CROSS ISLAND YMCA Summer Camp 2014
WE’RE ready for a summer of growth and FUN! Dear Parents/Guardians, We welcome all of our returning and new campers to our 2014 Summer Camp Programs. We are excited to embark on another summer of fun and learning. From sports and swimming to arts and culture, YMCA camps span a broad range of interests. We focus on developing young minds and bodies. In 2013 the YMCA served over 10,000 campers in communities throughout New York City. We are proud that in Queens the Cross Island YMCA will be able to engage your child in a summer of new friendships, skills and exploration. Thank you for choosing our Y summer camp. We look forward to getting to know your camper! Sincerely, Cross Island YMCA
In 1885 the YMCA helped to invent summer camp to provide children with positive and fun experiences that build confidence and new friendships. YMCA camp staff have served as positive role models for generations of campers and helped build future leaders. The centerpiece of YMCA camps are activities that will excite and engage your child and give them a summer of adventure. Whether learning a new sport, exploring arts and culture or exploring New York City, YMCA Summer Camps offer an opportunity to build lifelong memories and a feeling of community that will last beyond the summer.
“She loves camp and doesn’t want to leave at the end of the day. I feel good knowing she is safe and happy while I am at work” - YMCA Day Camp Parent
Each of our camps is accredited by the American Camping Association (ACA) and our staff go through rigorous training to ensure the safety and positive experience of each child.
PROGRAMS
OUR CAMP LOCATIONS
Our YMCA camps have something unique to offer for every age group from our Kinder Camp Programs to Teen Camp. Our goal is to meet your child’s developmental needs and provide a foundation for continued learning during the summer months.
The Cross Island YMCA Summer Day Camp operates out of PS 33 at 91-37 222nd Street, Queens VIllage. The Early Childhood Camp runs out of the Cross Island YMCA.
Alongside sports, swimming and arts programs the YMCA offers academic enrichment that is infused throughout the camp day. These programs include summer reading, journal writing and science activities. Each session you will be given a schedule of activities so you can follow your child’s course of learning and adventure over the summer.
Our Summer Sleepaway Camp is for boys and girls ages 6-16 from all over the world and is located outside NYC in Huguenot, NY. There are two villages, McAlister (ages 6–12) and Talcott (ages 12–15), that are located on 1,150 acres of forests and lakes.
CONTACT US Day Camp Director 718-551-9336 Shonnell Batson 718-551-9309 sabatson@ymcanyc.org Hollyann Harper 718-551-9334 hharper@ymcanyc.org
WHAT PARENTS NEED TO KNOW ABOUT DAY CAMP
DATES & HOURS OF OPERATION Cross Island YMCA Summer Day Camp is an eight-week program that runs from June 30th - August 22nd. Camp hours are from 9:00 am - 4:00 pm. Extended Day hours are from: 7:00 am - 9:00 am 4:00 pm - 6:00 pm
DAY CAMP OPEN HOUSES • • •
Saturday, March 1: 10 am - 3 pm Saturday, April 26: 10 am - 3 pm Saturday, May 17: 10 am - 3 pm
REGISTRATION MADE EASY •
Submit $100 deposit per session you would like your child to attend. This will hold your child’s spot for the designated sessions of camp.
•
Take advantage of the 10% Early Bird discount by registering by May 17.
•
Submit your child’s medical form completed with parent information and signature as well as the doctor’s information, signature and stamp as soon as possible. It’s a good idea to keep extra copies of the medical form for your records.
•
Submit 2 passport size photos of your child along with registration forms.
•
The YMCA accepts all major credit cards or you may sign up for automatic billing to ensure payments are made on time with no late fees incurred.
FINANCIAL ASSISTANCE The YMCA of Greater New York awards scholarships to campers based on a parent or family’s annual income. The scholarship applications must be submitted by May 31, 2014.
DAY CAMP DISCOUNTS •
10% Early Bird Discount for those who register before the end of the day on Saturday May 17th and have paid in full.
•
10% Sibling discount is available for all siblings of the first child registered at full price.
•
Discounts cannot be combined and are available only on the cost of camps per session, not on extended day or transportation fees.
GOVERNMENT & UNION VOUCHERS*
We accept ACD, HRA, TWU Local 100, and 1199 SEIU vouchers. You must have your confirmation letter with you at the time of registration. (*Participation varies by branch)
REFUNDS AND CREDITS
If your child cannot attend camp for a period of time paid, you may submit a request for credit along with documentation to the Camp Director. Credits can be used for camp or other programs throughout the year. Any refund requests will be submitted to the Camp Director and will be granted under the discretion of the Youth and Family Director. All requests should be made prior to the start of the session.
PARENT ORIENTATION (Ages 5.9-17)
Parent/Guardian orientation meetings are mandatory. The meetings will be held on the following dates and times: Friday, June 6 7pm—8pm Saturday, June 14 5pm—6pm Sunday, June 22 3pm—4pm Wednesday, June 25 7pm—8pm Early Childhood Camp (Ages 2-5.8) Parent Orientation dates on next page.
CAMP GEAR
Each camper will receive 2 tee shirts and a camp bag. Swim caps will be provided during the camper’s first day of swim. Camp tee shirts must be worn every day. Additional shirts can be purchased for $10 each or 3 for $25. Swim gear must consist of a towel, swim-suit, change of clothing, water shoes and a plastic bag for wet swim gear.
Transportation
Transportation to and from the Cross Island YMCA is available only to campers in Youth & Teen or Specialty Camps (not Early Childhood Camp) who attend regular hours (9am–4pm). We do not offer transportation for our extended hours campers. The registration deadline for transportation service is Friday, May 30. The Cross Island YMCA offers transportation within the following communities: Arverne Bayside Bellerose Cambria Heights Douglaston Elmont Far Rockaway Floral Park Franklin Square Fresh Meadows Glen Oaks
Hollis Jamaica Jamaica Estates Laurelton Little Neck New Hyde Park Ozone Park Queens Village Richmond Hill Rochdale Rosedale
St. Albans Springfield Gardens Valley Stream
EXPLORE! PLAY!
GROW!
SUMMER DAY CAMP EARLY CHILDHOOD CAMP
CROSS ISLAND TEEN CAMP
Ages 2 – 5.8
Ages 14-16
Sunita Batra at 718-551-9313; sbatra@ymcanyc.org Our primary goal is for each child to develop a positive self-image. The staff is made up of carefully selected teachers and assistant teachers. They provide guidance and supervision so that each child can achieve selfconfidence and awareness.
Teen Camp is for 14-16 year olds currently enrolled in high schools. Teen Camp motivates teens through hands on programming that fosters development of educational and career goals. Along with sports, arts and cultural programs teens will have the opportunity to participate in college and career readiness programs. Field trips will allow teens to explore some of New York City’s key landmarks and cultural institutions.
Our camp offers air-conditioned classrooms, outdoor playground, picnic area, indoor pool and gym. Children participate in a wide variety of activities, including arts & crafts, swim (3 years & up), gym, music, and organized games.
Early Chilhood Camp Orientation Dates: Thursday, June 5 6-7pm; Saturday, June 14 4-5pm; Wednesday, June 25 6-7pm Check camp offerings page (Ages 2-5.8) for prices
CROSS ISLAND DAY CAMP Ages 5.9-11 Traditional Day Campers will engage in activities that will enhance their social and emotional skills, help keep their academics on track, keep them physically active and challenge them to learn new things every day. They will have the opportunity to meet new friends and take exciting trips throughout New York City. Campers will participate in a wide range of sports, instructional swimming, arts and crafts, and weekly themed days such as Crazy Hat Day. They will engage in environmental science and more. Traditional day campers will be divided into age groups with children no more than 1-2 years apart in age. Day camp activities are designed to help children retain and build upon the academic skills they have developed during the school year. Research has shown that children can lose a half grade of learning over the summer months. The YMCA offers programs such as Book of the Week which gives children the opportunity to read a book as a camp group and participate in related discussion. Journaling helps children to retain writing skills through writing exercises that connect with their camp experiences. Field trips are selected to maximize educational enrichment and include trips to local museums and science centers.
*Cost per 2 week session: Member: $420 Non-Member: $430
*Cost per 2 week session: Member: $420 Non-Member: $430
LISA BETH GERSTMAN CAMP FOR CHILDREN WITH PHYSICAL CHALLENGES
Ages 6 – 14 This camp is made possible through the generous support of the Lisa Beth Gerstman Foundation. Its donation has offset the expenses of equipment, transportation and staffing required to serve children with special needs. All children will receive wheelchair accessible transportation, one-on-one swimming instruction, adaptive physical activities and equipment. A nurse is also present both onsite and on field trips outside of the Y for children who require special care like catheterization and/or medication administration. Session A July 7 - July 25 Session B July 28 - August 15 Jean Dattner at 718-551-9325, jdattner@ymcanyc.org Dianne DiPeri at 718-551-9319, ddiperi@ymcanyc.org
*Cost per 3 week session: Member: $725 Non-Member: $725
INCLUSION CAMP Ages 5.9-14 A special summer experience awaits those enrolled in the inclusion explorer camp. This camp brings an inclusive recreational experience to children with disabilities. This unique camp gives children with special needs the same experience as other campers. Children with disabilities and their peers who are typically developing come together to participate in recreational activities such as swimming, arts and crafts, educational activities, reading, physical fitness and more. Camp counselors will serve as shadows—one counselor to every 2 campers.
*Cost per 2 week session: Member: $725 Non-Member: $735
TEAM SPORTS CAMP
BASKETBALL CAMP
Ages 5.9-12
Ages 5.9-12
Our Team Sports Camp is designed to enhance various sports skills and fundamentals in groups according to age. Baseball, Basketball, Soccer and Flag Football. Campers will learn basic fundamentals and rules for each of the sports. Each day of the week our staff will focus on one of the four sports. Our goal is to expose the children to a variety of sports. Camper should bring proper equipment for each sport. In addition, they will learn about teamwork, good sportsmanship and motivating each other to succeed. Camp staff have background in coaching sports.
Players will perfect their dribbling, passing, shooting, defense, and offense skills according to their level of expertise. Academics, team work, and life skills will be incorporated throughout the sessions in order to enhance each camper as a whole. Classes are based on appropriate age and level of play. All ability levels are welcomed. Offensive and defensive skills and team concepts develop the most complete basketball player possible. *Cost per 2 week session: Member: $475 Non-Member: $485
*Cost per 2 week session: Member: $475 Non-Member: $485
GYMNASTICS CAMP
TENNIS CAMP
Ages 5.9-12
Ages 5.9-12
Our Gymnastics Camp emphasize Individual skill development in a safe, fun and supportive environment. Dance, conditioning, stretching and performance tips will focus on fun for gymnasts of every level. The last day exhibition will give gymnasts an opportunity to show their new skills.
The Tennis Camp offers drills and activities carefully designed for different developmental levels so each camper will have a successful learning experience. The camp will focus on positioning, court layout and rules and regulations. The campers will also learn about the basic forehand and back hand strokes and compete in both singles and doubles activities. Campers must bring a racket and a sun visor or hat.
*Cost per 2 week session: Member: $475 Non-Member: $485
*Cost per 2 week session: Member: $475 Non-Member: $485
PERFORMANCE ARTS CAMP
CRAFTS CAMP
Ages 5.9-12
Ages 5.9-12
Performance Arts Camp participants experience a wonderful summer of dance, drama, music & art. Campers will learn the basics of choreography from lyrical to hip-hop. In addition, campers will learn the fundamentals of acting, character study, improvisation exercises, and even try script writing. Create, Play, have Fun! Each camp showcases their new skills and performs for their families at the end of the session.
Crafts campers experience a vast array of creative arts, including sculpture, painting, collaging, scrapbooking, drawing, and more. This project based camp will give young artists hands on experience trying new mediums. Campers will make different art projects weekly, learn new skills, and develop lasting friendships in Crafts Camp!
*Cost per 2 week session: Member: $475 Non-Member: $485
*Cost per 2 week session: Member: $475 Non-Member: $485
TEEN SPORTS CAMP
COUNSELOR–IN–TRAINING
Ages 13-15
Ages 16-17
Our progressive curriculum enhances various sports skills and fundamentals. Campers will learn the different rules of each game while practicing their techniques in mini games. In addition, they will learn about team work, sportsmanship, and motivating each other to succeed. The camp will also focus on teaching fitness and healthy lifestyles.
Our Counselor In Training (CIT) program is for tomorrow’s leaders. Teens who are involved in this amazing program gain job readiness skills and work experience during the summer working along with experienced staff. CITs l receive training in program safety and a Community Service Award. The program will provide hands-on learning allowing teens to slowly work into responsible roles leading children. Staff will assist teens in developing their communication and organization skills. CIT candidates will be interviewed by our Camp Director.
*Cost per 2 week session: Member: $475 Non-Member: $485
*Cost per 2 week session: Member: $260 Non-Member: $270
2014 Summer Early Childhood Sessions and Fees
CAMP OFFERINGS (Ages 2 - 5.8)
CHILD’S NAME: _________________________________________________________________________________________AGE:__________________________ CAMP SESSIONS Session Session 1 Session 2 Session 3 Session 4
Start Date June 30, 2014 July 14, 2014 July 28, 2014 August 11, 2014
End Date July 11, 2014 July 25, 2014 August 8, 2014 August 22, 2014
Payment Due Date June 15, 2014 July 1, 2014 July 15, 2014 August 1, 2014
*CIRCLE ALL PRICES THAT APPLY TO YOU - CAMP FEES PER SESSION (every two weeks)
CAMP
AGES
TODDLER
2 - 3.4
DAYS
SESSION 1
SESSION 2
SESSION 3
SESSION 4
FULL | HALF 5 M: $465 | $250 (Mon-Fri) NM: $475 | $260
FULL | HALF M: $515 | $275 NM: $525 |$285
FULL | HALF FULL | HALF M: $515 | $275 M: $515 | $275 NM: $525 |$285 NM: $525 |$285
3 (M, W, F)
FULL | HALF M: $380 | $205 NM: $390 | $215
FULL | HALF M: $380 | $205 NM: $390 | $215
FULL | HALF FULL | HALF M: $380 | $205 M: $380 | $205 NM: $390 | $215 NM: $390 | $215
2 (Tue, Th)
FULL | HALF M: $305 | $165 NM: $315 | $175
FULL | HALF M: $305 | $165 NM: $315 | $175
FULL | HALF FULL | HALF M: $305 | $165 M: $305 | $165 NM: $315 | $175 NM: $315 | $175
FULL | HALF 5 M: $450 | $240 (Mon-Fri) NM: $460 | $250
FULL | HALF M: $500 | $265 NM: $510 | $275
FULL | HALF FULL | HALF M: $500 | $265 M: $500 | $265 NM: $510 | $275 NM: $510 | $275
3 (M, W, F)
FULL | HALF M: $360 | $195 NM: $370 | $205
FULL | HALF M: $360 | $195 NM: $370 | $205
FULL | HALF FULL | HALF M: $360 | $195 M: $360 | $195 NM: $370 | $205 NM: $370 | $205
2 (Tue, Th)
FULL | HALF M: $280 | $155 NM: $290 | $165
FULL | HALF M: $280 | $155 NM: $290 | $165
FULL | HALF FULL | HALF M: $280 | $155 M: $280 | $155 NM: $290 | $165 NM: $290 | $165
5 M: $450 (Mon-Fri) NM: $460
M: $500 NM: $510
M: $500 NM: $510
M: $500 NM: $510
5 AM: $99 (Mon-Fri) PM: $99
AM: $110 PM: $110
AM: $110 PM: $110
AM: $110 PM: $110
3 (M, W, F)
AM: $80 PM: $80
AM: $80 PM: $80
AM: $80 PM: $80
AM: $80 PM: $80
2 (Tue, Th)
AM: $60 PM: $60
AM: $60 PM: $60
AM: $60 PM: $60
AM: $60 PM: $60
Totals
$
$
$
$
-Discount Grand Total
$
$
$
$
$
$
$
$
PRESCHOOL
EARLY CHILDHOOD Extended Hours
3 - 4.5
4.5 5.8
2014 Summer Early Childhood HEALTH EXAM FORM (Ages 2 - 5.8)
Please CHILD & ADOLESCENT HEALTH EXAMINATION FORM Print Clearly
NYC DEPARTMENT OF HEALTH & MENTAL HYGIENE
—
DEPARTMENT OF EDUCATION
Press Hard
STUDENT ID NUMBER OSIS
TO BE COMPLETED BY PARENT OR GUARDIAN Child’s Last Name
First Name
� Female � Male
Date of Birth (Month/Day/Year ) __ __ / ___ ___ / ___ ___ ___ ___
Hispanic/Latino? Race (Check ALL that apply) � American Indian � Asian � Black � White � Yes � No � Native Hawaiian/Pacific Islander � Other ____________________________
Child’s Address City/Borough
State
Zip Code
District __ __ Phone Numbers Number __ __ __ Home _____________________
School/Center/Camp Name
Health insurance � Yes � Parent/Guardian Last Name (including Medicaid)? � No � Foster Parent
� Uncomplicated
� Premature: ________ weeks gestation
� Complicated by Allergies
_______________________________ � None
� Epi pen prescribed
� Drugs (list) � Foods (list)
Cell ______________________
First Name
Work ______________________
TO BE COMPLETED BY HEALTH CARE PROVIDER Birth history (age 0-6 yrs)
If “yes” to any item, please explain (attach addendum, if needed)
Does the child/adolescent have a past or present medical history of the following? � Asthma (check severity and attach MAF/Asthma Action Plan): � Intermittent � Mild Persistent � Moderate Persistent � Severe Persistent If persistent, check all current medication(s): � Inhaled corticosteriod � Other controller � Quick relief med � Oral steroid � None � � � � �
Attention Deficit Hyperactivity Disorder Chronic or recurrent otitis media Congenital or acquired heart disorder Developmental/learning problem Diabetes (attach MAF)
� � � � �
Orthopedic injury/disability Seizure disorder Speech, hearing, or visual impairment Tuberculosis (latent infection or disease) Other (specify) ___________________
Medications (attach MAF if in-school medication needed) � None � Yes (list below)
Dietary Restrictions � None � Yes (list below)
� Other (list)
Explain all checked items above or on addendum
PHYSICAL EXAMINATION
General Appearance:
Height ____________________ cm
( ___ ___ %ile)
Weight ____________________ kg
( ___ ___ %ile)
____________________ kg/m2
BMI
Sex
Middle Name
( ___ ___ %ile)
Head Circumference (age ≤2 yrs) ______________ cm ( ___ ___ %ile) Blood Pressure (age ≥3 yrs)
Nl Abnl
Nl Abnl
Nl Abnl
� � HEENT � � Lymph nodes � � Dental � � Lungs � � Neck � � Cardiovascular Describe abnormalities:
� � � � � �
Nl Abnl
Abdomen Genitourinary Extremities
Nl Abnl
Skin Neurological Back/spine
� � � � � �
� � Psychosocial Development � � Language � � Behavioral
_________ / __________
DEVELOPMENTAL (age 0-6 yrs)
� Within normal limits
SCREENING TESTS
Date Done
If delay suspected, specify below
Blood Lead Level (BLL)
� Cognitive (e.g., play skills) ____________________________
(required at age 1 yr and 2 yrs and for those at risk) (annually, age 6 mo-6 yrs)
� Social/Emotional __________________________________
Hearing � Pure tone audiometry � OAE
� Adaptive/Self-Help ________________________________ � Motor ___________________________________________ IMMUNIZATIONS – DATES
Tuberculosis
__ __ / ___ ___ / ___ ___
_________ µg/dL
__ __ / ___ ___ / ___ ___
_________ µg/dL
__ __ / ___ ___ / ___ ___
� At risk (do BLL) � Not at risk
__ __ / ___ ___ / ___ ___
� Normal � Abnormal
Chest x-ray
__________ g/dL
Vision
Lead Risk Assessment � Communication/Language _________________________
Date Done
Results
PPD/Mantoux placed
__ __ / ___ ___ / ___ ___
Induration ______mm
PPD/Mantoux read
__ __ / ___ ___ / ___ ___
� Neg
Interferon Test
__ __ / ___ ___ / ___ ___
� Neg
(if PPD or Interferon positive)
__ __ / ___ ___ / ___ ___
—— Head Start Only —— Hemoglobin or Hematocrit (age 9–12 mo)
__________ %
__ __ / ___ ___ / ___ ___
CIR Number of Child
Results
Only required for students entering intermediate/middle/junior or high school who have not previously attended any NYC public or private school
(required for new school entrants __ __ / ___ ___ / ___ ___ and children age 4–7 yrs) � with glasses
� Nl � Abnl
� Pos � Pos � Not Indicated
Acuity Right ___ / ___ Left ___ / ___ Strabismus � No � Yes
Influenza
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
MMR
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
Rotavirus
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
Varicella
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
DTP/DTaP/DT
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
Td
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
Tdap
Hep A
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
Hep B
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
Hib
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
Meningococcal
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
PCV
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
HPV
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
Polio
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
__ __ / ___ ___ / ___ ___
Other, specify: ____________
__ __ / ___ ___ / ___ ___ ;
_______________
__ __ / ___ ___ / ___ ___
RECOMMENDATIONS
� Full physical activity
ASSESSMENT
� Full diet
� Restrictions (specify) ___________________________________________________________________________ Follow-up Needed Referral(s): � Other
� No
� None
� Yes, for _________________________ Appt. date:
� Early Intervention
� Special Education
� Dental
Telephone
� Vision
( __ __ __ ) ___ ___ ___ – ___ ___ ___ ___
_____________________________________________________________
__ __ __ __ __
_____________________________________________________________
__ __ __ __ __
DOHMH PROVIDER ONLY I.D.
Fax
State
TYPE OF EXAM:
NAE Current
NAE Prior Year(s)
Comments
National Provider Identifier (NPI) City
CH-205 (5/08)
__ __ __ __ __
__ __ / ___ ___ / ___ ___ Provider License No. and State
Facility Name
ICD-9 Code
_____________________________________________________________
Date
Health Care Provider Name and Degree (print)
Address
� Diagnoses/Problems (list)
__ __ / ___ ___ / ___ ___
________________________________________________________________________
Health Care Provider Signature
� Well Child (V20.2)
Zip
Date Reviewed:
( __ __ __ ) ___ ___ ___ – ___ ___ ___ ___
Copies: White School/Child Care/Early Intervention/Camp, Canary Health Care Provider, Pink Parent/Guardian
I.D. NUMBER __ __ / ___ ___ / ___ ___
REVIEWER:
A SUMMER OF FUN
2014 Summer Day Camp Sessions and Fees CAMP OFFERINGS (Ages 5.9-16)
CHILD’S NAME: _________________________________________________________________________________________AGE:__________________________ CAMP SESSIONS Session Session 1 Session 2 Session 3 Session 4
Start Date June 30, 2014 July 14, 2014 July 28, 2014 August 11, 2014
End Date July 11, 2014 July 25, 2014 August 8, 2014 August 22, 2014
Payment Due Date June 15, 2014 July 1, 2014 July 15, 2014 August 1, 2014
*CIRCLE ALL PRICES THAT APPLY TO YOU - CAMP FEES PER SESSION (every two weeks)
CAMP
AGES
SESSION 1
SESSION 2
SESSION 3
SESSION 4
DAY CAMP
5.9 - 8 & 9 -12
M: $378 NM: $387
M: $420 NM: $430
M: $420 NM: $430
M: $420 NM: $430
TEEN CAMP
13 - 15
M: $378 NM: $387
M: $420 NM: $430
M: $420 NM: $430
M: $420 NM: $430
LISA BETH GERSTMAN CAMP
6 - 14
SESSION A July 7 - July 25 ALL: $725
SESSION B July 28 - Aug15 ALL: $725
INCLUSION CAMP
5.9 - 8, 9 -12 &13 -14
M: $648 NM: $651.50
M: $725 NM: $735
M: $725 NM: $735
M: $725 NM: $735
TEAM SPORTS CAMP
5.9 - 8 & 9 -12
M: $427.50 NM: $436.50
M: $475 NM: $485
M: $475 NM: $485
M: $475 NM: $485
GYMNASTICS CAMP
5.9 - 8 & 9 -12
M: $427.50 NM: $436.50
M: $475 NM: $485
M: $475 NM: $485
M: $475 NM: $485
BASKETBALL CAMP
5.9 - 8 & 9 -12
M: $427.50 NM: $436.50
M: $475 NM: $485
M: $475 NM: $485
M: $475 NM: $485
TENNIS CAMP
5.9 - 8 & 9 -12
M: $427.50 NM: $436.50
M: $475 NM: $485
M: $475 NM: $485
M: $475 NM: $485
CRAFTS CAMP
5.9 - 8 & 9 -12
M: $427.50 NM: $436.50
M: $475 NM: $485
M: $475 NM: $485
M: $475 NM: $485
PERFORMING ARTS CAMP
5.9 - 8 & 9 -12
M: $427.50 NM: $436.50
M: $475 NM: $485
M: $475 NM: $485
M: $475 NM: $485
TEEN SPORTS CAMP
13 - 15
M: $427.50 NM: $436.50
M: $475 NM: $485
M: $475 NM: $485
M: $475 NM: $485
COUNSELORS IN TRAINING
16 - 17
M: $234 NM: $243
M: $260 NM: $270
M: $260 NM: $270
M: $260 NM: $270
AM: $99 PM: $99
AM: $110 PM: $110
AM: $110 PM: $110
AM: $110 PM: $110
AM: $135 PM: $135
AM: $150 PM: $150
AM: $150 PM: $150
AM: $150 PM: $150
Totals
$
$
$
$
-Discount
$
$
$
$
Grand Total
$
$
$
$
Extended Hours Transportation
6+
“She loves camp and doesn’t want to leave at the end of the day. I feel good knowing she is happy and safe while I’m at work.”
2014 Summer day camp
HEALTH EXAM FORM (Ages 5.9 - 17) page 1 HEALTH RECORD FOR CHILDREN IN DAY CAMPS & AFTERSCHOOL & YOUTH CENTERS (This side to be filled in by parent before presentation to physician) NAME OF PROGRAM / CHILD'S LAST NAME
FIRST NAME
/
M❑
BIRTHDATE
Home Address:
Phone:
Parent or Guardian:
Phone:
Place of Employment: Father (Guardian)
Phone:
Mother (Guardian)
F❑
SEX
Phone:
In case of emergency, notify:
Phone:
If Parent, Guardian are not available in an emergency, notify: 1.
Phone:
or 2.
Phone:
Important: Has this camper been exposed to any communicable disease during the three weeks prior to camp attendance: Yes ❑ No ❑ (If yes, state type of exposure: ) HEALTH HISTORY: (Check box if child has had afflictions, give appropriate dates) Allergies
❑ ❑ ❑ ❑ ❑
Rheumatic Fever Seizures Diabetes Asthma Chicken Pox
❑ ❑ ❑ ❑ ❑
Hay Fever Poison Ivy, etc. Insect Stings Penicillin Other Drugs
❑ Food Other Past Illnesses Operations or Serious Injuries (Dates) Hospitalization (Dates) Chronic or Recurring Illness Any specific activities to be encouraged? Conditions that require activity to be restricted? Permission for all program activities unless otherwise noted by Dr. Appliance worn (glasses, contacts, etc.) Medication taken Suggestion from Parent/Guardian CONSENT FOR EMERGENCY MEDICAL TREATMENT I do hereby give authority to the Day Camp and Year Round Afterschool and Youth Center Program staff to obtain necessary emergency medical treatment for my child with the understanding that the family will be notified as soon as possible.
Relationship
Signature
Date
Tel.#
Department of Health and Mental Hygiene — The City of New York — Bureau of Food Safety and Community Sanitation DCR 7 (Rev. 2/04)
2014 Summer day camp
HEALTH EXAM FORM (Ages 5.9 - 17) page 2 PHYSICAL EXAMINATION (To be filled out by Physician – please note information on reverse side)
The purpose of this health record is to provide the staff with pertinent information which will help to serve the needs of this child in Day Camps and Afterschool and Youth Center programs. IMMUNIZATION HISTORY – This is a record of dates of basic immunization and most recent booster doses. DTaP, DTP, DT, Td Date __________ Date __________ Date __________ Date __________ Date __________ Polio Date __________ Date __________ Date __________ Date __________ Date __________ MMR Date __________ Date __________ Date __________ Hemophilus Influenzae type b (Hib) Date __________ Date __________ Date __________ Date __________ Hepatitis B Date __________ Date __________ Date __________ Date __________ Varicella Date __________ Date __________ Pneumococcal Conjugate (PCV) Date __________ Date __________ Date __________ Date __________ Date __________ Other _____________ Date __________ Other _________ Date __________ Other _________ Date __________ MEDICAL EXAMINATION – To be filled out by licensed physician. Examination is acceptable when performed no more than 12 months prior to arrival at camp. Code: S = Satisfactory X = Not Satisfactory (Explain) 0 = Not Examined General Appearance Genitalia Height Weight Blood Pressure Posture & Spine Nose Teeth Abdomen Hernia Feet Hgb. Test (Date) Urinalysis (Date) Eyes Vision w/Glasses Extremities Ears Hearing Neurological Findings Describe Abnormal Findings and/or Handicapping Conditions
Throat - Tonsils Lungs Skin Heart
Allergy: (Please specify) Recommendations and restrictions while in camp: Special Diet Special Medicine (dose, route of administration, when should it be administered) Is parent/guardian sending special medicine? Activity Restrictions Swimming Diving General Appraisal:
I have examined the person herein described, reviewed his/her health history and it is my opinion that he/she is physically able to engage in Day Camp/Year Round Afterschool and Youth Center activities, except as noted above. M.D. EXAMINING PHYSICIAN (SIGNATURE)
PHYSICIAN'S NAME (PLEASE PRINT)
Telephone
Address
Date of Examination ZIP CODE DCR 7 (Rev. 2/04)
SAFE. OVERNIGHT. ADVENTURES.
The New York YMCA Camp is located 86 miles outside of NYC on 1,150 forrested acres. We are a safe, inclusive, and diverse camp community. We are a place where children can develop friendships, lifelong skills, and cherished memories. Programs offered at New York YMCA Camp are Summer Sleepaway Camp, Specialized Summer Sports Camps (Gymnastics, Volleyball and Judo), Day Camp for Hudson Valley residents, Outdoor Education, customizable Retreat Groups, and Special Retreat Weekends (Women’s Wellness Weekend, Men’s Adventure Weekend, Family Camp). For more information on any of these programs please call 877-30-YCAMP or visit our website at www.nyycamp.org.
CROSS ISLAND Y SLEEPAWAY CAMPS family Camp
Summer 2014 | August 29 –September 1
Winter 2014 | February 14 -17
Strengthen family bonds and have fun at our Summer or Winter Family Camps. Enjoy a weekend with sports, crafts, and special themed activities. In the summer, have fun in the sun on our beautiful beaches where families can swim, tube, and waterski. When winter gives us snow, XC-skiing, snow-shoeing, and snow-tubing are always family favorites.
Cross Island summer Sleepaway Camp Have an unforgettable summer at New York’s YMCA Camp! Our camp is for boys and girls ages 6 to 16 from NYC and all over the world. There are two villages, McAlister (ages 6 to12) and Talcott (ages12 to15). Just a sample of activities that we offer are swimming lessons, a wide variety of sports, arts and crafts, outdoor living skills, media program, canoeing, Wibit, and our ropes courses. We also offer specialty programs that include water skiing, horseback riding, and rafting trips for a small additional fee. Session 1 Session 2 Session 3 Session 4 Session 5
June 29 – July 4 July 6 - 18 July 20 - August 1 August 3 – 8 August 10- 22
Tier 1 1 Week 2 Weeks $859 $1589
Tier 2 1 Week 2 Weeks $759 $1389
Tier 3 1 Week 2 Weeks $659 $1189
Why three prices? New York YMCA Camp realizes that families have differing abilities to pay, so we offer a voluntary 3-tier pricing program. This is strictly an honor system; select the fee you feel is appropriate to what you can pay. The program is voluntary, and in no way influences the experience children receive. Tier 1 – Is the actual cost of camp for a child to participate Tier 2 – Is our partially subsidized fee for temporary or minor financial need Tier 3 – Is our heavily subsidized fee for those in need of more financial assistance *We offer need-based financial assistance.
NATIONAL GYMNASTICS TRAINING CAMp Ages 7 to 17
We offer world class training for dedicated and determined gymnasts from around the world. Our focus is to support each gymnast to develop new skills and improve existing ones. Every gymnast has the opportunity to train closely with our world class coaches. Our camp includes 16,000 sq feet of training space, 6 vault stations, 12 beam stations, 4 sets of competition bars, 2 full floor exercises, certified athletic trainers, and medical attention available 24/7, and more. Team rates are available. Tier 1 Tier 2 Tier 3 Team Camp Session 1 June 29 – July 4 1 week 2 week $999 $899 $799 Session 2 July 6 - 11 $889 $1779
WORLD VOLLEYBALL TRAINING CENTER Ages 10 to 18
We offer progressive training techniques for all skill levels, position specific training, and video training with personal feedback. We also offer plyometric and weight training opportunities for qualified campers. The Volleyball Select program is for advanced players looking to experience training on the collegiate level. Our camp includes 6 indoor courts with all new sport court, 5 new outdoor grass courts, a training room, certified athletic trainers, and medical attention available 24/7. We offer team packages for full week and half week rates. Session 1 Session 2 Session 3 Team Mini Camp 1 Team Mini Camp 2 Team Mini Camp 3 Tier 1 $829
Tier 2 $779
Tier 3 $729
Team Mini Camp $395
July 20 – 25 July 27 - August 1 August 3 – 8 July 20 - 23 July 27 - 30 August 3 – 6 Team Weekly Camp $745
INTERNATIONAL JUDO CAMP
For players of all ages | August 10 – August 16 We offer world class training for athletes from around the world. During daily practice and evening Randori, our coaches evaluate skills to develop an individualized, training program for every camper. Our focus is to support each child and adult to learn new skills and to perfect their existing ones. Our camp includes Olympic quality Tami mats, 2 inch Swain flexi-roll mats, weightlifting and cardiovascular training equipment, trainers and medical staff on site 24/7. Apply before July 1st:
$629
Apply after July 1st:
$679
2014 Sleepaway Camp Open House Dates March 23rd April 13th April 27th June 1st
OUTDOOR ADVENTURE TRIPS Ages 10 to 15
One or two-week adventure trips where campers experience safe, outdoor activities including mountain biking, hiking, camping, canoeing, whitewater rafting, kayaking, surfing, tubing, high-team adventure and so much more. Trip Delaware River Adventure Empire State Adventures Southeast Adventures Introductory Adventures Great Lakes Adventures
Ages 12-15 12-15 12-15 10-12 12-15
Date June 29 - July 4 July 6 -18 July 20 - August 1 August 3 - 8 August 10-22
Fee $679 $1659 $1799 $679 $1799
RETREAT CENTER
Year Round, Upstate New York The Greenkill Retreat Center at the New York YMCA Camp is open year round with options for day trips, overnights, or multiple-night stays. From activity choices and breakout sessions to lodging, recreation, and meals, we work closely with each group to design a retreat that meets group goals.
OUTDOOR EDUCATION CENTER September to June, Upstate New York
The Greenkill Outdoor Education Center provides safe and educational programs for students through a holistic approach that tailors each trip to a school’s specific needs. Educational programs range from social and emotional development to recreation, to experiential environmental education. Our professional staff focuses on the needs of students and encourages learning in the natural environment.
WOMEN’S WELLNESS WEEKENDS Spring 2014 | May 16 – 18
Fall 2014 | October 17-19
Immerse yourself in nature at one or both of our women’s only retreat weekends. Activities include arts and crafts, guided hikes throughout our picturesque property, health and wellness sessions, yoga, and more.
YMCANYC.ORG/CAMP TO LEARN MORE!
* Does not apply to sleepaway Camp programs VISIT
10% off each additional sibling. Discounts cannot be combined.
Sibling Discounts*
10% discount for participants who are registered by May 17th and have paid in full.
Early Bird Discounts*
DAY CAMP Promotional Offers!
238-10 Hillside Ave. Bellerose, NY 11426 T 718-551-9300 F 718-468-9568 www.ymcanyc.org/crossisland Facebook.com/CrossIslandYMCA
CROSS ISLAND YMCA YMCA of GREATER NEW YORK
Non-Profit Organization U.S. Postage PAID Jamaica, NY Permit No. 671