55.00
January 13th (Friday) Chuck-A-Rama: The choice is yours at Chuck-A-Rama! Come join your friends for a fun night out at one of Utah’s most
popular restaurants! Enjoy mouthwatering mashed potatoes, homemade rolls, and you can’t forget the sticky buns! Camp K will provide the full
buffet, so come hungry! This is a combined Adults/Teens/Kids activity located at Chuck-A-Rama.
Pick-Ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $65.00
January 14th (Saturday) Karaoke Night: : Come fulfill your dream of being a rock star and join us for a night of singing, dancing, laughing, and fun!!
Kick back and relax with your friends through lyrics and awesome tunes. We will have tons of songs to choose from that are sure you make your
talent shine! This is a combined Adults/Teens/Kids activity located at Camp K.
Pick-ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $50.00
January 20th-21st (Fri-Sat) Tropical Mini-Camp: Missing the summer sun? Let’s escape and enjoy a luau! What sounds better than a grass skirt, lei,
& Hawaiian dinner? We’ll play games, socialize, listen to island music and make sure there’s an umbrella in every drink. Come out for a weekend of
summer fun. Friday night dinner will be provided by Ruth’s Diner, as well as a hot breakfast and lunch on Saturday. We will be staying overnight
in our heated cabins, so bring your overnight gear! This is a combined Adults/Teens/Kids activity located at Camp K.
*Please note the times for this activity*
Drop-Offs: Friday, 5:00pm at Camp K
Pick-Ups: Saturday, 2:00pm at Camp K
Cost: $125.00
January 24th (Tuesday) So Cupcake Party: Let’s eat sweet and delicious treats! We will have lessons from the owner of So Cupcake, Natalie
Jensen, on how to decorate the most delicious of cupcakes! Choose your flavor, color of frosting, and sprinkles to create your own masterpiece! This
is a sweet treat you don’t want to miss out on! Thanks to our own Celina Jensen and her mom Natalie for hosting this exciting event! This is
combined Adults/Teens/Kids activity located at So Cupcake.
Pick-ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $55.00
January 27th (Friday) Nickelcade: We are thrilled to make our way to the Nicklecade Arcade! We will enjoy all kinds of arcade games and the great
atmosphere. Win tickets to win a prize! Enjoy choosing the game you want to play and eventually the prizes you will win! This is a combined
Adults/Teens/Kids activity located at the Nicklecade in Taylorsville!
Pick-ups: 5:30-7:00 pm
Drop-Offs: 9:00-10:30 pm
Cost: $55.00
January 28th (Saturday) Jazz Game: The Utah Jazz will take on the Memphis Grizzlies on the basketball court at the Vivint Smart Home Arena.
This is sure to be a great time as we help our Jazz battle on to victory in this exciting match. Sign up early as tickets are limited. ADA seating is also
limited. This is a combined Adults/Teens/Kids activity located at the Vivint Smart Home Arena.
*Please note the times for this activity*
Pick-Ups: 5:00-6:30 pm
East
Dan’s Foods
West Parking Lot
3981 S. Wasatch Blvd
Drop-Offs: 9:00-10:30 pm
North
Red Lion Hotel
North West Parking Lot
161 West 600 South
Pick-Up Locations
North-East
Red Robin
East Side (back)
1313 Foothill Drive
Van Cell 1: 801-673-9409
Cost: $75.00
South
West
Famous Dave’s Parking Lot
Taylorsville High
West Corner
West Parking Lot
1166 E Ft. Union Blvd. (7200 S) 5225 S. Redwood Rd.
Van Cell 2: 801-673-7652
If you are new to the program and have never attended community-based season or summer camp, please call to set up a time to meet with program
managers before you attend an activity. Initial assessments are critical in order to set goals to work on! Please contact Jamie at [email protected]
or by phone at (801) 582-0700 ext. 100, or Parker Wilkinson at [email protected] or by phone at ext. 109. We look forward to meeting you!
January 2017 Registration Sheet
Please Return by 12/25/2016 to:
Kostopulos Dream Foundation, 4180 E. Emigration Canyon, Salt Lake City, UT 84108
Fax: (801) 583-5176 or scan and email to [email protected] (credit card or DSPD only)
Name: ____________________________________________________ Phone:
Address:
Please Circle Desired Pick-Up/Drop-Off Location:
Dan’s Foods
Red Lion
Taylorsville High
Famous Dave’s
Red Robin
Would you like us to email you the pick-up and drop-off times the day of the activity? Yes or No
If yes, please provide your e-mail address:
Would you like us to e-text you the pick-up and drop-off times the day of the activity? Yes or No
If Yes, please provide the cell number: _________________________ AND cell provider: (Verizon, T-Mobile, etc.) _________________
* Technology sometimes does not work, if you don’t receive a text /email the day of the activity call our Van Pick-Up Extension to get pick-up times*
***Call 801-582-0700 x. 120 after 12pm the day of the activity to receive the pick-up and drop off times***
Adults/Teens
Kids
January 10th (Tuesday) $55.00 ________
New Year’s Party
January 10th (Tuesday) $55.00 ________
New Year’s Party
January 13th (Friday) $65.00 ________
Chuck-A-Rama
January 13th (Friday) $65.00 ________
Chuck-A-Rama
January 14th (Friday) $50.00 ________
Karaoke Night
January 14th (Friday) $50.00 ________
Karaoke Night
January 17th (Tuesday)) $55.00_________
Dollar Movie
January 20th-21st (Fri-Sat) $125.00_________
Tropical Mini-Camp
January 20th-21st (Fri-Sat) $125.00_________
Tropical Mini-Camp
January 24th (Tuesday) $55.00__________
So Cupcake Party
January 24th (Tuesday) $55.00__________
So Cupcake Party
January 27th (Friday) $55.00_________
Nickelcade
January 27th (Friday) $55.00_________
Nickelcade
January 28th (Saturday) $75.00_________
Jazz Game
January 28th (Saturday) $75.00_________
Jazz Game
January 31st (Tuesday) $55.00_________
Pizza & Game Night
Space is limited; please return this form as soon as
possible. If you do not sign up by December 25th,
please call for availability, as we cannot guarantee.
TOTAL= $_________ (If Credit Card information is received, this is the amount we will charge)
PLEASE CHECK YOUR METHOD OF PAYMENT:
DSPD
CHECK/MONEY ORDER
CREDIT CARD
Name & Phone of Caseworker (DSPD only) ____________________________________________________________________
IF PAYING BY CREDIT CARD, PLEASE FILL OUT BELOW:
Card Number:
Exp. Date:
Signature:
Zip Code
*All money received is non-refundable* *Should DSPD deny payment, you are responsible to pay the cost of the program* *Cancellations not made 24 hours prior to the event are
non-refundable and not transferable for credit. **Only one cancellation per month, made at least 24 hours prior to the event, will be authorized for credit.* *Sign-up sheets must be
received by Camp K staff in order to reserve your spot on an activity. If you don’t sign up by December 25th, we cannot guarantee availability. *KDF Human Rights policy can be
found online at www.campk.org /about/human-rights-plan. Camp K will assess a $30 fee for all checks that are returned.