on outdoor play and physical activity; outdoor adventures; art activities .... IO. N . B a n k in g. In fo rm a tio n. :
YMCA of Northeast Avalon
Summer Camp 2015 Camp d’été 2015 Register Today! / Enregistrement dès auhourd’hui! How to Register
Register at your convenience at Ches Penney Family Y or fax or mail this registration form to: In Person: 35 Ridge Road, St. John’s Phone: 709-726-YMCA (9622) Fax: 709-576-7763 By mail: YMCA of Northeast Avalon, P.O. Box 21291 St. John’s, NL A1A 5G6
Camp Locations / Location du camp Ches Penney Family Y – 35 Ridge Road, St. John’s Foxtrap – Camp Morristown, C.B.S. Ecole des Grands-Vents – 65 Ridge Road, St. John’s
Ches Penney Family Y 35 Ridge Road, St. John’s www.ynortheastavalon.com 726-YMCA (9622) Charitable Registration # 108225533RR0001
Register Today! Enregistrement des aujourd'hui
Leadership Development (Ages 13 to 16) Développement du leadership 8:00 am - 4:00 pm
YMCA Day Camps offer children and youth the opportunity to participate in fun and engaging activities. Camps are created to spark imagination, build confidence, independence and communication skills. Additionally camps will integrate YMCA core values of Honesty, Caring, Respect, Responsibility, Health and inclusiveness.
Level 1: (3 weeks) Located at Ecole des Grands-Vents, Level 1 includes 3 weeks of direct instructional time and practical on site experience assisting counsellors in daily camp activities in the Day Camp for ages 5-7 year olds. Skills development will include: qualities of a strong leader, program planning, and interpersonal communication. Daily journals will be kept to document learning.
View our program schedule below or call the YMCA at 754-2962 for further details. The Y makes it easy and affordable for all to participate. Locations: Ches Penney Family Y, Ecole des Grands-Vents, and Camp Morristown (Foxtrap)
Our Programs Day Camp Ages 5 to 7 8:00 - 5:00 pm June 29 - August 28 Day Camp located at Ecole des Grands-Vents. The emphasis is on outdoor play and physical activity; outdoor adventures; art activities and daily excursions to nearby parks and playgrounds. Children will enjoy daily swimming at the YMCA and use of the gymnasium in inclement weather. Children bring their own nutritious snacks and lunch. Cost: $195.00/week per child Bilingual Day Camp Ages 5 to 8 8:00 am - 5:00 pm June 29 - September 4 French Day Camp located at Ecole des Grands-Vents. The emphasis is on outdoor play and swimming. Children will learn basic French while participating in fun games and activities. Children bring their own nutritious snacks and lunch. Cost: $225.00/week per child Outdoor Day Camp Ages 8 to 12 8:00 am - 5:00 pm June 29 - September 4 The bus will stop at the YMCA to pick up children who will be travelling to Foxtrap. Camp Morristown in Foxtrap is a fantastic outdoor day camp property nestled on a pond in the heart of the woods but still close to town. Campers will experience an outdoor camping adventure at this rustic location with plenty of fresh air. There will be a variety of activities that will be offered throughout the summer; canoeing, hiking, orienteering, knot tying, swimming, soccer, building a shelter, pitching a tent, arts and crafts, archery and much more. Cost: $195.00/week per child
Cost: $395 per child Session 1 - June 29 - July 17 Session 2 - July 20 - Aug 7 Session 3 - Aug 10 - Aug 28 Level 2: (4 weeks) Located in Foxtrap. Building upon the skills learned in Level 1, Level 2 applies that knowledge with a more hands on approach. Level 2 is an intensive four week program with a higher level of involvement. Each week the youth leaders will be expected to design, lead and report on planned activities at the Day Camp for ages 8-12 and keep a journal to document their learning. Training sessions will help leaders identify and develop their own skills. Canoeing, map and compass, campfire safety and outdoor skills will also be covered. Cost: $425 per child Session 1 - July 6 - July 31 Session 2 - Aug 3 - Aug 28 Level 3: (4 weeks) Located at Foxtrap. Building upon the skills learned in Level 1 and 2, Level 3 provides opportunity to experience more intensive leadership practice. Youth leaders in Level 3 will identify their own personal leadership styles and develop techniques to identify the learning styles of others. Combining this knowledge the leaders will experience sessions on bullying, risk management, integrating special needs into their planning, and "thinking outside the box" while planning and leading group activities. First Aid CPR courses for certification will be offered. Daily journals will be kept to document learning. Cost: $475 per child Session 1 - July 6 - July 31 Session 2 - Aug 3 - Aug 28
to indicate which week(s) and which camp(s) you wish to register for:
Bilingual Camp, Ecole des Grands-Vents
June 29 - July 3* July 6 - 10 July 13 - 17 July 20 - 24 July 27 - 31 Aug 3 - 7* Aug 10 - 14 Aug 17 - 21† Aug 24 - 28
†
No Camp on Aug 17
No Camp
Day Camp (Ages 5-7) Ecole des Grands-Vents
Outdoor Day Camp (Ages 8-12)
†
No Camp on Aug 17
Bilingual Camp (Ages 5-8) Ecole des Grands-Vents
Banking Information: Transit # Bank ID: Account # Method Visa/MC/AMEX Expiry Date
No
Staff Initial:
Total Amount
Leadership Development 3
ALL CAMP PAYMENTS WILL BE TAKEN FROM ACCOUNT OR CREDIT CARD 14 DAYS PRIOR TO START OF CAMP.
ALL PAYMENT METHODS ARE DUE AT TIME OF REGISTRATION. A NON-REFUNDABLE DEPOSIT OF $40.00 PER CHILD, PER WEEK REQUIRED AT TIME OF REGISTRATION ALONG WITH PAYMENT
TAX RECEIPT The YMCA will issue a tax receipt for camp. Please print the name of the parent or Guardian to appear on the receipt :
Yes
Leadership Leadership Development 1 Development 2
Outdoor Day Camp, Foxtrap
Do you require extended camp from 5:00 - 5:30 pm? ($15.00 additional charge per week)
* No camp on July 1 or Regatta Day
10 Aug 31 - Sept 4
1 2 3 4 5 6 7 8 9
Week Date
Transportation for the Foxtrap Outdoor Day Camp will be at the Ches Penney Family Y
Day Camp, Ecole des Grands-Vents
Register at the Ches Penney Family Y for the following camps.
Please put a
Registration Form (a separate form is required for each camper)
$ $ $ $ $ $ $ $ $ $
Cost
Summer Camp 2015 8:00am - 5:00pm Register at any time at the Ches Penney Family Y, 35 Ridge Road, P.O. Box 21291, St. John's, NL A1A 5G6 Phone: 709-726-YMCA (9622) Fax: 709-576-7763 (a separate form is required for each camper) Date of Birth (month/day/year): Child’s Name: Address:
Age: Nick name: Home Telephone: Emergency Contact Person: (other than parent) Name: Address: Home Phone: Work Phone:
Postal Code: Parent 1 / Guardian Name: Home Phone: Work Phone: Cell Phone: Email: Parent 2 / Guardian Name: Home Phone: Work Phone: Cell Phone: Email:
Private
Private
Name of person(s), other than parent to whom child may be released: 1. 2. We will not release your child to any other person unless we receive written permission from you.
Yes No Can your child swim? Is your child required to wear a life jacket when swimming? Yes No
I give permission for my child to participate in the full camp program and all activities unless I advise you otherwise in writing. I agree that having taken such precautions as in your discretion are deemed advisable, the YMCA shall not be held responsible for any accident or sickness to my child, or for loss or damage to his/her personal property. I understand that picutres taken at camp may be used for promotion. I have read and understand the fee schedules, registration policy and refund policy of the Y. Signature: Has your child had all immunizations? Medical Record: Does your child have allergies? If yes, please specify:
Please describe the reaction and treatment:
Relationship to child:
Date:
Is your child receiving medical treatment of any kind? (orthopedic, psychiatric, medication, etc)? If yes, please give details:
Does your child have special needs? If yes, please give details:
Authorization for consent for treatment: Should a medical emergency arise whereby staff of the YMCA were unable to contact me, I the undersigned hereby authorize the staff of the YMCA to give consent for medical examination, diagnosis and treatment of (name of child) until such time as I am notified.
MCP NUMBER: Signature:
Relationship to child: Date:
Email Consent: By providing my email address I consent to receiving the YMCA of Northeast Avalon’s newsletter and other commercial messages regarding the YMCA of Northeast Avalon’s products and services. Consent may be withdrawn at any time using the unsubscribe link at the bottom of the newsletter or by contacting us at
[email protected]. Please refer to our Privacy Statement below or contact us at 709-726-9622 ext. 240 for more details. PRIVACY STATEMENT: YMCA (the “Association”) is committed to protecting the privacy of the personal information of its members, employees, donors and other stakeholders by following responsible information handling practices in keeping with privacy laws, including the Personal Information Protection and Electronic Documents Act (“PIPEDA”) and provincial privacy legislation. The Association values the trust of those we deal with, and of the public, and recognizes that maintaining this trust requires that we be transparent and accountable in how we treat the information that you choose to share with us. During the course of our operations, projects and activities, the Association occasionally gathers and uses personal information. Anyone from whom we collect such information should expect that it will be carefully protected and that any use of or other dealing with this information is subject to consent. The Association’s privacy practices are designed to achieve this.
www.ynortheastavalon.com
Chartiable Registration # 108225533 RR0001
