2017 SUMMER DAY CAMPS JUNE 5 - AUGUST 18, 2017

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1 CAMPANELLI YMCA 300 W. Wise Road Schaumburg, IL SUMMER DAY CAMPS JUNE 5 - AUGUST 18, 2017 REGISTRATION BEGINS FEBRUARY 6, 2017 Take Advantage of Our Early Bird Pricing! Now through May 1, % off camp weeks when PAID IN FULL. CAMPANELLI YMCA Find us on: 300 W. Wise Road Schaumburg, IL

2 GENERAL INFORMATION GENERAL INFORMATION WELCOME TO CAMPANELLI YMCA SUMMER 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; especially important because of sedentary activities (video games/tv), unhealthy eating habits, and lifestyles. Ability to build skills not taught in most schools. Prevent summer learning loss. Enhanced social dexterity as kids get out of the house and into environments with others. Send A Kid Donor Information: Name Address To Camp! You can help provide endless opportunities and life long memories for kids who need it most. Please accept my tax-deductible contribution of Increased sense of independence & confidence as a result of time away from home. City State Zip Phone Register now to provide your child with an unforgettable summer!!! Very truly, Judi Nealey, MPA, Executive Director Method Of Payment: Check enclosed, payable to Campanelli YMCA. Please bill my credit card: VISA MC AX DISC 2 3 WAYS TO REGISTER! Make checks payable to Campanelli YMCA or complete credit card information. All weekly camp deposits must be enclosed with registration ($10/per week). 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 Parent Handbook for all due dates. REGISTRATION CHANGES will incur a $10 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). Do not forget to indicate if you need extended afternoon care (). The fee is $25M/$30CM per session. YMCA CAMP FINANCIAL ASSISTANCE AVAILABLE Y CAMP DIRECTORS, Director of Youth Development ext. 106 sheilap@gcfymca.org Sally Camposagrado, M. Ed. Director of School Age Programs ext. 105 sallyc@gcfymca.org For those who qualify, financial assistance is available to provide children the opportunity to experience YMCA summer camp. Applicants are required to complete an application for financial assistance and provide additional required documentation. Call the Campanelli Y at for further information. Financial assistance applications are due by May 1, $ One Time Gift $ Monthly Pledge Start Date: End Date: Card # Exp. Date CVV# Cardholder Name Donor Signature Campanelli Presidential Club Level Donor: My gift of $1,000+ qualifies me for the following: $1000+ Healthy Living Complex Banner NAME/ COMPANY NAME FOR BANNER Mail to: Campanelli YMCA Attention: Development Department 300 W. Wise Road Schaumburg, IL QUESTIONS? : Judi Nealey, Executive Director ext. 111 or judin@gcfymca.org 11

3 ON-SITE YMCA CAMPS SUMMER CAMP 1st through 9th grades LOCATION: Campanelli Y Campus 300 W. Wise Rd., Schaumburg 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. AUTOMATIC PAYMENT FORM Campanelli YMCA Summer Day Camp The Campanelli YMCA offers two different types of automatic payment plans called Electronic Funds Transfer (EFT) and Charge Account Draft (CAD). Both plans are very easy to use and are available to everyone. Your signature will confirm that you have read and understand the following: Automatic Payment Form (EFT or CAD) I understand that my childcare 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. REGISTRATION NAVIGATORS Camp Grades: Entering 5th - 6th Navigators are our pre-teen campers, and will be leading 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 deciding activities such as sports, or crafts, that they will be engage in during their camp day. Our main goal in this age level is to provide activities and experiences that are relevant and challenging for pre-teens. 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. I understand that the YMCA reserves the right to cancel my summer camp childcare after 1 week of insufficient funds, stopped payments or declined credit cards. TEEN Camp Grades: Entering 7th - 9th 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 service learning projects to reach out and make a difference in the lives of others. Print Child s Name: Print Program Name: Please complete payment option: PLEASE NOTE: Dog Days of Summer week is not offered for TEEN CAMP. Electronic Funds Transfer (EFT) - Please attach a voided check to this form. SUMMER AND KASPER CAMPS Campers should bring a backpack each day with the following supplies: Towel, swimsuit, and flip-flops/sandals Water bottle labeled with child s name Gym shoes 2 healthy snacks Sack lunch and drink labeled with child s name Sunscreen (SPRAY if possible) of 30 SPF. Please label bottle with your child s name. Child must be able to apply their own sunscreen, or parent may apply before camp. Charge Account Draft (CAD) - Please circle: Visa Mastercard Discover American Express 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: Authorized Signature: Date: 4 9

4 REGISTRATION 1. AUTHORIZED PICK-UP FORM Please list the names of people who may pick up your child from the YMCA. Name Relationship DOB Address City State Zip Home Phone Cell Phone Work Phone 2. Name Relationship DOB Address City State Zip Home Phone Cell Phone Work Phone 3. 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 LOCATION: Campanelli Y Campus 300 W. Wise Rd., Schaumburg 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 5 - June 9 Make a Friend, Be a Friend 1 No Trip (get to know you games) 2 June 12 - June 16 Building Blocks 2 Jump Zone 3 June 19 - June 23 Imagination 3 Children s Museum 4 June 26 - June 30 Fairy Tales 4 Movie 5 July 3 July 7 Stars & Stripes 5 Sprinkler Park & Picnic 6 July 10 - July 14 Community Helpers 6 Fire Zone 7 July 17 - July 21 Creative Campers 7 Art Füzd 8 July 24 - July 28 Storytellers 8 Pump It Up 9 July 31 - August 4 Science Rocks 9 Spring Valley Nature Center 10 August 7 - August 11 Circus Week 10 Carnival at the Y 11 August 14 - August 18** Dog Days of Summer 11 Magic Show at the Y *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 Tuesday, July 4, **NEW this year... Dog Days of Summer week for 3-5 year olds! (Limited Enrollment) CREATE & PLAY CAMP FEES 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) Date I authorize to make changes to this form on my behalf. Spouse/Legal Guardian Signature (Parent/Guardian) Date DISCOVERY & EXPLORERS CAMPS Campers should bring a backpack each day with the following supplies: Towel, swimsuit, and flip-flops/sandals Water bottle labeled with child s name Gym shoes Daily lunch included 2 healthy snacks served daily Sunscreen (SPRAY if possible) of 30 SPF. Please label bottle with your child s name. Child must be able to apply their own sunscreen, or parent may apply before camp. 3

5 OFF-SITE YMCA CAMPS HALL OF FAME SPORTS CAMP ROOKIES: Kids entering 2nd 3rd grades VETERANS: Kids entering 4th-6th grades LOCATION: Frost Jr. High 320 W. Wise Rd., Schaumburg (Location may change based on availability) WELCOME ALL ATHLETES! Whether you are an experienced athlete or just a beginner, sports camp has a program for you. Sports camp offers a variety of sports at age appropriate levels. We will focus on the fundamentals, build upon skills, and provide fun game time. HALL OF FAME CAMP CALENDAR & THEMES 1 June 5 - June 9 Sportsmanship 1 Sky Zone 2 June 12 - June 16 Basketball 2 Bowling 3 June 19 - June 23 Sports Variety 3 Field Museum 4 June 26 - June 30 Floor Hockey 4 Movie 5 July 3 July 7 Sports of All Sorts 5 Congo River Mini Golf 6 July 10 - July 14 Softball/Kickball 6 Lincoln Park Zoo 7 July 17 - July 21 Basketball 7 Art Füzd 8 July 24 - July 28 Soccer 8 Water Park 9 July 31 - August 4 Go for the Gold Olympics 9 Theatre: The Little Mermaid 10 August 7 - August 11** Flag Football 10 Carnival at the Y 11 August 14 - August 18** Dog Days of Summer 11 Magic Show at the Y KASPER CAMP Kindergarten through 6th grades LOCATION: CAMP HORIZON, Link Elementary 900 W Glenn Trail, EGV (Location may change based on availability) CAMP HORIZON Location: Link Elementary Age Groups: K - 6th Grade Please register according to the grade your child will be entering this fall. Isabel Witte Ext. 105 KASPER Camp is designed to motivate and challenge campers to achieve success while also providing a safe and nurturing environment. This year, we are bringing STEM PROJECTS to KASPER CAMP! STEM is a curriculum that focuses on educating children in subjects such as science, technology, engineering, and mathematics. Each week will be filled with STEM projects, group games, themed activities, sports, swimming, and field trips. Our 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 6 *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 Tuesday, July 4, **SPORTS Camp week #10 will be held at the YMCA. Week #11 Dog Days of Summer will be held at the YMCA (Limited Enrollment). SPORTS CAMP FEES SPORTS CAMP Campers should bring a backpack each day with the following supplies: Towel, swimsuit, and flip-flops/sandals Water bottle labeled with child s name Gym shoes 2 healthy snacks Sack lunch and drink labeled with child s name Sunscreen (SPRAY if possible) of 30 SPF. Please label bottle with your child s name. Child must be able to apply their own sunscreen, or parent may apply before camp. KASPER CAMP CALENDAR & THEMES 1 June 5 - June 9 Once Upon a Time 1 Masquerade Fun & Dance (On-Site) 2 June 12 - June 16 Island Exploration 2 Bartlett Water Park 3 June 19 - June 23 Where the Wild Things Are 3 Animal Quest (On-Site) 4 June 26 - June 30 Challenge Accepted 4 Camp vs. Camp (@ Link) 5 July 3 July 7 Inventions Workshop 5 Forest Preserve 6 July 10 - July 14 Blast from the Past 6 Congo River Mini Golf 7 July 17 - July 21 Super Heroes 7 Sky Zone 8 July 24 - July 28 Let s Fiesta! 8 Fiesta Piñata Party (On-Site) 9 July 31 - August 4** Space is the Place 9 Cernon Earth & Space Center 10 August 7 - August 11** Ooey & Gooey 10 Carnival at the Y 11 August 14 - August 18** Dog Days of Summer 11 Magic Show at the Y *FIELD TRIPS are on Wednesdays and subject to change due to availability. Camp will swim every Monday at a local pool. Camp WILL NOT BE IN SESSION Tuesday, July 4, **KASPER Camp week #9 may be held at the YMCA (depending upon school site availability). Week #10 will be held at the YMCA. Week #11 Dog Days of Summer will be held at the YMCA (Limited Enrollment). KASPER CAMP FEES 7

6 REGISTRATION DAY CAMP REGISTRATION PLEASE PRINT CLEARLY Child s Name Grade as of 9/2017 Age as of 6/2017 DOB Child s Home Address Sex City State Zip Home Phone Mother s/guardians Name Authorized Pick-Up: Y / N Address Home Phone Mother s/guardian s Address City State Zip Work Phone Cell Phone Father s/guardians Name Authorized Pick-Up: Y / N Home Phone Father s/guardian s Address City State Zip Work Phone Cell Phone CAMP FEES: REGISTRATION FEE (non-refundable) $45/per child $75/per family CAMP SESSION DEPOSITS (non-refundable) ($10 per week deposit due for each (# of weeks x $10) camp session, including Dog Days ) CAMP SESSION FEES: Reminder: Camp fees are due 2 weeks in advance of each registered week. See Parent Handbook for scheduled due dates. OPTIONAL: EXTENDED PM CARE Separate charge per week $25M/$30CM. Please reserve weeks needed on registration form. EARLY BIRD DISCOUNT Receive 10% discount off camp sessions paid in full BEFORE May 1, TOTAL PAYMENT: Check Enclosed: # Please charge my credit card: $( ) $ 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) KASPER Horizon (M/W/F) Horizon (T/TH) Discovery (M-F) Discovery (M/W/F) PRESCHOOL 1ST - 6TH GRADES TEENS 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) 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) Teen (M-F) Teen (M/W/F) Teen (T/TH) Extended PM Care /DD Dog Days of Summer Week for Preschool and Kids Entering 1st - 6th Grade August 14-18, :00 AM - 4:00 PM DOG DAYS OF SUMMER CAMP WEEK #11 Register your kids for the Dog Days of Summer childcare 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. SPACE IS LIMITED! Fee: $180M/$190CM Extended Care: $25M/$30CM (4:00-6:00 PM) Location: Campanelli YMCA SUMMER CAMP 1st through 9th grades LOCATION: Campanelli Y Campus 300 W. Wise Rd., Schaumburg SUMMER CAMP CALENDAR & THEMES 1 June 5 - June 9 Make a Friend, Be a Friend 1 Sky Zone 2 June 12 - June 16 Rockin Through the Decades 2 Bowling 3 June 19 - June 23 Mad Science 3 Field Museum 4 June 26 - June 30 Hooray for Hollywood 4 Movie 5 July 3 July 7 Stars & Stripes 5 Congo River Mini Golf 6 July 10 - July 14 Amazing Animals 6 Lincoln Park Zoo 7 July 17 - July 21 Creative Campers 7 Art Füzd 8 July 24 - July 28 Splish Splash 8 Water Park 9 July 31 - August 4 Go for the Gold Olympics 9 Theatre: The Little Mermaid 10 August 7 - August 11 Circus 10 Carnival at the Y 11 August 14 - August 18** Dog Days of Summer 11 Magic Show at Y *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 Tuesday, July 4, **Week #11 Dog Days of Summer will be held at the YMCA (Limited Enrollment). SUMMER CAMP FEES EXPERIENCE AN OVERNIGHT CAMP! 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! : Jody Heimos, Executive Director ON-SITE YMCA CAMPS 5

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