Day Camp Brochure

FREE
GIFT
WHEN YOU SIGN UP FOR THE ENTIRE SUMMER
100
YOU $
SAVE
UP TO
AND RECEIVE A FREE GIFT
*Must register by April 30, 2016
to receive the free gift.
THERE’S NO
PLACE LIKE CAMP!
YMCA SUMMER DAY CAMP
WHERE IT’S ALWAYS THE BEST SUMMER EVER!
405 297 7777
YMCAOKC.ORG/DAYCAMP
Welcome to Y Day Camp!
FIND THE INTERACTIVE
REGISTRATION FORM AT:
YMCAOKC.ORG/DAYCAMP
There is no place like Y Day Camp – A home away from home where kids laugh, learn, explore and grow in the
outdoors, while creating memories and friendships that last a lifetime. Kids discover not just the wonders of day
camp but the joy of exploring their unique traits, talents and interests and the power of sharing their strengths
and skills to benefit the group. That’s why more than 1,800 kids in the Oklahoma City area attend the Y’s
summer day camps; to belong, achieve and build relationships.
ABOUT US
OUR CAUSE
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.
OUR MISSION
To put Christian principles into practice through programs that build healthy spirit, mind and body for all.
OUR FOCUS
We believe that to bring about meaningful change in individuals and communities, we must be
focused and accountable. That’s why we focus our work in three key areas that are fundamental to
strengthening community: youth development, healthy living and social responsibility.
FINANCIAL ASSISTANCE
Our financial assistance program ensures that everyone can participate in Y programs, despite their
inability to pay. Financial assistance is provided through our Annual Campaign.
OUR STAFF
At Y Day Camp, caring and professional role models are committed to helping kids build confidence and
character. The loyalty, dedication and professionalism of our highly trained staff is extraordinary. We count
on our staff to meet strict Y qualifications and pass an Oklahoma State Bureau of Investigation background
check. All Y Day Camp staff are 18 years or older and have been trained or certified in the following:
•
•
•
•
CPR-Pro
AED
First Aid
Oxygen Administration
• Bloodborne Pathogens
• Prevention/Recognition
of Child Abuse
• Camp Safety
• Child Development
• Curriculum Planning
• Licensing Regulations
OUR SAFETY
Parents look to the Y for a safe and secure environment where children can learn practical social skills
and develop positive values. Our reputation for consistency and safety, as well as our focus on youth
development, gives parents the confidence they need to trust us with their children.
To ensure the well-being of each child, we review our health and safety policies on an ongoing basis.
Our low staff-to-child ratio also allows our staff to give each camper the attention and guidance
necessary to create a positive and safe environment.
REGISTRATION BEGINS
DAY CAMP ACTIVITIES
FIND AN INTERACTIVE REGISTRATION FORM ONLINE
FEBRUARY 9
Current Before & After School Participants
FEBRUARY 16
Y Members and 2015 Day Camp Participants
•
•
•
•
•
•
•
•
Weekly Field Trips
Themed Activities
Large Group Games
Small Group Activities
Team Building Activities
Snack and Lunch
Literacy and Reading
Rest Time
•
•
•
•
•
•
•
•
Swimming
Sports
Fun Ceremonies
Character Development
Arts and Crafts
Environmental Education
Camper Choice Activities
Camp Songs
FEBRUARY 23
Open Registration
Membership Benefits
Those on a Y Household Membership receive lower pricing for school-aged child care and Summer Day Camp.
They also receive a 10% discount on summer resident camp sessions at YMCA CAMP CLASSEN. Developmental
youth sports programs are included with household memberships at no charge. Choose from basketball, soccer,
baseball, t-ball, flag football and volleyball. Jerseys and sports manuals are required at an additional cost. All of
our regularly scheduled group swim lessons are included for just $10 per session.
OUR CAMP, YOUR HOME
TRADITIONAL DAY CAMP
THERE’S NO PLACE LIKE CAMP
The Y’s traditional Summer Day Camp is held Monday through Friday and provides kids ages 5-12* supervised activities
that foster youth development. The Y’s Summer Day Camp focus on honesty, caring, respect and responsibility in
all of our fun-filled activities! We allow for physical involvement, social interaction, educational opportunities, leadership
building, personal growth and creativity in everything we do. The Y’s core values of honesty, caring, respect and
responsibility are emphasized throughout activities, conversations and ceremonies.
SAVE
UP TO
100
$
WHEN YOU SIGN UP FOR THE ENTIRE SUMMER
ALL SUMMER PRICING
$90 PER
WEEK
HOUSEHOLD MEMBERS
Each camper is allowed one week
of vacation which does not impact
the price structure. Should a
camper wish to miss camp for
more than one week, the Summer
Select pricing will be used.
$100 PER
WEEK
YOUTH MEMBERS
$115 PER
WEEK
NON MEMBERS
SUMMER SELECT PRICING
Select which weeks your child will attend.
$100 PER
WEEK
HOUSEHOLD MEMBERS
$110 PER
WEEK
YOUTH MEMBERS
$135PER
WEEK
NON MEMBERS
PRICES MAY VARY BY LOCATION. AGES MAY VARY BY LOCATION. PRICES ARE DISPLAYED AT A WEEKLY COST.
• Triple C, CAMP LEAD and Guthrie Y Day Camp prices are an additional $10 per week.
• A two-week notice is required for vacation weeks. Please fill out the vacation request form and return
to your local Y to suspend drafting fees for the requested week.
• For more information about the Y’s payment policies, please see the parent handbook. The vacation
request form and the Parent Handbook can be found at www.ymcaokc.org/daycamp
S
E
M
E
H
T
Y
L
K
E
WE
Week 3: June 13th-17th
Barnyard Bonanza
Week 7: July 11th-15th
Mission Possible
Week 8: July18th-22nd
Ylympics Kids
Week 9: July 25th-29th
PRE CAMP: May 23rd-27th
Week 4: June 20th-24th
Infinity and Beyond
Week 1: May 31st-June 3rd
Week 5: June 27th-July 1st
Holidays
Week 6: July 5th-8th
Splish Splash Water Bash
School’s Out Day Camp
(No camp on Memorial Day, Monday May 30th)
Around the World
Week 2: June 6th-10th
Superheroes
Take a Bow
Party in the USA
(No camp on Monday, July 4th)
Time Travelers
Week 10: August 1st-5th
Week 11: August 8th-12th
Week 12: August 15th-19th
Staycation
Dates and weeks offered vary by location. Check with your Y to see if your desired week is offered at your preferred location.
SPECIALTY CAMPS
Is your child a sports enthusiast, a cooking guru or maybe the
artsy photographer type? If your child has a specific interest
or hobby, we may have a specialty camp for them! The rest of
the day they will enjoy the traditional Y day camp activities like
swimming, arts and crafts, games and more. Your child will also
attend the camp’s weekly field trip. Each Y is unique and diverse,
just like your child, so programs will vary. Please view your camp
specific page for types of specialty camps that may be offered at
your location. Specialty camps require an additional payment and
prices vary by location.
*Ages vary by location. Programs and pricing vary by location.
SCHOOL’S OUT DAY CAMP
$20
$25
$30
DAILY
FEE
HOUSEHOLD MEMBERS
DAILY
FEE
YOUTH MEMBERS
DAILY
FEE
NON MEMBERS
This is a full day program offered on select dates when our
full week Summer Day Camp is not available. This may include
dates before or after our summer camp schedules or days
during the school year. Please see your local Y for dates and
other information.
ENERGY CAMP
Train with the pros at the Energy FC/YMCA Summer Camp. Kids
get to develop their soccer skills in a fun, dynamic and challenging
environment two hours per day with the guidance of Energy FC
players and staff. Energy FC /YMCA Summer Camp is an additional
$40 per camper, per week and is available the following dates and
locations:
June 13-17 | RANKIN YMCA
(1220 South Rankin St, Edmond)
June 20 -24 | BETHANY YMCA
(3400 N Mueller Ave, Bethany)
June 27 - July 1 | NORTH SIDE YMCA
(10000 N Penn Ave, OKC)
July 11-15 | E.L. GAYLORD DOWNTOWN YMCA
(1 NW 4th St, OKC)
PARENT INFORMATION
A complete parent handbook with all policies and additional information can be found at YMCAOKC.ORG/DAYCAMP
or request a printed copy at your local Y. Below is a quick overview of several highlighted policies.
Parent Orientation
Meet staff, pick up your field trip shirts and learn about the program for 2016. A list of parent
orientations can be found on your branch specific flyer or visit ymcaokc.org/daycamp for a list of
dates, times and locations.
Recreational Swim Time
All children will have the opportunity to swim. Each pool is staffed by either Y lifeguards and/or
City Parks and Recreational lifeguards. All children will be given a swim test prior to open swim. Any
child that does not pass the swim test will be required to wear an approved flotation device. Further
swimming policies can be found in the parent handbook.
Sign In and Out
Children are required to be signed in and out of Day Camp on a daily basis by an authorized individual
listed on their form. All children must arrive to Day Camp no later than 9:00am. State issued
photo identification is required to release a child. A $1 per minute late fee will be assessed for
children picked up after 6:00pm. Additional sign in and out policies are found in the parent handbook.
Absent Policy
Please call the Y by 9:00am on the days your child will be absent from camp. It is important for us to
know where your child is on days they are enrolled in the program. No refunds will be given due to
non-attendance. Additional information can be found in the parent handbook.
Illness/ Injury
The health and safety of your child is a priority! Our staff are trained in emergency first aid and CPR.
If an illness or injury happens during the camp day, we will provide first aid as needed. Parents will be
notified of minor injuries at the time of pick up. For more serious injuries we will make every attempt
to contact the parent or guardian using all numbers provided on the enrollment form. A child may
be required to be picked up from camp. If an injury warrants, we will call emergency personnel and
have the child taken to the nearest hospital. Please view the parent handbook for more details about
illness, injury or medications.
Behavior, Conduct and Discipline
We expect all Day Camp participants to behave according to our guidelines. Please read over
character development and guidelines in the parent handbook.
B.A.R
WHAT PARENTS SAY
1
QUOTES
“Staff were fun, encouraging, and respectful and they embraced my child. They make it feel like we are all family and friends
and not a business. It really was the best summer ever!”
“I think this camp was a wonderful experience. We felt safe knowing the boys were having fun and learning throughout the
summer and not just be stuck at home on their electronics not exercising or playing since my husband and I both work.”
“My daughter had so much fun! She even sang at the talent show! It was her first time doing anything like that!”
“My kids loved camp! The staff were always pleasant and talked to us when we picked them up. We look forward to hopefully
seeing the staff who return and will miss those that are not. They helped make our summer great!!”
“My kids LOVED the summer camp. So much in fact they wanted to skip a trip to Disney World because they would have rather
been at the Y. Good job!”
“I think the counselors were fantastic. Almost every day I heard a positive story about one of them, my kids were comfortable
and happy being at camp and came home worn out but happy. They did fun activities, learned about positive behaviors, did
fun projects, took fun field trips and were overall very happy with their day to day experience at summer camp which as a
parent made me happy. No parent wants to have to leave their child somewhere they don’t want to be and I didn’t have that
concern, my kids looked forward going to camp every day.”
“We enjoyed camp so much that we became Y members and now attend the Y Before & Afterschool program. I saw my child
grow so much from his experience at camp. THANK YOU!”
“We’ve loved the Y Day Camp experience - my kids came home filthy & tired. Just how it should be!”
OUTDOOR ACTIVITIES
WHAT TO BRING
What To Bring Each Day to Camp
A cooler style lunch bag with healthy snacks and lunch (unless provided by your site). See food policy in parent
handbook. Children should wear simple, non-restrictive clothing. Camp t-shirts must be worn on field trip days.
• Swimsuit and towel
• Reusable water bottle
• Athletic shoes and socks
(open-toe shoes are not permitted)
• Spray sunscreen & insect repellent
• Backpack or shoulder bag
Please label all items. Unclaimed lost items will be donated to a local charity after one week. Please see the parent handbook
for a list of restricted items.
PARENT INFORMATION - REGISTRATION QUICK VIEW
A complete parent handbook with all policies full policies and additional information can be found at
YMCAOKC.ORG/DAYCAMP or request a printed copy at your local Y. Below is a quick overview of several highlighted policies.
Registration
After you have made your camp selection, complete the registration application and submit to the Y branch where your camp is
offered. Current immunization records must accompany your registration forms. A new enrollment form is due for each program every
year. Space is limited, so register early!
Registration Dates
1. February 9 - Current Before and Afterschool participants
2. February 16 - Y Members and 2015 Summer Day Camp past participants
3. February 23 - Open Registration
FIND THE INTERACTIVE
REGISTRATION FORM AT:
YMCAOKC.ORG/DAYCAMP
A $10 deposit per child, per week of day camp is due upon registration.
The deposit will be credited to each registered week and is non-refundable.
A deposit is not required for those that are in currently registered for year round care.
Confirmations & Tax Statements
Please keep any receipts or transactions made after registration. The Y does not issue statements for individual tax purposes.
Please keep all canceled checks, payment receipts or bank statements as documentation of childcare payments.
Payments
Payments must be made through Electronic Funds Transfer (EFT) or advance payment made in full. Weekly bank drafts will be made on
Wednesday for the following week. Any change to your bank draft information must be received at least seven days prior to the date
you wish the change to take effect. If your childcare payment is returned for non-sufficient funds (NSF), your payment amount along
with an NSF service fee will be collected electronically. For further details, please see the parent handbook.
Cancellations/ Refunds
Refunds will not be given, and no adjustments will be made for missed or partially attended weeks. Early cancellation will result in a
$10 per week per child fee. Written notification of your intent to drop out of the program must be given at least 2 weeks prior to
your intended last day.
Vacations
Children enrolled in the full summer or year round programs will receive one week of vacation without payment during the summer.
Written notification of the intended vacation must be given at least two weeks in advance.
Admission Policy
The YMCA of Greater Oklahoma City generally admits children ages 5-12, although age requirements and program availability vary by
location. The Y is open to all youth regardless of race, gender, religious belief or income. The Y will address children with additional
needs on a per request basis. Upon reasonable notice, efforts will be made to accommodate your request. The safety and well-being
of all campers and staff must be maintained. For more information see the Americans with Disabilities Act in the parent handbook.
Outside Contact between Staff and Children
Y staff are prohibited from having outside contact with children in Y programs. This includes, but is not limited to, birthday parties,
babysitting, sleepovers, transportation and any non-Y events. Any exceptions require a written explanation prior to an event and are
subject to administrator approval.
THERE’S NO PLACE LIKE CAMP!
Day Camp Program
YMCA OF GREATER OKLAHOMA CITY
DAY CAMP PROGRAM FOR SCHOOL AGED CHILDREN
Attach Child’s Photo Here
2016 Enrollment Forms (Please Print)
A. Participant Information
Child First Name: ____________________________ Last Name: ____________________________________________
Date of Birth _______/ ________/_________ Age: _______________ Gender:
Male
Female
Child lives with
Mother
Father
Both
Other _________________________________
Other siblings that may be enrolled in the program (please list last name if different):
Name _________________________________________________________ Date of Birth _______/ ________/________
Name _________________________________________________________ Date of Birth _______/ ________/________
Parent /Guardian #1 First Name _______________________ Last Name _______________________________________ Date of Birth _______/ ________/________
*This person will be the first we try to contact when needed
Home Address: _______________________________________________________________ City _____________________________State _________ Zip ______________________
Home Phone: _________________________________ Cell Phone ______________________________ Email ___________________________________________________________
Business Name & Address: _________________________________________________________________________________________ Work Phone ______________________
Parent /Guardian #2 First Name _______________________ Last Name _______________________________________ Date of Birth _______/ ________/________
Home Address: _______________________________________________________________ City _____________________________State _________ Zip ______________________
Home Phone: _________________________________ Cell Phone ______________________________ Email ___________________________________________________________
Business Name & Address: _________________________________________________________________________________________ Work Phone ______________________
B. Others Authorized to Pick Child Up or Be Notified as Needed
The Y can only release your child to those listed on this form, they must provide a photo ID at the time of pick up. Contact the Y director to make changes to this information.
#1 First Name _______________________ Last Name _______________________________________ Date of Birth _______/ ________/________
Home Address: _______________________________________________________________ City _____________________________State _________ Zip ______________________
Home Phone: _________________________________ Cell Phone ______________________________ Relationship to child ________________________________________
#2 First Name _______________________ Last Name _______________________________________ Date of Birth _______/ ________/________
Home Address: _______________________________________________________________ City _____________________________State _________ Zip ______________________
Home Phone: _________________________________ Cell Phone ______________________________ Relationship to child ________________________________________
C. Sessions & Programs
Location Attending: _________________________________________________________________________________________
Camps Triple C, L.E.A.D & Guthrie are an additional $10 per week per camp.
ALL SUMMER: Includes ALL weeks of Day Camp. You may select one week of vacation at no charge and still qualify for the full summer pricing.
Price (per week)
$90 / Household Member
$100 / Youth Member
$115 / non member
Currently enrolled in year-round pricing
School child attends:__________________________________________________________________________________________________ Last Day of School is: ____________________________________
Our one week vacation will be: _______________________________________________________ or
Unknown, we will provide the Y Director a 2 WEEK NOTICE
SUMMER SELECT: Select and check which weeks your child will attend
Dates and weeks offered vary by location. Check with your Y to see if your desired week is offered at your preferred location.
Price (per week)
$100 / Household Member
$110 / Youth Member
PRE CAMP: May 23rd-27th (School’s Out Day Camp)
Week 1: May 31st-June 3rd (Around the World)
Week 2: June 6th- 10th (Superheroes)
Week 3: June 13th- 17th (Barnyard Bonanza)
Week 4: June 20th-24th (Take a Bow)
Week 5: June 27th-July 1st (Party in the USA)
$135 / non member
Week 6: July 5th-8th (Time Travelers)
Week 7: July 11th-15th (Mission Possible)
Week 8: July18th-22nd (Ylympics Kids)
Week 9: July 25th-29th (Infinity and Beyond)
Week 10: August 1st-5th (Holidays)
Week 11: August 8th-12th (Splish Splash Water Bash)
Week 12: August 15th-19th (Staycation)
Please indicate any specialty camps and dates that you would like your child to be registered for. (See your branch specific flyer or talk to your
Youth and Family Director for options, dates, prices and more details) _________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________________
We are also interested in receiving more information about Camp Classen, The YMCA Overnight Camp in Davis, Oklahoma.
YMCA OF GREATER OKLAHOMA CITY
PAGE 1 OF 3
D. Participant Health History and Information
Child’s Doctor: ____________________________________ Address: _______________________________________________________________ Phone # ____________________________
Check any conditions that your child has experienced:
Asthma
Autism
Diabetes
Epilepsy / Seizures
ADD/ ADHD
Cerebral Palsy / Other Motor Disorder
Cognitive or Learning Disabilities
Status of Vision, Hearing, Speech to Note ______________________________________________________________
Non-Food Allergies (list) ________________________________________________________________________________________________________________________________________
Food/ Milk Allergies (list) ________________________________________________________________________________________________________________________________________
If your child has food allergies or dietary restrictions, attach a statement from a medical professional. (REQUIRED)
My child carries an epi-pen, inhaler or other medication. (additional medication for is required)
Other condition to note:_________________________________________________________________________________________________________________________________________
Please provide symptoms and / or special instructions for any condition marked above. (Additional form is required and notes may be attached):
____________________________________________________________________________________________________________________________________________________________________________
Check any of the following that relate to your child:
Fears we should be aware of:___________________________________________________________________________________________________________________________________
An event in your child’s life that may have been particularly upsetting: _____________________________________________________________________________
Social or emotional characteristics you would like to note: ______________________________________________________________________________________________
Other conditions requiring special care or additional information you feel would be helpful. (additional pages or notes may be attached)
____________________________________________________________________________________________________________________________________________________________________________
Please initial each of the following:
___________ I have provided a copy of my child’s immunization records along with this form (required to register)
___________ I authorize Y staff members to apply sunscreen to my child as needed. (spray sunscreen only) Parent must supply sunscreen.
___________ I authorize the Y staff members to apply bug repellent to my child as needed. Parent must supply bug repellent.
Is your child currently taking any medications?
Yes
No If yes, what kind and why (unless confidential by law)? _________________
____________________________________________________________________________________________________________________________________________________________________________
If any medication (prescription or over the counter) is required during Y program time, a medication form MUST be completed. Please see our
Medication Policy in the Parent Handbook for more information which can be found at www.ymcaokc.org/daycamp or picked up at the Y.
The YMCA of Greater Oklahoma City has my permission to: (initial each line)
___________ Involve my child in swimming
___________ Involve my child in field trips
___________ Involve my child in photographs or video taken for Y publicity purposes
___________ Transport my child, provided that the Y and the driver have the legally required insurance in force, the driver has a valid
Oklahoma driver’s license and has completed the Y’s driver requirements and tests, and there is a current Oklahoma tag on the vehicle.
E. Agreements
Statement of Understanding:
• I will notify the staff of any changes in the registration information.
• I consent to my child’s participation in the Y program and assume the risks involved. I attest and verify that I have knowledge of the risks involved in program activities
and I give my child authorization to participate in such activities.
• I have reviewed the Code of Conduct and Behavior Management Policy with my child(ren).
• In the event that I cannot be reached to make arrangements for emergency medical attention at the time of illness or accident, I hereby authorize the Y to take my
child to the nearest facility for medical attention.
• I understand that it is my responsibility that my child is signed in upon arrival to the program, and signed out before leaving each day.
• I understand that I cannot leave my child at the Y or program site unless a Y program staff member is there to receive and supervise my child. There must be an
exchange of responsibility from an authorized individual to a Y staff member.
• I understand that the Y has no Outside Contact Policy between Staff and Children. Y Staff are prohibited from having outside contact with children in Y programs.
Includes but is not limited to: babysitting, sleepovers, transportation or other non-Y events.
• I understand that state law mandates the Y to report any suspected cases of child abuse or neglect to the appropriate authorities for investigation.
• I understand that I am responsible for all of the information in the Parent Handbook. A copy of the Parent Handbook is available online at
www.ymcaokc.org/daycamp or I can request a printed copy from the Y.
• By signature and of free will I do hereby agree to indemnify and hold harmless the Y for any and all claims or demands, cost of expense arising out of any injury or
damage sustained by me or any party I am responsible for.
• I understand that even when every reasonable precaution is taken, accidents can sometimes happen. Therefore, in exchange for allowing my child to participate in
Y programs, I understand and expressly acknowledge that I, for myself and for anyone entitled to act on my behalf, waive and release the Y, sponsors, representatives
and successors from all claims or liabilities of any kind arising out of my child’s participation in activities at or sponsored by the Y. I further agree to indemnify and
save harmless the Y from any claims or demands arising out of such injuries or losses. I understand that this release includes any claims based on negligence, action
or inaction of the YMCA of GREATER OKLAHOMA CITY, its staff, directors, members and guests.
I have read and understand the statements above regarding YMCA policies and procedures.
________________________________________________________________
________________________________________________________________
_____________________________
Print Name
Sign Name
Date
YMCA OF GREATER OKLAHOMA CITY
PAGE 2 OF 3
F. Additional Information
(Information is collected for demographic purposes ONLY to ensure we are serving our entire community)
Ethnicity
Household Income
Native American
Caucasian/ White
Asian/ Pacific Islander
Hispanic
African American/ Black
Other
Alaskan Native
$ 0 - 14,999
$ 50,000 - $74,999
$200,000 - $249,999
$15,000 - $24,999
$75,000 - $99,999
$250,000 and above
$ 25,000 - $34,999
$100,000 - $149,000
$ 35,000 - $49,999
$150,000 - $199,999
G. Accounting Policies and Payments
1. Acceptable payment form is: Electronic Funds Transfer (EFT) or advance payments made in full.
2. To secure your child’s spot, a $10 per week non-refundable deposit is due at the time of registration.
3. Drafts will be made by the close of business on Wednesday for the following week of care. Drafts will be made each week unless a two-week
written notification has been provided for a vacation week or for cancellation of registration.
4. The Y does not issue statements for individual tax purposes. Please keep any and all canceled checks, payment receipts or bank statements as
documentation of childcare payments.
5. No adjustments in the weekly fee will be made for partially attended weeks, when care is not provided due to holidays that the Y is closed or
inclement weather days.
6. Refunds are typically not given. A Refund Request Form may be obtained from, and returned to the Member Service Desk and all refunds are at the
discretion of the Branch Executive Director.
7. If your payment is returned for insufficient funds (NSF), your payment along with an NSF service fee of $25.00 will be collected electronically. If an
NSF payment is unable to be collected electronically, year-round pricing will no longer apply. Any change to your bank draft information must be
received at least seven days prior to the date the change to take effect. A $10 late fee will be assessed on payments not made by the deadline.
8. A late pick up fee of $1.00 per minute will be assessed for each minute after 6:00pm that your child remains in our care. This fee will be drafted
from the account on file. If there is no account on file, this charge must be paid at the Y Member Service Desk, and your child will not be allowed to
attend until the amount due is satisfied.
9. If you are registered for the All Summer option and a payment is missed, the All Summer pricing will no longer apply. If you cancel All Summer
camp, an additional $10 will be charged for each week that you have attended, separate from the non-refundable deposit.
Bank Account Information:
First Name ___________________________________________________ Last Name _____________________________________________________________________________
Name(s) of participants whom you are paying for: ___________________________________________________________________________________________________________
I will make advanced payment in full at the Y Member Service Desk at the time of registration
I receive third party payments, such as DHS, I understand that I am responsible for all copayments
I will be paying though Electronic Funds Transfer. Information below is required along with a voided check:
Bank Name________________________________________________________________________________ Bank City/ State _______________________________________________________
Type of Account:
Checking
Savings
Print your name as it appears on the bank account: _________________________________________________________________________________________________________
Financial Institution Routing Number: ______________________________________________ Account Number______________________________________________________
I (we) request and authorize the YMCA OF GREATER OKLAHOMA CITY to charge the checking/savings account listed below for program fees. I (we) further authorize the financial institution
to debit these fees. I (we) understand that these charges are continuous and ongoing until the end of the program, or the Y receives the proper cancellation notice of two weeks.
We
Wehave
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________________________________________________________________
________________________________________________________________
_____________________________
Print Name of Authorized Signature
Authorized Signature
Date
________________________________________________________________
________________________________________________________________
_____________________________
Print Name of Joint Account Holder (if applicable)
Joint Account Holder Authorized Signature (if applicable)
Date
GIVE
YMCA SUMMER DAY CAMP
In addition to our program fees, we would like to help send another child to Summer Day Camp.
Please add the following amount to our weekly Day Camp draft:
$
$5
$10
A one time donation can also be made at any of our Y Member Service Desks
Authorized Signature
YMCA OF GREATER OKLAHOMA CITY
Date
PAGE 3 of 3
17
14&15
10
20
YMCA SUMMER DAY CAMP
11
18
16
19
21,22
& 23
24
25
2
1
13
9
12
2016 YMCA
DAY CAMP LOCATIONS
1. BETHANY YMCA DAY CAMP
2. Western Oaks Christian Church
3. CHICKASHA YMCA Day Camp
4. EARLYWINE PARK YMCA DAY CAMP
5. Teen Camp- EARLYWINE PARK YMCA
6. GREENBRIAR YMCA
4&5
3
6 7
8
7. Shartel Church of God
8. Moore Community Center
9. E.L. GAYLORD DOWNTOWN YMCA Day Camp
10. GUTHRIE YMCA Day Camp @
Cotteral Elementary School
11. GUTHRIE YMCA Day Camp @ GUES
12. MIDWEST CITY YMCA Day Camp
13. Nicoma Park Intermediate School
14. MITCH PARK YMCA Day Camp
15. E.L.I.T.E (Teen Camp) at Mitch Park
16. Triple C @ Central Christian Camp
17. Camp Explorer @ Acts2
United Methodist Church
18. RANKIN YMCA Day Camp
19. L.E.A.D @Clegern Elementary School
20. Camp Sunset (exact Location TBD)
21. NORTH SIDE YMCA Day Camp
22. Teen Camp- North Side YMCA
23. NORTH SIDE Off Site Y Day Camps
(Locations TBD)
24. ROCKWELL PLAZA YMCA Day Camp
25. Off Site Y Camp (exact location TBD)