TRY TO CONTAIN YOUR EXCITEMENT! SUMMER DAY CAMP 2014

CAMPANELLI YMCA 300 W. Wise Road Schaumburg, IL 60193 Phone: www.campanelliymca.org TRY TO CONTAIN YOUR EXCITEMENT! SUMMER DAY CAMP 2014 Find us on: CAMPANELLI YMCA 300 W Wise Road Schaumburg, IL 60193 www.campanelliymca.org REGISTRATION BEGINS FEBRUARY 9, 2014

GENERAL INFORMATION/SPECIALTY CAMP GENERAL INFORMATION AND SPECIALTY CAMP Dear Parents, Thank you for your interest in 2014 Campanelli YMCA Summer Camp. We have such an outstanding summer planned for your children! Your children will build new friendships, explore nature, learn about healthy eating, participate in sports and other fun activities, and create memories that will last a lifetime! There are many different camps for you to choose from. If we can help you with your selection, please just give us a call at. Our camp staff looks forward to making your child s summer camp experience their most memorable! Very truly, & Judy Lewnard 3 WAYS TO REGISTER! Make check payable to Campanelli YMCA or complete credit card information (Visa/Master Card/ Discover). Full payment must be enclosed with registration. Do not send cash through mail. Walk-In: Processed in real-time at Campanelli YMCA 300 W. Wise Road 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 847.891.8901. NEW! TWILIGHT CAMP Twilight Camp is offered for those who do not need a day time camp, but would like a camp experience. Campers will do crafts, swim, and play group games. Location: Campanelli YMCA, Family Development Center Time: 6:00 PM-8:30PM Ages: K-6th Grades FEE: $45M / $55CM CAMP FEE PAYMENTS Camp fees are due 2 weeks in advance of each registered week. Please see Parent Handbook for all due dates. Any REGISTRATION CHANGES must be submitted two business days PRIOR to the desired scheduled change. Do not forget to indicate if you need extended afternoon (4:00-6:00 pm) care. The fee is $10M/$15CM per session. YMCA CAMP FINANCIAL ASSISTANCE AVAILABLE Week Date 1 June 9-June 12 2 June 16 June 19 3 June 23-June 26 4 July 7-June 10 5 July 14 July 17 6 July 21 July 24 7 July 28-July 31 Judy Lewnard Ext. 105. YMCA CAMP DIRECTORS, Director of Youth Development ext. 106 Sheilap@campanelliymca.org Judy Lewnard, Director of Family & Community Initiatives ext. 105 judyl@campanelliymca.org For those who qualify, financial assistance is available to afford 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. All applications due by May 1, 2014. Send A Kid Donor Information: Name Address City State Zip Phone Email Method Of Payment: Check enclosed, payable to Campanelli YMCA. Please bill my credit card: VISA MC AX DISC $ One Time Gift $ Monthly Pledge Start Date: End Date: Card # Exp. Date CVV# Cardholder Name Donor Signature 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 $ 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 60193 QUESTIONS? : Judi Nealey, Director of Development & Marketing ext. 111 or judin@campanelliymca.org 2 11

ONSITE YMCA CAMPS SUMMER CAMP Kindergarten through 9th grades LOCATION: Campanelli Y Campus NEW EXPLORERS Camp Grades: 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. PATHFINDERS Camp Grades: 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: 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. NAVIGATORS Camp Grades: 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. TEEN Camp Grades: 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. AUTOMATIC PAYMENT FORM Alfred Campanelli YMCA Summer Day Camp The Alfred 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: 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. We bill two weeks ahead. I understand that I must provide two weeks written notice before my automatic payment can be canceled 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. I understand that the Alfred Campanelli YMCA may, at their discretion, adjust the monthly rate associated with my childcare, provided they announce any rate change 30-days in advance. I understand that I am responsible for making funds available for each and every payment while I am enrolled as a YMCA member. I also understand that I will incur a $20.00 service charge fee any payment declined by my bank or credit card provider. I understand that the YMCA reserves the right to cancel my childcare after 1 week of insufficient funds or stopped payments. Print Child s Name: Print Program Name: EFT I have attached a voided check. Automatic Payment Form (EFT/CAD) CAD Please circle Visa Mastercard Discover American Express REGISTRATION Please select a payment option below: Credit Card #: Expiration Date Print Name (as it appears on card): Weekly Withdrawal Amount: $ Withdrawal Start Date: Please write in amount Refer to camp brochure due dates I hereby authorize the Alfred Campanelli YMCA to withdrawal my weekly day camp fees from the designated credit card or account provided on my voided check. This authority is to remain in full force and effective until I provide the YMCA with two-weeks writing notice of my intention to cancel or change from automatic payment. On select Fridays, the Y will offer pre-packaged, catered lunches for a fee of $5.50 per lunch. Refer to the parent handbook for lunch selections. Lunches are served onsite and must be PRE-PAID. Please Print Authorized Name: Authorized Signature: Date: 4 9

OFF SITE CAMPS HALL OF FAME SPORTS CAMP ROOKIES: Kids entering 2nd 3rd grades VETERANS: Kids entering 4th-6th grades NEW LOCATION: Dirksen Elementary School - 116 W. Beech Drive, Schaumburg, IL CALLING ALL ATHLETES! Whether your child regularly plays sports, or is just a beginner, the Hall of Fame camp motto is everyone plays/everyone wins! The Y will provide a variety of sports and this camp will also concentrate on the fundamentals of select sports for certain weeks. Good sportsmanship and team work are always a part of the curriculum. HALL OF FAME CAMP CALENDAR & THEMES FIELD TRIPS* Week Date Theme Week Field Trip Location 1 June2-June 6 Team Building 1 Glow In The Dark Mini Golf 2 June 9 June 13 Sports Variety 2 Pump It Up! 3 June 16-June 20 Soccer 3 Museum of Science & Industry 4 June 23-June 27 Basketball 4 Lincoln Park Zoo 5 June 30-July 3* Floor Hockey 5 Water Park 6 July 7 July 11 Football 6 Forest Preserve 7 July 14-July 18 Baseball 7 Kane County Cougars (Monday) 8 July 21-July 25 Sports Variety 8 Bartlett Water Park 9 July 28-August 1 Soccer 9 Theatre Play 10 August 4-August 8 Kickball 10 Bowling 11 *August 11-August 15 Sports of All Sorts *11 *Go to the Movies! *Week 11 will be held at the YMCA. Spaces are limited. *FIELD TRIPS are scheduled on Wednesdays, and subject to change due to availability. SWIMMING at the Y is scheduled on Mondays AND Thursdays. *Please note camp will not be in session July 4, 2014. SPORTS CAMP FEES $40M/$50CM-One Child $70M/$80CM-All Children in Family 5 Days $165M/$170CM 3 Days $130M/$135CM 2 Days $95M/$100CM 4:00PM-6:00PM DISCOVERY CAMP for 3-5 Year Olds LOCATION: Campanelli Y Campus WELCOME to Campanelli Y Discovery Camp! Discovery camp is an exciting, safe community for 3 to 5 year olds to explore the outdoors, begin to build self-esteem, start to develop interpersonal skills and make friends. This nurturing environment offers the children the opportunity to learn, grow, and develop social skills. Campers will also enjoy swimming as well as age appropriate field trips. DISCOVERY CAMP CALENDAR & THEMES FIELD TRIPS* Week Date Theme Week Field Trip Location 1 June2-June 6 Make a Friend, Be a Friend 1 None ( Get to Know You Games) 2 June 9 June 13 Safety Week 2 Fire Zone Fire Safety 3 June 16-June 20 Mighty Jungle 3 Cosley Zoo 4 June 23-June 27 Jumping Beans 4 Jump Zone 5 June 30-July 3* Dinosaurs! 5 Kohls Children s Museum 6 July 7 July 11 Tree House 6 Nature Center 7 July 14-July 18 Creativity Corner 7 Sunshine Pottery Painting 8 July 21-July 25 Imagination 8 Pirates Cove 9 July 28-August 1 Performing Arts 9 Play 10 August 4-August 8 Fun In The Sun! 10 Sprinkler Park and Picnic 11 August 11-August 15 Disney Week 11 Go to the Movies! *FIELD TRIPS are scheduled on Wednesdays, and subject to change due to availability. SWIMMING at the Y is scheduled on Mondays. *Please note camp will not be in session July 4, 2014. DISCOVERY CAMP FEES $40M/$50CM-One Child $70M/$80CM-All Children in Family 5 Days $165M/$170CM 3 Days $130M/$135CM 2 Days $95M/$100CM 4:00PM-6:00 PM ONSITE YMCA CAMPS 10 On select Fridays, the Y will offer pre-packaged, catered lunches for a fee of $5.50 per lunch. Refer to the parent handbook for lunch selections. Lunches are served onsite and must be PRE-PAID. On select Fridays, the Y will offer pre-packaged, catered lunches for a fee of $5.50 per lunch. Refer to the parent handbook for lunch selections. Lunches are served onsite and must be PRE-PAID. 3

OFF SITE CAMPS 6 KASPER Achievement Academy Camps Kindergarten through 6th grades LOCATION: Elementary School locations, refer to specific camp CAMP EXTREME Get messy and have fun! Camp Extreme keeps children on the GO. Their day is filled with crazy competitions and fun activities. This camp is designed for the older, active camper in mind. Location: LINK Elementary 900 S. Glenn, Elk Grove Age Groups: Please register according to the grade your child will be entering this fall. Extreme RED: K-3rd Grade Extreme BLUE: 4th 6th Grade KASPER CAMP CALENDAR & FIELD TRIPS* Week Date Field Trip Friday Location 1 June2-June 6 Ball Factory 2 June 9 June 13 Jump Zone 3 June 16-June 20 Bowling 4 June 23-June 27 Evanston Beach & Park 5 June 30-July 3* No Field Trip Olympic Week! 6 July 7 July 11 Ultimate Health & Fitness Challenge (onsite) 7 July 14-July 18 Kane County Cougars (Monday)* 8 July 21-July 25 Extreme Trampoline 9 July 28-August 1 Go to the Movies! 10 August 4-August 8 Wild & Crazy Week (No Field Trip) *FIELD TRIPS are scheduled on FRIDAYS unless otherwise specified, and are subject to change due to availability. SWIMMING at the Y is scheduled on Mondays AND Wednesdays, and the WATER PARK on Thursdays. *Please note camp will not be in session July 4, 2014. Judy Lewnard Ext. 105. KASPER Camps are conveniently located in two community schools. KASPER Camps are curriculum and enrichment based, providing a wide range of activities. Campers swim three times per week (twice at the Y, and once at Atcher Island or Seafari Springs water parks) and go on field trips once a week. Y CAMP Y Camp is a general day camp offering a wide variety of traditional camp activities, from cooking to crafts, group games and more! Location: Hanover Highlands Elementary 1451 Cypress Avenue, Hanover Park Age Groups: Please register according to the grade your child will be entering this fall. Y BUDDIES: K-3rd Grade Y KIDS: 4th 6th Grade KASPER CAMP FEES $45-One Child $75-All Children in Family 5 Days $170 M/ $175 CM 3 Days $135 M/ $140 CM 2 Days $100 M/ $105 CM 4th of July Week is 4 Days $150 M/ $155 CM KASPER CAMP FEES INCLUDE all bus transportation, trips to the water parks, and field trips. 4:00 PM-6:00 PM FREE AM CARE 7:00 AM 8:30 AM FOR EXTENDED PM CARE 4:00 PM-6:00 PM 2014 DAY CAMP REGISTRATION PLEASE PRINT CLEARLY Child s Name Grade as of 9/14 Age as of 6/14 DOB Sex Child s Home Address City State Zip Home Phone Number Email Address Mother s/guardians Name Home Phone Mother s/guardian s Address City State Zip Work Phone Cell Phone Email Father s/guardians Name Home Phone Father s/guardian s Address City State Zip Work Phone Cell Phone Email CAMP REGISTRATION FEES: $40M/$50CM per individual child or $70M/$80CM per family. Deposits are non-refundable Registration Fee NON-REFUNDABLE $ Weekly Deposit: (# of weeks x $10/week) $ Weekly Fees: (total amount-deposits) $ Early Bird Discount (10% off weeks paid in full before 4/27/14 $ I would like to help send a child to camp please accept my donation of $5/$10/$15 $ OPTIONAL: Extended PM care-$10m/$15cm 4:00 PM-6:00 PM (# of weeks x $10/week) $ TOTAL: $ Check Enclosed: $ Please charge my credit card: $ VISA Master Card Discover American Express Account Number Expiration Date Signature Date EFT and CAD option also available. Please see Automatic Payment Form to set up your automatic payments. Please mark the camp session your child will participate in. Discovery (M-F) 1 2 3 4 5 6 7 8 9 10 11 Discovery (M/W/F) 1 2 3 4 5 6 7 8 9 10 11 Discovery (T/TH) 1 2 3 4 5 6 7 8 9 10 11 Y Camp Y Buddies: K-3 (5 Days) 1 2 3 4 5 6 7 8 9 10 Y Buddies: K-3 (3Days) 1 2 3 4 5 6 7 8 9 10 Y-Buddies: K-3 (2 Days) 1 2 3 4 5 6 7 8 9 10 Y Kids: 4-6 (5 Days) 1 2 3 4 5 6 7 8 9 10 Y Kids: 4-6(3 Days) 1 2 3 4 5 6 7 8 9 10 Y-Kids: 4-6 (2 Days) 1 2 3 4 5 6 7 8 9 10 Camp Extreme Extreme Red: K-3 (5 Days) 1 2 3 4 5 6 7 8 9 10 Extreme Red: K-3 (3 Days) 1 2 3 4 5 6 7 8 9 10 Extreme Red: K-3 (2 Days) 1 2 3 4 5 6 7 8 9 10 Extreme Blue: 4-6 (5 Days) 1 2 3 4 5 6 7 8 9 10 Extreme Blue: 4-6 (3 Days) 1 2 3 4 5 6 7 8 9 10 Extreme Blue: 4-6 (2 Days) 1 2 3 4 5 6 7 8 9 10 Explorers Camp (M-F) 1 2 3 4 5 6 7 8 9 10 11 Explorers Camp (M/W/F) 1 2 3 4 5 6 7 8 9 10 11 Explorers Camp (T/TH) 1 2 3 4 5 6 7 8 9 10 11 Pathfinders (M-F) 1 2 3 4 5 6 7 8 9 10 11 Pathfinders (M/W/F) 1 2 3 4 5 6 7 8 9 10 11 Pathfinders (T/TH) 1 2 3 4 5 6 7 8 9 10 11 Voyagers (M-F) 1 2 3 4 5 6 7 8 9 10 11 Voyagers (M/W/F) 1 2 3 4 5 6 7 8 9 10 11 Voyagers (T/TH) 1 2 3 4 5 6 7 8 9 10 11 Navigators (M-F) 1 2 3 4 5 6 7 8 9 10 11 Navigators (M/W/F) 1 2 3 4 5 6 7 8 9 10 11 Navigators (T/TH) 1 2 3 4 5 6 7 8 9 10 11 Teen Camp (M-F) 1 2 3 4 5 6 7 8 9 10 11 Teen Camp (M/W/F) 1 2 3 4 5 6 7 8 9 10 11 Teen Camp (T/TH) 1 2 3 4 5 6 7 8 9 10 11 Rookie Sports (M-F) 1 2 3 4 5 6 7 8 9 10 11 Rookie Sports (M/W/F) 1 2 3 4 5 6 7 8 9 10 11 Rookie Sports (T/TH) 1 2 3 4 5 6 7 8 9 10 11 Veteran Sports (M-F) 1 2 3 4 5 6 7 8 9 10 11 Veteran Sports (M/W/F) 1 2 3 4 5 6 7 8 9 10 11 Veteran Sports (M-F) 1 2 3 4 5 6 7 8 9 10 11 Twilight Camp (M-F) 1 2 3 4 5 6 7 8 9 10 11 Twilight Camp (M/W/F) 1 2 3 4 5 6 7 8 9 10 11 Twilight Camp (T/TH) 1 2 3 4 5 6 7 8 9 10 11 KASPER Active Kids are Healthy Kids! The Campanelli YMCA provides camps that will ensure your child is active. Each day, campers will experience activities that will keep them on the move and will learn about healthy lifestyles and nutrition all while enjoying regular camp fun! REGISTRATION 7

REGISTRATION 1. AUTHORIZED PICK-UP INFORMATION 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 SUMMER CAMP Kindergarten through 9th grades LOCATION: Campanelli Y Campus SUMMER CAMP CALENDAR & THEMES FIELD TRIPS* Week Date Theme Week Field Trip Location 1 June2-June 6 Make a Friend, Be a Friend 1 Glow in the Dark Mini Golf 2 June 9 June 13 Fun & Fitness 2 Pump it Up 3 June 16-June 20 Science Exploration 3 Museum of Science and Industry 4 June 23-June 27 Safari 4 Lincoln Park Zoo 5 June 30-July 3* Splish Splash 5 Water Park 6 July 7 July 11 Adventureland 6 Forest Preserve 7 July 14-July 18 Boys of Summer 7 Kane County Cougars 8 July 21-July 25 Beach Week 8 Bartlett Water Park 9 July 28-August 1 Performing Arts 9 Play 10 August 4-August 8 Team 10 Bowling 11 August 11-August 15 Hollywood 11 Movies ONSITE YMCA CAMPS Home Phone Cell Phone Work Phone MEDICAL INFORMATION Allergies List all known (medication, food, insect bites, etc.): *FIELD TRIPS are scheduled on Wednesdays, and are subject to change due to availability. SWIMMING at the Y is scheduled on Tuesdays, Thursdays, AND Fridays. *Please note camp will not be in session July 4, 2014. SUMMER CAMP FEES 8 Is your child taking any medication while at camp or at home If yes please list all medications (over the counter or prescription): Yes No 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. I authorize to make changes to this form on my behalf. Spouse/Legal Guardian 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. 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) Date Signature (Parent/Guardian) Date $40M/$50CM-One Child $70M/$80CM-All Children in Family 5 Days $165M/$170CM 3 Days $130M/$135CM 2 Days $95M/$100CM 4:00 PM-6:00 PM EXPERIENCE...AN OVERNIGHT CAMP! Edwards YMCA CAMP N8901 Army Lake Rd East Troy, WI 53120 262.642.7466 campedwards.org Now, more than ever, it is vital for kids to get outside and experience all that technology does not offer, and create real relationships and friendships with their peers that do not involve a keypad or monitor! Camp Edwards can facilitate an experience that fits your budget and your needs, with overnights starting at just $45. 5