The Best Summer
Ever.
SUMMER CAMP 2016 THE GATEWAY FAMILY YMCA ELIZABETH BRANCH
SUMMER CAMP INFORMATION
SUMMER CAMP INFORMATION Dear Camp Families,
Summer Camp is a special time in a child’s life. It is when memories are made. Children will make new friends that will last a lifetime and make huge messy art projects. We are ready for another exciting summer and are thrilled that your children will be spending it with us. The Elizabeth Branch has a great summer day camp experience ready for them!
Traditional Summer Camp: Traditional Summer Camp is for children entering kindergarten to eighth grade. Who wouldn’t want to spend their summer meeting new friends, having fun, and making cool discoveries about themselves and the world they live in? Camp offers all of these things and more in a structured environment that also encourages free play, creativity and the development of positive self-esteem and confidence. Each day will start with a morning circle to get campers energized and excited for the day! Children will be placed in small groups for activities that include sports of all sorts, arts and crafts, discovering nature and science and much more. To top it all off we give you the option of signing up for 5 days of the week to come have fun with us!! Children entering 9-11 grade can enjoy camp too as they partake in LIT camp (held at the Five Points Branch YMCA).
Our Staff
The Elizabeth Branch makes taking care of your child our top priority. The best way to do that is to hire the best staff. Many of our camp counselors have grown up with the Y, or are staff that work in our after care programs during the school year. They know the program, traditions, and values that our camps offer. At the YMCA, we carefully select and screen caring role models who demonstrate a passion for developing confidence and good character in youth. Our camp staff attends trainings and must pass a rigorous background check and interview process before joining our team. Training includes CPR, First Aid, bullying and child abuse prevention and bus safety. We are dedicated to helping our campers learn, grow and play all within the pillars of our core values: caring, honesty, respect and responsibility.
How to Register:
1. Complete the registration form. All original registration forms must be submitted at the Welcome Center by the parent. Registration forms cannot be faxed or emailed. 2. Campers are required to be a member of the Elizabeth Branch, throughout the length of their camp participation. For memberships applications and/or questions please contact the front desk. 3. Unfortunately we are not able to process refunds. 4. Space is available for each camp and week on a first come, first serve basis. The only way to guarantee a spot is to leave a deposit of $30 for each week your child will be attending camp. This deposit is deducted from the total balance for the week. If a deposit is not left, space is not guaranteed.
Multi-Sibling Rate We offer a multi-sibling rate for camp and child care participants. The oldest child(ren) will receive 10% off of the weekly rate. This rate applies to private pay participants.
Financial Assistance: At the Y, we believe every child deserves a camp experience. Through the ANNUAL CAMPAIGN, we raise money for camp scholarships. Please call the camp director more information or pick up an application at the Welcome Center or on our website.
Pre and Post Camp:
Early and extended hours are available for all age groups and camps. For this option, registration can be done a weekly basis or for multiple weeks. Payment is due at the time of registration. Pre Camp starts at 7:00am until 8:30am and Post Camp begins at the end of the regular camp day (5pm) and runs until 6:30pm. Pre and Post Camp is held at your child’s camp site unless otherwise noted in the camp description. During Post Camp a variety of activities such as organized games and crafts are provided for the campers.
Field Trips and Special Events:
For camp weeks noted on the registration form, there is a scheduled field trip for campers. Camp trips are optional; any child not attending will have a traditional day at camp with fun-filled activities! Trips are an additional $15 per trip, registration is required. For each trip, there will a maximum capacity based on what can be accommodated for the trip location. In order to register for a field trip, your child must be registered for that week of camp with the balance paid in full. Once the field trip slots are filled, we cannot add on additional spaces or hold a spot on a field trip. If your child is attending our field trips, he/she must wear the camp shirt. We will provide lunch, but children are also allowed to bring a prepared lunch from home.)
4-Time Olympian Joetta Clark Diggs presents The Head 2 Toe Fitness Program® (Entering Grades 4th-8th) The Head 2 Toe Fitness® Program has been conducted throughout New Jersey for over 12 years. It is dedicated to helping children and their families embrace fitness/wellness. The program focuses on physical activities, agility, coordination, nutrition and goal setting in a friendly and monitored environment. Our goal is to encourage our youth to create the daily physical habits that will stay with them forever. Hosted at the Five Points Branch (Week 5 July 18th-22nd). Registration must be completed at the Five Points Branch. Also, Leaders in Training Camp (Grades 9-11)-hosted at the Five Points Branch (Week 5 July 18th-22nd)
INFORMATION FOR PARENTS
Information For Parents
CAMP REGISTRATION
CAMP REGISTRATION Child’s Name:
Grade (Fall 2016):
Please clearly circle or highlight the appropriate box to indicate the camp you would like to select for your child. All camps are based on the grade your child is entering effective September 2016. Camp
Entering Grades
Week 1 6/27-7/1
Week 2 7/5-7/8
Week 3 7/11- 7/15
Week 4 Week 5 7/18-7/22 7/25-7/29
Week 6 8/1-8/5
Week 7 8/8-8/12
Week 8 8/15-8/19
Week 9 8/22-8/26
Week 10 8/29-9/2
Traditional Camps (8:30am-5:00pm) Full Member: $151 Basic Member: $161 *Please mark the camp/week that your child will be attending. Discovery
K&1
Explorer
2&3
Adventure
4&5
Pioneer
6-8
Additional Options *Please circle the option/week your child will be attending. Pre Camp 7-8:30am
All
$25
$20
$25
$25
$25
$25
$25
$25
$25
$25
Post Camp 5-6:30pm
All
$25
$20
$25
$25
$25
$25
$25
$25
$25
$25
Pre & Post Camp
All
$45
$40
$45
$45
$45
$45
$45
$45
$45
$45
Weekly Trip
K-8
$15
$15
$15
$15
$15
$15
$15
$15
2016 SUMMER CAMP REGISTRATION FORM PLEASE PRINT CLEARLY
CIRCLE CAMP ATTENDING: Child’s Name: Birth Date: Home Address:
Discovery
Explorer
Adventure
Last Age:
Grade
Street
Pioneer First Middle
(Fall 2016) Home Phone# City
State Zip
Mother’s Name:
Occupation:
Name of Co:
Address:
Business Hours:
Work Phone:
Cell Phone #:
Additional #:
Email Address: Father’s Name:
Occupation:
Name of Co:
Address:
Business Hours:
Work Phone:
Cell Phone #:
Additional #:
Email Address:
LIST ALL PERSONS OVER THE AGE OF 18 AUTHORIZED TO PICK UP YOUR CHILD (Child will not be released to anyone else without written permission) Name:
Phone:
Name:
Phone:
Name:
Phone:
Name:
Phone:
LOCAL PERSONS TO BE CONTACTED IN AN EMERGENCY IF PARENTS CANNOT BE REACHED. 1. Name:
Relationship:
Address:
Phone:
2. Name:
Relationship:
Address:
Phone:
Doctor: Address:
Phone #:
SUMMER CAMP REGISTRATION FORM
THE ELIZABETH BRANCH
MEDICAL HISTORY
Medical History Form Child’s Name
Camp
Immunization History
Please record the date (month & year) of the basic immunizations and the most recent booster. If you have any questions, please consult with your doctor. DPT Booster
HBV
Polio OPV (sabin)
MMR
Pertussis
Tetanus Booster
HIB
Varicella
Tuberculin Test
Result
Date of last medical examination
Health History
Has your child had any of the following? If so, at what age? Allergies
Conditions
Hay Fever
Ear Infections
Ivy Poisoning
Heart Defect/Disease
Insect Stings
Convulsions
Penicillin
Bleeding Disorders
Sun Screen
Asthma/Reactive Airway
Bug Spray Food Allergies: Medical Allergies: Does your child carry an asthma inhaler?
Does your child carry an Epipen?
Has your child had any operations or serious injuries?
At what age?
If so, please describe: Has your child ever been hospitalized?
Under what circumstances?
Does your child have any chronic or recurring illness including seizures: If yes, please explain Does your child have emotional or behavioral problems? Please list any additional health history information we should be aware of: Does your child have any limitations to physical activity?
If yes, please explain:
IMPORTANT: PLEASE NOTIFY THE CAMP IF THIS CHILD HAS BEEN EXPOSED TO ANY COMMUNICABLE DISEASE. This health history is correct as far as I know, and the person herein described is in condition and has permission to engage in all in all usual activities except as noted above by me. Parent or Physician’s Signature: Date: Permission for emergency treatment: In order to meet all legal requirements, I hereby authorize representatives of The Gateway Family YMCA to give consent for any and all necessary emergency medical care for my child while he/she attends The Gateway Family YMCA camp program. Parent/Guardian Signature: Date:
• I have received The Gateway Family YMCA Parent Handbook, and I will review the camp safety and behavioral guidelines with my child. I understand my communication will support my child in having a safe, happy, and memorable camp experience. • I understand the importance of completing all registration materials prior to enrolling my child in camp. The registration materials support the YMCA in meeting licensing standards and are therefore a requirement. • I understand that full payment is needed prior to my child’s participation in camp. • To ensure the safety of all campers, I understand that a child may be suspended or terminated from the program, at the discretion of the Camp Director, for behaviors that violate YMCA rules and procedures. I also understand that there are no refunds for suspensions or terminations. • I understand that The Gateway Family YMCA is not responsible for lost or damage belongings, and that a lost and found is provided throughout the camp season..
Parental Authorization and Consent
I hereby enroll my child, , in The Gateway Family YMCA Summer Camp, and I: • Give permission for my child to participate in walking trips within the YMCA neighborhood. I understand these walks do not involve entrance into any facility and the route of any walk involves no safety hazards. • Give consent for my child to take part in all field trips or excursions under proper supervision. I also give my consent for my child to be transported to and from field trips/excursions. • Give consent for my child’s picture to be taken by childcare staff or area media personnel to be used for promotional purposes as deemed appropriate. • Give permission for my child to participate in all Healthy U activities and I give The Gateway Family YMCA permission to fitness test my child in cooperation with the Healthy U-CATCH initiative.
Parent’s Signature
Date
Inquiring YMCA staff are eager to know...
How did you hear about us?
______Previous Camper ______Direct Mail/Brochure ______Website
______Friend
______School ______YMCA Employee Other
Please list any siblings that will be attending either summer camp or our child care program. 1. 2. 3.
PARENT AGREEMENT AND AUTHORIZATION
Parent Agreement
Non-Profit organization US Postage
The Gateway Family YMCA Elizabeth Branch 135 Madison Avenue Elizabeth, NJ 07201 www.tgfymca.org
PAID
Permit 58 Elizabeth, NJ
Upcoming Open House Dates
Contact Information:
Come meet the Camp Directors, learn more about camp, take a tour and get all your questions answered. You can also register at anytime!
School Age Traditional Camp Dante Burgess dburgess@tgfymca.org
Program Administrator
• Wednesday, March 29th 5-8pm • Saturday, April 30th 12-3pm • Tuesday, May 18th 6-8pm
Julia Moreno jmoreno@tgfymca.org
Financial Assistance The Y is a non-profit organization committed to strengthening the foundations of community. We believe all children should have the opportunity to attend summer camp and offer financial assistance to those who qualify. In addition, the Y partners with and accepts 4C’s.
For more information, contact Julia Moreno at jmoreno@tgfymca.org or (908) 355-9622