Stamford Family YMCA 2015 Summer Camps

STAMFORD FAMILY YMCA2015 SUMMER CAMPS

REGISTER ONLINE:www.stamfordymca.org

ENDLESSSUMMER FUNAND ADVENTURE

EXPLORE NATURE. LEARN TO SWIM.

MAKING FRIENDS...

Dear Families,

For the last 102 years we have been creating memories that are sure to last a lifetime. Summer camp is the perfect place to explore the great outdoors, learn new skills, foster independence, and meet new friends! Whether this is your first summer with us or your seventh, each summer guarantees you fun, laughter, and new adventures.

Your child will enjoy a diverse daily schedule filled with fun adventures tailored to each camp group. Our goal is to provide the children with a safe, stimulating and nurturing environment where they feel encouraged to learn, grow and thrive throughout the summer. We are thrilled to announce weekly field trips that highlight the weekly themes. Also, this summer the Y is bringing back our hugely successful Camp Mini and Camp WOW theatre production and is expanding our summer reading program. The following pages detail all of the opportunities for your child to learn, grow, and make memories that will last a lifetime this summer in one of our camps.

We look forward to seeing you!

Kind regards,

Ti f f any Wilson

Tiffany WilsonCamp DirectorStamford Family YMCA

BE ACTIVE. BUILD CONFIDENCE.

MAKING MEMORIES!

FINANCIAL ASSISTANCE The Stamford Family Y offers financial assistance for families who qualify. Financial assistance is given on a first come, first served basis and is determined by need. Applications for assistance are available at the Front Desk or online at www.stamfordymca.org.

HOW TO REGISTER Camp registration begins February 2015. All registration requires a non-refundable $250 deposit and the balance for all sessions is due in full by June 19, 2015. Enroll in person at the Stamford Family YMCA for the session(s) of your choice or log on and register online at www.stamfordymca.org.

STAFFThe Stamford Family Y carefully selects and screens caring role models who demonstrate a passion for developing confidence and good character in our youth. The Y maintains a commitment to a recruiting process that includes comprehensive training and background checks. All of our staff are CPR/First Aid/AED certified. Approximately 80% of the staff return each year providing familiarity and continuity. Y counselors are dedicated to making sure camp is an amazing experience for every camper.

ABOUT OUR CAMPS Day camp like many other programs at the Stamford Family YMCA 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. The day camp experience is built on the Y’s values of caring, honesty, respect and responsibility.

The Stamford Family YMCA is the perfect place for your children to spend their summer away from school. They’ll be active and enjoying sports, arts, science, nature, swim lessons, field trips, theatre, and fun camp adventures. At the Stamford Y, children pursue their potential and explore new interests in a safe, nurturing environment. All children are encouraged to participate in our many camp activities through our “challenge by choice” philosophy. Your children will make lasting friendships and have fun discovering who they are and what they can do.

WHAT IS CAMP MINI?

For our youngest campers, Camp Mini provides enriched learning experiences in a safe and fun environment with qualified counselors. Children will enjoy activities like arts and crafts, swim lessons, nature, athletics, field trips, outdoor adventures and more, all incorporated into weekly themes. Campers must be three years old and toilet trained before attending.

CAMP MINI: PRE-KINDERGARTEN - KINDERGARTEN

SESSIONDatesMemberNon-Member

FULL SEASON June 22 - Aug 14$1,650 $1,925

SESSION ONEJune 22 - July 3$412.50$481.25

SESSION TWOJuly 6 - 17$412.50 $481.25

SESSION THREEJuly 20 - 31$412.50 $481.25

SESSION FOURAugust 3 - 14$412.50 $481.25

CAMP MINI | DATES & RATESA non-refundable deposit of $250 per child is due upon registration. No credits or refunds will be given for any reason.THE BALANCE FOR ALL SESSIONS IS DUE IN FULL BY JUNE 19, 2015

Parent orientation & new camper orientation is Thursday, June 4, 2015, from 6 – 7 pm.

CAMP MINI | PROGRAM DETAILS R Grades: For children who have completed one year of Pre-K or are currently in KindergartenR Summer Camp Dates: June 22 – August 14R Staff to Camper Ratio: 1:6R Transportation: Provided to and from field trips by school busR Drop off and pick up: Monday through Friday at the Stamford Family YMCA R Hours: Monday – Friday from 9:00am – 4:00pmR Extended care hours available: Monday – Friday from 7:30am – 6:00pmR Lunch and afternoon snack provided dailyR Breakfast provided to those campers enrolled in early careR Extra snack provided to those campers enrolled in after careR Weekly field trips highlighting each theme weekR Swim lessonsR Weekly visits to Cove Island BeachR ABC reading cornerR Adventure to the Bronx ZooR Austin Daily Hip Hop WorkshopR Campers receive 1 Camp t-shirt

CAMP MINI: PRE-KINDERGARTEN - KINDERGARTEN

Morning 9:20 - 10:1010:15 - 11:0511:10 - 12:0012:05 - 12:55Afternoon 1:00 - 1:50 1:55 - 2:45 2:45 - 3:00 3:00 - 3:50 3:50 - 4:00

Arts & craftsSwimmingTheatreLUNCH

Play AreaABC CornerSNACKFields & SportsPrep to go home

SAMPLE CAMPER DAY

CAMP WOW: FIRST GRADE - FIFTH GRADE

WHAT IS CAMP WOW?The Stamford Family Y offers campers our rich heritage of summer fun and new innovative opportunities to enjoy, learn, and create lifelong friendships through weekly field trips, “theme” weeks, beach days, and safe, fun and instructional activities. Throughout the summer, campers will enjoy swim lessons, athletics, nature studies, archery, dance and more.

CAMP WOW | PROGRAM DETAILSR Grades: For students currently in grades 1 through 5 R Summer camp dates: June 22 – August 14R Staff to camper ratio: 1:8R Transportation: Provided to and from field trips by school busR Drop off and pick up: Monday through Friday at the Stamford Family Y R Hours: Monday – Friday from 9:00am – 4:00pmR Extended care hours available: Monday – Friday from 7:30am – 6:00pmR Lunch and afternoon snack provided dailyR Breakfast provided to those campers enrolled in early careR Extra snack provided to those campers enrolled in after careR Weekly field trips highlighting each theme weekR Campers participate in annual theatre productionR Swim lessonsR Weekly visits to Cove Island BeachR Reading lounge activitiesR Journey to Dinosaur PlaceR Lake Quassy Amusement ParkR Campers receive 1 Camp t-shirt

CAMP WOW: FIRST GRADE- FIFTH GRADE


FULL SEASON June 22 - Aug 14$1,650 $1,925


SESSION TWOJuly 6 - 17$412.50 $481.25



CAMP MINI | DATES & RATESA non-refundable deposit of $250 per child is due upon registration. No credits or refunds will be given for any reason.THE BALANCE FOR ALL SESSIONS IS DUE IN FULL BY JUNE 19, 2015Parent orientation & new camper orientation is Thursday, June 4, 2015, from 6 – 7 pm.

Morning 9:20 - 10:1010:15 - 11:0511:10 - 12:0012:05 - 12:55Afternoon 1:00 - 1:50 1:55 - 2:45 2:45 - 3:00 3:00 - 3:50 3:50 - 4:00

BasketballTheatreSwimmingLUNCH

Nature/scienceReading loungeSNACKPlay areaPrep to go home

SAMPLE CAMPER DAY

WHAT IS TEEN ADVENTURE CAMP?Is your teen looking for a summer filled with new experiences? Teen Adventure Camp is ideal for the teen who is up for a challenge and wants to explore. The Stamford Y’s camp for teens will let you discover the great outdoors in the company of exceptional leaders. Activities may include canoeing, rock climbing, swimming, fishing, white water rafting, paint balling, skeet shooting and more.

TEEN ADVENTURE: SIXTH GRADE - EIGHTH GRADE

TEEN ADVENTURE CAMP | PROGRAM DETAILS R Grades: For students who are currently in grades 6-8R Summer camp dates: June 22 – August 14R Staff to camper ratio: 1:10R Transportation: Provided to and from field tripsR Drop off and pick up: Monday - Friday at the Stamford Family YMCAR Hours: Monday – Friday from 9:00am – 4:00pmR Extended care hours available: Monday – Friday from 7:30am – 6:00pmR Lunch and afternoon snack provided dailyR Breakfast provided to those campers enrolled in early careR Extra snack provided to those campers enrolled in after careR Teens attend Moose River Outpost in Maine for one week during session 4R Weekly field trips highlighting each theme weekR Swim lessonsR Tennis lessonsR Ropes course trainingR Weekly adventuresR Campers receive 1 Camp t-shirt

TEEN ADVENTURE: SIXTH GRADE - EIGHTH GRADE


FULL SEASON June 22 - Aug 14$1,732.50 $2,021.50


SESSION TWOJuly 6 - 17$412.50 $481.25



TEEN ADVENTURE CAMP | DATES & RATESA non-refundable deposit of $250 per child is due upon registration. No credits or refunds will be given for any reason.THE BALANCE FOR ALL SESSIONS IS DUE IN FULL BY JUNE 19, 2015

Parent orientation & new camper orientation is Friday, June 5, 2015, from 6 – 7 pm.

C.I.T. PROGRAM: AGES FIFTEEN - SIXTEEN

WHAT IS THE COUNSELOR IN TRAINING PROGRAM?The Counselor-in-Training Program at the Stamford Family Y is designed to offer qualified young people an opportunity to prepare for positions as camp counselors or recreation leaders. Emphasis is placed upon developing leadership skills, sensitivity to children, and program skills.

COUNSELOR IN TRAINING | PROGRAM DETAILS

Participation in the CIT program is by selection. Those interested in the program must complete an application process, which includes an application, references, and an interview.

This program gives participants the opportunity to place the needs of others ahead of their own, share what they have learned and be a role model for younger campers. CITs will be assigned to a specific age group and work with the senior and junior counselor for the summer, attend field trips and staffmeetings and be an active participant in Summer Camp WOW.

CIT’s in the Summer Camp WOW program are leaders in training and receive weekly evaluations from the Camp Director.

CHALLENGES OF THE CIT PROGRAM

The CIT program is challenging for young people on many levels. First, it takes a large amount of energy to complete all of the daily tasks and responsibilities of a CIT and maintain a positive attitude. Second, it is a transition time. Participants are no longer campers and must be willing to be a role model, placing the campers’ needs in front of their own. CIT program participants often times become future staff members.

POTENTIAL QUESTIONS TO ASK YOURSELFR Do I have a sincere desire to work with children?R Would I like the opportunity to develop and improve my leadership ability?R Do I enjoy learning in a hands-on environment?R Am I ready to be committed; is a summer position right for me?R Am I ready to be a role model for younger children?R Can I handle the responsibility of being a camp counselor?R Am I ready to put the camper’s needs in front of my own?R Am I able to work well with others in a variety of situations?R If the applicant answered yes to the questions above, thenthe CIT program may be an opportunity to gain valuable experiencein a fun-filled environment.

C.I.T. PROGRAM: AGES FIFTEEN - SIXTEEN

ELIGIBILITY & REQUIREMENTS1) Applicants must be fifteen or sixteen, previous work experience with children or strong desire to work with kids.2) CIT applicants prepare an application with references3) Interview with Camp Director and Program Director4) Notification of successful candidates

RATES$100.00 per session (members) $150.00 (non-members)$400.00 for full session (members) $600.00 (non-members)

Today’s Date:

Please print information on form.

CAMP REGISTRATION FORM Child’s Information:

:IMFirst Name: :emaN tsaL

:redneG :emankciN Female Male Birth Date: Age:

:piZ :etatS :ytiC :sserddA

:# enohP yramirP Yes No Stamford YMCA Member:

Grade Completed:School Phone #:School Attending:

Parent(s)/Guardian(s) Information:

:pihsnoitaleR :etaD htriB :naidrauG/tneraP


:enohP kroW :enohP emoH Cell Phone:

:sserddA ssenisuB :tnemyolpmE fo ecalP

Primary E-Mail:

:pihsnoitaleR :etaD htriB :naidrauG/tneraP


:enohP kroW :enohP emoH Cell Phone:

:sserddA ssenisuB :tnemyolpmE fo ecalP

Primary E-Mail:

Person or agency having legal custody:

Address if different from above: Emergency Contact Information: (Must list 2; local and other than Parent(s)/Guardian(s) listed above)

:pihsnoitaleR :tcatnoC ycnegremE tsriF

:emaN ynapmoC :enohP kroW :enohP emoH

:enohP etanretlA :enohP lleC


Second Emergency Contact: Relationship: :emaN ynapmoC :enohP kroW :enohP emoH

:enohP etanretlA :enohP lleC


:pihsnoitaleR :dlihc ruoy PU-KCIP ot dezirohtua )s(nosreP

:pihsnoitaleR :dlihc ruoy PU-KCIP ot dezirohtua )s(nosreP

:pihsnoitaleR :dlihc ruoy PU-KCIP ot dezirohtua TON )s(nosreP

:pihsnoitaleR :dlihc ruoy PU-KCIP ot dezirohtua TON )s(nosrePPlease note: Appropriate paperwork, such as custody papers, must be attached if the custodial parent requests not to release the child to someone else.

Summer Camp Registration Checklist:

q Completed and signed camp registration form

q Signed payment plan form (if applicable)

q $250 non-refundable deposit made upon registration

q Physical examination or a Youth Camp Exam Record Form completed by campers physician

q Administration of Medication Form or Self Administration Form (must be signed by parent and physician) or you will not be able to leave medicine in YMCA

*All Summer Camp fees must be paid by June 19, 2015 or your child may not start camp. If your child receives Connecticut Care for Kids, half your total camp fees must be paid by 6/19/2015.

I GIVE PERMISSION FOR MY CHILD, ___________________________________________, TO ATTEND THE STAMFORD FAMILY YMCA’S SUMMER CAMP AND TO PARTICIPATE IN ALL ACTIVITIES AND FIELD TRIPS AND PROGRAM TRIPS ORGANIZED BY THE STAMFORD FAMILY YMCA CAMP PROGAM.

I AUTHORIZE THE STAMFORD FAMILY YMCA TO USE PHOTOGRAPHS AND VIDEOTAPES OF MY CHILD (REN) FOR THE PURPOSE OF TELLING THE PROGRAM STORY AND PROMOTING THE MESSAGE OF THE PROGRAM IN STAMFORD YMCA MARKETING AND PUBLICITY.

IF YOU DO NOT WISH TO HAVE YOUR CHILD’S PHOTO INCLUDED, PLEASE INITIAL HERE ___________ AND PROVIDE US WITH A PHOTO SO THAT WE MAY CULL ANY PHOTOS WHICH MAY CONTAIN YOUR CHILD’S IMAGE.

I UNDERSTAND THAT THE PROGRAM IS NOT RESPONSIBLE FOR THE PERSONAL PROPERTY OF THE PARTICIPANT(S).

All information on this form is true and complete to the best of my knowledge. I understand and agree to the Emergency Medical Authorization and the Parental Agreements, and cancelation policy outlined above.

Medical Information:

Allergies or intolerance to food, medication, or any other substance:

If an allergic reaction occurs, please list steps to relieve reaction:

Chronic physical problems, pertinent developmental information, any special accommodations needed: For special accommodations, or to share important information about your camper, please schedule a meeting with the Camp Director

Does your child take medications or vitamins on doctor’s orders?

Please specify:

Registrants must submit a physical examination or a Youth Camp Exam Record Form completed by campers physician by June 19, 2015

:enohP s’naicisyhP :emaN eciffO dna naicisyhP s’dlihC

Emergency Medical Authorization:I give the Stamford Family YMCA permission for my child to be given cardiopulmonary resuscitation (CPR) and first aid treatment by a certifiedstaff member of the Stamford Family YMCA. I also give permission for my child to be transported by ambulance or aid car to an emergencycenter for treatment. I authorize the Stamford Family YMCA to obtain immediate medical care and give consent to the hospitalization andperformance of necessary diagnostic tests upon, the use of surgery on, and/or the administration of drugs to his/her child or ward if anemergency occurs when he/she cannot be located immediately. It is also understood that this agreement may only cover those situationswhich are true emergencies and only when he/she cannot be reached. I understand that the provider will take every effort to contact me and/ormy designated emergency contacts.

I/we will be responsible for payment of medical expenses. Medical treatment costs are covered by:

Policy #:Medical Insurance Provider:

Parental Agreements:

Cancellation Policy: If fees have been paid and cancellation is made two weeks before the start of camp session, the balance will be returned less the deposit. If fees have been paid out but cancellation is made less than two weeks before the start of the camp session no refund will be issued.

Swimming Assessment: Non-Swimmer

(unable to swim/no swim instruction)

Beginner (some limited swim instruction)

Intermediate (average swimming ability)

Advanced (skilled swimmer)

Parent/Guardian Signature: Date:

STOP! If you are completing an online registration, please sign the participant waiver form, submit required additional forms & STOP HERE.

GO! If you are completing an in-person, mailed, e-mailed, or faxed registration, please CONTINUTE TO THE NEXT PAGE, as well as submit additional required forms.

I understand and agree to the Emergency Medical Authorization as outlined above.

Parent/Guardian Signature: Date:

REGISTRATION FORM FULL SEASON SESSION 1 SESSION 2 SESSION 3 SESSION 4 June 22 - Aug 14 June 22 - July 3 July 6 - July 17 July 20 - July 31 Aug 3 - Aug 14

CAMP MINI(Completed Pre-K - Kindergarten)

Member

q $1,650.00

q $412.50

q $412.50

q $412.50

q $412.50

Non-Member

q $1,925.00 q $481.25 q $481.25 q $481.25 q $481.25

CAMP WOW(Completed First - Fifth Grade)

Member q $1,650.00 q $412.50 q $412.50 q $412.50 q $412.50

Non-Member q $1,925.00 q $481.25 q $481.25 q $481.25 q $481.25

TEEN ADVENTURE CAMP(Completed Sixth - Eigth Grade) Member q $1,732.50 q $412.50 q $412.50 q $412.50 q $495.00 Non-Member q $2,021.50 q $481.25 q $481.25 q $481.25 q $577.50

C.I.T. PROGRAM(Ages 15 - 16) Member q $400.00 q $100.00 q $100.00 q $100.00 q $100.00

Non-Member q $600.00 q $150.00 q $150.00 q $150.00 q $150.00

Camper Name: Date:

EXTENDED CAREOPTIONS

FULL SEASON SESSION 1 SESSION 2 SESSION 3 SESSION 4June 22 - August 14 June 22 - July 3 July 6 - July 17 July 20 - July 31 Aug 3 - Aug 14

Before Care 7:30AM - 9:00AM q q q q q

After Care 4:00PM - 6:00PM

STAMFORD FAMILY YMCA SUMMER CAMPS

EXTENDED CARE HOURS OPTIONS

Please check all that apply

q q q q q

Before/After Care7:30AM - 9:00AM/4:00PM - 6:00PM q q q q q

$200.00 $50.00 $50.00 $50.00 $50.00

$200.00 $50.00 $50.00 $50.00 $50.00

$300.00 $75.00 $75.00 $75.00 $75.00

TOTAL CAMP FEE:

EXTENDED HOURS FEE:

GRAND TOTAL:

TOTAL FEES PAID AT THIS TIME:

ADDITIONAL CAMP SHIRT(S):

CAMP T-SHIRT INFORMATIONSize:

q

q

q

q

q

q

Youth XS

Adult S

Youth S

Adult M

Youth M

Adult L

q

q

Youth L

Adult XL

Camp Shirts are required on every field trip and beach day!

Each camper receives 1 camp shirt with registration

Additional camp shirts are $10 each. Would you like toorder camp shirts?

How Many?

q Yes q No

q q q 1 2 3 q 4REMAINING BALANCE DUE:

CAMP SELECTION & FEES

Please fill out one form for each camper

YMCA Financial Assistance participants must be authorized BEFORE REGISTERING. For more information call 203-357-7000 x117 oremail [email protected] BEFORE registering.

CAMP FEES: Camp fees must be paid in full prior to June 19, 2015. Participant must be the active member to receive member rates (M) or non-member (NM) rates will apply.

CANCELLATIONS: If fees have been paid and cancellation is made two weeks before the start of camp session, the balance will be returned less the deposit.If fees have been paid out but cancellation is made less than two weeks before the start of the camp session no refund will be issued.

ADDS: Additional camp sessions can be added after initial registration by submitting a new camper registration form. However, we cannot guarantee availability.

PAYMENT OPTIONS: A $250.00 non-refundable deposit fee per camper is due upon registration. Camp fees may be paid in full upon registrationor remaining balance will be automatically drafted per fee schedule below. For drafted balances YOU MUST: 1.) Pay the $250.00 non-refundable deposit fee;2.) List the dates and amounts you want your remaining camp balance drafted; 3.) Provide an approved debit or credit card for scheduled balance payments;4.) Recieve signed approval from ONLY the Camp Director or Senior Program Director.

$ _______________________Total Camp Fees $ __________________________ Total Fees Paid At This Time $ ______________________ Balance Due

Payment Method

I have enclosed a check for $ _______________________ Check# ________________________________________________________ OR Credit/Debit (check one) VISA MC AMEX DISC

Name on Card: _____________________________________________________________________________________________________Card# ___________________________________________________________________________________

Exp. __________________ VCODE ____________ Signature ________________________________________________________________________________________________________ Date ________________________________________

1ST PARENT/LEGAL GUARDIAN Print Name: ___________________________________________________ Signature: ____________________________________________________ Date: ________________________

CAMP DIRETOR APPROVAL Print Name: ___________________________________________________ Signature: ____________________________________________________ Date: ________________________

I/We understand and agree to the above payment terms. I/We understand that completion of all required summer camp forms is a required condition of participation in summer camp programs.

Fee Schedule: By providing my signature below, I authorize the Stamford Family YMCA to charge my credit card on the following dates:

Payment 2: $_____________________________ on _________________________________

Payment 3: $_____________________________ on _________________________________

Payment 4: $_____________________________ on _________________________________

Payment 6: $_____________________________ on _________________________________

Payment 7: $_____________________________ on _________________________________

Payment 8: $_____________________________ on _________________________________

Payment 1: $_____________________________ on _________________________________ Payment 5: $_____________________________ on _________________________________

Total balance remaining balance of $_____________________________ paid in full on _____________________________________________

Connecticut Care for Kids: If you receive Connecticut Care for Kids you MUST pay half of your total camp balance prior to June 19, 2015.

CAMP PAYMENT OPTIONS

FOR OFFICE USE ONLY:

Accepted By: Date: Processed By: Date: Group Placement:

Comments:

SMILE!Tell us the names of five campers in this brochure and win a prize!

STAMFORD FAMILY YMCA10 Bell StreetStamford, CT 06901www.stamfordymca.org | 203-357-7000

Stamford Family YMCA 2015 Summer Camps

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