BEST SUMMER EVER! 2019 SUMMER CAMP GUIDE Penobscot Bay YMCA
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BEST SUMMER EVER! 2019 SUMMER CAMP GUIDE Penobscot Bay YMCA Penobscot Bay YMCA 116 Union Street Rockport, Maine 04856 DISCOVERY CAMP SNOW BOWL CAMP ADVENTURE CAMP Samantha Bragg, Camp Director 207.236.3375 ext. 204 sbragg@penbayymca.org Flanagan Community Center An Outreach Center of the Penobscot Bay YMCA 61 Limerock Street Rockland, Maine 04841 ROCKLAND HARBOR YMCA (RHY) SUMMER CAMP Benjie Blake, Camp Director 207.594.0321 bblake@penbayymca.org PBY: 207.236.3375 | RHY: 207.593.8500 | FCC: 207.594.0321 PENBAYYMCA.ORG
At our Y summer camps, children learn leadership skills Does your child have any medical conditions we should be aware of? Also include anything about your child’s health that will help the YMCA staff to better understand and work with your child, such as hearing/ and develop self confidence in a vision problems, physical needs or behavioral issues (Please attach letter if necessary. safe, accepting, and stimulating ____________________________________________________________________________________________________________________________ environment. They also build ____________________________________________________________________________________________________________________________ rockets, go fishing & canoeing, take field trips all over our great Disabilities or Physical Restrictions: Please describe any disabilities or physical restrictions of which you want us to be aware and any reasonable adaptations or accommodations that are requested: State of Maine, swim, make new ____________________________________________________________________________________________________________________________ friends, and laugh all summer long! ____________________________________________________________________________________________________________________________ To ensure we can best serve your child, please answer the following questions: Does your child have an IEP? No Yes If yes, please explain: ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ Is your child attending therapy? No Yes If yes, please explain: ____________________________________________________________________________________________________________________________ NEW! ____________________________________________________________________________________________________________________________ HOME BASE ____________________________________________________________________________________________________________________________ LOCATIONS Is there anything we should know about your child to ensure their success in our program? Discovery Camp ____________________________________________________________________________________________________________________________ Lincolnville Central School ____________________________________________________________________________________________________________________________ Snow Bowl Camp ____________________________________________________________________________________________________________________________ Camden Snow Bowl CONSENT AND AUTHORIZATION RHY Summer Camp Johnson Memorial Park I approve of my child using his/her own: at Chickawaukie Lake Bug Spray No Yes Sun Screen No Yes Lincolnville Central School Parent/Guardian Initials: ______________ Adventure Camp Camden Snow Bowl Registration Form, Payment Policy & Immunization Records must be completed before camper can be registered. Please drop off or fax all Immunization Records to the Y at 236.8458. Camden Snow Bowl Registration Forms are for Summer Camps & full-day Sports Camps (Karate, Swim & Gymnastics). Basketball & Chickawaukie Lake Soccer Camps do not require a Registration Form. Immunization Records are not required for any Sports Camps.
EVERY WEEK IS A NEW ADVENTURE! DISCOVERY CAMP Name of Physician: ________________________________________________________ Phone: ______________________________ Ages 4 - 6* Address: ______________________________________________________________________________________________________________ DATES *Campers must meet Fall 2019 kindergarten public school eligibility. Health Insurance Carrier: ____________________________ ID #: ___________________ Group #: __________________ Pre-Week: June 17- 21* Discovery Camp is for Grades K - 1. I hereby give my consent, in the event of a medical emergency when I cannot be contacted, (RHY Summer Camp Only) for Y staff to obtain whatever treatment may be deemed necessary for: Week 1: June 25-28 ______________________________________________________ _______/_______/_______ Week 2: July 1-5 SNOW BOWL CAMP Your child’s name Date of birth Presented by the Penobscot Bay YMCA This authorization includes my consent for the above-named child to receive treatment by a physician in any Week 3: July 8-12 Ages 7 - 10 hospital emergency department. I hereby give my authorization for emergency medical treatment as outlined above. Week 4: July 15-19 Date of last tetanus shot: _______/_______/_______ Week 5: July 22-26 ADVENTURE CAMP Does your child self-administer any medications such as an inhaler or epi-pen? Please list any medication your child will be taking at camp All medication given to camp director and must come in original Week 6: July 29 - August 2 Ages 11-13 bottle with the name of child, medication, dosage, and doctor. ____________________________________________________________________________________________________________________________ Week 7: August 5-9 ____________________________________________________________________________________________________________________________ Week 8: August 12-16 RHY SUMMER CAMP Please list any medication your child will be taking at camp. All medication must be given to the Ages 7-12 Camp Director and come in original bottle with the name of child, medication, dosage, and doctor. Week 9: August 19-23 ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ CAMPER MEDICAL HISTORY (Please check all that apply) DISCOVERY CAMP & SNOW BOWL CAMP COST: $160/week Members and $165/week* Participants Asthma Hypertension Epilepsy *Snow Bowl Camp Week 6 will be $170 Members / $175 Participants due to a higher field trip cost German measles Whooping cough Mononucleosis ADVENTURE CAMP Measles Scarlet fever Diabetes COST: $170/week Members and $175/week* Participants *Adventure Camp Week 6 will be $180 Members / $185 Participants due to a higher field trip cost Heart disease Convulsions Other____________________________________ Before & After Care is available for a flat rate of $27/week (for each) ALLERGIES (Please check all that apply) Scholarships are available, please inquire at the Y’s Welcome Center Please visit our website or stop by for complete Summer Camp information Animals Serious ivy, oak, sumac Insect bites, stings Samantha Bragg, Penobscot Bay YMCA Camp Director: 236.3375, ext. 204 or sbragg@penbayymca.org Penicillin Foods Medications Other_____________________________________ ROCKLAND HARBOR YMCA (RHY) SUMMER CAMP COST: $145/week* Member & Participants *RHY Summer Camp Week 9 will be $155 due to a higher field trip cost Registration Form, Payment Policy & Immunization Records must be completed before camper Before Care is available for a rate of $15/week and After Care for a rate of $20/week can be registered. Please drop off or fax all Immunization Records to the Y at 236.8458. Scholarships are available, please inquire at the RHY OR FCC Welcome Centers Registration Forms are for Summer Camps & full-day Sports Camps (Karate, Swim & Gymnastics). Basketball & Please visit our website or stop by for complete Summer Camp information Soccer Camps do not require a Registration Form. Immunization Records are not required for any Sports Camps. Benjie Blake, Rockland Harbor YMCA Camp Director: 594.0321 or bblake@penbayymca.org
(AGES 4-6) Discovery Camp is designed for first time campers! This all day camp is geared toward children who What camp is your child attending? have completed or are eligible for Kindergarten. Your camper will be excited about new experiences while having the comfort of a consistent routine. Campers will participate in a variety of arts, crafts Discovery Camp (ages 4-6) Snow Bowl Camp (ages 7-10) and games with weekly adventures to some favorite local spots. We will also participate in Rockland Summer Camp (ages 7-12) Adventure Camp (ages 11-13) Wednesday field trips! Field trips subject to change due to weather and unforeseen circumstances. Sports Camp: Karate Camp Swim Camp Gymnastics Camp WHAT IT’S ALL ABOUT: What weeks will your child be attending camp? (Please check all that apply) Discovery Camp is a Monday - Friday, activity based day camp for children ages 4-6. For children Pre-Week (RHY) Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 to enroll, campers must meet Fall 2019 kindergarten public school eligibility and be born before 10/15/14 (Grades K-1). Week 7 Week 8 Week 9 Home Base for Discovery Camp is at the Lincolnville Central School (LCS). CAMPER’S NAME: _______________________________________________________________ Birth date: _______/_______/_______ Before and After Care are available for this camp at the Camden Snow Bowl for an additional fee. Street/PO Box: _______________________________________________________ Home Phone: ________________________________ Discovery Camp kids are bused each morning at 8:45 AM from the Camden Snow Bowl to the Town/City: _______________________________________________ State: ____________________ Zip Code: _____________________ Lincolnville Central School. Parents wishing to drop off their campers at LCS, may arrive by 9:15 AM. All campers must be checked in by YMCA Camp Staff. Camper’s T-Shirt Size: Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large Campers may be picked up at LCS between 3:30 and 3:45 PM. Campers in need of After Care will be bused to the Camden Snow Bowl and arrive by 4:00 PM. PARENT/GUARDIAN #1 NAME: ______________________________________________________________________________________ Address: _______________________________________________________________________ Home Phone: __________________________ Weekly activities include art, indoor/outdoor games, reading and visits to local beaches and parks. Place of Employment: _______________________________________________________ Work Phone: __________________________ Cell Phone: ________________________________ Email: _____________________________________________________________________ On Mondays, campers will spend half of the day at a local library and on Thursdays at a local beach or park. What is the best way to reach Parent/Guardian #1? _____________________________________________________________ Send all email communication to Parent/Guardian #1? Yes No Tuesdays and Fridays will be spent at our LCS home base. Each Wednesday, we will take an exciting field trip to destinations all over the PARENT/GUARDIAN #2 NAME: _____________________________________________________________________________________ State of Maine! Address: ______________________________________________________________________ Home Phone: __________________________ Place of Employment: ______________________________________________________ Work Phone: __________________________ WEEKLY RATE MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY Cell Phone: ___________________________ Email: _________________________________________________________________________ Week 1 Member: $160 Boothbay LCS Day at LCS! Day at LCS! Day at LCS! What is the best way to reach Parent/Guardian #2? ____________________________________________________________ 6/24 - 6/28 Participant: $165 Railway Village Walker Park Week 2 Member: $128 Day at LCS! Day at LCS! The Pitch NO CAMP Day at LCS! Send all email communication to Parent/Guardian #2? Yes No 7/1 - 7/5 Participant: $132 4th of July! Week 3 Member: $160 LCS If we should need to call during the time your child is in our care, which parent/guardian Day at LCS! Day at LCS! Playland Adventure Day at LCS! 7/8 - 7/12 Participant: $165 Laite Beach should we try to contact first? ______________________________________________________________________________________ Week 4 Member: $160 LCS 7/15 - 7/19 Participant: $165 Day at LCS! Day at LCS Discovery Museum Coastal Children’s Museum Day at LCS! EMERGENCY CONTACTS (in case a parent/guardian as listed above cannot be reached): Week 5 Member: $160 LCS Name: ________________________________________ Phone: __________________ Relationship to child: _____________________ Day at LCS! Day at LCS! Fort Knox Day at LCS! 7/22 - 7/26 Participant: $165 Belfast City Park Name: ________________________________________ Phone: __________________ Relationship to child: _____________________ Week 6 Member: $160 LCS Day at LCS! Day at LCS! Maine State Museum Day at LCS! Names of persons who are permitted to remove the child from the program: 7/29 - 8/2 Participant: $165 Lincolnville Beach Week 7 Member: $160 LCS 1. ____________________________________ 2. __________________________________ 3. _________________________________ Day at LCS! Day at LCS! Boothbay Botanicals Day at LCS! 8/5 - 8/9 Participant: $165 Lincolnville Beach Week 8 Member: $160 LCS *PLEASE NOTE: We must be able to contact someone on this form at any time your child is in our care. Day at LCS! Day at LCS! Playland Adventure Day at LCS! 8/12 - 8/16 Participant: $165 Montessori Playground Please inform us in writing if any of your contact information changes or if you wish to add or remove anyone from the pick-up list. Week 9 Member: $160 LCS Day at LCS! Day at LCS! The Pitch Day at LCS! 8/19 - 8/23 Participant: $165 Aldemere Farm
(AGES 7-10) PENOBSCOT BAY YMCA CHILD RELEASE FORM AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT Get ready for some guaranteed fun this summer at Snow Bowl Camp presented by the Penobscot Bay IN CONSIDERATION of being permitted to utilize the facilities, services and programs of the Penobscot Bay YMCA (or for my children to so YMCA (formerly known as Camp-A-Homa)! This summer our Y’s camp will be located at the Snow Bowl participate) for any purpose, including, but not limited to observation or use of facilities or equipment, or participation in any off-site program in Camden. Campers will experience traditional camp excitement with a cool new twist each week! Our affiliated with the Penobscot Bay YMCA, the undersigned, for himself or herself and any personal representatives, heirs, and next of kin, hereby acknowledges, agrees and represents that he or she has, or immediately upon entering or participating will, inspect and carefully consider such staff are specifically trained to have fun with safety being their #1 priority. Every Camp Counselor is premises and facilities or the affiliated program. It is further warranted that such entry into the Penobscot Bay YMCA for observation or use of certified in First Aid, CPR & AED and half are Red Cross Certified Lifeguards. Our staff have been trained any facilities or equipment or participation in such affiliated program constitutes in acknowledgement that such premises and all facilities and equipment thereon and such affiliated program have been inspected and carefully considered and that the undersigned finds and accepts same in bullying prevention as well as sexual abuse and harassment prevention. Don’t forget about our as being safe and reasonably suited for the purpose of such observation, use or participation. Wednesday field trips! Field trips subject to change due to weather and unforeseen circumstances, THE UNDERSIGNED HEREBY AGREES TO THE FOLLOWING: except Week 6, the Funtown trip. THE UNDERSIGNED ON HIS OR HER BEHALF AND BEHALF OF SUCH CHILDREN, HEREBY RELEASES, WAIVERS, DISCHARGES AND WHAT IT’S ALL ABOUT: CONVENANTS NOT TO SUE THE PENOBSCOT BAY YMCA, its directors, officers, employees and agents (hereinafter referred to as “releases”) from all liability to the undersigned, or such children and all his personal representatives, assigns, heirs, and next of kin for any loss or damages, and any claim or demands therefore on account of injury to the person or property resulting in death of the undersigned or Snow Bowl Camp, presented by the Penobscot Bay YMCA, is Monday - Friday for kids ages 7-10. such children whether caused by negligence of the releases or otherwise while the undersigned or such children, is in, upon, or about the premises or any facilities or equipment therein or participating in any program affiliated with the Penobscot Bay YMCA. Home Base is now located at the Camden Snow Bowl. THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the releasees and each of them from any loss, Before and After Care are available for this camp at the Camden Snow Bowl for an additional fee. liability, damage, or cost they may incur due to the presence of the undersigned or such children in, upon or about the Penobscot Bay Before Care runs from 7:00 - 8:30 AM. After Care runs from 4:00 - 5:30 PM. YMCA premises or in any way observing or using any facilities or equipment of the YMCA or participating in any program affiliated with the YMCA whether caused by the negligence or of the releases otherwise. Camp begins at 8:30 AM. Parents who do not participate in Before Care may drop their campers THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH, OR PROPERTY DAMAGE to the off between 8:30 and 8:45 AM. All campers must be checked in by YMCA Camp Staff. undersigned or such children due to negligence of releasee or otherwise while in, about or upon the premises of the Penobscot bay YMCA and/or while using the premises or any facilities or equipment thereon or participating in any program affiliated with the YMCA. Campers may be picked up at the Snow Bowl between 3:45 and 4:00 PM. Campers in need of After THE UNDERSIGNED further agrees that the RELEASE, WAIVER AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as Care will stay at the Snow Bowl. permitted by the law of the State of Maine and that if any portion thereof is held invalid, it is agreed that the balance shall continue in full legal force and effect. Each week consists of swimming, field games, arts & crafts, nature hikes, STEM projects, mountain THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, and biking, paddle-boarding, canoeing and more! further agrees that no oral representations, statements or inducement apart from foregoing written agreement have been made. On Mondays, campers will spend part of their morning at the Y taking swim tests. The rest of their I HAVE READ THIS RELEASE day will spent at the Snow Bowl along with Thursdays and Fridays. Date: ___________________________ Signature of Applicant/Parent _______________________________________________________________________ Tuesdays will be spent at local beaches and parks. PENOBSCOT BAY YMCA PHOTO RELEASE Each Wednesday, we will take an exciting field trip to destinations all over the State of Maine! I hereby give the Penobscot Bay YMCA and the Council of Young Men’s Christian Associations of the United States of America (YMCA of the WEEKLY RATE MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY USA), and all persons and corporations acting with its permissions or upon its authority, including the photographer, the absolute right and permission to take, copyright, use and publish photographs, videos, or other digital media (“photo”) of or concerning Week 1 Member: $160 Snow Bowl Lake St. George Fort Knox & Snow Bowl Snow Bowl Camper’s Name_________________________________________________ for the purposes of YMCA art, advertising, education, promotion, or for any other 6/24 - 6/28 Participant: $165 (YMCA-Swim Tests) State Park Observatory purpose consistent with the YMCA Mission. I agree that the photo becomes the exclusive property of the Penobscot Bay YMCA and I waive all rights thereto. I waive all rights to inspect and/or approve any printed matter that may be used in conjunction with the photograph and the use Week 2 Member: $128 Snow Bowl Playland NO CAMP to which it may be applied. Snow Bowl Snow Bowl 7/1 - 7/5 Participant: $132 (YMCA-Swim Tests) Adventures 4th of July! I HAVE READ THIS RELEASE Week 3 Member: $160 Snow Bowl Damariscotta Maine Wildlife Snow Bowl Snow Bowl Date: ___________________________ Signature of Applicant/Parent _______________________________________________________________________ 7/8 - 7/12 Participant: $165 (YMCA-Swim Tests) Lake State Park Park Week 4 Member: $160 Snow Bowl PENOBSCOT BAY YMCA FIELD TRIP RELEASE Lucia Beach Snow Bowl Popham Beach Snow Bowl 7/15 - 7/19 Participant: $165 (YMCA-Swim Tests) I grant permission for (Camper’s Name)_________________________________________________ to participate in all planned camp activities including Week 5 Member: $160 Snow Bowl Lake St. George transporting campers out of camp to participate in weekly activities. By signing below, I hereby give my permission for my child to be taken Snow Bowl Aquaboggan Snow Bowl off site, supervised, and to take part in programs with the Penobscot Bay YMCA. I hereby grant the Penobscot Bay YMCA full authority to take 7/22 - 7/26 Participant: $165 (YMCA-Swim Tests) State Park whatever actions they deem necessary regarding my child’s health and safety, and fully release the Penobscot Bay YMCA from any liability in connection there within. In the event of an emergency, I understand that prudent attempts will be made to contact the undersigned immediately. Week 6 Member: $170 Snow Bowl Swan Lake Snow Bowl Funtown Snow Bowl I understand that I will be responsible for payment of all medical and medication bills. I will not hold the Penobscot Bay YMCA, its officials, 7/29 - 8/2 Participant: $175 (YMCA-Swim Tests) State Park employees, or volunteers responsible for any injury to my child resulting from transportation to and/or from, and/or attendance in the regular weekly program or additional field trips. I hereby give permission to the medical personnel selected by the Penobscot Bay YMCA to treat my Week 7 Member: $160 Snow Bowl Pemaquid Beach Snow Bowl Sea Dogs Game Snow Bowl child to the best of their ability, to order X-rays, routine tests, treatment; to release any records necessary for insurance purposes; and to 8/5 - 8/9 Participant: $165 (YMCA-Swim Tests) provide or arrange necessary related transportation for me/or my child. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the Penobscot Bay YMCA to secure and administer treatment, including hospitalization, for my child. Week 8 Member: $160 Snow Bowl Damariscotta All Play Bowling Snow Bowl Snow Bowl I HAVE READ THIS RELEASE 8/12 - 8/16 Participant: $165 (YMCA-Swim Tests) Lake State Park & Arcade Date: ___________________________ Signature of Applicant/Parent _______________________________________________________________________ Week 9 Member: $160 Snow Bowl Lake St. George Snow Bowl Hope Air Snow Bowl 8/19 - 8/23 Participant: $165 (YMCA-Swim Tests) State Park
(AGES 7-12) Come enjoy summer with the Rockland Harbor YMCA (RHY) Summer Day Camp where CAMP FEE PAYMENT AND CANCELLATION/CHANGE POLICY AGREEMENT campers make new friends and gain self-confidence! Each week campers enjoy activities such CAMP PAYMENT METHODS as sports, games, arts & crafts, reading, swimming and weekly Tuesday field trips! RHY Summer Day Camp offers highly trained staff at a low camper-to-staff ratio making our camp Please select one of the camp payment options below. Registration cannot be confirmed until the entire completed registration packet is returned and payment arrangements are confirmed. a perfect choice for parents who need a fun, safe place for their children during summer break with safety being their #1 priority. Field trips subject to change due to weather and unforeseen When selecting the automatic bank draft method, there is a $30 non-refundable deposit per week, per circumstances, except Week 9, the Funtown trip. camper that must be paid at the time of registration. This includes all of our Summer Camp offerings as well as Before Care and After Care, if needed (Sports Camps are not included and must be paid in full). The remaining balance for each week the camper is registered must be drafted no late than June 14, 2019. WHAT IT’S ALL ABOUT: Due to the popularity of our camp, we must enforce a strict cancellation policy. Refunds will be given, minus the non-refundable $30 deposit, if the parent/guardian cancels two weeks or more prior to the camp week RHY Summer Camp is a Monday - Friday, activity based day camp for children ages 7-12. start date. If cancelled within one week of the camp start date, no refund or credit will be issued. We are dedicated to working with all families and are committed to ensuring children enjoy their summer camp Campers must be entering 2nd grade through 6th grade. experience, please contact the Camp Registrar with questions about payment options. All camp payments must be processed successfully by June 14, 2019. Home Base for RHY Summer Camp is at Johnson Memorial Park at Chickawaukie Pond, Rockland. PLEASE SELECT PAYMENT METHOD BELOW: RHY Summer Camp begins each day at 8:30 AM and ends at 3:30 PM. I wish to pay my balance due in full. Total Balance Due: $________________. Balances paid in full by check Before and After Care are available for this camp at Chickawaukie Pond for an additional fee. or cash will be given a 5% off your total camp cost. To receive this offer, camp balances must be paid by April 15, 2019. Before Care runs from 7:30 AM - 8:30 AM. All campers must be checked in by YMCA Camp Staff. I have applied for financial assistance (the completed application is enclosed with this registration form). Campers in need of After Care will stay at the Home Base with care ending at 5:00 PM. When selecting this option billing information must be completed below. No payment will be drafted prior to your acceptance of your awarded fee. Each week consists of art, indoor/outdoor games, reading and visits to local beaches and parks. I authorize automatic payments for the amount due, as listed below. I understand I am responsible for Each Tuesday we will take an exciting field trip to destinations all over the State of Maine! payment and will be charged an additional $39 NSF charge if any payment is returned or fails to authorize. These fees are due prior to your child attending camp. Should payment be past due without resolution, we have the right to restrict the child from further attendance. Visa MasterCard WEEKLY RATE MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY Name on Credit Card: _______________________________________________ Card Number: _____________________________________________ Day at the Lake Day at the Lake Week 1 Member: $145 Day at the Lake, STEM, CVC Number: ______________ Exp Date: __________ /__________ Billing Address: ____________________________________________________ Games, Swimming, Damariscotta Lake Lucia Beach Games, Swimming, 6/24 - 6/28 Participant: $145 Games & Swimming and Crafts and Crafts Day at the Lake Auto Draft from Bank Account Name on Account: _______________________________________________________________________ Week 2 Member: $145 All Play Day at the Lake, STEM, NO CAMP Games, Swimming, Barrett’s Cove Routing Number: ______________________________________________ Account Number: _________________________________________________ 7/1 - 7/5 Participant: $145 Bowling & Arcade Games & Swimming 4th of July! and Crafts Week 3 Member: $145 Day at the Lake Playland Day at the Lake, STEM, Rockland Day at the Lake I am requesting an extended payment plan. The Camp Registrar will be in touch to confirm set up of the Games, Swimming, Games, Swimming, 7/8 - 7/12 Participant: $145 Adventures Games & Swimming Breakwater plan and to review the submitted Payment Plan Request Form. Once your completed registration package is and Crafts and Crafts received, our Camp Registrar will process your request and provide you with a Payment Plan Agreement. This Day at the Lake Day at the Lake Week 4 Member: $145 Day at the Lake, STEM, Owls Head agreement must be signed by you and you must provide appropriate payment information before registration Games, Swimming, Aquaboggan Games, Swimming, 7/15 - 7/19 Participant: $145 Games & Swimming Lighthouse can be CONFIRMED. and Crafts and Crafts Day at the Lake Day at the Lake Week 5 Member: $145 Games, Swimming, Portland Sea Dogs Day at the Lake, STEM, Maiden’s Cliff Games, Swimming, A State Agency or Independent Agency is assisting with your child’s camp fees. 7/22 - 7/26 Participant: $145 Baseball Game Games & Swimming Please provide your Subsidy Award Letter or proof of assistance. Name of Agency:___________________________________ and Crafts and Crafts Day at the Lake Day at the Lake Week 6 Member: $145 The Pitch Day at the Lake, STEM, Lake CHANGE POLICY Games, Swimming, Games, Swimming, 7/29 - 8/2 Participant: $145 (Inflatables) Games & Swimming St. George and Crafts and Crafts Day at the Lake Day at the Lake Fees are based on enrollment, not attendance. Our desire is to enable every child who wants to come to camp Week 7 Member: $145 Fort Knox & Day at the Lake, STEM, Drift Inn the opportunity to do so. Unfortunately, we fill our allotted camper spots early and have to implement a waiting Games, Swimming, Games, Swimming, 8/5 - 8/9 Participant: $145 Observatory Games & Swimming Beach list. Due to the popularity of our camp, we must enforce a strict Change Policy. and Crafts and Crafts Week 8 Member: $145 Day at the Lake Games, Swimming, Popham Beach Day at the Lake, STEM, Beech Hill Day at the Lake Games, Swimming, If you change your scheduled week(s) of camp, you will be charged a non-refundable fee of $25/week. 8/12 - 8/16 Participant: $145 State Park Games & Swimming Preserve and Crafts and Crafts I have read or had read to me the Fee Policy Agreement and understand and accept its terms. Day at the Lake Day at the Lake I understand that fees are based on enrollment and not attendance. Week 9 Member: $155 Day at the Lake, STEM, Barrett’s Games, Swimming, Funtown Games, Swimming, 8/19 - 8/23 Participant: $155 Games & Swimming Cove and Crafts and Crafts Signature: _______________________________________ Print Name: ______________________________________ Date: ____________________
(AGES 11-13) Questions? Please contact: Summer Camp at the Y is about discovery, exploring nature, finding Marcia Roberts new talents, and making lasting friendships. Camp is another avenue Our Adventure Day Camp is geared for Pre-Teens & Teens who love spending time with their Development Director provided by the Y to fulfill our mission of youth development, friends and are looking for some adventure this summer! This camp is designed to give campers 207.236.3375 ext. 209 healthy living and the social needs of individuals and families in mroberts@penbayymca.org the communities we serve. YMCA camps are accessible to a new and exciting experience beyond our traditional camp programs. Every day, our campers www.penbayymca.org everyone regardless of financial need and we are proud will experience exploring the outdoors, hiking, boating, swimming, fishing, climbing and group to say that no child is turned away. challenges. These older youth will have all of fun of a summer camp in a more mature environment. Field trips subject to change due to weather and unforeseen circumstances, except If you are in need of financial assistance for Summer Camp, it is in Week 6, the Funtown trip. your best interest to first apply to the Department of Health and Human Services (DHHS). If you qualify, you could receive assistance for all nine weeks of camp as well as vacation camp and snow camp. WHAT IT’S ALL ABOUT: For more information visit www.maine.gov/mymaineconnections or call Adventure Camp is a Monday - Friday, trip based, outdoor Day Camp for children ages 11-13. the Rockland office at 207.596.4200. If you are approved by DHHS, please contact Lydia Shook: lshook@penbayymca.org or 236.3375 Home Base is now located at the Camden Snow Bowl. Camp runs from 9:00 AM - 3:00 PM. x 207. The Y will need a copy of the DHHS letter stating what they will pay and what your parent fee will be. Before Care is available for this camp at the Camden Snow Bowl for an additional fee. Before Care runs from 7:00 - 8:30 AM (campers are welcome to stay with our program until camp begins at 9 AM. If you don’t qualify for DHHS assistance, please ask our Welcome Center folks for a Camp Scholarship Application or Parents who do not participate in Before Care may drop off their campers download from our website at www.penbayymca.org. Once the between 9:00 - 9:15 AM. All campers must be checked in by YMCA Camp Staff. scholarship is awarded, you will receive a letter with the scholarship amount and the remaining balance you are responsible for paying Bus transportation to the Camden Snow Bowl is available. Campers will be prior to the weeks of camp awarded. The Y provides two weeks picked up each morning at the Teen Center by 8:45 AM. of scholarship assistance per child. Campers may be picked up at the Snow Bowl between 3:00 and 3:15 PM. Campers in need of After Care will be bused to the Teen Center between 2:45 and 3:00 PM. The Teen Center is a free program for kids in grades 5-12 and is open during the summer, Monday - Friday from 12:30 - 5:00 PM. Each week consists of outdoor exploration, team building, climbing, fishing, hiking, swimming and ecological education. Each Wednesday we will take a long field trip to exciting destinations all over the State of Maine! WEEKLY RATE MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY Week 1 Member: $170 Swan Lake Snow Bowl Snow Bowl Snow Bowl North Haven 6/24 - 6/28 Participant: $175 State Park Week 2 Member: $170 Pemaquid NO CAMP Emera Astrology Snow Bowl Snow Bowl 7/1 - 7/5 Participant: $175 Beach 4th of July! Center Week 3 Member: $170 Damariscotta Monkey C Snow Bowl Snow Bowl Snow Bowl 7/8 - 7/12 Participant: $175 Lake State Park Monkey Do Week 4 Member: $170 Hobbitland Snow Bowl Snow Bowl Snow Bowl Maine Wildlife Park 7/15 - 7/19 Participant: $175 Week 5 Member: $170 Moose Point Snow Bowl Snow Bowl Snow Bowl Aquaboggan 7/22 - 7/26 Participant: $175 State Park Week 6 Member: $180 Lucia Beach Snow Bowl Snow Bowl Snow Bowl Funtown 7/29 - 8/2 Participant: $185 Week 7 Member: $170 Popham Beach Snow Bowl Snow Bowl Sea Dogs Game Snow Bowl 8/5 - 8/9 Participant: $175 Week 8 Member: $170 Lake St. George Wild Acadia Snow Bowl Snow Bowl Snow Bowl 8/12 - 8/16 Participant: $175 State Park Fun Park Week 9 Member: $170 Seacoast Campers Choice! Snow Bowl Snow Bowl Snow Bowl 8/19 - 8/23 Participant: $175 Adventure MAINE WILDLIFE PARK FIELD TRIP - GRAY, MAINE
PLEASE NOTE: Registration Forms are only for full-day Sports Camps (Karate, Swim & Gymnastics). Basketball & Soccer Camps do not require a Registration Form. Immunization Records are not required for any Sports Camps. KARATE CAMP TEER BASKETBALL TRAINING CAMP MID-COAST GIRLS BASKETBALL CAMP Sensei Susan Michaud is a black belt instructor who has been leading classes Teer Basketball Training Camps will focus on creating lasting changes with Join Oceanside Varsity Girls Coach Samantha Bragg along with her coaching at the Penobscot Bay YMCA and the Korean School of Karate oforover15 your abilities and will build up a fundamental foundation with proper habits staff, and players for a week full of skills, drills, games, and excitement as years. Our Karate Camp staff have been trained by Susan to provide a as well as positive thinking and confidence. No player leaves our camp with they help bring their love of basketball to you! Each evening players will be quality learning environment that keep students coming back year after year. anything less of a change in mindset, and a change in abilities! introduced to individual and team drills. T-shirts are included in the Students will learn progressive skills, gain strength and self control through registration fee. To guarantee at shirt, campers must be registered by multiple karate techniques. Each day will be filled with a combination of DUTCH SOCCER CAMP June 1, 2019. structure and free play including daily time in our swimming pool. What to bring: soccer ball, water bottles, healthy snacks, cleats or sneakers, shin guards, warm clothes for cold/rain and mouth guard (optional). Dutch SWIM CAMP NAGA GYMNASITCS CAMP Soccer Academy believes in creating a fun and exciting soccer atmosphere What to bring: sneakers, water bottle, towel, swim cap, goggles, lunch, What to bring: lunch, snacks, bathing suit & towel. Join North Atlantic for children to play and learn. We teach soccer by creating game situations towel, and clothes to be active in. Must be able to swim one lap of Freestyle Gymnastics Academy (NAGA) at the Penobscot Bay YMCA for a week of and empowering our students to make good soccer decisions. DSA’s with rotary breathing and one lap of Backstroke proficiently to sign up. gymnastics instruction, games, activities, swimming, and more campers curriculum incorporates the most current European player development Through these four days of swim camp, Head Swim Team Coach, Morgan will learn gymnastics skills and progressions in small groups based on techniques along with a rich history of proven training methods. Schreiber, will introduce campers to all 4 strokes -Butterfly, Backstroke, experience, age, peers and gender. Participants will have the opportunity Breaststroke, and Freestyle. There will be an hour and a half technique session in the morning with some activities outside of the pool in the to learn all of the boys and girls equipment including the trampoline, MID-COAST COAST BASKETBALL CAMP afternoon. To finish off our day the campers will be put into groups by their foam pit, and inflatable tumbling surfaces. The Flanagan Community Center is happy to announce a collaboration with ability for a workout with a focus on the stroke they worked on that morning. the Oceanside Boys Basketball Team. Coach Breen, his staff and players will introduce and develop the core fundamentals of the game of basketball individual and cooperative drills and games. DATE AGES SWIM CAMP TIME COST LOCATION Items to bring: sneakers, water bottle, towel, swim cap, goggles, lunch, towel, clothes to be active in. MID-COAST BASKETBALL CAMP June 17 - 20 K - 3rd Grade (Co-Ed) Campers will5:00 PM - 6:30toPM be introduced $35/Player all 4 strokes, Butterfly, Backstroke, Breaststroke and Flanagan Community Center Freestyle, during our week of Swim Camp. There will be an hour and a half technique MID-COAST BASKETBALL CAMP June 17 - 20 4th - 8th Grade (Co-Ed) 6:30 session in the PM - 8:00 morning PM activities with some $35/Player outside of the pool in the afternoon. Flanagan Community Center To finish our day, campers will be put into groups by their ability for a workout that KARATE CAMP July 8 - 12 Ages 6-16 (Co-Ed) will focus on the AM 9:00 stroke they PM - 3:00 worked on$170 that morning. Members Campers / $180must be able to swim Penobscot Bay YMCA Participants one lap of Freestyle with rotary breathing and one lap of Backstroke proficiently to be registered. SWIM CAMP July 8 - 11 Ages 7 and up (Co-Ed) 9:00 AM - 3:00 PM $225 Members / $250 Participants Penobscot Bay YMCA TEER BASKETBALL TRAINING CAMP July 30 - August 2 Grades 5 - 8 (Co-Ed) 3:00 PM - 6:00 PM $150/Player Flanagan Community Center TEER BASKETBALL TRAINING CAMP July 30 - August 2 Grades 9 - 12 (Co-Ed) 11:00 AM - 2:00 PM $150/Player Flanagan Community Center $250 Members / $275 Participants* GYMNASTICS CAMP July 15 - 19 Ages 5 & up (Co-Ed) 9:00 AM - 3:00 PM Penobscot Bay YMCA *$50 Early Bird Discount by April 15! $250 Members / $275 Participants* GYMNASTICS CAMP July 22 - 26 Ages 5 & up (Co-Ed) 9:00 AM - 3:00 PM Penobscot Bay YMCA *$50 Early Bird Discount by April 15! $250 Members / $275 Participants* GYMNASTICS CAMP July 29 - August 2 Ages 5 & up (Co-Ed) 9:00 AM - 3:00 PM Penobscot Bay YMCA *$50 Early Bird Discount by April 15! $250 Members / $275 Participants* GYMNASTICS CAMP August 5 - 9 Ages 5 & up (Co-Ed) 9:00 AM - 3:00 PM Penobscot Bay YMCA *$50 Early Bird Discount by April 15! 411 Old County Road DUTCH SOCCER CAMP August 12 - 16 K - 6th Grade (Co-Ed) 5:00 PM - 7:00 PM $85/Player Soccer Fields, Rockland MID-COAST GIRLS BASKETBALL CAMP Wednesdays: June 26-July 31 Girls: Grades 3 - 5 5:00 PM - 6:00 PM $55/Player Flanagan Community Center MID-COAST GIRLS BASKETBALL CAMP Wednesdays: June 26-July 31 Girls: Grades 6 - 8 6:15 PM - 7:15 PM $55/Player Flanagan Community Center
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