camp supplement - Hamilton Area YMCA

@SawmillYCamp
HELLO SUMMER!
Hamilton Area YMCA Sawmill Camp 2014
Summer 2014 Camp Dates
June 23 - August 29
10 weeks of summer fun!
Register Now!
See Inside Front Cover For Special Offers!
Say HELLO SUMMER at the
Hamilton Area YMCA Sawmill Camp!
Camping, like many Y programs, is about learning skills,
developing character and making friends. But few environments
are as special as camp, where kids become a community as
they learn both how to be more independent and how to
contribute to a group as they engage in physical, social and
educational activities.
Our camp curriculum promotes making new friends, teamwork,
building self-esteem, creativity and includes educational
components! We offer over 30 different camp options in the
areas of arts, sciences, sports, travel, and specialty and
traditional camping! We combine hit activities like daily swimming in our beautiful outdoor pool with a 100 foot waterslide
and Color Wars with goal setting, friend-making, and group
dynamics in a fun, controlled environment. With so much
variety, we are sure we are the right summer camp for your
family.
We’re affordable. We’re flexible – register for as little as
one week or as many as 10, take advantage of pre and/or
post camp hours, utilize our convenient transportation
options – it’s up to you! Create the camp schedule that
works best for you and your family. We can’t wait for your
camper to join us this summer!
SPECIAL OFFERS
• Multiple child discount: Receive a $10 per week
discount for all additional children in the same family
registered for the same weeks in most of our camps.
• Refer a Friend! Were you a camper in 2013? If you
were, you can receive a $25 check when you and a
new camper you refer register for 2 or more weeks
of Summer Camp 2014!*
*Some exclusions may apply.
NEW CAMPS THIS SUMMER
•
•
•
•
•
•
All Aboard!
Multi Media
Backyard Sports & Golf
Specialty Sports
Court Sports
Theme Park Week
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•
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Wet ‘n’ Wild
Dance & Cheer
Day Camp
Travel Camps
Splash ‘n’ Dash
Mad Science
Magic Camp
S.K.O.R. Camp (Special Needs)
RETURNING FAVORITES
2014 CAMP FEES
$270* per week
*Fees apply to most camps. Fees must be paid in full within the dates stated. Our specialty and travel camp
fees can be found on our website.
DATES & HOURS OF OPERATION
Monday, June 23 - Friday, August 29
Monday - Friday 9:00 a.m. - 4:00 p.m.
Pre camp hours: 7:30 - 9:00 a.m.
Post camp hours: 4:00 - 6:00 p.m.
Transportation options from Steinert High School and
AMC Movie Theater are available for an additional fee.
CONTACT US
CALL
CLICK
VISIT
609.581.9622 ext. 21100
hamiltonymca.org
Call to schedule a personal tour!
CAMPER MEET ‘N’ GREET
New and returning campers will enjoy a night of games, crafts and
more at the Sawmill Branch while parents enjoy a night out.
Summer camp staff will supervise and lead creative activities to
help gear up for the summer! Pre-registration is required. $5.00
per camper.
• Tuesday, June 17, 7:30 - 9:00 p.m.
PRESCHOOL SUMMER CAMPS AT THE JKR BRANCH!
With Enrichment Program and Extended Day Options
Our preschool summer camp offers extended day care from 7:00 a.m. – 6:00 p.m. with new enrichment program offerings,
including kindergarten readiness, literacy and science! Camps run in 2 week sessions June 30 – August 22. For more
information please contact Lorraine Hendrick at 609.581.9622 ext. 127 or [email protected].
CAMP DESCRIPTIONS
TRADITIONAL CAMPS
Mini Explorers (entering kindergarten)
Mini Explorers provides children a creative and
stimulating learning experience. Campers will participate in
specials, crafts, games, sports, songs, swimming and more!
Discovery Day Camp (entering grades 1 – 2)
Our Traditional Day camp offers a variety of activities to
keep campers active. Sports, games, crafts, swimming,
songs, specials, and other fun activities will be offered in
this popular camp.
Explorers I & II (entering grades 3 – 6)
This fun camp offers a wide range of activities for your
child. Traditional day camp activities including sports,
games, crafts and daily swimming are offered as well as a
fun field trip each week.
Teen Explorers (entering grades 7 – 8)
Teen camp is designed to meet the needs of the older
camper. Activities are designed to keep the interest and
creative energy for this age group. Traditional day camp
activities including sports, games, crafts and daily swimming
are offered as well as an exciting field trip each week.
SPECIALTY CAMPS
Arts Galore (entering grades 1 – 3)*
This camp is great for children who cannot get enough of
exploring the world of art! Campers get the opportunity to
create new and exciting crafts while getting their hands
messy working with paint, glue, glitter and more.
Wet n’ Wild (entering grades 1 – 3)*
This cool camp will offer a variety of fun filled water games
during the week! Campers will stay wet and refreshed
through a variety of water activities. Some activities may
include drip, drip, drop, water balloon toss, sprinklers and
slip n’ slide fun!
Games Galore (entering grades 1 – 3)*
A variety of silly, traditional and new games will be played
during the week. Games played may include an obstacle
course, races, and tag!
Legos, Lincoln Logs and more (entering 1 – 5)*
This camp is for those who love to build! Campers will
design and build several gizmos and gadgets throughout the
week. One project will be brought home at the end of the
week.
NEW! All Aboard (entering 1 – 5)*
Climb on in and join us for a camp for board game enthusiasts. Campers will enjoy playing board games, puzzles, and
card games. Campers will also get the opportunity to create
their own board game and bring it home for the entire family
to enjoy.
Super Hero Training (entering 1 – 5)*
This camp focuses on training to become a super hero!
Be ready to create your own special character. You will get
to dress up and make special crafts to help save the day!
Dance and Cheer (entering grades 1 – 8)*
Campers will learn the fundamentals of dance and
cheerleading. Different dance and cheer techniques will be
introduced to the campers. Campers will end the week with
a performance for their families and fellow campers.
Magic Camp (entering grades 3 – 8)*
The Hamilton Area YMCA Sawmill Branch has joined with
professional magicians to offer campers the opportunity to
learn magic in a fun setting. Your camper will learn how to
perform an assortment of magic tricks and illusions. All
campers must purchase a magic kit for $35. Campers
enrolling in more than one week only need to purchase
one kit.
Splash & Dash Camp (entering 4 – 8)*
This camp is tailored to the avid swimmer. Campers will
learn the fundamentals of swimming and water safety.
There will be instruction in all four main strokes; freestyle,
backstroke, breaststroke, and butterfly. Pool games will be
played as well including water polo and pool basketball!
Pool fun will take place in the mornings and traditional
camp activities will take place in the afternoon.
ABOUT OUR STAFF
Dedicated summer staff return to Sawmill year after
year. Our staff of high school students, college students
and educators are committed to helping young people
develop into caring, responsible citizens. Staff maintain a
1:10 counselor to camper ratio while participating in the
adventures of camp with their campers. Every member
of our staff team receives over 25 hours of pre-camp
training and our senior counselors and unit leaders are
CPR and First Aid certified. We also have a full time
nurse on staff during the camp season.
CAMP DESCRIPTIONS
SPECIALTY CAMPS continued
Great Outdoors (entering grades 4 – 8)*
This outdoor adventure camp is geared towards the
adventurous at heart! Campers will participate in scavenger
hunts, learn about the great outdoors and nature, as well
as outdoor survival skills.
Theater Camp (entering grades 4 – 8)*
This fun and exciting 2 week camp will allow campers
to learn the basics of drama and theater! Campers will
practice skits through out the week and show off their
talent at the end of the week. Campers will go on a field
trip to see an exciting performance!
Bugs & Slugs (entering 4 – 6)*
The fascinating world of bugs awaits! Bugs and Slugs Camp
provides a hands-on introduction to the exploration of the
miniature world of bugs and insects. Topics include ants,
ladybugs and insect identification. Activities include bug
themed games, bug crafts and more!
NEW! Beads, Bracelets and Beyond! (entering 4 – 8)*
This camp is perfect for the amateur jewelry maker in your
family! Campers will learn new ways to create art with
bracelets, beads and more!
Just Us Girls (entering grades 4 – 6)*
Girls just want to have fun and that’s what we plan to do.
In between all the fun camp activities, you will learn about
skin care and putting on make up, learn babysitting skills,
get your hair and nails done, learn how to scrapbook, and
be treated like a star! You will leave camp with some great
memories! Girls will go on a field trip and enjoy a
special lunch.
NEW! Multi Media Makers (entering grades 6 – 8)*
This 2 week camp is perfect for the film, photo and
media enthusiast. Campers will explore the world of
photography, filmmaking and digital arts. Campers will
create a video using the skills
learned in this camp and take it
home to share the memories!
*Enrollment is limited.
LIT (entering 7 - 8) (must complete LIT application)
The Leader in Training program is for campers who want to
spend time developing leadership skills. They will participate
in group discussions, problem solving games and other teen
oriented activities that are not available to other camps.
The focus of this camp is on enhancing their leadership
skills. They will also have opportunities to practice these
learned skills by taking on more of a leadership role in
camp, helping with weekly camp events. This is a two week
camp.
CIT (ages 14 - 15) (must complete CIT application form)
The Counselor in Training program gives teens ages 14
and 15 years old a place to learn about teamwork,
communication, understanding and responsibility in an
outdoor environment. The CITs will learn to become leaders
within their peer group by building confidence, trust and
respect. The CITs will have the opportunity to apply their
training by taking a leadership role in our day camp,
developing creative programs and working with younger
campers. This is a three week camp.
See our website for the extra requirements for acceptance
in the LIT and CIT program.
TEEN LEADER (age 15; must have completed
2 sessions of our CIT program)
This program is for the teenager who has been through our
CIT program, knows they want to be a counselor one day,
but is not yet old enough to apply. Instead of waiting until
you can be a counselor, become a Teen Leader and spend
your days learning side by side from one of our seasoned
staff members. Each
week you attend, you
will be paired
up with and mentored
by a different senior
counselor. In addition
to the lessons
learned from your
mentor, you will
help out with daily
camp tasks that
are essential to
keeping camp
running smoothly.
CAMP DESCRIPTIONS
SPECIALTY SPORTS CAMPS
Bob Smith Soccer School (entering grades 1 – 8)
Looking to improve your soccer skills? Then you won’t
want to miss out on this camp! Bob Smith, seven year U.S.
National Team member, along with his skilled staff will be
at the Sawmill Branch. Campers will be instructed proper
techniques and skills throughout the day. We request
that campers bring shin-guards, soccer footwear and their
own ball.
S.K.O.R. CAMP
(Special Kids Organized Recreation)
S.K.O.R. Camp (ages 5 – 21)
This camp is specially designed for children with intellectual
disabilities. We offer a 5:1 camper to staff ratio, a full
range of activities and experiences including a variety of
sports, swimming and crafts. Campers must be partially
toilet trained, must have some way of communicating their
needs, and be free of uncontrollable aggressive behaviors.
S.K.O.R. Camp transportation is available at the
Steinert bus stop only.
Fully Integrated Camp Option
The Hamilton Area YMCA Sawmill Branch and its Summer
Camp program encourages and supports the participation
of individuals with disabilities in all programs and services.
Inclusion within the Sawmill Summer Camp means that
individuals with disabilities are welcome to participate
in the same camps as their non-disabled peers. Some
minimum eligibility requirements (age, level of participation)
must be met in order to participate. Support staff will be
available for additional assistance if needed (a full day oneon-one assistant will not be provided). You must check the
box on the application for the support staff to be assigned
to you.
A pre-camp interview is required for all new campers
registering for S.K.O.R. Camp or our Fully Integrated
Camp Option. For additional information, or to schedule a
pre-camp interview, contact Kathy Rhead at 609.581.9622
ext. 114 or [email protected].
Gametime Performance Softball Camp
(ages 7 – 13)
$300
Softball players wanted! Come join Gametime Performance
(GTP) Softball Academy for a full day camp at the Hamilton
Area YMCA Sawmill Branch. Experienced GTP staff are
excited to work with campers to improve their game! Areas
of skill development and training include: hitting, bunting,
fielding, throwing, catching, sliding, base running, and
pitching. Each day will include training along with a
competitive game to reinforce the skills learned that day.
We request that campers bring their own softball glove.
NEW! - Gametime Performance Lacrosse Camp
(ages 7 – 13)
$300
Be a part of this new camp! Sawmill has partnered with
Gametime Performance to give campers an opportunity to
improve and develop themselves in all aspects of the sport.
Each day will include instruction from knowledgeable staff
members giving campers the opportunity to develop in the
areas of shooting, offensive motion, defensive techniques,
speed and agility, footwork and team play. Game-like
situations and drills will be used to put these techniques
into practice. We request that campers bring their own
equipment.
Gametime Performance Field Hockey Camp
(ages 7 – 13)
$300
Field Hockey is fast paced game with tons of excitement!
Dribbling, dodging, defending and shooting are just the
beginning. Small sided games as well as our own version of
a Hockey World Cup where everyone is a winner! Come and
join the fun for as we go for the Gold! Minimal equipment
needed - shin guards, water bottle, sneakers, a stick if you
have one and the need for fun!
CAMP DESCRIPTIONS
MAD SCIENCE (entering grades 1 - 5)
Try our exciting science-based enrichment camp.
Campers will enjoy 3 hours of fun, hands-on programs.
Professionally trained Mad Science staff will spark the
imagination and curiosity of all campers. Campers in
Mad Science camp will participate in traditional camp
activities, including recreational swimming, for the
remainder of the camp day.
Junior Physician Academy! (entering grades 3 – 5)
Offered Week 1 (6/24 – 6/27)
Join us for an incredible journey in to the world’s most
sophisticated scientific system - The Human Body. Kids will
explore the science behind cells, organs, muscles and bones
through fun, hands-on activities. This Mad Science Camp is
Spine Tingling!
SPORTS
CAMPS
Campers in our sports camps will learn fundamentals, drills,
rules and etiquette in each individual sport. Sports camps
will focus on the developing and improving specific sport
skills and techniques while learning the value of fair play
and sportsmanship. At the YMCA, we use sports
to teach lifelong skills and values. Daily activities will
also include traditional camp activities and recreational
swimming. Sports camps offered include: Basketball,
Baseball, Soccer and Tennis.
Jr. Sports and Y World of Sports (entering grades 1 – 8)*
These camps provide everyday instruction and guidance
in a variety of sports, which include baseball, basketball,
football, soccer and volleyball.
NEW! Backyard Sports (entering grades 3 – 8)*
Spend time playing America’s favorite backyard games!
Learn how to play golf, croquet, bocce ball, horseshoes,
badminton, Frisbee golf, beach volleyball and more.
NEW! Court Sports (entering grades 4 – 8)*
Campers will learn a variety of sports played on different
courts. Sports included will be pickleball, tennis, badminton,
basketball, four square and more!
*Campers will participate in traditional day camp
activities such as recreational swimming, games,
sports, songs and arts & crafts.
Red Hot Robots!
Offered Week 3 (7/7 – 7/11)
Discover the science of circuits and how robots use sensors
to explore things around them. Experiment with sound
sensing robots, line-tracking robots, amphibious robots and
robots that can even play soccer! Use your skills to build
your very own working robot to take home with you! All
campers will receive their own robot kit.
Secret Agent Lab!
Offered Week 5 (7/21 – 7/25)
Our Spy Academy will help you sharpen your special
operative skills as you learn about the Secret World of
Espionage! The key to being a great spy is your ability to
use science to “sniff” out your suspects and uncover their
secrets. We will utilize spy gear such as metal detectors,
spy ears, and motion sensors to hone our skills. We will
“pick open” locks, sneak past a whispermeter, and create
our own security system. This Mad Science Spy Academy
Camp is 00–AWESOME!
CAMP DESCRIPTIONS
MAD SCIENCE continued
Mad Machines & Jr. Engineers
Offered Week 7 (8/4 – 8/8)
The junior Mad Science engineers will design and build
Bridges and "Skyscrapers" and will even construct a
Geodesic Dome big enough for all the campers to sit inside!
Then the machine madness starts . . . Campers will have fun
building their own catapults to take home! We'll also play
robot soccer, test line-tracking robots, and help our team
direct our sound activated robots around an obstacle
course, all the while learning the science of robotics!
Space: Infinity & Beyond
Offered Week 8 (8/11 – 8/15)
In this camp, we will investigate unique flying machines,
including building balloon-copters, boomerangs and a mini
hovercraft as take home projects for the children. Children
will investigate how early “pilots” navigated, including
building their own sundial. Finally, campers will put all the
learned skills together to build an intermediate level Estes™
Skywinder rocket. If your child is an Astro“nut” they will
love this space camp.
TRAVEL CAMPS**
Jr. Travel (entering grades 4 - 6)
Sr. Travel (entering grades 7 - 9)
Travel Camp (open to both Jr. and Sr. Travel Campers)
Take camp on the road! These exciting camps are for kids
that enjoy traveling and experiencing new adventures.
Some weeks have specific themes while other weeks offer
a variety of trips each day. Trips may include Great
Adventure, a day at the beach, Laser Tag, Hurricane Harbor,
The Fun-Plex, Trenton Thunder, visits to historic parks, local
museums and much more. These camps offer travelers a
FUN and supervised summer with their friends.
Mission Impossible Week (open to both Jr. and Sr.
Travel Campers)
This theme week is sure to be one of our most popular
camps this summer. Campers will challenge themselves in
seemingly impossible activities such as rock climbing, surf
lessons, and outdoor laser tag, as well as other impossible
missions.
Flip Flop Fun Week (open to both Jr. and Sr. Travel
Campers)
When things get hot, this is the coolest place to be!
Campers will travel to a different beach each day along the
Jersey Shore where they can play volleyball, body surf, just
hangout and relax. Each week will finish with a special visit
to the popular Hopewell Quarry Swim Club.
Theme Park & Water Park Weeks (open to both Jr. and
Sr. Travel Campers)
During these two theme weeks campers will travel each
day to one of the area’s best theme or water parks, while
there they will enjoy the attractions that each park has to
offer. To get the most out of each visit we will have an
extended camp day and return to the Sawmill Branch at
approximately 5:30 p.m. for pickup. Post camp bussing
is not available.
Overnight Week (open to both Jr. and Sr. Travel
Campers)
In addition to enjoying all the same fun and exciting trips
that a regular week of Travel camp offers, this Overnight
Theme week includes… you guessed it, an overnight!
Jr. Travel Campers will have an extended visit to Great
Adventure on Wednesday. They will return to the Sawmill
Branch for a late dinner and swim. A “bond” fire will finish
the night before campers set up camp in the Sawmill
Gymnasium. This camp is a one week session.
Sr. Travel Campers will have an extended visit to Hershey
Park on Thursday. At the end of the day they will camp out
at a local YMCA. Friday we will visit the Boardwalk (Water
Park at Hershey). After the park fun is done on Friday,
we’ll be sure to visit Chocolate World! This camp is a two
week session.
**Some trips require waivers to be completed prior to
attending the trip. All waivers and trip calendars can
be found on our website, hamiltonymca.org.
WHAT PARENTS ARE SAYING
“The counselors were great and were concerned about my daughter. I felt confident that she was well taken care of due to
the staff.”
“Very well organized. Very kind and conscientious staff.”
“We all enjoyed the C.O.D.E. this year. My son looked forward to the specific days. We loved the grandparents and parents
days. It was so nice to have lunch with our son and meet his friends and counselors.”
“My daughter enjoyed the trips this year. It was a good variety of trips in Travel Camp.”
“Very good value, my daughter loves it.”
“My little guy loves it, he even comes on Fridays when he could be home with me!”
“The Camp Director is very friendly and easy to talk to. All of the coordinators are very professional, friendly, and very
approachable.”
CALL
CLICK
VISIT
609.581.9622 ext. 21100 with questions or to set up a tour
hamiltonymca.org
Call to schedule a personal tour!
@SawmillYCamp
609.581.9622 ext. 21100
hamiltonymca.org
185 Sawmill Road
Hamilton, NJ 08620
Trenton, NJ
Permit # 1591
PAID
NON-PROFIT ORG.
U.S. POSTAGE
Summer Camp 2014 Registration Form
1
2
3
Camper’s Name
_________________________________________________________________________________________________________ Grade entering 9/14_____________________
(one form per camper please • Please print clearly)
At minimum, a Hamilton Area YMCA Program Membership is required and must remain current through the duration of the program.
____ $55 single youth program membership fee. ____ $100 family program membership fee.
Please clearly check or highlight in the appropriate box to indicate the camp you would like to select for your child.
All camps are based on grade child is entering in September 2014, except where otherwise noted. Please review your selections carefully.
You are registering for the fully integrated program for individuals with disabilities and would like a support person
assigned to your child.
Summer Fun Week 8/25 - 8/29 (entering K - 8)
Full Week Option (M - F only)
Pick Your Day(s) Option
SKOR Full Week Option (M - F Only)
$270
$65 per day
$270
Transportation is not available 8/25 - 8/29
Camps
Ages/Grades
8/25
8/26
Pre Camp $5/day
_______
Week 1
6/23-6/27
Traditional Camps
Entering K
$270
Mini Explorers
Discovery Day Camp
Entering 1 - 2
$270
Explorers I
Entering 3 - 4
$290
Entering 5 - 6
$290
Explorers II
Teen Explorers
Entering 7 - 8
$290
Specialty Camps
Arts Galore
Entering 1 - 3
$270
Wet 'n' Wild
Entering 1 - 3
Games Galore
Entering 1 - 3
$270
All Aboard! - NEW
Entering 1 - 5
Legos, Lincoln Logs and more
Entering 1 - 5
Super Hero Training
Entering 1 - 5
$270
Dance & Cheer
Entering 1 - 8
$270
Magic Camp
Entering 3 - 8
Splash & Dash
Entering 4 - 8
Great Outdoors
Entering 4 - 8
$270
Theater Camp
Entering 4 - 8
Bugs & Slugs
Entering 4 - 6
Beads, Bracelets & Beyond - NEW
Entering 4 - 8
$270
Just us Girls
Entering 4 - 6
Multi Media Makers - NEW
Entering 6 - 8
LIT (Leaders in Training)
Entering 7 - 8
CIT (Counselor in Training)
Ages 14 - 15
Teen Leader
Age 15
$80
See Description
$285
Mad Science
S.K.O.R. Camp
Ages 5 - 21
$270
Sports Camps
Bob Smith Soccer School
Entering 1 - 8
Jr. Sports
Entering 1 - 3
$270
Backyard Sports
Entering 3 - 8
Tennis
Entering 3 - 8
$270
Basketball
Entering 4 - 8
Baseball
Entering 4 - 8
$270
Court Sports - NEW
Entering 4 - 8
Y World of Sports
Entering 4 - 8
$270
Soccer Sr.'s
Entering 4 - 8
Specialty Sports Camps (GTP) - NEW
See Description for fees
Travel Camps - Check one
Jr Travel - Grades 4-6
Travel Camp (week 7 is Jr. Travel only)
$335
Theme Park Week (week 2)/Water Park Week (week 4)
Flip Flop Fun Week
Mission Impossible Week
Jr. Travel Overnight**
Sr. Travel Overnight
8/28
8/29 (please check the day(s) campers will attend)
Post Camp $5/day _______
Week 2*
6/30-7/4
Week 3
7/7-7/11
$216
$216
$232
$232
$232
$270
$270
$290
$290
$290
$270
$270
$270
$270
$216
$216
Week 4
Week 5
Week 6
7/14-7/18 7/21-7/25 7/28-8/1
$270
$270
$290
$290
$290
$270
$270
$290
$290
$290
$270
$270
$290
$290
$290
$270
$270
$270
$270
$270
$270
$216
$229
$216
$270
Week 7
8/4-8/8
Week 8
8/11-8/15
Week 9
8/18-8/22
$270
$270
$290
$290
$290
$270
$270
$290
$290
$290
$270
$270
$290
$290
$290
$270
$270
$270
$270
$270
$270
$270
$270
$270
$270
$270
$285
$270
$270
$270
$270
$270
$270
$270
$285
$270
$270
$270
$270
$270
$540
$216
$270
$270
$285
$270
$270
$285
$504
$560
$280
$345
$65
$216
$216
$216
$80
$315
$270
$80
$270
$270
$270
$280
$370
$80
$285
$80
$80
$285
$370
$80
$285
$80
$270
$285
$270
$270
$270
$270
$270
$285
$270
$270
$270
$216
$270
$270
$216
$270
Lacrosse
Sr. Travel - Grades 7-9
$336
$355
$270
$270
$270
$216
*There is no camp on Friday, July 4. Week 2 camps will be pro-rated accordingly at time of payment.
**Overnight at the Sawmill Branch included.
8/27
$270
$270
$270
$270
$270
$270
$270
$270
$270
$270
$270
Softball
FieldHockey
Check either Jr. Travel or Senior Travel AND week(s) attending.
$355
$355
$420
$355
$355
$355
$690
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How Are You Getting To & From Camp? (This page must be completed)
This form must be completed for each camper.
This form includes registration for drop off and pick up at Sawmill, pre and post camp and transportation.
Camper’s Name ________________________________________________________________________________________________________________________________________________
• Campers may have a combination of any a.m. or p.m. bus with a.m. or p.m. camp at Sawmill
(ex. 7:30 a.m. bus at Steinert and 4:00 p.m. pick up at Sawmill)
• Campers MUST have the same bus stop location for both a.m. and p.m.
• Transportation fee: $30.00 per week/per camper
• A minimum of 15 campers is needed for each bus stop.
• S.K.O.R. Camp transportation is available at the Steinert bus stop only.
• August 25 - 29 pre-camp is $5/day and post-camp is $5/day (if registering for individual days, otherwise, full week pre and post-camp
fees apply). (Transportation is not available August 25 - August 29).
Please check your selections:
Sawmill Branch
____ 7:30 a.m. Pre Camp
____ 8:45 a.m. Parent drop off
____ 4:00 p.m. Parent pick up
____ 6:00 p.m. Post Camp
$25.00 pre camp fee per week
no additional pre camp charge
no additional post camp charge
$30.00 post camp fee per week
x # of weeks __________ =
x # of weeks __________ =
TOTAL FOR SAWMILL
AMC Movie Theatre (Sloan Avenue)
____ 7:30 a.m. Bus
____ 8:30 a.m. Bus
____ 4:40 p.m. Bus
____ 5:40 p.m. Bus
Transportation
x # of weeks __________ =
x # of weeks __________ =
Total Amount
__________
$0
__________
$0
__________
__________
*$30.00 transportation fee per week
x # of weeks __________ =
__________
Steinert High School (Klockner Road, bus entrance)
$25.00 pre camp fee per week*
____ 7:30 a.m. Bus
____ 8:30 a.m. Bus
no additional pre camp charge*
____ 4:15 p.m. Bus
no additional post camp charge*
____ 5:15 p.m. Bus
$30.00 post camp fee per week*
*$30.00 transportation fee per week
x # of weeks __________ =
x # of weeks __________ =
__________
GRAND TOTAL FOR ALL SITES
____________
Deposit Only $____________
__________
Total Amount
__________
$0
__________
$0
__________
__________
x # of weeks __________ =
TOTAL FOR STEINERT
5
__________
$25.00 pre camp fee per week*
no additional pre camp charge*
no additional post camp charge*
$30.00 post camp fee per week*
TOTAL FOR AMC
Transportation
Total Amount
__________
$0
__________
$0
__________
__________
__________
__________
Full Payment $_____________
Payment Method:
Check #
Card Holder’s Name (print)
______________________________________________________ Signature __________________________________________________________
Credit Card #
___________________________________________________________________ SID # ___________ Exp. Date ____________________________________
Don’t forget to complete numbers 6 & 7 on reverse side.
6 Emergency Contacts, Pick Up Authorizations & Parent Acknowledgement
Camper’s Name __________________________________________________________________________________________________________________________________________________________
Please list all persons authorized to pick up your child. Parents or guardian names must be included on this list. You will be given
pick up cards (identified by pick up location) to distribute to everyone on this list, which must be presented when picking up your child.
In emergency situations only, parent/guardian must give written permission for an individual, who is not on this list, to pick up the child
listed on this application. No child will be released without a pick up card or emergency verbal/written permission. NO exceptions will
be made to this policy. This is done for the safety of your child. Please make sure that the individuals on this list are aware that they
may be called in an emergency to pick up your child. You are welcome to add or delete from this list at any time, however you will be
responsible for retrieving any invalid cards. Please indicate if a non–custodial parent has limits on visitation or pick up. If a noncustodial parent has been denied visitation or has limited visitation by court order, a copy of the order must be given to the YMCA
and kept on file at the program.
1. Name ____________________________________________________________________________ Relationship ______________________________________________________________
Address __________________________________________________________________________ Home Phone ______________________________________________________________
Cell Phone ______________________________________________________________________ Work Phone ______________________________________________________________
2. Name ____________________________________________________________________________ Relationship ______________________________________________________________
Address __________________________________________________________________________ Home Phone ______________________________________________________________
Cell Phone ______________________________________________________________________ Work Phone ______________________________________________________________
3. Name ____________________________________________________________________________ Relationship ______________________________________________________________
Address __________________________________________________________________________ Home Phone ______________________________________________________________
Cell Phone ______________________________________________________________________ Work Phone ______________________________________________________________
4. Name ____________________________________________________________________________ Relationship ______________________________________________________________
Address __________________________________________________________________________ Home Phone ______________________________________________________________
Cell Phone ______________________________________________________________________ Work Phone ______________________________________________________________
In the event of an emergency, parents will be contacted. If parents are not available, the other individuals on the emergency
contact/pick-up list will be contacted.
The following individuals are NOT ALLOWED to pick up my child:
1. Name
2. Name
____________________________________________________________________________ Relationship ________________________________________________________________
____________________________________________________________________________ Relationship ________________________________________________________________
Parent Acknowledgement
I hereby enroll my child, _________________________________________, in the Hamilton Area YMCA Sawmill Branch Summer Camps and I:
1. Grant permission for the child to fully participate in all scheduled activities, including bus transportation (if applicable), swimming and field trips
(if applicable), unless otherwise stated in writing to the Hamilton Area YMCA Sawmill Branch. Any conditions which might affect this child’s
performance at camp, or any conditions of which the staff should be aware (medical treatment, allergies, asthma, special requirements), are listed
on the medical history part of the registration form.
2. Understand that at minimum a Hamilton Area YMCA Program Membership is required and must remain current through the duration of the program.
3. Understand I must complete the registration form, including the medical history and immunization information, in full, one form per child.
4. Understand I must leave at least a $25.00 non-refundable, non-transferable deposit for each child, for each week registered.
5. Understand the Hamilton Area YMCA Sawmill Branch will refund payment, less the $25.00 deposit, if cancellation is made prior to May 16, 2014.
Refunds will not be given after May 16, 2014.
6. Understand that camp registration closes and will not be accepted after 8:30 p.m. on Wednesday prior to camp start date.
7. Understand the first camp change is free, all subsequent changes are assessed a $25.00 fee each time.
8. Agree to pay the balance of camp fees in full. Payments are due as follows: Payment for weeks 1, 2 and 3 are due May 14; payment for weeks 4, 5,
and 6 are due June 11; payment for weeks 7, 8 and 9 are due July 9. Camp balances may be paid online, hamiltonymca.org.
9. Understand I must supervise my child until he or she is checked in with the counselors. I must also sign my child in and out with the proper staff and
identification at drop off and pick up.
10. Give permission to use any pictures or film taken of my child during participation at camp for Hamilton Area YMCA promotional purposes as deemed
appropriate.
11. Understand each camper and parent must cooperate and accept camp rules and guidelines. Inappropriate behavior may involve disciplinary action
by the camp directors and/or dismissal from camp. If a camper is dismissed for inappropriate behavior, camp fees are non-refundable.
12. Understand Financial Assistance is available for camp where funds are available. Not all camps are eligible for assistance. Applications are
accepted through May 15.
13. Have read and understand these policies and procedures in addition to those explained in the parent handbook, found on our website
hamiltonymca.org.
14. In the event of payment default you will be responsible for reasonable collection agency fees and/or attorney fees in addition to the delinquent balance.
Parent or Guardian Signature ____________________________________________________________________________________________________________________________ Date __________________________
7
Hamilton Area YMCA Sawmill Branch 2014 Summer Camp Registration Form
Please Print
Camper’s Name __________________________________________________________________________ M ____________ F ____________ Grade entering in 9/14 __________________
Address ____________________________________________________________________________________ City __________________________________ State __________ Zip ________________
Home Phone ______________________________________________________________________________ Age __________________________________ DOB ____________________________________
Parent Name ______________________________________________________________________________ Employer ______________________________________________________________________
Work Phone
______________________________________________________________________________ Cell Phone
__________________________________________________________________
Work Phone
______________________________________________________________________________ Cell Phone
__________________________________________________________________
Parent Name________________________________________________________________________________ Employer ______________________________________________________________________
Parent E-mail(s) ________________________________________________________________________________________________________________________________________________________________
Medical History (Required by the New Jersey Department of Health & Safety)
Doctor Preference ____________________________________________________________________________________ Phone ______________________________________________________________
Immunization History: Please record the date (month & year) of the basic immunizations and the most recent booster. If you have questions,
check with your doctor. Physician’s signature is NOT required. Dates REQUIRED and must be written on this form.
DPT Booster _____________
MMR
_____________
HIB
_____________
Tetanus Booster
Pertussis
Varicella
_____________
_____________
_____________
Polio OPV (sabin)
HBV
Tuberculin Test
_____________
_____________
_____________ Result _____________
Date of last medical examination ____________________
Health History: (provide approximate date of onset or instance; if applicable)
Allergies
Conditions
Hay Fever
_____________
Ear Infections
Ivy Poisoning
_____________
Heart Defect/Disease
Insect Stings
_____________
Convulsions
Penicillin
_____________
Diabetes
Drugs
_____________
Bleeding Disorders
Asthma/Reactive Airway
_____________
_____________
_____________
_____________
_____________
_____________
Food Allergies: ___________________________________________________________________________________________________________________________________________________________________
Medication Allergies: __________________________________________________________________________________________________________________________________________________________
Does your child carry an asthma inhaler? _________________________________________________ Will you be sending an Epipen to camp? __________________________
Operations or serious injuries (dates): ____________________________________________________________________________________________________________________________________
Chronic or recurring illness including seizures: _________________________________________________________________________________________________________________________
List all medications that your child is currently taking: _______________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________
Please list any additional health history information we should be aware of:_____________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________
A medication authorization form must be completed and signed by parent and physician (if applicable) if your child requires medication
during the camp day.
IMPORTANT: PLEASE NOTIFY THE CAMP IF THIS CHILD HAS BEEN EXPOSED TO ANY COMMUNICABLE DISEASE
Parents Authorization: This health history is correct as far as I know, and the person herein described has permission to engage in
all prescribed activities except as noted by me. The person herein has had a physical examination by his/her doctor within the last year,
is up to date with immunizations and is in good health to participate in Hamilton Area YMCA Sawmill Branch programs. I hereby give
permission to the physician selected by the Camp Director to order X-rays, routine tests and treatment for the health of my child in the
event of an emergency. I hereby give permission to the physician selected by the Camp Director to emergency transport, hospitalize, secure
proper treatment for, and to order injection and/or anesthesia and/or surgery for my child as named above in the event of an emergency
if I cannot be reached.
Parent or Guardian Signature __________________________________________________________________________________________________________ Date __________________________
How did you hear about us?
_____ Previous Camper
_____ School
_____ Direct Mail/Brochure
_____ Website
_____ Ad, which paper? ____________________________________
_____ Friend
_____ Other