TIME - South Sound YMCA
Transcription
TIME - South Sound YMCA
BEST TIME EVER! BEST. SUMMER. EVER. Day Camp SOUTH SOUND YMCA #BestSummerEver WELCOME! YMCA Summer Camps are designed to help promote self-confidence through age-appropriate skill building, with an emphasis on spirit, mind, and body. At Y Camp, kids receive a wealth of positive developmental experiences and are encouraged to forge new bonds with one another. Whether your child attends one week or eleven, a Y Summer Camp experience is sure to create memories that last a lifetime! BEST CAMP EVER! FINANCIAL ASSISTANCE The South Sound YMCA is committed to helping people become the best that they can be. We strive to keep the Y accessible to everyone regardless of their ability to pay. With the support and generosity of our donors through our Annual Campaign, we assist everyone who qualifies. • Financial assistance is based on verified income and completed paperwork. Applications are available online at southsoundymca.org or at the Briggs, Downtown, or Child Development Office. • Camps identified with (*) are state licensed camps and accept payments through DSHS and GSA (NACCRRA). CAMP LOCATIONS H CB D B Briggs Community YMCA 1530 Yelm Highway SE Olympia, WA 98501 360.753.6576 C Chambers Prairie Elementary 6501 Virginia Street SE Lacey, WA 98513 360.742.2442 H Hansen Elementary (Weeks 1-9) 1919 Rd 65 NW Olympia, WA 98502 360.866.0569 MT Michael T. Simmons Elementary 1205 South 2nd Ave SW Olympia, WA 98512 360.357.4375 D Olympia Downtown YMCA 510 Franklin Street SE Olympia, WA 98501 360.357.6609 P Pioneer Elementary (Weeks 1-9) 1655 Carlyon Ave SE Olympia, WA 98501 360.561.3450 CB YMCA Camp Bishop (Week 10) 1476 West Lost Lake Rd Shelton, WA 98584 P MT B C DON’T FORGET! All campers must bring a lunch, two snacks, and a water bottle with them each day! CAMP DATES & TIMES Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 Week 11 June 20 - June 24 June 27 - July 1 July 5 - July 8 July 11 - July 15 July 18 - July 22 July 25 - July 29 August 1 - August 5 August 8 - August 12 August 15 - August 19 August 22 - August 26 August 29 - September 2 Monday - Friday Hours: 7:00am-6:00pm Drop Off: 7:00am-9:00am Pick Up: 4:00pm-6:00pm (Camps at Chambers Prairie offer early care at 5:45 a.m. for an additional fee of $3 per day.) SUMMER CAMP INFORMATION • • • • We offer convenient registration online at southsoundymca.org or in person at either Briggs, Downtown, or the Child Development Office. You may reserve a space for any week(s) of summer camp with a non-refundable, $20 deposit per week. The remaining balance for each week of camp is due the Monday prior to each week. If your payment is not received, your child’s registration will be cancelled. Camps identified with (*) are state-licensed camps and accept payments through DSHS and GSA (NACCRRA). 2016 PLANNER! Child’s Name: _____________________________________________ REGISTRATION INFO • Use this planner page to schedule your WHOLE summer! • We offer convenient registration online at southsoundymca.org or in person at either Briggs, Downtown, or the Child Development Office. • Take a look at the camp descriptions located in this guide. Week 1 Facility/Program Price June 20 - June 24 Site All-Sports Camp D $85 $92 $125 $135 M T W Th F Artrageous Camp* H $85 $92 $125 $135 M T W Th F ArtsAlive! Camp* P $125 $135 Half Week Full Week Circle Days Just Build It Camp* MT $85 $92 $125 $135 M T W Th F Lights, Camera, Action!* MT $85 $92 $125 $135 M T W Th F Science Lab Camp D $85 $92 $125 $135 M T W Th F PNW Adventurers Camp* C $85 $92 $125 $135 M T W Th F Sports Camp* C $85 $92 $125 $135 M T W Th F Star Wars Camp* H $85 $92 $125 $135 M T W Th F Summer Fiesta Camp B $125 $135 Week 2 June 27 - July 1 Facility/Program Price Site Half Week Full Week Circle Days • You may reserve a space for any week(s) of summer camp with a non-refundable, $20 deposit per week. All-Sports Camp D $85 $92 $125 $135 M T W Th F Artrageous Camp* H $85 $92 $125 $135 M T W Th F ArtsAlive! Camp* P $125 $135 • The remaining balance for each week of camp is due the Monday prior to each week to secure your spot. • Registering for 1-3 days of camp is considered a “half week” on the planner. • Registering for 4-5 days of camp is considered a “full week” on the planner. • Camps identified with (*) are state-licensed camps and accept payments through DSHS and GSA (NACCRRA). NOTES MT $85 $92 $125 $135 M T W Th F Kids in the Kitchen Camp D $85 $92 $125 $135 M T W Th F Lights, Camera, Action!* MT $85 $92 $125 $135 M T W Th F Medieval Mischief Camp B $169 $179 PNW Adventurers Camp* C $85 $92 $125 $135 M T W Th F Sports Camp* C $85 $92 $125 $135 M T W Th F Star Wars Camp* H $85 $92 $125 $135 M T W Th F Just Build It Camp* Week 3 July 5 - July 8 Half Week Full Week Circle Days All-Sports Camp D $68 $75 $100 $110 T W Th F Artrageous Camp* H $68 $75 $100 $110 T W Th F ArtsAlive! Camp* P $100 $110 Celebrate the USA Camp B $149 $159 D $68 $75 $100 $110 T W Th F Just Build It Camp* MT $68 $75 $100 $110 T W Th F Lights, Camera, Action!* MT $68 $75 $100 $110 T W Th F PNW Adventurers Camp* C $68 $75 $100 $110 T W Th F Sports Camp* C $68 $75 $100 $110 T W Th F Star Wars Camp* H $68 $75 $100 $110 T W Th F Crafty Kids Camp Facility/Program Price Site Week 4 July 11 - July15 All-Sports Camp Artrageous Camp* Facility/Program Price Site Half Week Full Week Circle Days D $85 $92 $125 $135 M T W Th F MT $85 $92 $125 $135 M T W Th F ArtsAlive! Camp* P $125 $135 Community Heroes Camp D $85 $92 $125 $135 M T W Th F Just Build It Camp* C $85 $92 $125 $135 M T W Th F Lights, Camera, Action!* C $85 $92 $125 $135 M T W Th F PNW Adventurers Camp* H $85 $92 $125 $135 M T W Th F Sports Camp* H $85 $92 $125 $135 M T W Th F Star Wars Camp* MT $85 $92 $125 $135 M T W Th F Wonders of Nature Camp B $169 $179 Week 5 July 18 - July 22 All-Sports Camp Artrageous Camp* ArtsAlive! Camp* P Just Build It Camp* Half Week $85 $92 $85 $92 C $85 $92 Let’s Dance Camp! D $85 Lights, Camera, Action!* C PNW Adventurers Camp* Full Week $125 $135 Circle Days Week 9 August 15 - August 19 Facility/Program Price Site Half Week Full Week Circle Days M T W Th F All-Sports Camp D $85 $92 $125 $135 M T W Th F M T W Th F Artrageous Camp* C $85 $92 $125 $135 M T W Th F $125 $135 $85 $92 $125 $135 $169 $179 $125 $135 $125 $135 ArtsAlive! Camp* P $125 $135 M T W Th F Downtown Adventure D $92 $125 $135 M T W Th F History is a Mystery! B $85 $92 $125 $135 M T W Th F Just Build It Camp* H $85 $92 $125 $135 M T W Th F H $85 $92 $125 $135 M T W Th F Lights, Camera, Action!* H $85 $92 $125 $135 M T W Th F Sports Camp* H $85 $92 $125 $135 M T W Th F PNW Adventurers Camp* MT $85 $92 $125 $135 M T W Th F Star Wars Camp* MT $85 $92 $125 $135 M T W Th F Sports Camp* Survivor Camp B $199 $209 Week 6 Site All-Sports Camp D $85 $92 $125 $135 M T W Th F MT $85 $92 $125 $135 M T W Th F $125 $135 Half Week Full Week Circle Days ArtsAlive! Camp* P Just Build It Camp* C $85 $92 $125 $135 M T W Th F Lights, Camera, Action!* C $85 $92 $125 $135 M T W Th F Mystery Challenge Camp D $85 $92 $125 $135 PNW Adventurers Camp* H $85 $92 $125 Sports Camp* H $85 $92 $125 Star Trek Beyond Camp B $169 $179 Star Wars Camp* MT $125 $135 Swim, Float, Slide Camp B $169 $179 Week 7 August 1 - August 5 $135 M T W Th F C $85 $92 $125 $135 M T W Th F Swim, Float, Slide Camp B $169 $179 $85 $92 Half Week Site Facility/Program Price Half Week Full Week Circle Days All-Sports Camp D $85 $92 $125 $135 M T W Th F Aloha to Summer Camp* C $85 $92 $125 $135 M T W Th F Aloha to Summer Camp* $125 $135 M T W Th F $125 $135 M T W Th F M T W Th F Variety Funpack Camp B $169 $179 $135 M T W Th F Resident Camp $135 M T W Th F M T W Th F Full Week Week 11 August 29 - September 2 Facility/Program Price Site Half Week Full Week Circle Days D $85 $92 $125 $135 M T W Th F Aloha to Summer Camp* C $85 $92 $125 $135 M T W Th F Aloha to Summer Camp* MT $85 $92 $125 $135 M T W Th F Circle Days Aloha to Summer Camp B $125 $135 Aloha to Summer Camp D $85 $92 $125 $135 C $85 $92 $125 $135 M T W Th F ArtsAlive! Camp* P $125 $135 Just Build It Camp* H $85 $92 $125 $135 M T W Th F Lights, Camera, Action!* H $85 $92 $125 $135 M T W Th F PNW Adventurers Camp* MT $85 $92 $125 $135 M T W Th F D $85 $92 $125 $135 M T W Th F MT $85 $92 $125 $135 M T W Th F Star Wars Camp* C $85 $92 $125 $135 M T W Th F Teen Extreme Camp B $249 $259 Zoo to You? Camp B $169 $179 Facility/Program Price Full Week $255/$265 YMCA Camp Bishop in Shelton All-Sports Camp Artrageous Camp* Half Week August 22 - August 26 $92 M T W Th F Site Week 10 $92 Facility/Program Price Site $85 $135 Circle Days All-Sports Camp D $85 $92 $125 $135 M T W Th F Artrageous Camp* C $85 $92 $125 $135 M T W Th F ArtsAlive! Camp* P $125 $135 Go For the Gold Camp B $169 $179 H2WOW! Camp D $85 $92 $125 $135 M T W Th F Just Build It Camp* H $85 $92 $125 $135 M T W Th F Lights, Camera, Action!* H $85 $92 $125 $135 M T W Th F PNW Adventurers Camp* MT $85 $92 $125 $135 M T W Th F Sports Camp* MT $85 $92 $125 $135 M T W Th F C $85 $92 $125 $135 M T W Th F Star Wars Camp* $125 $85 $125 August 8 - August 12 $92 D $92 Week 8 $85 MT $85 Sports Camp* MT Star Wars Camp* Robotics Lab Camp D Rock N Roll Camp M T W Th F Facility/Program Price July 25 - July 29 All-Sports Camp D MT Artrageous Camp* Facility/Program Price Site M T W Th F 2016 YMCA SUMMER CAMPS! Camp descriptions are listed alphabetically. ARTSALIVE!* P Join the Downtown Y for a week of sports and fun-filled active games. Learn a variety of sports such as basketball, soccer, football and more. Each day will bring a new adventure in the world of sports and fitness. Kids will create lasting relationships and help build their confidence while trying new things. We will walk to local parks and churches for outdoor sports and activities. Facility Member: $85/$125 Ages: 6-12 Program Member: $92/$135 Weeks 1-4: Everyone’s a Star Act out short skits, sing along with the chorus and appreciate all things artistic in our first ArtsAlive session of the season. These four weeks are about learning the theater ropes, testing creative limits, and building confidence for our big summer production – Alice @ Wonderland. We’ll also explore fine art techniques, swim at the Y and visit local theaters all summer long. Facility Member: $125 Ages: 8-13 Program Member: $135 ALOHA TO SUMMER ARTSALIVE!* P ALL-SPORTS CAMP D Say “aloha” to summer as we wind down and prepare for our last summer bash. Participate in sand art, Limbo, Hula Hoop contests and more. Dance to island music, learn a Hula routine, and enjoy tropical treats at the Luau. Enjoy the island vibes as we splash through the week in tropical style, learning more about the beach and aquatic wildlife as we play. Facility Member: $85/$125 Ages: 6-12 Program Member: $92/$135 Weeks 5-9: Down the Rabbit Hole Are you ready to tumble down the rabbit hole? Join our cast of characters for five weeks of structured acting, voice, and choreography workshops as we bring Alice @ Wonderland: The Musical to life. Between rehearsals, we’ll enjoy fine art lessons, weekly swimming trips, and adventures to local playhouses and theater groups across the Pacific Northwest. Performance night is August 18th. Facility Member: $125 Ages: 8-12 Program Member: $135 ARTRAGEOUS!* CELEBRATE THE USA C MT D B C H MT Calling all artists! Come create mini masterpieces every day at our most artistic camp. Campers will learn art techniques from drawing to sculpting, and display their creations at a family-friendly Art Night. Facility Member: $85/$125 Ages: 6-12 Program Member: $92/$135 B Join us on a journey through parts of the history of our great nation. Tour the Bremerton US Naval Destroyer Ship Museum and the Chehalis Veterans Memorial Museum; both are full of interesting pieces from our country’s past! Facility Member: $149 Ages: 6-12 Program Member: $159 COMMUNITY HEROES CAMP D Have you ever wondered what it’s like to be a real life hero and work to save lives and help people? Come find out from real-world heroes in our community. This a great camp for kids who want to find out what it’s really like to be a firefighter, police officer, and more! Each day will have a different community hero and theme. Facility Member: $85/$125 Ages: 6-12 Program Member: $92/$135 CRAFTY KIDS CAMP D Let’s get crafty! Campers will explore a variety of art techniques while using their imaginations with crafts as well. They will create pieces inspired by feeling and bring their imaginations to life. This camp will take a walking tour of the Japanese Gardens and local art around the Downtown area. Facility Member: $85/$125 Ages: 6-12 Program Member: $92/$135 DOWNTOWN ADVENTURE D H2WOW! CAMP D The Downtown Y pool transforms into an aquatic adventure! Learn snorkeling, underwater swimming, and water safety while improving stroke technique. This week includes an obstacle course and water games. Our experienced staff will make this week a fun and welcoming environment for kids to explore the water. We will also take a walking trip to the WET Museum and South Sound Estuary. Facility Member: $85/$125 Ages: 6-12 Program Member: $92/$135 HISTORY IS A MYSTERY! B Can you figure it out? What’s that? Who did it? Where are we? The Pacific Science Center and Tacoma’s History Museum are packed with answers to those questions. Become a detective, discover new places, and have fun with friends. This camp will be full of mysteries for you to unravel. Facility Member: $169 Ages: 6-12 Program Member: $179 JUST BUILD IT C H MT Let’s explore Downtown Olympia. We will learn how to read maps and use compasses to navigate Downtown. This camp will include a walking tour of Downtown, Percival Landing, a tour of the capital, and so much more. Kids will create their own maps and learn about navigation and following map directions. This week will include a scavenger hunt and team building. Facility Member: $85/$125 Ages: 6-12 Program Member: $92/$135 Construct a towering skyscraper or design your own town – this week we’ll explore architecture and what it takes to build everything from Minecraft structures to toothpick bridges. GO FOR THE GOLD KIDS IN THE KITCHEN B Get “Rio” excited for the 2016 Summer Olympics during this week by learning true Olympic values and discovering the history of the world’s biggest sporting event. The week builds up to our own YMCA Olympic Games, from Opening Ceremony to the medal podium! Include a trip to Great Wolf Lodge for a ropes course and a Tacoma Rainiers game, and this camp promises to take the gold in all events! Facility Member: $169 Ages: 6-12 Program Member: $179 Facility Member: $85/$125 Program Member: $92/$135 Ages: 6-12 D Explore the world of culinary arts! Practice recipe reading, kitchen safety, and experiment with a variety of flavors and cuisines! With the support of great staff and knowledgeable guest chefs, we will have a delicious time! This camp will not only help expand the palate of our campers, but will provide experience, education, and confidence to those campers who want to venture into the kitchen on their own. Facility Member: $85/$125 Ages: 6-12 Program Member: $92/$135 LET’S DANCE! D Get ready to tumble…and dance! Campers will learn a variety of dance moves, tumbling, creative movement, and have fun! Camp staff will provide the perfect mix of learning and fun, while perfecting ballet, hip hop, and freestyle dance styles. We will end the week with a group performance. Facility Member: $85/$125 Ages: 6-12 Program Member: $92/$135 LIGHTS, CAMERA, ACTION!* C H MT Channel your acting skills and star in your own film! We’ll explore the basics of acting and improv in an inclusive, creative setting as well as learn the B intricacies of filmmaking. Facility Member: $85/$125 Ages: 6-12 Program Member: $92/$135 MEDIEVAL MISCHIEF B PNW ADVENTURERS* C ROBOTICS LAB CAMP D H MT Explore all that makes the PNW a great place to live and play! We’ll learn how to protect our wildlife, reuse our resources, and become Eco Champions this week. Facility Member: $85/$125 Ages: 6-12 Program Member: $92/$135 Campers will build and program robot designs with PCS Academy of Robotics. Kids will develop skills in math, design, technology literacy, communications, and science while building motorized robots This camp emphasizes teamwork, creativity, and learning. Come ready to engineer and create robots! Ages: 6-12 Facility Member: $85/$125 Ages: 6-12 Program Member: $92/$135 A week of knights and dragons, pirates and scallywags! We’ll build castles, visit Camlann Medieval Village, and joust and battle at Laser Fun Zone. Then put on your pirate hat and eye patch to hunt for hidden treasures, arghhhh. Facility Member: $169 Program Member: $179 MYSTERY CHALLENGE CAMP D The Downtown Y brings you the greatest “whodunnit?” of the summer! Be a detective and solve a mystery, dust for prints, observe crime scenes, and learn the science of forensics from guest speakers! With aspects of mystery, investigating, creative writing, and presentations, we will crack the case! Facility Member: $85/$125 Ages: 6-12 Program Member: $92/$135 ROCK N ROLL CAMP D SCIENCE LAB CAMP D Rock out during our week-long crash course into the world of music! We will explore different types of music, make our own instruments, create alter egos, and have epic jam sessions. At the end of the week, each camper will have the opportunity to perform. Show off your talent and creativity while exploring your musical potential! B Facility Member: $85/$125 Ages: 6-12 Program Member: $92/$135 Explore the mysteries of science in this “hands-on, minds-on” experience! Campers will experiment with chemical reactions, utilize Snap Circuits, and explore all the fun sides of science. Facility Member: $85/$125 Ages: 6-12 Program Member: $92/$135 SPORTS CAMP* C H MT Bring the energy! We’ll supply the thrilling games and teach athletic skills. You will make new friends, learn sports skills, and have an awesome week. Come build your skills and learn new ones, with Y-Care staff. Facility Member: $85/$125 Ages: 6-12 Program Member: $92/$135 SUMMER FIESTA STAR TREK BEYOND SURVIVOR CAMP B STAR WARS CAMP* SWIM, FLOAT, SLIDE B B The “Star Fleet” needs YOU, so join us as we shoot for the stars. Travel to the final frontier as we explore the “Star Trek” phenomenon. Then it’s 3…2…1 liftoff, as we build and set off rockets! Our mission also includes a “Journey to Space” and then we step aboard the Space Shuttle Trainer at the Seattle Flight Museum. Facility Members: $169 Ages: 6-12 Program Member: $179 C H MT Embark on the adventure of a lifetime as campers re-imagine a galaxy far, far away. This Star Wars themed camp embraces all the fun nuances of the films while encouraging children to explore their imagination and start their Jedi training. Facility Member: $85/$125 Ages: 6-12 Program Member: $92/$135 B Join in on our celebration and let’s have a FIESTA! Try your luck at hitting our piñata, playing fiesta-inspired games, and dancing to the Macarena! We will have fun learning about Spanish Culture, and let’s not forget about our campfire nachos! NO SIESTA for this week! Facility Member: $125 Ages: 6-12 Program Member: $135 Test your wilderness skills! Learn to climb, make knots, build shelter and fire, and cook over an open flame. Engage in traditional camp activities like storytelling, songs, and s’mores around the campfire. End the week with swimming and an overnight campout under the stars at Millersylvania State Park on Thursday! Facility Member: $199 Ages: 6-12 Program Member: $209 Get ready for another super-soaked, fun-filled week! Campers will learn swimming techniques and water safety for swimming pools, rivers, and lakes. End the week with an all-day field trip to Wild Waves Theme Park on Friday. Join us as we celebrate another great aquatic-themed camp! Facility Member: $169 Ages: 7-14 Program Member: $179 VARIETY FUNPACK B Mariners’ Magic: Hear the crack of the bat, feel the vibrations of stomping feet and the roar of the crowd as the Mariners work their magic against the Yankees. Sing and dance along to familiar tunes, in hopes of getting to see your moves on the Jumbotron. Blast From the Past: Visit Fort Nisqually to learn about the pioneers and their survival skills. See their artwork, listen to stories and play games from that time period. And to round out the week, there’ll be fun competitions, relays, swimming, and games. Facility Member: $169 Ages: 6-12 Program Member: $179 WONDERS OF NATURE B Come learn about the web of interactions and wonders of the natural world in this camp! The environment is bound by complex relations ranging from the 137 organisms that rely on salmon, to very important plant-pollinator connections to…you guessed it, humans! We are partnering with Thurston County Conservation District to explore these concepts throughout the week at Tolmie State Park, Nisqually Wildlife Refuge, and Lake Cushman! Facility Member: $169 Ages: 6-12 Program Member: $179 ZOO TO YOU? B Lions, tigers, and bears, Oh My! For animal enthusiasts, we’ll learn about animal habitats and behaviors through crafts and games. We’ll take field trips to Point Defiance Zoo & Aquarium and the Woodland Park Zoo in Seattle. Facility Member: $169 Ages: 6-12 Program Member: $179 AT Y-CAMP, ADVENTURE AWAITS! RESIDENT CAMP Come spend the week at YMCA Camp Bishop! CB Your kids will enjoy a classic, All-American, resident camp experience at YMCA Camp Bishop! Nestled along the banks of Lost Lake in the woods of Shelton, YMCA Camp Bishop has everything kids love: swimming, kayaking, and campfires. Your child will create memories to last a lifetime! Facility Member: $255 Program Member: $265 Ages: 8-13 This week at YMCA Camp Bishop is led by members of our well-trained, licensed, child care staff. Your kids will have a week of fun, while we keep their safety a top priority! TWEENS AND TEENS? TEEN EXTREME CAMP B If you’re a teen looking for some summer fun, the Briggs YMCA is here for you! Join Teen Xtreme Camp and have the opportunity to make friends and see new places, while building confidence and skills. Get Infant CPR and First Aid Certified. Hike Mt. Rainier, explore Mt. St. Helens Ape Caves, and test your skills at the Great Wolf Lodge Ropes Course for a summer to remember! Facility Member: $249 Ages: 11-15 Program Member: $259 JUNIOR LEADER D As a junior leader, kids will have the same great camp experience while learning about leadership and being a part of a team. Junior leaders will be a part of our traditional camp ratio and will be called upon to help now and then. With the help of our staff and C.I.T’s, junior leaders will get to experience a new side of camp. Junior leaders will learn skills that will stay with them for the rest of their lives and have the chance to shine like a Y star! Facility Member: $85/$125 Age: 13 Program Member: $92/$135 COUNSELOR-IN-TRAINING (CIT) C H MT B D Spend your summer developing your leadership skills as you grow into a professional role model. You will gain skills as you are mentored by our experienced summer camp staff. CIT’s will build their confidence as future leaders. CIT’s will be selected through an interview process and must complete all required trainings. Please contact Andie Sproule with your letter of interest at [email protected] or 360-918-0408. Facility/Program Member: $125 (cost for whole summer) Ages: 14-16 South Sound YMCA 1530 Yelm Highway SE Olympia, WA 98501 Non Profit US Postage PAID Olympia, WA Permit No. 101 Learn to Play a at the Y this summer! at the Y this summer! Swim Sport 2016 SOUTH SOUND YMCA SUMMER CAMP REGISTRATION CHILD’S NAME:_____________________________________________________________DOB:________________Gender: M / F Child lives with:____________________________________ Address:__________________________________________________________________________________________ City:______________________________________ Zip Code:__________________ PARENT/GUARDIAN:________________________________________________________________Relationship to Child:_______________________________Auth. to Pick Up? Y N * Cell Phone #:____________________________________ Work Phone #____________________________________ Email:_____________________________________________________________ PARENT/GUARDIAN:________________________________________________________________Relationship to Child:_______________________________Auth. to Pick Up? Y N * Cell Phone #:____________________________________ Work Phone #_____________________________________ Email:____________________________________________________________ OTHER GUADIAN:____________________________________________________________________Relationship to Child:______________________________Auth. to Pick Up? Y N * Cell Phone #:____________________________________ Work Phone #_____________________________________ Email:____________________________________________________________ *APPROPRIATE COURT DOCUMENTS MUST BE IN PLACE AND A COPY MUST BE PROVIDED TO DENY PARENT ACCESS. Emergency contact other than parents: _______________________________________________________________________________________Relationship to Child: ______________________________________________ Address: ____________________________________________________________________ Home Phone: _____________________________ Cell Phone: _________________________________ Auth. to Pick Up? Y N * LIST ALL NAMES OTHER THAN ABOVE WHO ARE AUTHORIZED TO PICK UP YOUR CHILD (YOU MUST LIST AT LEAST ONE): Name:__________________________________________________________ City:_________________________________ Phone #:__________________________________Relationship to Child:__________________________________ Name:__________________________________________________________ City:_________________________________ Phone #:__________________________________Relationship to Child:__________________________________ YOU MUST PROVIDE THE NAME OF A DOCTOR OR CLINIC TO BE CONTACTED FOR MEDICAL EMERGENCIES. PHYSICIAN/Clinic Name: _______________________________________________________ Phone #: ________________________ Date of last physical: __________________(within a year) DENTIST/Clinic Name:___________________________________________________________ Phone #: ________________________ Date of last appt.: ____________________(within a year) PLEASE EXPLAIN IF YOUR CHILD HAS A KNOWN HISTORY OF THE FOLLOWING: Bee Sting Reactions (if yes, an emergency kit must be provided): _____________________________________________Respiratory: ___________________________________________ Seizures/Convulsions: _______________________Diabetes:__________________________Allergies/Food Allergies:___________________________________________________________________ Current Medications: ________________________________________________________________________________________________________________________________________________________________ Any Limitations on Activities: _____________________________________________________________________________________________________________________________________________________ Any other information our staff should be aware of: ________________________________________________________________________________________________________________________ PARENTAL RELEASE: MEDICAL TREATMENT: In the event my child, as named above, is injured or becomes seriously ill and I cannot be reached, I authorize YMCA staff or volunteers to seek and authorize any and all hospital, medical, dental, and surgical treatment deemed advisable by the circumstances. I understand any of the foregoing care will be at my expense. I also give permission for my child to be transported by ambulance or aid car to an emergency center for treatment. INSURANCE: I understand that the YMCA does not provide any accident or health insurance for its members or participants and I further understand it is my responsibility to provide such coverage. PROPERTY LOSS: I understand that the YMCA is not responsible for personal property lost, damaged, or stolen while using YMCA facilities, including parking lots or participating in YMCA programs. PHOTOGRAPH PERMISSION: I give permission for the YMCA to use, without limitation or obligation, photographs, art work, film footage, or tape recordings which may include my child’s image or voice for purposes of promoting or interpreting YMCA programs. PARTICIPATION: I authorize the YMCA to share any pertinent information concerning my child with the school staff. I give permission for my child to participate in all planned activities, field trips and overnights, with the understanding that competent leadership will be provided. I acknowledge that I have received a parent packet and a copy of the discipline procedures. I understand the importance of reading the provided material and understanding their contents. I understand that I am ultimately responsible for payment of child care fees and must have written approval for state-pay program or Y financial assistance. ACCEPTANCE: This release is given for myself and on behalf of the minor members of my family listed. I acknowledge the conditions for enrollment stated above. If any portions of this release are held to be invalid, I agree that the remaining terms shall continue to be in full legal force and effect. I have read, or have had read to me, and voluntarily sign this release. Staff Use Only: Scanned to P drive? Signature of Parent/Guardian: __________________________________________________________________________________ Date: _________________________ Initial: 2016 Summer Camp Registration Process 1 Place a () in the box next to the camp(s) that your child will be attending, select the days. 2 Read the information below and initial 3 Complete the summer camp registration form (other side) 4 Bring all of the completed forms to one of our YMCA branches. If you are registering for a licensed camp, you must bring current immunization records. OR Register online at southsoundymca.org Child’s Name: ________________________________________________Parent/Guardian Name: __________________________________________ $20 WEEKLY DEPOSIT REQUIRED. DEPOSITS ARE TRANSFERABLE BUT NOT REFUNDABLE. CAMP SPECIFIC FIELD TRIPS ARE INCLUDED IN THE COST OF CAMP. Refund policy (please read) All cancellations must be made in writing by completing the Credit and Refund Request Form, available at the Briggs YMCA, Olympia Downtown YMCA, or YMCA Child Development Office. Refunds will be reviewed and processed within 7 days. A $20 nonrefundable deposit per week of camp is required for registration. Cancellations and changes must be made by the Monday prior to the week of camp. Refunds are available and the deposit is transferable (if signing up for a different week of camp) only if changes are requested by the Monday prior to the week of camp. No refunds are allowed after payment due date. Refunds will be available in the form of system credits, by check, or by credit card (credit card refunds are available only if payment was originally made with credit card). A $5 processing fee will apply to refunds originally paid by check or cash. Refunds are subject to approval. Policies below pertain to all camps: (Initial) ________ I acknowledge that I have read and understand the Summer Camp refund policy. ________ I have received or have been advised of where to find the Parent Info Sheet on the Y website and will adhere to all YMCA policies stated within. ________ I understand that summer camp payments are due the Monday prior to each week of camp (payment dates are listed on the Parent Information Letter). ________ My child will be removed from the program and my deposit will be forfeited for the week I had reserved if payment is not received by the payment due date.