FUN. FRIENDSHIP. FOREVER.
Transcription
FUN. FRIENDSHIP. FOREVER.
FUN. FRIENDSHIP. FOREVER. HOCKOMOCK AREA YMCA SUMMER 2016 JOIN US FOR CAMP INFO DAYS » Saturday, March 26 9:00am–11:30am » Sunday, April 10 9:00am–11:30am WELCOME! DON’T MISS OUR CAMP OPEN HOUSE Sunday, May 8 10:00am–1:00pm » North Attleboro Branch » Invensys Foxboro Branch » Bernon Family Branch WHEN IS CAMP? 2016 Summer Camp Dates Week 1 ....................... 6/20 – 6/24 (No Busing, All Branches) Week 2 ....................... 6/27 – 7/1 Week 3 ....................... 7/5 – 7/8 Week 4 ....................... 7/11 – 7/15 Week 5 ....................... 7/18 – 7/22 Week 6 ....................... 7/25 – 7/29 Week 7 ....................... 8/1 – 8/5 Week 8 ....................... 8/8 – 8/12 Week 9 ....................... 8/15 – 8/19 Week 10 .................... 8/22 – 8/26 Week 11 .................... 8/29 – 9/2 (No Busing, All Branches) Thank you for partnering with us to give your child the Best Summer Ever! We are excited to welcome you at all of our summer camps in the communities of Bellingham, Foxboro, Franklin, Mansfield, and North Attleboro. We provide a place for youth and teens to belong, try new things, and make lifelong friends. Your child will also find fulfillment through hands-on learning, and discover more about who they are and what they want to achieve during the summer and beyond. Our days at camp will be invigorating! We will play, laugh, and learn through field games, arts and crafts, water games, swim lessons, archery, and specialties like theatre, dance, sports, ropes team building, and gymnastics. As trained staff role models, we pledge to reinforce confidence, healthy habits, and our Y’s core founding values of caring, honesty, respect, and responsibility every day through our words and actions. We will help your children learn and grow and we look forward to sharing amazing new adventures with you and your children this summer! Sincerely, Your Hockomock Area YMCA Camp Staff MEET OUR CAMP LEADERSHIP STAFF North Attleboro Branch Camps Bernon Family Branch Camps Invensys Foxboro Branch Camps Pages 4 – 15 Pages 17 – 27 Pages 29 – 38 North Attleboro Branch Camp & Sports Director Kerrie Francis could not be more excited to start another summer camp season. “Camp people have this saying,” Kerrie shares, “we live ten months just for two. That’s how special camp is to us.” Kerrie, pictured with Assistant Camp Director Robby Lawrence, has participated in camp every year since she was 16 years old, making this her 24th camp summer. She brings a wealth of experience and talent. A graduate of Bridgewater State University, she holds a B.S. in Education. Her work experience includes a wide spectrum of summer camps, from religious residential to outdoor day camps, from economically disadvantaged to private affluent camps. “Camp is camp” explains Kerrie, “a world where kids can discover themselves, make lifelong friendships, and develop into the people they were meant to be.” This type of environment suits Kerrie well, since she is a natural people person. Kerrie loves sports, camping, hiking, and anything outdoors. She thrives on cultivating this same passion for a healthy, active, outdoor lifestyle in each of her campers. “My experiences with camp have been incredible.” exclaims Kerrie, “My goal is to give each of my campers the same wonderful experience.” Meet Jeff Moore, Camp & Sports Director at our Bernon Family Branch. Jeff is responsible for the safe operations, instruction, and fun of all day camp activities and the development of high quality youth and adult sport programs at the Bernon Family Branch. A former resident of Norton, Jeff is a Sports Management graduate of the University of Massachusetts-Amherst and earned a Master’s Degree in Athletic Administration from Endicott College. Jeff was a Dean’s list student and recipient of the Abigail Adams Scholarship. Previously Jeff was employed at Amherst College as an assistant football coach and physical education class instructor. Jeff also worked at Stonehill College’s Summer Sports Camps where he helped direct operations for 11 camps, 9 NCAA head coaches, and 1,000+ campers. Jeff grew up playing basketball at the Y and loves adventure and fun. He is an avid white water rafter and enjoys outdoor challenges including sky diving. “My goal is to continue bringing enthusiasm and camaraderie to our campers and staff here at the Franklin Y,” emphasizes Jeff. “I look forward to another great summer!” Known for her friendly smile and fun spirit, Camp & Family Experience Director Ashli Phillips is entering her 7th year at our Invensys Foxboro Branch. Pictured with her son, Cam, Ashli oversees the Child Watch Center and manages all aspects of arts and enrichment and camp programming within the Invensys Foxboro Branch. Previously, Ashli was employed at the Metro Atlanta YMCA as Senior Director of Sports, Gymnastics, and Camp. A native of Foxboro for the first 12 years of her life, Ashli then moved to Falmouth where she graduated from high school and then continued her education at York College in Pennsylvania. Ashli earned her B.A. in Behavioral Science while competing as a varsity athlete in both soccer and softball. When asked what her favorite thing is about her job, Ashli explains, “I love camp! The staff are so full of life; the kids are energized, enthusiastic, and so much fun. Our days are spent acting crazy and laughing, on field trips and with friends, enjoying the beautiful days of summer. I could not ask for a better summer experience every year!” LET'S CONNECT! LET'S CONNECT! LET'S CONNECT! Facebook.com/ NorthAttleboroBranchYMCACamps @HockomockYMCA Facebook.com/ BernonFamilyBranchYMCACamps @HockomockYMCA Facebook.com/ InvensysFoxboroBranchYMCACamps @HockomockYMCA Outdoor Adventure Programs Page 22 Mansfield Arts & Education Center Theatre Camps Page 33 ALL CAMPS ARE FULL DAY 9:00AM–4:00PM UNLESS SPECIFICALLY NOTED. PRE AND POST CAMP AVAILABLE, SEE PAGE 8. 3 NORTH ATTLEBORO BRANCH TRADITIONAL CAMPS NOW INCLUDES STEM Science, Technology, Engineering, & Math ALL LEADERSHIP STAFF ARE 21+ CAMP ELMWOOD is our traditional day camp for children to learn, grow, and have fun! Our camp day excites and energizes campers to learn new things, exercise their minds and bodies, and build friendships in the great outdoors. To ensure a fun, safe environment, our role model to camper ratio will never exceed 1:10. Campers' days are filled with swimming, sports, field trips, water and active play, arts and crafts, drama, nature, games, archery, and more. Exciting field trips will take place for second and third graders on Wednesdays and for fourth through sixth graders on Tuesdays and Thursdays. Trips may include hikes through Purgatory Chasm, Paw Sox games, aquariums, Silver Lake, corn mazes, and so much more. On Wednesdays special guests will come and visit with the first graders. Some of those visitors may be petting zoos, frisbee catching dogs, magicians, and slippery reptiles. JUNIOR CAMP ELMWOOD is a branch of Camp Elmwood designed for the pre-school age child. First time campers make new friends and are introduced to enriching camp activities including swim, sports, active games, arts and crafts, nature, archery, and more. To provide a fun, safe environment, our role model to camper ratio will be 1:5. On Wednesdays, special guests will come and visit with our junior campers. Some of those visitors may be petting zoos, frisbee catching dogs, magicians and slippery reptiles. NEW HORIZONS CAMP ELMWOOD is a branch of Camp Elmwood providing increased support for campers with special needs. To provide a fun, safe environment, our role model to camper ratio will be 1:3. We help each child create positive relationships, build social skills, and encourage full inclusion. Half day options are available for this camp. New Horizons is also available for Junior Elmwood full and half day options. A meeting with our integration coordinator is required as part of the registration process. REGISTRATION DEADLINE: July 1, 2016. CAMP ELMWOOD – GRADES 1–6 JUNIOR CAMP ELMWOOD – AGES 3–5 NEW HORIZONS CAMP ELMWOOD Weeks 1–11 » June 20–September 2 Full Day: 9:00am–4:00pm Weeks 1–11 » June 20–September 2 Weeks 2–10 » June 27–August 26 Full Day: 9:00am–4:00pm Cost: 5-Day: $244 Member / $341 Non-Member 4-Day: $209 Member / $302 Non-Member 3-Day: $174 Member / $252 Non-Member Cost: 5-Day: $213 Member / $270 Non-Member 4-Day: $191 Member / $246 Non-Member 3-Day: $164 Member / $205 Non-Member Weeks 1–11 » June 20–September 2 Half Day: 9:00am–1:00pm Cost: 5-Day: $165 Member / $247 Non-Member 4-Day: $143 Member / $207 Non-Member 3-Day: $121 Member / $174 Non-Member 4hockymca.org HOCKOMOCK AREA YMCA SUMMER 2016 CAMP GUIDE SUPER SPORTS ADD-ON TO TRACK & FIELD CAMP – GRADES 3–8 Campers who participate in the 1/2-day Track and Field camp can spend the remainder of the camp day at the 1/2-day Super Sports camp. Week 8 » August 8–12 Half Day 1:00pm–4:00pm Cost: 5-Day: $113 Member / $149 Non-Member LACROSSE CAMP – GRADES 4–8 This camp is designed for boys and girls who are interested in learning the sport of lacrosse. The camp will focus on skill development and understanding. Drills and games will be used to simulate game situations and play. The camp will be instructed by experienced coaches and players. Week 9 » August 15–19 Cost: 5-Day: $244 Member / $341 Non-Member NORTH ATTLEBORO BRANCH SPORTS CAMPS SUPER SPORTS CAMP – GRADES 1–6 Campers will enjoy soccer, basketball, flag football, wiffle ball, kickball, dodgeball, and more. Campers will cool off daily in our swimming pool and learn each sport’s skills with friends while having fun. Weeks 2–11 » June 27–September 2 Cost: 5-Day: $232 Member / $318 Non-Member 4-Day: $207 Member / $290 Non-Member 3-Day: $175 Member / $242 Non-Member FLAG FOOTBALL CAMP – GRADES 1–7 Flag football campers will learn skills, drills, and have fun in a quarterback challenge, receiver and defensive back challenge, kick and punt challenge, and flag football tournament. If schedule permits, campers will visit a New England Pats practice session! Camp may be held at an offsite location with transportation provided by the YMCA. GRADES 1–3: NCAA: Week 6 » July 25–29 GRADES 4–7: NFL: Week 6 » July 25–29 Cost: 5-Day: $244 Member / $341 Non-Member TRACK & FIELD CAMP – GRADES 3–8 This fun, ½-day camp introduces kids to track and field and the events of hurdles, long jump, triple jump, sprints, and relays. Our coach competed at a competitive level and will share knowledge of sport including proper techniques, safety, and hold a fun mock meet. Camp may be held at a local school with transportation provided by the YMCA. Week 8 » August 8–12 Half Day 9:00am–1:00pm Cost: 5-Day: $165 Member / $247 Non-Member ALL CAMPS ARE FULL DAY 9:00AM–4:00PM UNLESS SPECIFICALLY NOTED. PRE AND POST CAMP AVAILABLE, SEE PAGE 8. 5 NORTH ATTLEBORO BRANCH ENRICHMENT CAMPS MIXED MEDIA WITH POTTERY – GRADES 1–9 Campers will enjoy learning the techniques of slab and coil. They will also experiment with paper maché, collage, and sketching. Pottery will be glazed and fired in the kiln. Campers will show off their pottery creations at week’s end. GRADES 1–4: Week 6 » July 25–29 GRADES 5–9: Week 10 » August 22–26 Cost: 5-Day: $250 Member / $370 Non-Member COOKING CAMP – GRADES 1–9 Campers will make delicious and healthy recipes by learning to prepare and cook snacks, meals, and desserts. Campers will bring home delicious treats each day as well as gain the knowledge and confidence to show off how they’re made. GRADES 1–4: Week 4 » July 11–15 GRADES 5–9: Week 7 » August 1–5 Cost: 5-Day: $357 Member / $473 Non-Member BAKING CAMP – GRADES 1–8 Campers will make a variety of baked goods including cakes, cookies, and breads in a fun setting using ingredients that are healthy and low fat. Campers will hold a bake sale to benefit a charity of their choice at the end of the week. GRADES 5–8: Week 5 » July 18–22 GRADES 1–4: Week 8 » August 8–12 Cost: 5-Day: $357 Member / $473 Non-Member REDESIGN YOUR ROOM & MIXED MEDIA – GRADES 5–9 Create all new accents for your bedroom using a variety of materials and experiment with paper maché, collage, and sketching. Wall hooks, bulletin board, lamp shades, and pillows are some of the choices to decorate and accent your room. Week 9 » August 15–19 Cost: 5-Day: $250 Member / $370 Non-Member FOR THEATRE CAMPS SEE PAGE 33 6hockymca.org HOCKOMOCK AREA YMCA SUMMER 2016 CAMP GUIDE PRINCESS DANCE CAMP – AGES 4–7 Little campers experience the world of dance with princesses. Campers will learn dance techniques to their favorite songs. Swim and crafts included for full day camp. Week 10 » August 22–26 Full Day: 9:00am-4:00pm Half Day: 9:00am–1:00pm Cost: 5-Day Full Day: $244 Member / $341 Non-Member 5-Day Half Day:$165 Member / $247 Non-Member CHEERLEADING DANCE CAMP – GRADES 2–5 GYMNASTICS CAMPS Week 6 » July 25–29 PRE-SCHOOL CO-ED GYMNASTICS CAMP AGES 3–5 Campers will learn cheerleading cheers, chants, jumps, techniques, and routines using basic jazz, ballet, and hip hop moves along to fun music. Swim and crafts included. Campers will end their week with a special Friday performance. Cost: 5-Day: $244 Member / $341 Non-Member NORTH ATTLEBORO BRANCH DANCE CAMPS Campers split by age will participate in flexibility and strength training, dance, swimming, and crafts. After lunch, campers will spend the afternoon doing gymnastics. Campers will end their week with a special Friday performance. Week 2: June 27–July 1 Week 5: July 18–22 Week 8: August 8–12 Cost: 5-Day: $244 Member / $341 Non-Member YOUTH CO-ED GYMNASTICS CAMP GRADES 1–8 Campers split by age will participate in flexibility and strength training, dance, swimming, and crafts. After lunch, campers will spend the afternoon doing gymnastics. Campers will end their week with a special Friday performance. Weeks 2–11 (except weeks 6 & 9) June 27–September 2 (except week of July 25 & August 15) Cost: 5-Day: $244 Member / $341 Non-Member Cost: (Week 3): $209 Member / $302 Non-Member BOYS & GIRLS PRE-TEAM GYMNASTICS CAMP GRADES 1+ (Only pre-team members may register for this camp.) Team members will spend their mornings working on flexibility, strength, and dance for the gymnast workshops. Team members will work on compulsory routines and skills during their afternoon gymnastics training. Week 10 » August 22–26 Cost: 5-Day: $244 Member / $341 Non-Member ALL CAMPS ARE FULL DAY 9:00AM–4:00PM UNLESS SPECIFICALLY NOTED. PRE AND POST CAMP AVAILABLE, SEE PAGE 8. 7 NORTH ATTLEBORO BRANCH TEAM GYMNASTICS CAMPS OPTIONAL LEVELS 6 & UP GYMNASTICS CAMP – GRADES 1+ (Only team members may register for this camp.) Team members will spend the day learning, improving, and perfecting skills on all 4 events. Stretching, conditioning, and dance instruction will also be provided. The gymnasts will have the opportunity to participate in team building and traditional camp activities including swimming throughout the week. Week 6 » July 25–29 Cost: $244 Member / $341 Non-Member COMPULSORY LEVELS 3–5 GYMNASTICS CAMP – GRADES 1+ (Only team members may register for this camp.) Team members will spend the day learning, improving, and perfecting skills on all 4 events. Stretching, conditioning, and dance instruction will also be provided. The gymnasts will have the opportunity to participate in team building and traditional camp activities including swimming throughout the week. Week 9 » August 15–19 Cost: 5-Day: $244 Member / $341 Non-Member SWIM CAMPS HALF DAY STROKE CLINIC – GRADES 2+ (Campers must be at a minnow swim level or higher for this camp.) This swim clinic is run by our Aquatics Director and lead instructors. Each day will include a 2-hour workout in the water. Emphasis will be on building endurance using the stroke techniques and skills needed to become a solid all-around swimmer. Competitive swim experience is not required. Week 8 » August 8–12 Half Day: 12:00pm-4:00pm Cost: 5-Day: $139 Member / $208 Non-Member HAY LIGHTNING BOOTCAMP – GRADES 3+ (Campers must have 1-year of competitive swim experience.) This swim camp is run by HAY Lightning swim coaches. Each day will include two 2-hour water workouts. Mornings will focus on drills and stroke mechanics. Afternoons will focus on endurance-based workouts utilizing the morning’s skills. Week 9 » August 15–19 Cost: 5-Day: $276 Member / $348 Non-Member PRE & POST CAMP PRE CAMP POST CAMP Weeks 1–11 » June 20–September 2 7:00am–9:00am Weeks 1–11 » June 20–September 2 4:00pm–6:00pm Pre Camp is available to all full-day campers whose parents need childcare options before the 9:00am start of camp. Campers will enjoy a fun activity each morning and then be escorted to their respective camps for 9:00am. SEE PAGE 40 FOR BUSING Member Cost: 5-Day: $23 4-Day: $19 3-Day: $15 2-Day: $11 1-Day: $5 8hockymca.org Non-Member Cost: 5-Day: $28 4-Day: $24 3-Day: $18 2-Day: $13 1-Day: $6 Post Camp is available to all full-day campers whose parents need childcare options after the 4:00pm end of camp. Campers will be escorted from their respective camps to Post Camp and will enjoy afternoon activities. Snack included. Member Cost: 5-Day: $28 4-Day: $23 3-Day: $18 2-Day: $12 1-Day: $6 Non-Member Cost: 5-Day: $34 4-Day: $29 3-Day: $21 2-Day: $15 1-Day: $7 HOCKOMOCK AREA YMCA SUMMER 2016 CAMP GUIDE VOYAGERS (TEEN TRAVEL CAMP) JUNIOR VOYAGERS – GRADES 6–7 SENIOR VOYAGERS – GRADES 8–9 Voyagers Camp is for those entering grades 6 through 9 who are looking for fun opportunities throughout the summer. Campers will participate in one service initiative per week. Some of the trips/activities planned throughout the summer include: Ropes Team Building, Purgatory Chasm, Pinz Bowling, Nantasket Beach, Lazer Gate, Kayaking, Spring Lake, Borderland State Park, United Skates of America, Biking the Cape Cod Canal, and so much more! Below are the weeks with the theme and highlighted trip. Week 2: 6/27–7/1 Adventure Week – Tree Top Walk Week 3: 7/5–7/8 Outdoor Experience Week – Rock Climbing Week 4: 7/11–7/15 Water Week – Water Wiz Week 5: 7/18–7/22 Adventure Week – Field of Fire Park Week 6: 7/25–7/29 Sports Fanatics Week – Paw Sox Game Week 7: 8/1–8/5 Walk on Water Week – Kayaking/Canoeing Week 8: 8/8–8/12 Bounce Around Week – Trampoline Park Week 9: 8/15–8/19 Patriot Week – Training Camp/Boston Week 10:8/22–8/26 You're an Animal Week – Zoo CIT: COUNSELOR-IN-TRAINING GRADES 9–10 (CIT application and interview required to enroll.) The CIT program is for teens interested in working in a fun camp setting. CITs will participate in courses teaching camp traditions in exciting ways and develop leadership skills to become a future YMCA camp counselor. Completion of the CIT program does not guarantee future employment. CITs must commit to a minimum of 6 weeks. If interested, fill out a CIT application available at our Member Service Desk. Weeks 2–11 » June 27–September 2 Weeks 2–10 » June 27–August 26 Cost: $323 Member / $428 Non-Member Cost: $244 Member / $341 Non-Member Cost: (Week 3): $209 Member / $302 Non-Member NEW HORIZONS TEEN VILLAGE – GRADES 7+ LIT: LEADER-IN-TRAINING – GRADES 7–8 (LIT application and interview required to enroll.) LITs will learn positive values and leadership traits through service learning, team building, and adventure programming alongside their peers. CPR and first aid included. LITs will plan fun events for younger campers. This program works in collaboration with our New Horizons program in the afternoons. If interested, fill out an LIT application available at our Member Service Desk. Registration limited to 1 session per participant. Session 1: Weeks 2–4 » June 27–July 15 Cost: $346 Member / $436 Non-Member Session 2: Weeks 5–7 » July 18–August 5 Cost: $370 Member / $490 Non-Member Session 3: Weeks 8–10 » August 8–26 NORTH ATTLEBORO BRANCH TEEN CAMPS (Half-day afternoon camp for teens with special needs.) Campers will travel in a co-ed group from activity to activity throughout the afternoon. This inclusive camp pairs New Horizons campers with peer mentors for traditional camp experiences and provides opportunities for appropriate social interaction. Focus is on having fun through activities, games, and swim while building friendships and increasing social skills. New Horizons Teen Village has a 3:1 camper: role model ratio for increased support. A meeting with our integration coordinator is required as part of the registration process. Interested in being a peer mentor? Ask our integration coordinator about Inclusion Corps. Weeks 2–10 » June 27–August 26 (Mon/Tue/Wed/Thur) 12:00pm–4:00pm Cost: $143 Member / $207 Non-Member Cost: (Week 3): $121 Member / $174 Non-Member Cost: $370 Member / $490 Non-Member OUTDOOR ADVENTURE PROGRAMS for teens – PAGE 22 These travel camps start and end at our Bernon Family Branch in Franklin. ALL CAMPS ARE FULL DAY 9:00AM–4:00PM UNLESS SPECIFICALLY NOTED. PRE AND POST CAMP AVAILABLE. 9 NORTH ATTLEBORO BRANCH CAMP CONTACTS HOCKOMOCK AREA YMCA North Attleboro Branch 300 Elmwood Street North Attleboro, MA 02760 Camp Director: Kerrie Francis 508.643.5215, kerrief@hockymca.org For questions or comments regarding: »» Camp Elmwood »» Junior Camp Elmwood »» Sports Camps »» Pre & Post Camp »» Transportation Sr. Program Director: Joe Halus 508.643.5223, joeh@hockymca.org For questions regarding: »» Overall Camp Experience »» Aquatics & Swim Camps Camp Office 508.643.5241 Call to report your child’s: »» Tardiness »» Absences »» Early Dismissal, etc. Sr. Member Experience Director: Katie Fisher 508.643.5265, katief@hockymca.org For questions or comments regarding: »» Arts & Enrichment Camps »» Cooking & Baking Camps »» Dance Camp Health Care Supervisor 508.643.5294 For questions or comments regarding: »» Medical Information »» Medical Documentation (medications, medical forms, and administer medication forms) Gymnastics Camp Director: Debbie Moore 508.643.5254, debbiemo@hockymca.org Camp Billing Administrator: Monica Schmidt 508.643.5255, monicas@hockymca.org For questions or comments regarding: »» Camp Registrations & Changes »» Billing »» Balance Information »» EZ-Pay Information Integration Coordinator: Amy Turner 508.643.5266, amyt@hockymca.org Contact for questions & concerns regarding: »» Special Needs Programming »» New Horizon Camps Teen Camp Director: Dawn DaCosta 508.643.5270, dawnd@hockymca.org For questions or comments regarding: »» Voyagers Camp »» LIT: Leader-in-Training »» CIT: Counselor in Training Association Scholarship Department Lynette Testa 508.643.5217 Lori Halben 508.643.5293 nascholarship@hockymca.org For questions regarding: »» How to apply for a scholarship »» Status of scholarship in process, etc. »» Typical turnaround is 2–3 weeks for processing. Please note, months leading up to and during camp are the busiest time of year. Process can take longer. Facebook.com/NorthAttleboroBranchYMCACamps 10hockymca.org @HockomockYMCA HOCKOMOCK AREA YMCA SUMMER 2016 CAMP GUIDE Date Received ______________________________________________________ Date Entered ________________________________________________________ Entered By ___________________________________________________________ CAMPER INFORMATION First Name_______________________________________________________________________ Last Name________________________________________________________________________ Birth Date________________________________________________________________________ Primary Phone___________________________________________________________________ Gender____________________________________________________________________________ Entering Grade for Fall 2016________________________________________________ Address___________________________________________________________________________ City________________________________________________________________________________ State_______________________________________________________________________________ ZIP_________________________________________________________________________________ PARENT/GUARDIAN INFORMATION PARENT/GUARDIAN INFORMATION First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Address___________________________________________________________________________ City________________________________________________________________________________ State_______________________________________________________________________________ Zip_________________________________________________________________________________ Email_______________________________________________________________________________ Relationship to Child___________________________________________________________ First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Address___________________________________________________________________________ City________________________________________________________________________________ State_______________________________________________________________________________ Zip_________________________________________________________________________________ Email_______________________________________________________________________________ Relationship to Child___________________________________________________________ NORTH ATTLEBORO BRANCH REGISTRATION COVER SHEET FOR OFFICE USE ONLY I understand that if I list a parent or guardian, they are authorized to pick up my child. Yes No FOR INFORMATION PURPOSES ONLY: Is the camper a descendant of a veteran of the armed forces of the United States. Yes No I currently receive scholarship assistance. Yes No I have applied for scholarship assistance. Date Applied ____________________________ Yes No Is the camper a Hockomock Area YMCA School’s Out participant? ____________________________________________________________________________________________________ ADDITIONAL ADULTS AUTHORIZED TO PICK UP MY CHILD (Must be 18+ YEARS OF AGE) First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Relationship to Child___________________________________________________________ First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Relationship to Child___________________________________________________________ First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Relationship to Child___________________________________________________________ First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Relationship to Child___________________________________________________________ First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Relationship to Child___________________________________________________________ First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Relationship to Child___________________________________________________________ 11 NORTH ATTLEBORO BRANCH REGISTRATION COVER SHEET PHOTOGRAPHIC AND VIDEO MARKETING AUTHORIZATION Unless otherwise noted, by participating in the camp program and affixing my signature below I understand that the Hockomock Area Y may use photographs and video footage of my child(ren) for promotional purposes (i.e. brochures, newspaper, Reach Out for Youth and Families video, camp slideshow, etc.). AUTHORIZATION TO ADMINISTER BUG SPRAY AND SUNSCREEN Unless otherwise noted, by participating in this program and affixing my signature below I give Y staff permission to assist my camper(s) in applying sunscreen and/or bug spray during the camp day. FINANCIAL POLICIES ALL CAMPS REQUIRE A $10 DEPOSIT PER CAMP SESSION AT REGISTRATION. REGISTRATIONS RECEIVED WITHOUT A DEPOSIT WILL NOT BE PROCESSED. 1. The camper’s membership must be valid and in good standing and all overdue balances paid up for any Y programs at the time of registration and for the duration of their camp session(s). If the membership should lapse, the account will be adjusted to reflect the non-member rate and the parent will be responsible for the payment difference. 2. The balance for each session is due two weeks prior to the start of that session. 3. Deadline for registrations is Wednesday prior to the start of the camp week depending on availability. Any registrations received after the close of business on Wednesday of the week prior will incur a $20 late registration fee. All camp registrations require 48 hours for processing. 4. Camp fees will be refunded in full only in cases where the Y cancels a session. 5. Withdrawal or cancellation thirty (30) days prior to the start of camp for any reason will result in a refund of camp fees less the $10 deposit per camp. (REQUEST MUST BE MADE IN WRITING). 6. Withdrawal or cancellation two weeks prior to the start of camp for any reason will result in a 50% refund. (REQUEST MUST BE MADE IN WRITING). 7. No credits or refunds will be issued less than two weeks prior to the start of the registered camp session. 8. Payment is required for all registered days, whether or not the camper attends on those days. 9. Returned check fee is $20. 10. Registrations must be mailed to the appropriate branch or dropped off at the appropriate Member Service Desk. 11. IF PAYMENT IS NOT MADE IN FULL AT TIME OF REGISTRATION, A VALID CREDIT CARD ON FILE IS REQUIRED. NO EXCEPTIONS. Credit Card on file will be charged on the Monday two weeks prior to the start of the camp week for balances not paid on due date. If the camper has an outstanding balance, they will not be allowed to attend camp. permission and waiver I have read and I understand all camp financial policies and information listed above. For more information, please contact Billing Administrator. By signing this form, I give permission for my child to: • attend any Hockomock Area YMCA summer camp field trips scheduled during their sessions of attendance at camp. • take part in the Adventures in Respect Ropes Challenge Course. On my behalf and that of my child(ren), I hereby release, waive, discharge, and covenant not to sue the Hockomock Area YMCA and all branches thereof, its officers, employees, and agents from all liability to the undersigned and my child/children, and any claims or demands therefore on account of injury of death to my child(ren) or damage to property, whether caused by the negligence of this Hockomock Area YMCA employee or otherwise, regardless of the location of such accident, incident, or act giving rise to such injury, death, or damage. I have read, understand, and voluntarily signed this release and waiver of liability and further agree that no oral representations, statements, or inducement apart from the foregoing written agreement have been made. PARENT/GUARDIAN: Printed Name _______________________________________________________________ Signature____________________________________________________________ Date ________________________ PAYMENT METHOD (Visa/MasterCard/Discover/American Express, Check, or Money Order ONLY) IF PAYMENT IN FULL IS NOT MADE AT TIME OF REGISTRATION, A CREDIT CARD ON FILE IS REQUIRED. NO EXCEPTIONS. Payment in full Deposit by check or money order Deposit by credit card Check, money order or online payment will be paid two weeks prior to the start of camp (you do not have to be a member to pay online) If payment is not received the credit card on file will be charged. To make your payments online: Visit our website www.hockymca.org and follow these instructions: 1. Select “Register for Programs” button. 2. S elect LOGIN. 3. Enter your USERNAME and PASSWORD. If you do not know your USERNAME and PASSWORD, select “Forgot your login?” and an email will be sent with your login information. If you are unsuccessful, please contact Billing Administrator or the Member Service Desk. You can pay balances online whether or not you are a member of the Hockomock YMCA. 4. Select “You have a balance” Use credit card for balance two weeks prior to start of camp CREDIT CARD PAYMENT: VISA MC DISC AMEX Credit Card # ___________________________________________________________________________________ CID # __________________________ Name on Card_________________________________________________________________________________ Signature___________________________________________________________________________ Exp. Date___________________________________ Please submit completed registration form(s) to: Hockomock Area YMCA – North Attleboro Branch, Attention: Billing Administrator, 300 Elmwood Street, North Attleboro, MA 02760 12 FINANCIAL ASSISTANCE: Did you know that the Y is a not-for-profit charitable organization? Inquire at any Y to find out more. 1 Please mark selection(s): Darkened Box 2 3 4 5 6 7 8 9 10 11 7/25– 7/29 8/1– 8/5 8/8– 8/12 8/15– 8/19 8/22– 8/26 8/29– 9/2 = Camp NOT offered! 6/20– 6/27– 6/24 7/1 CAMPS WEEKS CAMP ELMWOOD – Grades 1–6 WEEKLY SESSIONS (ONLY cross off each full week your camper will attend) DAILY OPTION MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY 7/5– 7/8 7/11– 7/18– 7/15 7/22 pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due 6/6 6/13 6/20 6/27 7/5 7/11 7/18 7/25 8/1 8/8 8/15 1 2 3 4 5 6 7 8 9 10 11 If weekly sessions are not what you need, you may select a 4 or 3 day option by crossing off the specific dates you require BELOW. 6/20 6/27 7/11 7/18 7/25 8/1 8/8 8/15 8/22 8/29 6/21 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 8/30 6/22 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 8/31 6/23 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 9/1 6/24 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 9/2 FULL DAY HALF DAY NEW HORIZONS CAMP ELMWOOD WEEKLY SESSIONS (ONLY cross off each full week your camper will attend) DAILY OPTION MONDAY 2 3 4 5 6 7 8 9 10 TUESDAY 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 WEDNESDAY THURSDAY 6/29 6/30 7/6 7/7 7/13 7/14 7/20 7/21 7/27 7/28 8/3 8/4 8/10 8/11 8/17 8/18 8/24 8/25 FRIDAY 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 FULL DAY Ages 3–5 (Must be potty-trained) HALF DAY Ages 3–5 (Must be potty-trained) JUNIOR CAMP ELMWOOD WEEKLY SESSIONS – Full Day (Ages 3-5) or Half-Day (Ages 3–5) (ONLY Cross off each full week your camper will attend DAILY OPTION– Full Day (Ages 3-5) or Half-Day (Ages 3–5) 11 If weekly sessions are not what you need, you may select a 4 or 3 day option by crossing off the specific dates you require BELOW. 6/27 7/11 7/18 7/25 8/1 8/8 8/15 8/22 1 2 3 4 5 6 8 9 10 11 If weekly sessions are not what you need, you may select a 4 or 3 day option by crossing off the specific dates you require BELOW. MONDAY 6/20 6/27 7/11 7/18 7/25 8/1 8/8 8/15 8/22 8/29 TUESDAY 6/21 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 8/30 WEDNESDAY 6/22 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 8/31 THURSDAY 6/23 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 9/1 FRIDAY 6/24 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 9/2 SPORTS CAMPS (continued on page 14) Super Sports Camp (Grades 1–6) DAILY OPTION MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY $213 $270 FEE FEE 4-Day Option $191 $246 3-Day Option $164 $205 FULL DAY / FULL DAY / HALF DAY HALF DAY FEE FEE $213 FD $270 FD $165 HD $247 HD FEE FEE 4-Day Option $191 FD $246 FD $143 HD $207 HD 3-Day Option NEW HORIZONS FULL DAY HALF DAY 7 MEMBER FEE SUMMER MEMBER & NONMEMBER FEE NORTH ATTLEBORO BRANCH REGISTRATION FORM ONE REGISTRATION FORM PER CAMPER 2 3 4 5 6 7 8 9 10 11 If weekly sessions are not what you need, you may select a 4 or 3 day option by crossing off the specific dates you require BELOW. 6/27 7/11 7/18 7/25 8/1 8/8 8/15 8/22 8/29 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 8/30 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 8/31 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 9/1 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 9/2 $164 FD $121 HD FULL DAY / HALF DAY FEE $205 FD $174 HD FULL DAY / HALF DAY FEE $244 FD $165 HD $341 FD $247 HD FEE FEE 4-Day Option $209 FD $143 HD $302 FD $207 HD 3-Day Option $174 FD $121 HD $252 FD $174 HD FEE FEE $232 $318 FEE FEE 4-Day Option $207 $290 3-Day Option $175 $242 13 NORTH ATTLEBORO BRANCH REGISTRATION FORM 1 2 3 6/20– 6/24 6/27– 7/1 7/5– 7/8 Please mark selection(s): Darkened Box = Camp NOT offered! CAMPS WEEKS 4 5 6 7/11– 7/18– 7/25– 7/15 7/22 7/29 7 8 9 10 11 8/1– 8/5 8/8– 8/12 8/15– 8/19 8/22– 8/26 8/29– 9/2 pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due 6/6 6/13 6/20 6/27 7/5 7/11 7/18 7/25 8/1 8/8 8/15 SPORTS CAMPS (continued) MEMBER SUMMER MEMBER & NONMEMBER FEE FEE Flag Football Camp NCAA (Grades 1–3) 6 $244 $341 Flag Football Camp NFL (Grades 4–7) 6 $244 $341 Track and Field – Half-Day (Grades 3–8) 8 $165 $247 Super Sports Add-On to Track and Field 8 $113 $149 $244 $341 FEE FEE $250 $370 $250 $370 $357 $473 $357 $473 $357 $473 $357 $473 $250 $370 FEE FEE $244 FD $165 HD $341 FD $247 HD $244 $341 FEE FEE $244 $341 Lacrosse Camp (Grades 4–8) 9 ENRICHMENT CAMPS Mixed Media with Pottery (Grades 1–4) 6 Mixed Media with Pottery (Grades 5–9) 10 Cooking Camp (Grades 1–4) 4 Cooking Camp (Grades 5–9) 7 Baking Camp (Grades 1–4) 8 Baking Camp (Grades 5–8) 5 Redesign Your Room and Mixed Media (Grades 5–9) 9 Please use the Invensys Foxboro and Mansfield Branch Registration Form to register for Theatre Camps. DANCE CAMPS Elsa and Friends Dance Camp (Ages 4–7) Full Day Half-Day 10 Cheerleading Dance Camp (Grades 2–5) 6 GYMNASTICS CAMPS Pre-School Co-ed Gymnastics Camp (Ages 3–5) 2 Youth Co-ed Gymnastics Camp (Grades 1–8) 2 5 4 Youth Co-ed Gymnastics Camp (Grades 1–8) 8 5 7 8 10 11 3 Pre-team Gymnastics Camp (Grades 1+) 10 Optional Team Levels 6+ Gymnastics Camp (Grades 1+) Compulsory Levels 3-5 Gymnastics Camp (Grades 1+) 6 9 SWIM CAMPS $244 $341 $209 $302 $244 $341 $244 $341 $244 $341 FEE FEE $139 $208 $276 $348 FEE FEE $244 $341 3 $209 $302 2–4 $346 $436 $370 $490 $323 $428 FEE FEE $143 $207 $121 $174 Half Day Stroke Clinic (Grades 2+) 8 Competitive Swimming Camp (Grades 3+) 9 TEEN LEADERSHIP CAMPS Please use the Bernon Family Branch Registration Form to register for Outdoor Adventure Programs. Adventure Programs depart from the Bernon Family Branch. PLEASE SELECT YOUR CAMP: Junior Voyagers Junior Voyagers (Grades 6–7) Senior Voyagers (Grades 8–9) Junior Voyagers (Grades 6–7) Senior Voyagers (Grades 8–9) Senior Voyagers 2 LIT: Leader in Training (Grades 7–8) 4 5 LIT: Leader in Training (Grades 7–8) CIT: Counselors-In-Training (Grades 9–10) 6 7 8 5–7 9 10 8–10 Contact the Teen Camp Director for registration information for the CIT Program. NEW HORIZONS TEEN VILLAGE (3 Day Camp) Half Day Camp (Grades 7+) – M/T/W/TH 12:00–4:00PM Half Day Camp (Grades 7+) – T/W/TH 12:00–4:00PM 14 2 4 3 5 6 7 8 9 10 Darkened Box = Camp NOT offered! CAMPS WEEKS 2 6/20– 6/27– 6/24 7/1 3 7/5– 7/8 4 5 6 7/11– 7/18– 7/25– 7/15 7/22 7/29 7 8 9 8/1– 8/5 8/8– 8/12 8/15– 8/19 10 11 8/22– 8/29– 8/26 9/2 pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due 6/6 6/13 6/20 6/27 7/5 7/11 7/18 7/25 8/1 8/8 8/15 MEMBER SUMMER MEMBER & NONMEMBER FEE FEE BUS TRANSPORTATION (Please note that transportation is subject to change based on the school calendar.) WEEKS AM Bus Stop (write in bus stop number) PM Bus Stop (write in bus stop number) 2 MONDAY 6/27 3 4 5 6 7 8 9 10 7/11 7/18 7/25 8/1 8/8 8/15 8/22 TUESDAY 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 WEDNESDAY 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 THURSDAY 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 FRIDAY 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 WEEKS 2 3 4 5 6 7 8 9 10 7/11 7/18 7/25 8/1 8/8 8/15 8/22 MONDAY 6/27 $15 per week TUESDAY 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 WEDNESDAY 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 THURSDAY 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 FRIDAY 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 2 3 4 5 6 7 8 9 10 11 7/11 7/18 7/25 8/1 8/8 8/15 8/22 8/29 $15 per week PRE CAMP WEEKS Pre Camp 1 MONDAY 6/20 6/27 TUESDAY 6/21 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 8/30 WEDNESDAY 6/22 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 8/31 THURSDAY 6/23 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 9/1 FRIDAY 6/24 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 9/2 2 3 4 5 6 7 8 9 10 11 7/11 7/18 7/25 8/1 8/8 8/15 8/22 8/29 FEE 5-Day Option $23 $28 4-Day Option $19 $24 3-Day Option $15 $18 2-Day Option $11 $13 1-Day Option $5 $6 POST CAMP WEEKS Post Camp 1 MONDAY 6/20 6/27 TUESDAY 6/21 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 8/30 WEDNESDAY 6/22 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 8/31 THURSDAY 6/23 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 9/1 FRIDAY 6/24 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 9/2 FEE FEE NORTH ATTLEBORO BRANCH REGISTRATION FORM 1 Please mark selection(s): FEE 5-Day Option $28 $34 4-Day Option $23 $29 3-Day Option $18 $21 2-Day Option $12 $15 1-Day Option $6 $7 $ $ Facebook.com/NorthAttleboroBranchYMCACamps SEE PAGE 40 FOR BUSING "LIKE US" TO RECEIVE DAILY CAMP UPDATES! 15 BEST SUMMER EVER TRADITIONAL CAMPS NOW INCLUDES ALL LEADERSHIP STAFF ARE 21+ STEM Science, Technology, Engineering, & Math CAMP WIGGI is our traditional day camp for children to learn, grow, and have fun! Our camp day excites and energizes campers to learn new things, exercise their minds and bodies, and build friendships in the great outdoors. To ensure a fun, safe environment, our role model to camper ratio will never exceed 1:10. Camper days are filled with swimming, sports, field trips, water and active play including our new Rockland Trust Splash Park, arts and crafts, drama, nature, games, archery, and more. Exciting field trips will take place for second and third graders on Wednesdays and for fourth through sixth graders on Tuesdays and Thursdays. Trips may include hikes through Purgatory Chasm, Paw Sox games, aquariums, Silver Lake, corn mazes, and so much more. On Wednesdays, special guests will come and visit with the first graders. Some of those visitors may be petting zoos, Frisbee catching dogs, magicians, and slippery reptiles. BERNON FAMILY BRANCH ROCKLAND TRUST SPLASH PARK COMING SPRING 2016! JUNIOR CAMP WIGGI is a branch of Camp Wiggi designed for the pre-school age child. First time campers make new friends and are introduced to enriching camp activities including swim, sports, water and active play including our new Rockland Trust Splash Park, arts and crafts, nature, archery, and more. To provide a fun, safe environment, our role model to camper ratio will be 1:5. On Wednesdays, special guests will come and visit with our junior campers. Some of those visitors may be petting zoos, Frisbee catching dogs, magicians, and slippery reptiles. CAMP WIGGI NEW HORIZONS is a branch of Camp Wiggi providing increased support for campers with special needs. To provide a fun, safe environment, our role model to camper ratio will be 1:3. We help each child create positive relationships, build social skills, and encourage full inclusion. Half day options are available for this camp. New Horizons is also available for Junior Camp Wiggi full and half day options. A meeting with our integration coordinator is required as part of the registration process. REGISTRATION DEADLINE: July 1, 2016. CAMP WIGGI – GRADES 1–6 JUNIOR CAMP WIGGI – AGES 3–5 NEW HORIZONS CAMP WIGGI Weeks 1–11 » June 20-September 2 Full Day: 9:00am–4:00pm Full Day: 9:00am–4:00pm Cost: 5-Day: $244 Member / $341 Non-Member 4-Day: $209 Member / $302 Non-Member 3-Day: $174 Member / $252 Non-Member Cost: 5-Day: $213 Member / $270 Non-Member 4-Day: $191 Member / $246 Non-Member 3-Day: $164 Member / $205 Non-Member Weeks 1–11 » June 20-September 2 Half Day: 9:00am–1:00pm Weeks 1–11 » June 20-September 2 Weeks 2–10 » June 27–August 26 Cost: 5-Day: $165 Member / $247 Non-Member 4-Day: $143 Member / $207 Non-Member 3-Day: $121 Member / $174 Non-Member ALL CAMPS ARE FULL DAY 9:00AM–4:00PM UNLESS SPECIFICALLY NOTED. PRE AND POST CAMP AVAILABLE, SEE PAGE 20. 17 BERNON FAMILY BRANCH CAMP SILVER LAKE CANOEING, STAND-UP PADDLE BOARDS, SANDY BEACH, PLAYGROUND, & SHADED LUNCH AREA ALL LEADERSHIP STAFF ARE 21+ Camp Silver Lake is situated at the beautiful Silver Lake Park in Bellingham and is a Hockomock Area YMCA camp established in collaboration with the Town of Bellingham. This exciting camp gives school-age campers the opportunity to enjoy traditional camp activities such as sports, games, arts and crafts, water games, swimming, nature, boating, and other special electives. Our role model to camper ratio will never exceed 1:10 to ensure a fun, safe environment. Transportation provided to and from the Bernon Family Branch. CAMP SILVER LAKE – GRADES 1–6 Weeks 2–10 » June 27–August 26 Cost: 5-Day: $208 Member / $265 Non-Member 4-Day: $186 Member / $240 Non-Member 3-Day: $159 Member / $200 Non-Member 18hockymca.org HOCKOMOCK AREA YMCA SUMMER 2016 CAMP GUIDE SPORTS CAMPS Campers will enjoy soccer, basketball, flag football, wiffle ball, kickball, dodgeball, and more. Campers will cool off daily in our swimming pool and learn each sport’s skills with friends while having fun. Weeks 2-11 » June 27–September 2 Cost: 5-Day: $232 Member / $318 Non-Member 4-Day: $207 Member / $290 Non-Member 3-Day: $175 Member / $242 Non-Member SPORTS FIELD TRIP CAMP – GRADES 2–7 Campers will go on 5 sports trips, 1 each day Monday through Friday. Past trips have included: Fenway Park tour, the Basketball Hall of Fame, a Paw Sox game, and Gillette Stadium visit! Week 5 » July 18–22 Cost: 5-Day: $319 Member / $379 Non-Member ENRICHMENT CAMPS WIGGI WACKY ARTIST CAMP – GRADES 2–6 Campers will enjoy experimenting in various art mediums such as painting, sculpting, and drawing. Artists will be broken up by age to keep activities challenging and fun for all. Campers will cool off daily in our swimming pool. BERNON FAMILY BRANCH SUPER SPORTS CAMP – GRADES 1–7 Week 4 » July 11-15 GYMNASTICS CAMPS YOUTH CO-ED GYMNASTICS CAMP GRADES 1–8 Campers split by age will participate in flexibility, strength training, dance, recreational swimming, and crafts in the morning. After lunch, campers will focus on gymnastics. Parents are invited to a special show on Friday. Weeks 6–11 » July 25–September 2 (Not Available Week 10) Cost: 5-Day: $244 Member / $341 Non-Member Week 8 » August 8-12 Cost: 5-Day: $250 Member / $370 Non-Member CENTER STAGE AT WIGGI CAMP – GRADES 2–6 Dabble in the world of performing arts by putting together a production from start to finish. Parents are invited to a special performance at the end of the week. Campers will cool off daily in our swimming pool. Week 6 » July 25–29 Cost: 5-Day: $250 Member / $370 Non-Member DANCE AT WIGGI CAMP – GRADES 2–6 Would you like your child to learn ballet, tap, jazz, lyrical hip hop, creative movement in 1 week? With quality instructors who love to teach, they will make sure your child has lots of fun while learning. Campers will swim Monday through Thursday and perform in a big show on Friday for familly and friends. BOYS & GIRLS PRE-TEAM GYMNASTICS CAMP – GRADES 1+ Week 4 » July 11–15 Team members will spend their mornings working on flexibility, strength, and dance for the gymnast workshops. Team members will work on compulsory routines and skills during their afternoon gymnastics training. SWIM CAMPS Week 10 » August 22–26 WIGGI WATERWORLD SWIM CAMP GRADES 2–5 (Only pre-team members may register for this camp) Cost: 5-Day: $244 Member / $341 Non-Member FOR THEATRE CAMPS SEE PAGE 33 Cost: 5-Day: $244 Member / $341 Non-Member Campers who enjoy swimming and are already comfortable in the water are ready to join Wiggi’s Waterworld. Focus will be on stroke development and safety as well as fun aquatic activities including water polo, relay races, and our new Rockland Trust Splash Park! Week 9 » August 15–19 Cost: 5-Day: $276 Member / $348 Non-Member ALL CAMPS ARE FULL DAY 9:00AM–4:00PM UNLESS SPECIFICALLY NOTED. PRE AND POST CAMP AVAILABLE, SEE PAGE 20. 19 BERNON FAMILY BRANCH TEEN CAMPS VOYAGERS (TEEN TRAVEL CAMP) JUNIOR VOYAGERS – GRADES 7–8 SENIOR VOYAGERS – GRADES 9–10 CIT: COUNSELOR-IN-TRAINING – GRADES 9–10 (CIT application and interview required to enroll.) Voyagers Camp is for those entering grades seven through ten and looking for fun opportunities throughout the summer. Campers will participate in one service initiative per week. Some of the trips/activities throughout the summer include: Team Building, Newport Beach and Cliff Walk, Castle Island, Southwick Zoo, Purgatory Chasm, Pinz Bowling, Breezy Acres, Starland, and so much more! The CIT program is for teens interested in working in a fun camp setting. CITs will participate in courses teaching camp traditions in exciting ways and develop leadership skills to become a future YMCA camp counselor. Completion of the CIT program does not guarantee future employment. CITs must commit to a minimum of 6 weeks. If interested, fill out a CIT application available at our Member Service Desk. Weeks 2–11 » June 27–September 2 Weeks 2-11 » June 27–September 2 Cost: $244 Member / $341 Non-Member Cost (Week 3): $209 Member / $302 Non-Member Cost: $323 Member / $428 Non-Member LIT: LEADER-IN-TRAINING – GRADES 7–8 (LIT application and interview required to enroll.) LITs will learn positive values and leadership traits through service learning, team building, and adventure programming alongside their peers. CPR and first aid included. LITs will plan fun events for younger campers. If interested, fill out an LIT application available at our Member Service Desk. Registration limited to 1 session per participant. Session 1: Weeks 2–4 » June 27–July 15 Cost: $346 Member / $436 Non-Member Session 2: Weeks 5–7 » July 18–August 5 Cost: $370 Member / $490 Non-Member Session 3: Weeks 8–10 » August 8–26 Cost: $370 Member / $490 Non-Member NEW HORIZONS TEEN VILLAGE – GRADES 7+ (Half-day afternoon camp for teens with special needs.) Campers will travel in a co-ed group from activity to activity throughout the afternoon. This inclusive camp pairs New Horizons campers with peer mentors for traditional camp experiences and provides opportunities for appropriate social interaction. Focus is on having fun through activities, games, and swim while building friendships and increasing social skills. New Horizons Teen Village has a 3:1 camper: role model ratio for increased support. A meeting with our integration coordinator is required as part of the registration process. Interested in being a peer mentor? Ask integration coordinator about Inclusion Corps. Weeks 2–10 » June 27–August 26 (Mon/Tue/Wed/Thur) 12:00pm–4:00pm Cost: $143 Member / $207 Non-Member Cost (Week 3): $121 Member / $174 Non-Member OUTDOOR ADVENTURE PROGRAMS for teens – PAGE 22 These travel camps start and end at our Bernon Family Branch in Franklin. PRE & POST CAMP PRE CAMP POST CAMP Weeks 1–11 » June 20–September 2 7:00am–9:00am Weeks 1–11 » June 20–September 2 4:00pm–6:00pm Pre Camp is available to all full-day campers whose parents need childcare options before the 9:00am start of camp. Campers will enjoy a fun activity each morning and then be escorted to their respective camps for 9:00am. SEE PAGE 40 FOR BUSING Member Cost: 5-Day: $23 4-Day: $19 3-Day: $15 2-Day: $11 1-Day: $5 20hockymca.org Non-Member Cost: 5-Day: $28 4-Day: $24 3-Day: $18 2-Day: $13 1-Day: $6 Post Camp is available to all full-day campers whose parents need childcare options after the 4:00pm end of camp. Campers will be escorted from their respective camps to Post Camp and will enjoy afternoon activities. Snack included. Member Cost: 5-Day: $28 4-Day: $23 3-Day: $18 2-Day: $12 1-Day: $6 Non-Member Cost: 5-Day: $34 4-Day: $29 3-Day: $21 2-Day: $15 1-Day: $7 HOCKOMOCK AREA YMCA SUMMER 2016 CAMP GUIDE CAMP CONTACTS BERNON FAMILY BRANCH HOCKOMOCK AREA YMCA Bernon Family Branch 45 Forge Hill Road Franklin, MA 02038 Camp & Sports Director: Jeff Moore 774.235.2720, jeffm@hockymca.org For questions or comments regarding: »» Camp Wiggi »» Junior Camp Wiggi »» Wiggi Wacky Artist Camp »» Center Stage at Wiggi Camp »» Camp Silver Lake »» CIT, LIT, & Voyagers Camp »» Pre & Post Camp »» Transportation Sr. Program Director: Tim Shaw 774.235.2746, tims@hockymca.org For questions or comments regarding: »» Overall Camp Experience »» Aquatics & Wiggi Waterworld Swim Camp Gymnastics & Dance Camp Director: Amy Tucker 774.235.2764, amytr@hockymca.org For questions or comments regarding: »» Youth Co-ed Gymnastics Camp »» Pre-Team Gymnastics Camp Integration Coordinator: Amy Turner 774.235.2722, amyt@hockymca.org For questions or comments regarding: »» Special Needs Programming »» New Horizons Camps Sports Camp Coordinator: Kendra Drake 774.235.2720, kendrad@hockymca.org For questions or comments regarding: »» Super Sports Camp »» Sports Field Trip Camp Outdoor Adventure Program Director: Cody Albright 774.235.2744, codya@hockymca.org For questions or comments regarding: »» Outdoor Adventure Programs for Teens Camp Office 774.235.2760 Call to report your child’s: »» Tardiness »» Absences »» Early Dismissal, etc. Camp Health Care Supervisor 508.235.2760 For questions or comments regarding: »» Medical Information »» Medical Documentation (medications, medical forms, and administer medication forms) Camp Billing Administrator: Monica Schmidt 508.643.5255, monicas@hockymca.org For questions or comments regarding: »» Camp Registrations & Changes »» Billing »» Balance Information »» EZ-Pay Information Association Scholarship Department Lynette Testa 508.643.5217 Lori Halben 508.643.5293 frscholarship@hockymca.org For questions regarding: »» How to apply for a scholarship »» Status of scholarship in process, etc. »» Typical turnaround is 2–3 weeks for processing. Please note, months leading up to and during camp are the busiest time of year. Process may take longer. Facebook.com/BernonFamilyBranchYMCACamps @HockomockYMCA ALL CAMPS ARE FULL DAY 9:00AM–4:00PM UNLESS SPECIFICALLY NOTED. PRE AND POST CAMP AVAILABLE, SEE PAGE 20. 21 OUTDOOR ADVENTURE PROGRAMS ADVENTURE CAMPS ADVENTURE SAMPLER – GRADES 3–6 Sample many of the outdoor delights Massachusetts has to offer. Campers will experience entry level rock climbing routes and techniques, canoe at a local waterway, hike the Blue Hills Reservation, and enjoy the view of the summit. Campers will also learn how to set up their own tents, cook dinner, and make s’mores over an open fire on an overnight excursion at Myles Standish State Forest. Week 6 » July 25–29 (12 campers max) Week 9 » August 15–19 (12 campers max) Cost: $425 Member / $635 Non-Member WHITE WATER RAFTING – GRADES 7–11 Challenge the mighty Kennebec, one of New England's best white water rivers, with skilled guides at Adventure Bound in Caratunk, ME. Campers will explore the natural beauty and solitude that Maine provides. Nights will be spent in cabins and tents at a lakeside private campground. Days will be spent rafting, hiking to waterfalls, and swimming in pristine mountain lakes. Week 5 » July 18–22 (16 campers max) Week 8 » August 8–12 (16 campers max) Cost: $550 Member / $825 Non-Member OVERNIGHT ADVENTURE – (GRADES 3–6) New for 2016! Campers will travel to a local state forest for a day of light hiking, programming, and swimming in glacial formed lakes. Campers will enjoy this overnight campout under the stars as they cook s’mores on the campfire and create memories to last a lifetime. End of Week 3 » July 7–8 (16 campers max) End of Week 7 » August 4–5 (16 campers max) Cost: $175 Member / $265 Non-Member MANDATORY PARENT MEETINGS Parents and campers must attend one of these meetings at our Bernon Family Branch: Sunday, June 26, 4:30pm or Monday, July 11, 7:00pm SIGN UP EARLY! SPACES ARE LIMITED! These travel camps start and end at our Bernon Family Branch in Franklin. Our Outdoor Adventure Program Director Cody Albright is a graduate of Louisiana State University where he earned a Bachelor’s degree in Cultural Anthropology. With over 12 years experience in camping and outdoor adventure programming, Cody brings a southern flair to our Outdoor Adventure Camps. In his free time Cody enjoys downhill skiing, backpacking, reading, exploring in the White Mountains, and competing in the sport of powerlifting to keep his competitive spirit alive. He looks forward to sharing his love of the outdoors by providing once in a lifetime adventure-based trips for Y campers this summer. 22hockymca.org HOCKOMOCK AREA YMCA SUMMER 2016 CAMP GUIDE Date Received ______________________________________________________ Date Entered ________________________________________________________ Entered By ___________________________________________________________ CAMPER INFORMATION First Name_______________________________________________________________________ Last Name________________________________________________________________________ Birth Date________________________________________________________________________ Primary Phone___________________________________________________________________ Gender____________________________________________________________________________ Entering Grade for Fall 2016________________________________________________ Address___________________________________________________________________________ City________________________________________________________________________________ State_______________________________________________________________________________ ZIP_________________________________________________________________________________ PARENT/GUARDIAN INFORMATION PARENT/GUARDIAN INFORMATION First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Address___________________________________________________________________________ City________________________________________________________________________________ State_______________________________________________________________________________ Zip_________________________________________________________________________________ Email_______________________________________________________________________________ Relationship to Child___________________________________________________________ First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Address___________________________________________________________________________ City________________________________________________________________________________ State_______________________________________________________________________________ Zip_________________________________________________________________________________ Email_______________________________________________________________________________ Relationship to Child___________________________________________________________ I understand that if I list a parent or guardian, they are authorized to pick up my child. Yes No FOR INFORMATION PURPOSES ONLY: Is the camper a descendant of a veteran of the armed forces of the United States. Yes No I currently receive scholarship assistance. Yes No I have applied for scholarship assistance. Date Applied ____________________________ Yes No Is the camper a Hockomock Area YMCA School’s Out participant? ____________________________________________________________________________________________________ ADDITIONAL ADULTS AUTHORIZED TO PICK UP MY CHILD (Must be 18+ YEARS OF AGE) First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Relationship to Child___________________________________________________________ First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Relationship to Child___________________________________________________________ First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Relationship to Child___________________________________________________________ First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Relationship to Child___________________________________________________________ First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Relationship to Child___________________________________________________________ First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Relationship to Child___________________________________________________________ BERNON FAMILY BRANCH AND OUTDOOR ADVENTURE REGISTRATION COVER SHEET FOR OFFICE USE ONLY 23 BERNON FAMILY BRANCH AND OUTDOOR ADVENTURE REGISTRATION COVER SHEET PHOTOGRAPHIC AND VIDEO MARKETING AUTHORIZATION Unless otherwise noted, by participating in the camp program and affixing my signature below I understand that the Hockomock Area Y may use photographs and video footage of my child(ren) for promotional purposes (i.e. brochures, newspaper, Reach Out for Youth and Families video, camp slideshow, etc.). AUTHORIZATION TO ADMINISTER BUG SPRAY AND SUNSCREEN Unless otherwise noted, by participating in this program and affixing my signature below I give Y staff permission to assist my camper(s) in applying sunscreen and/or bug spray during the camp day. FINANCIAL POLICIES ALL CAMPS REQUIRE A $10 DEPOSIT PER CAMP SESSION AT REGISTRATION. REGISTRATIONS RECEIVED WITHOUT A DEPOSIT WILL NOT BE PROCESSED. 1. The camper’s membership must be valid and in good standing and all overdue balances paid up for any Y programs at the time of registration and for the duration of their camp session(s). If the membership should lapse, the account will be adjusted to reflect the non-member rate and the parent will be responsible for the payment difference. 2. The balance for each session is due two weeks prior to the start of that session. 3. Deadline for registrations is Wednesday prior to the start of the camp week depending on availability. Any registrations received after the close of business on Wednesday of the week prior will incur a $20 late registration fee. All camp registrations require 48 hours for processing. 4. Camp fees will be refunded in full only in cases where the Y cancels a session. 5. Withdrawal or cancellation thirty (30) days prior to the start of camp for any reason will result in a refund of camp fees less the $10 deposit per camp. (REQUEST MUST BE MADE IN WRITING). 6. Withdrawal or cancellation two weeks prior to the start of camp for any reason will result in a 50% refund. (REQUEST MUST BE MADE IN WRITING). 7. No credits or refunds will be issued less than two weeks prior to the start of the registered camp session. 8. Payment is required for all registered days, whether or not the camper attends on those days. 9. Returned check fee is $20. 10. Registrations must be mailed to the appropriate branch or dropped off at the appropriate Member Service Desk. 11. IF PAYMENT IS NOT MADE IN FULL AT TIME OF REGISTRATION, A VALID CREDIT CARD ON FILE IS REQUIRED. NO EXCEPTIONS. Credit Card on file will be charged on the Monday two weeks prior to the start of the camp week for balances not paid on due date. If the camper has an outstanding balance, they will not be allowed to attend camp. permission and waiver I have read and I understand all camp financial policies and information listed above. For more information, please contact Billing Administrator. By signing this form, I give permission for my child to: • attend any Hockomock Area YMCA summer camp field trips scheduled during their sessions of attendance at camp. • take part in the Adventures in Respect Ropes Challenge Course. On my behalf and that of my child(ren), I hereby release, waive, discharge, and covenant not to sue the Hockomock Area YMCA and all branches thereof, its officers, employees, and agents from all liability to the undersigned and my child/children, and any claims or demands therefore on account of injury of death to my child(ren) or damage to property, whether caused by the negligence of this Hockomock Area YMCA employee or otherwise, regardless of the location of such accident, incident, or act giving rise to such injury, death, or damage. I have read, understand, and voluntarily signed this release and waiver of liability and further agree that no oral representations, statements, or inducement apart from the foregoing written agreement have been made. PARENT/GUARDIAN: Printed Name _______________________________________________________________ Signature____________________________________________________________ Date ________________________ PAYMENT METHOD (Visa/MasterCard/Discover/American Express, Check, or Money Order ONLY) IF PAYMENT IN FULL IS NOT MADE AT TIME OF REGISTRATION, A CREDIT CARD ON FILE IS REQUIRED. NO EXCEPTIONS. Payment in full Deposit by check or money order Deposit by credit card Check, money order or online payment will be paid two weeks prior to the start of camp (you do not have to be a member to pay online) If payment is not received the credit card on file will be charged. To make your payments online: Visit our website www.hockymca.org and follow these instructions: 1. Select “Register for Programs” button. 2. S elect LOGIN. 3. Enter your USERNAME and PASSWORD. If you do not know your USERNAME and PASSWORD, select “Forgot your login?” and an email will be sent with your login information. If you are unsuccessful, please contact Billing Administrator or the Member Service Desk. You can pay balances online whether or not you are a member of the Hockomock YMCA. 4. Select “You have a balance” Use credit card for balance two weeks prior to start of camp CREDIT CARD PAYMENT: VISA MC DISC AMEX Credit Card # ___________________________________________________________________________________ CID # __________________________ Name on Card_________________________________________________________________________________ Signature___________________________________________________________________________ Exp. Date___________________________________ Please submit completed registration form(s) to: Hockomock Area YMCA – Bernon Family Branch, Attention: Billing Administrator, 45 Forge Hill Road, Franklin, MA 02038 24 FINANCIAL ASSISTANCE: Did you know that the Y is a not-for-profit charitable organization? Inquire at any Y to find out more. 1 Please mark selection(s): Darkened Box = Camp NOT offered! CAMPS WEEKS CAMP WIGGI (Grades 1–6) WEEKLY SESSIONS (ONLY cross off each full week your camper will attend) DAILY OPTION MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY 2 6/20– 6/27– 6/24 7/1 3 7/5– 7/8 4 5 6 7/11– 7/18– 7/25– 7/15 7/22 7/29 7 8 9 8/1– 8/5 8/8– 8/12 8/15– 8/19 10 11 8/22– 8/29– 8/26 9/2 pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due 6/6 6/13 6/20 6/27 7/5 7/11 7/18 7/25 8/1 8/8 8/15 1 2 3 4 5 6 7 8 9 10 11 If weekly sessions are not what you need, you may select a 4 or 3 day option by crossing off the specific dates you require BELOW. 6/20 6/27 7/11 7/18 7/25 8/1 8/8 8/15 8/22 8/29 6/21 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 8/30 6/22 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 8/31 6/23 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 9/1 6/24 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 9/2 FULL DAY HALF DAY NEW HORIZONS CAMP WIGGI WEEKLY SESSIONS (ONLY cross off each full week your camper will attend) DAILY OPTION 2 3 4 5 6 7 8 9 10 If weekly sessions are not what you need, you may select a 4 or 3 day option by crossing off the specific dates you require BELOW. MONDAY 6/27 7/11 7/18 7/25 8/1 8/8 8/15 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 WEDNESDAY 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 THURSDAY 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 FRIDAY 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 $213 $270 FEE FEE 4-Day Option $191 $246 3-Day Option $164 $205 FULL DAY / FULL DAY / HALF DAY HALF DAY FEE FEE $213 FD $270 FD $165 HD $247 HD FEE FEE 4-Day Option 8/22 TUESDAY MEMBER FEE SUMMER MEMBER & NONMEMBER FEE $191 FD $143 HD $246 FD $207 HD 3-Day Option FULL DAY Ages 3–5 (Must be potty-trained) HALF DAY Ages 3–5 (Must be potty-trained) JUNIOR CAMP WIGGI WEEKLY SESSIONS – Full Day (Ages 3-5) or Half-Day (Ages 3–5) (ONLY Cross off each full week your camper will attend DAILY OPTION 1 2 3 4 5 6 NEW HORIZONS FULL DAY HALF DAY 7 8 9 10 11 If weekly sessions are not what you need, you may select a 4 or 3 day option by crossing off the specific dates you require BELOW. MONDAY 6/20 6/27 TUESDAY 6/21 6/28 WEDNESDAY 6/22 THURSDAY 6/23 FRIDAY 6/24 7/11 7/18 7/25 8/1 8/8 8/15 8/22 8/29 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 8/30 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 8/31 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 9/1 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 9/2 CAMP SILVER LAKE (Grades 1–6) WEEKLY SESSIONS (ONLY cross off each full week your camper will attend) DAILY OPTION MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY 2 3 4 5 6 7 8 9 10 If weekly sessions are not what you need, you may select a 4 or 3 day option by crossing off the specific dates you require BELOW. 6/27 7/11 7/18 7/25 8/1 8/8 8/15 8/22 8/16 8/23 6/28 7/5 7/12 7/19 7/26 8/2 8/9 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 $164 FD $121 HD FULL DAY / HALF DAY FEE $205 FD $174 HD FULL DAY / HALF DAY FEE $244 FD $165 HD $341 FD $247 HD FEE FEE 4-Day Option $209 FD $143 HD $302 FD $207 HD 3-Day Option $174 FD $121 HD $252 FD $174 HD FEE FEE $208 $265 FEE FEE BERNON FAMILY BRANCH AND OUTDOOR ADVENTURE REGISTRATION COVER SHEET ONE REGISTRATION FORM PER CAMPER 4-Day Option $186 $240 3-Day Option $159 $200 25 BERNON FAMILY BRANCH AND OUTDOOR ADVENTURE REGISTRATION COVER SHEET 1 Please mark selection(s): Darkened Box = Camp NOT offered! CAMPS WEEKS 2 3 6/20– 6/27– 6/24 7/1 7/5– 7/8 4 5 7/11– 7/18– 7/25– 7/15 7/22 7/29 7 8 8/1– 8/5 8/8– 8/12 9 10 11 8/15– 8/22– 8/29– 8/19 8/26 9/2 pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due 6/6 6/13 6/20 6/27 7/5 7/11 7/18 7/25 8/1 8/8 8/15 SPORTS CAMPS Super Sports Camp (Grades 1–7) 2 DAILY OPTION 3 4 5 6 7 8 9 10 11 If weekly sessions are not what you need, you may select a 4 or 3 day option by crossing off the specific dates you require BELOW. MONDAY 6/27 TUESDAY 6/28 WEDNESDAY THURSDAY FRIDAY 7/11 7/18 7/25 8/1 8/8 8/15 8/22 8/29 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 8/30 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 8/31 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 9/1 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 9/2 Sports Field Trip Camp (Grades 2–7) 5 GYMNASTICS CAMPS Youth Co-ed Gymnastics Camp (Grades 1–8) 6 7 8 9 Pre-Team Gymnastics Camp (Grades 1+) 11 10 ARTS AND ENRICHMENT CAMPS Wiggi’s Wacky Artist – Art Camp (Grades 2–6) 4 8 Center Stage at Wiggi – Drama Camp (Grades 2–6) 6 Dance at Wiggi Camp (Grades 2–6) 4 MEMBER SUMMER MEMBER & NONMEMBER FEE FEE $232 $318 FEE FEE 4-Day Option $207 $290 3-Day Option $175 $242 $319 $379 FEE FEE $244 $341 $244 $341 FEE FEE $250 $370 $250 $370 $244 $341 FEE FEE $276 $348 FEE FEE $244 $341 $209 $302 Please use the Invensys Foxboro and Mansfield Branch Registration Form to register for Theatre Camps. SWIM CAMPS Wiggi’s WaterWorld (Grades 2–5) 9 TEEN LEADERSHIP CAMPS PLEASE SELECT YOUR CAMP: Junior Voyagers (Grades 7–8) Senior Voyagers (Grades 9–10) Junior Voyagers (Grades 7–8) Senior Voyagers (Grades 9–10) LIT: Leader in Training (Grades 7–8) Junior Voyagers Senior Voyagers 2 4 5 7 8 9 10 2–4 LIT: Leader in Training (Grades 7–8) CIT: Counselors-In-Training (Grades 9–10) 6 3 5–7 8–10 Contact the Camp Director for registration information for the CIT Program. NEW HORIZONS TEEN VILLAGE (3 Day Camp) Half Day Camp (Grades 7+) – M/T/W/TH 12:00–4:00PM Half Day Camp (Grades 7+) – T/W/TH 12:00–4:00PM 4 5 6 7 8 9 3 OUTDOOR ADVENTURE CAMPS Adventures Sampler (Grades 3–6) 6 White Water Rafting (Grades 7–11) Overnight Adventure (Grades 3–6) 26 6 9 5 3 8 7 10 11 $346 $436 $370 $490 $323 $428 FEE FEE $143 $207 $121 $174 FEE FEE $425 $635 $550 $825 $175 $265 Darkened Box = Camp NOT offered! CAMPS WEEKS 2 6/20– 6/27– 6/24 7/1 3 4 7/5– 7/8 7/11– 7/15 5 6 7/18– 7/25– 7/22 7/29 7 8 9 10 11 8/1– 8/5 8/8– 8/12 8/15– 8/19 8/22– 8/26 8/29– 9/2 pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due 6/6 6/13 6/20 6/27 7/5 7/11 7/18 7/25 8/1 8/8 8/15 BUS TRANSPORTATION (Please note that transportation is subject to change based on the school calendar.) WEEKS AM Bus Stop (write in bus stop number) PM Bus Stop (write in bus stop number) 2 3 4 5 6 7 8 9 10 7/11 7/18 7/25 8/1 8/8 8/15 8/22 MONDAY 6/27 TUESDAY 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 WEDNESDAY 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 THURSDAY 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 FRIDAY 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 WEEKS 2 3 4 5 6 7 8 9 10 7/11 7/18 7/25 8/1 8/8 8/15 8/22 6/27 TUESDAY 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 WEDNESDAY 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 THURSDAY 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 FRIDAY 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 1 2 3 4 5 6 7 8 9 10 11 MONDAY 6/20 6/27 7/11 7/18 7/25 8/1 8/8 8/15 8/22 8/29 TUESDAY 6/21 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 8/30 WEDNESDAY 6/22 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 8/31 THURSDAY 6/23 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 9/1 FRIDAY 6/24 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 9/2 WEEKS 1 2 3 4 5 6 7 8 9 10 11 MONDAY 6/20 6/27 7/11 7/18 7/25 8/1 8/8 8/15 8/22 8/29 TUESDAY 6/21 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 8/30 WEDNESDAY 6/22 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 8/31 THURSDAY 6/23 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 9/1 FRIDAY 6/24 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 9/2 FEE FEE 5-Day Option $23 $28 4-Day Option $19 $24 3-Day Option $15 $18 2-Day Option $11 $13 1-Day Option $5 $6 POST CAMP Post Camp FEE $15 per week PRE CAMP Pre Camp FEE $15 per week MONDAY WEEKS MEMBER SUMMER MEMBER & NONMEMBER FEE FEE 5-Day Option $28 $34 4-Day Option $23 $29 3-Day Option $18 $21 2-Day Option $12 $15 1-Day Option $6 $7 $ BERNON FAMILY BRANCH AND OUTDOOR ADVENTURE REGISTRATION COVER SHEET 1 Please mark selection(s): $ Facebook.com/BernonFamilyBranchYMCACamps SEE PAGE 40 FOR BUSING "LIKE US" TO RECEIVE DAILY CAMP UPDATES! 27 BEST SUMMER EVER ALL LEADERSHIP STAFF ARE 21+ NOW INCLUDES STEM Science, Technology, Engineering, & Math CAMP WAPAWCA (With A Positive Attitude We Can Achieve) is our traditional day camp for children to learn, grow, and have fun! Our camp day excites and energizes campers to learn new things, exercise their minds and bodies, and build friendships in the great outdoors. To ensure a fun, safe environment, our role model to camper ratio will never exceed 1:10. Our days are filled with swimming, sports, field trips, water and active play, arts and crafts, drama, nature, games, archery, and more. Exciting field trips will take place for second and third graders on Wednesdays and for fourth and fifth graders on Tuesdays and Thursdays. Trips may include hikes through Purgatory Chasm, Paw Sox games, aquariums, Silver Lake, corn mazes, and so much more. On Wednesdays special guests will come and visit with the first graders. Some of those visitors may be petting zoos, frisbee catching dogs, magicians, and slippery reptiles. INVENSYS FOXBORO BRANCH TRADITIONAL CAMPS JUNIOR CAMP WAPAWCA is a branch of Camp WAPAWCA designed for the pre-school age child (children must be potty trained). First time campers make new friends and are introduced to enriching camp activities including swimming, sports, water and active play, arts and crafts, nature, archery, and more. To provide a fun, safe environment, our role model to camper ratio will be 1:5. On Wednesdays special guests will come and visit with our junior campers. Some of those visitors may be petting zoos, frisbee catching dogs, magicians and slippery reptiles. NEW HORIZONS CAMP WAPAWCA is a branch of Camp WAPAWCA providing increased support for campers with special needs. To provide a fun, safe environment, our role model to camper ratio will be 1:3. We help each child create positive relationships, build social skills, and encourage full inclusion. New Horizons is also available for Junior Camp WAPAWCA full and half day options. A meeting with our integration coordinator is required as part of the registration process. REGISTRATION DEADLINE: July 1, 2016. CAMP WAPAWCA – GRADES 1–5 JUNIOR CAMP WAPAWCA – AGES 3–5 NEW HORIZONS CAMP WAPAWCA Weeks 1–11 » June 20–September 2 Full Day: 9:00am–4:00pm Full Day: 9:00am–4:00pm Cost: 5-Day: $251 Member / $352 Non-Member 4-Day: $215 Member / $312 Non-Member 3-Day: $180 Member / $259 Non-Member Cost: 5-Day: $219 Member / $278 Non-Member 4-Day: $195 Member / $253 Non-Member 3-Day: $166 Member / $208 Non-Member Weeks 1–11 » June 20–September 2 Half Day: 9:00am–1:00pm Weeks 1–11 » June 20–September 2 Weeks 2–10 » June 27–August 26 Cost: 5-Day: $168 Member / $254 Non-Member 4-Day: $147 Member / $213 Non-Member 3-Day: $124 Member / $180 Non-Member ALL CAMPS ARE FULL DAY 9:00AM–4:00PM UNLESS SPECIFICALLY NOTED. PRE AND POST CAMP AVAILABLE, SEE PAGE 31. 29 INVENSYS FOXBORO BRANCH SPORTS CAMPS SUPER SPORTS CAMP – GRADES 1–7 Campers will enjoy soccer, basketball, flag football, wiffle ball, kickball, dodgeball, and more. Campers will cool off daily in our swimming pool and learn each sport’s skills with friends while having fun. Weeks 1–11 » June 20–September 2 Cost: 5-Day: $232 Member / $318 Non-Member 4-Day: $207 Member / $290 Non-Member 3-Day: $175 Member / $242 Non-Member SPORTS FIELD TRIP CAMP – GRADES 2–7 Campers will go on 5 sports trips, 1 each day Monday through Friday. Past trips have included: Fenway Park tour, the Basketball Hall of Fame, a Paw Sox game, and Gillette Stadium visit! Week 5 » July 18–22 Week 8 » August 8–12 Cost: 5-Day: $319 Member / $379 Non-Member FLAG FOOTBALL CAMP – GRADES 1–7 Flag football campers will be split into age appropriate groups while learning skills, drills, and having fun in a quarterback challenge, punt, pass, and kick challenge, and flag football tournament. If schedule permits, campers will visit a New England Pats practice session! Camp will be held offsite with transportation provided by the YMCA. GRADES 1–3: NCAA: Week 7 » August 1–5 GRADES 4–7: NFL: Week 7 » August 1–5 Cost: 5-Day: $244 Member / $341 Non-Member FOR THEATRE CAMPS SEE PAGE 33 30hockymca.org HOCKOMOCK AREA YMCA SUMMER 2016 CAMP GUIDE VOYAGERS (TEEN TRAVEL CAMP) JUNIOR VOYAGERS – GRADES 6–7 SENIOR VOYAGERS – GRADES 8–9 CIT: COUNSELOR-IN-TRAINING – GRADES 9–10 (CIT application and interview required to enroll.) Voyagers Camp is for those entering grades six through nine who are looking for fun opportunities throughout the summer. Campers will participate in one service initiative per week. Some of the trips/activities planned throughout the summer include: Team Building, Newport Beach and Cliff Walk, Castle Island, Southwick Zoo, Purgatory Chasm, Pinz Bowling, Breezy Acres, Starland, and so much more! The CIT program is for teens interested in working in a fun camp setting. CITs will participate in courses teaching camp traditions in exciting ways and develop leadership skills to become a future YMCA camp counselor. Completion of the CIT program does not guarantee future employment. CITs must commit to a minimum of 6 weeks. If interested, fill out a CIT application available at our Member Service Desk. Weeks 1-11 » June 20–September 2 Weeks 2–11 » June 27–September 2 Cost: $251 Member / $352 Non-Member Cost (Week 3): $215 Member / $312 Non-Member Cost: $323 Member / $428 Non-Member LIT: LEADER-IN-TRAINING – GRADES 7–8 (1/2-day afternoon camp for teens with special needs.) (LIT application and interview required to enroll.) LITs will learn positive values and leadership traits through service learning, team building, and adventure programming alongside their peers. CPR and first aid included. LITs will plan fun events for younger campers. This program works in collaboration with our New Horizons program in the afternoons. If interested, fill out an LIT application available at our Member Service Desk. Registration limited to 1 session per participant. Session 1: Weeks 2–4 » June 27–July 15 Cost: $346 Member / $436 Non-Member Session 2: Weeks 5–7 » July 18–August 5 Cost: $370 Member / $490 Non-Member Session 3: Weeks 8–10 » August 8–26 Cost: $370 Member / $490 Non-Member NEW HORIZONS TEEN VILLAGE – GRADES 6+ Campers will travel in a co-ed group from activity to activity throughout the afternoon. This inclusive camp pairs New Horizons campers with peer mentors for traditional camp experiences and provides opportunities for appropriate social interaction. Focus is on having fun through activities, games, and swim while building friendships and increasing social skills. New Horizons Teen Village has a 3:1 camper: role model ratio for increased support. A meeting with our integration coordinator is required as part of the registration process. Interested in being a peer mentor? Ask our integration coordinator about Inclusion Corps. INVENSYS FOXBORO BRANCH TEEN CAMPS Weeks 2–10 » June 27–August 26 (Mon/Tue/Wed/Thur) 12:00pm–4:00pm Cost: $147 Member / $213 Non-Member Cost (Week 3): $124 Member / $180 Non-Member OUTDOOR ADVENTURE PROGRAMS for teens – PAGE 22 These travel camps start and end at our Bernon Family Branch in Franklin. PRE & POST CAMP PRE CAMP POST CAMP Weeks 1–11 » June 20–September 2 7:00am–9:00am Weeks 1–11 » June 20–September 2 4:00pm–6:00pm Pre Camp is available to all full-day campers whose parents need childcare options before the 9:00am start of camp. Campers will enjoy a fun activity each morning and then be escorted to their respective camps for 9:00am. Member Cost: 5-Day: $23 4-Day: $19 3-Day: $15 2-Day: $11 1-Day: $5 Non-Member Cost: 5-Day: $28 4-Day: $24 3-Day: $18 2-Day: $13 1-Day: $6 Post Camp is available to all full-day campers whose parents need childcare options after the 4:00pm end of camp. Campers will be escorted from their respective camps to Post Camp and will enjoy afternoon activities. Snack included. Member Cost: 5-Day: $28 4-Day: $23 3-Day: $18 2-Day: $12 1-Day: $6 Non-Member Cost: 5-Day: $34 4-Day: $29 3-Day: $21 2-Day: $15 1-Day: $7 ALL CAMPS ARE FULL DAY 9:00AM–4:00PM UNLESS SPECIFICALLY NOTED. PRE AND POST CAMP AVAILABLE. SEE PAGE 40 FOR BUSING 31 INVENSYS FOXBORO BRANCH CAMP CONTACTS HOCKOMOCK AREA YMCA Invensys Foxboro Branch 67 Mechanic Street Foxboro, MA 02035 Camp Director: Ashli Phillips 508.772.1353, ashlip@hockymca.org For questions or comments regarding: »» Camp Wapawca »» Pre & Post Camp »» Transportation Sr. Program Director: Erin Brennock 508.772.1306, erinb@hockymca.org For questions or comments regarding: »» Overall Camp Experience »» Aquatics Integration Coordinator: Barbara Manuelpillai 508.772.1327, barbaram@hockymca.org For questions or comments regarding: »» Special Needs Programming »» New Horizons Teen Camps Sports Camp Director: Tim LaConte 508.772.1354, timl@hockymca.org For questions or comments regarding: »» Sports Camps Teen Camp Director: Dan DeMars 508.772.1316, danield@hockymca.org For questions or comments regarding: »» Voyagers Camp »» CIT: Counselor in Training »» LIT: Leaders in Training Junior Camp Wapawca Director: Nicole Purnell 508.772.1347, nicolep@hockymca.org For questions or comments regarding: »» Junior Camp Wapawca Mansfield Performing Arts Director: Heather Utsler-Smith 614.581.1783, heatheru@hockymca.org For questions or comments regarding: »» Theatre Camps Camp Office 508.772.1353 Call to report your child’s: »» Tardiness »» Absences »» Early Dismissal, etc. Camp Health Care Supervisor 508.772.1353, campwapawca@gmail.com For questions or comments regarding: »» Medical Information »» Medical Documentation (medications, medical forms, and administer medication forms) Camp Billing Administrator: Monica Schmidt 508.643.5255, monicas@hockymca.org For questions or comments regarding: »» Camp Registrations & Changes »» Billing »» Balance Information »» EZ-Pay Information Association Scholarship Department Lynette Testa 508.643.5217 Lori Halben 508.643.5293 fxscholarship@hockymca.org For questions regarding: »» How to apply for a scholarship »» Status of scholarship in process, etc. »» Typical turnaround is 2–3 weeks for processing. Please note, months leading up to and during camp are the busiest time of year and may take longer to process Member Service Desk Phone: 508.543.2523 / Fax: 508.543.5503 For questions or comments regarding: »» Membership & Classes Facebook.com/InvensysFoxboroBranchYMCACamps 32hockymca.org @HockomockYMCA HOCKOMOCK AREA YMCA SUMMER 2016 CAMP GUIDE THEATRE CAMPERS begin each day with a warm up and game. Mornings are spent learning choreography, music, and scenes with a break for snack mid-way. After lunch, campers have free-play outside. Our camp has weekly themes and each afternoon we enjoy a fun activity relating to that theme. Our day ends with a rehearsal to review our progress. “BUGSY MALONE JR." – GRADES 2–8 Campers will sing, dance, and act in this musical based on the hit 1976 film, featuring a catchy, swinging score by the composer of the Muppet Movie and starring a pre-teen Scott Baio and Jodie Foster! Two gangs in a fictitious city populated only by children are in a rivalry of Capone-ian standards. Who will win? Dandy Dan’s gang has gotten the upper hand singing acquiring the “splurge gun” (a weapon that shoots whipped cream!) but Bugsy Malone might give him a run for his money. Join us to see how it turns out! This production will feature full costumes, lighting, sets, and sound. Performance dates are Saturday, July 16 and Sunday July 17. Weeks 3-4 » July 5-July 15 Cost: 2-Week Session: $515 Member / $641 Non-Member “SHREK THE MUSICAL" – GRADES 2–8 Everyone’s favorite Ogre will have them rolling in the aisles! Based on the Oscar-winning DreamWorks Animation film, Shrek the Musical is a Tony Award-winning fairy tale adventure, bringing all the beloved characters you know from the film to life onstage. Our story begins, as so many do, with “Once Upon a Time,” but throw in a wisecracking Donkey, a feisty princess, a short tempered bad guy, a cookie with an attitude, and over a dozen other fairy tale misfits, and you’ve got the recipe for a smash-hit, and an unforgettable camp experience! This production will feature full costumes, lighting, sets, sound, live musicians, and a dragon! Performance dates are Saturday August 13 and Sunday August 14. Weeks 6-8 » July 25-August 12 Cost: 3-Week Session: $730 Member / $788 Non-Member MANSFIELD ARTS & EDUCATION CENTER THEATRE CAMPS HOCKOMOCK AREA YMCA Mansfield Arts & Education Center 40 Balcom Street Mansfield, MA 02048 Performing Arts Director: Heather Utsler-Smith 614.581.1783, heatheru@hockymca.org Camp Office 508.339.3066 / Fax:508.337.8479 Call to report your child’s: »» Tardiness / Absences Early Dismissal, etc. Camp Billing Administrator: Monica Schmidt 508.643.5255, monicas@hockymca.org For questions or comments regarding: »» Camp Registrations & Billing Performing Arts Director Heather Utsler-Smith has worked as a teaching artist and director for theatre-based camps for 12 years. This summer marks her 39th and 40th productions with the Hockomock Area YMCA. She holds a BA with dual specializations in Acting/ Directing and Youth Theatre/ Puppetry from Bowling Green State University. She has worked for the Rhode Island Youth Theatre and the Contemporary American Theatre Company in Columbus, Ohio. Heather looks forward to another great summer of song, dance, and discovery of talent with the children in her theatre camps. ALL CAMPS ARE FULL DAY 9:00AM–4:00PM UNLESS SPECIFICALLY NOTED. PRE AND POST CAMP AVAILABLE, SEE PAGE 31. 33 BEST SUMMER EVER Date Received ______________________________________________________ Date Entered ________________________________________________________ Entered By ___________________________________________________________ CAMPER INFORMATION First Name_______________________________________________________________________ Last Name________________________________________________________________________ Birth Date________________________________________________________________________ Primary Phone___________________________________________________________________ Gender____________________________________________________________________________ Entering Grade for Fall 2016________________________________________________ Address___________________________________________________________________________ City________________________________________________________________________________ State_______________________________________________________________________________ ZIP_________________________________________________________________________________ PARENT/GUARDIAN INFORMATION PARENT/GUARDIAN INFORMATION First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Address___________________________________________________________________________ City________________________________________________________________________________ State_______________________________________________________________________________ Zip_________________________________________________________________________________ Email_______________________________________________________________________________ Relationship to Child___________________________________________________________ First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Address___________________________________________________________________________ City________________________________________________________________________________ State_______________________________________________________________________________ Zip_________________________________________________________________________________ Email_______________________________________________________________________________ Relationship to Child___________________________________________________________ I understand that if I list a parent or guardian, they are authorized to pick up my child. Yes No FOR INFORMATION PURPOSES ONLY: Is the camper a descendant of a veteran of the armed forces of the United States. Yes No I currently receive scholarship assistance. Yes No I have applied for scholarship assistance. Date Applied ____________________________ ADDITIONAL ADULTS AUTHORIZED TO PICK UP MY CHILD (Must be 18+ YEARS OF AGE) First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Relationship to Child___________________________________________________________ First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Relationship to Child___________________________________________________________ First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Relationship to Child___________________________________________________________ First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Relationship to Child___________________________________________________________ First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Relationship to Child___________________________________________________________ First Name_______________________________________________________________________ Last Name________________________________________________________________________ Primary Phone___________________________________________________________________ Work Phone______________________________________________________________________ Cell Phone________________________________________________________________________ Relationship to Child___________________________________________________________ INVENSYS FOXBORO AND MANSFIELD BRANCH REGISTRATION COVER SHEET FOR OFFICE USE ONLY 35 INVENSYS FOXBORO AND MANSFIELD BRANCH REGISTRATION COVER SHEET PHOTOGRAPHIC AND VIDEO MARKETING AUTHORIZATION Unless otherwise noted, by participating in the camp program and affixing my signature below I understand that the Hockomock Area Y may use photographs and video footage of my child(ren) for promotional purposes (i.e. brochures, newspaper, Reach Out for Youth and Families video, camp slideshow, etc.). AUTHORIZATION TO ADMINISTER BUG SPRAY AND SUNSCREEN Unless otherwise noted, by participating in this program and affixing my signature below I give Y staff permission to assist my camper(s) in applying sunscreen and/or bug spray during the camp day. FINANCIAL POLICIES ALL CAMPS REQUIRE A $10 DEPOSIT PER CAMP SESSION AT REGISTRATION. REGISTRATIONS RECEIVED WITHOUT A DEPOSIT WILL NOT BE PROCESSED. 1. The camper’s membership must be valid and in good standing and all overdue balances paid up for any Y programs at the time of registration and for the duration of their camp session(s). If the membership should lapse, the account will be adjusted to reflect the non-member rate and the parent will be responsible for the payment difference. 2. The balance for each session is due two weeks prior to the start of that session. 3. Deadline for registrations is Wednesday prior to the start of the camp week depending on availability. Any registrations received after the close of business on Wednesday of the week prior will incur a $20 late registration fee. All camp registrations require 48 hours for processing. 4. Camp fees will be refunded in full only in cases where the Y cancels a session. 5. Withdrawal or cancellation thirty (30) days prior to the start of camp for any reason will result in a refund of camp fees less the $10 deposit per camp. (REQUEST MUST BE MADE IN WRITING). 6. Withdrawal or cancellation two weeks prior to the start of camp for any reason will result in a 50% refund. (REQUEST MUST BE MADE IN WRITING). 7. No credits or refunds will be issued less than two weeks prior to the start of the registered camp session. 8. Payment is required for all registered days, whether or not the camper attends on those days. 9. Returned check fee is $20. 10. Registrations must be mailed to the appropriate branch or dropped off at the appropriate Member Service Desk. 11. IF PAYMENT IS NOT MADE IN FULL AT TIME OF REGISTRATION, A VALID CREDIT CARD ON FILE IS REQUIRED. NO EXCEPTIONS. Credit Card on file will be charged on the Monday two weeks prior to the start of the camp week for balances not paid on due date. If the camper has an outstanding balance, they will not be allowed to attend camp. permission and waiver I have read and I understand all camp financial policies and information listed above. For more information, please contact Billing Administrator. By signing this form, I give permission for my child to: • attend any Hockomock Area YMCA summer camp field trips scheduled during their sessions of attendance at camp. • take part in the Adventures in Respect Ropes Challenge Course. On my behalf and that of my child(ren), I hereby release, waive, discharge, and covenant not to sue the Hockomock Area YMCA and all branches thereof, its officers, employees, and agents from all liability to the undersigned and my child/children, and any claims or demands therefore on account of injury of death to my child(ren) or damage to property, whether caused by the negligence of this Hockomock Area YMCA employee or otherwise, regardless of the location of such accident, incident, or act giving rise to such injury, death, or damage. I have read, understand, and voluntarily signed this release and waiver of liability and further agree that no oral representations, statements, or inducement apart from the foregoing written agreement have been made. PARENT/GUARDIAN: Printed Name _______________________________________________________________ Signature____________________________________________________________ Date ________________________ PAYMENT METHOD (Visa/MasterCard/Discover/American Express, Check, or Money Order ONLY) IF PAYMENT IN FULL IS NOT MADE AT TIME OF REGISTRATION, A CREDIT CARD ON FILE IS REQUIRED. NO EXCEPTIONS. Payment in full Deposit by check or money order Deposit by credit card Check, money order or online payment will be paid two weeks prior to the start of camp (you do not have to be a member to pay online) If payment is not received the credit card on file will be charged. To make your payments online: Visit our website www.hockymca.org and follow these instructions: 1. Select “Register for Programs” button. 2. S elect LOGIN. 3. Enter your USERNAME and PASSWORD. If you do not know your USERNAME and PASSWORD, select “Forgot your login?” and an email will be sent with your login information. If you are unsuccessful, please contact Billing Administrator or the Member Service Desk. You can pay balances online whether or not you are a member of the Hockomock YMCA. 4. Select “You have a balance” Use credit card for balance two weeks prior to start of camp CREDIT CARD PAYMENT: VISA MC DISC AMEX Credit Card # ___________________________________________________________________________________ CID # __________________________ Name on Card_________________________________________________________________________________ Signature___________________________________________________________________________ Exp. Date___________________________________ Please submit completed registration form(s) to: Hockomock Area YMCA – Invensys Foxboro Branch, Attention: Billing Administrator, 67 Mechanic Street, Foxboro, MA 02035 36 FINANCIAL ASSISTANCE: Did you know that the Y is a not-for-profit charitable organization? Inquire at any Y to find out more. Please mark selection(s): Darkened Box 1 = Camp NOT offered! CAMPS WEEKS CAMP WAPAWCA (Grades 1–5) WEEKLY SESSIONS (ONLY cross off each full week your camper will attend) DAILY OPTION MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY NEW HORIZONS CAMP WAPAWCA WEEKLY SESSIONS (ONLY cross off each full week your camper will attend) DAILY OPTION MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY 2 6/20– 6/27– 6/24 7/1 3 4 5 6 7 8 7/5– 7/8 7/11– 7/15 7/18– 7/22 7/25– 7/29 8/1– 8/5 8/8– 8/12 pmt due pmt due pmt due pmt due pmt due 6/6 6/13 6/20 6/27 7/5 1 2 3 4 5 9 10 11 8/15– 8/22– 8/29– 8/19 8/26 9/2 pmt due pmt due pmt due pmt due pmt due pmt due 7/11 7/18 7/25 8/1 8/8 8/15 6 7 8 9 10 11 If weekly sessions are not what you need, you may select a 4 or 3 day option by crossing off the specific dates you require BELOW. 6/20 6/27 7/11 7/18 7/25 8/1 8/8 8/15 8/22 8/29 6/21 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 8/30 6/22 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 8/31 6/23 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 9/1 6/24 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 9/2 2 3 4 5 6 7 8 9 10 If weekly sessions are not what you need, you may select a 4 or 3 day option by crossing off the specific dates you require BELOW. 6/27 7/11 7/18 7/25 8/1 8/8 8/15 8/22 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 FULL DAY Ages 3–5 (Must be potty-trained) HALF DAY Ages 3–5 (Must be potty-trained) JUNIOR CAMP WAPAWCA WEEKLY SESSIONS – Full Day (Ages 3-5) or Half-Day (Ages 3–5) (ONLY Cross off each full week your camper will attend DAILY OPTION 1 2 3 4 5 6 7 8 9 10 11 If weekly sessions are not what you need, you may select a 4 or 3 day option by crossing off the specific dates you require BELOW. MONDAY 6/20 6/27 7/11 7/18 7/25 8/1 8/8 8/15 8/22 8/29 TUESDAY 6/21 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 8/30 WEDNESDAY 6/22 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 8/31 THURSDAY 6/23 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 9/1 FRIDAY 6/24 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 9/2 SPORTS CAMPS Super Sports Camp (Grades 1–7) 1 2 3 4 5 6 7 8 9 10 11 If weekly sessions are not what you need, you may select a 4 or 3 day option by crossing off the specific dates you require BELOW. 6/20 6/27 7/11 7/18 7/25 8/1 8/8 8/15 8/22 8/29 6/21 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 8/30 6/22 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 8/31 6/23 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 9/1 6/24 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 9/2 5 8 7 7 DAILY OPTION MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY Sports Field Trip Camp (Grades 2–7) Flag Football Camp NCAA (Grades 1–3) Flag Football Camp NFL (Grades 4–7) TEEN LEADERSHIP CAMPS Please use the Bernon Family Branch Registration Form to register for Outdoor Adventure Programs. Adventure Programs depart from the Bernon Family Branch. PLEASE SELECT YOUR CAMP: Junior Voyagers Senior Voyagers Junior Voyagers (Grades 6–7) 1 2 4 5 6 7 8 9 10 11 Senior Voyagers (Grades 8–9) Junior Voyagers (Grades 6–7) 3 Senior Voyagers (Grades 8–9) LIT: Leader in Training (Grades 7–8) 2–4 LIT: Leader in Training (Grades 7–8) 5–7 8–10 CIT: Counselors-In-Training (Grades 9–10) Contact the Teen Camp Director for registration information for the CIT Program. MEMBER FEE SUMMER MEMBER & NONMEMBER FEE $219 $278 FEE FEE 4-Day Option $195 $253 3-Day Option $166 $208 FEE FEE $219 $278 FEE FEE 4-Day Option $195 $253 3-Day Option $166 $208 FULL DAY / FULL DAY / HALF DAY HALF DAY FEE FEE $251 FD $168 HD $352 FD $254 HD FEE FEE 4-Day Option $215 FD $147 HD $312 FD $213 HD 3-Day Option $180 FD $124 HD FEE $232 $259 FD $180 HD FEE $318 FEE FEE INVENSYS FOXBORO AND MANSFIELD BRANCH REGISTRATION FORM ONE REGISTRATION FORM PER CAMPER 4-Day Option $207 $290 3-Day Option $175 $242 $319 $379 $244 $341 $244 $341 FEE FEE $251 $352 $215 $312 $346 $370 $323 $436 $490 $428 37 INVENSYS FOXBORO AND MANSFIELD BRANCH REGISTRATION FORM Please mark selection(s): Darkened Box 1 = Camp NOT offered! CAMPS WEEKS 2 6/20– 6/27– 6/24 7/1 3 4 7/5– 7/8 7/11– 7/15 5 6 7/18– 7/25– 7/22 7/29 7 8 9 10 11 8/1– 8/5 8/8– 8/12 8/15– 8/19 8/22– 8/26 8/29– 9/2 pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due pmt due 6/6 6/13 6/20 6/27 7/5 7/11 7/18 7/25 8/1 8/8 8/15 NEW HORIZONS TEEN VILLAGE (3 Day Camp) Half Day Camp (Grades 6+) – M/T/W/TH 12:00–4:00PM Half Day Camp (Grades 6+) – T/W/TH 12:00–4:00PM 2 4 5 6 7 8 9 10 3 MANSFIELD BRANCH THEATRE CAMPS “Bugsy Malone Jr.” (Grades 2–8) “Shrek the Musical” (Grades 2–8) 3–4 6–8 BUS TRANSPORTATION (Please note that transportation is subject to change based on the school calendar.) WEEKS AM Bus Stop (write in bus stop number) PM Bus Stop (write in bus stop number) 2 3 4 5 6 7 8 9 10 MONDAY 6/27 7/11 7/18 7/25 8/1 8/8 8/15 8/22 TUESDAY 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 WEDNESDAY 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 THURSDAY 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 FRIDAY 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 WEEKS 2 3 4 5 6 7 8 9 10 7/11 7/18 7/25 8/1 8/8 8/15 8/22 MONDAY 6/27 TUESDAY 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 THURSDAY 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 FRIDAY 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 Pre Camp (not available in Mansfield) 8/26 2 3 4 5 6 7 8 9 10 11 7/11 7/18 7/25 8/1 8/8 8/15 8/22 8/29 MONDAY 6/20 6/27 TUESDAY 6/21 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 8/30 WEDNESDAY 6/22 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 8/31 THURSDAY 6/23 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 9/1 FRIDAY 6/24 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 9/2 2 3 4 5 6 7 8 9 10 11 7/11 7/18 7/25 8/1 8/8 8/15 8/22 8/29 Post Camp (not available in Mansfield) 1 $147 $213 $124 $180 FEE FEE $515 $641 $730 $788 FEE FEE FEE MONDAY 6/20 6/27 TUESDAY 6/21 6/28 7/5 7/12 7/19 7/26 8/2 8/9 8/16 8/23 8/30 WEDNESDAY 6/22 6/29 7/6 7/13 7/20 7/27 8/3 8/10 8/17 8/24 8/31 THURSDAY 6/23 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 9/1 FRIDAY 6/24 7/1 7/8 7/15 7/22 7/29 8/5 8/12 8/19 8/26 9/2 FEE Facebook.com/InvensysFoxboroBranchYMCACamps 38 "LIKE US" FEE 5-Day Option $28 $34 4-Day Option $23 $29 3-Day Option $18 $21 2-Day Option $12 $15 1-Day Option $6 $7 $ SEE PAGE 40 FOR BUSING FEE 5-Day Option $23 $28 4-Day Option $19 $24 3-Day Option $15 $18 2-Day Option $11 $13 1-Day Option $5 $6 POST CAMP WEEKS FEE $15 per week PRE CAMP 1 FEE $15 per week WEDNESDAY WEEKS MEMBER SUMMER MEMBER & NONMEMBER TO RECEIVE DAILY CAMP UPDATES! $ The Hockomock Area YMCA provides bus transportation to campers at a cost of $15 per week for morning transportation and $15 per week for afternoon transportation. Please see bus schedule on page 40. Register for transportation on the camp registration form. »» Our camps comply with Massachusetts Department of Public Health regulations and are licensed by the local board of health. »» We are proud and respectful of the trust parents place in our YMCA. A safe environment for children combined with quality programming is part of our focus on youth development, healthy living, and social responsibility. We place great value on providing the most child-safe environment possible and creating an atmosphere where youth thrive. »» Parents have the right to review, on request, our background check policies, healthcare and discipline policies, and staff code of conduct. TRANSPORTATION Stop # Location Pick Up Drop Off Purple Bus 1 Stone St. parking lot near fire station (Walpole) 7:40am 5:12pm 2 Shaw’s Parking Lot (Sharon) 7:55am 4:52pm Invensys Foxboro Branch (theatre weeks only) 8:10am 3 Robinson School (Mansfield) 8:25am 4:32pm 4 Mansfield Town Hall 8:28am 4:28pm 5 Foxfield Plaza (Foxboro) 8:36am 4:20pm 6 Invensys Foxboro Branch (drop off & pick up) 8:45am 4:05pm 7 Mansfield Arts & Education Center (drop off only) 9:00am 3:50pm 8 Lindsay St./ Cranberry Rd (North Attleboro) 7:50am 5:00pm 9 Falls School (North Attleboro) 8:00am 4:50pm 10 John Rezza/Remigio Rd (North Attleboro) 8:07am 4:43pm 11 Reservoir St./ Edgewood Dr. (North Attleboro) 8:14am 4:36pm 12 Allen Avenue School (North Attleboro) 8:24am 4:26pm 13 Roosevelt School (North Attleboro) 8:35am 4:15pm 14 Community School (North Attleboro) 8:40am 4:10pm 15 North Attleboro Branch 8:45am Red Bus Blue Bus (AND THEATRE BUS SHUTTLE FOR WEEKS 3–4 and 6–8) 16 Horace Mann Shaws Plaza (Franklin) 7:30am 5:25pm 17 Benjamin Franklin Charter School Parking Lot (Franklin) 7:35am 5:20pm 18 Centennial School (Norfolk) 7:45am 5:00pm 19 Veterans Memorial Building (Millis) 8:05am 4:50pm 20 Ocean State Job Lot (Medway) 8:15am 4:35pm 21 Bernon Family Branch A.M. pick up and drop off only for Theatre Camp. P.M. drop off at Bernon Family Branch for Theatre Camp only. 8:30am 4:15pm 22 CVS on Route 140 (Milford) 8:00am 5:00pm 23 Nona’s Pizza (1 Cape Road, Mendon) 8:15am 4:45pm 24 Bellingham Middle School 8:30am 4:30pm 25 Camp Silver Lake 8:40am 4:25pm Gray Bus Bernon Family Branch NO BUSING WEEKS 1 and 11 40hockymca.org HOCKOMOCK AREA YMCA SUMMER 2016 CAMP GUIDE CAMP HEALTH FORM Health History and Explanation Form for Children Attending Camps Developed by: American Camping Association in Consultation with American Academy of Pediatrics You must attach your child’s health history including immunizations and health record (available from your physician) or have your physician complete the BACK OF THIS FORM. ALL CAMPERS MUST HAVE HAD A PHYSICAL EXAMINATION WITHIN THE PAST TWO YEARS IN ORDER TO ATTEND CAMP. NOTE: This form must be completed and returned to the Billing Administrator ONE MONTH prior to camp start date. PLEASE PRINT LEGIBLY 1. Camper Name: ___________________________________________________________________________________________________________________________________________________________________ Birth Date: ___________________________________________________________ Sex: Male Female Age: _________________________________________________ Parent or Guardian Name: _____________________________________________________________________________________________________________________________________________________ Home Address: _____________________________________________________________________________________________________________________________________________ City:___________________________________________________________________________________________________________ State: ____________________ Zip: __________________________________ Home Phone: ______________________________________________________________________________________ Cell Phone: _______________________________________________________________ Business (Daytime) Phone: _____________________________________________________________ Second Parent or Guardian Name: __________________________________________________________________________________________________________________________________________ Home Address: ___________________________________________________________________________________________________________________________________________________________________ City:___________________________________________________________________________________________________________ State: ____________________ Zip: __________________________________ Home Phone: ______________________________________________________________________________________ Cell Phone: _______________________________________________________________ Business (Daytime) Phone: _____________________________________________________________ 2. If not available in an emergency, please notify: Name: ___________________________________________________________________________________________________ Relationship to Child:____________________________________________ Home Address: ___________________________________________________________________________________________________________________________________________________________________ City:___________________________________________________________________________________________________________ State: ____________________ Zip: __________________________________ Home Phone: ______________________________________________________________________________________ Cell Phone: _______________________________________________________________ Business (Daytime) Phone: _____________________________________________________________ Name of Family Physician: _____________________________________________________________ Phone: _____________________________________________________________________________ Address of Physician: __________________________________________________________________________________________________________________________________________________________ City:___________________________________________________________________________________________________________ State: ____________________ Zip: __________________________________ 3. Health History – Please list any known allergies, past surgeries or serious injuries, disabilities and dietary restrictions: ____________________________ _______________________________________________________________________________________________________________________________________________________________________________________ 4. Does your child have an IEP or 504 Plan? Yes No If yes, please provide us with this plan in order to support transitions and coordinate services for your child. 5. Is there any information that the director should know that would allow us to provide a better camp experience? ___________________________________ _______________________________________________________________________________________________________________________________________________________________________________________ 6. Does your family carry medical/hospital insurance? Yes No If yes, indicate – Carrier: ___________________________________________________________________________ Policy #:________________________________________________________________ IMPORTANT: This section must be completed for attendance. This health history is correct as far as I know, and the person hereof has permission to engage in all prescribed camp activities except as noted. Authorization for treatment: I hereby give permission to the medical personnel selected by the camp director to administer prescribed medication from home, order x-rays, routine tests, treatment and necessary transportation for my child. In the event I cannot be contacted in an emergency, I hereby give permission to the physician selected by the camp director to conduct and administer treatment, including hospitalization, for my child as named above. This completed form may be photocopied for trips out of camp. The camper and his/her dependents assume all risks, injuries and property damage incidental to the use of the YMCA facility, including, but not limited to physical activities in which they are engaged. Signature of Parent/Guardian: ______________________________________________________________________________________________ Date: _____________________________________________ 41 AUthorization to administer medication to a camper Please complete if your child is required to take medication during the camp day. Camper Name _________________________________________________________________________________________________________________ Age _______________________________ Food/Drug Allergy _________________________________________________________________________________________________________________________________________________ 1. Name of Medication ___________________________________________________________________________ Expiration Date ____________________________________ Quantity Received __________________________________________ Special Storage Requirements ________________________________________________________ Dose Given at Camp ________________________ Date Ordered ___________________________________________________________________ Specific Directions (ex. on empty stomach/with water) ____________________________________________________________________________________________ Specific Precautions ______________________________________ Frequency ________________________ Route of Administration____________________________________ Duration ______________________________________________________________ Possible Side Effects/Adverse Reactions __________________________________________ 2. Name of Medication ___________________________________________________________________________ Expiration Date ____________________________________ Quantity Received __________________________________________ Special Storage Requirements ________________________________________________________ Dose Given at Camp ________________________ Date Ordered ___________________________________________________________________ Specific Directions (ex. on empty stomach/with water) ____________________________________________________________________________________________ Specific Precautions ______________________________________ Frequency ________________________ Route of Administration____________________________________ Duration ______________________________________________________________ Possible Side Effects/Adverse Reactions __________________________________________ 105 CMR 430.160(A) Medication prescribed for campers shall be kept in original containers bearing the pharmacy label, which shows the date of filling, the pharmacy name and address, the filling pharmacist’s initials, the serial number of the prescription, the name of the patient, the name of the prescribing practitioner, the name of the prescribed medication, directions for use and cautionary statements, if any, contained in such prescription or required by law, and if tablets or capsules, the number in the container. All over the counter medications for campers shall be kept in the original containers containing the original label, which shall include the directions for use. 105 CMR 430.160(C) Medication shall only be administered by the health supervisor* or by a licensed health care professional authorized to administer prescription medications. The health care consultant shall acknowledge in writing the list of medications administered at the camp. If the health supervisor is not a licensed health care professional authorized to administer prescription medications, the administration of medications shall be under the professional oversight of the health care consultant. Medication prescribed for campers brought from home shall only be administered if it is from the original container, and there is written permission from the parent/guardian. 105 CMR 430.160(D) When no longer needed, medications shall be returned to a parent or guardian whenever possible. If the medication cannot be returned, it shall be destroyed. *Health Supervisor - A person who is at least 18 years of age, specially trained and certified in at least current American Red Cross First Aid (or its equivalent) and CPR, has been trained in the administration of medications and is under the professional oversight of a licensed health care professional authorized to administer prescription medication. I hereby authorize _____________________________________________________________ to administer, to my child, ________________________________________________ (Name of Camp) (Name of Child) the medication(s) listed above, in accordance with 105 CMR 430.160. Parent/Guardian Signature: _______________________________________________________________________________________ Date: _____________________________________ Health Care Consultant Signature: _______________________________________________________________________________ Date: _____________________________________ Doctor Signature: ____________________________________________________________________________________________________ Date: _____________________________________ 42 (for non-prescription medication only) BENEFITS OF CAMP AT THE HOCKOMOCK AREA YCMA »» Camp offers kids and teens a chance to unplug »» Camp gives independence to kids and teens »» Lifelong memories and great friends are made at camp »» We offer a variety of camp options! »» Choice of 3, 4, and 5 days per week »» Camp gives opportunities to learn new skills »» We offer convenient Pre and Post Camp »» At camp, kids and teens learn to work as a team while having fun »» Swimming lessons built into traditional camp every day »» Camp helps kids and teens develop confidence »» Field trips and special guest visits for traditional camps »» Camp gives kids and teens the opportunity to appreciate nature and the great outdoors »» Camps that include kids with special needs model kindness, tolerance, and respect among all campers »» Transportation available »» Financial assistance available »» Specialty and traditional camp options ALL CAMPS ARE FULL DAY 9:00AM–4:00PM UNLESS SPECIFICALLY NOTED. PRE AND POST CAMP AVAILABLE, SEE PAGES 8, 20, OR 31. 43 HOCKOMOCK AREA YMCA NON-PROFIT ORGANIZATION U.S. POSTAGE Association Offices 300 Elmwood Street North Attleboro, MA 02760 508.695.7001 PAID NO. ATTLEBORO, MA PERMIT NO.131 hockymca.org BEST SUMMER EVER SAY HELLO TO SUMMER! Bernon Family Branch 45 Forge Hill Road Franklin, MA 02038 508.528.8708 hockymca.org For the best summer ever, register for camp today. Invensys Foxboro Branch 67 Mechanic Street Foxboro, MA 02035 508.543.2523 Mansfield Arts & Education Center 40 Balcom Street Mansfield, MA 02048 508.339.3066 North Attleboro Branch 300 Elmwood Street North Attleboro, MA 02760 508.695.7001