New Beginnings Valued Traditions

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1 New Beginnings Valued Traditions Parkersburg YMCA Summer Day Camp 2015 Registration Now Being Accepted. Scholarships available WV CHOICES Assistance Accepted YMCA of Parkersburg th Street - Parkersburg, WV (304)

2 Welcome to YMCA Day Camp! Y Member Benefits A Y membership is a great value. A membership gives you full access to both Y locations, as well as access to all of our free classes, reduced rates on swim classes, youth sports, child care and discounted rates for Day Camp! Plus, when you join the Y, you re joining an organization that s committed to strengthening our community together. Weekly Camp FLY Rate: $95 Y Member Rate: $85 Youth Monthly Membership: $17 We re happy to welcome you to the Y! Visit or call for more information. WELCOME TO YMCA DAY CAMP! At YMCA Camp, caring professional role models help create experiences that build character, confidence, friendship, skills and the framework of our youth. All our Y Camps strive to instill the Y s four core values of caring, honesty, respect and responsibility into every activity, every day. Caring: Considerate to the needs and feelings of others Honesty: Being trustworthy and truthful Respect: Treating others, the environment and yourself with dignity Responsibility: Accepting accountability for your actions and role in the community Location and Hours We offer Day Camp at our Broad Street Location. The actual address is th Street, Parkersburg. Camp FLY, Day Camp is held in our outdoor area adjunct to the Y. Our Camper- In-Training program is housed in the child care facility. Specialty Camps are held in our After School Room at the Y. Camp is held Monday Friday. We offer extended early morning care for all of our camps. Extended care hours are morning care 6:30 8:30 AM and Extended after care from 4:00 6:00 PM. Camp FLY and Camper-In-Training Activity Hours: 8:30 AM 4:00 PM Specialty Camp Activity Hours: 8:30 AM Noon Extended afternoon hours are offered with Specialty Camps from Noon 6:00 PM. There is an additional fee for this ½ day program. CARING HONESTY RESPECT RESPONSIBILITY

3 WHY CHOOSE THE Y FOR YOUR CHILD S SUMMER? SAFE Low staff to camper ratios Qualified counselors who receive over 40 hours of training in behavioral guidance, strategies to help campers feel comfortable in a new environment, how to make friends and much more! All counselors are at least 18 years old Staff are all certified in CPR, AED and First Aid Y Day Camps meet state licensing Day Camp Child Care guidelines * Note: When there is a mixed age group, the staff-to-child ratio will be adjusted on a prorated basis, according to age. OUR CAUSE AFFORDABLE Free Before and After Care Free field trips and special activities No extra cost for snacks and lunch each day Many camp options (Traditional, Sports, Specialty, Preschool) Multiple child discounts for your family Benefits: friendships, decision making and problem solving skills, team building and more! Scholarships available (upon request) thanks to donors Become a Parkersburg Y member and save! FUN Camper choice activities (educational) Large group games Team building activities Outdoor education Reading and rest time Discussions about values Sports and games Small group activities Arts and crafts Swimming Tons of FUN! We are a powerful association of men, women and children, joined together by a shared commitment to nurturing the potential of kids, promoting healthy living and fostering a sense of social responsibility. We believe that lasting personal and social change can only come about when we all work together to invest in our kids, our health and our neighbors. That s why, at the Y, strengthening community is our cause. Every day, we work side-by-side with our neighbors to make sure that everyone, regardless of age, income or background, has the opportunity to learn, grow and thrive. The Parkersburg Y Day Camps focus on creating memories, building relationships, and a sense of belonging through personal achievement. Our new concentrated vision is to bridge the gap of summer learning loss through fun activities with intentional outcomes of learning. Raising the bar one summer at a time. BELONGING ACHIEVEMENT RELATIONSHIPS

4 Camp FLY DAY CAMP (Fun Learning at the Y) Entering 1 ST 8 th grade Join YMCA Day Camp for one day, one week or for an entire summer of fun! We focus on caring, honesty, respect, and responsibility in all of our activities, from educational camper-chosen skill sessions to swimming to arts and crafts and games. We provide fun-filled activities that allow for physical involvement, social interaction, educational opportunities, leadership building, personal growth and creativity. Day campers will be divided into groups by grade with activities appropriate to the interests and needs of each group. All children should bring a water bottle and wear closed-toed shoes to camp each day. Camp FLY Rates Non Refundable Registration Fee: $20.00 per camper Member Rate $85/week $20/daily rate Sibling Rate 15% discount Non Member Rate $95/week $25/daily rate Sibling Rate 15% discount Camp FLY Weekly Themes Wk 1 June 8 12 Strange & Unknown Wk 2 June World Tour Wk 3 June Let s Be Crazy Wk 4 June 29 July 3 Earth Friendly Wk 5 July 6 10 Water World Wk 6 July Summer Safari Wk 7 July Old West Wk 8 July County Fair Wk 9 Aug 3 7 Seafarers Wk 10 August End of Summer Bash Camper-In-Training Entering Kindergarten This is a fun and innovative camp, ideal for the younger camper just getting their feet wet with day camp! Campers will be introduced to many traditional camp activities while enjoying theme based weeks geared down for just this age. Camper-In-Training Rates Non Refundable Registration Fee: $20.00 per camper Member Rate $95/week $25/daily rate Sibling Rate 15% discount Non Member Rate $105/week $30/daily rate Sibling Rate 15% discount Typical Day at Camp FLY and Camper-In-Training Each day of camp brings an exciting new adventure for your camper. The following is a sneak peek of your campers day at Y day camp. 6:30-8:30 am: Campers are offered a choice of structured activities during before-camp care. 8:30-9 am: The day kicks off with an opening ceremony of flag raising and announcements. Then campers meet up with their age group counselor to get ready for the day. 9 am 4 pm: That s when campers start their day s activities centered on the week s theme. For Specialty Campers, their activities will be structured to fit the Specialty Camp. Four times a week, Camp FLY will cool off in the Y s pool! Your Campers-In-Training will swim on Thursdays. We designate some time for our campers to take a break and enjoy some quiet cool-down time. This doesn t mean a nap time, however our younger campers will be given an opportunity to lay down for a nap. Campers can read a book, play board games, take on an art project or participate in spirit-mind-body talks. 3:45 4:30 pm: After an exciting day filled with amazing activities, groups will gather for their afternoon snack. Similar to the morning, groups will enjoy their snack and prepare for the day s closing ceremonies. 4:30 pm: Following the Closing Ceremony, a wide-range of camper choice activities are set up offering different choices for different ages. Campers have time to catch up with each other and play games before they are picked up, so they are ready to return for another great day! CAMPER-IN-TRAINING WEEKLY THEMES Wk 1 June 8 12 Bug Camp Wk 2 June Lil Scientist Wk 3 June Let s Be Crazy Wk 4 June 29 July 3 Dirt Camp Wk 5 July 6 10 Water World Wk 6 July Summer Safari Wk 7 July Mini Chefs Wk 8 July County Fair Wk 9 Aug 3 7 Princess & Pirates Camp Wk 10 August End of Summer Bash

5 SPECIALTY CAMPS Does your child have a specific interest or hobby? Chances are we have a Specialty Camp for them! Campers spend at least three hours per day, five days per week, focusing on their Specialty Camp and the rest of the day they have the option to enjoy Y day camp activities like swimming, arts and crafts, games, and songs. Campers must meet the minimum grade requirements for the week they wish to attend. All Specialty Camps require payment in full at the time of registration. Spaces are limited to 24 per camp and there must be at least 10 registered to host the week. If the minimum enrollment is not met 2 weeks prior to the start of the specialty camp, that session will be cancelled and fees will be reimbursed. Specialty Camp Rates: Member $50/week Non Member $60/week After Camp Care: $45/week $55/week Sibling Rate: 15% discount for member and non member Free early drop off as early as 6:30 AM American Girl Doll Camp (Rising 1 st 6 th graders) June :30 AM Noon Calling all American Girl Doll fans! If you love adventure, helping others and learning to be a true friend, then this camp is the place to be! Campers will explore different periods of history with their best doll friend by their side. Both dolls and participants will enjoy period crafts, cooking, games and a secret adventure. So, bring your doll and join us for a week you will never forget! Camp Hogwarts (Rising 4th 8 th graders) June :30 AM Noon Take your place in the Wizarding World for a week where you get to experience all things Harry Potter. Young wizards will partake in all elements of the Harry Potter fantasy including: Quidditch, learning new spells, being sorted into houses, making their own wand and so much more! Dino Daze (Rising 1st 6 th graders) July :30 AM Noon Campers will spend the week learning about amazing dinosaurs. Let out your inner paleontologist and become intrigued with fabulous fossils, new discoveries and amazing dino tales. Investigate what is new and old about dinosaurs. Myth Busters (Rising 1st 3 rd graders) July :30 AM Noon Become a myth buster as we demystify common legends. Campers will satisfy their curiosity and expand their understanding of the world around them as they spend the week bursting favorite myths like diet coke and mentos, swimming in syrup, will your tongue freeze to a pole and much more. It will be a week of exciting experiments! Fish Camp (Rising 4th 8 th graders) July :30 AM Noon Campers can earn their passport to fishing as they work through 6 learning stations: fish habitats & handling, fishing knots and rigging, casting station, smart boating/safe boating, ready, set, boat and local information. Test your fishing skills on the last day of camp as we travel to Mount Wood Park to fish. Lemonade Stand (Rising 1st 6 th graders) July :30 AM Noon Spend a week with us and get a glimpse into what it takes to run a successful business. Start with company structuring by assigning jobs, responsibilities and titles. Then test your product in the kitchen with a random selected panel. Finally, take your product to the public and sell as much lemonade as you can. All proceeds benefit our youth scholarship programs. CSI Camp (Rising 4th 8 th graders) July :30 AM Noon Do you love a good mystery? Do you want to solve crimes? Discover how science is needed to uncover the trail of evidence criminals leave behind. Using many different aspects of forensics, you will learn how to analyze a crime scene and gather evidence. Campers will solve a real crime and conduct an actual trial! PS

6 Mail Drop Off Parent Information Join us for Open House on the following dates: Sunday April 19 2:00 4:00 PM Friday May 15 6:30-7:30 PM Thursday June 4 6:30 7:30 PM HOW TO REGISTER Complete the two-page registration form. Please clearly fill out information on EVERY line. Incomplete registration forms will not be accepted. Immunization information is required and must be sent with new registration forms each year. For Camp FLY and Camper-In-Training programs there is a $20 registration fee per child for the summer. PAYMENT OPTIONS Families will choose one payment option: There are three ways to register: You can drop off your completed forms at our Broad Street location: Physical address is th St - Parkersburg, WV Mail your completed registration form and payment to: Parkersburg YMCA Day Camp th Street Parkersburg, WV FULL PAYMENT Pay for day camp in full on or before May 1 and receive a 10% discount! MONTHLY PAYMENTS This option requires the family to pay for all of the camper weeks In that month on or before the first of that month. WEEKLY PAYMENTS (AUTOPAY) If a family signs up for Automatic Payment, their credit card will be automatically charged each week. The charge is made on the Wednesday, 5 days before the week of camp begins. With all payment options, the camp must be paid in full prior to attending. REFUNDS Refunds are only given if a camp is cancelled before the weekly payment due date or under a special circumstance. Refunds will NOT be given once the camp begins this includes credits. To receive a credit, the cancellation request must be made 3 days prior to the start of the weekly session (Friday before 5 PM). If a camper attends less days than registered for, there will be no refund in price. To request a change in schedule, cancellation or refund/credit, please contact the Camp billing office prior to the payment due date. You can scan and all completed forms and payment information to: Late Registrations All payments must be made before a camper can attend camp each week. Registration is limited and based on availability so please register early. Weekly registrations for Camp FLY and Camper-In-Training is the Wednesday prior to the week attending. Specialty Camp registrations must be received 2 weeks prior to the start of Making registration changes the change to the session week. WHAT TO BRING EACH DAY Camp will provide most of the supplies needed, but we ask that parents send along a swim suit and towel, reusable water bottle and SPRAY ON sunscreen with their child each day. Registrations received after the deadline may not be accepted and will result in a $10 per week additional fee. If any other supplies are needed, our staff will inform you. A light breakfast, lunch and afternoon snack is provided each day.

7 Child's Last Name First Name Grade Entering YMCA Summer Day Camp 2015 Registration Form Address City State Zip Phone Male Female Birth Date Age School Child Attends Grade entering Please state who is the custodian of this child? Both Parents Mother Father Other : Mother's Name Phone Address City State Zip Place of Employment Phone Mother's Name Phone Address City State Zip Place of Employment Phone Preferred Physican Phone Address City State Zip Preferred Hospital Phone Address City State Zip Preferred Dentist Phone Address City State Zip Allergies, Medical or behavior information we should know about: Is the child covered by medical insurance? Yes No Insurance Name Insurance Address City State Zip Insurance ID Number# Group # Phone #

8 2015 Camp Registration Page 2 Child's Last Name First Name I give my child permission to swim as part of the Y Program. My child s swim ability is: Beginner Intermediate Advanced IMPORTANT - - THE FOLLOWING BOXES MUST BE COMPLETE FOR ATTENDANCE 1. This registration form is correct & complete as far as I know and the child described has permission to engage in all camp activities. 2. I give permission to the YMCA to use photographs, audio and video recordings and verbal statements from my child for the media or advertising. 3. I understand that my child may be transported by van or bus to various field trip locations during the course of the summer, or they may walk to areas within walking distance. 4. I expect my child to observe rules decided upon for the welfare of all children in attendance. 5. I understand that all registration and forms required by state licensing must be completed and returned prior to attending the camp. 6. I understand that camp closes at 6 PM and there is a late fee charged for late pick-ups. I also understand that repeated late pick-ups may result in dismissal from camp. 7. I understand that I must sign my child in and out of camp each day. 8. Upon enrollment in this summer camp, I have received a copy of the Parent Handbook. I hereby give permission to the medical personnel selected by the camp to order x-rays, routine tests, treatment, release any records necessary for insurance purposes, and to arrange or provide needed transportation for my child. In the event that I cannot be reached in an emergency, I hereby give permission to the physician selected by the camp to secure and administer treatment, including hospitalization, for my child. This completed form may be photocopied for trips away from camp. My child has has had has never had seizures. (Circle which one applies.) Signature of Parent/Guardian Date Others Who May Pick up your child or be contacted in case of emergency: Name Phone Relationship to child Insurance Address City State Zip Name Phone Relationship to child Insurance Address City State Zip Name Phone Relationship to child Insurance Address City State Zip The foregoing instrument was acknowledged before me this day of STATE OF WV, COUNTY OF Notary Signature: STAMP $20 per camper registration fee 15SC

9 AUTOMATIC PAYMENT OPTION FORM- AUTHORIZATION AGREEMENT I hereby authorize the YMCA of Parkersburg to automatically charge the credit card referenced below for my child s YMCA Child Care account balance. I understand that the balance due for each child care account will be charged on the Friday prior to the week of attendance. Further, I understand that it is my responsibility to check my credit card statement and report any discrepancies to the YMCA Child Care Billing Office within 7 days of the charge in question. I understand that I am financially responsible for all payments. Should any charge be rejected by my financial institution for any reason, I agree to be responsible for that payment and any additional fees incurred. I understand that it is my responsibility to notify the YMCA of Parkersburg of any changes in my credit card information, including the expiration date, and that changes must be submitted in writing at least 7 business days in advance of the draft date. This agreement will remain in effect until the YMCA of Parkersburg received a written notice of cancellation from me or until the end of the 2015 YMCA Summer Camp year, with the last payment being on Friday the week after the last day of camp. ACCOUNT INFORMATION Print your name as it appears on card: Credit Card Number: 3 digit security code: Expiration Date / Zip code: SIGNATURE Authorized Signature: Date: Child # 1 Name: Child # 2 Name: Child # 3 Name: Child # 4 Name: Parent s Name: Day Phone: ( ) Evening Phone: ( ) West Virginia CHOICES Child Care Assistance and YMCA Scholarship Information Scholarships are available based on site capacity, demonstrated need and the YMCA s ability to fund the assistance. In order to provide the most assistance for the largest number of people, we request that you first determine whether you are eligible for child care assistance through CHOICES state funded child care assistance. Once approved, send us a copy of your Notice of Approval and your YMCA Child Care registration form. Contact the CHOICES office early as you must be approved before we can register your child. If it has been determined that you are ineligible for assistance through CHOICES, please ask for a letter of declination stating the reason why you were denied and we will gladly review your eligibility for assistance through the YMCA Scholarship Program. Scholarship applications are available at the Member Service Desk at the YMCA. Applicants need to supply their most recent W-2 and tax return information along with the denial letter from CHOICES. Contact Number for CHOICES Contact Number for the YMCA of Parkersburg

10 2015 Day Camp & Specialty Camp Payment Form Child s Name Please CIRCLE weeks attending and Please Print Home School Camp FLY Rate Camper-In-Training Rate Specialty Camp Rate (Free drop off as early as 6 AM) Non Refundable Registration Fee: $20.00 Non Refundable Registration Fee: $20.00 Member Rate $50/week Non Member $60/week Member Rate $85/week $20/daily rate Member Rate $95/week $25/daily rate After Camp care Non Member $95/week $25/daily rate Non Member $105/week $30/daily rate Member Rate $45/week Non Member $55/week Sibling Rate 15% discount Sibling Rate 15% discount Sibling Rate 15% discount Week of Camp Camp FLY Field Trip/Special Activity Camper in Training 15SC SC June 8 12 (01) Strange & Unknown Bug Camp Specialty Camp 15SC June (02) World Tour Lil Scientist American Girl Doll Camp (Rising 1 st 6 th graders) June (03) Let s Be Crazy Skating - Skate County Let s Be Crazy Camp Hogwarts Attending Trip YES NO (Rising 4 th 8 th graders) June 29 - July 3 (04) Earth Friendly Dirt Camp ½ Day Camp 15SC July 6 10 (05) Water World Outdoor Water Games Water World Dino Daze (Rising 1 st 6 th graders) July (06) Summer Safari Columbus Zoo at the Y Summer Safari Myth Busters (Rising 1 st 3 rd graders) Fish Camp (Rising 4 th 8 th graders) July (07) Old West Old Time Talent Show Mini Chefs Lemonade Stand (Rising 1 st 6 th graders) July (08) County Fair Camp Carnival County Fair CSI Camp (Rising 4 th 8 th graders) August 3 7 (09) Seafarers Princess & Pirates Camp August (10) End of Summer Bash End of Summer Bash PAYMENT INFORMATION Please note, registrations will not be processed without payment and indicated method of payment. Total Amount Due: I am paying: Full payment for entire summer by May 1 st for 10% discount. Monthly Payment: All registered weeks in month must be paid by the 1 st of the month. Weekly Auto Payment: You provide a valid credit card to be automatically charged 10 days before the week of camp. I am paying each week by the Wednesday prior to the week attending. Cash Check # Credit Card # Exp: / 3 digit code CHOICES or Y Scholarship A current CHOICES contract or Scholarship letter must be on file before registration will be accepted and registered. Our family currently receives subsidy from CHOICES. There is a current Y Scholarship letter on file. *I understand that I am responsible for any amounts not covered by either of the above. Parent Initial I approve this application for my child to participate in all planned camp activities, including out of camp trips by walking or bus transportation. I agree to pay camp fees as required and understand that no refunds will be given outside of the camps refund policy unless the camp is cancelled by the YMCA or a doctor s authorized medical reason has been given. By signing this form, I certify approval of good health of the camper and in the event I cannot be reached authorize staff and volunteers of the YMCA of Parkersburg to secure proper medical treatment for my child as named above. I agree to release the YMCA of Parkersburg from any liability for the risks of illness, accidents or injury as well as waiving any claims against the YMCA and its members and volunteers. The YMCA of Parkersburg is not responsible for lost, stolen or damaged personal articles. Parent/Guardian Signature Date

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