ymca summer camp - YMCA of Greater Tulsa

YMCA
SUMMER
CAMP
WE PROMISE YOUR KIDS WILL BE
ACCEPTED:
be yourself, belong to a group
CHALLENGED:
by choice, by new experience
EMPOWERED:
at camp and when you go home
2016 SUMMER DAY CAMPS
OVERNIGHT CAMP
Summer day camp sessions run weekly, Monday
through Friday. Camp activities run from 9:00 a.m.
to 5:00 p.m. Extended care is offered at no extra
cost from 7:00 to 9:00 a.m. and from 5:00 to
6:00 p.m. Day camp programming is a mixture of
outside and inside time, and includes swimming,
target sports, team sports, fishing, canoeing,
S.T.E.A.M. (Science, Technology, Engineering, Arts
and Math) programming, and so much more!
Camp Takatoka is the overnight camp of the YMCA of
Greater Tulsa, conveniently located just 45 minutes from
Tulsa on Fort Gibson Lake. Campers experience 410
acres of beautiful land with diverse geography including
lakefront, grass plains, rolling hills and forest. Camp
Takatoka provides the environment for an extraordinary
range of outdoor activities, including wake boarding and
our ropes course. Your child will create lifelong
friendships and memories at a camp built on more than
103 summers of tradition!
NEW FOR 2016 DAY CAMPS
FINANCIAL ASSISTANCE is available for
Over the summer, day camp participants in the
YMCA of Greater Tulsa will get to enjoy the nation’s
largest dry pipeline slide--at the Westside YMCA! A
double barrel 220 foot slide! In addition, we offer
new programming, a 150-seat fire pit, and many
other improvements to enhance the camp
experience.
families who qualify. Contact your camp office for the
packet and further details.
REGISTER TODAY! ymcatulsa.org/camps or visit your Y
PLEASE MARK
2016 YMCA of GREATER TULSA SUMMER CAMPS
Unless otherwise noted, Westside (WS), Daily (DA) & Owasso (OW) camps run Monday-Friday. Camp Takatoka
(TAK) runs Sunday-Saturday. Resident Camp requires $75 deposit & Day Camp requires $10 activity fee per week.
Day Camp
Day Camp
Day Camp
Mighty Mite Soccer
Super Science
Challengers (ages 7-9)
Trekkers (ages 10-12)
Location
Member
Non-Member
Day Camp
Day Camp
1-Week Resident Camp
2-Week Resident Camp
Hot Shots Basketball
Extreme Week
Gone Fishin’
The World of Art
Bull’s-Eye
Circus Camp
DA
OW + WS
TAK
TAK
OW
WS
WS
WS
WS
WS
$140
$140
$460
$955
$175
$190
$175
$190
$190
$175
$170
$170
$510
$1055
$205
$225
$205
$225
$225
$205
Leadership (ages 13-17)
Location
Member
Non-Member
TAK
TAK
WS
TAK
TAK
$460
$955
$135
$460
$460
$510
$1055
$165
$510
$510
Location
Member
Non-Member
Polliwog
WS
$40
$80
Guppy
WS
$40
$80
1-Week Resident Camp
2-Week Resident Camp
Teen Camp (13-15)
CILT 1 (15-16)
CILT 2 (16-17)
Swim Lessons
August 8
August 1
$170
$170
$510
$285
$205
$205
$205
$205
$225
$205
$225
$205
July 25
$140
$140
$460
$245
$175
$175
$175
$175
$190
$175
$190
$175
Day Camp
DA
Day Camp
OW + WS
1-Week Resident Camp
TAK
Destination ½ + ½
WS/DA/OW + TAK
Hot Shots Basketball
OW
Dance Dance Dance
WS
Gone Fishin’
WS
All-Star Soccer
WS
The Artist Within
WS
Super Science
WS
Bull’s-Eye
WS
Circus Camp
WS
July 18
Non-Member
July 11
Member
July 5
Location
June 20
$170
$170
$170
$205
$205
June 13
Non-Member
$140
$140
$140
$175
$175
June 6
Member
DA
OW
WS
WS
WS
May 31
Location
May 24
Explorers (ages 5-6)
June 27
Week:
PLEASE MARK YOUR SELECTIONS
2016 YMCA of GREATER TULSA SUMMER CAMPS
CAMPING SERVICES REGISTRATION FORM
Please PRINT LEGIBLY and complete one form per camper.
Camp(s) Camper Will Attend______________________________________________________________
Camper’s Last Name _______________________________________________________________________
First Name ___________________________________________________________________________________
Home Address_______________________________________________________________________________
City_________________________________________ State _____________ ZIP ________________________
Home Phone (__________) __________________________
Male
Female
DOB _____ /_______/________
YMCA Member?
Yes
No
Age at Camp __________________
Fall Grade ____________ School Attending ________________________________________________
If possible, same cabin/group as (max 2; within 1 year age difference):
1.
2.
___________________________________________________________ Age __________________
___________________________________________________________ Age __________________
How did you hear about us?
Repeat
Participant
Friend
Flier
Brochure
Internet
Other _________________________________________________________
Previously Attended: Yes
No
Camper Lives With: Parents
Mother
Father
Guardian
Primary Contact: Either
Mother
Father
Guardian
Other _________________________________________________________
Parent/Guardian #1 _______________________________________________________________________
Day Phone (_________) ______________________ Cell Phone (_________) _______________________
DOB _______ /________ /________ Place of Employment ____________________________________
Email___________________________________________________________________________________________
Parent/Guardian #2 _______________________________________________________________________
I hereby request that my child be accepted to attend YMCA Day Camp and/or
YMCA Camp Takatoka. I understand and am aware that my child will be
participating in many physical activities and the potential for accidents does
exist. In consideration of acceptance to YMCA Day Camp and/or YMCA Camp
Takatoka:
I understand that the YMCA of Greater Tulsa will not be responsible for any
lost or stolen items while members and/or program participants are using
YMCA facilities, on YMCA premises or on off-site YMCA program locations.
I, the undersigned, for myself and my heirs, do hereby indemnify and hold
harmless the YMCA of Greater Tulsa and its employees and agents from any
and all claims for injury, illness, loss, or damage I, or my child, may suffer as
a result of employees, agents, volunteers, or the negligence of anyone else.
I grant permission for YMCA Day Camp or Camp Takatoka to provide and
obtain medical attention in the event of sickness or injury, and I understand
accident insurance is not included in the camp cost. Should a camper require
special medical treatment, prescription or hospital care during the camp
session, parents/guardian shall bear the expenses. This includes permission
for YMCA staff to apply sunscreen, and for my child to be transported by
approved YMCA drivers.
I give my permission to the YMCA of Greater Tulsa to use, for no
compensation, photographs promoting or interpreting YMCA programs. The
YMCA of Greater Tulsa is founded on Christian principles and prohibits
inappropriate behavior and conduct. This includes, but is not limited to,
profanity or abusive language, inappropriate attire, smoking, use of alcohol
or drugs, the removal of YMCA property, classified as a registered sex
offender, or criminal conduct of any type. Such inappropriate behavior or
conduct is unacceptable and will not be tolerated. When the safety of others
is threatened, a member or anyone on YMCA property may be immediately
removed and expelled from all YMCA of Greater Tulsa facilities.
We (parent/guardian and camper) have fully and completely read this
Registration Form and the Parent Handbook, and agree to follow the
responsibilities described throughout.
______________________________________________________________________________________
Day Phone (_________) ______________________ Cell Phone (_________) _______________________
Parent/Guardian Signature
DOB _______ /________ /________ Place of Employment ____________________________________
PAYMENT METHOD
Date____________/____________/____________
Email___________________________________________________________________________________________
Check or Money Order Enclosed (Make payable to YMCA)
Check or Money Order # ___________________________________________________________
CHILD RELEASE AUTHORIZATION / EMERGENCY CONTACT
OTHER THAN PARENTS / GUARDIANS (MUST PRESENT VALID I.D.)
Credit Card: VISA MasterCard American Express
Credit Card # _________________________________________________________________________
Name on Card_________________________________________________________________________
Expiration Date: _____________________________________________________________________
Persons authorized to pick up child and contact in case of emergency:
Name _________________________________________________________________________________________
Relationship ______________________________________________ DOB _______ /________ /________
Day Phone (_________) ______________________ Cell Phone (_________) _______________________
Name _________________________________________________________________________________________
Relationship ______________________________________________ DOB _______ /________ /________
Day Phone (_________) ______________________ Cell Phone (_________) _______________________
Please list any special considerations relevant to your child, such as
medications, allergies, recent illnesses or injuries, activity restrictions,
developmental age, chronic health concerns, etc.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Yes, charge balance to credit card 14 days prior to session. (Tak only)
Yes, charge weekly balance to credit card 7 days prior. (Day Camp)
Payment covers:
Camp Takatoka non-refundable $75 deposit only
Day Camp activity fee only
Paid in full
Activity Fee ($10 for each week of Day Camp)
Camper Session Fee(s)/Swim Lessons (Westside Only)
Total
Less Enclosed Payment
BALANCE DUE
$
$
$
$
$
Westside YMCA 5400 S. Olympia Ave. Tulsa, OK
Daily Family YMCA 7910 E. 134th St. S. Bixby, OK
Owasso Family YMCA 8300 N. Owasso Expy.
YMCA Camp Takatoka 32701 E. 660 RD Chouteau, OK
QUESTIONS? 918.446.1424 or ymcatulsa.org/camps