YMCA CAMP SHEPARD Summer Adventure Starts Here 2016

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1 YMCA CAMP SHEPARD Summer Adventure Starts Here 2016 YMCA OF GREATER WESTFIELD Tel: Court Street Westfield, MA Tel:

2 Our mission: To provide the community with quality programs and services that build healthy spirit, mind, and body for all. Table of Contents Camp Shepard... 2 Rentals... 2 Facilities... 3 Programs & Activities... 4 Camp Age Groups... 5 Counselor in Training... 5 Transportation... 6 Registration... 7 Health Form...9 Our Promise Registration Checklist How to Register: Registrations can be processed at the Reception Desk of the YMCA of Greater Westfield located at 67 Court Street in Westfield, MA Contact the Camp Director with any questions at (413) For more detailed information turn to the bottom of page 11 for the Registration Checklist. All of the programs at the YMCA of Greater Westfield are open to everyone regardless of town of residence. Financial Assistance: The YMCA of Greater Westfield, as a charitable tax-exempt organization, provides financial aid to those families who qualify. Applications are available at our reception desk. Rentals: Let us customize your Camp Shepard rental experience! Our expert staff has experience planning and facilitating activities for Birthday parties, family reunions, school groups, corporate trainings, picnics, and more! The Camp Shepard team can work with you to deliver results in your group ranging from communication and teamwork to just having the most fun possible! Make your next event one that your guests will never forget. Please note that alcohol is not permitted on Camp Shepard grounds. Call the YMCA at to book your rental today! Adventure Activities Available: Archery Arts & Crafts High Ropes Low Ropes Kayaking Canoeing Swimming (in- ground pool) Climbing Tower The Goyette Chalet Our heated Chalet complete with a large conference room awaits your church, youth or corporate group for retreats and trainings. The Chalet overlooks a scenic, natural pond offering a rejuvenating and restive space for groups. We are now booking groups for all of 2016! Please contact us with any questions. Mailing Address: YMCA of Greater Westfield 67 Court Street Westfield, MA Tel: Location Address: YMCA Camp Shepard 370 Northwest Road Westfield, MA Tel: ; Look what our parents say about Camp Shepard throughout the brochure: My daughter has become much more outgoing and confident since attending Camp Shepard over the past few summers. She is looking forward to one day being a counselor herself. She has developed good interpersonal skills with kids younger than herself. Camp Shepard has helped him come out of his shell. He s made many new friends, learned so much and is more willing to try new things he may not have been brave enough to do before. He s had issues with water and swimming and I think the camp has made a big difference in him! 2 67 Court Street Westfield, MA Tel:

3 CAMP SHEPARD Open House Dates: Come enjoy a scenic tour of YMCA Camp Shepard. You will have the opportunity to speak with the Camp Director, Program Staff, Counselors, Campers, and Parents! Saturday, June 4, 2016, 1:00PM-4:00PM Saturday, June 11, 2016, 1:00 PM-4:00PM Session Dates & Themes: Session 1- Party in the USA: 06/27-07/08 Session 2- Ancient Egypt: 07/11-07/22 Session 3- Olympics: 07/25-08/05 Session 4- Outer Space: 08/08-08/19 Super Week: 08/22-08/26 General Session $310-Member $325-Non-Member Option Weeks: $200-Member $210-Non-Member CIT s Member Non-Member Session 1: 6/27-7/22 $395 $405 Session 2: 7/25-8/19 $395 $405 Session 1 & 2: 6/27-8/19 $790 $810 Camp Hours & Cost: Extended AM and PM are included in pricing! CAMPERS MUST REGISTER FOR EXTENDED DAY General Session 9:00AM-4:00PM $310/$325 Extended Day, AM 7:00AM-9:00AM INCLUDED Extended Day, PM 4:00PM-6:00PM INCLUDED Staff: Our staff team is the most important ingredient in the success of our program. Program specialists and counselors are chosen for their maturity, leadership skills, personal warmth and experience. They represent positive role models for children and are trained in accordance with the philosophy and objectives of the mission of the YMCA of Greater Westfield. Facilities: YMCA Camp Shepard is located at 370 Northwest Road, less than five miles from the center of Westfield. Situated on 105 acres of woodlands, Camp Shepard provides the opportunity to grow, learn and appreciate the great outdoors in a respectful way. Our Facility Includes: In-ground Swimming Pool Bath House with Locker Rooms Three Pavilions Arts & Crafts Building Nature Building 45ft Rock Climbing Tower 10 High Ropes Elements Low Ropes Course Disc Golf Course Biking Trails Picnic Area Pond Hiking Trails Camp Sites with Tent Platforms Adirondack Shelters Babbling Brook Chalet for Programs & Rentals Basketball Court Archery Range Ball Field Payment Policy: A $50 non-refundable deposit per session is required for Camp Shepard. Balance is due the Thursday before the start of each session being attended. Please make checks payable to the YMCA of Greater Westfield. PLEASE NOTE: DEPOSIT IS NOT REFUNDABLE This camp complies with regulations of the Massachusetts Department of Public Health and is licensed by the local Board of Health Court Street Westfield, MA Tel:

4 Programs & Activities CAMP SHEPARD What we do at camp: Archery Arts & Crafts Campsite Preparation Canoeing Climbing Tower Environmental Awareness Group Skits High Ropes Challenge Course Hiking Kayaking Leave No Trace Ethics Low Ropes Challenge Course Mountain Biking (10 & up) Orienteering Overnights Recreational Swim Songs Special Workshops Sports Swimming Lessons Team Building Theme Days What to Bring Backpack Lunch Swimsuit Towel Water bottle *be prepared to get dirty Sun screen Bug spray Rain coat Closed toed shoes Lunch: Campers bring lunches in paper lunch bags or soft containers. They are collected at the beginning of the day and refrigerated until lunchtime. Drinks should only be in plastic containers, no glass. She discovered archery, ropes, hiking, identifying flowers and wildlife...the list goes on and on. The variety, the confidence-building through activities - it s a perfect formula for instilling a love of nature and a respect for others. Parents Night & Overnights: During the second week of our two-week sessions we offer dinner and parents night to all of our campers. After parents night, campers ages 6 and up are invited to spend the night. Overnight and parents night are optional for an additional fee. Registration forms for overnights and parents night will be distributed and available at camp. Fees may be processed at either Camp Shepard or at the YMCA of Greater Westfield. All Camp Events: Each general session will host a new All Camp Event theme. These themes allow each camper to enter a mythical world as they pass through YMCA Camp Shepard gates. Counselors and staff transform into a wide array of characters, campers work with their teammates to complete each challenge, and groups encourage each other to cross the finish line. Camp Shepard allows my child to be a kid and shine. It teaches her many new skills that she comes home with eager to share with the family. Camp Shepard fills my child with knowledge, fun and a sense of freedom Court Street Westfield, MA Tel:

5 Camp Shepard Age Groups Open House Dates: Please come out and enjoy a tour of YMCA Camp Shepard. Saturday, June 4, 2016,1:00PM-4:00PM & Saturday, June 11, 2016, 1:00PM-4:00PM Muckleshoots: Half Day or Full Day Boys & Girls- Ages 4 & 5 This program is especially designed for the younger camper. In this program the children will have a 5:1 camper/counselor ratio and will participate in activities specially geared to their age level. Children experience the same activities as the older groups, participating in daily swim lessons, recreational swims, arts & crafts, environmental awareness and exploration, movement activities, story time and more! Muckleshoots half day option: Time: 9:00AM 12:00PM, Monday-Friday Cost: $100 Member $105 Non-member per week $200 Member $210 Non-member per session Traditional Camp: Boys & Girls- Ages 6-12 Programs for this age group are designed to achieve a balance between instruction and recreation as well as group development and individual accomplishment. Emphasis is placed on cooperative learning and the YMCA four character values: Caring, Honesty, Respect and Responsibility. Each camper will participate in program activities that meet their individual interests, abilities and needs. Counselor in Training Boys & Girls- Ages Our Counselor in Training program offers a unique and hands-on experience built for teens that are interested in becoming a camp counselor. Starting together as a group of campers, our CITs are provided an opportunity to grow and evolve together from campers into valued leaders amongst the camp staff. CITs will learn how to lead campers in a large variety of camp songs and activities. They are trained in areas of leadership, safety, decision-making, risk management, and creating age appropriate activities as well as conflict resolution. This program is built based on the YMCA four character values: Caring, Honesty, Respect, and Responsibility. CITs must come for at least two consecutive sessions or the whole summer! Teen Group: Boys & Girls- Ages An advanced camp program for teens. Campers in this program spend their days in a coed group that participates in camp activities at a higher skill level. Special projects, trainings and activities such as mountain biking, hiking, overnights, and high and low ropes adventure are included in this fun teen program. Teens will also have the opportunity to participate in regular recreational swims. Choose one of the following options: Option A: Session 1: 6/27-7/22 Option B: Session 2: 7/25-8/19 Option C: Session 1 & 2: 6/27-8/19 ***Campers who choose Option C become eligible to have CIT placements in Skill Areas*** I like that he sets goals for future camp experiences. He looks forward to being a CIT and a counselor Court Street Westfield, MA Tel:

6 Camp Shepard Transportation Camp Shepard Bus Transportation: A local bus company is contracted to transport campers to and from camp with the same standards required by the Board of Education. The YMCA provides a bus monitor who is responsible for the personal safety, attendance and behavior of the campers. Bus routes are designed to accommodate the maximum number of campers while trying to limit the length of time a child spends riding the bus. Bus transportation is only available for the 9:00AM- 4:00PM camper day. Bus schedules are subject to change. NOTE: All adults must provide a photo State I.D. at the time of pick up. BUS #1 A.M. P.M. 1. Southampton Rd School - Westfield 7:58 4: Southampton Rd - Westfield 8:00 4:48 3. Hampton Ponds Plaza - Westfield 8:06 4:41 4. East Mountain Country Club - Westfield 8:13 4:35 5. Papermill Elementary School - Westfield 8:20 4: Union St. - Westfield 8:31 4:23 7. Westfield High School - Westfield 8:36 4:16 BUS #2 A.M. P.M. 1. Munger Hill School-Westfield 8:07 4:47 2. Shaker Farms C.C.-Westfield 8:13 4: Southwick Road-Westfield 8:21 4:31 4. South Middle School-Westfield 8:27 4:25 5. St. Mary s High School-Westfield 8:33 4:19 6. YMCA-Westfield 8:39 4:13 7. Juniper Park School-Westfield 8:47 4:05 Pick up/drop off Procedures: Camp Shepard will only release campers to adults listed on the registration under Authorized Pick Up unless the Parent/ Guardian has granted permission for them to walk home on the registration. All adults must provide a photo State I.D. at the time of pick up. All visitors must check-in at the Camp Shepard Administrative Office located at 360 Northwest Road and must receive a signed pass from the Camp Director, Assistant Camp Director or Office Manager. Early pick up/late drop off: If you are picking up or dropping off your camper outside of the scheduled times you must do so at the Camp Shepard Administrative Office (the brown house) located on 360 Northwest Road which is right next to Camp Shepard s main entrance. Sending a note with your camper will increase the efficiency of this process greatly. Regular pick up/drop off: If you are planning to opt out of using the Camp Shepard bus transportation you may pick up/drop off your camper at the Bathhouse (the green building next to the pool) through Camp Shepard s main entrance. Directions: Go past the YMCA on Court Street towards Westfield State University. Court Street becomes Western Ave. Go past the university and bear left at the fork onto Upper Western Avenue. Take left onto Northwest Road. Camp Shepard is at 370 Northwest Road. (On the left) BUS #3 A.M. P.M. 1. Big Y Supermarket-Southwick 8:14 4:41 2. Powder Mill Middle School-Southwick 8:20 4:32 3. City View & Butternut Road-Westfield 8:32 4:19 4. City View & Whitaker Road-Westfield 8:36 4:15 5. Sackett Rd & Janis Rd-Westfield 8:41 4:09 6. Northwest Rd & Farnham Ln-Westfield 8:51 4:01 Check out our website at for updated times and locations. Camp Office or Brown House Northwest Rd Used for Pick Ups and Drop Off, 9:30am-3:30pm 6 67 Court Street Westfield, MA Tel:

7 2016 YMCA of Greater Westfield Registration Form: Camp Shepard Day Camp Camper s First Name Last Name Male Female Age Date of Birth Address please circle one at time of camp Parent/Guardian 1 First Name Last Name Work Phone Cell Home Home Phone Parent/Guardian 2 First Name Last Name Work Phone Cell Home Home Phone TRANSPORTATION (Select one) My child will be picked up and dropped off at camp. My child will take a bus to and from camp Bus # Stop: My child has parental/guardian permission to walk to and from the bus stop alone ADDITIONAL AUTHORIZED PICK UP (GUARDIAN, FRIENDS, RELATIVES, ETC...) Name Cell Home/Work # Name Cell Home/Work # Name Cell Home/Work # EMERGENCY CONTACTS AND PICK UP AUTHORIZATIONS In addition to parents/guardians listed above, ONLY those on the above list will be allowed to pickup a camper from camp. Please list all additional persons authorized to pick up your child. In emergency situations only, parent/guardian may give verbal and/or written permission for an individual who is not on this list, to pick up child. No child will be released without emergency verbal/written permission. Please indicate if a non-custodial parent has limits on visitation or pick up. If non-custodial parent has been denied visitation or has limited visitation by court order, a copy of the order must be given to the YMCA and kept on file at program. By signing this form you agree to the transportation arrangement as stated above. WAIVER I approve this application, and certify that the proposed camper is capable of such an experience. I agree to have the health form signed by a physician that includes current medication orders, physical exam and immunization record. This exam must have been given within two years of the camper s last registered day. Any camper who does not have said form into YMCA office at least one week prior to the start of camp will not be permitted into camp. I also agree to the payment terms as outlined; a $50 deposit per session per camper is for the purpose of securing a spot and as such is non-refundable and non-transferrable. Payment in full is due the Thursday prior to the beginning of the registered session. I hereby grant permission for the applicant to participate in all planned activities and programs. While it is the aim and the responsibility of the YMCA of Greater Westfield to Provide your child with a safe and enjoyable experience, you must realize that participation in YMCA programs has some inherent risks. As a result we require the signing of the release set forth below. I indemnify and hold harmless the YMCA, any officer, volunteer or employee of the YMCA and all involved with the YMCA camps from liability for any harm that befalls my child as a result of participation in YMCA camp. By signing below I acknowledge and accept the above stated release, have read the Parent s agreement, and understand and agree to the terms and conditions. Parent Signature Date / / PARENTS AGREEMENT A $50 non-refundable deposit is required for each session and must accompany each application. This deposit will hold the camper s place and will be applied to the full camp tuition. Remaining balances must be paid by the Thursday prior to the beginning of the registered session. Campers may not attend any session until their balance is paid in full. After the due date, any new registration requires payment in full and a completed health form. Requests for changes in camp session, bussing or group assignment will be honored only if space permits. Changes in bus assignments cannot be made on a one time or temporary basis. Bus service is provided for all campers. ROUTES FOR CAMPERS ARE PREDE- TERMINED FOR ALL STOPS. Each bus will have a YMCA bus monitor. It is the responsibility of the parent/guardian to meet their camper at the appointed stop at both the pick/drop off time each day unless written permission is granted otherwise. Campers who do not have permission to walk home that are not picked up by a parent at the bus stop will be brought to the YMCA. Parents will be called to pick up the child at the YMCA. The YMCA reserves the right to dismiss a camper whose behavior is detrimental to other campers, themselves, staff and/or camp. Fees will not be refunded for absence, failure to attend during the camp session, delayed attendance at camp, or dismissal. Parents are responsible for payment of any collection fees on their account. Emergency medical treatment and transportation is authorized if I am unable to be contacted. Health history forms are required for each camper PRIOR to attending camp. Forms will be given to parents at registration and must be completed and signed by the family physician and parents before the camper attends camp. The YMCA does NOT retain records of previous years physical forms. I authorize the YMCA of Greater Westfield to use my child s photo/ image for marketing and promotion purposes. Parent Signature Date / / 7 67 Court Street Westfield, MA Tel:

8 2016 YMCA of Greater Westfield Registration Form: Camp Shepard Day Camp Extended AM and PM are included in pricing! ($120/session value) Circle the Session(s) and indicate choice of extend day options for each session Dates Fees ($) Ext. AM Ext. PM Ext. AM/PM Session 1* *No Camp on July 4th No Overnight Fee! 6/27-7/08 $310/325 Session 1 - Option Week 1 6/27-7/01 $200/210 Session 1 - Option Week 2* *No Camp on July 4th No Overnight Fee! 7/05-7/08 $200/210 Session 2 7/11-7/22 $310/325 Session 2 - Option Week 1 7/11-7/15 $200/210 Session 2 - Option Week 2 7/18-7/22 $200/210 Session 3 7/25-8/5 $310/325 Session 3 - Option Week 1 7/25-7/29 $200/210 Session 3 - Option Week 2 8/01-8/05 $200/210 Session 4 8/08-8/19 $310/325 Session 4 - Option Week 1 8/08-8/12 $200/210 Session 4 - Option Week 2 8/15-8/19 $200/210 Session 5 - Super Week (no bus transportation) 8/22-8/26 $150 Muckleshoots - Half Days - Session 1 6/27-7/08 $200/210 Muckleshoots - Half Days - Session 1, Option Week 1 6/27-7/01 $100/105 Muckleshoots - Half Days - Session 1, Option Week 2 7/05-7/08 $100/105 Muckleshoots - Half Days - Session 2 7/11-7/22 $200/210 Muckleshoots - Half Days - Session 2, Option Week 1 7/11-7/15 $100/105 Muckleshoots - Half Days - Session 2, Option Week 2 7/18-7/22 $100/105 Muckleshoots - Half Days - Session 3 7/25-8/05 $200/210 Muckleshoots - Half Days - Session 3, Option Week 1 7/25-7/29 $100/105 Muckleshoots - Half Days - Session 3, Option Week 2 8/01-8/05 $100/105 Muckleshoots - Half Days -Session 4 8/08-8/19 $200/210 Muckleshoots - Half Days - Session 4, Option Week 1 8/08-8/12 $100/105 Muckleshoots - Half Days - Session 4, Option Week 2 8/15-8/19 $100/105 CIT - Session 1 6/27-7/22 $395/405 CIT - Session 2 7/25-8/19 $395/405 CIT - Session 1 & 2 6/27-8/19 $790/810 TOTAL $ 8 67 Court Street Westfield, MA Tel:

9 2016 YMCA of Greater Westfield Camp Shepard Day Camp - Health Exam Form MUST BE COMPLETED & ON FILE PRIOR TO CAMPERS FIRST DAY *To be filled out by parent/guardian Please Print* Camper s Name Date of Birth first name Guardian 1 Home Phone first name last name last name Home Address Business Address Phone Guardian 1 Cell Phone Guardian 2 Name & Cell Phone If not available in an emergency notify: 1. Phone Name Address 2. Phone Name Address Medications: If a camper must receive any medication while at Camp Shepard, an Authorization to Administer Medication to a Camper form must be completed for each medication. This form can be found at the front desk of the YMCA or online at www. westfieldymca.org, and is due one full week before the session begins. All medications must be turned in upon arrival to Camp Shepard. Health History (please check): Frequent Ear Infections Chicken Pox Hay Fever Heart Defect/Disease Measles Poison Ivy Convulsions German Measles Insect Sting Allergy Diabetes Mumps Drug Allergy Bleeding/Clotting Disorders Asthma Food Allergy For each check, please explain: Any specific activities to be encouraged? Any specific activities to be restricted? Any Other Information Name of Physician: Name of Dentist/Orthodontist: Medical/Hospital Insurance Carrier: Phone: Phone: Policy/Group # IMPORTANT: PLEASE NOTIFY THE YMCA IF THIS CHILD IS EXPOSED TO ANY COMMUNICABLE DISEASE DURING THE THREE WEEKS PRIOR TO ATTENDANCE OR WHILE ATTENDING ANY YMCA PROGRAM. Parents Authorization: This health history is correct so far as I know, and the person herein described has permission to engage in all prescribed activities except as noted by me and the examining physician. I give my permission for my child to be given simple first aid at the YMCA and to be transported to the hospital if Y personnel deem it necessary. I hereby give permission to the physician selected by the director to order x-rays, routine tests, and treatment for the health of my child. In the event that I cannot be reached in an emergency, I hereby give permission to the physician selected by the director to hospitalize, secure proper treatment for, and to order injection, and/or anesthesia, and/or surgery for my child as named above. Signature Date 9 67 Court Street Westfield, MA Tel:

10 2016 YMCA of Greater Westfield Camp Shepard Day Camp - Health Exam Form ***TO BE FILLED OUT BY PHYSICIAN PLEASE PRINT*** Immunization History: Required immunization must be determined locally. Please record the date (mo. & yr.) of basic immunizations and most recent booster doses. Vaccine Date Immunized Date of Last Booster Measles, Mumps & Rubella (MMR) 1 2 Polio 1 23 Diptheria 1 Tetanus Toxoids 2 Pertussis 3 DtaP/DTP/DT/Td (minimum of 4 doses) 4 Hepatitis B Other Tuberculin test given (most recent.) Medical Examination: To be filled out by licensed physician. This examination must be performed within 2 years of the campers last registered day. Examination for some other purpose within this period is acceptable. Examination is for determining fitness to engage in strenuous activities. Hgt. Wt. B.P. Hct. Or Hgb. Test Urinalysis Code: V-Satisfactory X-Not Satisfactory (explain) O-Not examined Eyes Lungs Allergic: (Please specify) Glasses Abdomen Ears Hernia Nose Extremities General Appraisal: Throat Heart Spine Skin Current medications: Recommendations and restrictions while in program: Special diet Swimming, diving Strenuous activity Other I have examined the person herein described and have reviewed the health history. It is my opinion that this child is physically able to engage in program activities except as noted above. Date Examining Physician Phone Address Please return to: Camp Registrar, YMCA of Greater Westfield, 67 Court Street, Westfield, MA Court Street Westfield, MA Tel:

11 Our Promise Dear Camp Families, Ever since the 1950 s, Camp Shepard has held your children in the highest regard. We feel extremely honored to be able to help mold and shape their childhood memories. Not only do we strive to provide the ultimate day camp experience, we also make the safety of your campers our number one priority. Camp Shepard has continuously ranked as one of the best YMCA summer day camps in the nation. Our goal is to constantly uphold the highest standards of day camping in order to provide a positive experience for children. Through our counselors and day camp staff that are second to none, we take pride knowing that your children will spend each day at Camp Shepard having the best summer of their lives. We look forward to getting to know you more and creating an unforgettable summer for your family. Thank you for entrusting us with your most prized possessions. From our family to yours, The Camp Shepard Staff Registration Checklist Fill out both sides of the day camp registration form completely and neatly (one per child). Please be sure to check appropriate camp session, identify bus stops, pre camp or post camp and sign the permission slip. Mail or bring in this registration form. Include the non-refundable and non-transferable deposit of $50 per camper, per session. Application will not be accepted without deposit. Mail forms to the YMCA of Greater Westfield 67 Court Street Westfield, MA ATTN: Camp Registrar Once we receive your completed registration form we will send you a confirmation letter and camper packet via mail. Return all health exam forms and waivers to the YMCA of Greater Westfield. Health exam forms must be completed in full. To be valid the health exam form must be dated within the past two years of camper s last day of attendance in 2016 and signed by a physician. Campers will not be able to attend if full payment and health exam forms are not received at least the Thursday prior to the start of the camp session. All of the above steps must be completed to avoid camper registration delays and problems Court Street Westfield, MA Tel:

12 Call or the Camp Director today to schedule a tour of our beautiful facility or camp@westfieldymca.org I m so happy my son has a place that is safe to explore the outdoors and get dirty and be a kid. Non-Prot Org. U.S. Postage PAID Westfield, MA Permit #50 YMCA OF GREATER WESTFIELD 67 Court Street, Westfield, MA Tel: Web: My son is about 5 and a half years old and before this experience, he was very shy about trying new things and making new friends. The day he started camp, he told me he was only going to go for two weeks and quit because he just knew he wasn t going to like it! He ended up staying for 8 weeks because he loved the kids, the staff, and all of the things that he learned at Camp Shepard, especially archery.

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