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FOOTHILLS AREA YMCA FOOTHILLS AREA YMCA Offering 2 camp locations Seneca, SC & Walhalla, SC Early Registration: March 6 April 6, 2018 $40 per single camper $60 per family FOR MORE INFORMATION: Shannon Cobb, Child Care Director 864-962-4049 ext. 502 asc@y4all.org

OUR MISSION AND GOALS FOR SUMMER DAY CAMP Our goal is to provide a safe, stimulating and fun environment for children in grades 4K 10th grade. We incorporate in our activities the basic Christian values: Honesty, Responsibility, Respect, and Caring. We do so through activities like field trips, silly camp songs, organized games, crafts, and so much more! Each day is designed to enhance the lives of the children in our programs. We believe creativity and activity are the key to a fun and successful summer! OUR COUNSELORS AND STAFF YMCA Camp Counselors are a carefully selected group of individuals who are enthusiastic and demonstrate a love and an ability to work with children. They have a passion for serving others, and working at camp and building great relationships with all of the campers. The YMCA counselors are fully trained to do the best job possible. We are committed to a thorough recruitment process, which includes comprehensive training and background checks. Your camper is in good hands. 2018 SUMMER CAMP LOCATIONS Gignilliat Conservatory North Townville Street. 101 E. North Broad Street Seneca, SC 29678 Walhalla, SC 29691 E: camp@y4all.org E:walcamp@y4all.org P: 864-962-4049 ext. 502 P: 864-962-4049 ext. 502 Program Hours Monday through Friday 7:30 am-5:30 pm REGISTRATION INFORMATION Registration FEE: $50 per camper/ $75 per family WEEKLY NON REFUNDABLE DEPOSIT $20.00 deposit per child is required for each week attending. This deposit holds the spot for the camper. WE DO NOT refund deposits. All weeks are on a 1st come first serve basis. Member Price $115/Wk each add. Child $100/wk $100/Wk each add. Child $85/wk TAG & T-SHIRT Week Tags and t-shirts can be picked up at the main office (601 N. Townville St, Seneca) May 21-25, 2018 between 9am-12 or 1-5pm. WEEKLY RATES 4K Rising 7th Rising 8th-10th $70/Wk each add. Child $55/wk $60/Wk each add. Child $45/wk FINANCIAL ASSISTANCE: A limited number of financial assistance is available. Please complete the application available at the main office s front desk (621 N. Townville Street Seneca, SC), or on our website (www.foothillsymca.net). Allow 2-4 weeks for processing prior to the first day of enrollment. Financial assistance contracts are due prior to attending. Visit www. Foothillsymca.net to download PARENT HANDBOOK, SCHOLARSHIP APPLICATIONS & MORE. CAMP O.N.E.O.T SCHEDULE 2018 Week Date Theme Activities 1 June 4-8 We Are Family Children s Museum 2 June 11-15 Wacky & Wonderful TBD 3 June 18-22 Animal Planet Greenville Zoo 4 June25-29 Mad Scientist Camp Out 5 July 2-6 Fun & Fitness O.N.E.O.T Olympics 6 July 9-13 Under The Sea Discover Island Water Park 7 July 16-20 Survivor Camp Out 8 July 23-27 Party In The USA TBD 9 July 30-Aug. 3 To The Extreme Pool Party 10 Aug. 6-10 Camp Rewind TBD *Both camps are authorized to participate in the camp over nighters on the scheduled Thursday Nights. Campers who camp out on Thursday Night s are unable to attend camp the following day.

PARTICIPANT INFORMATION Child s Name School Grade Fall 2018 Birth Date School Ethnicity Mailing Address City Zip Home Phone T-Shirt Size Male Female PARENT/GUARDIAN Name Home Address City Zip Place of Employment Email Home Phone Work Phone Mobile Phone OTHER PERSONS AUTHORIZED TO PICK UP CHILD CAMP ENROLLMENT & LOCATION GIGNILLIAT CONSERVATORY Registration Date YMCA Member: Yes No Grade (entering in August 2018) Camp Enrollment: (Select Weeks) Week Date Theme Activities _1 June 4-8 We Are Family Children s Museum _2 June 11-15 Wacky & Wonderful TBD _3 June 18-22 Animal Planet Greenville Zoo _4 June25-29 Mad Scientist Camp Out _5 July 2-6 Fun & Fitness O.N.E.O.T Olympics _6 July 9-13 Under The Sea Discover Island Water Park _7 July 16-20 Survivor Camp Out _8 July 23-27 Party In The USA TBD _9 July 30-Aug. 3 To The Extreme Pool Party _10 Aug. 6-10 Camp Rewind TBD ENROLLMENT AGREEMENT (INITIAL EACH) medical personnel to provide the necessary rst aid and/ or hospitalization. I give consent for my child to be transported by YMCA staff in YMCA vehicles or an activity buses for eld trips. program from full & complete liability, claim of injury or damage sustained by my child resulting from participation in this program. My child is in proper physical condition to participate in this program. I would rate my child's swimming level as (circle): Beginner Intermediate Advanced I understand that weekly fees are not prorated for any reason. Any student who have not paid PRIOR to attending will NOT be authorized to be dropped off at the camp site. Please ensure that payment is received PRIOR to attempting to drop off your camper. I understand that I will be issued a hang tag for dismissal of my child)(ren). The hand tag issued will allow access to my child. It is my responsibility to maintain ownership of this hang tag and report immediately if the tag has gone missing or has been stolen from the owner. If the parent or guardian CAN NOT present the hang tag at pick up the parent/guardian must report to the Camp Director with ID for your child(ren) to be released.

Child s Full Name Age Height Weight Hair Color Eye Color Primary Care Physician Phone # Dentist Phone # Does your child have any allergies to food, medications or insect bites? If so, what are the allergies and what are the treatments for them? Does your child carry this treatment with him/her? Yes No Does the YMCA staff have permission to administer treatment if an allergic reaction occurs? Yes No Is your child currently taking any medications? Yes No Name of Medication (s): Dosage: Time to Administer: Instructions to Administer Medication: *Any medication that needs to be administered must be given to the YMCA staff prior to your child attending *Any medicine that needs to be administered must be in the original packaging. Medical History: Please include any information that would affect diagnosis or treatment, such as diabetes, seizure disorders, injuries, etc. Does your child have any specialized needs? Yes No If yes, what are they? Are there any special accommodations that we need to make for your child? MEDICAL INSURANCE INFORMATION Company Address Phone Policy # Group # Policy Holder Name Parent/Guardian Signature Date