best summer ever! - Door County YMCA

Transcription

BEST SUMMER EVER!
FRIENDSHIP, ACCOMPLISHMENT, BELONGING
DOOR COUNTY YMCA SUMMER CAMPS 2015
www.doorcountyymca.org
WHYCHOOSE
CHOOSE CAMP
COMPASS?
WHY
CAMP
COM-
SIGN UP FOR THE BEST SUMMER EVER!
The Y is giving kids their best summer ever through a day camp experience with more activities to help
them learn and master skills, make friends and feel welcome.
Through the Y’s day camp program, kids participate in fun and educational activities that will help them:
• Learn and master skills that help them realize their passions, talents and potential;
• Build relationships with new friends and staff role models adding to their well being;
• Develop a sense of belonging, so they feel safe, welcome and free to express their individuality.
There’s nothing like the Y!
WELL-TRAINED STAFF: We take your child’s safety seriously. Our counselors, camp staff
and lifeguards complete over 30 hours of pre-camp training including CPR, First Aid, AED and
Child Abuse Prevention. We conduct background checks and drug screenings on all camp staff and
employees. Our counselors also learn child development best practices, as well as techniques to
encourage all campers to be inclusive and celebrate our differences.
TRADITION AND VALUES: The YMCA invented “day camp” to bring enriching experiences
to children in local communities. With more than 20 camping seasons to build on, this year is
sure to be the best summer ever! The focus of summer camp will be fostering of friendships,
accomplishments and belonging through age-appropriate enrichment activities in indoor and
outdoor settings, keeping kids active, engaged and having fun!
SUPPORT OF FAMILY: We strive to offer camp options that fit every family’s busy summer
calendars. With full summer, weekly and daily rates, we are sure to be able to provide support
for the full-time working parent, or those just looking to incorporate some fun into their child’s
summer!
COMMUNITY REPUTATION: At the Y, you’re not just a member of a facility; you’re part of
a cause with a shared commitment to nurture the potential of youth, improve health and wellbeing, give back and support our neighbors. YMCA members enjoy special pricing on programs and
receive priority registration.
COME AND HEAR MORE
Join us for the opportunity to meet the counselors, interact with other camp families, finalize
paperwork, preview camp, and ask questions.
June 3 6:00 pm
FAMILY POTLUCK/COOKOUT
Sturgeon Bay Camp Compass
Meet-and-Greet
2 At the Lansing Avenue Center
June 17 5:00 pm
FAMILY POTLUCK/COOKOUT
Sister Bay Camp Compass
Meet-and-Greet
At the Sister Bay Beach Gazebo
2015 SUMMER CAMP
• Registration & Membership Info....4
• Sturgeon Bay Camps
- Explorer Camp ........................................5
- Weekly Schedules ...................................6
- Weekly Themes.......................................7
- Pre-Summer Week...................................8
- Adventure Camp......................................9
- Traveler Camp..........................................10
- Navigator Camp.......................................11
- Camps in The Park..................................12
*Otumba Park Half-Day Camp
*Afternoons at Sunset Park
*Sunset Park Tennis Camp
• Specialty Camps ..........................13
*Gymnastics Camp
*Art Camps
• Summer Foods .............................14
• Leaders in Training ......................15
• Northern Door Camps
- Fun in the Sun Camp..............................18
- Commanders Camp.................................18
• All Camp Forms .........................19-23
CAMPERS CHECKLIST
WHAT TO WEAR:
• Tennis shoes with socks
• Camp t-shirt (provided)
DAILY BACKPACK ITEMS:
• Water bottle
• Swimsuit & towel
• Sweatshirt or light jacket
• Comb/brush
• Optional items: goggles, plastic bag
for wet swim suit & towel
PLEASE DO NOT BRING:
• Money
• Personal electronic items or cell
phones
• Toys from home
SUNSCREEN AND BUG SPRAY:
Sunscreen should be applied before
camp, as campers spend a good
portion of the day outside. The YMCA
will provide sunscreen and bug spray
to be re-applied throughout the day
when conditions dictate. If you wish
to provide your own sunscreen and
bug spray, it must be in a separate
container clearly labeled with the
camper’s name as well as have the
appropriate paperwork on file with
counselors.
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REGISTRATION
WHY
CHOOSE CAMP COMPASS?
CAMP FORMS
EARLY REGISTRATION
DISCOUNTS
For your child’s safety and state licensing requirements,
registration forms for all camps must be submitted by
Friday, June 5 or prior to first day of scheduled
It pays to not only become a member of the Y, but also
camp.
to register early for Summer Camp. Registration opens on
March 2. With three pricing tiers, the earlier you register
Please note that the Y uses photos of program
the more you can save. Campers can register for the whole
participants in promotional materials (last names
summer, specific weeks or random days. By registering for
are not published). If you do not want your child
the full summer of camp, members will receive a discount
photographed or to appear in promotional materials,
equivalent to 5 days of camp FREE!
please check the appropriate box on the bottom of
the registration forms on page 23 and file this form
with other camp forms.
At the YMCA, summer camp is for everyone, regardless
of income. We are committed to giving everyone the
opportunity to participate in character building programs
regardless of one’s ability to pay. In addition to a subsidy
program provided through the State of Wisconsin, the
YMCA can also offer partial financial assistance for camp
fees, if the state subsidy is less then 50%. State subsidy, if
A non-refundable deposit is required at the time of
applicable, will be applied first to camp fees. For financial
registration unless you receive a subsidy. A deposit of
assistance information contact Sue Crass at the Sturgeon
25% is required if you register before June 5, and 50%
Bay Program Center at 920-743-4949 or Josh Lardinois
is required if you register after June 5. Your deposit is
at the Northern Door Program Center at 920-868-3660.
applied to your total camp fees. The balance of camp
All requests are confidential. For state subsidy information,
fees must be scheduled for a payment plan and MUST
contact Val Bauldry at Human Services of Door County at
be paid in full prior to scheduled camp day unless
920-746-2245.
otherwise arranged.
FINANCIAL ASSISTANCE
CAMP DEPOSITS,
PAYMENT AND
CANCELLATIONS
Transfers from one camp day to another will be
accepted on a space-available basis.
Camp enrollments are accepted 48 hours prior to the
camp day, or on a space-available basis.
Join The Y
All campers are encouraged to join as a
YMCA member to receive a discount on
camp and full membership privileges. A
youth membership is $17 per month. Or
better yet, join as a family and make the Y
your destination for family activities year
round! For more information on becoming a
Y member, visit
www.doorcountyymca.org or call
920-743-4949 or 920-868-3660.
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CAMP SUPERVISION POLICY
The Door County YMCA is not able to provide 1:1
supervision of any child in our camp programs. Normal state
licensing ratios are implemented and range from 1:10 to
1:15 depending on ages and activities. If your child requires
more supervision, it will be the parent’s responsibility to
inform the YMCA and provide that service for your child.
Assisting adults are permitted to accompany children in our
camps at no additional cost. Contact the camp director to
make arrangements before your child arrives at camp.
SWIMMING POLICY
Summer fun includes swimming in our tremendous aquatic
facilities or local beaches! Please note that most of our
Camp Compass programs include instructional and/or
recreational swim time, as a part of the curriculum. For
instructional swim programs, a pre- and post- season
assessment will be sent home for you to see your campers’
progress.
EXPLORER
CAMP
BARKER CHILD DEVELOPMENT CENTER
AGES 4 & 5
Explorers Camp, located in the Treehouse Room of our 5-Star rated Barker Child Development
Center, is a fun and exciting first camp experience for 4 and 5 year olds. Your child will experience
the “magic” that summer camp offers making new friends, creating cool art projects, learning new
games, enjoying summer activities, and even taking field trips on a REAL school bus! Each week
presents a theme geared toward the interests and abilities of preschool children, helping them
explore, learn and enjoy new experiences.
Barker Child Development Center
Contact: Dori Meyer At 920-743-4949
Camp dates: June 16 through August 20
Camp times: Tuesdays and/or Thursdays
Camp Location: 1743 Egg Harbor Rd
NEW
Sturgeon Bay, WI 54235
LOCATION
920-818-0691
9:00 am to 12:00 pm
Registration Dates: Now-March 31 April 1-May 15
May 16-end of camp Y Member: $155 all Tuesdays
$155 all Thursdays
$170 all Tuesdays
$170 all Thursdays
$185 all Tuesdays
$185 all Thursdays
General Public:
$194 all Tuesdays
$194 all Thursdays
$212 all Tuesdays
$212 all Thursdays
$231 all Tuesdays
$231 all Thursdays
WEEKLY THEMES
Week 1: June 16 & 18
Artful Antics
The first days of camp will be filled with arts and
crafts with a guest art teacher.
Week 2: June 23 & 25 Week 6: July 21 & 23 Barnyard Bash
Campers visit with animal friends at Schopf’s Dairy View and
THE Farm.
Island Getaway Week 7: July 28 & 30 Happily Ever After
Campers will go for a swim at the YMCA and Clark
Lake.
A gymnastics class and playing in the castle at the Y bring fairy
tales to life for campers.
Week 3: June 30 & July 2
USA
Week 8: August 4 & 6 Rockin’ in the
All-American sports fun includes bowling at Apple
Valley Lanes and mini golfing at Egg Harbor Fun Park.
Discovering Our World
Campers will take to the beautiful outdoors at The Ridges
Sanctuary and Whitefish Dunes State Park.
Week 9: August 11 & 13
Helping Heroes
Week 4: July 7 & 9
Cruising in Our Campers will get the opportunity to meet heroes right here in
Neighborhood Door County at the US Coast Guard Station and the Sturgeon
Exploration of Sturgeon Bay this week will be aboard Bay Fire Department.
the Door County Trolley and the Chicago Fire Boat.
Week 10: August 18 & 20 Anything Goes
Week 5: July 14 & 16
Under the Sea
The last week of camp will be filled with silly fun, as campers
dress up in their favorite costumes one day and a crazy outfit
or hairstyle the other day.
Campers can splash and play at Quietwoods South
and the YMCA.
Note: Activities may change based on weather, attendance and other circumstances.
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TYPICAL
WEEKLY SCHEDULE
ADVENTURE-TRAVELER- NAVIGATOR
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
Extended Care
Opening Ceremony
Extended Care
Opening Ceremony
Extended Care
Opening Ceremony
Extended Care
Opening Ceremony
Extended Care
Opening Ceremony
Huddle Group
Huddle Group
Huddle Group
Variety Activities
Huddle Group
Huddle Group
Swim Lessons
Swim Lessons
Variety Activities
Campers Choice
and Play
Campers Choice
and Play
Mastery Activities
Orientation
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Lunch
Open Swim
Variety Activities
Snack
Reflection
Closing Ceremony
Lunch
Mastery Activities
Variety Activities
Snack
Reflection
Closing Ceremony
Extended Care
Extended Care
Field Trip
Lunch
Open Swim
Variety Activities
Reflection
Closing Ceremony
Lunch
Mastery Activities
Variety Activities
Snack
Reflection
Closing Ceremony
Extended Care
Extended Care
Extended Care
Camper Planned
Event
Mastery Activities Extended Care
Regular camp sessions will run from 8:30am-4:00pm each Giving campers a chance to select an activity to practice at least
day, however, understanding the various needs of family, we three times during a camp week helps them build a sense of
will continue to offer before camp care (from 5:30-8:30am) achievement. When campers return to an activity with a clear goal in
and after camp care (from 4:00-5:45pm) at no additional
mind, they are able to build skills in that activity. Weekly activities
cost! This time will focus on Camper Choice and Play and
will be offered, with recognition for successful completion. Campers
Variety Activities as we wait for other campers to join us. will use tracking systems to record accomplishments over the
Opening & Closing Ceremonies summer. Acknowledging the start and end of each day with a ritual Variety Activities
gives your camp the chance to assemble as one large
Exploring a range of activities throughout the camp session allows
group, participate in fun and engaging routines, recognize campers to discover their interests and talents. These activities are
and celebrate campers and counselors, and experience an
a little more general than mastery activities, focused less on skill
inclusive and positive social environment.
building and more on trying new things and connecting with others.
Huddle Group
Reflection
Getting to know campers’ names, interests, and qualities
It's easy to jump from one activity to the next in the excitement and
during small-group interactions creates a positive social
rush of the camp day, but youth development is best supported by
environment, promotes friendships among campers, and
building in time for individual or small-group reflection on activities
reduces and resolves behavior conflicts and bullying. or the day’s events. These few moments will foster relationships
and support belonging among campers and between campers and
Camper Choice & Play Supervised time, not directed by camp counselors, provides counselors. It's a fun way to end each day.
campers with an important opportunity to make individual Camper Planned Events
choices and feel a sense of belonging at camp. Campers can Engaging campers to select, organize, and run an event builds
use the time to explore various opportunities for indoor,
collaboration skills and offers important leadership opportunities.
These events will celebrate the fun of the week...maybe it will be a
outdoor or imaginative play.
performance, showcase, or favorite game...the campers will decide!
WEEKLY
THEMES
ADVENTURE-TRAVELER- NAVIGATOR
June 3 FAMILY POTLUCK/COOKOUT Summer Camp Meet-and-Greet 6:00pm
Join us at the Lansing Avenue Center for the opportunity to meet the counselors, interact with other camp families,
finalize paperwork, preview camp, and ask questions.
Week 1: June 15 – 19
Camp 101
Week 2: June 22 – 26 Aloha Summer
Week 3: June 29 – July 3 American Pride
Week 4: July 6 – 10
Creation Station
Week 5: July 13 -17
Wonderful Water
Week 6: July 20 – 24 Super Science
Week 7: July 27 – 31 Helping Hands
Week 8: August 3 – 7 The Great Outdoors
Week 9: August 10 – 14
Games, Games, Galore
Week 10: August 17 – 21 Spirit Week
School is out, and it is time to say hello to summer with new friends at summer camp. Week one focuses on getting
to know each other, exploring the camp area and becoming familiar with the camp experience.
Go further into summer fun with an island theme and Hawaiian games like musical beach towel and beach ball
bonanza. Other highlights include temporary tattoos, pineapple pops, and Hawaiian musical instruments.
During American Pride week campers participate in activities that celebrate our country, land and cultures.
Activities and games include whiffle ball, four square, banana/blueberry kabobs, and community clean up.
All aboard for Creation Station! This week revolves around expressing oneself through art in mediums such as
clay, paper-mache, watercolor, and chalk. Other art projects include tie-dying, creating yarn bowls and making
friendship bracelets using Rainbow Looms.
Splash and explore the wonders of water this week by creating a regatta boat to race against fellow campers.
Campers will also delve into splash painting, conduct a water taste test and play on the super slip and slide.
The wacky wonders of STEM (science, technology, engineering and mathematics) flesh out this week where campers
create their own slime, design a vessel for an egg drop experiment, build a catapult and blast off a rocket.
Campers will be putting their hands to work this week, learning how helping others makes a difference in the
community. From donating food to sharing smiles, campers and the Door community will reap the benefits of these
small acts of kindness.
The natural splendor of the Door Peninsula provides a great locale to live and play. Campers will learn how
nature can take care of us, and how we can return the favor by supporting our environment.
With a week full of games, campers will focus on having fun while developing sportsmanship and learning how to be
a team player. Games like tag and Ultimate Frisbee will bring out the athlete in everyone.
Campers will celebrate the end of summer with Camp Compass spirit! Daily themes will bring out camper’s craziest
hairdos to their best pajamas, providing opportunities to reflect on the commonality and the originality within the
camp community.
August 19 FAMILY POTLUCK/COOKOUT Summer Camp close out 6:00 pm
Join us at Cherry Blossom Park for a cookout where families will have a chance to close out the summer camp
program with other campers and staff, showcasing summer achievements.
Camp Rewind
7 the last week of camp, the entire summer will be put on rewind. Campers will have input on their favorite
As
activities from camp, which will be revisited to enhance their memories as camp comes to a close.
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CAMP
COMPASS
PRE-SUMMER WEEK
LANSING AVENUE CENTER JUNE 8-JUNE 12
AGE 5 THROUGH STUDENTS ENTERING 5TH GRADE
SCHOOL IS OUT, SUMMER IS IN
YMCA Summer Camp doesn’t start until June
15, but don’t worry. Our Pre-Summer Week
held June 8 – 12 is here to help, especially
our Southern Door and Sevastopol friends
who are scheduled to be out of school
that whole week. Sturgeon Bay schools are
scheduled to wrap up on June 10, so these
friends can join us starting June 11.
Get summer started with the right tone by
Camp dates: Monday through Friday, June 8 -12
transitioning straight from school into our
Camp times: 8:30 am - 4:00 pm; FREE extended care Pre-Summer
Week. Whether signing up for one
available 5:30 am - 8:30 am
day or the whole week, participants will fill
and 4:00 pm –5:45 pm
their time with field trips, sports, swimming,
arts & crafts, and more. A nutritious breakfast
Lansing Avenue Center
and lunch will be served each day of
Contact: JoAnna Severinsen
Pre-Summer Week.
Camp Location: 876 S. Lansing Ave.
920-818-0796
PRE-SUMMER ACTIVITIES
Monday, June 8 Tuesday, June 9 Wednesday, June 10 Thursday, June 11 Friday, June 12 Kick off activities & swimming at the Y
Bowling at Apple Valley Lanes
Relay Races at Local Park
Outdoor activities at Crossroads
Games & swimming at the Y
Note: Activities may change based on weather, attendance and
other circumstances.
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Registration Dates: Y Member: General Public:
Now - March 31 April 1 - May 15 May 16 - end of Camp $150 per week/$32 day $165 per week/$35 day $180 per week/$38 day $185 per week/$39 day
$205 per week/$43 day
ADVENTURE
CAMP
LANSING AVENUE CENTER
AGE 5 THROUGH ENTERING GRADE 1
Every day of this full-time licensed day camp is full of activities that nourish your child’s sense
of adventure and creativity. The weekly themes promote learning across a broad spectrum of
subjects, with field trips and activities that bring your child’s summer beyond the ordinary, into
the extraordinary.
Camp times: 8:30 am to 4:00pm; FREE extended care available 5:30 am to 8:30 am and 4:00 pm to 5:45pm
920-818-0796
Registration Dates: Now-March 31 April 1-May 15 May 16-end of camp Y Member: $150 per week/$32 day $165 per week/$35 day $180 per week/$38 day General Public:
$225per week/$47 day
ADVENTURE CAMP WEEKLY TRIPS
Door County Candle Co.
Week 2: June 22 – 26 Egg Harbor Fun Park
Week 3: June 29 – July 3 Joannes Aquatic Center
Door County Trolley
Week 5: July 13 -17
Quietwoods South
Week 6: July 20 – 24 Bay Beach Amusement Park &Wildlife Sanctuary
Week 7: July 27 – 31 The Ridges Sanctuary
Week 8: August 3 – 7 The Courses
Sir Bounce-A-Lot
Week 10: August 17 – 21 Apple Valley Lanes & Sunset Park
Sturgeon Bay Cinema
Trips are typically scheduled for Wednesdays of each week, but may change
based on weather, attendance, and other circumstances. Swim lessons are
included weekly on Tuesdays and Thursdays for all Adventure Campers, with
open swim planned for Monday and Fridays; gym and park activities will be
regularly scheduled at the Sturgeon Bay Program Center. Bus trips to local
parks and walking field trips to the Library and Cherry Blossom Park are also
planned into each week.
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TRAVELER
CAMP
LANSING AVENUE CENTER
ENTERING GRADES 2 & 3
Traveler Camp is a full-time licensed day camp that builds on your child’s
adventurous spirit to bring about a further sense of independence in
an environment that embraces new experiences, weekly themes and a
healthy food curriculum will help campers build skills for life and lasting
friendships.
Camp times: 8:30am-4:00pm; FREE extended care
available 5:30-8:30am & 4:00-5:45pm
920-818-0796
Registration Dates: Now-March 31 April 1-May 15 May 16-end of camp Y Member: $150 per week/$32 day $165 per week/$35 day $180 per week/$38 day General Public:
TRAVELER CAMP WEEKLY TRIPS
Egg Harbor Fun Park
Week 2: June 22 – 26 Door County Candle Company
Week 3: June 29 – July 3 Joannes Water Park
Door County Fire Boat
Week 5: July 13 -17
Harbour Village
Week 6: July 20 – 24 The Ridges Sanctuary
Week 7: July 27 – 31 Sir Bounce-A-Lot
Week 8: August 3 – 7 Hickey Brothers Fishery
Bay Beach Amusement Park & Wildlife
Sanctuary
Week 10: August 17 – 21 Apple Valley Lanes & Sunset Park
Sturgeon Bay Cinema
Trips are typically scheduled for Wednesdays of each week, but may change based on
weather, attendance, and other circumstances. Swim lessons are included weekly on
Tuesdays and Thursdays for all Traveler Campers, with open swim planned for Mondays
and Fridays; gym and park activities will be regularly scheduled at the Sturgeon Bay
Program Center. Bus trips to local parks and walking field trips to the Library and Cherry
Blossom Park are also planned into each week.
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NAVIGATOR
CAMP
STURGEON BAY PROGRAM CENTER
ENTERING GRADES 4 & UP
Navigator Camp, located in our Sturgeon Bay Program Center, provides our oldest campers
(grades 4 and up) with the opportunities to discover new talents, gain independence and build
lasting relationships and memories. Navigators will have daily access to the YMCA gyms, pools,
track, and beautiful new Peterson Park development! This camp will model other Camp Compass
programs in quality and daily structure, and will join our younger Camp Compass participants on
multiple adventures and field trips.
Camp times: 8:30am-4:00pm; FREE extended care available 5:30-8:30am & 4:00-5:45pm
Sturgeon Bay Program Center
Contact: JoAnna Severinsen at 920-818-0791
Camp Location: 1900 Michigan Street
920-743-4949
Registration Dates: Now-March 31 April 1-May 15 May 16-end of camp Y Member: $150 per week/$32 day $165 per week/$35 day $180 per week/$38 day NEW
LOCATION
General Public:
NAVIGATOR CAMP WEEKLY TRIPS
Week 2: June 22 – 26 Week 3: June 29 – July 3 Week 4: July 6 – 10
Week 5: July 13 -17
Week 6: July 20 – 24 Week 7: July 27 – 31 Week 8: August 3 – 7 Week 9: August 10 – 14
Week 10: August 17 – 21 Week 11: August 24 – 28
Egg Harbor Fun Park
Door County Candle Company
Joannes Water Park
Door County Fire Boat
Harbour Village
Hands On Art Studio
Sir Bounce-A-Lot
Hickey Brothers Fishery
Kastle Karts & Bay Beach Wildlife Sanctuary
Apple Valley & Sunset Park
Sturgeon Bay Cinema
Trips are typically scheduled for Wednesdays of each week, but may change based on
weather, attendance, and other circumstances. Swim lessons are included weekly on
Tuesdays and Thursdays for all Navigator Campers, with open swim planned for Mondays
and Fridays; gym and park activities will be regularly scheduled. Bus trips to local parks and
walking field trips to CrossRoads at Big Creek are also planned into each week.
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EXPLORER CAMP
CAMPS
IN
THE
PARKS
SUNSET AND OTUMBA PARKS
OTUMBA PARK HALF-DAY CAMP
Meets at Otumba Park
Ages 7 to 12
Otumba Summer Camp is a collaborative partnership
between the Door County YMCA and the City of Sturgeon
Bay, which strives to provide an inexpensive, fun, and
centrally located camp. Campers will meet at the shelter
in Otumba Park each morning, utilizing the entire park to
incorporate games, crafts, sports, reading, team-building
challenges, beach time, and an occasional field trip within
walking distance. The goal for this camp is to instill the
four core values of the YMCA (honesty, caring, respect, and
responsibility) into all camp activities. All participants will
receive a morning snack and FREE nutritious lunch.
Camp dates: Session 1- June 22 through July 9; Session
2- July 13 through July 30; Session 3, August 3 through
August 21
Camp Times: Monday through Thursday, 9:00am-noon
What to bring: Water Bottle, swimsuit, towel, sunscreen,
sweatshirt or windbreaker
Registration: Y Member: $35/session General Public: $35/session
SUNSET PARK TENNIS CAMP
Meets at Sunset Park
Ages 7 and older
Instructed by Coach Eric, Tennis Camp teaches kids the
basic fundamentals of playing tennis with a focus on
having fun. Kids will be coached in age-specific activities
and skill development games, working toward the goal of
match play as the session progresses. Participants are
welcome to bring their own tennis racquet or borrow one.
Camp Dates: August 3 through August 20
Camp Times: Monday through Thursday, 1:00-2:00pm
What to bring: Water bottle, tennis shoes, tennis
racket, sweatshirt or windbreaker.
Registration: Y Member: $49
General Public: $61
In case of inclement weather, please call the Sturgeon Bay
Program Center on the morning of the lesson to find out
about cancellations.
AFTERNOON AT SUNSET PARK – NATURE EXPLORATION AFTERNOON AT SUNSET PARK – SPORT CHALLENGE Meets at Otumba Park
Meets at Sunset Park
Entering Grades 5 through 8
Entering Grades 5 through 8
Campers will explore the park by wandering the walking
Kids will get their dose of exercise through a variety
paths and using the exercise equipment to gain a better
of sports, as well as bring home lessons about
vantage point, looking to spot and identify different animals sportsmanship, skills, teamwork and talent. Those in
and plants. Weather permitting, campers will have the
attendance will decide if the day is right for soccer,
opportunity to hit the beach each day, and a nutritious
basketball, baseball/softball, volleyball or another
snack will be provided.
sport, and weather permitting, campers will have the
Camp dates: June 24 through July 30
opportunity to hit the beach each day. A nutritious snack
Camp Times: Wednesday, 1:00-3:30pm
will be provided.
What to bring: Water bottle, swimsuit/towel, tennis shoes, Camp dates: June 22 through July 28
sweatshirt or windbreaker
Camp times: Tuesdays or Thursday Sessions,
Registration: Y Member: $24
1:00-3:30pm
General Public: $43
What to bring: Water bottle, swimsuit/towel, tennis
shoes, sweatshirt or windbreaker
Registration: Y Member: $24/Session
General Public: $43/Session
*SIGN UP FOR BOTH TUESDAY AND THURSDAY AND
RECEIVE $10 DISCOUNT
A drop in option is available at Sunset Park in the afternoon, but please call the Sturgeon Bay Program Center each day
prior to camp time to ensure there is space available. Members: $6 General Public: $9
Contact: Eric Natwick at for any questions 920-743-4949 for all Camps in the Parks
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SPECIALTY
CAMPS
STURGEON BAY PROGRAM CENTER
GYMNASTICS PROGRESSIVE CAMP
Ages 6 to 13
The goal of this week of gymnastics is to support each individual gymnast in learning new skills while
improving existing ones. The focus shifts each day to cover a particular development element. Participants
must have had two previous sessions of gymnastics and have been enrolled in Level 1 or higher class.
Camp Dates: August 3 through August 6
Camp Times: Monday through Thursday
Contact: Amy Gamble
9:00 am to12:00 pm
Camp Location: 1900 Michigan Street Registration: Y Member: $70 General Public: $90
GYMNASTICS TEAM CAMP
920-743-4949
This intensive camp focuses on advancing the skills of the seasoned gymnast. All gymnasts must have
competed on the Striver’s Team or another YMCA competitive team. Team camp is only open to YMCA
members.
Camp Dates: Monday, June 15 through Friday, June 19
Levels 2, 3 & Bronze
8:30 am to10:15am Camp open to Y Members Only: $75
Level 6, 8, Silver & Gold
10:15 am to1:00 pm
Camp open to Y Members Only: $75
Camp Dates: Monday, August 10 through Thursday, August13
Levels 2, 3 & Bronze
8:30 am to 10:15 am Camp open to Y Members Only: $60
Level 6, 8, Silver & Gold
10:15 am to 1:00 pm
Camp open to Y Members Only: $60
ART CAMPS
Art Camps encourage children to be creative and use their imagination as much as possible. This increased
emphasis on creativity can help to foster new ways of thinking about the world in general. Classes will
include: Photography with Suzanne Rose, Water Colors with Kari Anderson and many others with local
Door County artists. Watch for more information including dates and pricing in our spring program guide.
Contact: Dori Meyer at 920-743-4949
13
11
EXPLORER CAMP
NUTRITIOUS AND DELICIOUS
SUMMER FOOD PROGRAM FUELS
DOOR COUNTY COMMUNITY KIDS
The Door County Y’s Sturgeon Bay Program Center will once again sponsor the Summer Food
Program, where any child 18 and under that would like a free lunch during the summer will be fed
a well-balanced, nutritious meal.
With a mission to promote a healthy spirit, mind and body for all, and a focus on youth
development, fueling the brains and bodies of Door community kids is what The Y is all about.
Participants in Sturgeon Bay Camp Compass programs will receive free breakfast and lunch
through this program, while other community locations will serve lunch according to a set
schedule.
4 COMPONENTS OF EVERY MEAL
• Varied, healthy meals that meet the USDA guidelines will be served.
• Fruits and/or vegetables will be available.
• Serving sizes will be taught and acknowledged, but additional servings or substitutions may occur.
• Beverage choices will include water and milk, with water the preferred drink option.
The Summer Foods Program is a collaborative effort made possible with the support from the
following local partners:
• Bay Hill Apartments
• The Boys and Girls Club
• City of Algoma
• City of Sturgeon Bay
• Community of Carlsville
• The Door County Health Department
• Therma-Tron-X, Inc.
• EconoFoods
• Private supporters
• United Way
• UW-Extension
• SandHill Trailer Park
• Walmart
*Call the Sturgeon Bay Program Center at 743-4949 or check our website for a complete summer
food schedule and weekly menus.
14
14
LEADERS
IN
TRAINING
STURGEON BAY & NORTHERN DOOR
ENTERING GRADE 7 AND OLDER
The LIT (Leaders in Training) program is a
leadership development and mentoring program.
This training program will provide an opportunity
for youth that are too old for our camps to
give back to the program by assisting our adult
counselors with camp. The goal of this program
is to provide participants with opportunities
to improve their leadership skills and to be an
example of the YMCA four core values (honesty,
caring, respect, and responsibility). In addition to
working on leadership, the LIT program develops
skills needed to deal effectively with groups of
children, organization, safety awareness, and
motivation. Participants are expected to commit to a set schedule (or adequate communication
with their supervisor if unable to attend), participate fully in camp activities, and to demonstrate
positive role modeling at all times.
Applicants for this program will need to fully complete the applications and attend the mandatory
orientation. Applications can be found online at DoorCountyYMCA.org, or pick up at the Lansing
Avenue Center, or the YMCA program centers.
Sturgeon Bay
Camp Directors: Eric Natwick and Alexis Fuller (920-743-4949)
Camp Location: Dependent on Camp Assigned
Camp Times: Dependent on Camp Assigned
* Required training session June 12, 9:00 am to Noon at the Lansing Avenue Center.
**Applications for this program are due to Eric Natwick or Alexis Fuller by May 31.
Northern Door
Camp Director: Drew Richmond (920-868-3660)
Camp Location: Sister Bay Village Hall or Northern Door Program Center based on day of the
week
Camp Times: Dependent on Camp Assigned
* Details of training session to be announced at a later date.
**Applications for this program are due to Drew Richmond by May 15.
CAN’T FIND YOUR SUMMER CLASS?
Other summer class like PEAK Performance, Swim Lessons, T-ball will be distributed through
our June Summer program guide.
Members will be able to register for Summer classes Monday June 15, while the public can
register Wednesday, June 17.
15
CAMP
COMPASS
NORTHERN DOOR CENTER & SISTER BAY VILLAGE HALL
FUN IN THE SUN & COMMANDER CAMPS
CAMPERS CHECKLIST
WHAT TO WEAR:
• Tennis shoes with socks
• Camp t-shirt (provided)
DAILY BACKPACK ITEMS:
• Water bottle
• Swimsuit & towel
• Sweatshirt or light jacket
• Comb/brush
• Optional items: goggles, plastic bag for wet swim
suit & towel
PLEASE DO NOT BRING:
• Money
• Personal electronic items or cell phones
• Toys from home
SUNSCREEN AND BUG SPRAY:
Sunscreen should be applied before camp, as
campers spend a good portion of the day outside.
The YMCA will provide sunscreen and bug spray to
be re-applied throughout the day when conditions
dictate. If you wish to provide your own sunscreen
and bug spray, it must be in a separate container
clearly labeled with the camper’s name as well
as have the appropriate paperwork on file with
counselors.
16
THE ROUTINE
• Drop off & check in (8:00 am to 9:00 am)
• Instructor led enrichment activities
(see sample activities below)
• Lunch (please pack a healthy lunch)
• Enrichment activities
• Afternoon snack (provided by the YMCA)
• Clean up and recap of the day
• Pick up & sign out (4:15 pm to 5:00 pm)
ENRICHMENT
ACTIVITIES
• Journaling
• Library visits
• Geography & the world around us
• Community service projects
• Swimming lessons
• Field trips
• Gardening
• Crafts
WEEKLY THEMES
June 17: FAMILY POTLUCK/COOK OUT Starting at 5:00 pm
Meet and Greet the Camp Compass staff along with other Camp Compass families. The potluck/cook out will
be held at the Sister Bay Beach Gazebo.
Summer Kick-Off
It’s time to say hello to summer with new friends at summer camp. Week one focuses on getting to know each
other, building team spirit, and becoming familiar with the Y’s core values.
Week 2: June 22 – 26 Explore Door County
Exploration will begin with a trip to the Community Garden where Lynn Polachek will help campers hone their
gardening skills, an activity that will continue throughout summer. In addition to a nature hike, campers will
also commence their first of two sailing lessons with the Ephraim Yacht Club (EYC).
Week 3: June 29 – July 3 Red, White & Blue
Campers will create Independence Day themed crafts throughout the week, as well as head to the Sports
Complex for baseball and other All-American games. A trip to The Ridges will round out campers’ knowledge
about the nature in our own backyard.
Folk Festival
Week 5: July 13 -17
Camp Week
With the Door County Folk Festival in town, campers will get an inside look at the festival with a tour, as
well as learn a traditional folk dance. A performance in Baileys Harbor will enable campers to show off their
newfound folk spirit.
Campers will transform their day camp experience into a resident camp experience with an overnight trip
to Camp Cuesta. In addition to learning outdoor survival skills, campers will enjoy a night full of grilling,
storytelling and making memories.
Week 6: July 20 – 24 Cherries, Cherries & More Cherries
A trip to Seaquist Orchards will highlight everything there is to know about cherries, bringing the fruit of
the Door Peninsula to the forefront of campers’ minds. Swim lessons at the beach in Sister Bay will also
begin.
Week 7: July 27 – 31 Tour the Peninsula
Exploration of Door County will continue as campers take to the waters with a Shoreline Charter Boat tour.
Since The Ridges is always a favorite, campers will return for another in-depth look at the nature of the
peninsula.
Week 8: August 3 – 7 Cultural Immersion
From activities that encapsulate the artistic side of the peninsula, such as touring with Northern Sky Theater,
to outdoor activities like playing tennis and a “Learn To Swim” challenge, campers will explore the many facets
of Door County culture this week.
Week 9: August 10 – 14 Fun at The Farm
Campers will enjoy a picnic at everyone’s favorite place – The Farm. The animals at this living museum are sure
to bring joy and laughter to this educational experience. To cool off from the heat of the summer sun, this
week will also feature an ice cream social. Campers will hit the water for their second sailing lesson with EYC.
Week 10: August 17 – 21 Summer’s End
Our last week of camp will be a time to feel the sand between your toes, to savor the warmth of the summer
sun on your face, and to smell grilling hotdogs, brats and burgers. We will end it all with one of everyone’s
favorite games, Y-Olympics
August 19 : FAMILY POTLUCK/COOKOUT Summer Camp close out 5:00 pm
Join us at Sister Bay Beach Gazebo for a cookout where families will have a chance to close out the summer
camp program with other campers and staff, showcasing summer achievements.
17
COMMANDERS
CAMP
COMMANDERS CAMP
NORTHERN DOOR CENTER & SISTER BAY VILLAGE HALL
ENTERING GRADES 1 THROUGH 6
With days filled with field trips, local exploration, group games and outdoor activities what kid
wouldn’t fall in love with summer camp? The two home bases throughout the week (Tuesday &
Thursday at the Sister Bay Village Hall; Friday at the Northern Door Program Center) provide
campers a well-rounded glimpse of summer in Northern Door.
Camp times: Tuesdays, Thursdays & Fridays;
8:00 am to 5:00 pm
REGISTRATION Y MEMBER: $310 all Tuesdays /$32 day $310 all Thursdays/$32 day $310 all Fridays/$32 day GENERAL PUBLIC:
$370 all Tuesdays/$39 day
$370 all Thursdays/$39 day
$370 all Fridays/ $39 day
April 1-May 15 $340 all Tuesdays/$35 day $340 all Thursdays/$35 day $340 all Fridays/$35 day $410 all Tuesdays/$43 day
$410 all Fridays/$43 day
May 16-end of Camp $370 all Tuesdays/$38 day $370 all Thursdays/$38 day $370 all Fridays/$38 day
$450 all Tuesdays/$47 day
$450 all Fridays/$47 day
Now-March 31 Contact: Drew Richmond at for any questions 920-868-3660
FUN IN THE SUN CAMP
SISTER BAY VILLAGE HALL
ENTERING GRADES 1 THROUGH 6
This collaborative camp program with the Village of Sister Bay provides safe, fun, supervised
activities for all campers. Based out of the Sister Bay Village Hall, activities abound around
Waterfront Park and the Sister Bay Sports Complex, including swimming, biking, fishing, kayaking,
climbing, tennis and soccer. The summer sun provides the backdrop and the inspiration for this
camp experience.
Camp times: Mondays & Wednesdays
8:00 am to 5:00 pm
REGISTRATION Now-March 31 April 1-May 15 Y MEMBER: $620 all Monday&Wednesday/$32 day GENERAL PUBLIC:
$760 all Monday&Wednesday/$39 day
$680 all Monday&Wednesday/$35 day $840 all Monday&Wednesday/$43 day
May 16-end of Camp $740 all Monday&Wednesday/$38 day $920 all Monday&Wednesday/$47 day
VILLAGE OF SISTER BAY RESIDENTS AND LODGING GUESTS WILL RECEIVE A 50% DISCOUNT OFF OF THE FUN IN THE SUN
PROGRAM FEES. REGISTER EARLY, AS A LIMITED NUMBER OF DISCOUNTS ARE AVAILABLE ON A
FIRST-COME, FIRST-SERVE BASIS.
Contact: Drew Richmond at for any questions 920-868-3660
18
This form is required ONLY for Explorer, Pre- Summer, Adventure, Traveler Camps, Fun in the Sun, and Commanders.
DEPARTMENT OF HEALTH SERVICES
Division of Public Health
F-44192 (Rev. 09/08)
STATE OF WISCONSIN
66. 252.D4, Wis.Stats.
DAY CARE IMMUNIZATION RECORD
COMPLETE AND RETURN TO DAY CARE CENTER. State law requires all children in day care centers to present evidence of immunization
against certain diseases within 30 school days (6 calendar weeks) of admission to the day care center. These requirements can be waived only if a
properly signed health, religious, or personal conviction waiver is filed with the day care center. See “Waivers” below. If you have any questions on
immunizations or how to complete this form, please contact your child’s day care provider or your local health department.
STEP 1 PERSONAL DATA
PLEASE PRINT
Child’s Name (Last, First, Middle Initial)
Date of Birth (Month/Day/Year)
Area Code/Telephone
Number
Name of Parent/Guardian/Legal Custodian (Last, First, Middle Initial
Address (Street, Apartment Number, City, State, Zip)
STEP 2 IMMUNIZATION HISTORY
LIST THE MONTH, DAY AND YEAR the child received each of the following immunizations. DO NOT USE A (4) OR (X) except to indicate whether the child
has had chickenpox. If you do not have an immunization record for this child, contact your doctor or local public health department to obtain the records.
TYPE OF VACCINE
First Dose
Month/Day/Year
Second Dose
Month/Day/Year
Third Dose
Month/Day/Year
Fourth Dose
Month/Day/Year
Fifth Dose
Month/Day/Year
Diptheria-Tetanus-Pertussis
(Specify DTP, DTaP or DT
Polio
HIb (Haemophilus Influenzae Type B)
Pneumococcal Conjugate Vaccine (PCV)
Hepatitis B
Measles-Mumps-Rubella (MMR)
Varicella (chickenpox) vaccine
Vaccine is required only if the child has
not had chickenpox disease
Has the child had Varicella (chickenpox) disease? Check the appropriate box and provide the year if known.
r Yes Year_________ (vaccine is not required)
r No or Unsure (Vaccine is required)
STEP 3 REQUIREMENTS
The following are the minimum required immunizations for the child’s age/grade at entry. All children within the range must meet these requirements at day
care entrance. Children who reach a new age/grade level while attending this day care must have their records updated with dates of additional required
doses.
AGE LEVELS
NUMBER OF DOSES
5 months through 15 months
2 DTP/DTaP/DT
2 Polio
2 HIb
2 PCV
2 Hep B
16 months through 23 months
3 DTP/DTaP/DT
2 Polio
3 HIb1
3 PCV2
2 Hep B
1 MMR3
2 years through 4 years
4 DTP/DTaP/DT
3 Polio
3 HIb
3 PCV
3 Hep B
1 MMR3
1 Varicella
At Kindergarten entrance
4 DTP/DTaP/DT
4 Polio
3 Hep B
2 MMR3
2 Varicella
4
1
2
If the child began the HIb series at 12-14 months of age, only 2 doses are required. If the child received one dose of HIb at 15 months of age or after, no
additional doses are required. Minimum of one dose must be received after 12 months of age (Note: a dose 4 days or less before the first birthday is also
acceptable).
2
If the child began the PCV series at 12-23 months of age, only 2 doses are required. If the child received the first dose of PCV at 24 months of age or after,
no additional doses are required.
3
MMR vaccine must have been received on or after the first birthday (Note: a dose 4 days or less before the 1st birthday is also acceptable).
4
Children entering kindergarten must have received on dose after the 4th birthday (either the 3rd, 4th, or 5th) to be compliant (NOTE: a dose 4 days or less
before the 4th birthday is also acceptable).
1
STEP 4 COMPLIANCE DATA AND WAIVERS
IF THE CHILD MEETS ALL REQUIREMENTS (sign at STEP 5 and return this form to the day care center). OR
IF THE CHILD DOES NOT MEET ALL REQUIREMENTS (check the appropriate box below, sign and return this form to day care center)
the child has not received all required doses of vaccine for his or her age group, at least the first dose of each vaccine has been received. I
r Although
understand that it is my responsibility to obtain the remaining required doses of vaccines for this child WITHIN ONE YEAR and to notify the day care
center in writing as each dose is received.
NOTE: Failure to stay on schedule or report immunizations to the day care center may result in court action against the parents and a fine of up to $25.00 per
day of violation.
r For health reasons this child should not receive the following immunizations_______(List in STEP 2 any immunizations already received)
Physicians Signature Required
r For religious reasons this child should not be immunized. (List in STEP 2 any immunizations already received)
r For personal conviction reasons this child should not be immunized. (List in STEP 2 any immunizations already received)
STEP 4 SIGNATURE
To the best of my knowledge this form is complete and accurate.
SIGNATURE - Parent, Guardian or Legal Custodian
Date Signed
19
This form is required for ALL camps except specialty camps (gymnastics and art)
Date of Birth (Month/Day/Year)
Area Code/Telephone Number
Birthdate (mm/dd/yyyy)
First Day of Attendance
Name
Address - Home (Street, City)
Home/Cell
Telephone Number
Name & Address of Place of Employment OR Where
Reachable While Child is in Care
Name
Home/Cell
Telephone Number
Name
Yes
Yes
Yes
Yes
r
r
r
r
No
No
No
No
Address
Home/Cell
Telephone Number
Telephone Number
SIGNATURE - Parent, Guardian or Legal Custodian
Date Signed
I hereby give my consent for emergency medical care or treatment to be used only if I cannot be reached immediately.
I have had an opportunity to review the policies of this child care center and a summary of the Wisconsin Rules for Licensing Child Care Centers.
I give my permission for my child to participate in field trips and other activities during operating hours. r Transported r Walking
I have been informed of the number of pets in the center and their degree of contact with the enrolled children. Note: If pets are added after a child is enrolled, parents shall be
notified in writing prior to the pet’s addition to the center.
To the best of my knowledge this form is complete and accurate.
SIGNATURE
r
r
r
r
AUTHORIZATION
Name
PHYSICIAN OR MEDICAL FACILITY
Relationship to Child
EMERGENCY CONTACT - The person to be notified in an emergency when parents/guardians cannot be reached.
AUTHORIZED PERSONS - Persons other than parents/guardians who are authorized to pick up the child or aceppt the child if dropped off. If no one, write “none”
Guardian
Guardian
Father
Mother
Telephone Number
Telephone Number
Telephone Number
PARENT OR GUARDIAN - All parents/guardians are permitted to visit during center hours and are allowed to pick up the child unless access is prohibited or restricted by a court order.
NAME (Last, First, Middle Initial)
CHILD INFORMATION
USE OF FORM: Use of this form is mandatory for Family Child Care Centers to comply with DCF 250.04(6)(a)1. Failure to comply may result in issuance of a noncompliance statement. This form
may also be used by Group Child Care Centers and Day Camps to comply with DCF 251.04(6)(a)1. and DCF 252.41(4)(a)1. respectively. Personal information you provide may be used for secondary
purposes (Privacy Law. s.15.04(1)(m). Wisconsin Statutes).
INSTRUCTIONS: The parent/guardian shall fill out the form completely, sign it and submit it to the center prior to the children’s first day of attendance. Information on this form shall be kept current.
DEPARTMENT OF HEALTH SERVICESSTATE OF
WISCONSIN
Division of Public Health
DCF-F (CFS-0062) (RA. 02/2009)
CHILD CARE ENROLLMENT
HEALTH HISTORY AND EMERGENCY CARE PLAN
STATE OF WISCONSIN
Page 1
Birthdate (mm/dd/yyyy)
Telephone Number
Telephone Number - Work
Telephone Number - Work
Telephone Number
Telephone Number - Cellular
Yes
Yes
Yes
Yes
r
r
r
r
No I authorize the center to allow my child to self-apply repellent
No I authorize the center to apply repellent to my child.
No I authorize the center to allow my child to self-apply sunscreen
No I authorize the center to apply sunscreen to my child.
Brand Name
Brand Name
Ingredient Strength
Ingredient Strength
r Non-food allergy. Specify:
r Milk allergy. If a child is allergic to milk, attach a statement from the medical professional indicating the acceptable alternative.
r Food allergy. Specify food(s):
HEALTH HISTORY AND EMERGENCY CARE PLAN If available, attach any health care plan information from the child’s physician, therapist, etc.
1. Check any special medical condition that your child may have.
r No specific medical condition
r Asthma
r Diabetes
r Gastrointestinal or feeding concerns including special diet and supplements
r Cerebral palsy/motor disorder
r Epilepsy/seizure disorder
r Any disorder including Cognitively Disabled, LD, ADD, ADHD, or Autism
r Other condition(s) requiring special care - specify:
r
r
r
r
SUNSCREEN/INSECT REPELLENT AUTHORIZATION If provided by the parent, the sunscreen or insect repellent shall be labeled with the child’s name. Per DCF 251.07(6)(f)2.,
authorizations shall be reviewed every 6 months and updated as necessary. Per DCF 250.07(6)(f)2.a., Authorizations shall be reviewed periodically and updated as necessary.
Name - Physician
Address - Medical Facility
Telephone Number - Home
Name
PHYSICIAN/MEDICAL FACILITY INFORMATION
Telephone Number - Home
Name
Telephone Number - Cellular
Date - First Day of Attendance (mm/dd/yyyy)
PARENT/GUARDIAN INFORMATION (Provide information where the parent(s)/guardian(2) may be reached while the child is in care
Address - Home (Street, City, State, Zip Code)
Name (Last, First, MI)
CHILD INFORMATION
Instructions: The parent/guardian should complete this form for placement in the child’s file prior to the child’s first day of attendance. Information contained on the form shall be shared with
any person caring for the child. The department recommends that parents/guardians and center staff periodically review and update the information provided on this form.
Use of form: This form is required for family and group child care centers and day camps to comply with DCF 250.04(6)(a)1. and 250.07(6)(L)5. DCF 251.05(6)(a)6. and 251.07(6)(k)5.,
and DCF 252.44(6)(g) of the Wisconsin Administrative Codes. Failure to comply may result in issuance of a noncompliance statement. Personal information you provide may be used for
secondary purposes {Privacy Law, s. 15.04(1)(m), Wisconsin Statutes].
DEPARTMENT OF CHILDREN AND FAMILIES
Division of Early Care and Education
DCF-F (CFS-2345) (R. 03/2009)
This Form is Required for ALL Camps except specialty camps (gymnastics and art)
Page 2
STATE OF WISCONSIN
Review Dates:
SIGNATURE - Parent or Guardian
Additional information that may be helpful to the child care provider.
When to consider that the condition requires emergency medical care or reassessment.
When to call parents regarding symptoms or failure to respond to treatment.
c.
b.
a.
Identify any child care staff to whom you have given specialized training / instructions to help treat symptoms.
Date Signed (mm/dd/yyyy)
Steps the child care provider should follow. If prescription or non-prescription medications are necessary, a copy of the form Authorization to Administer Medication should be attached to this
form. Note: group child care centers and day camps may use their own form.
Signs or symptoms to watch for – Specify.
Triggers that may cause problems – Specify.
DEPARTMENT OF CHILDREN AND FAMILIES
Division of Early Care and Education
DCF-F (CFS-2345) (R. 03/2009)
This form is required for ALL camps except specialty camps (gymnastics and art)
Required for ALL camps
DOOR COUNTY YMCA
SCHEDULED PAYMENT AGREEMENT
Membership Holder’s Name (Parent)
Participant Name(s)
Camp Name(s)
Total Amount Due: $
If your account information is stored with the YMCA, what are the last 4
digits of the Bank Account or Credit Card that the YMCA should use for
payments
. If you do not have
an account on file, you will need to provide that information.
I authorize the YMCA to withdraw the amount of $
dates:
Date:
Amount: $
Date:
Amount: $
Date:
Amount: $
Date:
Amount: $
Date:
Amount: $
Date:
Amount: $
on the following
I understand that the fees must be paid in full prior to the scheduled day of the
program my child is participating in. I may also be asked to pay dues in full in the
event of returned payments (NSF, account closed, etc.). I also am aware that I may
not be allowed to sign up for future programming while an outstanding balance exists
on my account.
SIGNATURE:
DATE:
NO PHOTO RELEASE STATEMENT
I DO NOT give consent to let my child be photographed for use by the YMCA in
newspapers or other media for the purpose of publicity or advertisement, even
understanding that no last names will be published.
Complete (and sign) and return to
Sturgeon Bay Center
Northern Door Center
1900 Michigan Street
3866 Gibraltar Road
Fish Creek, WI 54212
(920) 743-8812 fax
(920) 868-9970 fax
Camp fees must be paid in full by the scheduled camp date unless otherwise arranged.
Door County YMCA
1900 Michigan Street
www.DoorCountyYMCA.org
NON-PROFIT
ORGANIZATION
US POSTAGE
PAID
STURGEON BAY
PERMIT #18
Summer Camp Registration Opens March 2nd
For The Best Summer EVER!
1900 Michigan Street, Sturgeon Bay
(920) 743-4949 • Fax (920) 743-8812
Northern Door Program Center
3866 Gibraltar Road, Fish Creek
(920) 868-3660 • Fax (920) 868-9970
Barker Child Development Center
1743 Egg Harbor Road, Sturgeon Bay
(920) 818-0691 • Fax (920) 818-0693
876 South Lansing Avenue, Sturgeon Bay
(920) 818-0796 • Fax (920) 818-0798
REGISTER EARLY TO SAVE
Early Bird pricing runs
through March 31
Financial assistance is available. Please
call 920-743-4949 or 920-868-3660
for more information

best summer ever! - Door County YMCA

Transcription

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