BEST SUMMER EVER Camp Thundermoon 2017 NEW BRITAIN-BERLIN YMCA

BEST SUMMER EVER Camp Thundermoon 2017 NEW BRITAIN-BERLIN YMCA

WELCOME TO CAMP THUNDERMOON! Where our days are filled with great opportunities for friendship, learning, and FUN! Our focus for fun is within three key areas: Spirit (the Arts), Mind (Science/ Reading), and Body (Health/Wellness). In addition we strive to instill the YMCA areas of focus: Youth Development, Healthy Living, and Social Responsibility. There s nothing like a Y camp! At Camp Thundermoon kids are provided a safe environment, positive role models, and memories to last a lifetime. When you count on us, you can count on the best summer EVER for your child! Welcome to Camp Thundermoon BOOM!!!

ABOUT CAMP THUNDERMOON GENERAL INFORMATION Camp Thundermoon is held at the beautiful Mooreland Hill School campus in Kensington, CT. Our camp program will utilize various areas of the campus including indoor/outdoor spaces and full use of the athletic fields behind the building. There are lots of great spaces that allow for enhanced summer camp activities including a science lab and an arts & crafts building. No Y membership required, open to all! HOW DOES CAMP WORK? We group our campers into three different units based on age. Each unit is assigned a director and at least one counselor who oversee the group. We strive to maintain a ratio of campers to counselors that meets or exceeds the State of CT regulations. Our camp is a drop-off and pick-up program in Berlin. New Britain families have the option of bus transportation for an additional fee. ACTIVITIES Campers will participate in a variety of fun and age appropriate activities, all based around the weekly theme. Our focus for fun is within three key areas of Spirit (the Arts), Mind (Science/Reading), and Body (Health/Wellness). SWIMMING & MORE AT OUR Y FACILITY Each Unit will visit the New Britain YMCA facility to swim twice a week (Monday through Thursday). Bus transportation is provided and will leave camp by 9:30 AM on swim days. Swim time includes group swim lessons and free swim time. Campers will also enjoy organized gym games and will get to use the indoor rock wall. All activities are supervised by Camp Staff, certified Rock Wall Staff, and certified Lifeguards. Campers will return to camp by 12:30 PM to have lunch and enjoy the rest of the afternoon activities. FIELD TRIPS Field trips are a great addition to our camp program. Every other session will include an exciting field trip that goes along with the weekly theme. Field trips are always on the Friday of a field trip week. A detailed permission slip will be sent home with campers at the beginning of that session. Field trip fees are included in the weekly camp fee. During the non-field trip weeks, we ll have a camp show for friends and family to enjoy, and/or an all camp activity! NEW! Express Registration Day March 4, 2017 9:00 a.m. to 12:00 p.m. at the Berlin YMCA 362 Main Street, Berlin Early registration discounts available! See registration info for details. 2017 CAMP THUNDERMOON SESSION THEMES Week 1 June 19 - June 23 All About Me *Week 2 June 26- June 30 Fun Through the Decades Week 3 July 3- July 7 Holiday Hoopla No Camp July 4th *Week 4 July 10- July 14 Got Talent? Week 5 July 17 - July 21 Wild, Wild West *Week 6 July 24 - July 28 Superhero Spectacular Week 7 July 31 - August 4 Let's Rock! *Week 8 August 7- August 11 Around the World Week 9 August 14- August 18 Thundermoon Madness Week 10 August 21- August 25 Surprise! * indicates a field trip week

CAMP GROUPS TRADITIONAL & EXTENDED CAMP LIGHTNING - ENTERING GRADE K-1 These campers will be engaged in creative, age appropriate activities based around the weekly camp theme. Focus points will include listening and following directions, sharing and cooperative play and having fun! The Lightning unit is a fantastic way to introduce your child to a full day-camp program. Ratio: 9 Campers to 1 Staff Member THUNDER - ENTERING GRADES 2-3 Campers in the Thunder unit will enjoy a variety of age appropriate experiences with traditional hands-on camp activities that are based around the weekly camp theme. These campers will focus on personal growth and allow for friendship building. Ratio: 12 Campers to 1 Staff Member HURRICANES - ENTERING GRADES 4-5 In this unit, campers will experience a variety of fun, traditional camp activities that are based around the weekly camp theme allowing for independent learning, social development, confidence building and continued fun. Ratio: 12 Campers to 1 Staff Member TEEN X-TREME - ENTERING GRADES 6-8 Teen X-Treme is a great summer experience for teens where each day brings something new. Campers will learn to communicate and work together as a team by participating in a variety of camp activities based around the weekly theme. Teen X-Treme will also travel to the YMCA in New Britain or Berlin, or locally for a specialized activity each week to get the full teen camper experience! Ratio: 12 Campers to 1 Staff Member Camp Fees: 155 per week for Traditional Camp (9:00am-3:00pm) 20 per week for Extended Before Camp Care (7:00-9:00am) 30 per week for Extended After Camp Care (3:00-6:00pm) 40 per week Extended Before + After Camp Care EXTENDED CAMP Extended Camp (Before/After Camp Care) is an option we are offering for parents who need care either before camp starts, after it ends, or both. Please be sure to check the appropriate boxes on your campers registration form to ensure we are fully staffed and expecting your camper. Extended PM Camp Care includes an afternoon snack for your camper, in addition to lots of games, activities and more fun spending time with friends! Extended Care Options/Fees: 20 per week for Extended Before Camp Care (7:00-9:00am) 30 per week for Extended After Camp Care (3:00-6:00pm) 40 per week Extended Before + After Camp Care THUNDERMOON LEADERS CLUB (TLC) TEENS ENTERING GRADES 8-10 Thundermoon Leaders Club provides teens with opportunities for leadership training, personal growth, social development and service to others. The camp day will consist of a mixture of leadership and teambuilding activities, along with daily and active volunteering in camp or within the Y community. Participants will assist Directors and counselors in the daily duties, complete service learning projects and help run camp events. Volunteer hours can be used towards school/church requirements. A camp staff member will provide support and guidance throughout the length of the program. Space is limited to 10 campers per week. Traditional TLC Runs from 9am-3pm and is 75 per week Before and After Camp Care is available for an additional fee.

SPECIALTY CAMPS TRADITIONAL & EXTENDED Specialty Camp Fees: Specialty Camp (9:00am-3:00pm) - 185 per week Before Camp Care (7:00-9:00 am) - add on 20 per week After Camp Care (3:00-6:00pm) - add on 30 per week Both Before + After Camp Care - add on 40 per week SPORTS CAMP Camp Thundermoon s Sports Camp is for boys & girls in grades 1-6 and will focus on skill instruction, drills and game experience. Campers will focus on the sport during the morning and get to enjoy traditional camp activities in the afternoon. Week 1: June 19-23 Baseball/Tball (Gr.1-3) *Week 2: June 26 June 30 Baseball (Grades 4-6) Week 4: July 10-July 14 Basketball (Grades 1-3) *Week 5: July 17-July 21 Basketball (Grades 4-6) Week 6: July 24-July 28 Soccer (Grades 1-3) *Week 7: July 31-Aug. 4 Soccer (Grades 4-6) *The weeks of sports camp for Grades 4-6 will feature a game vs. Mountain Mist Sports Camp. Details will be given during that camp week. DANCE CAMP Learn to dance like a pop star while incorporating different types of dance including jazz, hip hop and more in this high energy camp. Designed for campers who love music and being active. Emphasis is on energy, rhythm and attitude. No prior dance experience required. Week 5: July 17 July 21 - Grades 3 through 7 THUNDERMOON BUILDERS CAMP Calling all campers that love to build...this camp s for YOU! Come learn what it s like to be an real Engineer and let your imagination soar! Spend the day building different creations using a variety of materials such as Lego products, wood pieces, cardboard, and more! Campers will focus on their building skills during the morning and enjoy traditional camp activities in the afternoon. Week 2: June 26 June 30 Grades 1 to 3 Week 4: July 10-14 Grades 4-6 GLAM GIRL CAMP Designed for girls who want to kick back at camp and do things that only girls LOVE! Come join us for a week of action packed activities including manicures & pedicures, facials, learning how to do different hair styles and designing your very own outfit, just like a fashion designer! Emphasis on self confidence, self esteem, and having FUN! Week 3: July 3 -July 7 -Grades 2-4 (No Camp 7/4) Week 6: July 24 July 28 Grades 5-8 CAMP OPEN HOUSE DATES: Sat. May 20th 10:00 AM -1:00 PM Thurs. June 8th 5:00 PM - 8:00 PM Take a tour, answer your camp questions and register on site! Held at Mooreland Hill School, 166 Lincoln St. in Kensington, CT. CAMP REGISTRATION NIGHTS: Thurs. May 4th & Thurs. May 25th 5:00-8:00pm Held at the Berlin YMCA, 362 Main St. Berlin.

SPECIALTY CAMPS Art and STEM Camps Specialty Camp Fees: Specialty Camp (9:00am-3:00pm) - 185 per week Before Camp Care (7:00-9:00 am) - add on 20 per week After Camp Care (3:00-6:00pm) - add on 30 per week Both Before + After Camp Care - add on 40 per week MUSICAL THEATER CAMP Week 4: July 10-14 (Grades 5-8) Have a camper that loves to act, dance, and sing? Come join our first ever Musical Theater Camp this summer! No experience required. Join the ensemble for the performance of Bugsy Malone Jr. in collaboration with our friends at the Meriden Y s Mountain Mist Day Camp. Campers will receive two hours of specialized instruction/rehearsal each day, along with enjoying the rest of the normal camp day activities. Participants in this specialty camp do not go swimming. At the end of the session, campers will travel by bus to Mountain Mist Day Camp in Meriden for dress rehearsal. Show performances will be held the evenings of July 13 th and July 14 th at Mountain Mist Day Camp. (transportation will not be provided for shows). Performing in both shows is strongly encouraged, but not mandatory. STEM CAMPS Ages 9 14 years old. STEM Challenges Week 3 July 3-7 (no camp on July 4). Students will deepen their understanding of STEM (Science, Technology, Engineering and Math). Fun and engaging learning experiences will include daily STEM challenges, take away projects and lots of interaction with the camp environment. Come join us for a session full of fun and engaging hands-on experiences! Robotics Week 6 July 24-28 Students will deepen their understanding of basic computer science and basic robotics. Fun and engaging learning experiences may include making Bristlebots, Sphero Robotics Labs, Coding Ozobots, an introduction to block coding and exciting design challenges that apply new learning. Each camper will make and take their own Bristlebot. Come join us for our first Robotics Camp at Camp Thundermoon! ART CAMP For campers who just can t get enough of arts & crafts.this specialty camp is for YOU! Come explore a variety of fun and creative drawing and painting techniques, using various media. Campers will learn skills to help draw from observation and from their imagination as they investigate relationships between line forms, perspective, texture and color. Week 7 -July 31-August 4 (Grades 2-4) Week 8 August 7-11 (Grades 5-8)

PARENT/GUARDIAN INFORMATION Registration Perks: No Y Membership required. 10% discount per week for 2 nd child or more. Early registration discounts during March & April. Register for all 10 weeks and pay in FULL at the time of registration and receive 10% off your total camp fees. Register for the camp lawn sign program and receive 20 off for one session. Must complete form at time of registration. Discount available until April 30th only. Field Trips included in the Camp Fees for Weeks 2, 4, 6, 8. CAMP FUN FEE Camp Thundermoon requires a one-time Camp Fun Fee of 10 per camper to be paid annually at the time of registration. 100% of this annual fee is invested into the camp for specific program improvements for the following summer. NEED HELP TO AFFORD CAMP? Every child should experience the life-changing fun of summer camp. Our YMCA offers financial assistance to those who need help to afford camp. For those who are in need of Financial Aid, you must apply before registering for camp. We require families to apply for the state funded Care 4 Kids program first, before applying for Financial Aid through the Y. Applications are available at the YMCA in New Britain or Berlin or www.nbbymca.org *No new Financial Aid applications will be accepted after June 19, 2017. HOW TO REGISTER FOR CAMP? NEW! Now offering New Britain families transportation to & from camp! Choose one of the set bus stops below and have your camper there and ready for when the bus arrives. Destination... CAMP THUNDERMOON! Campers in grades K-3 are required to have a parent waiting for them at drop off at the end of the camp day. Fee is 10/week per camper. Bus Bus stop Pickup Drop off Gold New Britain YMCA 8:30am 3:30pm Moon 50 High St. (front of building) Blue Diloreto Magnet 8:15am 4:00pm Moon Orange Moon School Roosevelt School 8:45am 3:15pm To register please complete one camp registration form per camper. Each camper needs a Camp Medical Form completed and signed by their primary physician per State of Connecticut camp licensing requirements. Medical forms MUST be received prior to the child s first day of camp. Physicals are valid for 3 years from the date received. Campers with medical needs or who need medication during their time at camp are required to have an Administration of Medication form completed and signed by their primary physician. This form must be returned to the Camp First Aid Director before or on the child s first day of camp. All medications must be given to the Camp First Aid Director on the first day of camp for the child, and will be returned at the conclusion of their time at camp. Medications must be labeled with the original prescription label (or hand written label if over-counter) and be in its original packaging. All Medical paperwork can be faxed to the Berlin Y office (860) 828-7830. All Camp Forms are printable from our website www.nbbymca.org Like us on FACEBOOK facebook.com/ymcacampthundermoon

Registration Locations: New Britain YMCA 50 High St., New Britain (860) 229-3787 Berlin YMCA 362 Main St., Berlin (860) 357-2717 REGISTRATION DETAILS If registering for 1 week of camp FULL payment is required at the time of registration (plus the one-time 10 Camp Fun Fee). Cash, Check, Credit/Debit accepted. If registering for multiple weeks of camp you have two payment options: Option 1: Payment in FULL at the time of registration (plus the onetime 10 Camp Fun Fee). Option 2: A 10 (Non-refundable/Non-transferrable) deposit is required for each week of camp. Then the remaining balance MUST be set-up on AUTO-DRAFT, using a credit/debit card. Payments are due to be paid in FULL no later than the Monday before the start of a new camp week. *Please be advised: There is a 20 switching fee for changing the weeks of a child s camp registration after the initial registration. Requests will be honored only if space permits. At least 1 week s notice is required for all cancellations. Upon cancellation, a system credit (minus the Camp Fun Fee) will be given for any camp fees paid. The credit can be used towards any future YMCA program. Camp fees WILL NOT be refunded for absence, failure to attend camp while enrolled, delayed attendance, or dismissal from camp. PAYMENT DUE DATES: Week 1 Full payment due by June 12 Week 2 Full payment due by June 19 Week 3...Full payment due by June 26 Week 4 Full payment due by July 3 Week 5 Full payment due by July 10 Week 6...Full payment due by July 17 Week 7...Full payment due by July 24 Week 8...Full payment due by July 31 Week 9.Full payment due by Aug 7 Week 10..Full payment due by Aug 14 If payment is NOT received then the child WILL NOT be able to attend camp. Payments that are returned for any reason will be sent to our ECASH system for collection and you will be subject to a 20 return fee. Want to SAVE on Camp? Register early and have more time to spread out your weekly auto-draft payments...and have camp paid for before summer starts! Come to EXPRESS REGISTRATION DAY on March 4th, and register for camp and save an additional 20 per camper! (this is a one-time, early-bird discount). Register anytime from : March 5th-March 31st and save 15 per camper April 1st April 15th and save 10 per camper *Please be advised: This is a one-time early-bird discount. This discount is NOT to be combined with the 2nd child or more 10% discount. Parent must choose which discount they want to use. However is payment is made in FULL at the time of registration, the additional 10% payment in FULL discount can be combined with the early-bird discount).

FREQUENTLY ASKED QUESTIONS HOW CAN I CONTACT MY CHILD AND/OR CAMP STAFF DURING THE CAMP DAY? Once camp begins, the camp phone will be the main way to directly contact your camper or the camp staff. The camp phone number will be given out once camp has begun. You can also call the New Britain YMCA at (860) 229-3787 or the Berlin Y at (860) 357-2717 to speak to someone there who may be able to assist you. If camper s need to call a parent for something they should be using the camp phone in the office. Campers are NOT allowed to have cell phones at camp. IS LUNCH PROVIDED AT CAMP? WHAT IF I NEED TO PICK MY CHILD UP EARLY FROM CAMP? The camp office must be notified if a child will be picked up early from camp. Please send a note in with your camper on the day that he/she will be dismissed early or call the camp office the morning of. Please provide extra time when picking up your camper early from camp, as they may be involved with an activity at the time that you arrive. If the camper will be picked up by someone other than a parent/guardian, that person must be listed on the camper s registration form and must present a photo I.D. *Please note: Campers will not be released to anyone not on the Authorized Pick-up List or to persons on the list who do not present a valid I.D. Lunch IS NOT provided. Campers must bring a COLD lunch (including drink) each day to camp. Lunches will be collected every morning and refrigerated until lunchtime. Please make sure to pack a well-balanced lunch including a sandwich, snacks and a drink. Campers are very active throughout the camp day and are usually very hungry at lunch. Lunches should be packed in a brown bag or Ziploc bag with the child s name on it. Lunch boxes take up a lot of space in the cooler so please use a bag. *Please note: We have a lot of campers with food allergies and peanut allergies, so please be courteous when choosing foods to send for lunch. Also in situations where camper s forget their lunch, or if camp staff feel an inadequate lunch has been provided for a camper parents will be notified in the morning and will be expected to provide a lunch by lunch time. IS AN AFTERNOON SNACK PROVIDED FOR EXTENDED CAMP CARE? A pre-packaged snack and drink is provided for all campers who are registered for Extended Camp. WHAT IF I NEED TO CANCEL MY CAMP REGISTRATION? At least a 1 weeks notice is required for all cancellations. Upon cancellation, a system credit (minus the Camp Fun Fee) will be given for any camp fees paid. The credit can be used towards any future YMCA program. Full refunds (minus the Camp Fun Fee) are given for medical reasons (must provide a note form the child s physician) and/ or emergency reasons only and are at the discretion of the Camp Director. Fees will not be refunded for absence, failure to attend during the term of enrollment, delayed attendance at camp or dismissal from camp. WHAT SHOULD CAMPERS BRING TO CAMP? *All items should be marked with the camper s name. A backpack to & from camp each day to hold all belongings. A cold lunch (including a drink). All lunches will be collected each morning and refrigerated until lunchtime. A bathing suit (1 piece for girls) and a towel. A water bottle. There will be ample time for water breaks and a water fountain to refill when necessary. Sneakers or closed-toed shoes MUST be worn at all times! Sandals & open-toed shoes are prohibited. Sunscreen WHAT TO KEEP AT HOME: All Electronics: Cell Phones, ipod s, ipad s, Reading Tablets, Gameboys, etc. Trading Cards Toys Jewelry Anything of value. YMCA Camp Thundermoon is not responsible for lost or stolen items. Clothing with messages referring to tobacco, drugs, alcohol, sex or containing offensive or inappropriate words. Any camper wearing such clothing will be dismissed from camp for the day unless they can have a parent/guardian bring them in a change or clothes. Weapons (knives, matches, guns or anything that can be used as a weapon). Any camper who brings weapons to camp will be suspended immediately. Drugs, alcohol, tobacco. YMCA Camp Thundermoon is a drug, alcohol, and smoke free program. Any camper found with tobacco, drugs or alcohol will be immediately suspended from camp. CAN MY CHILD ARRIVE LATE TO CAMP? Campers that will be arriving late for camp MUST be signed in at the camp office by a parent/guardian.

Summer Camp 2017 Camper s Information YMCA CAMP THUNDERMOON 50 High Street New Britain, CT 06051 (860) 229-3787 www.nbbymca.org Last Name: First Name: Address: Town/City: State: Zip: Home Phone: (circle one) Male / Female DOB: School: Grade (as of Sept. 2017): Age: Special Information or Allergies (circle one) Yes No (If yes, please supply information below) Parent/Guardian Information Please be sure both sides of this form are filled out completely. Mother s Name: Home Phone: Cell Phone: Work Phone: Employer Name: *Email Address: Father s Name: Home Phone: Cell Phone: Work Phone: Employer Name: *Email Address: Emergency Contact / Authorized Pick-up Information In case of an emergency, and the YMCA staff is unable to reach the parents/guardian listed above, the following individual(s) have permission to make decisions regarding the care of my child. The emergency contacts listed below are also authorized to pick up my child at camp. *Photo ID will be required in order for camper to be released. 1. Name: 2. Name: Relationship to Child Home Phone: Cell Phone: Work Phone: Employer Name: Relationship to Child Home Phone: Cell Phone: Work Phone: Employer Name: Parent/Guardian Agreement My signature below signifies that I agree with all information on this application and in the camp brochure. I also understand that State Law prohibits my child from attending camp without a medical form completed by a physician within 36 months prior to the beginning of camp. I authorize YMCA officials to secure medical emergency attention and treatment for the camper listed above. I also agree to pay the balance of camp fees one week prior to the beginning of the camp session(s). Permission is granted for the signed camper to participate in all planned camp activities including use of the indoor rockwall, field trips and walking trips. The undersigned voluntarily agrees to hold the YMCA harmless for injuries or accidents resulting in bodily injury or property damage during my child s participation in programs at YMCA Camp Thundermoon. I further waive, release, absolve, and indemnify the New Britain- Berlin YMCA, YMCA Camp Thundermoon, it s Directors, Officers or Employees for injuries or accidents occurring while participating in the programs of YMCA Camp Thundermoon. Parent/Guardian Signature: Date Signed: My permission is granted for the YMCA to take/use photographs, slides, moving pictures or video tapes of the person named on this application for promotional purposes on flyers, in brochures, website, and social media sites (ie: Facebook). Yes No

2017 REGISTRATION FORM PLEASE CHOOSE ONE Sessions Weeks Unit Traditional Camp 9AM-3PM Specialty Camp 9AM-3PM Extended Camp 7AM-6PM NB Bus Stop ( Fee: 10/Week ) Total Fees Session 1 Week 1 6/19-6/23 Lightning Gr K-1 Thunder Gr 2-3 Hurricanes Gr 4-5 Teen X-Treme Gr 6-8 155 Sports Camp Gr. 1-3 185 AM 20 PM 30 BOTH 40 Gold Blue 10 Orange *Session 2 Field Trip Week Week 2 6/26-6/30 Lightning Gr K-1 Thunder Gr 2-3 Hurricanes Gr 4-5 Teen X-Treme Gr 6-8 155 Sports Camp Gr. 4-6 185 Thundermoon Builders Gr. 1-3 185 AM 20 PM 30 BOTH 40 Gold Blue 10 Orange Session 3 Week 3 7/03-7/07 *No Camp 7/4 Lightning Gr K-1 Thunder Gr 2-3 Hurricanes Gr 4-5 155 No camp 7/4 Glam Girl Camp Gr. 2-4 185 STEM Challenges Camp 185 AM 20 PM 30 BOTH 40 Gold Blue 10 Orange *Session 4 Field Trip Week Week 4 7/10-7/14 Lightning Gr K-1 Thunder Gr 2-3 Hurricanes Gr 4-5 Teen X-Treme Gr 6-8 155 Sports Camp Gr. 1-3 185 Thundermoon Builders Gr. 4-6 185 Musical Theater Camp 185 AM 20 PM 30 BOTH 40 Gold Blue 10 Orange Session 5 Week 5 7/17-7/21 Lightning Gr K-1 Thunder Gr 2-3 Hurricanes Gr 4-5 Teen X-Treme Gr 6-8 155 Sports Camp Gr. 4-6 185 Dance Camp Gr. 3-7 185 AM 20 PM 30 BOTH 40 Gold Blue 10 Orange *Session 6 Field Trip Week Week 6 7/24-7/28 Lightning Gr K-1 Thunder Gr 2-3 Hurricanes Gr 4-5 Teen X-Treme Gr 6-8 155 Sports Camp Gr. 1-3 185 Glam Girl Camp Gr. 5-8 185 STEM Robotics Ages 9-14 185 AM 20 PM 30 BOTH 40 Gold Blue 10 Orange Session 7 Week 7 7/31-8/04 Lightning Gr K-1 Thunder Gr 2-3 Hurricanes Gr 4-5 Teen X-Treme Gr 6-8 155 Sports Camp Gr. 4-6 185 Art Camp Gr. 2-4 185 AM 20 PM 30 BOTH 40 Gold Blue 10 Orange *Session 8 Field Trip Week 8 8/07-8/11 Lightning Gr K-1 Thunder Gr 2-3 Hurricanes Gr 4-5 Teen X-Treme Gr 6-8 155 Art Camp Gr. 5 8 185 AM 20 PM 30 BOTH 40 Gold Blue 10 Orange Session 9 Week 9 8/14-8/18 Lightning Gr K-1 Thunder Gr 2-3 Hurricanes Gr 4-5 Teen X-Treme Gr 6-8 155 X AM 20 PM 30 BOTH 40 Gold Blue 10 Orange Session 10 Week 10 8/21-8/25 Lightning Gr K-1 Thunder Gr 2-3 Hurricanes Gr 4-5 Teen X-Treme Gr 6-8 155 X AM 20 PM 30 BOTH 40 Gold Blue 10 Orange Thundermoon Leaders Club (TLC) Offered weeks 1-10 1 2 3 4 5 6 7 8 75 per week Traditional Camp # Weeks x 75/week = # Weeks x Extended care fee = AM 20 PM 30 BOTH 40 Gold Blue 10 Orange By signing this form, I agree to pay the amount due the MONDAY BEFORE each new session of camp. It will be my responsibility to notify the New Britain-Berlin YMCA in the event that I cancel my credit/debit card. I will also notify the Y when I receive a new expiration date on my card. If for some reason a transaction will not post (i.e. account closed, account suspended, insufficient funds), I understand that I will be charged a 20.00 fee. I understand that if my payment isn t received prior to the start of the next session, then my child won t be able to attend YMCA Camp Thundermoon that session. METHOD OF PAYMENT - CIRCLE ONE Cash/Personal Check/Visa /MasterCard/Discover/AMEX Credit Card #: Expiration Date: Signature: Today s Date: Total Camp Fees Camp Fun Fee + 10.00 *Our Camp Fun Fee is a one time 10 fee per camper. Total Amount Due: Full Payment Auto-Draft OFFICE USE ONLY Completed & signed reg. form Auto-draft section signed Medical form given Sunscreen waiver signed Parent Handbook given Staff initials Date