Summer - HealthQuest Fitness

Ages 6 & Up
CAMP
DATES
Jun 23-27
Jun 23-27
Jun 30-Jul 3
Jul 7-11
Jul 7-11
Jul 14-18
Jul 14-18
Jul 21-25
Jul 28-Aug 1
Aug 4-8
Aug 4-8
Aug 18-22
CAMP
DATES
HQ
NON
NON
MEMBER MEMBER
$185
$205
$185
$205
$148
$164
$185
$205
$185
$205
$200
$220
$185
$205
$185
$205
$185
$205
$185
$205
$185
$205
$185
$205
SUBTOTAL =
HQ
CAMP
COST
CAMP
COST
)
)
$10/day
EMAIL TO: SCAN ALL FORMS & EMAIL TO INFO@CAMPDYNOMITE.COM
N/A
N/A
$40/wk
N/A
see brochure
N/A
$70/wk
Options Bundle
HealthQuest
C
A
M
P
/2
FF b
y 4/ 5/14
22/1
4
2 014
HALF DAY & FULL DAY
Our Summer Camps & Camp Dynomite are
located in beautiful Hunterdon County, NJ on a 22
acre campus. We have an amazing 104,000 sq. ft.
AIR-CONDITIONED facility designed for extreme
summer fun; including indoor & outdoor pools,
indoor sport center, multipurpose rooms, outdoor
fields & picnic area. Visit healthquest-fitness.com
for more on our facility.
We Value
F riendships
U nderstanding & respect for one another
N ew experiences & opportunities for development
Summer Camp
2 014
any Birthday Party
at HealthQuest
when you show your 2014
HealthQuest Summer Camp Receipt!
Must present coupon and receipt before
booking party. Cannot combine with any
other offers. Expires 12/31/2014
Register Today!
www.campdynomite.com
OPTIONS KEY
Before Care
After Care
Lunch Service
Lunch Bunch
PM Swim
Swim Lessons
SUBTOTAL
Get $20 OFF
$120/wk
Visit www.campdynomite.com for a complete list of required camp
items & medical authorization forms.
$40/wk
Email confirmation will be sent confirming final payments & our
Federal Tax ID number for your records.
✁
EAR
D I S LY B I R
D
15% C O U
N
10% OFF by T S !
O
3
310 Hwy 31 North
Flemington, NJ 08822
We will refund your payment, less the initial $50 deposit per camp, if
cancellation is made prior to June 10, 2014. Refund requests after
June 10th will only be issued due to child’s injury or extended illness,
evidenced by a doctor’s note. Refunds will be prorated based on
the length of your child’s attendance. All refund requests must be
made within 14 days of your child’s injury or illness. All requests
are subject to review by the Camp Directors. See a Program Desk
associate to complete a refund request form.
$40/wk
To receive the HQ Member camp rate, campers must be active at the
time of registration. Once a camper is enrolled in a camp & payment
in full has been received, there is a $25 fee to transfer to another
camp. The fee will be waived for medical reasons evidenced by a
doctor’s note.
$20/day
Registration & Refund Policies
Summer
&
Swim Lessons
not included
in Options
Bundle.
Camps at a Glance
The total balance for all summer camps is due by May 25, 2014.
Anyone registering after May 25th must pay balance in full at time
of registration. All unpaid balances will be automatically collected
on May 25, 2014. Any declined or overdue payments are subject to
a $25 per camp late fee. Your signature on the registration forms
authorizes HealthQuest to collect final payment using the same
payment method that was used for your deposit unless another
method is specified.
HealthQuest
SUBTOTAL
908-782-4009 ext. 234
info@campdynomite.com
We require a $50 non-refundable deposit for each camp with a
completed registration form. Completed forms will be processed on
a first come, first serve basis until all openings are filled. Camps fill
up quickly, so please send your enrollment & deposit early to avoid
disappointing your camper!
Swim Lessons
not included
in Options
Bundle.
Payment Schedule
SUBTOTAL
Registration Information
$70/wk
$70/wk
Swim Lessons
not included
in Options
Bundle.
SUBTOTAL
______________________________________________________________
SIGNATURE
DATE
The facilities and resources at HealthQuest make
Summer Camp safe and fun! To meet our Camp
Directors and take a personal tour of the club and camp
areas, please contact us at anytime!
$120/wk
N/A
______________________________________________________________
CC#
EXP DATE
Schedule a Tour Today!
$40/wk
N/A
______________________________________________________________
CARDHOLDER’S NAME
C
A
M
P
$40/wk
$40/wk
PAYMENT METHOD:
❏ HealthQuest Member Club Charge #_________________ ❏ Credit Card
$20/day
$20/day
HELP? CALL 908.782.4009 PROGRAM DESK X233, CAMP DIRECTOR X234
2014 HealthQuest Camper Worksheet
STEP 2 - CAMP OPTIONS
N/A
$10/day
$10/day
$10/day
DROP OFF OR MAIL TO: HEALTHQUEST SUMMER CAMP
310 HWY 31 N, FLEMINGTON, NJ 08822
$200
COMPLETED FORMS & PAYMENT CAN BE RETURNED 1 OF 2 WAYS:
$200
$150
TO REGISTER, PLEASE FILL OUT THE “WORKSHEET,” “HEALTH
FORM,” AND “REGISTRATION FORM” LOCATED IN THIS BROCHURE.
Your Signature below authorizes collection of final payment, using the same method that
was used for your deposit. Registration forms received after 6pm the Thursday before camp
begins are subject to a $25 late fee. Final payments received after May 11, 2014 are subject
to a $25 late fee per camp. I have read & agreed to the terms of the Registration & Refund
Policies provided in the 2014 camp brochure. Camp Deposits are Non-Refundable.
Camper Name
9am - 12pm
1. Superheroes
2. Pretty Princess
3. Stars & Stripes (4 days) prorated
4. Dinosaur Adventure
5. Fairies & Fireflies
6. Lil' Kidz Kitchen
7. Dr. Suess on the Loose
8. Treasure Hunt
9. Wild & Wacky Fun
10. Space is the Place
11. Lil' Tumblers
12. Tiptoes & Tutus
Jr. Dynomos
STEP 1 - CAMP SELECTIONS
Lil' Dynomos
Ages 3-5
8
8
Jun 23-27
Jul 7-11
Jul 14-18
Jul 14-18
Jul 21-25
Jul 28-Aug 1
Aug 11-15
Aug 11-15
MEMBER MEMBER
$175
$195
$175
$195
$175
$195
$175
$195
$205
$225
$205
$225
$175
$195
$175
$195
SUBTOTAL =
“PICK-UP PASSWORD”:________________________________
CAMP
COST
POLICY #
NON
MEDICAL INSURANCE CARRIER
CAMP
COST
________________________________________________
HQ
PHONE
CAMP
NAME OF FAMILY PHYSICIAN
NON
________________________________________________
HQ
EMERGENCY CONTACT
MEMBER MEMBER
$265
$300
$212
$240
$265
$300
$265
$300
$265
$300
$265
$300
$265
$300
$265
$300
$265
$300
$265
$300
SUBTOTAL =
CELL PHONE
CAMPS TOTAL =
DAYTIME PHONE
BALANCE DUE =
________________________________________________
CAMPS SUBTOTAL =
E-MAIL ADDRESS
Subtract ____% Discount (
________________________________________________
DATES
MEMBER MEMBER
Jul 21-25
$195
$225
Jul 28-Aug 1
$195
$225
$530
$595
Aug 4 - 15 (2w)
Aug 11-15
$195
$225
Aug 18-22
$225
$255
Aug 18-22
$225
$255
SUBTOTAL =
ZIP
CAMP
DATES
STATE
Jun 23-27
Jun 30-Jul 3
Jul 7-11
Jul 14-18
Jul 21-25
Jul 28-Aug 1
Aug 4-8
Aug 11-15
Aug 18-22
Aug 25-29
CITY
ADD CAMP OPTIONS TOTAL =
________________________________________________
9am - 12pm
13. Survival Predators & Prey (6-12)
14. Dodgeball League Camp (6-12)
15a. Basketball Skills Camp (6-9)
16. Super Slimy Science (6-12)
17. Top Chef Cooking Camp (6-8)
18. LEGO® Camp (6-8)
19. Everyday Heroes (6-8)
15b. Basketball Skills Camp (6-9)
ADDRESS
Ages 6 & Up
________________________________________________
Specialty
PARENT/GUARDIAN NAME
Subtract Deposit ($50 x ____ # of Weeks) = (
________________________________________________
8
❏ YES ❏ NO
9am-12pm
20. Street Devils Hockey (8-13)
21. Basketball League Camp (8-13)
22. Gotta Sing, Gotta Dance* (7-13)
23. Chalk It Up To Be A "Ten" (6-10)
24. Space: The Final Frontier (6-12)
25. Girls Club (6-13)
*Note: 22. runs 9am-3pm
HEALTHQUEST MEMBER
SEX
Camp Dynomite Ages 6-13
AGE
8
BIRTH DATE
8:30am - 3:30pm
CD Week 1
CD Week 2 (4 days) prorated
CD Week 3
CD Week 4
CD Week 5
CD Week 6
CD Week 7
CD Week 8
CD Week 9
CD Week 10
____/____/____ ____ ____
EARLY BIRD DISCOUNTS†
CAMPER’S NAME
15% OFF if you Register by 3/25/2014
10% OFF if you Register by 4/22/2014
________________________________________________
† Applies to camp costs only.
No discount on camp options.
(Health Form on reverse)
Only Deposit required before May 25, 2014.
Payment in full after May 25, 2014.
Registration Form
CAMP
www.campdynomite.com
Camp prices may vary depending on staffing needs or materials required.
Lil‛ Dynomos
Health Form
Half Day Camps for Ages 3-5 9am-12pm
________________________________________________
SEASONAL ALLERGIES - LIST
Superheroes
1
June 23-27
Mem $185
Non-Mem $205
It’s a bird, it’s a plane, it’s your very
own little superhero! Campers will
use their super powers to combat
evil and help save the world. Kids
will enjoy an action packed week
of superhero fun and adventures
while learning through kindness
and good deeds that everyone can
be a real superhero.
LB BC
Treasure Hunt
Stars and Stripes
3
8
June 30 - July 3 (4 day camp)
Mem $148
Enjoy a week of fun 4th of July
activities celebrating America’s
favorite pastimes!
Make your
own flag or create your very
own fireworks painting.
From
fun outdoor games to a good
old fashion picnic, campers will
enjoy celebrating our Nation’s
Independence.
Happy Birthday
This camp is prorated.
America!
LB BC
Dinosaur Adventure
4
July 7-11
Mem $185
Non-Mem $205
Let the digging begin! Discover
and explore the amazing world of
dinosaurs. Your little archaeologist
will dig their way through prehistoric
times learning about the dinosaurs
of long ago. Themed crafts and
activities will keep campers busy as
they explore a world a million years
before our time.
6
July 14-18
Non-Mem $220
Baking and making healthy treats!
Your kids will mix, mold, bake and
eat their goodies. Lil’ Chefs will
learn kitchen safety and healthy
eating habits! Food fun goes
beyond the kitchen table, when
we pack our very own picnic lunch
and enjoy fresh air & sunshine.
Breakfast and lunch recipes will
be made daily! Look out Rachel
Ray and Bobby Flay here comes
the “Lil’ Kitchen Chefs.”
FOOD ALLERGIES - LIST
________________________________________________
DATE OF LAST IMMUNIZATIONS
❏
❏
❏
Non-Mem $205
Bibbity, Bobbity Boo! A true
princess we’ll make out of you!
From the enchanted castles of a
Disney princess to Buckingham
Palace and the royal family, your
little princess will learn to curtsy,
attend a royal tea party, dress up in
her favorite princess costume and
spend an enchanted week enjoying
themed crafts and activities fit for
royalty.
LB BC
July 7-11
Mem $185
Non-Mem $205
Little wings can take you far! Travel
through the forest and woodlands
and you find the magical world of
fairies. Our own little fairies will
keep busy in the forest creating
a fairy home, making fairy dust,
dressing in fairy costumes and of
course catching fireflies. Campers
will be delighted as they learn about
the wonder of these whimsical and
wondrous little creatures.
9
LB BC
Strep/Sore Throat
Respiratory Infections
________________________________________________
________________________________________________
July 28 - Aug 1
Mem $185
Non-Mem $205
Have you ever had a water fight
and used umbrellas to keep dry?
If it’s wacky, we’ll do it! Prepare
for anything from shaving cream
activities to making Jell-O worms,
or even tar-and-feathering the
camp counselors. Wild & Wacky
Fun camp will be a week filled with
the silly’s, a whole lot of fun, and
above all a ton of laughs.
10
July 14-18
Mem $185
❏
❏
Recent Psychiatric Counseling or Hospitalization:
Dr. Suess on the
h Loose
7
Headache
Ear Infection
Stomach Virus/Flu
Recent Medical Attention or Serious Injuries:
Wild & WAcKy FUN
LB BC
Fairies & Fireflies
5
June 23-27
DATE OF LAST TETANUS
GENERAL HEALTH INFORMATION
Does your child experience frequent: (Check all that apply)
Lil’ Tumblers
11
August 4-8
Mem $185
Non-Mem $205
Space is the Place
August 4-8
Mem $185
Non-Mem $205
Non-Mem $205
Disability or Chronic/Recurring Illness:
________________________________________________
RECOMMENDATIONS & RESTRICTIONS WHILE AT CAMP
Flip, tumble, roll, jump and split
your way across our state-of-the-art
gymnastics studios. Campers will
have fun learning the basics and
improving on their skills with our
highly qualified staff.
Restricted activities or physical limitations of camper:
LB BC
Any medication to be administered at camp (Authorization forms must
be completed seperately):
LB BC
Pretty
P
tt P
Princess
i
Mem $185
________________________________________________
LB BC
LB BC
2
Non-Mem $205
Ahoy Mateys... Peer into the life
of pirates past and a bounty of
booty awaits! Discover the world
of ships and sunken treasures as
we set sail on the high seas. Our
little buccaneers will discover a
trunk filled with themed crafts and
activities, learn about the tools and
techniques used to find hidden
treasures, and follow maps to
uncover our own buried treasure!
Lil’ Kidz
Kid Kitchen
Ki h
Mem $200
TREATMENT
July 21-25
Mem $185
Non-Mem $164
________________________________________________
Tiptoes & Tutus
12
August 18-22
Mem $185
Non-Mem $205
“Look at me! Look at me! Look
at me NOW! It’s fun to have
fun but you have to know how.”
Fun is exactly what campers
will be having as we explore the
wondrous world of Dr. Seuss. Oh,
the places we will go! Places that
are sure to keep your little “Things”
chattering with excitement and
wanting to “move mountains!”
5, 4, 3, 2, 1, Blast Off! To infinity
and beyond our little astronauts
will blast off into outer space!
Themed crafts and activities will
entice our curious minds, as we
learn about the universe & go
scavenging for moon rocks. A
week filled with stars, planets &
the moon. Experience Space - it’s
outta this world!
Dance like no one is watching!
Every little girl dreams of being a
ballerina! From pink frilly tutus to
glittery tiaras, we’ll bring the joy
of dance to your child through
the exploration of music and
movement. Your little ballerina will
twirl her way to center stage and
enjoy a magical week of singing,
dancing and themed crafts fit for
the most graceful dancer!
LB BC
LB BC
LB BC
Register Today! Call 908-782-4009 ext. 234 or Visit www.campdynomite.com
________________________________________________
Suggestions or health-related information:
________________________________________________
________________________________________________
Behavorial or emotional information:
________________________________________________
Dietary Restrictions:
________________________________________________
HEALTH HISTORY STATEMENT
This health history is correct to the best of my knowledge, and the camper
listed above has permission to engage in all camp activities without limitations
except noted.
EMERGENCY AUTHORIZATION
In the event I cannot be reached in an emergency, I hereby give permission
to the physician selected by the camp director to hospitalize, to secure proper
treatment for, and to order injection and/or anesthesia and/or surgery for the
person named above. This form may be photocopied for use out of camp.
Signature: ______________________________________ Date: __________
Jr. Dynomos Half Day Camps for Ages 6 & Up 9am-12pm
Survival Predators & Prey
13
June 23-27
Mem $175
Ages 6-12
Non-Mem $195
Dodgeball League Camp
14
July 7-11 Ages 6-12
Mem $175
Non-Mem $195
Each day includes a light warm-up
In our newly revamped Nature
before challenging different teams
camp, kids will learn how animals,
in 5 fun variations of dodgeball
big and small, adapt to life here on
games, including: Classic, Star
earth. Campers will learn how birds
Wars, Paintball, Fast Dodgeball
and beasts catch their prey and be
and Speed Ball. Get off the couch
challenged to survive in the pulse
and have some fun with this
pounding “Food Chain Survival”
awesomely aerobic game! Super
game. Kids will discover what Mr.
soft gator skin balls will be used.
Owl had on his dinner plate during
the famous owl pellet dissection.
We’ll also have fun finding and
magnifying smaller critters, from
Basketball Skills Ages 6-9
insects to pond slime, build a real
a. July 14-18 b. Aug 11-15
birdhouse and have creepy-crawly 15
Mem
$175
Non-Mem $195
fun building a bughouse and
searching for tenants!
Coach Candace Bunnell, Division
I Fairleigh Dickinson University,
NHHS Hall of Fame & Player of
the Century will teach basic &
advanced skills for boys & girls of
all levels. Each day will conclude
with a game to apply their new skills.
Specialty
Streett D
St
Devils
il Hockey
H k
July 21 - 25
Ages 8-13 9-12pm
Non-Mem $225
The perfect camp for the avid
hockey fan. Stick handle, pass,
shoot and score with this high
energy camp! Essential equipment
is provided by the NHL and New
Jersey Devils to learn basic skills
and play a real game each day.
The week will end with a number of
exciting skills competitions!
Register Today!
Super Slimy Science
16
July 14-18
Mem $175
Ages 6-12
Non-Mem $195
Join us for a fun-filled week of
science experiments and cool
projects! Learn all about optics and
lasers, earth’s amazing wonders
and the slimy science of polymers.
Children will experience a variety of
scientific fields and make several
take-home projects that include:
rockets they can launch, batches
of slime & silly putty and their very
own electro-magnet!
Basketball League Camp
Chalk It Up To Be A “TEN”
July 28 - August 1
Ages 8-13 9-12pm
August 11-15
Ages 6-10 9-12pm
Mem $195
Mem $195
July 21-25 Ages 6-8
Mem $205
Non-Mem $225
Non-Mem $225
Develop your skills by gaining
valuable game time & be the
best you can be! Coach Candace
Bunnell, Division I Fairleigh
Dickinson University, NHHS Hall
of Fame & Player of the Century
will partner with Camp Dynomite to
offer skill development, instructional
games & mini tournaments.
23
Mem $195
Non-Mem $225
Spend five fun filled days with our
highly trained and talented coaches
choreographing your own routine
on your favorite gymnastics events.
Get excited to learn new skills and
explore creative ways to showcase
your abilities as you prepare for
the performance at the end of the
week.
Gotta Sing, Gotta Dance (2-WEEK CAMP)
22
Aug 4-8 & Aug 11-15 Ages 7-13 9-3pm
Mem $530
Non-Mem $595
Your child will create characters through dancing, singing, and acting
taught by experienced theater professionals. Campers will help write the
script & design the set for the final performance. Activities include vocal
warm ups, improvisational games, and basic theater etiquette. Campers
will rehearse and star in their very own Broadway style production for
friends & family on the final Thursday night, and return on Friday for an
encore show for all the campers that week!
Call 908-782-4009 ext. 234
or visit www.campdynomite.com
LEGO® Camp
18
Jul 28-Aug 1
Mem $205
Ages 6-8
Non-Mem $225
This hands-on camp offers the
Creative minds will love this camp,
opportunity to explore the world of
from scavenger hunts to building
cooking. Campers will learn the
your own take home kits. Campers
basics of cooking, healthy eating
will learn team building and have
and kitchen safety. Breakfast,
the opportunity to become an
Lunch and Dessert recipes will be
inventor and engineer! Campers
made daily with our culinary kids
will take home two kits.
being their own critics. Other fun
activities include cupcake wars
Everyday Heroes
and a blind folded taste test. Make
room in the kitchen, there’s a new 19 August 11-15 Ages 6-8
chef in town!
Mem $175
Non-Mem $195
Camps for Ages 6 & Up
21
20
Top Chef Cooking Camp
17
Space: The Final Frontier
24
August 18-22
Ages 6-12 9-12pm
Mem $225
Non-Mem $255
Discover how astronauts go to
space, and live and work there.
Experiment with hands-on balloon
rocket activities and make air
rockets to take home. Then blast
off with a grand finale rocket launch!
Girls Club
25
August 18-22
Ages 6-13 9-12pm
Mem $225
Non-Mem $255
Get ready, ‘cause here we come!
Girls rule! We will have a great
week of team-building, crafts,
nutrition tips, and exercise. The
girls will discover new levels of selfconfidence & create friendships
that last a lifetime. Fabulous Girls!
Fabulous Fun!
C
A
M
P
CAMP OPTIONS
OPTIONS BUNDLE (Half: $200/wk / Full: $150/wk) Ages 6+
Extends stay, 7:30am-6:00pm, and includes:
Put your mind at ease & leave the work to us. Sign up for the Options
Bundle and don’t worry about a thing. This bundle includes the Lunch
Service, Before Care & After Care for all eligible camps, and adds PM
Swim for Half Day camps. Sign up for this unbeatable option & SAVE BIG!
(does not include swim lessons)
Campers will discover everyday
heroes living in their homes and
communities. They will take part
in community service projects,
meet a firefighter, a K9 dog and his
handler, search and rescue team
members and more! Kids will learn
that you don’t need capes or super
powers to be an everyday hero!
Our Before Care program starts at 7:30am & runs until the start of camp.
The cost is $10 per day and is non-refundable or transferable. Available
Monday - Friday.
Camp
Dynomite
Note: If your child is not picked up from camp at 3:30pm, they will be
entered into After Care for the day and you will be automatically charged the
$20 fee for the day to your account on file.
Ages 6-13 8:30am-3:30pm
Mem $265
Non-Mem $300
Camp Dynomite is available 10
weeks this summer offering fun daily
adventure for boys & girls ages 6-13.
Each week will be packed with a
variety of games & activities including:
gaga, basketball, volleyball, tennis,
badminton, gymnastics, soccer, flag
football, dodgeball, golf, foursquare,
lacrosse & more. Campers will swim
daily (weather permitting). For an
additional fee, campers can register
for a 30 min. individual swim lesson.
Full Day Camp Dynomite Weeks:
CD#1: Jun 23-27
CD#2: Jun 30-Jul 3
CD#3: July 7-11
CD#4: July 14-18
CD#5: July 21-25
CD#6: July 28-Aug 1
CD#7: Aug 4-8
CD#8: Aug 11-15
CD#9: Aug 18-22
CD#10: Aug 25-29
Before Care ($10 daily)
Ages 3 - 5 at KidQuest & Ages 6+ in the Sport Center
After Care ($20 daily) Full Day Campers Only, Ages 6+
Our After Care program runs from the end of the camp day until 6pm. After
Care campers will be transported to the Quest Lounge, where they can wind
down from an active day at camp. They will enjoy books, crafts, video games
& movies, while under the supervision of camp counselors. The cost is $20 a
day & is non-refundable or transferable. Available Monday - Friday.
Lunch (12-1pm, $40 weekly) Full Day Campers Only
We are committed to providing healthy, nutritious snacks & lunches
everyday. Campers will be served an entree, sides of fruits or vegetables, a
beverage, and dessert for $40 a week. The weekly lunch menu is posted on
the camp bulletin board. Lunch menu may include mac n’ cheese, chicken
tenders, pizza, pasta, or a deli sandwich. We offer an allergy free zone so
campers with food allergies can enjoy their lunch without concern. Each
Friday is our famous Camp Dynomite BBQ with hot dogs & hamburgers,
followed by a visit from the KONA ICE truck!
Lunch Bunch (12-1pm, $40 weekly) Half Day Campers Only
This option is great for half day campers needing lunch, and parents needing
an extra hour before picking up. Lunch Bunch kids will join us for lunch
under the tent outside before enjoying supervised outdoor/indoor free-play
until 1pm. Lunch service is provided as described above.
PM Swim - Outdoor Pool w/ Giant Flume Slide ($120 weekly)
Half Day Campers Only 1PM - 3:30PM, Ages 6+
Extend your stay with our wrap-around option & turn your half-day camp
into a full day, ending with great poolside fun and games all week (weather
permitting). PM Swim begins at 1pm & ends at 3:30pm. If your child doesn’t
want to swim that day, they will have the option to enjoy other activities
inside the club.
Swim Lessons ($70 weekly) Ages 6+ (PM Swim REQUIRED)
Your child will receive a 30 min individual swim lesson each day after your
half day camp (no refunds due to inclement weather).