Camp guide 2017 final by YMCA Marketing

Summer Camp 2017 DOOR COUNTY YMCA www.doorcountyymca.org

WELCOME TO CAMP | 2017 CONTENT Welcome Staff Directory....................................3 Our Foundation...................................4 Get Ready...........................................5 Campers Backpack Checklist..............6 Sturgeon Bay Camps • Explorer Camp........................................7 • Adventure Camp................................8-9 • Traveler Camp.................................10-11 • Navigator Camp.............................12-13 • Camps in the Park - Otumba Park Half-Day Camp.......14 - Sunset Park Tennis Camp..............14 Specialty Camps • Gymnastics Camp.................................15 • Art Camp...............................................15 Summer Foods..................................16 Leaders in Training............................17 Northern Door Camps • Pioneers Camp...............................18 • Trailblazers Camp...........................19 Registration Information..................20 Camp Registration Forms............21-27

& GET 1 WEEK FREE NO RATE INCREASE FOR 2017 TO ENSURE ALL CAMPERS CAN HAVE THE BEST SUMMER EVER!

For more information please visit our website at www.doorcountyymca.org /programs/youth-programming/summer-camp

WELCOME FAMILIES & CAMPERS:

FRIENDSHIP, ACCOMPLISHMENT, BELONGING Welcome to 2017 YMCA Summer Camp! Itâ&#x20AC;&#x2122;s hard to believe that another summer is upon us once again. Our staff has been very busy planning and organizing what will be one of your childâ&#x20AC;&#x2122;s best summers yet! There are a lot of new and exciting features to our camps this year along with many of our favorite traditions and experiences from summers in the past! New this year, our Adventure camp is open to children entering Kindergarten who will be turning 5 by the end of the summer. Our Adventure group will be all about transition into our summer camp environment. Our staff for that camp will be based directly with that group for the entirety of the summer. This will help the campers build a sense of safety and security while venturing into new activities and experiences. The daily activities and plans are directed towards these age groups and will be adjusted based on their confidence and learning levels. Also new this summer, we are going to put more focus on camper chosen mastery activities. There will be three different mastery activities offered weekly that are related to art and culture, S.T.E.M. and various sports. Our campers will be able to choose which activity they want to be a part of each week. The different clubs will take place in the mornings of camp and campers will return to their traditional camps for the afternoon. Adventure campers will be able to experience all of the mastery activities at their own pace and experience, separate from the larger groups. The purpose of this focus is to give children the experiences of being in specialized camps while still offering other 21st century skills and providing secure child care. We are looking forward to seeing familiar faces and getting to know new ones! I encourage all families to attend our camp orientation or to set up a meeting time prior to camp. As always we will be offering a safe environment where children are free to discover new skills, build friendships and form a sense of belonging. Sincerely, Alexis Fuller Summer Camp Director

CAMP CONTACTS OUR CAMP STAFF:

Alexis Fuller Summer Camp Director

Heidi Erickson Executive Director Northern Door

JoAnna Severinsen Child Development Administrator

Tyler Powell Youth & Teen Development Director

Dori Meyer Preschool & Family Coordinator

afuller@doorcountyymca.org herickson@doorcountyymca.org jseverinsen@doorcountyymca.org tpowell@doorcountyymca.org dmeyer@doorcountyymca.org

Brenda Rosenstiel Youth & Adult Program Director

Nicky Lemieux Assistant Child Development Director

Ashley Gauthier Summer Camp Coordinator

Amy Gamble Marketing & Gymnastics Coordinator

brosenstiel@doorcountyymca.org

nlemieux@doorcountyymca.org

agauthier@doorcountyymca.org

agamble@doorcountyymca.org

HIGHLY-TRAINED STAFF

We take your child’s experience and safety seriously. Our counselors, camp staff and lifeguards complete over 30 hours of pre-camp training including CPR, First Aid, AED and Child Abuse Prevention. We conduct background checks, including finger printing, on all camp staff. Our counselors also learn child development best practices, as well as techniques to encourage all campers to be inclusive and celebrate our differences.

TRADITION AND VALUES

The YMCA invented “day camp” to bring enriching experiences to children in local communities. With more than 20 camping seasons to build on, this year is sure to be the best summer ever! The focus of summer camp will be fostering of friendships, accomplishments and belonging through age appropriate enrichment activities in indoor and outdoor settings, keeping kids active, engaged and having fun!

SUPPORT OF FAMILY

We strive to offer camp options that fit every family’s busy summer calendars. With full summer, weekly and daily rates, we are sure to be able to provide support for the full-time working parent, or those just looking to incorporate some fun into their child’s summer!

COMMUNITY REPUTATION

At the Y, you’re not just a member of a facility; you’re part of a cause with a shared commitment to nurture the potential of youth, improve health and well-being, give back and support our neighbors. YMCA members enjoy special pricing on programs and receive priority registration.

For more information please visit our website at www.doorcountyymca.org /programs/youth-programming/summer-camp

GET READY FOR THE BEST SUMMER EVER!

The Y is giving kids their best summer ever through a day camp experience with more activities to help them learn and master skills, make friends and feel welcome. Through the Y’s day camp program, kids participate in fun and educational activities that will help them: • Learn and master skills that help them realize their passions, talents and potential. • Build relationships with new friends and staff role models adding to their well being. • Develop a sense of belonging, so they feel safe, welcome and free to express their individuality. • Learn and play in a safe, supervised environment. All YMCA facilities are supervised and locked for you child’s safety and security. • We are proud to provide swim lessons as part of of each summer camp.

REGISTRATION

To register your camper for the Best Summer Ever please contact our program centers, Sturgeon Bay Center at (920) 743-4949 & Northern Door Center at (920) 868-3660 or please visit our website at www.doorcountyymca.org.

For more information please visit our website at www.doorcountyymca.org /programs/youth-programming/summer-camp

CAMPERS CHECKLIST PLASTIC BAG (for wet swimsuit)

SUNSCREEN

SWEATSHIRT COMB/BRUSH BALL CAP TENNIS SHOES (Please do not wear sandals)

WATER BOTTLE SOCKS

SWIMSUIT BEACH TOWEL

CAMP SHIRT LIGHT JACKET

PLEASE

DO NOT BRING!

• Money • Cell Phones • iPods • Video Camera • Digital Camera • Hand-Held Video Games • Pocket Knives • Matches/Lighters • Fireworks • Expensive Items • Toys from Home

EXPLORER CAMP AGES 4&5

Explorer Camp, located at our Lansing Center, is a fun and exciting first camp experience for 4 and 5 year olds. Your child will experience the “magic” that summer camp offers: making new friends, creating cool art projects, learning new games, enjoying summer activities, and even taking field trips on a real school bus! Each week presents a theme geared toward the interests and abilities of the preschool children; helping them explore, learn, and enjoy new experiences. Field trips this year include going to The Fire Boat, Egg Harbor Fun Park, Apple Valley Lanes, Coast Guard Station, Quietwoods South, Schopf’s Dairy Farm and many other Door County treasures.

LANSING AVENUE CENTER | Tuesdays & Wednesdays CAMP DATES: June 20th through August 23rd CAMP TIMES: 9:00 am - 12:30 pm

“Summer camp is a great opportunity for preschoolers to make new friends in the summer and embark on fun adventures. There are a lot of books and educational activities to help them continue learning to be ready for the next school year.” Dori Meyer Preschool & Family Coordinator

WEEK

WEEKLY THEME

DESCRIPTION

WEEK 1

June 20th & 21st

A Splash of Color

Surprise guest art teachers will help us make new projects.

WEEK 2

June 27th & 28th

Welcome to the Pond

We will head to the Y to be active in the pool and gymnastics center.

WEEK 3

July 5th

Fun in the Sun

WEEK 4

July 11th & 12th

Real Life Heroes

Let’s head out and explore Sturgeon Bay by boat! We will meet with heroes in Door County and learn about those who help keep us safe.

WEEK 5

July 18th & 19th

Sports & More

Time to get out there and play.

WEEK 6

July 25th & 26th

Christmas in July

Let’s enjoy winter in the middle of summer!

WEEK 7

August 1st & 2nd

Healthy & Strong

We will learn about healthy ways to nourish and strengthen our bodies.

WEEK 8 August 8th & 9th Splish Splash Water Bash WEEK 9 August 15th & 16th Out in the Wilderness WEEK 10 August 22nd & 23rd

Last Hurrah

Water fun in the great outdoors. Let’s end our summer exploring the great outdoors. Our last days of camp will include imaginative play and crazy dress up.

Note: Activities may change based on weather, attendance, and other circumstances.

Registration Dates

March 13th through April 30th

May 1st through End of Camp

Members on Tuesdays--------------

$155.00

$170.00

Members on Wednesdays-----------

$155.00

$170.00

Community on Tuesdays--------------

$194.00

$212.00

Community on Wednesdays-----------

$194.00

$212.00

For more information please visit our website at www.doorcountyymca.org /programs/youth-programming/summer-camp

ADVENTURE CAMP ENTERING GRADES K-1

JOURNEY INTO DAY CAMP This camp is for our younger campers who are still getting the hang of camp. They will get to experience field trips and activities similar to our traditional camp that will be specific to their age group. Instead of picking a new specialty each week like our traditional camp, Adventure campers will get to take part and experience each specialty camp with in their group weekly.

LANSING AVENUE CENTER | Monday - Friday CAMP DATES: June 12th through September 1st CAMP TIMES: 8:30 am - 4:00 pm FREE extended care available | 5:30-8:30am & 4-5:45pm *End of Summer Sunset Carnival at the YMCA Program Center Tuesday, August 22nd 6:00 pm - 8:00 pm

“This camp is focused on introducing young children to our camp environment. We will be taking a lot of fun field trips, experiencing a little bit of each mastery activity and spend the summer making lifelong friends! All while learning through play!” Alexis Fuller Summer Camp Director

CAMPER ORIENTATION Lansing Ave Center Wednesday, June 7th 4:30 pm - 6:30 pm

Registration Dates

March 13th through April 30th

May 1st through End of Camp

Members Daily --------

$35.00

$38.00

Members Weekly ------

$160.00

$175.00

Community Daily ------

$43.00

$47.00

Community Weekly ----

$180.00

$210.00

ADVENTURE CAMP DAILY SCHEDULE

Monday

Tuesday

Wednesday

Thursday

Friday

Extended Care

Opening Ceremony

Breakfast

Huddle Group

Sports of all Sorts

Art and Culture

Weekly Field Trip

S.T.E.M.

Mastery Mix Up

Lunch

Relax & Reading

Lunch

Relax & Reading

Camper Choice

Variety Activities

Snack

Daily Reflection Closing Ceremony

Daily Reflection

Closing Ceremony

Extended Care

Weekly Field Trip

For more information please visit our website at www.doorcountyymca.org /programs/youth-programming/summer-camp

DAILY SCHEDULE DESCRIPTIONS Extended Care Regular camp sessions will run from 8:30am-4:00pm each day, however, understanding the various needs of family, we will continue to offer before camp care (from 5:30-8:30am) and after camp care (from 4:00-5:45pm) at no additional cost! This time will focus on Camper Choice and Play and Variety Activities as we wait for other campers to join us. Opening & Closing Ceremonies Acknowledging the start and end of each day with a ritual gives your camp the chance to assemble as one large group, participate in fun and engaging routines, recognize and celebrate campers and counselors, and experience an inclusive and positive social environment. Huddle Group Getting to know campers’ names, interests, and qualities during small-group interactions creates a positive social environment, promotes friendships among campers, and reduces and resolves behavior conflicts and bullying. Camper Choice Supervised time, not directed by camp counselors, provides campers with an important opportunity to make individual choices and feel a sense of belonging at camp. Campers can use the time to explore various opportunities for indoor, outdoor or imaginative play.

Mastery Activities Sports of all Sorts, Art & Culture, S.T.E.M. Giving campers a chance to select an activity to practice at least three times during a camp week helps them build a sense of achievement. When campers return to an activity with a clear goal in mind, they are able to build skills in that activity. Weekly activities will be offered, with recognition for successful completion. Campers will use tracking systems to record accomplishments over the summer. Variety Activities Exploring a range of activities throughout the camp session allows campers to discover their interests and talents. These activities are a little more general than mastery activities, focused less on skill building and more on trying new things and connecting with others. Daily Reflection It’s easy to jump from one activity to the next in the excitement and rush of the camp day, but youth development is best supported by building in time for individual or small-group reflection on activities or the day’s events. These few moments will foster relationships and support belonging among campers and between campers and counselors. It’s a fun way to end each day.

Camper Planned Events Engaging campers to select, organize, and run an event builds Read and Relaxation collaboration skills and offers important leadership opportunities. An opportunity for the children to rest after the morning activities by These events will celebrate the fun of the week...maybe it will be a engaging in calming activities such as reading, coloring, and journaling. performance, showcase, or favorite game...the campers will decide! *Descriptions apply to additional schedules listed on pages 11 & 13

Week 1 June 12th-16th

Week 5 July 10th-14th

Theme: Aloha Summer Journey: The Farm Mastery Activities: Soccer, Star Wars, or Painting 101

Theme: The Unkown Theme: Splish Splash Water Bash Journey: Maritime Museum Journey: Fireboat Mastery Activities: Sport Remix, Weather Mastery Activities: Baseball, Jurassic World, Wonders, or Camp Production or Small Skit

Week 9 August 7th-11th

Week 2 June 19th-23rd

Week 6 July 17th-21st

Week 10 August 14th-18th

Theme: Fantasy Theme: Time Travel Journey: Egg Harbor Fun Park Journey: Bowling Alley Mastery Activities: Swimming, “Crack, Pop, Fizz”, Mastery Activities: Tennis, Nature Exploration, or Ultimate Dance Party or Camp Production

Theme: Crazy Camp Spirit Journey: Door County Confectionary Mastery Activities: Sport Remix, How Things Work, or Messy Masterpieces

Week 3 June 26th-30th

Week 11 August 21st-25th

Week 7 July 24th-28th

Theme: Wild Wild West Theme: Ylympics Theme: Marvelous Mysteries at Sea Journey: Schopf’s Dairy Journey: Camp Cuesta Journey: YMCA Swimming Mastery Activities: Basketball, Biology Bonanza, Mastery Activities: Ultimate Frisbee, Plugged in Mastery Activities: Flag Football, Wooden or Small Skit Tech, or Painting 101 Racecars, or Sweet Summer Memories

Week 4 July 3rd-7th

NO CAMP JULY 4TH

Theme: Real Life Hero’s Journey: Fire Department Mastery Activities: Sand Volleyball, Space Exploration, or Messy Masterpieces

Week 8 July 31st- August 4th Theme: Healthy Me Journey: Quietwoods South Mastery Activities: Field Hockey, Ecosystem Evolution, or Ultimate Dance Party

Post Camp Week August 28th - September 1st Monday: Summer Camp Remix Tuesday: Bowling Wednesday: Summer Camp Remix Thursday: Sturgeon Bay Cinema Friday: Summer Camp Remix

For more information please visit our website at www.doorcountyymca.org /programs/youth-programming/summer-camp

TRAVELER CAMP ENTERING GRADES 2&3

JOURNEY INTO DAY CAMP Our Travelers are ready for a little more challenge and will be able to make the most of their summer by selecting their own weekly mastery activity to participate in. They will spend their days making friends, playing, having a bunch of fun all while enhancing and learning new skills, and reinforcing fundamentals of education. They will be venturing on bigger field trips as well!

“Traveler camp will be filled with new and exciting field trips along with our favorites from previous years! Campers will get to pave their summer by choosing which mastery specialty they want to learn or excel at each week! This summer is all about learning through play while forming forever bonds with peers!”

Alexis Fuller Summer Camp Director

CAMPER ORIENTATION Lansing Ave Center Wednesday, June 7th 4:30 pm - 6:30 pm

Registration Dates

March 13th through April 30th

May 1st through End of Camp

Members Daily --------

$35.00

$38.00

Members Weekly ------

$160.00

$175.00

Community Daily ------

$43.00

$47.00

Community Weekly ----

$180.00

$210.00

CAMP COMPASS DAILY SCHEDULE refer to page 9 for details

Monday

Tuesday

Wednesday

Thursday

Friday

Extended Care

Opening Ceremony

Breakfast

Huddle Group

Mastery Activities

Weekly Field Trip

Mastery Activities

Lunch

Relax & Reading

Lunch

Relax & Reading

Camper Choice

Variety Activities

Snack

Daily Reflection Closing Ceremony

Daily Reflection

Closing Ceremony

Extended Care

Weekly Field Trip

10 For more information please visit our website at www.doorcountyymca.org /programs/youth-programming/summer-camp

S.T.E.M. (Science, Technology, Engineering & Math) BOLDLY EXPLORE THE WORLD AROUND YOU Star Wars - Campers will accomplish a new star wars mission each day this week! Crackle, Pop, Fizz - Chemistry doesn’t have to be boring! Campers will be conducting multiple experiments that will teach them how different chemicals react when combined! Biology Bonanza - Living organisms big and small! Learn about the life cycle of an ant and make your very own ant farm! We will also have a guest visit from a healthcare professional to take a closer look at human biology! Space Exploration - Take a further look into our solar system, make nebula jars, water rockets and even go on a star gazing adventure! Weather Wonders - Take a deeper look at what a rainstorm is made of. Learn about the water cycle, make a storm in a jar and water bottle tornadoes! Nature Exploration - Hiking and nature sightings galore! Acting as tree detectives, making nature prints and partaking in a woodland chase adventure! Plugged in Tech - Learn about and create sources of energy! Ecosystem Evolution - Learn all about our ecosystem and create your own mini-ecosystems! Jurassic World - How’s your roar? Dinosaurs and birds come together for this prehistoric adventure. Learn about giant lizards, feathered friends and look for clues to determine which creatures used to inhabit in the United States, and which still have modern-day relatives. How Things Work - Let’s use our imagination to explore how things work within our community! Learn about what components contribute to the operation of some of our industrial businesses. Derby Race Cars - Campers will be constructing, sanding, painting and racing pinewood derby cars!

MASTERY ACTIVITIES SPORTS OF ALL SORTS

ART & CULTURE

PUSH THE LIMITS Soccer - Learn to strengthen footwork, passing, scoring and defense. Swimming - Campers will be placed in groups based on age and ability and receive lessons to help advance them to the next level. Basketball - Learn to strengthen skills in dribbling, passing, shooting, and rebounding. You will also receive instruction and practice related to the nature of a basketball game. Sand Volleyball - Serving, blocking, passing, spiking, repeat! Campers of all skill levels will be taught the basic fundamentals and skills involved with sand volleyball. Sport Remix - We will be mixing it up this week and bring back sports that we have learned about in the previous four weeks. There will also be a day dedicated to healthy exercising and fitness routines similar to our YMCA’s Peak program! Tennis - Instructors will be serving up skills such as footwork, strokes, and agility. Campers will also be learning the basic principles of the game of tennis.

FREE TO BE WILD Messy Masterpiece - Create messy and fun abstract paintings or a sticky collage of art materials while learning about different painting tools and uncommon items used to create messy works of art.

Ultimate Frisbee - Learn how to throw and catch a Frisbee as well as the basic rules and concept of ultimate Frisbee such as pulling, stalling and scoring. Field Hockey - Campers will learn the basics of the game such as, receiving/trapping, passing, shooting and stick skills. Baseball/Softball - Campers will learn or strengthen batting, fielding, throwing and base running skills. They will also be given instruction on basic rules and strategies of the game of baseball. Flag Football - Hut, hut, hike! Instructors will teach campers passing, receiving and defense, along with other basic principles of flag football.

Memories - As we reflect on the summer coming to an end the campers are able to construct a camp memory book that will be theirs to keep. We will be gathering pictures throughout the summer along with souvenirs of all of our fun trips and activities to creatively display in their book!

Painting 101 - Paint here, paint there, paint everywhere! Campers with get to learn many different forms and styles of painting from abstract to water color. We will be including many different textures and tools as well! Ultimate Dance Party - Let’s groove to the latest hip-hop dance moves! Children will be introduced to self-expression and creative movement by learning fun routines with great friends. Small Skit - Campers will be creating scripts, dabbling in improv, providing a puppet show and telling jokes galore! Camp Production - Lights, camera, action! During two weeks of this summer campers will take on a play of their choosing, assigning roles and learning their scripts. They will also be building their props and set, along with designing their costumes!

All NEW this SUMMER! EXPLORE YOUR WORLD

Week 1 June 12th-16th

Week 5 July 10th-14th

Theme: Aloha Summer Journey: Egg Harbor Fun Park Mastery Activities: Soccer, Star Wars, or Painting 101

Theme: The Unkown Theme: Splish Splash Water Bash Journey: Highline Cherry Orchard Journey: Joanne’s Water Park Mastery Activities: Sport Remix, Weather Mastery Activities: Baseball, Jurassic World, Wonders, or Camp Production or Small Skit

Week 9 August 7th-11th

Week 2 June 19th-23rd

Week 6 July 17th-21st

Week 10 August 14th-18th

Theme: Fantasy Theme: Time Travel Journey: The Dunes Journey: National Railroad Museum Mastery Activities: Swimming, “Crack, Pop, Fizz”, Mastery Activities: Tennis, Nature Exploration, or Ultimate Dance Party or Camp Production

Theme: Crazy Camp Spirit Journey: Quietwoods South Mastery Activities: Sport Remix, How Things Work, or Messy Masterpieces

Week 3 June 26th-30th

Week 11 August 21st-25th

Week 7 July 24th-28th

Theme: Wild Wild West Theme: Ylympics Theme: Marvelous Mysteries at Sea Journey: New Zoo Journey: Sir Bounce A-Lot Journey: Fireboat Mastery Activities: Basketball, Biology Bonanza, Mastery Activities: Ultimate Frisbee, Plugged in Mastery Activities: Flag Football, Pinewood or Small Skit Tech, or Painting 101 Derby, or Sweet Summer Memories

Week 4 July 3rd-7th

NO CAMP JULY 4TH

Theme: Real Life Hero’s Journey: Quietwoods South Mastery Activities: Sand Volleyball, Space Exploration, or Messy Masterpieces

Week 8 July 31st- August 4th Theme: Healthy Me Journey: Hickey Bros/The Ridges Mastery Activities: Field Hockey, Ecosystem Evolution, or Ultimate Dance Party

Post Camp Week August 28th - September 1st Monday: Summer Camp Remix Tuesday: Bowling Wednesday: Summer Camp Remix Thursday: Sturgeon Bay Cinema Friday: Summer Camp Remix

For more information please visit our website at www.doorcountyymca.org /programs/youth-programming/summer-camp

NAVIGATOR CAMP ENTERING GRADES 4 & UP

JOURNEY INTO DAY CAMP The Navigators are ready to take on more independence and leadership roles and will have a big voice in the direction their camp will go. Campers will be able to choose their own mastery skill that they want to learn or improve on weekly. Days will be spent making friends, building self-confidence, reinforcing fundamentals of education, and learning through play!

“Our Navigators get to experience much more independence and gain leadership skills. They will get to choose their own mastery activity to take on or enhance weekly. Our field trips are all of the favorites from previous years as well as some new and exciting ones!”

Alexis Fuller Summer Camp Director

CAMPER ORIENTATION Lansing Ave Center Wednesday, June 7th 4:30 pm - 6:30 pm

Registration Dates

March 13th through April 30th

May 1st through End of Camp

Members Daily --------

$35.00

$38.00

Members Weekly ------

$160.00

$175.00

Community Daily ------

$43.00

$47.00

Community Weekly ----

$180.00

$210.00

CAMP COMPASS DAILY SCHEDULE refer to page 9 for details

Monday

Tuesday

Wednesday

Thursday

Friday

Extended Care

Opening Ceremony

Breakfast

Huddle Group

Mastery Activities

Weekly Field Trip

Mastery Activities

Lunch

Relax & Reading

Lunch

Relax & Reading

Camper Choice

Variety Activities

Snack

Daily Reflection Closing Ceremony

Daily Reflection

Closing Ceremony

Extended Care

Weekly Field Trip

12 For more information please visit our website at www.doorcountyymca.org /programs/youth-programming/summer-camp

MASTERY ACTIVITIES SPORTS OF ALL SORTS

ART & CULTURE

All NEW this SUMMER! EXPLORE YOUR WORLD

Week 1 June 12th-16th

Week 5 July 10th-14th

Theme: Aloha Summer Journey: Egg Harbor Fun Park Mastery Activities: Soccer, Star Wars, or Painting 101

Week 9 August 7th-11th

Week 2 June 19th-23rd

Week 6 July 17th-21st

Week 10 August 14th-18th

Theme: Crazy Camp Spirit Journey: Quietwoods South Mastery Activities: Sport Remix, How Things Work, or Messy Masterpieces

Week 3 June 26th-30th

Week 11 August 21st-25th

Week 7 July 24th-28th

Week 4 July 3rd-7th

NO CAMP JULY 4TH

Theme: Real Life Hero’s Journey: Quietwoods South Mastery Activities: Sand Volleyball, Space Exploration, or Messy Masterpieces

Week 8 July 31st- August 4th Theme: Healthy Me Journey: Hickey Bros/The Ridges Mastery Activities: Field Hockey, Ecosystem Evolution, or Ultimate Dance Party

Post Camp Week August 28th - September 1st Monday: Summer Camp Remix Tuesday: Bowling Wednesday: Summer Camp Remix Thursday: Sturgeon Bay Cinema Friday: Summer Camp Remix

For more information please visit our website at www.doorcountyymca.org /programs/youth-programming/summer-camp

OTUMBA PARK HALF-DAY CAMP | Ages 7 to 12

CAMPS IN THE PARK SUNSET & OTUMBA PARKS

Meets at Otumba Park

CAMP COUNSELORS: Tyler Powell & Charlie Pollock CAMP DATES: Session 1 | June 19th through July 6th - No Camp July 4th Session 2 | July 10th through July 27th Session 3 | July 31st through August 17th CAMP TIMES: Monday through Thursday | 9:00 am - 12:00 pm This wonderful camp is a collaboration between the Door County YMCA and the City of Sturgeon Bay to provide a half-day camp that is both affordable and fun! Taking place at Otumba Park on the west side of Sturgeon Bay, campers will spend the majority of their time playing games outside and taking advantage of the Otumba Park beach. Weekly field trips to local businesses, the public library, and parks that are within walking distance will allow the campers to experience Sturgeon Bay in a way that they may not have before. With a FREE snack and lunch provided every day, this is an awesome way to get kids active and involved in a one-of-a-kind summer camp! What to bring: Water bottle, swimsuit, towel, sunscreen, sweatshirt or windbreaker.

Members

Community

$36.00/Session

SUNSET PARK TENNIS CAMP | Ages 7 & Older “Between daily beach visits, walking field trips to area businesses (Sonny’s, Frozen Spoon, Chicago Fire Boat), and all of our tag games, it is impossible to pick a favorite from Otumba Camp. This camp provides kids with a fun, safe outdoor environment where even the adult counselors have the best summer ever.”

Tyler Powell Youth & Teen Development Director

Meets at Sunset Park

CAMP COUNSELOR: Tyler Powell CAMP DATES: July 31st through August 17th CAMP TIMES: Monday through Thursday | 1:00 pm - 2:00 pm Does it get any better than playing tennis in Door County during the summer? Give your child the opportunity to gain a healthy lifestyle and learn a life-long sport/hobby by signing them up for Tennis Camp this summer. Activities and games will be geared around a three week plan to improve forehand, backhand and serving. The biggest objective, however, is to create a love for a sport that they can play the rest of their life. Participants may bring their own tennis racket or borrow one. What to bring: Water bottle, swimsuit, towel, sunscreen, sweatshirt or windbreaker.

Members

Community

$50.00

$62.00

In case of inclement weather for both Otumba Camp & Sunset Park Camp, please call the Sturgeon Bay Program Center on the morning of camp to find out about cancellations - 920.743.4949

14 For more information please visit our website at www.doorcountyymca.org /programs/youth-programming/summer-camp

GYMNASTICS PROGRESSIVE CAMP | Ages 6 to 13

SPECIALTY CAMPS GYMNASTICS & ART

Sturgeon Bay Program Center

CAMP DATES: July 31st through August 3rd CAMP TIMES: Monday through Thursday | 9:00 am - 11:30 am The goal during this week of gymnastics is to support each individual gymnast in learning new skills while improving existing ones. The focus shifts each day to cover a particular development element. Participants must have had two previous sessions of gymnastics and have been enrolled in Progressive Level 1 or higher.

Members

Community

$70.00

$90.00

GYMNASTICS TEAM CAMP Sturgeon Bay Program Center

CAMP DATES: June 19th through June 23rd August 7th through August 11th This intensive camp focuses on advancing the skills of the seasoned gymnast. All gymnasts must have competed on the Strivers Team or another YMCA competitive team. Team camp is only open to YMCA members. Camp

Monday

1, 2 & Silver 3, 6 & Gold

â&#x20AC;&#x153;Progressive Gymnastics Camp supports gymnasts in learning new Level 1-3 skills while refining existing skills in hopes of becoming a part of the Strivers Gymnastics Team.â&#x20AC;?

Tuesday

Wednesday

8:30 am to 11:30 am 8:30 am to 12:30 pm

Thursday

Friday

8:30 am to 11:30 am

8:30 to 10:30 am

8:30 am to 12:30 pm

10:45 am to 1:00 pm

Levels 1, 2 & Silver

Levels 3, 6 & Gold

$62.00

$72.00

ART CAMPS | Sturgeon Bay Program Center Amy Gamble Gymnastics & Marketing Coordinator

Art Camps encourage children to be creative and use their imagination to discover new skills and talents. This increased emphasis on creativity can help to foster new ways of thinking about the world in general. Kids will build relationships with other friends while honing in on their small and large motor skills. Classes will include: dance camp with Hillary, garden totems with Bethany, stuffed animals with Dori, and much more. Full details will be available in our Summer Program Guide and on our website in early June.

For more information please visit our website at www.doorcountyymca.org /programs/youth-programming/summer-camp

SUMMER FOODS PROGRAM

NUTRITIOUS & DELICIOUS SUMMER FOODS

Fuels Door County Community Children Ages 18 and younger FREE to those looking for a nutritious meal during the summer The Door County Y’s Sturgeon Bay Program Center will once again sponsor the Summer Foods Program, where any child 18 and under that would like a free lunch during the summer will be fed a well-balanced, nutritious meal. With a mission to promote a healthy spirit, mind and body for all, and a focus on youth development, fueling the brains and bodies of Door Community kids is what The Y is all about. Participants in Sturgeon Bay Camp Compass programs will receive free breakfast and lunch through this program, while other community locations will be served a lunch, or snack, according to a set schedule. See full distribution schedule on our website by May 15th.

CHOICES WITHIN LIMITS

Healthy Eating & Physical Activity In response to a call by former First Lady Michelle Obama and the Partnership for a Healthier America, the Y has expanded its longtime commitment to supporting healthy living by adopting a set of Healthy Eating and Physical Activity (HEPA) standards. Healthy Eating and Physical Activity (HEPA) Standards are the basis of our Summer Foods Program and Summer Camp Nutrition and Activity guidelines. Beverage: • Water is accessible and available to children at all times, including at the table during snacks and meals.

“The Summer Foods Program gives children and teens 18 years and younger the opportunity to have a variety of nutritional meals throughout the summer at no cost. The best part about Summer Foods is seeing the participants get excited to try new food, we know we did our job when each day they come back for more and bring a new friend or family member.”

Nicky Lemieux Assistant Child Development Director

Food: • Children serve themselves (family style food and beverages. Y staff sit with the children during snacks and meals. • Fruits or vegetables are served for every meal and snack. • Provide foods that don’t list sugar as one of the first three ingredients. • Y staff model healthy eating behaviors by enjoying the same foods and beverages as children.

Physical Activity: • Children will be provided opportunities for moderate and vigorous physical activity for at least 60 minutes per day during a full-day program. • Y staff will model active living by participating in physical activities with children. Screen Time: • For children over 2, screen time is limited to less than 1 hour per day and will minimize exposure to ads marketing unhealthy foods. Family Engagement: • Parents and caregivers will be engaged using informational materials and activities focused on healthy eating and physical activity at least once every three months.

The Summer Foods Program is a collaborative effort made possible with the support from the following local partners: • Bay Hill Apartments • The Boys and Girls Club • City of Algoma • City of Sturgeon Bay • The Door County Health Department • Therma-Tron-X, Inc. • EconoFoods • Private Supporters • Renards Cheese • United Way • UW-Extension • Walmart • Sunshine House • Nicolet National Bank • Green Bay Packers Foundation • St. Luke’s Episcopal Church Call the Sturgeon Bay Program Center at 920.743.4949 or visit our website for a complete summer food schedule and weekly menus.

16 For more information please visit our website at www.doorcountyymca.org /programs/youth-programming/summer-camp

LEADERS IN TRAINING ENTERING GRADES 7 & UP

The LIT (Leaders in Training) program is a leadership development and mentoring program. This training program will provide an opportunity for youth that are too old for our camps to give back to the program by assisting our adult counselors with camp. The goal of this program is to provide participants with opportunities to improve their leadership skills and to be an example of the YMCA’s four core values (honesty, caring, respect, and responsibility). In addition to working on leadership, the LIT program develops skills needed to deal effectively with groups of children, organization, safety awareness, and motivation. Participants are expected to commit to a set schedule (or adequately communicate with their supervisor if unable to attend), participate fully in camp activities, and demonstrate positive role modeling at all times.

STURGEON BAY PROGRAM DIRECTORS: Tyler Powell & Alexis Fuller PROGRAM LOCATION: Dependent on Camp Assigned PROGRAM TIMES: Dependent on Camp Assigned Applicants for this program will need to fully complete an application and attend the mandatory leadership training. Applications can be found online at DoorCountyYMCA.org, or may be picked up at the Sturgeon Bay Program Center. • Required leadership training session June 14th, 9:00 am to 3:00 pm at the Lansing Avenue Center. Lunch will be provided. “A big reason why kids have so much fun at our summer camps is because we have great Leaders in Training. Our LIT’s help make the camps run smoothly while also getting a chance to participate in some of the fun activities with our campers. It truly is the best of both worlds!”

• Applications for this program must be submitted by June 2nd, 2017.

Tyler Powell Youth & Teen Development Director

For more information please visit our website at www.doorcountyymca.org /programs/youth-programming/summer-camp

CAMP COMPASS PIONEERS AGES 4 TO 6

PIONEERS DAY CAMP This camp is designed for the younger camper. Camp meets 2 days/week and campers will spend time both indoors and outdoors. Activities may include hiking, swimming, playing a variety of sports, arts and crafts, enrichment activities, guest speakers and more. Participants will learn new skills while making friends in a safe and fun environment. Our core values of caring, honesty, respect and responsibility are encouraged in all of our activities. We will include time for a snack.

NORTHERN DOOR PROGRAM CENTER CAMP DATES: June 12th through August 25th CAMP TIMES: 8:30 am - 11:30 am DAILY ROUTINE: Drop-off, check-in (8:30-9:00 am) Welcome Enrichment or physically based activities All camp activities Snack (provided by the YMCA) Free choice Pick up and sign out (11:00-11:30 am) Parents - please register camper for only Monday/Wednesday Camp or Tuesday/Thursday Camp as the days will be replicated to each other.

“There will be plenty to do at summer camp. Explore nature, try new activities, swim, learn and laugh. Make lasting memories, it will be so much fun they will not want the summer to end! Fun for all kids in a safe and enriching environment, so you can have the peace of mind that they are in good hands.” Brenda Rosenstiel Northern Door Adult & Youth Program Director

March 13th May 1st Registration through through Dates April 30th End of Camp

YMCA Member

Sister Bay Residents & Lodging Guests

Community

$35/Day $70/Week

$38/Day $76/Week

Each week a detailed weekly schedule will be provided. We will have field trips, speakers, etc. Required forms for Pioneer Campers can be found online or picked up at our Northern Door Program Center.

WEEKLY THEMES Week 1 June 12th - June 16th MAGIC OF CAMP Week 2 June 19th - June 23rd PIRATES & PRINCESSES Week 3 June 26th - June 30th AROUND THE WORLD Week 4 July 3rd - July 7th RED, WHITE & BLUE *NO CAMP JULY 4

Week 5 WET & WILD

July 10th - July 14th

Week 6 July 17th - July 21st UNDER THE SEA Week 7 July 24th - July 28th SUMMER FIESTA

$35/Day $70/Week

$38/Day $76/Week

Week 8 July 31st - August 4th STARS & SPACE Week 9 August 7th - August 11th BACKYARD BASH

$43/Day $86/Week

$47/Day 94/Week

Week 10 August 14th - August 18th BEACH LUAU Week 11 August 21st - August 25th SUNSET STAGE

18 For more information please visit our website at www.doorcountyymca.org /programs/youth-programming/summer-camp

CAMP COMPASS TRAILBLAZERS AGES 7 TO 12

TRAILBLAZERS DAY CAMP Trailblazers is a fun-filled, action packed camp running 11 weeks for school age children, ages 7-12. Participants will learn new skills while making friends in a safe and fun environment. Our core values of caring, honesty, respect and responsibility are encouraged in all of our activities. Participants will spend time swimming, hiking, fishing, biking, kayaking, and playing a variety of sports. In addition, field trips, arts and crafts and other enrichment activities will take place providing kids an all-around meaningful experience.

SISTER BAY VILLAGE HALL | Monday - Friday CAMP DATES: June 12th through August 25th CAMP TIMES: 8:00 am - 5:00 pm DAILY ROUTINE: Drop-off, check-in (8:00-9:00 am) Welcome Flag raising Announcements Enrichment or physically based activities Lunch Enrichment or physically based activities All camp activities Afternoon snack (provided by the YMCA) Camper of the Day Free choice Pick up and sign out (4:30-5:00 pm)

“Camp Compass provides children with an outlet to unplug, learn through play & develop independence. Each day is a new adventure which may include exploring a state park, learning skills while riding the Washington Island Ferry or developing lasting friendships with other camp participants. This camp provides a safe, nurturing environment that engages your child daily.”

Heidi Erickson Northern Door Executive Director

Registration Dates

March 13th May 1st through through April 30th End of Camp

Each week a detailed weekly schedule will be provided. We will have field trips, speakers, etc. Required forms for Trailblazer Campers can be found online or picked up at our Northern Door Program Center.

$35/Day $70/2 Days $105/3 Days $140/4 Days $175/Week

$38/Day $76/2 Days $114/3 Days $152/4 Days $190/Week

$35/Day Sister Bay $70/2 Days Residents & $105/3 Days Lodging $140/4 Days Guests $175/Week

$38/Day $76/2 Days $114/3 Days $152/4 Days $190/Week

$43/Day $86/2 Days Community $129/3 Days $172/4 Days $215/Week

$47/Day $94/2 Days $141/3 Days $188/4 Days $235/Week

YMCA Member

Week 5 WET & WILD

July 10th - July 14th

Week 6 July 17th - July 21st UNDER THE SEA Week 7 July 24th - July 28th SUMMER FIESTA Week 8 July 31st - August 4th STARS & SPACE Week 9 August 7th - August 11th BACKYARD BASH Week 10 August 14th - August 18th BEACH LUAU Week 11 August 21st - August 25th SUNSET STAGE

For more information please visit our website at www.doorcountyymca.org /programs/youth-programming/summer-camp

REGISTRATION CAMP FORMS

EARLY REGISTRATION DISCOUNTS

CAMP DEPOSITS, PAYMENT AND CANCELLATIONS

FINANCIAL ASSISTANCE

For your child’s safety and state licensing requirements, registration forms for all camps must be submitted by Tuesday, May 30th or 1 week prior to first day of scheduled camp. It pays to not only become a member of the Y, but also to register early for Summer Camp. Registration opens on March 13th for Please note that the Y uses photos of program participants in Y members and March 15th for the community. With two pricing promotional materials (last names are not published). If you do tiers, the earlier you register the more you can save. Campers can not want your child photographed or to appear in promotional register for the whole summer, specific weeks or random days. By materials, please check the appropriate box on the bottom registering for the full summer of camp, members will receive a of the registration forms on page 21 and file this form along discount equivalent to 5 days of camp FREE! with other camp forms.

A non-refundable deposit is required at the time of registration unless you receive a subsidy. A deposit of 25% is required if you register before May 30, and 50% is required if you register after May 30. Your deposit is applied to your total camp fees. The balance of camp fees must be scheduled for a payment plan and MUST be paid in full prior to scheduled camp day unless otherwise arranged with JoAnna Severinsen. Transfers from one camp day to another will be accepted on a space-available basis without penalty. Y retains 25% of camp fee for all cancellations made before May 30 and 50% of cancellation made after May 30. Camp enrollments are accepted 48 hours prior to the camp day, or on a space-available basis. Due to high costs associated with offering camp, we need to ensure fees are kept current. Failure to meet payment schedules may result in termination of care.

JOIN THE Y!

All campers are encouraged to join as a YMCA member to receive a discount on camp and full membership privileges. A youth membership is $18.00 per month. Or better yet, join as a family and make the Y your destination for family activities year round! For more information on becoming a Y member, visit www.doorcountyymca.org or call Sturgeon Bay Program Center 920-743-4949 Northern Door Program Center 920-868-3660

At the YMCA, summer camp is for everyone, regardless of income. We are committed to giving everyone the opportunity to participate in character building programs regardless of one’s ability to pay. In addition to a subsidy program provided through the State of Wisconsin, the YMCA can also offer partial financial assistance for camp fees, if the state subsidy is less then 50%. State subsidy, if applicable, will be applied first to camp fees. Parents are then required to pay all fees not covered by subsidy support. For financial assistance information contact Sue Crass at the Sturgeon Bay Program Center at 920-743-4949 or Josh Lardinois at the Northern Door Program Center at 920-868-3660. All requests are confidential. For state subsidy information, contact Val Bauldry at Human Services of Door County at 920-746-2245. A current “Authorization of Service” must be on file prior to attendance. Parent/Guardian is responsible for full payment until “Authorization of Service” is received. Parents must submit co-payment by the end of each month to continue care into the following month. Verification of subsidy support is due by June 10 or regular deposit are immediately due.

CAMP SUPERVISION POLICY

The Door County YMCA is not able to provide 1:1 supervision of any child in our camp programs. Normal state licensing ratios are implemented and range from 1:10 to 1:15 depending on ages and activities. If your child requires more supervision, it will be the parent’s responsibility to inform the YMCA and provide that service for your child. Assisting adults are permitted to accompany children in our camps at no additional cost. Contact the camp director to make arrangements before your child arrives at camp.

SWIMMING POLICY

Summer fun includes swimming in our tremendous aquatic facilities or local beaches! Please note that most of our Camp Compass programs include instructional and/or recreational swim time as a part of the curriculum. Instructional swim programs include a pre- and post-season assessment that will be sent home for you to see your campers’ progress.

20 For more information please visit our website at www.doorcountyymca.org /programs/youth-programming/summer-camp

Section to be filled out ONLY for Adventures, Travelers, and Navigators

Section to be filled out for ALL Campers

This form is required for Adventures, Travelers, and Navigators

This form is required for Explorers, Adventures, Travelers, and Navigators DEPARTMENT OF HEALTH SERVICES Division of Public Health F-44192 (Rev. 09/08)

DAY CARE IMMUNIZATION RECORD

COMPLETE AND RETURN TO DAY CARE CENTER. State law requires all children in day care centers to present evidence of immunization against certain diseases within 30 school days (6 calendar weeks) of admission to the day care center. These requirements can be waived only if a properly signed health, religious, or personal conviction waiver is filed with the day care center. See “Waivers” below. If you have any questions on immunizations or how to complete this form, please contact your child’s day care provider or your local health department.

PERSONAL DATA

PLEASE PRINT

Child’s Name (Last, First, Middle Initial)

Date of Birth (Month/Day/Year)

Area Code/Telephone Number

Name of Parent/Guardian/Legal Custodian (Last, First, Middle Initial

Address (Street, Apartment Number, City, State, Zip)

STEP 2 IMMUNIZATION HISTORY LIST THE MONTH, DAY AND YEAR the child received each of the following immunizations. DO NOT USE A (4) OR (X) except to indicate whether the child has had chickenpox. If you do not have an immunization record for this child, contact your doctor or local public health department to obtain the records. TYPE OF VACCINE

First Dose Month/Day/Year

Second Dose Month/Day/Year

Third Dose Month/Day/Year

Fourth Dose Month/Day/Year

Fifth Dose Month/Day/Year

Diptheria-Tetanus-Pertussis (Specify DTP, DTaP or DT Polio HIb (Haemophilus Influenzae Type B) Pneumococcal Conjugate Vaccine (PCV) Hepatitis B Measles-Mumps-Rubella (MMR) Varicella (chickenpox) vaccine Vaccine is required only if the child has not had chickenpox disease Has the child had Varicella (chickenpox) disease? Check the appropriate box and provide the year if known. r Yes Year_________ (vaccine is not required) r No or Unsure (Vaccine is required)

STEP 3 REQUIREMENTS The following are the minimum required immunizations for the child’s age/grade at entry. All children within the range must meet these requirements at day care entrance. Children who reach a new age/grade level while attending this day care must have their records updated with dates of additional required doses. AGE LEVELS

NUMBER OF DOSES

5 months through 15 months

2 DTP/DTaP/DT

2 Polio

2 HIb

2 PCV

2 Hep B

16 months through 23 months

3 DTP/DTaP/DT

2 Polio

3 HIb1

3 PCV2

2 Hep B

1 MMR3

2 years through 4 years

4 DTP/DTaP/DT

3 Polio

3 HIb1

3 PCV2

3 Hep B

1 MMR3

1 Varicella

At Kindergarten entrance

4 DTP/DTaP/DT4

4 Polio

3 Hep B

2 MMR3

2 Varicella

If the child began the HIb series at 12-14 months of age, only 2 doses are required. If the child received one dose of HIb at 15 months of age or after, no additional doses are required. Minimum of one dose must be received after 12 months of age (Note: a dose 4 days or less before the first birthday is also acceptable). 2 If the child began the PCV series at 12-23 months of age, only 2 doses are required. If the child received the first dose of PCV at 24 months of age or after, no additional doses are required. 3 MMR vaccine must have been received on or after the first birthday (Note: a dose 4 days or less before the 1st birthday is also acceptable). 4 Children entering kindergarten must have received on dose after the 4th birthday (either the 3rd, 4th, or 5th) to be compliant (NOTE: a dose 4 days or less before the 4th birthday is also acceptable). 1

STEP 4 COMPLIANCE DATA AND WAIVERS IF THE CHILD MEETS ALL REQUIREMENTS (sign at STEP 5 and return this form to the day care center). OR IF THE CHILD DOES NOT MEET ALL REQUIREMENTS (check the appropriate box below, sign and return this form to day care center) the child has not received all required doses of vaccine for his or her age group, at least the first dose of each vaccine has been received. I r Although understand that it is my responsibility to obtain the remaining required doses of vaccines for this child WITHIN ONE YEAR and to notify the day care center in writing as each dose is received.

NOTE: Failure to stay on schedule or report immunizations to the day care center may result in court action against the parents and a fine of up to $25.00 per day of violation.

r For health reasons this child should not receive the following immunizations_______(List in STEP 2 any immunizations already received) Physicians Signature Required

r For religious reasons this child should not be immunized. (List in STEP 2 any immunizations already received) r For personal conviction reasons this child should not be immunized. (List in STEP 2 any immunizations already received) STEP 4 SIGNATURE To the best of my knowledge this form is complete and accurate. SIGNATURE - Parent, Guardian or Legal Custodian

Date Signed

24 CHILD CARE ENROLLMENT

http://dcf.wisconsin.gov

Birthdate (mm/dd/yyyy)

First Day of Attendance

Place of Employment and Work Phone No.

Email Address Where Reachable While Child is in Care

Does child reside at this location? Yes No

Home / Cell Phone No.

Does child reside at this location? Yes No

Home / Cell Phone No.

Email Address Where Reachable While Child is in Care Place of Employment and Work Phone No.

DCF-F-CFS0062 (R. 12/2014)

No No No No

Address (Street, City, State, Zip Code)

Telephone Number

I hereby give my consent for emergency medical care or treatment to be used only if I cannot be reached immediately. I have had an opportunity to review the policies of this child care center and a summary of the Wisconsin Rules for Licensing Child Care Centers. I give permission for my child to participate in Transported Walking field trips and other activities during operating hours. I have been informed of the number of pets in the center and their degree of contact with the enrolled children. Note: If pets are added after a child is enrolled, parents shall be notified in writing prior to the pet's addition to the center. Date Signed SIGNATURE – Parent or Guardian

Yes Yes Yes Yes

AUTHORIZATIONS

PHYSICIAN OR MEDICAL FACILITY Name

EMERGENCY CONTACT – The person to be notified in an emergency when parents / guardians cannot be reached. Yes No This person is authorized to pick up the child. Name and Relationship to Child Home / Cell Phone No. Email Address Where Reachable While Child is in Care Place of Employment and Work Phone No.

b. Name and Relationship to Child

AUTHORIZED PERSONS – Persons other than parents / guardians who are authorized to pick up the child or accept the child if dropped off. If no one, write "None." a. Name and Relationship to Child Home / Cell Phone No. Email Address Where Reachable While Child is in Care Place of Employment and Work Phone No.

Home Address (Street, City, State, Zip)

b. Name and Relationship to Child

Home Address (Street, City, State, Zip)

PARENT OR GUARDIAN – All parents / guardians are permitted to visit during center hours and are allowed to pick up the child unless access is prohibited or restricted by a court order. Attach court order, if any. If the child resides at multiple locations, the department recommends the provider obtain and attach a schedule. a. Name and Relationship to Child Home / Cell Phone No. Email Address Where Reachable While Child is in Care

CHILD INFORMATION Name (Last, First, MI)

Use of form: Use of this form is mandatory for Family Child Care Centers to comply with DCF 250.04(6)(a)1. Failure to comply may result in issuance of a noncompliance statement. This form may also be used by Group Child Care Centers and Day Camps to comply with DCF 251.04(6)(a)1. and DCF 252.41(4)(a)1. respectively. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04(1)(m), Wisconsin Statutes]. Instructions: The parent / guardian shall fill out the form completely, sign it and submit it to the center prior to the child's first day of attendance. Information on this form shall be kept current. When enrolling a child under two years of age, a completed Intake for Child Under 2 Years form must also be on file prior to the child's first day of attendance.

DEPARTMENT OF CHILDREN AND FAMILIES Division of Early Care and Education

This form is required for Explorers, Adventures, Travelers, Navigators, Pioneers, Trailblazers, Otumba and LIT’s

HEALTH HISTORY AND EMERGENCY CARE PLAN

STATE OF WISCONSIN Page 1

Birthdate (mm/dd/yyyy)

Telephone Number

Telephone Number - Work

Telephone Number

Telephone Number - Cellular

Yes

r r r r

No I authorize the center to allow my child to self-apply repellent

No I authorize the center to apply repellent to my child.

No I authorize the center to allow my child to self-apply sunscreen

No I authorize the center to apply sunscreen to my child.

Brand Name

Ingredient Strength

r Non-food allergy. Specify:

r Milk allergy. If a child is allergic to milk, attach a statement from the medical professional indicating the acceptable alternative. r Food allergy. Specify food(s):

HEALTH HISTORY AND EMERGENCY CARE PLAN If available, attach any health care plan information from the child’s physician, therapist, etc. 1. Check any special medical condition that your child may have. r No specific medical condition r Asthma r Diabetes r Gastrointestinal or feeding concerns including special diet and supplements r Cerebral palsy/motor disorder r Epilepsy/seizure disorder r Any disorder including Cognitively Disabled, LD, ADD, ADHD, or Autism r Other condition(s) requiring special care - specify:

r r r r

SUNSCREEN/INSECT REPELLENT AUTHORIZATION If provided by the parent, the sunscreen or insect repellent shall be labeled with the child’s name. Per DCF 251.07(6)(f)2., authorizations shall be reviewed every 6 months and updated as necessary. Per DCF 250.07(6)(f)2.a., Authorizations shall be reviewed periodically and updated as necessary.

Name - Physician Address - Medical Facility

Telephone Number - Home

Name

PHYSICIAN/MEDICAL FACILITY INFORMATION

Telephone Number - Home

Name

Telephone Number - Cellular

Date - First Day of Attendance (mm/dd/yyyy)

PARENT/GUARDIAN INFORMATION (Provide information where the parent(s)/guardian(2) may be reached while the child is in care

Address - Home (Street, City, State, Zip Code)

Name (Last, First, MI)

CHILD INFORMATION

Instructions: The parent/guardian should complete this form for placement in the child’s file prior to the child’s first day of attendance. Information contained on the form shall be shared with any person caring for the child. The department recommends that parents/guardians and center staff periodically review and update the information provided on this form.

Use of form: This form is required for family and group child care centers and day camps to comply with DCF 250.04(6)(a)1. and 250.07(6)(L)5. DCF 251.05(6)(a)6. and 251.07(6)(k)5., and DCF 252.44(6)(g) of the Wisconsin Administrative Codes. Failure to comply may result in issuance of a noncompliance statement. Personal information you provide may be used for secondary purposes {Privacy Law, s. 15.04(1)(m), Wisconsin Statutes].

DEPARTMENT OF CHILDREN AND FAMILIES Division of Early Care and Education DCF-F (CFS-2345) (R. 03/2009)

This form is required for Explorers, Adventures, Travelers, Navigators, Pioneers, Trailblazers, Otumba and LIT’s

Page 2

Review Dates:

SIGNATURE - Parent or Guardian

Additional information that may be helpful to the child care provider.

When to consider that the condition requires emergency medical care or reassessment.

When to call parents regarding symptoms or failure to respond to treatment.

Identify any child care staff to whom you have given specialized training / instructions to help treat symptoms.

Date Signed (mm/dd/yyyy)

Steps the child care provider should follow. If prescription or non-prescription medications are necessary, a copy of the form Authorization to Administer Medication should be attached to this form. Note: group child care centers and day camps may use their own form.

Signs or symptoms to watch for – Specify.

Triggers that may cause problems – Specify.

STATE OF WISCONSIN

This form is required for Explorers, Adventures, Travelers, Navigators, Pioneers, Trailblazers, Otumba and LIT’s

DEPARTMENT OF CHILDREN AND FAMILIES Division of Early Care and Education DCF-F (CFS-2345) (R. 03/2009)

MY GOALS FOR THE

BEST SUMMER EVER! 1) 2) 3) 4) 5) please cut out and have your camper bring with them to the first week of camp

a reminder for your

CAMPER’S CHECKLIST... WHAT TO WEAR:

• Tennis shoes with socks • Camp t-shirt (provided)

DAILY BACKPACK ITEMS:

• Water bottle • Swimsuit & towel • Sweatshirt or light jacket • Comb/brush • Optional items: goggles, plastic bag for wet swim suit & towel

PLEASE DO NOT BRING:

• Money • Toys from home • Personal electronic items or cell phones

SUNSCREEN AND BUG SPRAY:

Sunscreen should be applied before camp, as campers spend a good portion of the day outside. The YMCA will provide sunscreen and bug spray to be re-applied throughout the day when conditions dictate. If you wish to provide your own sunscreen and bug spray, it must be in a separate container clearly labeled with the camper’s name as well as have the appropriate paperwork on file with counselors.

FACEBOOK! Stay up to date with new and fun things happening at camp, weather alerts and camp cancellations. Photos will be posted daily so you can see what your little camper was able to experience & learn! To protect the privacy of families & children, our Summer Camp Facebook page is for a Closed Parent Group ONLY! You may request to be a part of this group, but our Summer Camp staff will be the only ones to approve and accept your request. Follow us at: https://www.facebook.com/groups/dcysummercamp/

STAY CONNECTED TO THE Y!

www.DoorCountyYMCA.org 27

Door County YMCA 1900 Michigan Street Sturgeon Bay, WI 54235

Non-Profit Org US Postage

PAID

Sturgeon Bay Permit # 18

Summer Camp Registration Opens Monday, March 13th for Members

Wednesday, March 15th for Community

& GET 1 WEEK FREE NO RATE INCREASE FOR 2017 TO ENSURE ALL CAMPERS CAN HAVE THE BEST SUMMER EVER!

REGISTER EARLY TO SAVE! Early Bird pricing runs through April 30th No one is ever turned away for the inability to pay. Financial assistance is available. Please call for more information.

Door County YMCA Sturgeon Bay Program Center 1900 Michigan Street Sturgeon Bay, WI 54235 (920) 743-4949 (920) 743-8812 • Fax Northern Door Program Center 3866 Gibraltar Road Fish Creek, WI 54212 (920) 868-3660 (920) 868-9970 • Fax Barker Child Development Center 1743 Egg Harbor Road Sturgeon Bay, 54235 (920) 818-0691 (920) 818-0693 • Fax Lansing Avenue Center 876 S Lansing Avenue Sturgeon Bay, WI 54235 (920) 818-0796

www.DoorCountyYMCA.org Please visit our website for program descriptions, age guidelines and policies, etc...