Sign up TODAY! Register online at ymcalouisville.org by May 6 and receive a FREE backpack!
Summer Camp 2015 YMCA OF GREATER LOUISVILLE
BEST SUMMER EVER! Friendship, Accomplishment, Belonging ymcalouisville.org
Your Kids Have Never Had a
SUMMER LIKE THIS! One week or the whole summer. Indoors and out. On their own or in a group. Archery to arts. Canoeing to cannonballs. Your kids will have an amazing experience this summer in a safe, inclusive and nurturing environment.
BEST SUMMER EVER! FRIENDSHIP
BELONGING
• We’re here to inspire kids to work together and play together, creating friendships that can last a lifetime.
• We’re here to make kids feel welcome. To help them quickly realize YMCA Day Camp is a place where they belong and can be themselves.
• Staff are carefully chosen and trained to help children flourish socially, emotionally, cognitively and physically, role modeling our core values of caring, honesty, respect and responsibility.
ACCOMPLISHMENT • We are here to surround your kids with fantastic chances to try new experiences, opportunities to try until they succeed. We show them all they can do when they believe in themselves. • We’re here to surround every child with support, guidance and opportunities to learn and explore new talents and interests to discover what they are passionate about.
• Over 30 locations available in Jefferson, Oldham and Bullitt Counties with options for financial assistance, third party pay and programs for children with special needs. • The Y is for everyone. Financial assistance is available to make participation possible for all.
Childcare Enrichment Program (CEP) and Creative Adventures 502.637.1575 CEP — GRADES K-8 CREATIVE ADVENTURES — GRADES K-8
CEP is a partnership with Jefferson County Public Schools
Bullitt County Family YMCA 502.955.6433
This summer your child has the opportunity to beat the heat and meet new friends as they explore the city on field trips, go swimming at the Northeast Y’s Calypso Cove Water Park and enjoy weekly, theme-based activities. We offer rates based upon 1-3 days or 4-5 days of attendance. All sites are tentative and subject to change.
COOL CAMP — AGES 5-13
Fees and Rates
All campers will swim once a week and take two additional field trips each week. Trip locations include bowling, skating, area water parks, museums and more. Weekly themes, dance classes, running club, chess club, bike club and fishing will also add excitement to a fun-filled, active summer.
Registration Fee: $25 through May 6; $45 after May 6
Fees and Weekly Rates
$112 first child; $107 additional children (Facility Member) $117 first child; $112 additional children (Program Member)
Registration Fee: $25 through May 6; $45 after May 6 $122 (Facility Member) • $132 (Program Member)
Camp Dates / Hours / Locations May 26 - August 7 • 6 a.m. - 6 p.m. (Start date may change based on school calendar) Brooks Elementary • 1430 Brooks Road Crossroads Elementary • 156 Erin Circle Pleasant Grove Elementary • 6415 Highway 44 East Roby Elementary • 1148 Highway 44 East
Weekly Rate (4-5 days) $122 first child; $112 additional children (Facility Member) $132 first child; $122 additional children (Program Member)
Weekly Rate (1-3 days)
Camp Dates and Hours CEP — J une 1 - July 31 • 7 a.m. - 6 p.m. (limited sites August 3-7) Creative Adventures — May 26 - August 7 • 7 a.m. - 6 p.m.
CEP SITE LOCATIONS: Downtown Coleridge Taylor Montessori Elementary • 1115 West Chestnut Street
Northeast Area Chancey Elementary • 4301 Murphy Lane Dunn Elementary • 2010 Rudy Lane Field Elementary • 120 Sacred Heart Lane Greathouse Elementary • 2700 Browns Lane Hite Elementary • 12408 Old Shelbyville Road Lowe Elementary • 210 Oxfordshire Lane Zachary Taylor Elementary • 9620 Westport Road
Southeast Area
Chestnut Street Family YMCA 502.587.7405
SUMMER FUN CAMP — AGES 5-13
Bloom Elementary • 1627 Lucia Avenue Blue Lick Elementary • 9801 Blue Lick Road Farmer Elementary • 6405 Gellhaus Lane Goldsmith Elementary • 3520 Goldsmith Lane Luhr Elementary • 6900 Fegenbush Lane Thomas Jefferson Middle • 1501 Rangeland Road Tully Elementary • 3300 College Drive
Camps will offer the opportunity to make new friends, learn to swim and explore Louisville. Campers will swim once a week and take two additional field trips each week to locations including skating, area museums and more (swim lessons will be included in camp). Weekly themes will also add excitement to a fun-filled, active summer. We are a Kids Cafe site offering breakfast, lunch and dinner daily this summer.
Southwest Area
Fees and Weekly Rates
CREATIVE ADVENTURES SITE LOCATIONS:
Registration Fee: $25 through May 6; $45 after May 6 $122 (Facility Member) • $132 (Program Member)
Camp Dates / Hours / Location June 1 - August 7 • 6:30 a.m. - 6 p.m. (Start date may change based on school calendar) Chestnut Street Family YMCA • 930 West Chestnut Street
Cane Run Elementary • 3951 Cane Run Road Foster Traditional Elementary • 1401 South 41st Street Kerrick Elementary • 2210 Upper Hunters Trace Olmsted Academy South • 5650 Southern Parkway Noe Middle • 121 West Lee Street Trunnell Elementary • 7609 St. Andrews Church Road
Christian Academy English Station • 711 South English Station Road
TEEN SCENE — AGES 15-21 Teen Scene is for special needs teens ages 15-21. For more information on fees, location, program registration and availability, please call Valerie Slaten at 502.855.5390. Space is limited.
Northeast Family YMCA 502.425.1271
Camp Fees: Weekly deposit for Rising Star, Sports Camp and CIT — $25 per child, per week; Cedar Ridge Day Camp — $50 per child, per week
RISING STAR – AGES 5-6* *Open to 4-year-olds turning 5 by August 1, 2015 YMCA Camp Rising Star is filled with fun activities that include physical activity, social interaction, educational opportunities, leadership building, personal growth and creativity. We focus on honesty, caring, respect, and responsibility in all of our activities, from swimming to arts & crafts and games. Each week our activities will center around a different fun-filled theme.
COUNSELORS IN TRAINING (CIT) AT CEDAR RIDGE – AGES 15-17 The camp environment provides a unique opportunity for youth to build leadership skills, particularly in assisting counselors with younger campers. The goal of the CIT camp program is to teach the general skills of leadership that can be used at school, home and community (not just at camp.) The program will give teens age-appropriate challenges that build their skills, confidence and capacity for leading activities.
Weekly Rates $122 (Facility Member) • $142 (Program Member)
Weekly Rates
Camp Dates / Hours / Location
$122 (Facility Member) • $142 (Program Member)
June 1 - August 7 • 7 a.m. - 6 p.m. Drop-off and pick-up at Northeast Family YMCA • 9400 Mill Brook Road, or at Camp Cedar Ridge • 4010 Old Routt Road Camp activities at Camp Cedar Ridge
Camp Dates / Hours / Location June 1 - August 7 • 7 a.m. - 6 p.m. Northeast Family YMCA • 9400 Mill Brook Road
SPORTS CAMP – AGES 6-14 YMCA Sports Camps help children explore different games, sports and activities while learning the value of sportsmanship and fair play. Each week will include a fun theme to spark imagination while reinforcing the core values of honesty, caring, respect and responsibility.
Weekly Rates $122 (Facility Member) • $142 (Program Member)
Camp Dates / Hours / Location June 1 - August 7 • 7 a.m. - 6 p.m. Tentative location: Westport Middle School • 8100 Westport Road
CEDAR RIDGE DAY CAMP – AGES 6-14 YMCA Cedar Ridge Day Camp offers the fun and freedom of being outdoors while learning new skills and making friends. Each week offers adventures that teach campers to respect and enjoy nature while having fun, hiking, exploring, arts and crafts, swimming, singing camp songs and canoeing. The camp staff helps build teamwork and provide challenging, safe activities for each group.
Weekly Rates $140 (Facility Member) • $160 (Program Member)
Camp Dates / Hours / Location June 1 - August 7 • 7 a.m. - 6 p.m. Drop-off and pick-up at Northeast Family YMCA • 9400 Mill Brook Road, or at Camp Cedar Ridge • 4010 Old Routt Road Camp activities at Camp Cedar Ridge
YMCA at Norton Commons 502.882.9622
CAMP QUEST – AGES 5-10 Camp Quest is a full day camp that will feature three field trips a week, plus swimming two days a week. Children will get to explore the outdoors, participate in activities, sports and other fun-filled, themed weekly adventures.
Fees and Weekly Rates Deposit: $25 per child, per week $140 (Facility Member) • $160 (Program Member)
Camp Dates / Hours / Location June 1 - August 7 • 7 a.m. - 6 p.m. (Start date may change based on school calendar) YMCA at Norton Commons • 11000 Brownsboro Road, Prospect, KY
Oldham County Family YMCA
Southwest Family YMCA
CAMP DISCOVERY — AGES 4-6 EXPLORERS — AGES 6-10 ADVENTURERS — AGES 11-14
KAMP KERMIT– AGES 4-5 SUMMER DAY CAMP – AGES 6-14
502.222.9358
Campers will love bike riding on the nature trail, indoor and outdoor swimming opportunities, field trips, archery, Frisbee golf, playing in the GaGa pit, spending time with their friends and our annual overnight. Best of all, activities are designed toward the interest and skill levels appropriate for each age group, and all activities promote the four character development principles of honesty, caring, respect and responsibility.
Fees and Weekly Rates Deposit: $25 per child, per week $135 (Facility Member) • $160 (Program Member)
Camp Dates / Hours / Location June 9 - August 7 • 7 a.m. - 6 p.m. (Start date may change based on school calendar)
502.933.9622
The Southwest Family YMCA is proud to offer a summer of fun and special events designed to help campers make new friends and build self-confidence. Children will get to spend the majority of their day enjoying the great outdoors. Weekly activities and trips are scheduled around themes, and campers will have the opportunity to go on two field trips a week as well as swim at least twice a week.
Fees and Weekly Rates Registration Fee: $25 $122 (Facility Member) • $142 (Program Member)
Camp Dates / Hours / Location June 1 - August 7 • 7 a.m. - 6 p.m. Southwest Family YMCA 2800 Fordhaven Road
Oldham County Family YMCA (Drop-off and pick-up in the Indoor Arena) 20 Quality Place, Buckner, KY
Southeast Family YMCA 502.491.9622
SUMMER DAY CAMP — AGES 5-12 Summer Day Camp at the Southeast Y is an adventure like no other! Each day is different as our campers make new friends, play fun games and try new activities. Each week is based on an exciting theme and features field trips, swimming and roller skating. Our camp kids expand their minds and keep their bodies moving while building great relationships! Campers will get to spend the majority of their day enjoying the great outdoors.
COUNSELOR IN TRAINING (CIT) – AGES 13-15 Youth learn important leadership development skills that can be used at school, home and the community.
Fees and Weekly Rates Deposit - $10 per child, per week
Summer Day Camp: $122 (Facility Member) • $146 (Program Member)
Counselor in Training (CIT): $95 (Facility Member) • $105 (Program Member)
Camp Dates / Hours / Location
Camp Piomingo 800.411.5822
OVERNIGHT CAMP — AGES 7-17 Overnight camp is a fantastic opportunity to make friends, build character and have tons of fun. For over 75 years, Piomingo has provided a safe environment where campers discover more about themselves while building friendships that will last a lifetime, under the leadership of great role models. One and two week traditional sessions, Equestrian camp and Teen Adventure camps are available.
CAMP PIOMINGO DAY CAMP Serving Meade and Hardin Counties, our day camp has all the fun and activities of overnight camp – but you sleep in your own bed at night. Each week of camp comes with swim lessons and lunch is included. Pick up locations are in Brandenburg, Flaherty, and Radcliff. Pick up times begin at 7:30 am with drop off times extended to 5:30 pm.
Camp Dates / Location
June 1 - August 7 • 7 a.m. - 6 p.m.
June 7 - August 1 • Brandenburg, KY
Southeast Family YMCA • 5930 Six Mile Lane
Register online or discover more at ymcacamppiomingo.org.
YMCA Summer Day Camp 2015 Registration
All campers receive a FREE T-shirt. Register online at ymcalouisville.org by May 6 and receive a FREE backpack!
To register for summer camps, submit the completed registration form and the deposit/registration fee. CEP, Creative Adventures, Bullitt County and Chestnut Street participants must also provide a copy of their immunization record and recent photo. Be sure to fill out BOTH SIDES of the registration form.
Or, save time and REGISTER ONLINE at ymcalouisville.org. For assistance, call 502.582.3623. EMAIL To receive important program updates and confirmation
CAMPER (Must be siblings to register on the same registration) st First name 1 Date of Birth
Middle initial /
/
Last name
Race
Gender
Physical conditions/special needs
M
F
Age
Grade in Fall 2014
Medications/allergies
To better serve your child, please indicate if he/she has been diagnosed with any of the following: ADD/ADHD Convulsions Bleeding/Clotting Disorders Autism Aspergers Fragile X Cerebral Palsy Bipolar Disorder Rhett Syndrome Down Syndrome Chronic Health Problems Asthma/Severe Allergies Diabetes Heart defect/disease Other Does this child have an IEP (Individual Education Plan)?
Yes
No
2 nd First name Date of Birth
Middle initial /
/
Tourettes
Last name
Race
Gender
Physical conditions/special needs
M
F
Age
Grade in Fall 2014
Medications/allergies
To better serve your child, please indicate if he/she has been diagnosed with any of the following: ADD/ADHD Convulsions Bleeding/Clotting Disorders Autism Aspergers Fragile X Cerebral Palsy Bipolar Disorder Rhett Syndrome Down Syndrome Chronic Health Problems Asthma/Severe Allergies Diabetes Heart defect/disease Other Does this child have an IEP (Individual Education Plan)?
Yes
Tourettes
No
PARENT/GUARDIAN st Name 1
Relationship to child
Address
City
Date of Birth
/
/
State Zip
Employer
Phone (Work)
Phone (Home)
Phone (Cell)
Would you like to opt in for text message alerts?
Yes
No
If yes to above, please list your carrier
2 nd Name
Relationship to child
Address Date of Birth
/
City /
State Zip
Employer
Phone (Work)
(Cell)
(Home)
METRO UNITED WAY INFORMATION Number of family members living in the household: School lunch classification:
Free
1 person
Reduced
Highest education level completed by head of household: Some high school GED High school diploma Other (please list)
2 people
Full pay
3 people
4 people Ethnicity:
Some college
Associate degree
5 people Hispanic
Bachelor’s degree
6 or more people Non-Hispanic Post graduate degree
EMERGENCY CONTACT/AUTHORIZED PICK-UP Anyone picking up your child must be at least 18 years of age or older. A picture ID is required at pick-up. In addition to the parents/guardians listed above, I authorize the following to pick up the child/children and or be contacted in an emergency: st Name 1 Phone (Work)
Relationship to child (Cell)
2 nd Name Phone (Work)
(Home) Relationship to child
(Cell)
(Home)
PHYSICIAN/INSURANCE INFORMATION Insurance Carrier
Policy Number
Physician Name
Phone
Preferred hospital in the event child needs to be transported for medical attention:
You may also register online at ymcalouisville.org SUMMER 2015 CAMP REGISTRATION — CAMP/SESSION CHOICES Please indicate the session dates requested. Write in the name of the camp that you select for that session and the corresponding deposit. IMPORTANT! In order to reserve a space in the camp(s) of your choice, a non-refundable deposit or registration fee is required. Deposit and registration fee amounts vary from camp to camp. DATES MAY CHANGE DUE TO THE SCHOOL CALENDAR. CAMPER st Name 1
WEEK
CAMP NAME
CAMP LOCATION
DEPOSIT/REGISTRATION FEE
CAMP NAME
CAMP LOCATION
DEPOSIT/REGISTRATION FEE
A) May 26-29 B) June 1-5 C) June 8-12 D) June 15-19 E) June 22-26 F) June 29-July 2 G) July 6-10 H) July 13-17 I) July 20-24 J) July 27-31 K) Aug 3-7
CAMPER nd 2 Name
WEEK
A) May 26-29 B) June 1-5 C) June 8-12 D) June 15-19 E) June 22-26 F) June 29-July 2 G) July 6-10 H) July 13-17 I) July 20-24 J) July 27-31 K) Aug 3-7
Total Deposits/Registration Fees
CEP and CREATIVE ADVENTURES PARTICIPANTS Please indicate your weekly schedule. NORTHEAST CAMP CEDAR RIDGE Please check drop-off/pick-up location.
Northeast YMCA
ANNUAL CAMPAIGN I would like to help a child attend YMCA Summer Camp $10 $25 Please indicate your gift amount here. It will be added to your total.
$50
1-3 Days
$100
4-5 Days
Camp Cedar Ridge Other/please contact me
PAYMENT INFORMATION Please check one. Check here if either parent is
JCPS employee Financial assistance recipient
YMCA employee 3-C recipient
YMCA family facility member
I am currently on automatic draft. Please use the account on file ending in _____ _____ _____ _____ to draft my account for registration fee(s)/deposits and to set up my weekly payments. Authorized account holder signature: ____________________________________________ I am authorizing a NEW bank draft from my checking account and I have attached a voided check. I am authorizing a NEW credit card draft and I have provided all the information below: Credit Card Type:
Visa
Name on card
MasterCard
Discover Authorized signature
Card number
Expiration date
Billing street address
Billing zip code
I have the legal authority to sign up the child/children named on this form and to the best of my knowledge; the information on this application form is complete and accurate. I further understand that this is an application and the named child/children’s participation is contingent upon space being available in the program(s) in which I want the child to participate. I also understand that once my application is confirmed, I must complete payment(s) by the deadlines of said program(s). I understand that the YMCA prohibits staff members from being alone with children they meet in YMCA programs outside of the YMCA. This includes but is not limited to baby-sitting, tutoring, sleep-overs, etc. This health history is correct as far as I know, and the child herein described has my permission to engage in all activities and field trips except as noted by me. In the event I cannot be reached in an emergency, I hereby give permission to the director of the program or designee to secure emergency medical services, including transportation and medical care. I also give permission for the attending physician to order injections, anesthesia or surgery for this child as named above. I understand that medical and accident insurance is the responsibility of the parent or guardian.
The YMCA has permission for my children to be photographed and/or interviewed for promotional purposes Signature of Parent/Guardian
Yes
No Date
THE Y’S DAY CAMP PROGRAM IS SO MUCH MORE THAN FUN AND PLAY!
YMCA OF GREATER LOUISVILLE 545 South Second Street Louisville, Kentucky 40202
Come see why at our 2015 Summer Camp Kickoff
Meet the staff, get camp information and pick up a camper t-shirt. For locations, dates and times of the kickoff and to register for camp, visit us today at ymcalouisville.org. Sites fill up quickly!
AT YMCA SUMMER DAY CAMP... We know when kids discover what they can accomplish — learn and master skills, make new friends, and feel like they belong — they are developing the confidence, character and teamwork they need to be successful in life. We focus on these areas to help kids reach their full potential.