2019 SUMMER DAY CAMP JUNE 3 - AUGUST 16, 2019
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1 CAMPANELLI YMCA 300 W. Wise Road Schaumburg, IL SUMMER DAY CAMP JUNE 3 - AUGUST 16, 2019 CAMPANELLI YMCA REGISTRATION BEGINS FEBRUARY 4, 2019 Find us on: 300 W. Wise Road Schaumburg, IL
2 GENERAL INFORMATION GENERAL INFORMATION WELCOME TO CAMPANELLI YMCA SUMMER DAY CAMP! The YMCA became known throughout America for operating Summer Camp back in 1885 to provide children with positive developmental experiences. Today, our goal remains the same. Physical activity and exercise; Build skills not taught in most schools; Develop increased sense of independence & confidence as a result of time spent away from home; Prevent summer learning loss; and, enhanced socialization as kids have the opportunity to make new friends at summer camp! 3 WAYS TO REGISTER! Make checks payable to Campanelli YMCA or complete credit card information. All weekly camp deposits must be enclosed with registration ($25 per week non-refundable). Walk-In: Processed in real-time at Campanelli YMCA 300 W. Wise Rd. Schaumburg, IL. A receipt will be printed at the time of registration. Mail: Mail registration forms and payment to Campanelli YMCA. Fax: Fax registration forms with complete credit card information to NO REGISTRATIONS TAKEN BY PHONE. CAMP FEE PAYMENTS Form of payment accepted: VISA, MC, AX, Discover, personal check, and cash. Camp fees are due 2 weeks in advance of each registered week. Please see last page of this brochure for scheduled due dates. REGISTRATION CHANGES will incur a $15 administrative fee (per occurrence). A 14 day written notice IS REQUIRED to change any camp days/or camp sessions in order to receive a credit or refund. (NO CREDITS OR REFUNDS will be issued for changes requested less than 14 days in advance). Don t forget to indicate if you need extended AM care (7AM-9AM) for $25M/$35CM per week and/or extended PM care (4PM-6PM) for $40M/$50CM per week. YMCA CAMP FINANCIAL ASSISTANCE AVAILABLE T-shirts provided to all full-day campers to wear on field trips! Y CAMP DIRECTORS Sheila Phillips, Director of Youth Development & Campanelli Day Camp P: ext. 106 E: sheilap@gcfymca.org Sally Camposagrado, M. Ed. Director of School Age Programs & KASPER Camp P: ext. 105 E: sallyc@gcfymca.org CAMPANELLI YMCA EXECUTIVE DIRECTOR Judi Nealey, MPA P: ext. 111 E: judin@gcfymca.org For those who qualify, financial assistance is available to provide children in need the opportunity to experience YMCA summer camp. Applicants must complete a YMCA Financial Assistance Application and provide the required documentation. Call the Campanelli Y at for further information. Financial assistance applications are due by May 1, Limited funds available. CAMP PAYMENT SCHEDULE Camp Fees are due two weeks in advance of each registered session Camp Session/Dates Due Date Week 1: 6/03/2019 5/21/2019 Week 2: 6/10/2019 5/28/2019 Week 3: 6/17/2019 6/04/2019 Week 4: 6/24/2019 6/11/2019 Week 5: 7/01/2019 6/18/2019 Week 6: 7/08/2019 6/25/2019 Week 7: 7/15/2019 7/02/2019 Week 8: 7/22/2019 7/09/2019 Week 9: 7/29/2019 7/16/2019 Week 10: 8/05/2019 7/23/2019 Week 11: 8/12/2019 7/30/2019 Payments not received by the due date will have a $20 late fee added to the balance. The YMCA holds the right to suspend services if payment is not received prior to the start of your camper s week. Please abide by the due dates listed above. For hassle-free billing and payment, the YMCA will automatically debit your account or charge card on the appropriate payment due date. Sign-up for this service at the YMCA Front Desk. The Automatic Payment Form is included in this brochure. SESSION CHANGES REGISTRATION CHANGES will incur a $15 administrative fee (per occurrence). A 14 day notice IS REQUIRED to change any camp days/or camp sessions in order to receive a credit or refund. (NO CREDITS OR REFUNDS will be issued for changes requested less than 14 days in advance). 2 11
3 ON-SITE YMCA CAMPS 4 SUMMER CAMP 1st through 9th grades 9:00 AM to 4:00 PM PATHFINDERS Camp Grades: Entering 1st - 2nd Pathfinders will enjoy traditional camp activities such as arts & crafts, nature projects, games, field trips, swimming, and sports. Activities are age appropriate and meet the social, emotional, cognitive, and physical needs of younger campers. Our goal is to provide each child with an experience that will leave them wanting to come back to camp year after year! VOYAGERS Camp Grades: Entering 3rd - 4th Voyagers will enjoy a variety of activities that are challenging and fun. Campers will engage in team work activities and will be encouraged to express their individual creativity through many activities during the day. Our goal in this age level is to provide each child with the experiences that will help them grow individually in order to work well with others. NAVIGATORS Camp Grades: Entering 5th - 6th Navigators are our pre-teen campers, and will lead many of their group s activities. Navigators will focus on being a good role model for the younger campers through weekly interactions. This age level will begin the process of planning activities such as sports, or crafts, that they will be engaging in during their camp day. Our main goal at this age level is to provide activities and experiences that are relevant and challenging for pre-teens. TEEN Camp Grades: Entering 7th - 8th Teen Leaders Camp is designed for junior high students to engage in a variety of team building and leadership activities. The Teen Leaders Camp structure includes four key components: social responsibility, peer mentoring, leadership, and teamwork. In addition to swimming and weekly field trips, teen leaders will participate in several community service learning projects to establish the habit of making a difference in the lives of others. PLEASE NOTE: Dog Days of Summer week #11 is not offered for TEEN CAMP. 2 healthy snacks Sack lunch and drink labeled with 50 SPF Sunscreen (SPRAY bottle preferred). Please label bottle with your. Child must be able to apply their own sunscreen, or parent may apply before camp. Campanelli Y Campus 300 W. Wise Rd, Schaumburg Sheila Phillips Ext DAY CAMP REGISTRATION PLEASE PRINT CLEARLY Child s Name Grade as of 9/2019 Age as of 6/2019 DOB Child s Home Address Sex City State Zip Mother s/guardian s Name Authorized Pick-Up: Y / N Home Phone Mother s/guardian s Address City State Zip Work Phone Cell Phone Father s/guardian s Name Authorized Pick-Up: Y / N Home Phone Father s/guardian s Address City State Zip Work Phone Cell Phone REGISTRATION FEES: (non-refundable) CAMP FEES: CAMP SESSION DEPOSITS: $25 per week (non-refundable) EXTENDED CARE OPTIONS: AM Care (7-9AM): PM Care (4-6PM): TOTAL PAYMENT: Check Enclosed: # Please charge my credit card: $45/per child $75/per family $25M/$35CM per week $40M/$50CM per week $ VISA Master Card Discover American Express Account Number Expiration Date CVV# Signature Date EFT and CAD option also available. Please see Automatic Payment Form to set up your automatic payments. Please select all camp sessions your child will attend. Horizon (M-F) Horizon (M/W/F) Horizon (T/TH) Adventure (M-F) Adventure (M/W/F) Adventure (T/TH) KASPER PRESCHOOL 1ST - 6TH GRADES TEENS Rookie Sports (M-F) Rookie Sports (M/W/F) Rookie Sports (T/TH) Veteran Sports (M-F) Veteran Sports (M/W/F) Veteran Sports (T/TH) Discovery (M-F) Discovery (M/W/F) Discovery (T/TH) Explorers (M-F) Explorers (M/W/F) Explorers (T/TH) Pathfinders (M-F) Pathfinders (M/W/F) Pathfinders (T/TH) Voyagers (M-F) Voyagers (M/W/F) Voyagers (T/TH) Navigators (M-F) Navigators (M/W/F) Navigators (T/TH) Teen (M-F) Teen (M/W/F) Teen (T/TH) Extended AM Care (7-9AM) /DD Extended PM Care (4-6PM) /DD Dog Days of Summer Week for Kids in Preschool - 6th Grades August 12-16, :00 AM - 4:00 PM (LIMITED SPACE!) DOG DAYS OF SUMMER CAMP WEEK #11 Register your kids for the Dog Days of Summer child care right before school starts! Kids will have a great time playing outdoors, making new friends, and playing group games. Please send your child with a sack lunch every day. Fee: $180M/$190CM Ext. AM Care (7-9AM): $25M/$35CM Ext. PM Care (4-6PM): $40M/$50CM Location: Campanelli YMCA REGISTRATION 9
4 REGISTRATION 1. AUTHORIZED PICK-UP FORM Name Relationship DOB Address City State Zip Home Phone Cell Phone Work Phone 2. Name Relationship DOB 3. Please list the names of people who may pick up your child from the YMCA. Address City State Zip Home Phone Cell Phone Work Phone Name Relationship DOB Address City State Zip Home Phone Cell Phone Work Phone MEDICAL INFORMATION Allergies - List all known (medication, food, insect bites, etc.): Is your child taking any medication while at camp or at home If yes please list all medications (over the counter or prescription): List all medical, physical, emotional, dietary, or behavioral restrictions for your child if any: Please provide a copy of your child(rens) most recent physical signed by your physician. Yes No In the event of an emergency and I cannot be reached, I give my permission for the YMCA to act on my behalf in authorizing any necessary medical treatment. If an emergency vehicle is necessary, I understand that I will be called immediately following the call for appropriate follow-up. CREATE & PLAY DISCOVERY AND EXPLORERS CAMP for 3-5 Year Olds 9:00 AM to 4:00 PM DISCOVERY CAMP Ages: 3-4 Discovery Camp incorporates the Illinois Early Learning Standards into the curriculum to include physical, cognitive, social, and emotional development. This enriching environment offers children the opportunity to actively participate in cooperative groups, gain self-esteem, develop valuable problem solving skills, and form interpersonal relationships with one another. Campers will also enjoy the outdoors, swimming, and age appropriate field trips. EXPLORERS CAMP Grades: Entering Kindergarten Explorers Camp is designed for the active 5 year old! We will provide a fun and engaging traditional outdoor summer camp experience. Activities are age appropriate to meet the developmental needs of younger campers. Explorers will enjoy swimming and weekly field trips. CREATE & PLAY CAMP CALENDAR & THEMES 1 June 3 - June 7 Make A Friend, Be A Friend 1 Friendship Activities (Onsite) 2 June 10 - June 14 Community Helpers 2 Fire Zone Safety 3 June 17 - June 21 Little Scientist 3 Legoland 4 June 24 - June 28 Blast Off Into Space 4 Elk Grove Movie Theater & Popcorn! 5 July 1 July 5** Stars and Stripes 5 Mini Golf 6 July 8 - July 12 Amazing Animals 6 Cosley Zoo 7 July 15 - July 19 Treasure Hunters 7 Pirates Cove 8 July 22 - July 26 Nature Exploration 8 Sprinkler Pad & Picnic 9 July 29 - August 2 Story Book Week 9 James and the Giant Peach (Theatre) 10 August 5 - August 9 Circus Week 10 Carnival (Onsite) 11 August 12 - August 16 Dog Days of Summer 11 Animal Show (Onsite) *FIELD TRIPS are on Wednesdays and subject to change due to availability. Swimming at the Y is on Mondays each week. **Camp WILL NOT BE IN SESSION Thursday, July 4, Week #5 field trip will be held on Friday, July 6 due to the holiday. Week #11 Dog Days of Summer will be held at the YMCA (Limited Enrollment). Campanelli Y Campus 300 W. Wise Rd, Schaumburg CREATE & PLAY CAMP FEES Sheila Phillips Ext. 106 ON-SITE YMCA CAMPS 10 Doctor s Name Phone Number Parent/Guardian s Signature Date PARENT/GUARDIAN INFORMED CONSENT 1. I understand that my child/children s participation in YMCA activities, regardless of location, is at my own risk. As such, I as the parent or legal guardian assume full responsibility for bodily injury, death, or property damage arising out of my child/children s participation in YMCA activities. 2. I understand that, on occasion, photos may be taken for YMCA promotion/publicity. As such, I give my permission for the use of my child/my family s likeness in such promotion. Signature (Parent/Guardian of record) I authorize Spouse/Legal Guardian to make changes to this form on my behalf. Signature (Parent/Guardian) Date Date Daily lunch included 2 healthy snacks served daily 50 SPF Sunscreen (SPRAY bottle preferred). Please label bottle with your. Child must be able to apply their own sunscreen, or parent may apply before camp. 3
5 KASPER SPORTS CAMP KASPER SPORTS CAMP 2nd through 6th grades 9:00 AM to 4:00 PM ROOKIES: VETERANS: Kids entering 2nd 3rd grades Kids entering 4th - 6th grades Nerge Elementary 660 Woodfield Trail, Roselle Sally Camposagrado Ext. 105 KASPER Sports Camp is perfect for aspiring athletes who love to play a variety of sports and work as a team! Campers will learn basic fundamentals and skills necessary to play a variety of sports, while we emphasize the importance of sportsmanship and teamwork. Sports campers will also have fun with special guest visitors! SPORTS CAMP FEES INCLUDE all bus transportation and field trips. KASPER CAMP Kindergarten through 6th grades 9:00 AM to 4:00 PM HORIZON: Kids entering Kindergarten 3rd grades ADVENTURE: Kids entering 4th - 6th grades Nerge Elementary 660 Woodfield Trail, Roselle Sally Camposagrado Ext. 105 Our KASPER campers will enjoy weekly field trips, weekly trips to a local water park, arts & crafts, outdoor games and activities, challenging STEM learning projects, and so much more! This camp will explore a variety of elements that will give your child a well-rounded camp experience this summer! KASPER CAMP FEES INCLUDE all bus transportation and field trips. KASPER CAMP KASPER SPORTS CAMP CALENDAR & THEMES 1 June 3 - June 7 Amazing Race 1 Mr. Paint Party! (Onsite ) 2 June 10 - June 14 Ninja Warriors 2 Sky Zone 3 June 17 - June 21 Football Fundamentals 3 Twin Lakes 4 June 24 - June 28 All Star Soccer 4 Coral Cove Water Park 5 July 1 July 5** Wide World of Sports! 5 Sunny Hill Splash Park 6 July 8 - July 12 Baseball Academy 6 Urban Air Park 7 July 15 - July 19 Hole In One 7 Coyote Crossing Mini Golf 8 July 22 - July 26 Backyard Sports 8 Art Füzd 9 July 29 - August 2 Olympics Week 9 Elk Grove Movie Theater 10 August 5 - August 9*** Pay It Forward Week 10 YMCA Carnival (Onsite) 11 August 12 - August 16*** Dog Days of Summer 11 Animal Show (Onsite) *FIELD TRIPS are on Wednesdays and subject to change due to availability. Camp will swim every Monday at a local water park. **Camp WILL NOT BE IN SESSION Thursday, July 4, ***Week #10 will be held at the YMCA. Week #11 Dog Days of Summer will be held at the YMCA (Limited Enrollment). KASPER CAMP CALENDAR & THEMES 1 June 3 - June 8 Shark Week 1 Mr. Paint Party! (Onsite) 2 June 10 - June 14 Witches & Wizards 2 Sky Zone 3 June 17 - June 21 Space Station Vacation 3 Twin Lakes 4 June 24 - June 28 Hawaiian Hullabaloo 4 Coral Cove Water Park 5 July 1 July 5** Super Hero Week 5 Sunny Hill Splash Park 6 July 8 - July 12 Holidaze 6 Urban Air Park 7 July 15 - July 19 Game Show Mania 7 Coyote Crossing Mini Golf 8 July 22- July 26 Silly Science Week 8 Art Füzd 9 July 29 - August 2 Camp Hollywood 9 Elk Grove Movie Theater 10 August 5 - August 9*** Pay It Forward Week 10 YMCA Carnival (Onsite) 11 August 12 - August 16*** Dog Days of Summer 11 Animal Show (Onsite) *FIELD TRIPS are on Wednesdays and subject to change due to availability. Camp will swim every Monday at a local water park. **Camp WILL NOT BE IN SESSION Thursday, July 4, ***Week #10 will be held at the YMCA. Week #11 Dog Days of Summer will be held at the YMCA (Limited Enrollment). KASPER SPORTS CAMP FEES KASPER CAMP FEES 6 2 healthy snacks Sack lunch and drink labeled with 50 SPF Sunscreen (SPRAY bottle preferred). Please label bottle with your. Child must be able to apply their own sunscreen, or parent may apply before camp. 2 healthy snacks Sack lunch and drink labeled with 50 SPF Sunscreen (SPRAY bottle preferred). Please label bottle with your. Child must be able to apply their own sunscreen, or parent may apply before camp. 7
6 REGISTRATION AUTOMATIC PAYMENT FORM Campanelli YMCA Summer Day Camp Program Automatic Payment Form (EFT or CAD) The Campanelli YMCA offers two different types of automatic payment plans called Electronic Funds Transfer (EFT) and Charge Account Draft (CAD). Your signature will confirm that you have read and understand the following: I understand that my child care payment will be automatically withdrawn from my checking account or charged on my credit card on a weekly basis according to the schedule provided. You will be charged two weeks ahead. I understand that I must provide two weeks written notice before my automatic payment can be cancelled or changed. I understand that the YMCA automatic payment plans are continuous and will remain in effect until I cancel my payment preference in writing or until a program ends. I understand that I am responsible for making funds available for each and every payment while my child/ children are enrolled in YMCA summer camp programs. I also understand that I will incur a $20.00 service charge fee for any payment declined by my bank or credit card provider. SUMMER CAMP 1st through 9th grades 9:00 AM to 4:00 PM Campanelli Y Campus 300 W. Wise Rd, Schaumburg Sheila Phillips Ext. 106 SUMMER CAMP CALENDAR & THEMES 1 June 3 - June 7 Friendship Week 1 Bowling 2 June 10 - June 14 Creativity Week 2 Art Füzd 3 June 17 - June 21 Fun & Fitness 3 Rockin Jump 4 June 24 - June 28 Kindness Initiative 4 Elk Grove Movie Theatre & Popcorn! 5 July 1 July 5** All American 5 Mini Golf 6 July 8 - July 12 Sports Challenge 6 Kane County Cougars Baseball 7 July 15 - July 19 Young Environmentalist 7 Cantigny Park & Picnic 8 July 22 - July 26 Splish Splash 8 Bartlett Water Park 9 July 29 - August 2 Science Exploration 9 Schaumburg on Stage (Theatre) 10 August 5 - August 9 Circus Week 10 Carnival (Onsite) 11 August 12 - August 16 Dog Days of Summer 11 Animal Show! (Onsite) *FIELD TRIPS are on Wednesdays and subject to change due to availability. Swimming at the Y is Tuesday, Thursday, and Friday each week. **Camp WILL NOT BE IN SESSION Thursday, July 4, Week #11 Dog Days of Summer will be held at the YMCA (Limited Enrollment). ON-SITE YMCA CAMPS I understand that the YMCA reserves the right to cancel my summer camp child care after 1 week of insufficient funds, stopped payments, or declined credit cards. Print Child s Name: Print Program Name: SUMMER CAMP FEES Please complete payment option: Electronic Funds Transfer (EFT) - Please attach a voided check to this form. Charge Account Draft (CAD) - Please circle: Visa MasterCard Discover American Express EXPERIENCE YMCA OVERNIGHT CAMP! Credit Card #: Expiration Date: Print Name (as it appears on card): CVV #: Weekly Withdrawal Amount: $ Please write in amount Withdrawal Start Date: Refer to camp brochure due dates I hereby authorize the Campanelli YMCA to withdrawal my weekly day camp fees from the designated credit card or account provided with a voided check. This authority is to remain in full force and effective until I provide the YMCA with two weeks written notice of my intention to cancel or change from automatic payment, or at the end of the program. Please Print Authorized Name: Edwards YMCA CAMP N8901 Army Lake Rd East Troy, WI Now more than ever, it is vital for kids to get outdoors. Youth will create and build friendships with peers, which do not involve a keypad or monitor! Camp Edwards can facilitate a memorable summer experience that fits your budget and your needs! Authorized Signature: Date: : Jody Heimos, Executive Director 8 5
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