2021 SUMMER CAMP GUIDE - North ...
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202 1 SUMMER CAMP Registration Opens: December 15, 2020 Standard Rate Begins: GUIDE May 2, 2021 Camp Begins : June 7, 2021 North Suburban YMCA • 2705 Techny Rd. Northbrook, IL 60062 • 847-272-7250 • nsymca.org The NSYMCA is a 501(c)3 non-profit organization, open and accessible to all.
HOW WE WILL KEEP CAMPERS SAFE IN 2021 • Sanitization stations • Masks may be worn • Increased sanitization throughout our facility • We will continue to follow all CDC guidelines WHAT’S NEW FOR 2021? • New Specialty Camps • 10-week Gymnastics Camp • New Swim Lesson Sign-up • Full Day Pathfinders (4 yrs) • Field Trip Camps • Revamped C.I.T Program IMPORTANT DATES Dec. 15th June 1st Camp Deadline for Registration full refund Opens (minus $25 processing fee) March 15th June 7th HAWKS Inclusion Camp Week 1 begins 1-on-1 Camp Registration Closes Aug 13th Last Day of Camp May 2nd Standard Rate Begins
Dear NSYMCA Families, We are thrilled to announce that Summer Camp 2021 registration is open at the North Suburban YMCA! Returning families, we cannot wait to see you again this summer. New families, we are so excited to welcome you into the NSYMCA family! Our mission, vision, and values are not just words on paper; we are a Y and a camp that is truly for ALL. In 2020, we successfully facilitated camp with zero cases of COVID-19 and we received an unprecedented 100% positive experience rating through our family assessments. We are incredibly proud of these accomplishments and strive to achieve this level of success again in 2021. Explore our camp guide and browse our wide variety of camp options and programming. We understand that each family has individual needs and interests and we work hard to accommodate everyone by providing weekly registration, 3- or 4-day registration discount, 1/2-day camps, payment plans, scholarships, member discounts, multi-child discounts, and MORE! All camp information can be found on our camp website. For a deeper exploration on camp, policies and procedures please check out our 2021 Parent Guide online. Planning camp certainly has been challenging as we know there is uncertainty with our “new normal”. But as we successfully did last summer, we will follow the CDC guidelines and the Camp Field Guide. As we receive information, we will regularly update families to keep everyone well-informed. One thing we are sure about is that camp at the NSYMCA will be FUN! From everyone here at the NSYMCA family, we hope you consider joining us this year for the BEST SUMMER EVER! If you have any questions, comments or concerns, please email camp registrar Nicole Hatfield (registrar@nsymca.org) or me (rgonzalez@nsymca.org) at any time. Ricky Gonzalez Camp Director
NSYMCA CAMP AT A GLANCE! Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 6/7-6/11 6/14-6/18 6/21-6/25 6/28-7/2 7/5-7/9 7/12-7/16 7/19-7/23 7/26-7/30 8/2-8/6 8/9-8/13 Before 5/1 After 5/1 Camp Grade 1 2 3 4 5 6 7 8 9 10 Days Time $YM $YM $NM PRESCHOOL DAY CAMPS Little Pioneers 2-3 yrs • • • • • • • • • • M-F 9am-12pm $148 $163 $213 Pathfinders AM 4 yrs • • • • • • • • • • M-F 9am-12pm $164 $178 $253 Pathfinders full-day- NEW 4 yrs • • • • • • • • • • M-F 9am-4pm $239 $254 $359 Mini-Movers Camp 4-6 yrs • • • M-F 9am-12pm $195 $209 $273 TRADITIONAL DAY CAMPS Earth Trekkers full-day • • • • • • • • • • M-F 9am-4pm $229 $244 $349 Earth Trekkers AM 5 yrs • • • • • • • • • • M-F 9am-12pm $154 $169 $229 Earth Trekkers PM • • • • • • • • • • M-F 1-4pm $144 $159 $219 Voyagers full-day • • • • • • • • • • M-F 9am-4pm $229 $244 $349 Voyagers AM 1st • • • • • • • • • • M-F 9am-12pm $154 $169 $229 Voyagers PM • • • • • • • • • • M-F 1-4pm $144 $159 $219 Trailblazers full-day • • • • • • • • • • M-F 9am-4pm $229 $244 $349 Trailblazers AM 2nd-3rd • • • • • • • • • • M-F 9am-12pm $144 $159 $219 Trailblazers PM • • • • • • • • • • M-F 1-4pm $154 $169 $229 Adventurers full-day • • • • • • • • • • M-F 9am-4pm $229 $244 $349 Adventurers AM 4th-5th • • • • • • • • • • M-F 9am-12pm $144 $159 $219 Adventurers PM • • • • • • • • • • M-F 1-4pm $154 $169 $229 Navigators full-day • • • • • • • • • • M-F 9am-4pm $259 $279 $384 Navigators AM • • • • • • • • • • M-F 9am-12pm $174 $194 $249 Navigators PM 6th-8th • • • • • • • • • • M-F 1-4pm $184 $204 $259 Navigator Lock-In* • F $30 $30 $50 Navigator Overnight* • T-W $87 $87 $128 CIT Program* • • M-F See pg 10 $500 N/A N/A 8th-9th CIT Six Flags Trip* - NEW • $75 N/A SPORTS DAY CAMPS Sports Camp full-day • • • • • • • • • • M-F 9am-4pm $229 $244 $349 Sports Camp AM • • • • • • • • • • M-F 9am-12pm $144 $159 $219 1st-6th Sports Camp PM • • • • • • • • • • M-F 1-4pm $154 $169 $229 Gymnastics Camp • • • • • • • • • • M-F 9am-12pm $146 $162 $222 Pre-Team/ 1st-8th • • • • • • • • • • M-F 9am-12pm $159 $174 $234 Team Gymnastics *Must be registered for that week of camp. All Camps are subject to CDC guidelines. FINANCIAL Financial assistance is first-come, first-served and new applications are required regardless of prior scholarship status. For more detailed information please see ASSISTANCE the Parent Guide online. AVAILABLE For scholarship information contact Heidi Busch, Membership Director at hbusch@nsymca.org. 4 FOLLOW US ON FACEBOOK, TWITTER, INSTAGRAM, AND DOWNLOAD THE NSYMCA MOBILE APP
NSYMCA CAMP AT A GLANCE! Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 6/7-6/11 6/14-6/18 6/21-6/25 6/28-7/2 7/5-7/9 7/12-7/16 7/19-7/23 7/26-7/30 8/2-8/6 8/9-8/13 Before 5/1 After 5/1 Camp Grade 1 2 3 4 5 6 7 8 9 10 Days Time $YM $YM $NM SPECIALTY AND SPECIAL INTEREST DAY CAMPS Art Explorers* K-6th PM PM PM PM PM PM PM PM PM PM M-F 1-4pm $214 $229 $299 Amusement Park Tycoon** - PM M-F 1-4pm $229 $244 $344 NEW! Battle Robots** - NEW! PM M-F 1-4pm $229 $244 $344 Builders & Destroyers* - NEW! 1st-6th AM M-F 9am-12pm $194 $209 $314 Candy Chemistry* - NEW! PM AM M-F 9am-12pm/1-4pm $194 $209 $314 Chess Wizards** PM M-F 1-4pm $229 $244 $344 Cheer/Poms/Dance 2nd-6th PM PM PM PM M-F 1-4pm $194 $209 $314 Cooking Camp** 1st-6th PM PM PM M-F 1-4pm $229 $244 $344 Dance Intensive 4th-8th PM PM PM PM M-F 1-4pm $230 $245 $300 Engineer Self-Driving Cars** AM M-F 9am-12pm $229 $244 $344 - NEW! Expedition Mars** - NEW! AM M-F 9am-12pm $229 $244 $344 Jokin' Around* - NEW! 1st-6th AM M-F 9am-12pm $194 $209 $314 Magic & Balloon Camp** AM AM M-F 9am-12pm $229 $244 $344 Movie Makers* - NEW! PM M-F 1-4pm $198 $213 $318 Ozaria Coding Camp* - NEW! PM AM M-F 9am-12pm/1-4pm $194 $209 $314 3rd-6th Pokemon Camp* AM M-F 9am-12pm $214 $229 $334 Rock Band** PM PM M-F 1-4pm $229 $244 $344 Slime Camp* AM AM PM M-F 9am-12pm/1-4pm $194 $209 $314 1st-6th Star Wars* - NEW! PM M-F 1-4pm $194 $209 $314 Whodunnit?* - NEW! AM M-F 9am-12pm $194 $209 $314 FIELD TRIP CAMPS Go Kart Camp** - NEW! FD M-F 9am-4pm $266 $281 $386 3rd-6th Water Park Camp** - NEW! FD M-F 9am-4pm $266 $281 $386 Navigator Adventure 6th-8th FD M-F 9am-4pm $266 $281 $386 Camp** - NEW! Ultimate Adventure Camp** 3rd-6th PM AM M-F 9am-12pm/1-4pm $231 $246 $351 - NEW! SPECIAL SERVICES CAMP HAWKS Inclusion1:1 K-8th • • • • • • • • • M-F 9am-4pm $545 N/A N/A HAWKS High School Camp 9th-12th • • • • • • • • • M-F 12pm-4pm $300 N/A N/A CAMP ADD-ONS*** 11:25, 11:40 am, Summer School Package WHEN NORTHBROOK SUMMER SCHOOL IS IN SESSION M-F $179 $199 $279 12:55, 12:30 pm Lunch Bunch All • • • • • • • • • • M-F 12-1pm $49 $69 $84 Extended AM- Before Camp • • • • • • • • • • M-F 7:30-9am $79 $99 $124 Extended PM- After Camp • • • • • • • • • • M-F 4-6pm $79 $99 $124 Extended AM/PM K-8th • • • • • • • • • • M-F 7:30-9am/4-6pm $119 $139 $184 $15/ Swim Lessons • • • • • • • • • • Tu/ W AM $15/wk $15/wk wk $75/ $85/ Fall Explorers 8/16 - 8/20 M-F 9am - 4pm $65/day day day * These camps will not be prorated. **Financial assistance & proration do not apply to this camp. *** See page 6 for more info. BEST SUMMER EVER | NORTH SUBURBAN YMCA | SUMMER CAMP 2021 | NSYMCA.ORG 5
NSYMCA CAMP AT A GLANCE! Camp At A Glance Info Leaders Please see the parent handbook for detailed information • Membership – Must have 6 months of consecutive membership for member rates. Kathy Fielding Chief Executive Officer • Financial Assistance – If you are interested in financial assistance, please see the Guest kfielding@nsymca.org Services desk for an application or go online! • Payment Plans – For NSYMCA members only. Ricky Gonzalez Camp Director • Age Requirement – Must be the grade they are entering in Fall 21. rgonzalez@nsymca.org • Special Accommodations & ADA information – The Y is open to all people. For more information, on accommodations, contact Ellen Mirochnick at emirochnick@nsymca.org. Nicole Hatfield • Requests - Friendship Requests must be reciprocal. Program Coordinator registrar@nsymca.org • Medication Policy - Medications at camp requires a health form. Shannon Sliwinski Assistant Camp Director/ Youth Education Director ssliwinski@nsymca.org Camp Add-On Programs & Services Missy Contri EXTENDED CAMP (Before and After Camp) Aquatics Director The Before and After Camp atmosphere is relaxed, safe, and fun! Activities range from indoor and mcontri@nsymca.org outdoor free play to organized activities such as crafts and games. Before Camp is from 7:30–8:45 Shannon Mundorf am and After Camp is from 4:10–6:00 pm. You can register for one or both. Extended Camp is Sr. Director of Arts for Kindergarten and older. No minimum days required. If your camper requires an one-on-one sparry@nsymca.org inclusion counselor contact Ellen Mirochnick for more information at emirochnick@nsymca.org. Ellen Mirochnick SUMMER SCHOOL Special Services The summer school package includes transportation from Westmoor, Maple and Northbrook Jr. High Coordinator to the NSYMCA and lunchtime supervision before transitioning to an afternoon camp. Campers emirochnick@nsymca.org must be registered for a NSYMCA PM camp. Campers must bring a lunch Monday–Thursday, while a special lunch is provided on Fridays. One combined fee pays for both transportation and lunch for Dawn Irelan the duration of summer school. Minimum of 3 days required. Gymnastics Coach direlan@nsymca.org LUNCH BUNCH Heidi Busch Add Lunch Bunch and extend your camp day! Campers from 2 years old through grade 8 can enjoy Membership Director lunch time with their friends and be supervised by well-trained staff. Lunch Bunch is open to all hbusch@nsymca.org campers registered for an AM or PM camp. Campers must bring a lunch Monday–Thursday, while a special lunch is provided on Fridays. No minimum days required. FALL EXPLORERS Special camp added for those last five days of summer vacation on 8/16 through 8/20. We will have planned activities, field trips, and free swim. No minimum days required. SWIM LESSONS Add Swim Lessons to your camp day. It is available for 1-day a week on Tuesday or Wednesday. You cannot choose which day. Available only in the mornings. $15 per lessons, per child for sign up.
PRESCHOOL CAMPS Week Week 11 Week Week 22 Week Week 33 Week 44 Week Week Week 55 Week Week 66 Week Week 77 Week Week 88 Week Week 99 Week 10 Week 10 6/7-6/11 6/7-6/11 6/14-6/18 6/14-6/18 6/21-6/25 6/21-6/25 6/28-7/2 6/28-7/2 7/5-7/9 7/5-7/9 7/12-7/16 7/12-7/16 7/19-7/23 7/19-7/23 7/26-7/30 7/26-7/30 8/2-8/6 8/2-8/6 8/9-8/13 8/9-8/13 LITTLE PIONEERS Ages: 2-3 years. Days: M-F. Session length: 1 week. This is the perfect program to introduce little ones to camp. Daily activities include songs, crafts, stories, games, outdoor play, and more! Campers will develop friendships, learn independence, and practice sharing and teamwork in a safe, supervised, and caring environment. Swimming not available. They do not need to be toilet trained. Minimum of 3 days required. Weeks Counselor/ $YM $YM ! Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 ADD LUNCH BUNCH Little Pioneers AM 1-10 9am-12pm 1:6 $148 $163 $213 TO THESE CAMPS TO EXTEND THE DAY! PATHFINDERS Ages: 4 years. Days: M-F. Session length: 1 week. This camp is packed with a variety of indoor and outdoor activities from art, crafts, sports, games and more! Swim lessons are included for Pathfinders only. They will swim twice a week (mornings only). Each swim session begins with formal lessons facilitated by our aquatics & Camp staff and ends with open swim. Children must be toilet trained. Minimum of 3 days required. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 ! Pathfinders AM 1-10 9am-12pm 1:6 $164 $178 $253 Pathfinders Full-Day 1-10 9am-4pm 1:6 $239 $254 $359 ADD LUNCH BUNCH TO THESE CAMPS TO EXTEND THE DAY! MINI-MOVERS CAMP NEW Ages: 4-6 years. Days: M-F. Session length: 1 week. Through creative movements and choreography, campers will learn dance concepts and techniques while having tons of fun and getting the wiggles out! Performances will be held the last day of the week. For more information contact Shannon Mundorf at sparry@nsymca.org. Minimum 3 days required. ! Weeks Counselor/ $YM $YM Camp Name Time $NM ADD LUNCH BUNCH Offered Child Ratio Before 5/1 After 5/1 TO THESE CAMPS TO Mini-Movers AM 3,5,7 9am-12pm 1:6 $195 $209 $273 EXTEND THE DAY! BEST SUMMER EVER | NORTH SUBURBAN YMCA | SUMMER CAMP 2021 | NSYMCA.ORG 7
TRADITIONAL DAY CAMP Grades: K-5. Days: M-F. Session length: 1 week. These camps are perfect for children who like a bit of everything— from sports to crafts, games to art, they will experience it all! Traditional Day Camp is a comprehensive and quality program focused on providing fun and safe enrichment opportunities for campers. Campers will learn new things while making friends and having fun along the way. Each week is themed and jam-packed with intentional, age-appropriate, and engaging activities. Activities include weekly field trips, art projects, sports, games and outdoor activities, and open swim., special events, crafts, large group games, and so much more. Check the calendar in this guide for themes! Minimum EARTH TREKKERS TRAILBLAZERS of 3 days required. KINDERGARTEN GRADES 2-3 AM DAY CAMP PM DAY CAMP • Earth Trekkers & Voyagers • Sports, Trailblazers, will open swim 3 times Adventurers, a week Navigators will swim • Will not have field trips 3 times a week • Will have a weekly art class • Will not have • Swim lessons field trips sign-up optional FULL DAY CAMP • Will have weekly art class • Will open swim 3x a week • Will have weekly field trips on Thursdays • Will receive special lunch on Fridays VOYAGERS ADVENTURERS 1ST GRADE • Swim lessons sign-up optional GRADES 4-5 Grade/ Counselor/ $YM $YM Camp Name Time $NM Age Child Ratio Before 5/1 After 5/1 NEW Earth Trekkers Full-day 9am-4pm $229 $244 $349 Earth Trekkers AM 5 yrs 9am-12pm $154 $169 $229 Earth Trekkers PM 1pm-4pm $144 $159 $219 SWIM LESSONS SIGN UP Voyagers Full-day 9am-4pm $229 $244 $349 $15 per lesson (per child) Voyagers AM 1 9am-12pm 1:8 $154 $169 $229 1 Day a Week (Tues or Wed) - Voyagers PM 1pm-4pm $144 $159 $219 Swim lesson day is determined by swim Trailblazers Full-day 9am-4pm $229 $244 $349 levels and student to instructor ratios. Trailblazers AM 2-3 9am-12pm $144 $159 $219 Trailblazers PM 1pm-4pm $154 $169 $229 The official swim schedule and times will be made available in Parent Guide 2021. Adventurers full-day 9am-4pm $229 $244 $349 Adventurers AM 4-5 9am-12pm 1:10 $144 $159 $219 Adventurers PM 1pm-4pm $154 $169 $229 8 FOLLOW US 8 ON FACEBOOK, FOLLOW TWITTER, US ON FACEBOOK, INSTAGRAM, TWITTER, AND DOWNLOAD & INSTAGRAM THE| NSYMCA DOWNLOAD MOBILE THE APP NSYMCA MOBILE APP
CAMPS FOR MIDDLE SCHOOLERS Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 6/7-6/11 6/14-6/18 6/21-6/25 6/28-7/2 7/5-7/9 7/12-7/16 7/19-7/23 7/26-7/30 8/2-8/6 8/9-8/13 NAVIGATOR CAMP Grades: 6-8. Days: M-F. Session length: 1 week. Preteens need to discover who they are and what they can achieve. This NSYMCA program NEW combines day camp with leadership and service. The Navigator Camp will cultivate values and skills that promote positive behaviors and good relationships. In this well-rounded camp experience, our weekly activities will range from leadership development and volunteer/community service projects to games, crafts, and field trips. Minimum of 3 days required. SWIM LESSONS SIGN UP $15 per lesson (per child) MORNING DAY CAMP LOCK-IN 1 Day a Week (Tues or Wed) - • Service projects; leadership training; • Navigators will enjoy a fun lock-in at the traditional camp activities Y. Swimming, games, movies, dinner and Swim lesson day is determined by swim levels and student to instructor ratios. lots of fun. AFTERNOON DAY CAMP The official swim schedule and times will • will swim 3x a week OVERNIGHT be made available in Parent Guide 2021. • Enjoy an adventure at Camp Duncan FULL-DAY CAMP (RECOMMENDED) with swimming, high ropes, camp fires, • will have a weekly art class and more! • will swim 3x a week in the afternoon will have weekly field trips on Thursdays • will receive a special lunch on Fridays Weeks Time/ Counselor/ $YM $YM Camp Name $NM Offered Day Child Ratio Before 5/1 After 5/1 Navigators Full-Day 9am-4pm $259 $279 $384 Navigators AM 1-10 9am-12pm $174 $194 $249 Navigators PM 1-4pm 1:10 $184 $204 $259 Navigator Lock-In 4 F $30 $30 $50 Navigator Overnight 8 Tu-W $87 $87 $128 Scholarship does not apply for Lock-in and Overnight. We recommend that you register for the full-day camp in order to participate in the full Navigator Camp experience. BEST SUMMER EVER | NORTH SUBURBAN YMCA | SUMMER CAMP 2021 | NSYMCA.ORG 9
COUNSELOR IN-TRAINING (C.I.T.) The Counselor-in-Training (CIT) program is a 5-week intensive, hands- on training experience that gives teens valuable insight into the role of a camp counselor. Our CIT program is designed to offer qualified young people an opportunity to prepare for positions as camp counselors or recreation leaders. Emphasis is placed upon developing leadership skills, appropriate childcare, and program skills. Guided by an experienced CIT Program Coordinator, CITs will develop their decision-making and problem-solving skills by assisting with daily activities and camper care. CITs will be trained to work alongside our counselors, implement games and activities, and assist on field trips. They will work with various camp groups, allowing them to experience a wide array of opportunities throughout the summer. CITs will participate in leadership workshops and trainings throughout the summer. Applicants must be an NSYMCA member, fill out a CIT application, provide two references and complete an interview. Not all applicants who apply and interview will be accepted. Only accepted participants will be provided registration information. For more information regarding the CIT program, please contact Camp Director Ricky Gonzalez at rgonzalez@nsymca.org. SESSION INFORMATION Participants accepted into the program must choose between the two sessions below. Participants may not work both sessions and cannot ! adjust their schedules. If you have previously completed the NSYMCA CIT program, you are invited to apply for our NEW Leaders-in-Training Camp Name Grades Weeks Offered Days Time Capacity $YM program (LIT). Visit our camp page CIT Program online to apply & for more information! 8-9 1-5 M-F (Session 1) 9:00 am- $500 Participation and/or completion of the CIT program does CIT Program 12 8-9 6-10 M-F 4:00 pm NOT automatically guarantee you a camp counselor (Session 2) position with the NSYMCA in future summers. CIT Six Flags Trip 8-9 9 TBD $75
SPORTS & GYMNASTICS CAMPS Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 6/7-6/11 6/14-6/18 6/21-6/25 6/28-7/2 7/5-7/9 7/12-7/16 7/19-7/23 7/26-7/30 8/2-8/6 8/9-8/13 SPORTS CAMP Grades: 1-6. Days: M-F. Session length: 1 week. This camp is geared for the camper who loves to play all sports and can’t get enough. Campers will work on the fundamentals and basic skills of each sport, and coaches will emphasize the importance of sportsmanship, teamwork, and learning from mistakes. Sports campers will be grouped by age. Minimum of 3 days required. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 Sports Camp Full-Day 9am-4pm $229 $244 $346 Sports Camp AM 1-10 9am-12pm 1:8 $144 $159 $216 Sports Camp PM 1-4pm $154 $169 $229 GYMNASTICS CAMP Grades: 1-6. Days: M-F. Session length: 1 week. Gymnastics Camp is open for all recreational-level gymnasts entering 1st-6th grade and is designed to teach basic fundamentals on floor, uneven bars, balance beam, and vault. The day includes: group warm-up, instruction through small-group skill development work, dance, games, and snack time. Minimum of 3 days required. PRE-TEAM/TEAM SUMMER CAMP Grades: 1-8 with Director’s Approval. Days: M-F. Session length: 1 week. The Pre-Team/Team Summer Camp is for NSYMCA gymnasts currently enrolled in our Pre-Team and Competitive Team programs or those gymnasts who will be moving up to Pre- Team/Team next season. Competitive Team members must be NSYMCA members. Director approval required. Minimum of 3 days required. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 Gymnastics Camp AM 1-10 $146 $162 $222 9am-12pm 1:6 Pre-Team/Team 1-10 $159 $174 $234 Gymnastics AM BEST SUMMER EVER | NORTH SUBURBAN YMCA | SUMMER CAMP 2021 | NSYMCA.ORG 11
SPECIALTY CAMPS Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 6/7-6/11 6/14-6/18 6/21-6/25 6/28-7/2 7/5-7/9 7/12-7/16 7/19-7/23 7/26-7/30 8/2-8/6 8/9-8/13 ART EXPLORERS Grades: K-6. Days: M-F. Session length: 1 week. Explore art in a fun and creative way! Campers will open up their imagination to learn new art principles, and build their artistic skill set. Proration does not apply to this camp. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 Art Explorers PM 1-10 1-4pm 1:6 $214 $229 $299 AMUSEMENT PARK TYCOON NEW Grades: 1-6. Days: M-F. Session length: 1 week. Get ready to have the most fun ever! Your child will create their own amusement park from the name and price of admission, to the design of the rollercoasters and the full layout of the park. Campers will learn about gear ratios, potential/ kinetic energy, and centrifugal force through an entrepreneurial lens. Proration and Financial Aid does not apply to this camp. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 IN PARTNERSHIP WITH Amusement Park Tycoon PM 7 1-4pm 1:6 $229 $244 $344 BATTLE ROBOTS NEW Grades: 1-6. Days: M-F. Session length: 1 week. Come learn engineering strategies for building sturdy structures using unique RoboThink bricks, and then apply that knowledge to build multiple robots for a variety of friendly competitions. Your child will have a blast as they play robot soccer, compete in robot relay races, and complete dozens of other fun challenges. Proration and Financial Aid does not apply to this camp. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 Battle Robots PM 8 1-4pm 1:6 $229 $244 $344 IN PARTNERSHIP WITH BUILDERS & DESTROYERS NEW Grades: 1-6. Days: M-F. Session length: 1 week. Calling all creative and crafty children who also don’t mind some demolition. We will get really hands-on to make and destroy our masterpieces. Activities include: egg drop challenges, pinatas, pyramids, toothpick & marshmallow bridges, and more! Proration does not apply to this camp. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 Builders & Destroyers AM 4 9am-12pm 1:6 $194 $209 $314 12 FOLLOW US ON FACEBOOK, TWITTER, INSTAGRAM, AND DOWNLOAD THE NSYMCA MOBILE APP
SPECIALTY CAMPS Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 6/7-6/11 6/14-6/18 6/21-6/25 6/28-7/2 7/5-7/9 7/12-7/16 7/19-7/23 7/26-7/30 8/2-8/6 8/9-8/13 CHESS WIZARDS Grades: 1-6. Days: M-F. Session length: 1 week. Campers will learn to play chess in a fun atmosphere with experienced Chess Wizards. No previous experience needed. Each day, campers will participate in a wide variety of activities, puzzles, riddles, games and MORE! Learn everything from the basic rules and chess notation to the popular Chess Solitaire game! Proration and Financial Aid does not apply to this camp. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 IN PARTNERSHIP WITH Chess Wizards PM 1 1-4pm 1:10 $229 $244 $344 CANDY CHEMISTRY NEW Grades: 1-6. Days: M-F. Session length: 1 week. Does your child love science projects and candy? Then Candy Chemistry is the perfect place for them this summer! Campers will become mad scientists partaking in fun-filled, hands on, science experiments and crafts using Candy! If lucky, there may even be some leftover to take home. Proration does not apply to this camp. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 Candy Chemistry AM 8 9am-12pm 1:6 $194 $209 $314 Candy Chemistry PM 5 1-4pm NEW CHEER/POM/DANCE Grades: 2-6. Days: M-F. Session length: 1 week. Campers will learn the basics of cheerleading such as chants and stunting as well as Pom and Jazz/Hip Hop Dance techniques. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 Cheer/Pom/Dance PM 3, 5, 7, 9 1-4pm 1:6 $194 $209 $314 COOKING CAMP Grades: 1-6. Days: M-F. Session length: 1 week. Kids love to play with their food and this Y camp lets them! They will make food projects, create nutritious snacks, and enjoy fun, kid-friendly food. Proration and Financial Aid does not apply to this camp. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 Cooking Camp PM 3, 6, 10 1-4pm 1:10 $229 $244 $344 BEST SUMMER EVER | NORTH SUBURBAN YMCA | SUMMER CAMP 2021 | NSYMCA.ORG 13
SPECIALTY CAMPS Week Week11 Week Week22 Week Week33 Week Week44 Week Week55 Week Week66 Week Week77 Week Week88 Week Week99 Week Week10 10 6/7-6/11 6/7-6/11 6/14-6/18 6/14-6/18 6/21-6/25 6/21-6/25 6/28-7/2 6/28-7/2 7/5-7/9 7/5-7/9 7/12-7/16 7/12-7/16 7/19-7/23 7/19-7/23 7/26-7/30 7/26-7/30 8/2-8/6 8/2-8/6 8/9-8/13 8/9-8/13 DANCE INTENSIVE Grades: 4-8. Days: M-F. Session length: 1 week. NEW Designed for campers with some previous dance training, the Dance Intensive is a week long camp designed to give dancers a chance to improve their technique. Campers will experience technique classes in classical styles such as ballet, jazz, modern, & MORE! Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 Dance Intensive PM 2, 4, 6, 8 1-4pm 1:6 $230 $245 $300 ENGINEER SELF-DRIVING CARS NEW Grades: 1-6. Days: M-F. Session length: 1 week. As the head of their new car company, your child will create a brand name, logo, line of cars and other motorized vehicles. Campers will learn about gear ratios, sensors, energy, entrepreneurial skills, and more! Your child will learn about a few things under the hood and much more. Proration and Financial Aid does not apply to this camp. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 IN PARTNERSHIP WITH Engineer Self-Driving Cars AM 10 9am - 12pm 1:6 $194 $209 $314 EXPEDITION MARS NEW Grades: 1-6. Days: M-F. Session length: 1 week. Come on an adventure building functional robots using unique RoboThink bricks in this super fun program. Kids will learn about space, space travel, stars and gravity, all while building a variety of interstellar robots and learning entrepreneurial skills along the way! Proration and Financial Aid does not apply to this camp. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 IN PARTNERSHIP WITH Expedition Mars AM 1 9am - 12pm 1:6 $194 $209 $314 JOKIN’ AROUND Grades: 1-6. Days: M-F. Session length: 1 week. Jokin’ Around is the perfect camp for any child who loves to laugh and be silly! Our NEW goofy counselors will lead campers in hilarious activities sure to crack-up any child looking for some summer fun. Examples of activities include: writing and sharing jokes, making hilarious crafts, creating mad libs and playing SILLY games. Proration does not apply to this camp. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 Jokin’ Around AM 5 9am-12pm 1:6 $194 $209 $314 14 FOLLOW US ON FACEBOOK, TWITTER, INSTAGRAM, AND DOWNLOAD THE NSYMCA MOBILE APP
SPECIALTY CAMPS Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 6/7-6/11 6/14-6/18 6/21-6/25 6/28-7/2 7/5-7/9 7/12-7/16 7/19-7/23 7/26-7/30 8/2-8/6 8/9-8/13 MAGIC & BALLOON CAMP Grades: 1-6. Days: M-F. Session length: 1 week. Children will have a great time as they learn (and take home) a collection of thrilling and entertaining magic tricks! Each day the Magic Team of Gary Kantor will teach age- appropriate card tricks, vanishing effects, and much more. Children will also learn how to transform ordinary balloons into fascinating balloon animals. Proration and Financial Aid does not apply to this camp. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 Magic & Balloon Camp AM 3,10 9am-12pm 1:10 $229 $244 $344 NEW MOVIE MAKERS Grades: 1-6. Days: M-F. Session length: 1 week. In this week-long movie making crash course, your child will write, direct, act and learn camera work using tablets to create their very own movie. All films will be edited and screened at camp and put on flash drives to enjoy at home! Proration does not apply to this camp. Counselor/ $YM $YM Camp Name Weeks Offered Time $NM Child Ratio Before 5/1 After 5/1 Movie Makers PM 5 1-4pm 1:6 $198 $213 $318 OZARIA CODING CAMP Grades: 3-6. Days: M-F. Session length: 1 week. NEW Ozaria is a computer science program, an adventure game, and a fantasy story all in one, where students master the lost magic of coding to save their world. In Ozaria, students find themselves embedded in a new world where they master core computer science concepts to progress within the game. Proration does not apply to this camp. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 Ozaria Coding AM 7 9am-12pm 1:6 $194 $209 $314 Ozaria Coding PM 2 1-4pm POKÉMON TM Grades: 3-6. Days: M-F. Session length: 1 week. Each day, campers will participate in a wide variety of Pokemon activities and games. Campers will make Pokeballs, design their own Pokemon characters, play the trading card game, and even take a trip around the YMCA to play Pokemon Go on tablets provided! Proration does not apply to this camp. Includes a starter deck of pokemon cards. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 Pokémon AM 3 9am-12pm 1:10 $214 $229 $334 BEST SUMMER EVER | NORTH SUBURBAN YMCA | SUMMER CAMP 2021 | NSYMCA.ORG 15
SPECIALTY CAMPS Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 6/7-6/11 6/14-6/18 6/21-6/25 6/28-7/2 7/5-7/9 7/12-7/16 7/19-7/23 7/26-7/30 8/2-8/6 8/9-8/13 ROCK BAND Grades: 1-6. Days: M-F. Session length: 1 week. Designed for students of all levels, from beginners to seasoned artists, this program is taught by real musicians using the unique B2R method, which will have students playing full songs in no time! Students are placed in a band according to their age and skill. Financial assistance and proration do not apply to this camp. $YM $YM Camp Name Weeks Offered Time Counselor/Child Ratio $NM Before 5/1 After 5/1 Rock Band PM 4,8 1-4pm 1:6 $229 $244 $344 SLIME CAMP Grades: 1-6. Days: M-F. Session length: 1 week. Young, mad scientists get down and dirty creating a wide variety of slimey concoctions and potions. Slime lovers will have a blast customizing their own slime creations through color, scent, texture and more. Proration does not apply to this camp. Counselor/ $YM $YM Camp Name Weeks Offered Time $NM Child Ratio Before 5/1 After 5/1 Slime Camp AM 2, 6 9am-12pm 1:6 $194 $209 $314 Slime Camp PM 9 1-4pm NEW STAR WARS TM Grades: 1-6. Days: M-F. Session length: 1 week. Your child will learn the way of the force and take down the dark side, all while having fun! At Star Wars camp, your child will play Star Wars themed games like Light Saber tag and Jedi Training competitions. Your child will also create Star Wars themed crafts like designing their own droids. Proration does not apply to this camp. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 Star Wars PM 4 1-4pm 1:6 $194 $209 $314 WHODUNNIT? NEW Grades: 1-6. Days: M-F. Session length: 1 week. Campers will learn how to find evidence, uncover clues and follow their hunches during this thrilling mystery-filled week of camp! Through hands-on projects like deciphering codes, invisible ink, and scavenger hunts, your child will use their smarts to become camp heroes by solving one of the biggest mysteries of the summer. Proration does not apply to this camp. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 Whodunnit? AM 9 9am-12pm 1:6 $194 $209 $314 16 FOLLOW US ON FACEBOOK, TWITTER, INSTAGRAM, AND DOWNLOAD THE NSYMCA MOBILE APP
FIELD TRIP SPECIALTY CAMPS Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 6/7-6/11 6/14-6/18 6/21-6/25 6/28-7/2 7/5-7/9 7/12-7/16 7/19-7/23 7/26-7/30 8/2-8/6 8/9-8/13 GO KART CAMP! NEW Grades: 3-6. Days: M-F. Session length: 1 week. Each day we will attend a different Go Kart track and put the pedal to the metal. All field trip locations are TBD. Potential field trip locations include: Action Territory Park, Play & Spin, and Enchanted Castle. As an additional bonus, we will enjoy other entertainment options at each location outside of riding the Go Karts (example: arcades, laser tag). Proration and Financial Aid does not apply to this camp. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 Go Kart Camp - Full Day 3 9am-4pm 1:6 $266 $281 $386 WATER PARK CAMP NEW Grades: 3-6. Days: M-F. Session length: 1 week. Water Park Camp is the thrilling field trip camp where kids can enjoy different water parks EVERY DAY! Potential field trip locations include: Rainbow Falls, Bensenville Water Park, and Mystic Waters. Proration and Financial Aid does not apply to this camp. Counselor/ $YM $YM Camp Name Weeks Offered Time $NM Child Ratio Before 5/1 After 5/1 Water Park - Full Day 8 9am-4pm 1:6 $266 $281 $386 NAVIGATOR ADVENTURE CAMP NEW Grades: 6-8. Days: M-F. Session length: 1 week. Your middle schooler will attend full-day field trips around the Northshore. Potential field trip locations include: Dave & Busters and Mastermind Escape Room. Proration and Financial Aid does not apply to this camp. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 Navigator Adventure - Full Day 7 9am-4pm 1:10 $266 $281 $386 ULTIMATE ADVENTURE CAMP NEW Grades: 3-6. Days: M-F. Session length: 1 week. We take everyone’s favorite day of the week and turn it into EVERY DAY! Your child will participate in exciting half day activities all over the Northshore. Potential field trips include: kayaking in the Skokie Lagoon, Wanderlust Archery, and River Trails Nature Center. Proration and Financial Aid does not apply to this camp. Weeks Counselor/ $YM $YM Camp Name Time $NM Offered Child Ratio Before 5/1 After 5/1 Ultimate Adventure AM 9 9am-12pm 1:6 $231 $246 $351 Ultimate Adventure PM 6 1-4pm BEST SUMMER EVER | NORTH SUBURBAN YMCA | SUMMER CAMP 2021 | NSYMCA.ORG 17
SPECIAL SERVICES Week Week11 Week 2 2 Week Week 3 3 Week Week Week 4 4 Week 5Week 5 Week 6 Week 6 Week 7 Week 7Week 8 WeekWeek 8 9 Week910 Week 6/7-6/11 6/7-6/11 6/14-6/18 6/14-6/18 6/21-6/25 6/21-6/25 6/28-7/2 6/28-7/2 7/5-7/97/5-7/9 7/12-7/16 7/19-7/23 7/19-7/23 7/12-7/16 7/26-7/30 7/26-7/30 8/2-8/6 8/9-8/13 8/2-8/6 HAWKS The NSYMCA actively supports inclusion and welcomes kids of all abilities. Recognizing the need for quality, adaptive programming for individuals in the North Shore area, the HAWKS programs help individuals gain confidence, promote independence and responsibility, foster friendships, and nurture a healthy and active lifestyle. All programs are supervised by qualified individuals who help promote a safe, friendly, and supportive environment. We believe that consistency is of the utmost importance and we welcome aides provided by the family to attend camp or any If your HAWKS camper needs of our programs with their child. All aides must be interviewed by the NSYMCA. Extended Camp, please contact Ellen Mirochnick at All HAWKS campers will be interviewed and screened by Ellen Mirochnick, NSYMCA emirochnick@nsymca.org. Coordinator of Special Services. All HAWKS campers must be NSYMCA members. To be a part of the HAWKS Camp you must fill out a HAWKS application and questionnaire, which can be found on our website at www.nsymca.org. HAWKS INCLUSION 1-ON-1 Grades: 1-8. Days: M-F. Session length: 1 week. * Must sign up for at least 6 weeks Space is limited due to staff and is based on a first-come first-served basis. HAWKS 1:1 programming is for participants that do best when individual support is provided. The camper and their inclusion counselor will be part of our traditional camps or sports camps for their age group and will participate to the best of their abilities. Our 1:1 inclusion counselors work to facilitate an inclusive environment for campers while working with the whole group. All inclusion counselors are required to attend NSYMCA camp training workshops prior to the start of camp. All HAWKS campers will be interviewed and screened by Ellen Mirochnick, NSYMCA Coordinator of Special Services. All HAWKS campers must be NSYMCA members. The registration deadline is March 15th. Camp Name Weeks Offered Time Counselor/Child Ratio $YM HAWKS Inclusion 1-1 1-9 9am - 4pm 1:1 $545 HAWKS HIGH SCHOOL CAMP Grades: 9 - Transition. Days: M-F. Session length: 1 week. This social and recreational camp is for high school students and includes fitness, field trips, and community outings. The group setting, with a maximum of 8 campers, provides opportunities to engage with others while working toward common goals. For further information please contact Ellen Mirochnick at: emirochnick@nsymca.org. A 1:1 aid is available at an additional cost but must sign up for at least 6 weeks. Camp Name Weeks Offered Time Counselor/Child Ratio $YM HAWKS High School Camp PM 1-9 12-4pm 1:4 $300 18 FOLLOW US ON FACEBOOK, TWITTER, INSTAGRAM, AND DOWNLOAD THE NSYMCA MOBILE APP
Registration for office use only Camp Registration Form 2021 Date Initials Will you be applying for Financial Assistance?* Yes No This form must be completely filled out with form of payment to be processed or the form is considered void. Camper Full Name: Grade: Parent/Guardian Name: (Fall 2021) Address: City, State, Zip: Cell Phone: Emergency Phone: (Must be able to receive text messages) Email 1: Email 2: Friendship Request (Only 1 allowed and must be reciprocal) Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 6/7-6/11 6/14-6/18 6/21-6/25 6/28-7/2 7/5-7/9 7/12-7/16 7/19-7/23 7/26-7/30 8/2-8/6 8/9-8/13 Days of the Week Week of Camp Camp Name AM PM Full M Tu W Th F 1 2 3 4 5 6 7 8 9 10 Extended Camp (Optional) Swim Lessons (Optional) Payment Options: Please Check One. Summer School Pick-Up (Circle One) ( Payment Plans for Members only and must end by 7/15/2021) I would like to make a payment plan with my membership plan Northbrook Jr Maple/ 11:25 am Westmoor / 11:40 am Maple / 12:30 pm High / 12:00 pm Please draft my account on: 1st of the month 15th of month Starting on: Ending on: I would like to pay in full Membership: Check (A Debit or Credit Card must be on file for incidentals) Members must have a consecutive membership for Credit Card # 6 months to receive the special member-only discount. Exp: Name on Card I am already a member of the NSYMCA I understand that if I fail to make a payment, my camper(s) will not be allowed to attend camp until payment is made. If payment is not made by the Wednesday before the camp starts, my camper will lose their spot in camp. I understand that if I incur any fees, late registrations or change requests, late pick up, t-shirt, extended camp charges, shack shack, I would like to become a member of the NSYMCA! ** and camp store, I authorize the North Suburban YMCA to charge my account using the payment information on file. By initialing here, I hereby acknowledge that I’ve read and understand the parent handbook and NSYMCA’s policies available online. Will you donate to our Strong Kids Scholarship Fund? Signature: $100 $50 $25 $10 OTHER WAIVER OF RISK & RELEASE POLICIES I agree to abide by the facility, program, and membership policies of the NSYMCA at all times Membership must remain current throughout the entire camp period to qualify for member while on the premises. I give permission for the above-named participant to be included in rates. Prices are subject to change. A full refund will be issued if you cancel prior to the photos for publicity purposes. I understand the NSYMCA is not responsible for personal registration deadline, or if the NSYMCA cancels camp. Refunds will be given by check or property or personal injury sustained by the participant and I hereby agree to identify and NSYMCA credit voucher only. Refer to the previous page & parent guide for complete hold harmless the NSYMCA from such losses or injuries. In the event I cannot be reached registration policy. The NSYMCA does not turn anyone away due to inability to pay. If you in an emergency situation involving the above-named participant, I hereby give permission need assistance, please stop by the Guest Services Desk. Policies are subject to change. By to the program leader to seek medical treatment for the above-named participant. The signing below, I acknowledge all of the NSYMCA’s Policies. NSYMCA reserves the right to change or alter any program without notice. Signature: For office use only *Scholarship Application is required if yes. Registrations will not be Special Services: Registration entered in CCC on processed until application is submitted and approved. Initial **An additional application is required. Please Submit to the Front Desk By Date
One form must be filled out for each camper and turned in at the time of registration. For more information, please contact Camp Registrar at registrar@nsymca.org Child’s Full Name: D.O.B School & Grade: What should we know about your camper? Please give any information which will help us make this your camper’s best summer ever! Include behavior management techniques that your camper responds to positively. Let us know what activities interest your camper. Form must be submitted to complete registration. Allergies: Additional Health Form Required. List any medications your child has taken in the last 12 months: Does you child need an Epipen? Yes No Will your child require medication during camp? Yes No If Yes, please fill our additional form. If your child has an allergy please fill out additional allergy information and if your child has an epi-pen or inhaler, please fill out medicine adminstration form. Medical or Physical Restrictions (If Any) Does your child have an IEP? Yes No Please describe any additional support your child receives at school and/or during the year (E.G speech, behavior therapy, social work, counseling, etc.) REGISTRATION FOR HAWKS CAMPS REQUIRES AN ADDITIONAL SPECIAL SERVICES QUESTIONNAIRE (Download at nsymca.org) AUTHORIZED PARENT/GUARDIAN CONTACT INFORMATION Parent/Guardian 1 Name: Phone Number: Work Phone: Cell: Parent/Guardian 2 Name: Phone Number: Work Phone: Cell: Emergency Contacts: (When Parent or Guardian cannot be reached) Name: Cell: Name: Cell: Name: Cell: PARENT STATEMENT OF UNDERSTANDING Please read this form carefully. Sign this form and return to the NSYMCA. No child can attend camp 6. I understand that the North Suburban YMCA Camp Director reserves the right to dismiss a camper from unless all completed forms are on file. camp. Such situations will mean the total loss of camper fees as paid by the parent or scholarships given to the child. 1. I understand that the North Suburban YMCA staff and volunteers are not allowed to baby sit or transport children at any time outside of the YMCA camp program, with the exception of relationships established 7. I have received, read, understand, and agree with the policies above and the North Suburban YMCA’s Camp outside of the YMCA and prior to the start of the camp session. Immediate disciplinary action will be taken policies and parent handbook. toward staff and volunteers if a violation is discovered. 8. I give the North Suburban YMCA the right to take pictures and video for marketing purposes. 2. I understand that I am not to leave my child at the North Suburban YMCA or any off-site NSYMCA location unless a YMCA camp staff is there to receive and supervise my child. 9. I give permission for the North Suburban YMCA to transport the child named above off the property for the purpose of medical care or program activities as deemed appropriate by the director and in the event I cannot 3. I understand that my child will not be allowed to leave the program with an unauthorized person. Any person be reached in an EMERGENCY. I hereby give permission to the physician selected by the Camp Director, to authorized to pick up my child must be listed in my child’s registration forms or a note written and signed by a hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery for my child as named parent or legal guardian must be received by NSYMCA stagff at least one day prior to the pick up. above if I cannot be reached. 4. I understand that should a person arrive to pick up my child who is obviously under the influence of alcohol 10. I attest that this registration form in its entirety is correct to my knowledge and understand any changes or drugs, for the child’s safety, staff may have no recourse but to contact police. Please do not put staff in a to the information must occur in writing. I give permission for the child mentioned herein to engage in all camp position where they have to make this judgment call. activities except as noted. 5. I understand that the North Suburban YMCA is mandated, by state law, to report any suspected cases of 11. I give permission for the YMCA Staff to help apply sunscreen to my child according to the instructions on child abuse or neglect to the appropriate authorities for investigation. the bottle. Camper Name Parent Date: (Please print) Signature
North Suburban YMCA • 2705 Techny Road FOR YOUTH DEVELOPMENT Northbrook, IL 60062 • 847-272-7250 • nsymca.org FOR HEALTHY LIVING FOR SOCIAL RESPONSIBILITY JOIN THE NORTH SUBURBAN YMCA COMMUNITY! MEMBERSHIP APPLICATION FINANCIAL ASSISTANCE IS AVAILABLE. APPLICANT INFORMATION Full Name: _______________________________________________________ Address: ___________________________________________________________ Gender:_________________________ DOB: __________________________ City, State, Zip: ___________________________________________________ Parent Full Name: _______________________________________________ ______________________________________________________________________ (youth members only) Cell: _________________________________________________________________ Spouse Full Name: ________________________________________________ Provider: ___________________________________________________________ Gender:_________________________ DOB: ___________________________ (for app text messages) Emergency Contact and Work Phone : __________________________ Email: _____________________________________________________________ ______________________________________________________________________ Member Referral Name: _________________________________________ ______________________________________________________________________ _____________________________________________________________________ FAMILY MEMBERSHIP INFORMATION FIRST DEPENDENT/ CHILD SECOND DEPENDENT/ CHILD Full Name: ______________________________________________________ Full Name: ______________________________________________________ Gender: __________________________________________________________ Gender: __________________________________________________________ DOB: _____________________________________________________________ DOB: _____________________________________________________________ THIRD DEPENDENT/ CHILD FOURTH DEPENDENT/ CHILD Full Name: ______________________________________________________ Full Name: ______________________________________________________ Gender: __________________________________________________________ Gender: __________________________________________________________ DOB: _____________________________________________________________ DOB: _____________________________________________________________ DEMOGRAPHIC INFORMATION ETHNICITY To help serve you better, please fill out the following information. This information is kept confidential and is strictly voluntary. Asian/Pacific Islander African-American My main interests are: Caucasian Middle Eastern Indian Native Amerian After-School Programs Aquatics Latino/Hispanic Other:______________________ Art Camp Early Childhood Family Programming Gymnastics Performing Arts OCCUPATIONS Personal Training Senior/Adult Programming Your Occupation: _____________________________________________ Special Needs Sports Employer: ______________________________________________________ Volunteerism Weight Loss Spouse Occupation: __________________________________________ How did you hear about the Y?_____________________________ Employer: _____________________________________________________ _________________________________________________________________
MEMBERSHIP APPLICATION (CONTINUED) YMCA MEMBERSHIP AGREEMENT HELP SUPPORT THE Y PLEASE READ AND SIGN PLEASE INITIAL YOUR CHOICE AND SIGN • I understand that this membership will remain in effect until I give written notice of termination. Yes, I would like to make a No, I would not like to tax-deductible contribution. contribute at this time. • It is to my complete understanding that if I wish to terminate or change my membership in any way, I must give the NSYMCA a 10-day written notice in advance of my draft date. I understand $2 $5 $10 $50 Other: $_________ that I must return all of my membership cards upon termination. This amount will automatically be deducted with my monthly member- • The NSYMCA Board of Directors may, at their discretion, adjust the ship dues and can be cancelled with my authorization at any time. monthly rate applicable to my category of membership. Rates are If I want to cancel this donation, I will contact the Y in writing to cancel this subject to change at any time without prior notice. As I age into a donation. different membership, the fee will automatically change. SIGNATURE: __________________________________DATE:_____________ • Membership cards remain the property of the NSYMCA and must be surrendered upon demand of that institution. HELP COMMUNITY MEMBERS • The NSYMCA has authorization to charge the difference be- PLEASE INITIAL YOUR CHOICE tween member and non-member rates if I terminate my member- Through our Strong Kids Campaign, your tax-deductible contribution ship or if my membership expires while I am in the middle of a helps us provide program support to families in need. class session. Yes, I would like to make a No, I would not like to • If this is a corporate membership and the corporation becomes tax-deductible contribution. contribute at this time. inactive or no longer wishes to participate, membership fees will be adjusted to current membership fees at the time of notification. The $2 $5 $10 $50 Other: $_________ active member must work at the company. This amount will automatically be deducted with my monthly member- • Applicable to draft only: I am responsible for any uncollected ship dues and can be cancelled with my authorization at any time. funds. My membership will be terminated if I have two (2) uncollect- ed drafts on record at the same time or if I close my account without If I want to cancel this donation, I will contact the Y in writing to cancel this notification, stop payment on my draft, or revoke authorization. Any donation. penalties imposed by my bank or the NSYMCA for uncollected drafts SIGNATURE: __________________________________DATE:_____________ are my responsibility. Should any membership draft not be honored by my bank for any reason, I realize that I am still responsible for that payment plus a service charge applied by the NSYMCA. This is in WAIVER & RELEASE OF ALL CLAIMS addition to any service fee my bank may charge The NSYMCA charges In applying for membership at the North Suburban YMCA, I agree to cooperate with a $25 service fee or current banking fees for each uncollected draft. others in supporting the NSYMCA mission, goals, and objectives and to abide by the policies and procedures set forth by the NSYMCA Board of Directors. I understand • Aplicable to annual membership only: I agree to a 1-year member- that my NSYMCA membership dues are non-refundable and membership privileges ship from the time of purchase. I am not able to upgrade or down- are non-transferable. I hereby allow the NSYMCA to take pictures or video (still or motion) of myself/my family and grant permission for these images to be used in grade or make changes to my membership. If I cancel before the term, NSYMCA publications, presentations, publicity, social media, or promotions without no refunds will be given. compensation to me/my family or on my behalf or my family’s. If I choose not to be photographed, videotaped, or appear in other recorded media, it is my SIGNATURE: __________________________________DATE:_____________ responsibility to inform the photographer and/or remove myself/my fami- ly from the picture. In consideration of gaining membership or being allowed to participate in the activities and programs of the NSYMCA and to use its facilities, equipment, and machinery in addition to the payment of any fee or charge, I do MEMBERSHIP DRAFT AUTHORIZATION hereby waive, release, and forever discharge the NSYMCA and its officers, agents, employees, representatives, executors, and all others from any and all responsibilities I hereby authorize the North Suburban YMCA and my financial institution to or liability for injuries or damages resulting from my participation in any activities or begin automatic deductions from the account designated below in the amount my use of equipment or machinery in the above-mentioned facilities or arising out of below in the amount of my membership dues and fees. my participation in any activities at said facility. I do also hereby release all of those mentioned and any others acting upon their behalf from any responsibility or liability PLEASE INITIAL YOUR CHOICE for any injury or damage to myself, including those caused by the neglect, act, or Checking Account- I am attaching a voided check or a copy of my omission of any of those mentioned or others acting on their behalf or in any way debit card to ensure the accuracy of the routing and account num- arising out of or connected with my participation in any activities of the NSYMCA bers for my banking institution. I understand that if any information or the use of any equipment at the NSYMCA. I understand that I am subject to a changes, I must provide the NSYMCA with a new voided check. sex offender registry screening. The YMCA conducts regular sex offender screenings on all members, participants, and guests. If a sex offender match occurs, the YMCA Credit Card Account- I understand that if I recieve a replacement or reserves the right to cancel the membership, end program participation, and remove new card for the credit card account designated, I must provide the visitation access. I agree to adhere to all policies set by the NSYMCA as written in NSYMCA with updated credit card information the NSYMCA Membership Handbook. I have answered the above questions accurately and declare myself/my family to be physically sound, and having medical approval to Card Number: _____________________________________________________ engage in NSYMCA activities. Exp Date: ______________________________CVV:______________________ SIGNATURE: __________________________________DATE:_____________ SIGNATURE: __________________________________DATE:_____________ FOR OFFICE USE ONLY: SIGNATURE: _________________________________________ CCC ID#:____________________________
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