Register online at ymcalouisville.org by May 8 and receive a FREE backpack!
A SENSE OF
BELONGING Summer Camp 2013 YMCA OF GREATER LOUISVILLE
READY FOR SUMMER CAMP? A SENSE OF SECURITY At YMCA Summer Camps, safety is our primary focus. We carefully select, screen and train our staff to ensure that your child has a positive environment where they can be safe while having fun. All staff are certified in CPR/First Aid and follow firm guidelines for group ratios in order to ensure maximum leadership and individual attention. Our staff serve as role models for our four core values of Caring, Honesty, Respect and Responsibility.
A SENSE OF WELL-BEING We provide opportunities for children to make healthy choices. Camp activities include field trips, swimming, games, sports and plenty of physical activity designed to encourage healthy living. Water is our drink of choice to provide proper hydration. Snacks are monitored for sugar and fat and include fresh fruits and vegetables. We encourage campers to be active each and every day.
A SENSE OF ACCOMPLISHMENT We believe that all kids deserve the opportunity to discover who they are and what they can achieve. The values and skills learned early on are vital building blocks for quality of life. We work with your children every day to help them have fun, while realizing their potential. At our camps, your child will make new friends, learn new skills and build self-esteem and confidence.
A SENSE OF CONVENIENCE With over 30 locations throughout Jefferson, Bullitt and Oldham counties, you are sure to find a camp that fits into your family’s busy schedule. Most camps are open from early morning until early evening, ensuring that children are engaged throughout the long summer days. Everyone is welcome at YMCA Summer Camps. We care for children with special needs, offer financial assistance and accept third party subsidy reimbursements at designated sites that are licensed by the State. Please visit ymcalouisville.org to find out more and decide which camp is right for you and your child.
All campers receive a FREE T-shirt. Register online by May 8 at ymcalouisville.org and receive a FREE backpack!
For detailed descriptions of all camps, and to register, visit us at ymcalouisville.org. Berrytown Family YMCA 502 244 6187
ADVENTURE CAMP — AGES 5-14 Summer Adventure Camp provides weekly sessions that allow campers the opportunity to be creative and have experiences that develop new skills and foster their imagination. Theme days help to create excitement throughout the summer.
Weekly Rates $110 (Facility Member) • $125 (Program Member)
Camp Dates / Hours / Location June 10 - August 16 • 7 a.m. - 6 p.m. Berrytown Family YMCA • 1300 Heafer Road
A SENSE OF RELIEF! “ With so many great activities and camp locations close to home and close to work, finding the right camp was easy.”
Bullitt County Family YMCA 502 955 6433
COOL CAMP — Ages 5-13 TEEN CAMP — Ages 11-14 All camps will go on three field trips per week this summer. They will go swimming once per week and two alternative trips which could include bowling, libraries, movies, Fort Knox Water Park, Incredible Dave’s, etc.
Fees and Weekly Rates Registration Fee: $25 through May 8; $45 after May 8 $117 (Facility Member) • $127 (Program Member)
Camp Dates / Hours / Locations May 21- August 2 • 6 a.m. - 6 p.m. (Start date may change based on Bullitt County school calendar) Cool Camp Pleasant Grove Elementary • 6415 Highway 44 East Old Mill Elementary • 11540 Highway 44 East Freedom Elementary • 4683 North Preston Highway Shepherdsville Elementary • 527 West Blue Lick Road Teen Camp Pleasant Grove Elementary • 6415 Highway 44 East
Childcare Enrichment Program (CEP) and Creative Adventures 502 637 1575 CEP — Grades K-8 CREATIVE ADVENTURES — Grades K-8 CEP and Creative Adventures programs offer swimming and weekly field trips to local attractions such as museums, bowling, skating, and more. We offer rates based upon 1-3 days or 4-5 days of attendance. All sites are tentative and subject to change.
Fees and Rates Registration Fee: $25 through May 8; $45 after May 8
Weekly Rate (4-5 days) $117 first child; $107 additional children (Facility Member) $127 first child; $117 additional children (Program Member)
Weekly Rate (1-3 days) $102 first child; $94 additional children (Facility Member) $112 first child; $104 additional children (Program Member)
Camp Dates and Hours CEP — J une 10 - August 9 • 7 a.m. - 6 p.m. (limited sites August 12-15) Creative Adventures — May 28 - August 9 • 7 a.m. - 6 p.m.
CEP SITE LOCATIONS: Northeast Area
• Chancey Elementary School, 4301 Murphy Lane • Dunn Elementary School, 2010 Rudy Lane • Field Elementary School, 120 Sacred Heart Lane • Greathouse Elementary School, 2700 Browns Lane • Hite Elementary School, 12408 Old Shelbyville Road • Lowe Elementary School, 210 Oxfordshire Lane • Zachary Taylor Elementary School, 9620 Westport Road
Southwest Area
Chestnut Street Family YMCA 502 587 7405
CHESTNUT STREET SUMMER FUN DAY CAMP — AGES 5-13
• Carter Elementary School., 3600 Bohne Avenue • Cane Run Elementary School, 3951 Cane Run Road • Doss High School, 7601 St. Andrews Church Road • Olmsted South Middle School, 5650 Southern Parkway • Kerrick Elementary School, 2210 Upper Hunters Trace • Minors Lane Elementary School, 8510 Minors Lane • Stuart Elementary School, 4601 Valley Station Road
Downtown Area •C oleridge Taylor Elementary School, 1115 West Chestnut Street • Noe Middle School, 121 West Lee Street
Southeast Area
CEP is a partnership
Children take stimulating field trips every week. They will explore the city parks and swim at our Calypso Cove water park while practicing social and decision-making skills under the guidance of their heroes – the Y camp counselors.
Fees and Weekly Rates
CREATIVE ADVENTURES SITE LOCATIONS:
Registration Fee: $10 $117 (Facility Member) • $127 (Program Member)
Camp Dates / Hours / Locations June 10 - August 16 • 7 a.m. - 6 p.m. Chestnut Street Family YMCA • 930 West Chestnut Street
• Farmer Elementary, 6405 Gellhaus Lane with Jefferson • Highland Middle School, 1700 Norris Place County Public Schools • Smyrna Elementary, 6401 Outer Loop • Thomas Jefferson Middle School, 1501 Rangeland Road • Tully Elementary, 3300 College Drive • Watterson Elementary, 3900 Breckinridge Lane
• Christian Academy English Station, 711 South English Station Road • St. Leonard Catholic School, 440 Zorn Avenue
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 502.637.1575. Space is limited.
Northeast Family YMCA 502 425 1271 Camp Fees Deposit for all Northeast Camps - $25 per child, per week
CAMP ALL STAR – AGES 3-5
A half-day camp with sports, games, songs and swimming.
Weekly Rates $75 (Facility Member) • $90 (Program Member)
Camp Dates / Hours / Location
June 10 - August 16 • 9 a.m. - 2 p.m. Northeast Family YMCA • 9400 Mill Brook Road
KAMP KERMIT – AGES 3-5
A full day camp with weekly themes, crafts and special events.
Weekly Rates $126 (Facility Member) • $142 (Program Member)
Camp Dates / Hours / Location June 10 - August 16 • 7 a.m. - 6 p.m. Location TBD
CAMP RISING STAR – AGES 5-6
A camp with sports, swimming, reading and field trips.
Weekly Rates $115 (Facility Member) • $130 (Program Member)
Camp Dates / Hours / Location
June 3 - August 16 • 7 a.m. - 6 p.m. Northeast Family YMCA • 9400 Mill Brook Road
SPORTS DAY CAMP – AGES 6-11
Sports themes plus traditional camp activities like swimming, field trips and crafts.
Weekly Rates $115 (Facility Member) • $130 (Program Member)
Camp Dates / Hours / Location
June 10 - August 9 • 7 a.m. - 6 p.m. Westport Traditional Middle School • 8100 Westport Road
SUMMER DAY CAMP – AGES 6-11
A traditional outdoor camp experience with hiking, canoeing, fishing, archery, water trampoline and more.
Weekly Rates $133 (Facility Member) • $150 (Program Member)
Camp Dates / Hours / Location
June 3 - August 16 Camp Drop off: 7 a.m. - 8:15 a.m. Pickup: 5 p.m. - 6 p.m. Drop Off and Pick Up at the NE Y. Camp activities at Cedar Ridge.
MOVIN’ ON – AGES 11-14
This camp is designed specifically for middle school youth. Campers have the opportunity to plan their own field trips and events each week.
Weekly Rates $133 (Facility Member) • $150 (Program Member)
Camp Dates / Hours / Location
June 10 - August 9 • 7 a.m. - 6 p.m. Westport Traditional Middle School • 8100 Westport Road
A SENSE OF FUN! At Y camps, children enjoy a variety of imaginative activities that nurture their spirits, challenge their minds and strengthen their bodies. CIT (Counselor in Training) – AGES 12-15
A unique leadership development program aimed at teaching youth job skills and helping them discover their potential. Application required.
Weekly Rates $115 (Facility Member) • $130 (Program Member)
Camp Dates / Hours / Location
June 10 - August 16 • 7 a.m. - 6 p.m. CITs will be assigned to various Northeast Camps
NE SPORTS SKILL DEVELOPMENT – AGES 6-16 Includes lacrosse, field hockey and sports conditioning. Great for improving skills before fall sports tryouts.
Weekly Rates $110 (Facility Member) • $125 (Program Member)
Camp Dates / Hours / Location
June 10 - August 16 • 9 a.m. - 12 p.m. UPS Fields • 1400 North Hurstbourne Parkway
Oldham County Family YMCA
Southwest Family YMCA
KIDVENTURE CAMP — Ages 5-10 TEEN EXTREME CAMP — Ages 11-14
KAMP KERMIT– AGES 4-5 SUMMER DAY CAMP – AGES 6-14
Our Summer Camps give kids the opportunity to explore nature, try new things, develop their creativity, take field trips and make lasting friendships and memories. We provide youth with supervised activities that teach core values and leadership skills.
Southwest Y Camps offer a fun and active camp experience for your child! Campers will build friendships, learn new skills, play games, take exciting field trips, enjoy daily theme-based activities and get lots of time in the pool!
Fees and Weekly Rates
Fees and Weekly Rates
Deposit: $25 per child, per week $130 (Facility Member) • $147 (Program Member)
Registration Fee: $25 $121 (Facility Member) • $137 (Program Member)
Camp Dates / Hours / Location
Camp Dates / Hours / Location
May 28 - August 9 • 7 a.m. - 6 p.m.
June 10 - August 16 • 7 a.m. - 6 p.m.
Oldham County Family YMCA (Indoor Arena) 20 Quality Place, Buckner, KY
Southwest Family YMCA • 2800 Fordhaven Road
502 222 9358
502 933 9622
Save time and register online at ymcalouisville.org.
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 exciting 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!
Fees and Weekly Rates
Camp Piomingo 800 411 5822
OVERNIGHT CAMP — AGES 6-16
June 10 - August 16 • 7 a.m. - 6 p.m.
Nestled in the beautiful woods of Otter Creek Outdoor Recreational Area, Camp Piomingo develops independence and builds interpersonal and leadership skills. Let our overnight camp give your child an appreciation of nature, the opportunity to build more self-esteem and make new friends all in a safe, fun and nurturing environment!
Southeast Family YMCA • 5930 Six Mile Lane
Camp Dates / Location
CIT (Counselor in Training) – AGES 12-14
June 9 - August 2 • Brandenburg, KY
Deposit - $10 per child per week $125 (Facility Member) • $146 (Program Member)
Camp Dates / Hours / Location
Youth learn important leadership development skills. Details and application available online.
Visit ymcacamppiomingo.org to find out more today!
REGISTRATION 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.
All campers receive a FREE T-shirt. Register online at ymcalouisville.org by May 8 and receive a FREE backpack! 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
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
Middle initial /
/
Tourettes
No
2 nd First name Date of Birth
Grade in Fall 2013
Medications/allergies
Last name
Race
Gender
Physical conditions/special needs
M
F
Age
Grade in Fall 2013
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 Date of Birth
City /
/
Phone (Work)
(Cell)
2 nd Name
Zip
State
Zip
(Home) Relationship to child
Address Date of Birth
State
Employer
City /
/
Employer
Phone (Work)
(Cell)
(Home)
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
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.
SUMMER 2013 CAMP REGISTRATION (you may also register online at ymcalouisville.org) CAMP/SESSION CHOICES Please check the session dates required. 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.
CAMPER st Name 1
WEEK
CAMP NAME
CAMP LOCATION
DEPOSIT/REGISTRATION FEE
A) May 20-24 B) May 28-31 C) June 3-7 D) June 10-14 E) June 17-21 F) June 24-28 G) July 1-5 H) July 8-12 I) July 15-19 J) July 22-26 K) July 29-Aug 2 L) Aug 5-9 M) Aug 12-16
CAMPER nd 2 Name
WEEK
CAMP NAME
CAMP LOCATION
A) May 20-24 B) May 28-31 C) June 3-7 D) June 10-14 E) June 17-21 F) June 24-28 G) July 1-5 H) July 8-12 I) July 15-19 J) July 22-26 K) July 29-Aug 2 L) Aug 5-9 M) Aug 12-16 Total Deposits/Registration Fees
CEP PARTICIPANTS Please indicate your weekly schedule.
1-3 Days
4-5 Days
ANNUAL GIVING
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
$100
Other/please contact me
PAYMENT INFORMATION Please check one. Check here if either parent is
School partnership 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 cc 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
DEPOSIT/REGISTRATION FEE
YMCA OF GREATER LOUISVILLE 545 South Second Street Louisville, Kentucky 40202
A SENSE OF
EXCITEMENT Summer Camp 2013
Each location
•
•2
R CAMP MME KIC U S KO 3 1
FF
0
YMCA OF GREATER LOUISVILLE
will have a CAMP KICKOFF where you can meet the camp staff, get camp information and pick up a camper T-shirt. Visit us at ymcalouisville.org for specific locations, dates and times.
WHAT’S COOL AT CAMP Berrytown Family YMCA • Inflatable Water Slide • Kids Caf´e • A rts & Crafts • Field Trips
Northeast Family YMCA • S ports Camps • Canoeing • Water Trampoline • Swimming (Calypso Cove)
Southwest Family YMCA • Bike Riding & Rock Wall • G aga Ball • Swimming • F ield Trips
Bullitt County Family YMCA • C lubs • S wimming • F ield Trips • Guest Speakers
Oldham County Family YMCA • Annual Overnight • F ield Trips • Swimming • B iking Our Nature Trail
Camp Piomingo • Overnight Camp • Outdoor Adventure • Swimming • Equestrian Programs
Chestnut Street Family YMCA • Summer Reading • Camp Piomingo Overnight • Swimming (Calypso Cove) • F ield Trips & Kids Caf´e
Southeast Family YMCA • G aga Ball • E ducational Fun • Swimming • F ield Trips
Visit us today at ymcalouisville.org. Sites fill up quickly!
CEP / Creative Adventures • Summer Reading • E ducational Fun • F ield Trips • Swimming (Calypso Cove)