WHAT SUMMERS MADE OF ARE. June 24 - August 23 Registration begins Jan. 2! CAMP YMCA AT RIDER UNIVERSITY SUMMER 2019

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WHAT SUMMERS ARE MADE OF CAMP YMCA AT RIDER UNIVERSITY SUMMER 2019 LOCATED WITH CONVENIENT ACCESS TO RT. 206, RT. 1, I-95 & I-295 June 24 - August 23 Registration begins Jan. 2! www.yridercamp.org

What SUMMERS Are Made Of 2019 CAMP YMCA AT RIDER June 24 - August 23 What kind of place is Camp YMCA at Rider? It s a place where children make memories that last a lifetime. It s a place where children are challenged to learn and explore. It s a place where children are surrounded by positive role models. And, as with all YMCA programs, it s a place where we strive for excellence each and every day. Summer Camp 2019 Entering Kindergarten through Entering 8th grade 7:30 am to 6:00 pm Full Day Rates Only January 1st to March 31st $200 per week Starting April 1st $235 per week We re raising the BAR at Camp YMCA at Rider. Belonging. Achievement. Relationships That s What Summers Are Made Of. When you send your child to Camp YMCA at Rider, you can count on your child experiencing what summers are made of. BELONGING We are here to make kids feel welcome, feel comfortable being themselves and know they are part of something great. ACHIEVEMENT We surround your children with fantastic chances to try new experiences. We show them what they can achieve when they believe in themselves. RELATIONSHIPS We are here to inspire children to work and play together, creating friendships that will last a lifetime. Summer Camp Features: Academic Enrichment Arts & Crafts Field Trips Sports STEM Swimming For more information or to apply, contact Victoria Gist 609.599.9622, ext. 218 or vgist@capitalymca.org. FIELD TRIPS Additional fees may apply. FEES: Weekly cost includes lunch and Before/After Care at no additional cost. Registration fee $35 per child (nonrefundable, one-time fee). Program Membership ($20 per youth) is required and must remain current through the duration of the program. Tuition includes lunch. Discount of 10% for each additional child on tuition only; this discount does not apply to fees. www.yridercamp.org We do not offer partial or prorated week options. 2

Raising the BAR Belonging. Achievement. Relationships. THAT S WHAT SUMMERS ARE MADE OF. Theme Weeks A Typical Day at Camp YMCA at Rider We are planning many fun small and large group activities. The schedule will keep the campers interested, engaged and energized throughout the day, but don t be surprised if they come home tired! 7:30 to 8:30 am Before Care (Campers should arrive by 8:30 am) 8:30 to 8:45 am Opening Ceremony 9:00 to 9:20 am Small Group Meeting 9:30 to 10:30 am Swimming 10:45 to 11:45 am Academic Enrichment/Reading Round Up 12:00 to 1:00 pm Lunch 1:15 to 2:00 pm Tennis 2:15 to 3:00 pm Theme Week Activity 3:15 to 4:00 pm Arts & Crafts 4:15 to 5:00 pm Super Science 5:00 to 6:00 pm After Care This is a sample schedule and is subject to change. Week One (June 24-28) Bienvenidos! A fun week of ice breakers and team building. Week Two (July 1-5*) Our Country Tis of Thee Campers will learn fun facts about the history of our nation while making special art projects and taking trips to local historic landmarks and sites. (*Closed July 4 & 5.) Week Three (July 8-12) Super Science Week Campers will engage in science-themed games, experiments, and science lab. Did somebody say Let s make a mess? Week Four (July 15-19) CSI Week Campers will learn how to follow clues to unmask the secrets of our greatest mysteries. Week Five (July 22-26) Culture Week Learn more about world cultures and traditions and the history that makes us all unique. Week Six (July 29-August 2) Team Spirit Week Campers show team pride, share their chants, and support/compete in team challenges. Week Seven (August 5-9) Let s go Camping Get the outdoor experience by learning to pitch a tent and survival tactics. Somebody bring the marshmallows! Week Eight (August 12-16) Storytellers Campers become a character in a book or an author. They will have a ball acting out their favorite chapters! Parents are invited on Friday for a special afternoon performance. Week Nine (August 19-23) Bon Voyage Special activities to capture memorable moments. Final camp trip! 3

2019 CAMP YMCA AT RIDER Lunch Program A variety of meal options will be available to all campers providing them with a healthy and delicious lunch. Academic Enrichment The Y recognizes that while camp gives children an opportunity to gain new skills and perspectives through experiences, it is also an opportunity to advance their love of academic learning. Everyday campers will have specific time set aside for reading and fun academic games that will increase their self-confidence and build on the skills they obtained the previous academic year. Contact Us For more information or to apply, contact Victoria Gist 609.599.9622, ext. 218 or vgist@capitalymca.org. Registration Registration begins January 2, 2019 www.yridercamp.org Pennington 31 LAWRENCEVILLE 206 Princeton 95 1 Quaker Bridge Mall Stay Informed Follow us on FACEBOOK and OPT IN FOR TEXT UPDATES (text YCamp to 41411) for parent updates. 31 Ewing 206 1 Everyone is welcome at the YMCA. Trenton Hamilton Financial assistance is available*. The YMCA is a leading charitable 501(c)3 organization. Help us help others with a tax-deductible donation. * Financial Aid Applications must be submitted by April 29, 2019. 4

Summer Camp 2019 Registration Form After April 1st, higher fee applies. See payment schedule below. 1 1 Camper s Full Name (one form per camper please print clearly) Grade Entering September 2019 2 Please clearly check or highlight in the appropriate box to indicate the camp you would like to select for your child. All camps are based on grade child is entering in September 2019, except where otherwise noted. Please review your selections carefully. Fees listed indicate the cost per session for camps, to be paid in full on or before March 31, 2019. Traditional Camps Traditional Camps Entering Pioneers Entering Pioneers K-2 K-2 Week 1 6/24-6/28 Week 2* 2* Week Week 3 3 Week Week 4 4 Week 5 Week Week 5 6 Week Week 6 7 7/1-7/5 7/8-7/127/15-7/19 7/15-7/19 7/22-7/26 7/22-7/26 7/29-8/2 7/29-8/2 8/5-8/9 *Closed July July 4&5 4&5 Week Week 78 8/5-8/9 8/12-8/16 Week9 8 8/12-8/16 8/19-8/23 Week 8/19-8/ Explorers Explorers 3 Pathfinders Pathfinders Entering Entering 3-5 3-5 Entering 6-8 Entering 6-8 How are you getting to and from camp? This Form Must Be Completed For Each Camper Camper s Name This Form Must Be Completed For Each Camper TRANSPORTATION MUST BE SELECTED AT THE TIME OF REGISTRATION Campers must have the same bus stop location for both pickup and drop off Transportation fee: $25 per week additional am/pm; $15 per week one way TRANSPORTATION A minimum of 5 campers MUST is BE needed SELECTED for each AT bus THE stop TIME or it OF will REGISTRATION be excluded from the route Campers FYI: There must will have NOT the be any same YMCA bus supervision stop location any for of both the bus pickup stops and drop off Transportation Please allow a fee: 7 minute $25 grace per week period additional (before & after am/pm; all times) $15 per week one way A minimum Transportation of 5 campers fees are due is needed by June 17 for th each and are bus non-refundable stop or it will be excluded from the route FYI: There will NOT be any YMCA supervision at any of the bus stops Please check your transportation/bus stop selection: Please allow a 7 minute grace period (before & after all times) All times reflect departure and arrivals. Transportation fees are due by June 17 Westminster Church, 1140 Greenwood Avenue th and are non-refundable 7:00 am pickup 6:00 pm drop off Both (Round Trip) Camper s Name Please Washington check your Elementary transportation/bus School, Chestnut stop Ave side selection: 7:15 am pickup 5:50 pm drop off Both All times reflect departure and arrivals. Trenton High West, West State Street 7:30 am pickup 5:35 pm drop off Both Westminster Church, 1140 Greenwood Avenue 7:00 am pickup 6:00 pm drop off MLK Elementary School, 400 Brunswick Avenue 7:45 am pickup 5:25 pm drop off Both Both (Round Trip) Washington Elementary School, Chestnut Ave side Moody Park, Parkside Avenue side 7:15 am pickup 5:50 pm drop off 8:00 am pickup 5:15 pm drop off Both Both Trenton Lawrence High Shopping West, West Center State rear parking Street lot near Princeton Pike 8:15 am 7:30 pickup am pickup 5:05 pm drop 5:35 off pm drop Both off Both MLK Elementary School, 400 Brunswick Avenue 7:45 am pickup 5:25 pm drop off Both Round Trip fee $25.00 X # of weeks = $ (This amount is Line G below. Payment due by June 17th) Moody One Way Park, fee Parkside $15.00 X Avenue # of weeks side = $ 8:00 am pickup 5:15 pm drop off Both My child does not need bus transportation (Initial Here) Lawrence Shopping Center rear parking lot near Princeton Pike 8:15 am pickup 5:05 pm drop off Both Round Trip fee $25.00 X # of weeks = $ (This amount is Line G below. Payment due by June 17th) 5

Summer Camp 2019 Registration Form, continued 4 Shirt Size (circle size) YS YM YL S M L XL Campers must wear their 2019 camp T-shirt daily. Campers will receive one complimentary shirt for the summer. Additional shirts may be purchased for $7 per shirt. Medical & Shot Records New Jersey State law requires us to collect proof of current immunization and physical as well as known allergies and medications. This year Camp YMCA at Rider will collect required documents through a secure HIPAA compliant portal. The portal will be available in late Winter. Parents will be notified by email and a link to the portal will be on our website www.yridercamp.org. Records should be submitted no later than June 1, 2019. Initial Here to acknowledge understanding this requirement. 5 Balance Due Dates Early Bird Rate total balance due... March 31, 2019 Standard Rate balance due Weeks 1, 2 and 3... May 5, 2019 Weeks 4 and 5... May 21, 2019 Weeks 6 and 7... June 4, 2019 Weeks 8 and 9... June 18, 2019 Payment (A) WEEKLY RATE TOTAL: Number of weeks enrolled X $235 per week = $ CALCULATE THE BALANCE DUE AT REGISTRATION (B) DEPOSIT: Number of weeks enrolled X $25/week = $ (C) $35 Registration Fee >> $ 35 (D) $20 Program Membership Fee (for new and soon-expiring) >> $ 20 (E) Total Due at Registration >> B + C + D = $ AMOUNT DUE BY THE BALANCE DUE DATES DUE BY JUNE 18 (F) Total Balance Due (see schedule on previous page): Total Weeks (A) Weekly Deposit Paid at Registration (B) = $ (G) Transportation fee (total from transportation chart on page 5) due by June 17 = $ NOTE: Camp Tuition does not include weekly field trips. This will be billed separately at least two weeks in advance. Office Use Only Check # Deposit Only Full Payment Credit Card # CID# Card Holder s Name (print) Signature Exp. Date Please keep my credit card information on file. I authorize the Capital Area YMCA to charge my card by for any remaining balances. Parent/Guardian Initials 6

This form MUST be submitted with all Registration Forms. SUMMER CAMP 2019 POLICIES NO CHILD WILL BE ADMITTED INTO CAMP UNLESS ALL PAPERWORK HAS BEEN COMPLETED IN FULL Camper s Name Date of Birth Phone Numbers (H) - - (C) - - (W) - - Street Address City State Zip Mother s Name Date of Birth Mother s Name Date of Birth Email Address (MANDATORY FOR CAMP NEWSLETTERS, PLEASE PRINT CLEARLY) @. PLEASE INITIAL EACH ITEM BELOW: A $35 non-refundable/non-transferable registration fee as well as deposit per camp week, per child, must accompany each registration. The deposit is applied to the weekly tuition fee. Refund Policy: Camp YMCA at Rider will refund payment, less the deposit, if cancellation is made within 7 days of the camp week beginning. No refunds will be given after this point. In case of illness or health related incidents, refund requests should be submitted accompanied by a doctor s note. All refunds are subject to director s approval only and are never guaranteed. I understand that in the case that my child is suspended and/or expelled from camp, there will be NO refund of camp fees for the period in concern. Bi-weekly payments are due in full according to the payment schedule. A $15 late fee will be assessed after the payment due date, no exceptions will be made. Prior to the start of camp, I promise to read and fully understand the 2019 Day Camp Parent Handbook. Financial Assistance is offered when funds are available, and is on a first come first serve basis only. I understand that more information and applications can be found at the YMCA Welcome Center. Financial assistance paperwork must be submitted by April 29, 2019. To the best of my knowledge, all of the information I have shared in this packet is correct and accurate for the above named camper. I understand I must complete the registration form, including emergency contact, mandatory child care subsidy information form (if applicable), camper release authorization form, medical records and shot records, in full, one packet per child. Third party subsidy payment participants must also complete and sign the payment agreement form. I agree to apply sunscreen to my child before the start of each and every camp day. I also give permission for my child s counselor (up to age 6) to apply sunscreen as needed throughout the day. Please label your child s sunscreen. I grant permission for my child to be transported to weekly planned field trips. I also give permission for my child to attend unscheduled group walking trips. I give permission for my child s image, photograph, or other reproduction to be taken without reimbursement for the sole purpose of advertising the YMCA programs for things such as camp brochures, camp newsletters, and public media. I understand that no personally identifying information will be publicized without my consent. All campers must have photo on file in YMCA database. Picture to be taken prior to start of camp. I give permission for my child to participate in recreational/instructional onsite swimming as part of the YMCA DAY CAMP program. My child s swimming ability is that of (check one) non-swimmer beginning swimmer deep end swimmer. I understand that my child will be taking part in recreational swim time. I also understand that ALL children will be swim tested before entering the pool. NO CHILD WILL BE ADMITTED INTO CAMP UNLESS ALL PAPERWORK HAS BEEN COMPLETED IN FULL I have read, understand and will abide by the above policies. I have retained a copy for my records. Parent/Guardian Name Parent/Guardian Signature Date 7

This form MUST be submitted with all Registration Forms. SUMMER CAMP REGISTRATION FORM Camper s Name Date of Birth Street Address Mother s Name/Legal Guardian Grade Entering Sep-2019 Home Phone Name of School Sep-2019 Address Email Address Business Phone Cell Phone Father s Name/Legal Guardian Home Phone Address Email Address Business Phone Cell Phone Emergency Contact Person(s) Name Phone Number, When Child is in Care Name Of Child s Physician/Medical Care Phone Number Address Special Disabilities (if any) Medical or Dietary Information Necessary In An Emergency Allergies (Including Medication Reaction) Medication, Special Conditions Additional Information On Special Needs Of Child Health Insurance Coverage For Child Or Medical Assistance Benefits Policy Number (Required) PARENT S SIGNATURE IS REQUIRED FOR EACH ITEM BELOW TO INDICATE PARENTAL CONSENT OBTAINING EMERGENCY MEDICAL CARE ADMIN. OF MINOR FIRST-AID PROCEDURES WALKS AND TRIPS ONSITE SWIMMING TRANSPORTATION TO CAPITAL AREA YMCA FOR BOATING/PERIODIC SPECIAL ACTIVITIES PHYSICAL ACTIVITY (INDOOR/OUTDOOR) Parent/Guardian Name Parent/Guardian Signature Date 8

This form MUST be submitted with all Registration Forms. 2019 CAMPER RELEASE AUTHORIZATION FORM AUTHORIZED PICK-UP PERSONS Please list below the individuals who will be picking up your child if you are not availbale for pickup. Camper s Name Parent/Legal Guardian s Name The people listed below MUST PRESENT A VALID PHOTO ID Authorized #1 Name Home Phone - - Address City State Zip Cell Phone - - Relationship to Camper Authorized #2 Name Home Phone - - Address City State Zip Cell Phone - - Relationship to Camper Authorized #3 Name Home Phone - - Address City State Zip Cell Phone - - Relationship to Camper Authorized #4 Name Home Phone - - Address City State Zip Cell Phone - - Relationship to Camper Parent/Guardian Name Parent/Guardian Signature Date 9

CAPITAL AREA YMCA 431 Pennington Ave. Trenton, NJ 08618 WHAT SUMMERS ARE MADE OF CAMP YMCA AT RIDER UNIVERSITY SUMMER 2019 We re raising the BAR at Camp YMCA at Rider. Belonging. Achievement. Relationships. That s What Summers Are Made Of. June 24 - August 23 Registration begins Jan. 2! www.yridercamp.org