New Beginnings Valued Traditions

New Beginnings
Valued Traditions
Parkersburg YMCA Summer Day Camp 2015
Registration Now Being Accepted.
Scholarships available
WV CHOICES Assistance Accepted
YMCA of Parkersburg
1800 30th Street - Parkersburg, WV 26101
(304) 485-5585
Welcome to YMCA Day Camp!
Y Member Benefits
A Y membership is a great value. A membership
gives you full access to both Y locations, as
well as access to all of our free classes ,
reduced rates on swim classes, youth sports,
child care and discounted rates for Day
Camp!
Plus, when you join the Y, you’re joining an
organization that’s committed to strengthening
our community – together.
WELCOME TO YMCA DAY CAMP!
At YMCA Camp, caring “professional role models” help create
experiences that build character, confidence, friendship, skills and the
framework of our youth. All our Y Camps strive to instill the Y’s four
core values of caring, honesty, respect and responsibility into every
activity, every day.
Caring:
Considerate to the needs and feelings of others
Honesty:
Being trustworthy and truthful
Respect:
Treating others, the environment and yourself with dignity
Weekly Camp FLY Rate: $95
Responsibility:
Y Member Rate: $85
Accepting accountability for your actions and role in the
community
Youth Monthly Membership: $17
We’re happy to welcome you to the Y!
Visit www.parkersburgymca.org or call
304-485-5585 for more information.
Location and Hours
We offer Day Camp at our Broad Street Location. The actual
address is 1800 30th Street, Parkersburg. Camp” FLY”, Day
Camp is held in our outdoor area adjunct to the Y. Our CamperIn-Training program is housed in the child care facility.
Specialty Camps are held in our After School Room at the Y.
Camp is held Monday – Friday.
We offer extended early morning care for all of
our camps. Extended care hours are morning
care 6:30 – 8:30 AM and Extended after care
from 4:00 – 6:00 PM.
Camp FLY and Camper-In-Training Activity
Hours: 8:30 AM – 4:00 PM
Specialty Camp Activity Hours: 8:30 AM – Noon
Extended afternoon hours are offered with
Specialty Camps from Noon – 6:00 PM.
There is an additional fee for this ½ day
program.
CARING
HONESTY
RESPECT
RESPONSIBILITY
WHY CHOOSE THE Y FOR YOUR CHILD’S SUMMER?
SAFE
AFFORDABLE
FUN
•
Low staff to camper ratios
•
Free Before and After Care
•
•
Qualified counselors who receive over
40 hours of training in behavioral
guidance, strategies to help
campers feel comfortable in a new
environment, how to make friends and
much more!
•
Free field trips and
special activities
Camper choice activities
(educational)
•
Large group games
•
Team building activities
•
Outdoor education
•
Reading and rest time
•
Discussions about values
•
Sports and games
•
Small group activities
•
Arts and crafts
•
Swimming
•
Tons of FUN!
•
•
•
All counselors are at least 18 years
old
Staff are all certified in CPR, AED and
First Aid
Y Day Camps meet state licensing Day
Camp Child Care guidelines
* Note: When there is a mixed age group,
the staff-to-child ratio will be adjusted on
a prorated basis, according to age.
•
No extra cost for snacks and
lunch each day
•
Many camp options (Traditional,
Sports, Specialty, Preschool)
•
•
•
•
Multiple child discounts for your
family
Benefits: friendships, decision making
and problem solving skills, team
building and more!
Scholarships available (upon request)
thanks to donors
Become a Parkersburg Y
member and save!
OUR CAUSE
We are a powerful association of men, women and children, joined together by a shared commitment to nurturing the potential of kids,
promoting healthy living and fostering a sense of social responsibility. We believe that lasting personal and social change can only come
about when we all work together to invest in our kids, our health and our neighbors. That’s why, at the Y, strengthening community is
our cause. Every day, we work side-by-side with our neighbors to make sure that everyone, regardless of age, income or background,
has the opportunity to learn, grow and thrive.
The Parkersburg Y Day Camps focus on creating memories, building relationships, and a sense of belonging through personal achievement.
Our new concentrated vision is to bridge the gap of summer learning loss through fun activities with intentional outcomes of learning.
Raising the bar one summer at a time.
• BELONGING • ACHIEVEMENT • RELATIONSHIPS
Camp “FLY” DAY CAMP
(Fun Learning at the Y) Entering 1ST – 8th grade
Join YMCA Day Camp for one day, one week or for an entire summer
of fun! We focus on caring, honesty, respect, and responsibility in all of
our activities, from educational camper-chosen skill sessions to
swimming to arts and crafts and games. We provide fun-filled activities
that allow for physical involvement, social interaction, educational
opportunities, leadership building, personal growth and creativity. Day
campers will be divided into groups by grade with activities appropriate
to the interests and needs of each group. All children should bring a
water bottle and wear closed-toed shoes to camp each day.
Typical Day at Camp “FLY”
and Camper-In-Training
Each day of camp brings an exciting new adventure for
your camper. The following is a sneak peek of your
campers day at Y day camp.
6:30-8:30 am:
Campers are offered a
choice of structured activities during before-camp care.
8:30-9 am:
Camp “FLY” Rates
Non Refundable Registration Fee: $20.00 per camper
The day kicks off with an opening ceremony
of flag raising and announcements. Then campers meet up with their
age group counselor to get ready for the day.
Member Rate
Sibling Rate
$85/week
15% discount
$20/daily rate
9 am–4 pm:
Non Member Rate
Sibling Rate
$95/week
15% discount
$25/daily rate
Four times a week, Camp “FLY” will cool off in the Y’s pool! Your
Campers-In-Training will swim on Thursdays.
Camp “FLY” Weekly Themes
Wk 1
Wk 2
Wk 3
Wk 4
Wk 5
Wk 6
Wk 7
Wk 8
Wk 9
Wk 10
June 8 – 12
June 15 – 19
June 22 – 26
June 29 – July 3
July 6 – 10
July 13 – 17
July 20 – 24
July 27 – 31
Aug 3 – 7
August 10 – 14
That’s when campers start their day’s
activities centered on the week’s theme. For Specialty Campers,
their activities will be structured to fit the Specialty Camp.
Strange & Unknown
World Tour
Let’s Be Crazy
Earth Friendly
Water World
Summer Safari
Old West
County Fair
Seafarers
End of Summer Bash
We designate some time for our campers to take a break and enjoy
some quiet cool-down time. This doesn’t mean a nap time,
however our younger campers will be given an opportunity to lay
down for a nap. Campers can read a book, play board games, take
on an art project or participate in spirit-mind-body talks.
3:45–4:30 pm: After an exciting day filled with
amazing activities, groups will gather for their afternoon snack.
Similar to the morning, groups will enjoy their snack and prepare
for the day’s closing ceremonies.
4:30 pm: Following the Closing Ceremony, a wide-range of
Camper-In-Training
Entering Kindergarten
This is a fun and innovative camp, ideal for the younger camper
just getting their feet wet with day camp! Campers will be
introduced to many traditional camp activities while enjoying theme
based weeks geared down for just this age.
Camper-In-Training Rates
Non Refundable Registration Fee: $20.00 per camper
Member Rate
Sibling Rate
$95/week
15% discount
$25/daily rate
Non Member Rate
Sibling Rate
$105/week
15% discount
$30/daily rate
camper choice activities are set up offering different choices for
different ages. Campers have time to catch up with each other and
play games before they are picked up, so they are ready to return
for another great day!
CAMPER-IN-TRAINING WEEKLY THEMES
Wk 1
Wk 2
Wk 3
Wk 4
Wk 5
Wk 6
Wk 7
Wk 8
Wk 9
Wk 10
June 8 – 12
June 15 – 19
June 22 – 26
June 29 – July 3
July 6 – 10
July 13 – 17
July 20 – 24
July 27 – 31
Aug 3 – 7
August 10 – 14
Bug Camp
Lil’ Scientist
Let’s Be Crazy
Dirt Camp
Water World
Summer Safari
Mini Chefs
County Fair
Princess & Pirates Camp
End of Summer Bash
SPECIALTY CAMPS
Does your child have a specific interest or hobby? Chances are we have a Specialty Camp for them!
Campers spend at least three hours per day, five days per week, focusing on their Specialty Camp and the rest of the
day they have the option to enjoy Y day camp activities like swimming, arts and crafts, games, and songs.
Campers must meet the minimum grade requirements for the week they wish to attend. All Specialty Camps require payment
in full at the time of registration. Spaces are limited to 24 per camp and there must be at least 10 registered to host the week.
If the minimum enrollment is not met 2 weeks prior to the start of the specialty camp, that session will be cancelled and fees will
be reimbursed.
Specialty Camp Rates:
Member $50/week
Non Member $60/week
After Camp Care:
$45/week
$55/week
Sibling Rate: 15% discount for member and non member
Free early drop off as early as 6:30 AM
American Girl Doll Camp (Rising 1st – 6th graders) June 15 – 19 8:30 AM – Noon
Calling all American Girl Doll fans! If you love adventure, helping others and learning to be a true friend, then this camp is the
place to be! Campers will explore different periods of history with their best doll friend by their side. Both dolls and
participants will enjoy period crafts, cooking, games and a secret adventure. So, bring your doll and join us for a week you will
never forget!
Camp Hogwarts (Rising 4th – 8th graders)
June 22 – 26 8:30 AM – Noon
Take your place in the Wizarding World for a week where you get to experience all things Harry Potter. Young wizards will
partake in all elements of the Harry Potter fantasy including: Quidditch, learning new spells, being sorted into houses, making
their own wand and so much more!
Dino Daze (Rising 1st – 6th graders)
July 6 – 10
8:30 AM – Noon
Campers will spend the week learning about amazing dinosaurs. Let out your inner paleontologist and become intrigued with
fabulous fossils, new discoveries and amazing dino tales. Investigate what is new and old about dinosaurs.
Myth Busters (Rising 1st – 3rd graders)
July 13 – 17
8:30 AM – Noon
Become a myth buster as we demystify common legends. Campers will satisfy their curiosity and expand their understanding
of the world around them as they spend the week bursting favorite myths like diet coke and mentos, swimming in syrup, will
your tongue freeze to a pole and much more. It will be a week of exciting experiments!
Fish Camp (Rising 4th – 8th graders)
July 13 – 17
8:30 AM – Noon
Campers can earn their passport to fishing as they work through 6 learning stations: fish habitats & handling, fishing knots and
rigging, casting station, smart boating/safe boating, ready, set, boat and local information. Test your fishing skills on the last
day of camp as we travel to Mount Wood Park to fish.
Lemonade Stand (Rising 1st – 6th graders)
July 20 – 14
8:30 AM – Noon
Spend a week with us and get a glimpse into what it takes to run a successful business. Start with company structuring by
assigning jobs, responsibilities and titles. Then test your product in the kitchen with a random selected panel. Finally, take
your product to the public and sell as much lemonade as you can. All proceeds benefit our youth scholarship programs.
CSI Camp (Rising 4th – 8th graders)
July 27 – 31
8:30 AM – Noon
Do you love a good mystery? Do you want to solve crimes? Discover how science is needed to uncover the trail of evidence
criminals leave behind. Using many different aspects of forensics, you will learn how to analyze a crime scene and gather
evidence. Campers will solve a “real” crime and conduct an actual trial!
PS
Join us for Open House on the following dates:
Sunday
April 19
2:00 – 4:00 PM
Friday
May 15
6:30- 7:30 PM
Thursday
June 4
6:30 – 7:30 PM
Parent Information
Complete the two-page registration form. Please clearly fill out
information on EVERY line. Incomplete registration forms will
not be accepted. Immunization information is required and must
be sent with new registration forms each year.
For Camp “FLY” and Camper-In-Training programs there is
a $20 registration fee per child for the summer.
There are three ways to register:
Drop Off
HOW TO REGISTER
You can drop off your completed
forms at our Broad Street
location: Physical address is
th
1800 30 St - Parkersburg, WV
Families will choose one payment option:
FULL PAYMENT
Pay for day camp in full on or before May 1 and receive a 10% discount!
MONTHLY PAYMENTS
This option requires the family to pay for all of the camper weeks
In that month on or before the first of that month.
E-Mail
PAYMENT OPTIONS
Mail
Mail your completed registration form and payment to:
Parkersburg YMCA Day Camp
1800 30th Street
Parkersburg, WV 26101
You can scan and e-mail all completed forms and
payment information to:
[email protected]
Late Registrations
WEEKLY PAYMENTS (AUTOPAY)
If a family signs up for Automatic Payment, their credit card will be
automatically charged each week. The charge is made on the Wednesday, 5 days
before the week of camp begins.
All payments must be made before a
camper can attend camp each week.
With all payment options, the camp must be paid in full prior to attending.
Registration is limited and based on
availability so please register early.
REFUNDS




Refunds are only given if a camp is cancelled before the weekly payment due date
or under a special circumstance. Refunds will NOT be given once the camp begins
– this includes credits.
To receive a credit, the cancellation request must be made 3 days prior to the start of
the weekly session (Friday before 5 PM).
If a camper attends less days than registered for, there will be no refund in price.
To request a change in schedule, cancellation or refund/credit, please contact the
Camp billing office prior to the payment due date.
Making registration changes – email the change to [email protected]
WHAT TO BRING EACH DAY
Camp will provide most of the supplies needed, but we ask that parents send along
a swim suit and towel, reusable water bottle and SPRAY ON sunscreen with their
child each day.
If any other supplies are needed, our staff will inform you.
A light breakfast, lunch and afternoon snack is provided each day.
Weekly registrations for Camp “FLY”
and Camper-In-Training is the
Wednesday prior to the week
attending.
Specialty Camp registrations must be
received 2 weeks prior to the start of
the session week.
Valued
Registrations received after the
deadline may not be accepted and will
result in a $10 per week additional fee.
________________________________________
Child's Last Name
________________________________
First Name
____________________
Grade Entering
YMCA Summer Day Camp 2015 Registration Form
Address____________________________________________City___________________________State______Zip _______
Male__ Female__
Birth Date______________
Age____
Phone________________________
School Child Attends________________________________________ Grade entering _________
Please state who is the custodian of this child? □ Both Parents □ Mother
□ Father
□Other : _______________________
Mother's Name________________________________________________________________________________________Phone____________________________
Address___________________________________________________________City_____________________________________State________Zip______________
Place of Employment____________________________________________________________________________________Phone____________________________
Mother's Name________________________________________________________________________________________Phone____________________________
Address___________________________________________________________City_____________________________________State________Zip______________
Place of Employment____________________________________________________________________________________Phone____________________________
Preferred Physican________________________________________________________________________________________Phone__________________________
Address___________________________________________________________City_____________________________________State________Zip______________
Preferred Hospital________________________________________________________________________________________Phone__________________________
Address___________________________________________________________City_____________________________________State________Zip______________
Preferred Dentist ________________________________________________________________________________________Phone__________________________
Address___________________________________________________________City_____________________________________State________Zip______________
Allergies, Medical or behavior information we should know about:
Is the child covered by medical insurance? __Yes
__No
Insurance Name ____________________________________________________________________
Insurance Address__________________________________________________________City__________________________________State______Zip____________
Insurance ID Number# __________________________________
Group # ________________________________
Phone #_______________________
_______________________________________
Child's Last Name
____________________________________
First Name
I give my child permission to swim as part of the Y Program. My child’s swim ability is: __Beginner
__Intermediate
2015 Camp Registration Page 2
__Advanced
IMPORTANT - - THE FOLLOWING BOXES MUST BE COMPLETE FOR ATTENDANCE
1.
2.
3.
4.
5.
6.
7.
8.
This registration form is correct & complete as far as I know and the child described has permission to engage in all camp activities.
I give permission to the YMCA to use photographs, audio and video recordings and verbal statements from my child for the media or advertising.
I understand that my child may be transported by van or bus to various field trip locations during the course of the summer, or they may walk to areas within walking distance.
I expect my child to observe rules decided upon for the welfare of all children in attendance.
I understand that all registration and forms required by state licensing must be completed and returned prior to attending the camp.
I understand that camp closes at 6 PM and there is a late fee charged for late pick-ups. I also understand that repeated late pick-ups may result in dismissal from camp.
I understand that I must sign my child in and out of camp each day.
Upon enrollment in this summer camp, I have received a copy of the Parent Handbook.
I hereby give permission to the medical personnel selected by the camp to order x-rays, routine tests, treatment, release any records necessary for insurance purposes,
and to arrange or provide needed transportation for my child. In the event that I cannot be reached in an emergency, I hereby give permission to the physician selected
by the camp to secure and administer treatment, including hospitalization, for my child. This completed form may be photocopied for trips away from camp.
My child has
has had
has never had seizures. (Circle which one applies.)
Signature of Parent/Guardian________________________________________________________________Date_________
Others Who May Pick up your child or be contacted in case of emergency:
Name_______________________________________________________Phone________________________Relationship to child ______________________________
Insurance Address____________________________________________________________City__________________________________State______Zip____________
Name_______________________________________________________Phone________________________Relationship to child ______________________________
Insurance Address____________________________________________________________City__________________________________State______Zip____________
Name_______________________________________________________Phone________________________Relationship to child ______________________________
Insurance Address____________________________________________________________City__________________________________State______Zip____________
The foregoing instrument was acknowledged before me this _____ day of ________________STATE OF WV, COUNTY OF __________________________
Notary Signature: ________________________________________________
STAMP
$20 per camper registration fee 15SC– 04303 - 00
AUTOMATIC PAYMENT OPTION FORM-
AUTHORIZATION AGREEMENT
I hereby authorize the YMCA of Parkersburg to automatically charge the credit card referenced below for my child’s YMCA Child Care account balance. I understand that the balance due
for each child care account will be charged on the Friday prior to the week of attendance.
Further, I understand that it is my responsibility to check my credit card statement and report any discrepancies to the YMCA Child Care Billing Office within 7 days of the charge in
question. I understand that I am financially responsible for all payments. Should any charge be rejected by my financial institution for any reason, I agree to be responsible for that
payment and any additional fees incurred.
I understand that it is my responsibility to notify the YMCA of Parkersburg of any changes in my credit card information, including the expiration date, and that changes must be submitted
in writing at least 7 business days in advance of the draft date.
This agreement will remain in effect until the YMCA of Parkersburg received a written notice of cancellation from me or until the end of the 2015 YMCA Summer Camp year, with the last
payment being on Friday the week after the last day of camp.
ACCOUNT INFORMATION
Print your name as it appears on card:______________________________________________________
Credit Card Number: ____________________________________________________________________
3 digit security code: _______________ Expiration Date _____/_____ Zip code: __________________
SIGNATURE
Authorized Signature: _________________________________________________ Date: ____________
Child # 1 Name:____________________________ Child # 2 Name: ____________________________
Child # 3 Name:____________________________ Child # 4 Name: ____________________________
Parent’s Name: ________________________________________________________________________
Day Phone: (_____) _________________________ Evening Phone: (_____)________________________
West Virginia CHOICES Child Care Assistance and YMCA Scholarship Information
Scholarships are available based on site capacity, demonstrated need and the YMCA’s ability to fund the assistance. In order to provide the most assistance for the largest number of
people, we request that you first determine whether you are eligible for child care assistance through CHOICES state funded child care assistance. Once approved, send us a copy of your
Notice of Approval and your YMCA Child Care registration form. Contact the CHOICES office early as you must be approved before we can register your child.
If it has been determined that you are ineligible for assistance through CHOICES, please ask for a letter of declination stating the reason why you were denied and we will gladly review
your eligibility for assistance through the YMCA Scholarship Program. Scholarship applications are available at the Member Service Desk at the YMCA. Applicants need to supply their
most recent W-2 and tax return information along with the denial letter from CHOICES.
Contact Number for CHOICES
304-485-2668
Contact Number for the YMCA of Parkersburg
304-485-5585
2015 Day Camp & Specialty Camp Payment Form
Please CIRCLE weeks attending and Please Print
Camp “FLY” Rate
Non Refundable Registration Fee: $20.00
Member Rate $85/week $20/daily rate
Non Member $95/week $25/daily rate
Sibling Rate
15% discount
Week of Camp
Camp FLY
15SC 040303
Child’s Name______________________________________________
Home School ______________________________________________
Camper-In-Training Rate
Specialty Camp Rate
Non Refundable Registration Fee: $20.00
Member Rate $95/week $25/daily rate
Non Member $105/week $30/daily rate
Sibling Rate
15% discount
Member Rate $50/week Non Member
After Camp care
Member Rate $45/week Non Member
Sibling Rate
15% discount
Field Trip/Special Activity
Camper in Training
15SC 040311
June 8 – 12
(01)
Strange & Unknown
Bug Camp
June 15 – 19
(02)
World Tour
Lil’ Scientist
June 22 – 26
(03)
Let’s Be Crazy
June 29 - July 3
(04)
Earth Friendly
July 6 – 10
(05)
Water World
Outdoor Water Games
Water World
July 13 – 17
(06)
Summer Safari
Columbus Zoo at the Y
Summer Safari
July 20 – 24
(07)
Old West
Old Time Talent Show
Mini Chefs
July 27 – 31
(08)
County Fair
Camp Carnival
County Fair
August 3 – 7
(09)
Seafarers
Princess & Pirates Camp
August 10 – 14
(10)
End of Summer Bash
End of Summer Bash
Skating - Skate County
Attending Trip YES NO
$60/week
$55/week
Specialty Camp
15SC 040310
½ Day Camp
15SC 040304
American Girl Doll Camp
st
th
(Rising 1 – 6 graders)
Camp Hogwarts
th
th
(Rising 4 – 8 graders)
Attending: YES NO
Dino Daze
(Rising 1st – 6th graders)
Myth Busters
(Rising 1st – 3rd graders)
Fish Camp
(Rising 4th – 8th graders)
Lemonade Stand
(Rising 1st – 6th graders)
CSI Camp
(Rising 4th – 8th graders)
Attending: YES NO
Attending: YES NO
Dirt Camp
PAYMENT INFORMATION – Please note, registrations will not be
processed without payment and indicated method of payment. Total
Amount Due: ____________________
I am paying: Full payment for entire summer by May 1st for
10% discount.
___
Monthly Payment: All registered weeks in month must be paid
by the 1st of the month.
___
Weekly Auto Payment: You provide a valid credit card to be
automatically charged 10 days before the week of camp.
___
I am paying each week by the Wednesday prior to the week
attending. Cash _______ Check # ___________
Credit Card # ___________________________Exp: ___/___
3 digit code______
___
Let’s Be Crazy
(Free drop off as early as 6 AM)
CHOICES or Y Scholarship
A current CHOICES contract or
Scholarship letter must be on file
before registration will be accepted
and registered.
___Our family currently receives
subsidy from CHOICES.
____There is a current Y Scholarship
letter on file.
*I understand that I am responsible
for any amounts not covered by
either of the above.
Parent Initial ___________
Attending: YES NO
Attending: YES NO
Attending: YES NO
I approve this application for my child to participate in all planned camp
activities, including out of camp trips by walking or bus transportation.
I agree to pay camp fees as required and understand that no refunds will
be given outside of the camps refund policy unless the camp is cancelled
by the YMCA or a doctor’s authorized medical reason has been given.
By signing this form, I certify approval of good health of the camper and in
the event I cannot be reached authorize staff and volunteers of the YMCA
of Parkersburg to secure proper medical treatment for my child as named
above. I agree to release the YMCA of Parkersburg from any liability for
the risks of illness, accidents or injury as well as waiving any claims against
the YMCA and its members and volunteers.
The YMCA of Parkersburg is not responsible for lost, stolen or damaged
personal articles.
____________________________________________ ______________
Parent/Guardian Signature
Date