2018 CAMP VOYAGER SUMMER CAMP GUIDE - YMCA of Delaware

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2018 CAMP VOYAGER SUMMER CAMP GUIDE - YMCA of Delaware
UN • LEARN • SWIM • EXPLORE • SMILE • ADVENTURE • FRIENDS
 MEMORIES • PLAY • CLIMB • SING • GROW • FUN • SUMMER •
APPY • NATURE • LEARN • EXPLORE • HIKE • GROW • SUMMER •
DVENTURE • SWIM • RUN • FRIENDS • SUN • SWIM • NATURE
 SMILE • LAUGH • CLIMB • SING • GROW • FUN • SUMMER •
DVENTURE • PLAY • HAPPY • RUN • LEARN • SWIM • EXPLORE •
MILE • ADVENTURE • FRIENDS • MEMORIES • PLAY • CLIMB • SING
 GROW • FUN • SUMMER • HAPPY • NATURE • LEARN • EXPLORE •
IKE • GROW • SUMMER • ADVENTURE • SWIM • RUN • FRIENDS
UN • SWIM • NATURE • SMILE • LAUGH • CLIMB • SING • GROW
 FUN • SUMMER • ADVENTURE • PLAY • HAPPY • RUN • LEARN
 SWIM • EXPLORE • SMILE • ADVENTURE • FRIENDS • MEMORIES
 PLAY • CLIMB • SING • GROW • FUN • SUMMER • SUN • NATURE •
EARN • EXPLORE • HIKE • GROW • SUMMER • ADVENTURE • SWIM
 RUN • FRIENDS • SUN • SWIM • NATURE • SMILE • LAUGH •
LIMB • SING
UN • LEARN • SWIM • EXPLORE • SMILE • ADVENTURE • FRIENDS
 MEMORIES • PLAY • CLIMB • SING • GROW • FUN • SUMMER •
APPY • NATURE • LEARN • EXPLORE • HIKE • GROW • SUMMER •
DVENTURE • SWIM • RUN • FRIENDS • SUN • SWIM • NATURE
 SMILE • LAUGH • CLIMB • SING • GROW • FUN • SUMMER •
DVENTURE • PLAY • HAPPY • RUN • LEARN • SWIM • EXPLORE •

      CAMP VOYAGER

                  2018

                           SUMMER CAMP GUIDE
                                  DOVER YMCA
2018 CAMP VOYAGER SUMMER CAMP GUIDE - YMCA of Delaware
About Our Camp
OUR CAMP PHILOSOPHY
The Dover Y believes in providing comprehensive camp programs, which foster
the social, cultural, physical and emotional development of children of all ages. All
activities reflect the character values of caring, honesty, respect and responsibility.
We create an opportunity for children to enhance their self esteem, build friendship
skills, develop greater independence and give them a sense of their creative potential
in a safe, fun and nurturing environment.

CAMP STRUCTURE
New in 2018, all YMCA of Delaware Camps will now be structured the same way.
Whether you are spending time at home or down at the beach, your child will be in the
same unit.

EXPLORERS CAMP: Completed K-1st Grades            PIONEERS CAMP: Completed 6th-8th Grades
ADVENTURERS CAMP: Completed 2nd-3rd Grades        LEADER IN TRAINING (LIT) PROGRAM:
                                                  Completed 9th - 10th Grades
VOYAGERS CAMP: Completed 4th-5th Grades

    TEXT ALERTS                                  MAIN PHONE
    To receive text alerts with                  (302) 346-9622
    important camp information,
    text @DYCAMP to 81010.                       ONLINE                   EMAIL
                                                  ww.ysummercamp.org
                                                 w                        ajamison@ymcade.org
                                                 Facebook: @doverymca

2                     (302) 346-YMCA • WWW.YSUMMERCAMP.ORG
2018 CAMP VOYAGER SUMMER CAMP GUIDE - YMCA of Delaware
2018
Dates to remember
CAMP REGISTRATION
OPENS
FRIDAY, JANUARY 26
Register online at
www.ysummercamp.org

-------------------------

CAMP REGISTRATION
AND BEACH PARTY
FRIDAY, JANUARY 26
Join us Friday, January
26th from 6-8 p.m. for our
Camp Registration Kick-Off       SUMMER CAMP
and Beach Party. There will
be games, open swim and
                                 SESSIONS
registration staff on-site to    Week 1: June 11 - 15
get you signed up for the
BEST SUMMER EVER!                Week 2: June 18 - 22

100 DAYS ‘TIL                    Week 3: June 25 - 29
CAMP OPEN HOUSE                  Week 4: July 2 - 6 (no camp July 4th)
MARCH 3 • 12 - 2 P.M.
                                 Week 5: July 9 - 13
HEALTHY KIDS DAY                 Week 6: July 16 - 20
CAMP OPEN HOUSE
APRIL 21 • 12 -3 P.M.            Week 7: July 23 - 27
Join us as we celebrate
Healthy Kids Day, our national   Week 8: July 30 - Aug 3
initiative to improve the
health and wellbeing of kids.    Week 9: Aug 6 - 10
This event is open to the        Week 10: Aug 13 - 17
community and is a great
opportunity to learn about       Week 11: Aug 20 - 24
our camp.

                                               DOVER YMCA   CAMP VOYAGER 2018   3
2018 CAMP VOYAGER SUMMER CAMP GUIDE - YMCA of Delaware
YMCA OF DELAWARE
                                                                             MEMBERS SAVE $100
                                                                             OFF ONE AND TWO
                                                                             WEEK SESSIONS!

    ADVENTURE
    AWAITS AT
    CAMP TOCKWOGH!
    Overnight camp on the beautiful Cheasapeake Bay

      OVERNIGHT                  TICKWOGH                        TEEN                           FAMILY CAMP
      SUMMER CAMP                SAILING CAMP                    LEADERSHIP                     Memorial Day
      Sessions Start             COMPLETED GRADES 7-10           PROGRAMS                       Weekend:
      June 20, 2018                                              COMPLETED 10TH AND             May 25 - 28
                                 Tickwogh is perfect
      Mini Camp:                 for campers who want            11TH GRADE                     Summer’s End:
                                                                 Our CIT (Counselor-In-         August 19 -26
      COMPLETED GRADES K-5       to hone their sailing
      Traditional Camp:          skills. Our experienced         Training) and LIT (Leader      Join us for a family
      COMPLETED GRADES 2-9       instructors work with           -in-training) programs are     vacation that everyone
                                 each camper to meet             focused on helping youth       will love! Together
      At Camp Tockwogh, we                                       develop valuable life skills   you will enjoy all the
                                 individualized goals
      work hard to create a                                      while creating friendships     Tockwogh activities
                                 through small group                                            including sailing,
      positive experience full                                   and memories that will
      of friends, the great      instruction, interactive        last a lifetime. Teens         waterskiing, horseback
      outdoors and new           lessons, hands-on drills        will participate in daily      riding, arts & crafts,
      adventures. Campers        and water games in              leadership workshops,          ropes courses and
      will enjoy tons of         the beautiful                   service learning               more! We’ll bring
      activities including       Chesapeake Bay.                 opportunities and enjoy        the food, lodging,
      SAILING, WATERSKIING,                                      an off-site one night trip.    activities and FUN-
      HORSEBACK RIDING,                                                                         you bring the family.
      ARTS & CRAFTS, ROPE
      COURSES, SWIMMING,
      CAMPFIRES AND
      MORE! With multiple
                                 RETREATS
                                 Camp Tockwogh is the perfect venue for
      options to choose from,    weddings, educational field trips, family
      including one or two       reunions, church groups, scouting groups
      week Overnight Camp,       and corporate events. We offer dozens        Chesapeake
      three day Mini Camp, or    of reasonably priced rustic cabins,          Bay
      Tickwogh Sail and Ski,     year round meeting spaces and tons of
                                 facilitator led programs that everyone                                  Middletown
      we have something for
      everyone!                  will be sure to enjoy!
                                                                                                   Maryland

     For more information and to register for the best
     summer yet, visit www.ymcacamptockwogh.org!                                                              Dover

4    YMCA CAMP TOCKWOGH      | 24370
                 (302) 346-YMCA      Still Pond Neck Rd., Worton, MD 21678
                                 • WWW.YSUMMERCAMP.ORG                                          | (410) 348-6000
2018 CAMP VOYAGER SUMMER CAMP GUIDE - YMCA of Delaware
YOU DO AT
WHAT WILL
      Camp Voyager?
    CONNECT - Build lasting friendships and             PLAY GAMES - Shoot some hoops on the
1   lifelong memories.                              8   court with a game of Knockout, get sandy
                                                        playing Gaga, or connect with a game of
    SWIM - Get your goggles ready! Each group           Connect 4.
2   will visit the pool at least once per day.
                                                    9   HAVE THE BEST SUMMER EVER!
    Experience new things and a variety of              Every day at Camp Voyager is full of fun
3   CREATIVE ACTIVITIES that will keep                  filled activities with good friends.
    campers physically fit while spending time in
    the great outdoors.

    Go on FIELD TRIPS. Take a trip to the
4   movies, bowling ally or even Sahara Sams!

                                                         BEST SUMMER
    Field trips vary by group.

5
    LITERACY, MUSIC, SCIENCE
    AND NATURE - Visit learning stations
    each day where you will participate in
                                                            EVER!
    fun, enriching activities using hands-on
    materials.

6   ARTS AND CRAFTS - Explore your creativity
    at the art station each day.
                                                                               2018
    TEAM BUILDING - Work with a team to
7   achieve a common goal. There will be a focus
    on emphasizing communication, listening
    and cooperative skills.

                                                        DOVER YMCA    CAMP VOYAGER 2018        5
2018 CAMP VOYAGER SUMMER CAMP GUIDE - YMCA of Delaware
STAFF
    We believe that our staff is
    our greatest resource. Each of
    our staff undergo a series of                             AYESHA JAMISON
    interviews, reference checks, and                         Child Care Director
    a complete background/criminal                            ajamison@ymcade.org

    history check. Our Unit Directors
    are college students/graduates                            JUDI SHADE
    who are working professionals in                          Senior Program Director
    the fields of education and child                         jshade@ymcade.org
    development. All camp staff are
    at least 18 years of age with
                                                              COURTNEY FORD
    prior experience working with                             Aquatics Director
    children. We provide each staff                           crford@ymcade.org
    member with a minimum of 50
    hours pre-camp training and ALL
    staff are certified in First Aid                          SUSAN HERR
                                                              Senior Executive Director
    and CPR.                                                  sherr@ymcade.org

6                      (302) 346-YMCA • WWW.YSUMMERCAMP.ORG
2018 CAMP VOYAGER SUMMER CAMP GUIDE - YMCA of Delaware
Welcome
Welcome to the 2018 summer day camp program at the Dover YMCA! We are excited to
continue offering new and expanded day camp programs at Camp Voyager. Our summer
camp staff is committed to building positive human advancement through healthy
relationships, positive skills and enriching connections among campers, staff and families,
all while having fun, creating lifelong memories, and reaching personal goals. In addition,
we advocate physical, mental and moral balance in a caring, respectful and honest
environment.

Summer camp programs in 2018 will include traditional day camp, specialty camps, and
sports camps. Our traditional camp (Camp Voyager) programs provide fun, structured
activities that focus on our weekly themes. Daily activities include group games, morning
swim, arts and crafts, team building activities, nature walks, archery, and more. Our teen
leaders program offers enhanced leadership training and experiences. Leaders in training
program participants will volunteer at various places and be involved in a project they will
create from start to finish. Our sports camp and specialty camps will provide activities
focusing on skill development in afternoons at the YMCA building on State Street. Specialty
and sports camps will begin their day at the Outdoor Complex. All activities and programs
include a focus on character values and provide children with the opportunity to develop
the YMCA core values of caring, honesty, respect, and responsibility in their daily lives.

All camp programs include at least one daily swim time, four days a week, and an exciting
weekly field trip. We are confident your child will enjoy their camp experience at the Dover
YMCA. For more information on summer camp, please contact me at (302) 346-9622.

Yours in Camping,

Ayesha Jamison
Child Care Director

                                                            DOVER YMCA    CAMP VOYAGER 2018    77
2018 CAMP VOYAGER SUMMER CAMP GUIDE - YMCA of Delaware
TRADITIONAL CAMPS
Ages 6-12
Fees: Full Member - $140 / Program Member - $190

Week 1: June 11-15                         Week 6: July 16 - 20                    Week 10: August 13 - 17
CHALLENGE WEEK                             WILDLIFE                                CAMP VOYAGERS
Campers will complete challenges           Lions, tigers and bears - oh my!        GOT TALENT
individually and in groups while           During our wildlife week, campers       After a fun filled summer, our
building the foundation of                 will get to know animals from all       campers will wrap up their time at
friendships that could last a life time.   over the world and will take a trip     camp Voyager with the opportunity
                                           to the zoo.                             to display their talents for parents
Week 2: June 18-22                                                                 and peers.
CAMPERS VS.                                Week 7: July 23 - 27
COUNSELORS                                 SUPERHERO WEEK                          Week 11: August 20 - 24
Campers and Counselors will face           For those of us who can’t fly, have     GAMESHOW
throughout each day to help build          super speed, or shoot laser beams       Jeopardy, Wheel of Fortune and
relationships with their peers and         out of our eyes, during this action     Family Feud will all be at camp
the staff that will supervise and          packed week of camp we will             Voyager. Campers will work
grow with them throughout the              unlock the superpowers inside of        together to win the “big prize”.
summer.                                    all of us.

Week 3: June 25-29                         Week 8: July 30 - August 3
SCAVENGER HUNT                             MYTH BUSTERS
X marks the spot. During                   You don’t need a high-tech
scavenger hunt week campers will           laboratory to be a Myth Buster.
embark on adventures around the            We will spend our week at camp
camp site to discover the hidden           debunking some of the world’s
secrets of Camp Voyager.                   greatest mysteries, big and small.

Week 4: July 2 - 6                         Week 9: August 7-11
(No camp on July 4th)                      OLYMPIC GAMES
BLAST FROM THE PAST                                                                  LEADERS IN
Traveling to the past and to
                                           How many sports can we fit into           TRAINING (L.I.T.)
                                           one week? During our Olympic
the future, campers will learn             week we will run, jump, throw, and        The Leaders in Training program
about and participate in some              swim in competition style games           is for campers ages 13 to
of the customs and traditions of           to find out. This week will include       15 who want to enjoy camp
centuries past.                            skills and drills that will emphasize     while learning leadership skills
                                           and improve balance, focus,               needed to become a Counselor
Week 5: July 9-13                          strength, and motor skills.               in Training or Summer Camp
                                                                                     Counselor when they are older.
SPIRIT WEEK                                                                          L.I.T.’s will enjoy participating in
We take pride in our camp and our                                                    more advanced camp activities,
campers, spirit weeks give us the                                                    and lead select camp activities
chance to show it. During spirit
week we will meet up with other                                                      for the younger campers as a
Y camps from around the state to                                                     way to practice the leadership
see who has the most spirit.                                                         skills they learn.

8                          (302) 346-YMCA • WWW.YSUMMERCAMP.ORG
2018 CAMP VOYAGER SUMMER CAMP GUIDE - YMCA of Delaware
SPORTS CAMP
                                                                                 AGES 7-12 YEARS OLD
                                                                       Fees: Full Member - $185 / Program Member - $240

Parents and Campers,
Campers will be dropped off and picked up at our Dover YMCA Kent Outdoor Complex where they will enjoy
a morning full of fun camp activities. Campers will swim, hike, participate in team building activities, arts and
crafts and much more at our beautiful outdoor facility. After lunch, Sports Camp campers will be bussed to the
Dover YMCA for activities in the gymnasium. Here, they will focus on learning game rules and regulations, and
practice newly acquired skills. Campers will return to the Outdoor Complex at 4 p.m. each afternoon for snack
and dismissal. Please be sure to send your camper with the appropriate equipment for the sport of the week.
All campers should wear sneakers; no sandals or flip flops will be permitted at camp except during swim time.

Week 3: June 25-29                       Week 5: July 9-13                        Week 8: July 30 - August 3
SPLASH INTO                              SUPER STAR                               FAST BREAK
SWIMMING                                 SOCCER                                   BASKETBALL
Get ready to splash your way to a        GOAL! Learn the basic skills and         Come enjoy another great week of
fun filled week. This camp is for the    fundamentals needed to help you          hoops. During this session, you will
swimmer who is who is interested         improve your soccer game. Skills         continue improving your skills and
in honing their swimming strokes,        such as passing, shooting, and           get ready to play like a pro!
learning proper techniques and           strategies will be taught during this
experience a week in the life of         week of camp.
                                                                                  Week 9: August 6-10
a member of the Dover Y’s swim
team. Campers will swim, play pool                                                SOCCER SHOOTOUT
                                         Week 6: July 16-20
games, and participate in a mock                                                  In our final week of sports camp
swim meet.                               DODGEBALL /                              we will revisit the fundamentals
                                         AGILITY WEEK                             and game play of soccer. All skills
                                         Dodge and swerve your way                levels are welcome and will be
Week 4: July 2 - 6
(No camp on July 4th)                    through our agility courses while        taught passing, shooting, and game
                                         gaining speed and allusiveness.          strategies.
HOOP DREAMS                              This week campers will learn
This camp is a great introduction        different variations of the classic
to the game of basketball, or a          game of dodgeball.
skill builder for more advanced
players. All skill levels are welcome,
                                         Week 7: July 23-27
as campers focus on ball control,
shooting, passing and more.              FLAG FOOTBALL
Campers will learn the importance        A non-contact version of football
of fundamentals to help prepare          where all campers will have
them for games and tournaments.          the opportunity to learn the
                                         fundamentals of the game. All skill
                                         levels are welcome as campers
                                         practice skills including throwing,
                                         catching, speed and defending.

                                                                           DOVER YMCA      CAMP VOYAGER 2018        9
2018 CAMP VOYAGER SUMMER CAMP GUIDE - YMCA of Delaware
SPECIALTY CAMPS
AGES 8-12 YEARS OLD
Fees: Full Member - $185 / Program Member - $240

Parents and Campers,
This year we are excited to once again offer specialty camps to Camp Voyager! Like our Sports Camp, Campers
will be dropped off and picked up at our Dover YMCA Kent Outdoor Complex where campers will enjoy a
morning full of fun camp activities. Campers will swim, hike, and participate in team building and arts and
crafts and much more at our beautiful outdoor facility. After lunch, Specialty Camp campers will be bussed to
the Dover YMCA for their special activities in the gymnasium or dance studio where they will focus on learning
everything from cheerleading, jazz dance, hip hop dance or just hanging out with the girls. Campers will return
via YMCA bus to the Outdoor Complex at 4 p.m. each afternoon for snack and dismissal. All campers should
wear sneakers; no sandals or flip flops will be permitted at camp except during swim time.

Week 5: July 9 -13                                       Week 7: July 23-27
CHEERLEADING AND TUMBLING                                DANCE, DANCE, DANCE!
Jumps, kicks, projecting your voice and the beginnings   Come join us for a fun-filled week of dance. Campers
of tumbling will all be taught during this week of       will work on different styles of the art of dance each
camp. Campers will strengthen muscles and develop        day of the week. Ballet, jazz, hip-hop and more will be
coordination while learning handstands, cartwheels,      taught and performed while at camp.
round offs, cheer routines and more.
                                                         Week 8: July 30 - August 3
Week 6: July 16-20                                       KEEP DANCING
GIRLS JUST WANNA HAVE FUN                                Our first session was so popular we decided to add
Celebrate all things girly this week! Let’s make         another! Come join us for a second fun-filled week of
friendship bracelets, learn how to braid, do             dance.
Mani’s and Pedi’s and more!

10                        (302) 346-YMCA • WWW.YSUMMERCAMP.ORG
BE A HER O
                                  A TE TO  D A Y
                              DON
                                        ade.org           ymc

Every day, we work side-by-side with our   Your contribution opens doors not only
neighbors to make sure that everyone,      for kids, but also for families, adults and
regardless of age, income or background,   senior citizens alike. Your gift is used to
has the opportunity to learn, grow and     provide financial assistance to those in our
thrive. When you give to the Y, you        community who are unable to afford the
strengthen our community.                  cost of membership.

How do I get financial assistance?
Contact the nearest YMCA branch and request an Open Doors financial assistance
application or download it at www.ymcade.org.

                                                         DOVER YMCA    CAMP VOYAGER 2018   11
FREQUENTLY ASKED QUESTIONS
WHERE IS THE CAMP LOCATED?                              MY CHILD CANNOT SWIM. CAN THEY STILL
Dover YMCA Camp Voyager is located at the               GO TO THE POOL?
Dover YMCA Kent Outdoor Complex at                      Absolutely! The outdoor pool has a shallow end
825 Kenton Rd., Dover, DE.                              and small wading pool for non-swimmers to play
                                                        and cool off. Personal flotation devices will also
WHY DO YOU NEED MY EMAIL?                               be given to children who are unable to touch the
You will receive important information and camp         floor of the pool while keeping their head above the
updates via email throughout the summer. The            water line. All children who wish to swim in the deep
following may be sent via email: payment schedule       end of the pool must first pass a swim skill test.
receipts, camp updates, weekly camp newsletter,         This year we are also offering daily swim lessons for
and confirmation forms.                                 all campers in the afternoon. All lessons are taught
                                                        by certified swim instructors and monitored by
HOW ARE CAMPERS GROUPED?                                certified lifeguards.
Campers are placed into groups according to their
age. For Sports Camps, ability levels will also be      HOW ARE STAFF TRAINED?
considered for grouping purposes.                       All staff must pass a rigorous screening and
                                                        training process before being employed at the
WHAT ARE THE CAMP HOURS?                                Dover YMCA camp. This process includes a formal
Camp is open Monday – Friday, 7 a.m. – 6 p.m. Camp      interview, background check, fingerprinting and
begins June 11th and ends on August 25th. We            reference checks. All staff then attend a full 50
ask that all campers arrive by 8:30 a.m. in order to    hours of training in first aid and CPR, child abuse
ensure activities and field trips run on time, giving   prevention, camp activity training, safety trainings
all campers the best possible experiences each day.     for camp staff, bullying prevention, child group
                                                        management, and much more.
WHAT SHOULD MY CHILD WEAR?
Comfortable, lightweight clothing and closed-
toed sneakers should be worn each day. A towel
and bathing suit also need to be packed for swim
time each day. Please keep in mind that camps
run outdoors much of the day and campers will be
spending time enjoying activities that can be dirty
or messy. Old clothes and shoes are recommended.
Please label everything with your child’s name. On
field trip days we request that your child wears
their Camp T-shirt for ease of tracking campers in
crowded environments.

12                      (302) 346-YMCA • WWW.YSUMMERCAMP.ORG
POLICIES
FIELD TRIP POLICY                                    DROP OFF AND PICK UP PROCEDURES
All campers are expected to attend our off site      All campers must be signed into and out of camp
field trips scheduled every week. On field trip      every day by an adult over the age of 18 who is
days, campers should wear their camp t-shirt.        on the drop off/pick up list. If you need to pick
This allows staff to easily identify campers in      up your child early, please call the camp at
crowded locations. A weekly newsletter will be       (302) 423-6623 to verify the pickup location
provided each Friday for the next week. Updates,     for the child.
field trip reminders, and other parent information
will be included in each newsletter. Please note     IDENTIFICATION FOR PICK UP PROCEDURES
that for some field trips we may not be arriving     Please be prepared to show your I.D. to the staff
back to the camp until 4:30 p.m. due to travel       when picking up your child. This is for your child’s
times. Please do not send your child with money      protection as well as the protection of all campers
unless requested in the weekly newsletter. The       and staff. This policy will also help staff to get
YMCA will not be held liable for lost or stolen      to know you. Campers will only be released to
money or property.                                   adults over the age of 18 who are listed on the
                                                     enrollment forms as authorized to pick up the
                                                     child from the YMCA.

                                                                 DOVER YMCA    CAMP VOYAGER 2018      13
GENERAL INFORMATION
MEMBERSHIP                                   OPEN DOORS-                                ACCESS TO CAMPERS
Campers need to be members of the            FINANCIAL ASSISTANCE                       The DOVER YMCA policy allows
Y of Delaware. Full members receive          The Y strives to serve everyone in our     each parent equal access to their
a reduced rate. A one year program           community, regardless of individual        children unless otherwise stated in
membership is available for $47.             economic circumstances. Open Door          a court order.
                                             applications for Y programs and
HOW TO REGISTER                              membership are available at the            SAFETY
• Complete enrollment/health form           front desk. The application process        • Staff is trained in CPR, first aid,
   and bank draft form for each camper.      is confidential and requires proof of         emergency procedures and child
   Mail, fax or drop off at membership       financial need.                               abuse prevention.
   desk of the Dover YMCA.                                                              • Ellis licensed lifeguards & trained
• Online registration is available at       EARLY DISMISSAL/                              swimming instructors are on duty
   www.ymcade.org.                                                                         during all free swims and swimming
• Registration is confirmed by mail         LATE ARRIVAL                                  instruction.
   when all completed forms are              • Please provide a written note to        • Campers are tested to identify
   received and deposits are paid in full.      camper’s counselor with date, time,        their individual swimming ability
                                                and who is picking up.                     and receive a bracelet identifying
                                             • Parents or guardians are required
CAMP DEPOSITS                                   to sign the camper out and may be
                                                                                           their level.
A $25 deposit is due per child, per                                                     • Non-swimmers unable to recover to
                                                asked to present photo ID.                 a standing position are required to
week, to reserve your child’s spot.          • Late arrivals must check in at the
All deposits are non-refundable after                                                      wear a U.S. Coast Guard approved life
                                                camp office.                               jacket during free swims.
May 31, 2016. Purchase of Care               • Early dismissal must sign out at
participants will not be charged a              the camp office.
deposit; however, a non-refundable
field trip fee of $15 for every week
attending will be required when
registering.
                                             CAMP AGES AND FEES
                                                                                        FULL              PROGRAM
PAYMENTS                                       CAMP
                                               		              AGES                     MEMBER            MEMBER
• Deposits: Cash, check or credit card
   paid at the time of registration.           VOYAGER         6 - 12                   $140              $190
   To pay the balance of camp, the             SPORTS CAMP     7 - 12                   $185              $240
   payment form can be found at the
   back of this guide. Forms are also          SPECIALTY CAMPS 8 - 12                   $185              $240
   available online at www.ymcade.org.         TEEN PROGRAMS 13 - 17                    $140              $190
   See chart for EFT schedule.
• Failure to pay remaining balance
   could result in cancellation of child’s
   registration.
• Automatic withdrawal balance               CAMP SESSIONS                           PAYMENT DUE          BANK DRAFT
   payments will be deducted from your        Week 1: June 11-15                      June 2               June 1
   checking, savings, debit or credit
   card account on the 1st or15th of          Week 2: June 18-22                      June 9               June 1
   the month.
                                              Week 3: June 25 - 29                    June 16              June 15
ADDING OR                                     Week 4: July 2-6                        June 23              June 15
CANCELING WEEKS                               Week 5: July 9-13                       June 30              July 1
• Use the camp change form available
   in this guide, the Internet, the front
                                              Week 6: July 16-20                      July 7               July 1
   desk of the Dover Y, or at camp.           Week 7: July 23-27                      July 14              July 15
• A change form is necessary for each
   child attending camp.                      Week 8: July 30 - August 3              July 21              July 15
• If no space is available in the week(s)    Week 9: August 6 -10                    July 28              August 1
   you selected to add, your child will be
   put on a wait list.                        Week 10: August 13-17                   August 4             August 1
                                              Week 11: August 20 - 24                 August 11            August 15

14                           (302) 346-YMCA • WWW.YSUMMERCAMP.ORG
CAMP CODE OF CONDUCT                    WHAT NOT TO BRING                         LOST AND FOUND
We require that camp staff and          IPod, IPad, any type of electronic        • All lost and found items are
campers treat each other in             equipment, magazines, jewelry or             placed on shelves in the lost and
accordance with the character values    other valuables, cell phones, pets           found area.
of caring, honesty, respect and         or weapons. Please note that any          • Please encourage your child to
responsibility.                         material which we perceive as                check for lost items promptly.
                                        inappropriate for camp will be held       • Items are kept for only one week
POSITIVE GUIDANCE                       in the office until the end of the
Counselors will encourage                                                            after the session ends and then
                                        week or when arrangements have               donated to a local homeless shelter.
appropriate choices and make every      been made. Camp Voyager is not
effort to redirect inappropriate        responsible for lost or stolen items.
behavior. Parents will be called to     The use or possession of cigarettes,      ILLNESS AND INJURY
work with the counselor and camper      alcohol, drugs, knives, guns, or other    • Please do not send your child to
to achieve a positive outcome.          weapons will result in immediate             camp if he/she is not feeling well in
Campers who repeatedly misbehave        dismissal from camp.                         the morning.
or put themselves or other camp
                                                                                  • Parents are responsible for picking
participants in harm’s way may be
dismissed from the camp program.        SUNSCREEN                                    up their ill child immediately.
                                        • Please apply sunscreen to your         • Camp staff will treat minor injuries
                                          camper before they arrive to camp.         (small cuts, scrapes, bumps, etc.) and
COMMUNICATIONS                                                                       log the incident in the health log.
                                          Staff will remind campers to reapply
Newsletters                               throughout the day.                     • Parents are notified immediately
A weekly newsletter is sent via email
                                        • Campers that are sensitive to the         for illnesses or injuries that need
highlighting activities and events
                                           sun should wear hats, sleeved shirts      further medical attention, any
throughout the week. Please email
                                           and a swim shirt for the pool.            injuries involving the head, or any
ajamison@ymcade.org if you are
                                                                                     situation that requires the parent
not receiving one each week.
                                                                                     to observe.
Text Alerts                             SWIMMING
                                                                                  • Campers who require immediate
To receive text messages about          Swimming is an integral part of the          medical attention are taken to
special events, inclement weather       camp program. Sunscreen, a swimsuit          Kent General Hospital.
procedures or other camp                and towel are needed daily.
information, text @DYCAMP to
(302) 353-1707.                                                                   MEDICATION
                                        INCLEMENT WEATHER–
                                        CAMP IS OPEN!                             • A medication form at the camp
LUNCH                                                                                office must be completed by a
                                        • Wet weather makes it feel chilly at       parent before medication can be
 amp Voyager does provide lunches
C                                         camp even when it’s warm. Campers          administered.
for campers. Please feel free to pack     should wear pants, sweatshirt,
a non-perishable lunch and/snack          boots and a raincoat.                   • Medications need to be brought to
for your camper if your child prefers                                                the camp office by parent/guardian
                                        • In extreme weather conditions,            in the original container. Do not
something else.                            campers may be transported to a           send with your camper.
                                           local venue by bus or Y van.
                                                                                  • Please DO NOT send more than a one
WHAT TO BRING                           • Campers should bring their swim           week supply of medication at a time.
Lunch, water bottle, sunscreen,            suit and towel in case the weather
                                           clears.                                • Parents should pick up leftover
sneakers, sweatshirt or jacket, a
                                                                                     medication at the end of the
towel and swimsuit are needed daily.
                                                                                     session. Any medication left at
See specific camp descriptions for
                                                                                     the end of the summer will be
details on additional items needed.
                                                                                     discarded.
Campers bringing personal sports
equipment do so at their own risk.

                                                                            DOVER YMCA      CAMP VOYAGER 2018         15
Member #__________________________________________________________________________

YMCA OF DELAWARE PROGRAM ENROLLMENT FORM

Child’s Name __________________________________________________________________________________________________ Birth Date _________________ Age: ________________

Parent/Guardian 1 Name __________________________________________________________________________________________________________________________________________

Parent/Guardian 1 Email __________________________________________________________________________________________________________________________________________

Parent/Guardian 2 Name __________________________________________________________________________________________________________________________________________

Parent/Guardian 2 Email __________________________________________________________________________________________________________________________________________
*PLEASE LIST YOUR VALID EMAIL ADDRESS TO RECEIVE A CAMP CONFIRMATION FORM & SPECIAL NOTICES TO CAMP NEWS.

Week #                                       CAMP NAME                                                                                      Deposit
Example for one week                         Traditional                                                                                   $25.00
_________________________________________________________________________________________________________________________________________________________________________________
Week 1: June 11-15
_________________________________________________________________________________________________________________________________________________________________________________
Week 2: June 18-22
_________________________________________________________________________________________________________________________________________________________________________________
Week 3: June 25-29
_________________________________________________________________________________________________________________________________________________________________________________
Week 4: July 2 - 6 (no camp
July 4th)
_________________________________________________________________________________________________________________________________________________________________________________
Week 5: July 9-11
_________________________________________________________________________________________________________________________________________________________________________________
Week 6: July 16- 20
_________________________________________________________________________________________________________________________________________________________________________________
Week 7: July 23 - 27
_________________________________________________________________________________________________________________________________________________________________________________
Week 8: July 30 - Aug. 3
_________________________________________________________________________________________________________________________________________________________________________________
Week 9: August 6 -10
_________________________________________________________________________________________________________________________________________________________________________________
Week 10: August 13-17
_________________________________________________________________________________________________________________________________________________________________________________
Week 11: August 20 -24
_________________________________________________________________________________________________________________________________________________________________________________
											TOTAL:

ALL DEPOSITS ARE NON-REFUNDABLE
Enclosed is my $25 per week deposit for ____________________weeks totaling $______________________________________

CHECK NUMBER _________                c VISA c MASTERCARD                   c AMERICAN EXPRESS                c DISCOVER

CARD NUMBER____________________________________________________________________________________________________

EXPIRATION DATE_____________________ Billing Zip Code ______________

*PRINT NAME AS IT APPEARS ON CARD_______________________________________________________________________________

PARENT/LEGAL GUARDIAN SIGNATURE___________________________________________________________________________________________ DATE _______________
YMCA	
  OF	
  DELAWARE	
  –	
  CAMP	
  ENROLLMENT	
  FORM	
  
                                                                        CAMPER INFORMATION
Email for Camp Information ____________________________________________________________________________________________________________________________________________
Email for Membership ___________________________________________________________________________________________                        Member # ____________________________________
Child’s Full Name_________________________________________________________________Birthdate__________________ Grade Completed _____________ Gender ___________
Child’s preferred nickname______________________________________________ Home phone #_________________________________ School __________________________________
Street_____________________________________________________________________City___________________________________________State__________ Zip_____________________________

                                                                             PARENT/GUARDIAN

Parent/Guardian #1_____________________________________________________________               Birthdate________________________             Authorized to pick up: YES NO
Primary Phone # ________________________________ (circle cell, home, work)                   Alternate Phone # ____________________________ (circle cell, home, work)

Parent/Guardian #2_________________________________________________________________ Birthdate ______________________                        Authorized to pick up: YES NO
Primary Phone # _________________________________ (circle cell, home, work)                   Alternate Phone # ____________________________ (circle cell, home, work)

Is Parent a staff member of the YMCA of Delaware?                       YES            NO
Do the child’s parents live together?              YES      NO
Is there a current custody agreement: YES NO                       If yes, please attach supporting documentation.	
  

                                                                          AUTHORIZED	
  PICKUP	
  LIST	
  
        •   In	
  the	
  event	
  of	
  an	
  emergency,	
  parent/guardian	
  cannot	
  be	
  reached,	
  the	
  following	
  individuals	
  (listed	
  as	
  emergency	
  contact)	
  	
  
            can	
  be	
  reached.	
  
        •   In	
  addition	
  to	
  the	
  Parent/Guardian,	
  all	
  individuals	
  listed	
  below	
  are	
  authorized	
  to	
  pick	
  my	
  child	
  up	
  from	
  camp.	
  
	
  
                               Name	
                                                       Phone	
  #	
                              Relationship	
  to	
  child	
  	
  
                                                                                                                                                                                                 	
  
1	
                                                                                                                        	
  	
                                           Emergency	
  Contact	
  

2	
                                                                         	
  	
                	
                       	
  	
                                           Emergency	
  Contact	
  

3	
                                                                         	
  	
                                         	
  	
  
4	
                                                                         	
  	
                                         	
  	
     	
  
5	
                                                                         	
  	
                                         	
  	
     	
  
6	
                                                                         	
  	
                                         	
  	
     	
  
Are you concerned about a specific individual who may attempt to pick up your child that we should be aware of? 	
  
____________________________________________________________________________________________________________________________________________

I give the YMCA permission to release my child as indicated. I understand any changes to this information must be submitted in
writing to the camp office. In the event there is a question about who my child is to go home with, my child will be kept at camp,
and I will be responsible for picking him/her up at camp.

Signature of PARENT/GUARDIAN ________________________________________________________________________________________
YMCA OF DELAWARE - CAMP HEALTH/CONSENT INFORMATION
                           YMCA OF DELAWARE - CAMP HEALTH/CONSENT INFORMATION
 Child’s Name _____________________________________________________________________________________________________________________________________________________
 Medications (prescription and over the counter) your child currently takes. A medication administration form is required for our
Child’s
 staff toName     _____________________________________________________________________________________________________________________________________________________
            administer    medication while at camp. Please include description of why the medication is needed.
 _______________________________________________________________________________________________________________________________________________________________________
Medications      (prescription and over the counter) your child currently takes. A medication administration form is required for our
 _______________________________________________________________________________________________________________________________________________________________________
staff  to administer medication while at camp. Please include description of why the medication is needed.
_______________________________________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________
 Child’s Physician __________________________________________________________________________________ Phone # __________________________________________________
 Child’s Dentist ______________________________________________________________________________________ Phone # __________________________________________________
Child’s Physician __________________________________________________________________________________ Phone # __________________________________________________
 Insurance Policy #____________________________________________________ Group # _____________________________ Carrier ____________________________________
Child’s Dentist ______________________________________________________________________________________ Phone # __________________________________________________
Insurance Policy #____________________________________________________ Group # _____________________________ Carrier ____________________________________
   DATE OF LAST Tetanus Shot __________________________ MMR ___________________                          Diphtheria __________________
   Please initial indicating that all immunizations, as required by the local school district, are up to date ___________________________
  DATE OF LAST Tetanus Shot __________________________ MMR ___________________                          Diphtheria __________________ (parent initials)
  Please initial indicating that all immunizations, as required by the local school district, are up to date ___________________________
                                                                                                                                         (parent initials)
 GENERAL HEALTH QUESTIONS: (Explain “yes” answers below)
  Had recent injury, illness or                                                                                                                                                                                                                                                   Diabetes                                                                                                                                        Y                 N                                                              Emotional Difficulty
GENERAL          HEALTH QUESTIONS:
 infectious disease          Y N   (Explain “yes”Restrictions
                                          Dietary answers below)                                                                                                                                                                                                                                                                                                                                                                  Y                 N                                                              (sought medical assistance)                   Y                                                                                                                                               N
 Had
  Hadrecent
       Chronicinjury, illness or
                or recurring  illness/condition                                                                                                                                         Y                 N                                                                    Diabetes
                                                                                                                                                                                                                                                                                Seizures                                                                                                                                         YY                NN                                                             Emotional   Difficulty
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Eating Disorder                               Y                                                                                                                                            N
 infectious disease                                                                                                                                                                    Y                 N                                                                     Dietary Restrictions                                                                                                                              YY                NN                                                             (sought medical assistance)                   Y                                                                                                                                            N
  Ever been hospitalized?                                                                                                                                                               Y                 N                                                                     Skin problems?  (rash, itchy)                                                                                                                                                                                                      Mononucleosis                                 Y                                                                                                                                            N
 Had Chronic or recurring illness/condition                                                                                                                                            Y                 N                                                                     Seizures                                                                                                                                          Y                 N                                                              Eating Disorder                               Y                                                                                                                                            N
  Ever had surgery?                                                                                                                                                                     Y                 N                                                                     ADHD                                                                                                                                              Y                 N                                                              Wears Glasses / Vision Issues                 Y                                                                                                                                           N
 Ever been hospitalized?                                                                                                                                                               Y                 N                                                                     Skin problems? (rash, itchy)                                                                                                                      Y                 N                                                              Mononucleosis                                 Y                                                                                                                                            N
  Have frequent headaches/head injury                                                                                                                                                   Y                 N                                                                     Asthma                                                                                                                                            Y                 N                                                              Allergies                                     Y                                                                                                                                           N
 Ever
  Beenhad  surgery?
        knocked   unconscious?                                                                                                                                                         YY                NN                                                                    ADHD
                                                                                                                                                                                                                                                                                Orthopedic Issues                                                                                                                                YY                NN                                                             Wears
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Other Glasses    / Vision Issues
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          _____________________________________ Y                                                                                                                                            N
 Have frequent headaches/head injury                                                                                                                                                    Y N                                                                                    Asthma                                                                                                                                            Y N                                                                              Allergies                                                                                                                                                                 Y N
  Passed out during or after exercise?                                                                                                                                                  Y N                                                                                    Heart Murmur                                                                                                                                       Y N
 Been knocked unconscious?                                                                                                                                                              Y N                                                                                    Orthopedic Issues                                                                                                                                 Y N                                                                              Other _____________________________________
 Passed out during or after exercise?                                                                                                                                                  Y                 N                                                                     Heart Murmur                                                                                                                                        Y                N
CONCERNS AND SPECIAL NEEDS: Please explain any “yes” answers, noting the number of the question. Also, indicate any activities
your camper would not be able to participate in while at camp and/or any other health issues we should be aware of.
CONCERNS           AND SPECIAL NEEDS: Please explain any “yes” answers, noting the number of the question. Also, indicate any activities
_______________________________________________________________________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________________________________________________________________
your  camper would not be able to participate in while at camp and/or any other health issues we should be aware of.
_______________________________________________________________________________________________________________________________________________________________________
 	
  
_______________________________________________________________________________________________________________________________________________________________________
 CAMPER REQUEST: (1 request/child – request must be mutual) Please group my child with:_________________________________________________
	
  
CAMPER REQUEST: (1 request/child – request must be mutual) Please group my child with:_________________________________________________
     Treatment/Emergency	
  Care	
  -­‐	
  I	
  hereby	
  grant	
  permission	
  to	
  the	
  emergency	
  care	
  physician	
  and/or	
  YMCA	
  director	
  to	
  order	
  X-­‐ray,	
  routine	
  tests,	
  treatment;	
  to	
  release	
  any	
  
     records	
  necessary	
  for	
  insurance	
  purposes;	
  and	
  to	
  provide	
  or	
  arrange	
  necessary	
  related	
  transportation	
  for	
  my	
  child.	
  	
  In	
  the	
  event	
  I	
  cannot	
  be	
  reached	
  in	
  an	
  emergency,	
  I	
  
     hereby	
  give	
  permission	
  Ctare	
  
 Treatment/Emergency	
                           o	
  the	
  
                                                        -­‐	
  I	
  phhysician	
   selected	
  
                                                                      ereby	
  grant	
          by	
  the	
  tYo	
  MCA	
  
                                                                                         permission	
                the	
  esmergency	
  
                                                                                                                              upervisor	
  tco	
                                        are	
    secure	
          physician	
                       and	
  aadminister	
                         nd/or	
  YMCA	
                                                    treatment,	
              director	
  including	
                                      to	
  order	
  Xh-­‐ray,	
                                       ospitalization,	
            for	
  tthe	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           routine	
  tests,	
            person	
  ntamed	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    reatment;	
                                                     o	
  release	
                            above.	
                   any	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
     Signature__________________________________________________________________	
  
 records	
      necessary	
  for	
  insurance	
  purposes;	
  and	
  to	
  provide	
  or	
  arrange	
  necessary	
  related	
  transportation	
  for	
  my	
  child.	
  	
  	
  	
  I	
  n	
                                                                                                                                                                                                                                                                                                   	
  	
  t	
  	
  he	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Date_________________________
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             event	
  I	
  cannot	
  be	
  reached	
  in	
  an	
  emergency,	
                                                                                                                        	
   I	
  
 hereby	
  give	
  permission	
  to	
  the	
  physician	
  selected	
  by	
  the	
  YMCA	
  supervisor	
  to	
  secure	
  and	
  administer	
  treatment,	
  including	
  hospitalization,	
  for	
  the	
  person	
  named	
  above.	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
 Signature__________________________________________________________________	
  
     Field	
  Trip/Transportation	
  -­‐	
  The	
  Y	
  has	
  permission	
  to	
  take	
  my	
  child	
  on	
  all	
  pre-­‐arranged	
  field	
  trips	
  indicated	
  as	
  part	
  o	
  	
  f	
  	
  	
  t	
  he	
                                                                                                                                                                                                                                                                              	
  	
  DYate_________________________
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       	
  program	
  my	
  child	
  is	
  registered	
  for.	
  	
  This	
   	
  
     includes	
  off	
  site	
  outings	
  due	
  to	
  extreme	
  weather	
  conditions	
  as	
  part	
  of	
  summer	
  programs.	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
     	
  Signature__________________________________________________________________	
  
 Field	
     Trip/Transportation	
  -­‐	
  The	
  Y	
  has	
  permission	
  to	
  take	
  my	
  child	
  on	
  all	
  pre-­‐arranged	
  field	
  trips	
  indicated	
  as	
  part	
  of	
  	
  t	
  he	
                                                                                                                                                                                                                                                                                      	
  	
  	
  	
  Y	
  D
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   	
  pate_________________________
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               rogram	
  my	
  child	
  is	
  registered	
  for.	
  	
  This	
   	
  
 includes	
  off	
  site	
  outings	
  due	
  to	
  extreme	
  weather	
  conditions	
  as	
  part	
  of	
  summer	
  programs.	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
 	
  S   ignature__________________________________________________________________	
  
     Photo/Video	
        Release	
  -­‐	
  I	
  grant	
  permission	
  for	
  my	
  child	
  to	
  be	
  photographed	
  and/or	
  interviewed	
  for	
  promotional	
  purposes.	
                                                                                                                                                                                                                                                                                            	
  	
  	
  	
  	
  	
  	
  Date_________________________
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               	
  I	
  also	
  grant	
  permission	
  for	
  my	
  child	
  to	
  view	
                                                                                                            	
  
     age	
  appropriate	
  movies	
  as	
  part	
  of	
  the	
  Y	
  camp	
  program	
  activity.	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
     Signature__________________________________________________________________	
  
 Photo/Video	
           Release	
  -­‐	
  I	
  grant	
  permission	
  for	
  my	
  child	
  to	
  be	
  photographed	
  and/or	
  interviewed	
  for	
  promotional	
  purposes.	
                                                                                                                                                                                                                                                                                               	
  	
  	
  	
  	
  	
  	
  Date_________________________
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           	
  I	
  also	
  grant	
  permission	
  for	
  my	
  child	
  to	
  view	
                                                                                                                 	
  
 age	
  appropriate	
  movies	
  as	
  part	
  of	
  the	
  Y	
  camp	
  program	
  activity.	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
 Signature__________________________________________________________________	
  
     Sunscreen	
  Release	
  -­‐	
  I	
  grant	
  permission	
  to	
  the	
  Y	
  to	
  apply	
  sunscreen	
  provided	
  by	
  me	
  or	
  from	
  the	
  sunscreen	
  machine	
                                                                                                                                                                                                                                                                                           	
  	
  	
  	
  d	
  uring	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   	
  	
  Date_________________________
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   summer	
  programs.	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
    Signature__________________________________________________________________	
  	
  	
  	
  	
  	
  	
  	
  Date_________________________	
  
 Sunscreen	
  Release	
  -­‐	
  I	
  grant	
  permission	
  to	
  the	
  Y	
  to	
  apply	
  sunscreen	
  provided	
  by	
  me	
  or	
  from	
  the	
  sunscreen	
  machine	
  during	
  summer	
  programs.	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
 Signature__________________________________________________________________	
                                                                                                	
  	
  	
  	
  	
  	
  	
  Dincident	
  
  Informed	
  Consent	
  -­‐	
  I	
  understand	
  that	
  the	
  YMCA	
  activities	
  have	
  inherent	
  risks	
  and	
  I	
  hereby	
  assume	
  all	
  risks	
  and	
  hazards	
                       ate_________________________	
  
                                                                                                                                                                                                                        to	
  my	
  family's	
  participation	
  in	
  YMCA	
  
  activities.	
  	
  I	
  further	
  waive,	
  release,	
  absolve,	
  indemnify	
  and	
  agree	
  to	
  hold	
  harmless	
  the	
  YMCA,	
  the	
  organizers,	
  volunteers,	
  supervisors,	
  officers,	
  directors,	
  participants,	
  
  coaches,	
  rCeferees,	
  
 Informed	
            onsent	
  -­‐a	
  Is	
   	
  uwnderstand	
  
                                                           ell	
  as	
  persons	
  
                                                                                 that	
  othe	
  
                                                                                              r	
  parents	
  
                                                                                                    YMCA	
  atransporting	
            participants	
  
                                                                                                                       ctivities	
  have	
   inherent	
  risks	
      to	
  aand	
  
                                                                                                                                                                                   nd	
  fIrom	
    activities	
  
                                                                                                                                                                                            	
  hereby	
           from	
  
                                                                                                                                                                                                           assume	
      all	
  arisks	
  
                                                                                                                                                                                                                                  ny	
  calaims	
   or	
  injury	
  
                                                                                                                                                                                                                                            nd	
  hazards	
                                sustained	
  
                                                                                                                                                                                                                                                                                       incident	
       to	
  mdy	
       uring	
    family's	
                       my	
  upse	
                        articipation	
    of	
  YMCA	
  pin	
                                                               roperty.	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         YMCA	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
  Signature__________________________________________________________________	
  
 activities.	
   	
  I	
  further	
  waive,	
  release,	
  absolve,	
  indemnify	
  and	
  agree	
  to	
  hold	
  harmless	
  the	
  YMCA,	
  the	
  organizers,	
  volunteers,	
                                                                           	
  	
  	
  	
  	
  	
  	
  Dsupervisors,	
  
                                                                                                                                                                                                                                                                                           ate_________________________   officers,	
  directors,	
  participants,	
  	
  
 coaches,	
  referees,	
  as	
  well	
  as	
  persons	
  or	
  parents	
  transporting	
  participants	
  to	
  and	
  from	
  activities	
  from	
  any	
  claims	
  or	
  injury	
  sustained	
  during	
  my	
  use	
  of	
  YMCA	
  property.	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
 Signature__________________________________________________________________	
  
  Behavioral	
  Policy	
  -­‐	
  I	
  certify	
  that	
  my	
  child	
  is	
  in	
  good	
  health	
  and	
  is	
  amiable	
  to	
  normal	
  discipline	
  necessary	
  for	
  the	
  success	
                                                        	
  	
  	
  	
  	
  	
  	
  Doate_________________________
                                                                                                                                                                                                                                                                                           f	
  the	
  group	
  experience.	
  	
  I	
  have	
  reviewed	
  and	
                                                                                                                                                                                            	
  
  discussed	
  with	
  my	
  camper	
  the	
  YMCA	
  character	
  values	
  of	
  caring,	
  honesty,	
  respect,	
  and	
  responsibility.	
  	
  We	
  agree	
  to	
  honor	
  the	
  behavior	
  policies	
  of	
  the	
  YMCA	
  day	
  camps	
  
  and	
  understand	
  
 Behavioral	
           Policy	
  that	
             it	
  is	
  at	
  that	
  
                                    -­‐	
  I	
  certify	
               the	
  mdiscretion	
  
                                                                                  y	
  child	
  is	
  oin	
  
                                                                                                        f	
  tghe	
  
                                                                                                               ood	
  camp	
   director	
  
                                                                                                                        health	
    and	
  is	
  tao	
  miable	
  
                                                                                                                                                        suspend	
   to	
  onr	
  ormal	
  
                                                                                                                                                                                  dismiss	
        campers	
  
                                                                                                                                                                                                discipline	
     from	
  the	
  fpor	
  
                                                                                                                                                                                                               necessary	
               rogram	
       due	
  to	
  
                                                                                                                                                                                                                                           the	
  success	
                               inappropriate	
  
                                                                                                                                                                                                                                                                                       of	
   the	
  group	
  experience.	
             behavior.	
  	
  	
  I	
  	
  h	
  	
  ave	
                                                 	
  	
  	
  	
  	
  	
  	
  r	
  	
  eviewed	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  a	
  	
  nd	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
  Signature__________________________________________________________________	
  
 discussed	
      with	
  my	
  camper	
  the	
  YMCA	
  character	
  values	
  of	
  caring,	
  honesty,	
  respect,	
  and	
  responsibility.	
  	
  We	
  agree	
  to	
  h	
  	
  onor	
                                                                         	
  	
  	
  	
  	
  Dtate_________________________
                                                                                                                                                                                                                                                                                            he	
  behavior	
  policies	
  of	
  the	
  YMCA	
  day	
  camps	
                                                                                                                                                                                                     	
  
 and	
  understand	
  that	
  it	
  is	
  at	
  the	
  discretion	
  of	
  the	
  camp	
  director	
  to	
  suspend	
  or	
  dismiss	
  campers	
  from	
  the	
  program	
  due	
  to	
  inappropriate	
  behavior.	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
 Signature__________________________________________________________________	
  
  Billing/Payment	
  Understanding	
  -­‐	
  I	
  understand	
  that	
  the	
  deposits	
  are	
  non-­‐refundable	
  and	
  will	
  hold	
  my	
  child's	
  spot	
  	
  u	
  	
  ntil	
                                                                           	
  	
  	
  	
  Dthe	
  
                                                                                                                                                                                                                                                                                          ate_________________________
                                                                                                                                                                                                                                                                                                 balance	
  is	
  due.	
  	
  Registration	
  is	
  not	
                                                                                                                                                                                                    	
  
  guaranteed	
  until	
  the	
  balance	
  is	
  paid	
  two	
  weeks	
  prior	
  to	
  the	
  first	
  day	
  of	
  the	
  session.	
  	
  Failure	
  to	
  pay	
  the	
  balance,	
  when	
  due,	
  could	
  result	
  in	
  cancellation	
  of	
  my	
  
  registration.	
  	
  I	
  also	
  
 Billing/Payment	
                           understand	
  i-­‐f	
  	
  I	
  udnderstand	
  
                                  Understanding	
                                       o	
  not	
  give	
  pthat	
  
                                                                                                                 roper	
    notification	
  
                                                                                                                         the	
   deposits	
  are	
      of	
  ncon-­‐refundable	
  
                                                                                                                                                                ancellation,	
  all	
  amnd	
       oney	
  
                                                                                                                                                                                                      will	
  phaid	
  
                                                                                                                                                                                                                old	
  wmill	
  
                                                                                                                                                                                                                           y	
  ncot	
   be	
  rsefunded	
  
                                                                                                                                                                                                                                  hild's	
       pot	
  until	
  ftor	
                  he	
  tb
                                                                                                                                                                                                                                                                                                he	
   week.	
  
                                                                                                                                                                                                                                                                                                  alance	
    is	
  	
  	
  d	
  	
  ue.	
  
                                                                                                                                                                                                                                                                                                                                     	
  	
  	
  	
  	
  	
  	
  	
  R	
  	
  egistration	
  
                                                                                                                                                                                                                                                                                                                                                                              	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  i	
  s	
  	
  	
  n	
  	
  	
  ot	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
  Signature__________________________________________________________________	
  
 guaranteed	
             until	
  the	
  balance	
  is	
  paid	
  two	
  weeks	
  prior	
  to	
  the	
  first	
  day	
  of	
  the	
  session.	
  	
  Failure	
  to	
  pay	
  the	
  balance,	
  when	
                                                     	
  	
  	
  	
  	
  d	
  	
  ue,	
  
                                                                                                                                                                                                                                                                                         Date_________________________
                                                                                                                                                                                                                                                                                                 could	
  result	
  in	
  cancellation	
  of	
  my	
                                                                                                                                                                                                              	
  
 registration.	
  	
  I	
  also	
  understand	
  if	
  I	
  do	
  not	
  give	
  proper	
  notification	
  of	
  cancellation,	
  all	
  money	
  paid	
  will	
  not	
  be	
  refunded	
  for	
  the	
  week.	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
 Signature__________________________________________________________________	
  	
  	
  	
  	
  	
  	
  	
  Date_________________________	
  
YMCA	
  OF	
  DELAWARE	
  
                                                               PURCHASE	
  OF	
  CARE	
  PARENT	
  CONTRACT
CHILD’S	
  INFORMATION	
  
Legal	
  First	
  Name	
                                    	
  MI	
                                              	
  Legal	
  Last	
  Name	
  

POC	
  SITE	
  NAME	
  	
  	
  	
  	
  	
  	
  	
        	
  	
  	
  POC	
  SITE	
  NUMBER	
                                    	
  CHILD’s	
  MCI	
  #	
  
YMCA	
  Camp	
  VOYAGER	
                               	
  	
  1890772200	
  

Your	
  authorization	
  is	
  only	
  good	
  for	
  the	
  location	
  listed	
  on	
  the	
  authorization.	
  Switching	
  to	
  another	
  YMCA	
  location	
  will	
  require	
  you	
  to	
  
call	
  your	
  case	
  worker	
  to	
  obtain	
  a	
  new	
  authorization.	
  This	
  contract	
  is	
  specific	
  to	
  families	
  who	
  have	
  current	
  POC	
  authorizations	
  on	
  
file	
  for	
  the	
  site	
  their	
  child	
  attends	
  and	
  overrides	
  any	
  branch	
  specific	
  registration,	
  payment	
  or	
  cancellation	
  polices	
  that	
  may	
  conflict	
  
with	
  these.	
  This	
  contract	
  will	
  be	
  followed	
  for	
  all	
  periods	
  that	
  you	
  maintain	
  an	
  active	
  POC	
  authorization	
  for	
  the	
  site	
  your	
  child	
  
attends.	
  If	
  your	
  POC	
  authorization	
  lapses	
  at	
  any	
  time	
  during	
  your	
  child’s	
  attendance	
  in	
  the	
  program,	
  the	
  polices	
  listed	
  in the	
  
enrollment	
  packet/application	
  will	
  be	
  in	
  effect	
  for	
  any	
  period	
  of	
  time	
  that	
  your	
  child	
  is	
  not	
  covered	
  by	
  POC.	
  	
  

          •          POC	
  participants	
  receive	
  100%	
  financial	
  assistance	
  for	
  a	
  YMCA	
  Program	
  Membership.
          •          POC	
  participants	
  receive	
  100%	
  YMCA	
  financial	
  assistance	
  for	
  all	
  program	
  registration	
  fees.
          •          A	
  POC	
  authorization	
  for	
  your	
  child’s	
  program	
  site	
  must	
  be	
  received	
  at	
  the	
  time	
  of	
  registration	
  and	
  prior	
  to	
  the	
  start	
  of	
  
                     care.
          •          Children	
  utilizing	
  POC	
  are	
  permitted	
  to	
  miss	
  5	
  days	
  of	
  care	
  per	
  month	
  (approximately	
  1	
  week).	
  Children	
  who	
  miss	
  more
                     than	
  5	
  registered	
  days	
  may	
  be	
  dismissed	
  from	
  the	
  program.	
  
          •          POC	
  participants	
  are	
  required	
  to	
  give	
  5	
  days’	
  written	
  notice	
  to	
  with	
  draw	
  from	
  the	
  program.	
  If	
  such	
  notice	
  is	
  not	
  given,	
  
                     you are	
  responsible	
  for	
  payment	
  for	
  the	
  enrolled	
  weeks.	
  Special	
  exceptions	
  must	
  be	
  discussed	
  with	
  the	
  Associate	
  
                     Executive Director.
          •          POC	
  participants	
  may	
  ree enroll	
  in	
  the	
  program	
  at	
  any	
  time	
  as	
  long	
  as	
  space	
  is	
  available	
  and	
  there	
  is	
  no	
  balance	
  due	
  on	
  
                     the account.
          •          POC	
  participants	
  are	
  not	
  charged	
  late	
  payment	
  fees.	
  Failure	
  to	
  pay	
  your	
  balance	
  in	
  a	
  timely	
  manner	
  may	
  result	
  in
                     termination	
  of	
  your	
  child’s	
  care.
          •          A	
  $25	
  NSF	
  fee	
  will	
  be	
  added	
  for	
  each	
  returned	
  check.	
  After	
  2	
  returned	
  checks,	
  no	
  further	
  checks	
  will	
  be	
  accepted.
          •          A	
  $25	
  NSF	
  fee	
  will	
  be	
  added	
  if	
  an	
  EFT payment	
  is	
  returned.
          •          The	
  YMCA	
  may	
  charge	
  an	
  additional	
  fee	
  for	
  field	
  trips.	
  Information	
  on	
  the	
  cost	
  of	
  these	
  field	
  trips	
  is	
  listed	
  on	
  the	
  program
                     registration	
  form.	
  Field	
  trips	
  fees,	
  when	
  charged,	
  are	
  addition	
  to	
  any	
  POC	
  Parent	
  Fee	
  amount	
  you	
  are	
  required	
  to	
  pay.
          •          Full	
  day	
  parent	
  fees	
  are	
  charged	
  (when	
  allowed	
  on	
  your	
  authorization)	
  for	
  any	
  day	
  your	
  child	
  is	
  in	
  care	
  for	
  more	
  than	
  12
                     hours.	
  This	
  includes	
  early	
  dismissal	
  days,	
  Ine service	
  days,	
  holidays,	
  and	
  inclement	
  weather	
  days	
  if	
  your	
  child	
  attends	
  care.
          •          A	
  late	
  pick	
  up	
  fee	
  of	
  $15	
  will	
  be	
  charged	
  for	
  each	
  child	
  picked	
  up	
  after	
  the	
  program	
  closes.	
  An	
  additional	
  $15	
  fee	
  is	
  
                     charged for	
  each	
  $15	
  minute	
  interval,	
  or	
  part	
  thereof,	
  as	
  we	
  do	
  not	
  prorate	
  this	
  fee	
  by	
  the	
  minute.	
  Parent/Guardians	
  that	
  
                     arrive late	
  will	
  be	
  asked	
  to	
  sign	
  a	
  late	
  pick	
  up	
  form	
  and	
  it	
  is	
  the	
  responsibility	
  of	
  the	
  parent	
  to	
  submit	
  the	
  late	
  pick	
  up	
  fee	
  
                     to	
  the YMCA	
  within	
  3	
  business	
  days	
  of	
  the	
  incident.	
  For	
  children	
  utilizing	
  POC,	
  late	
  pick	
  up	
  charge	
  do	
  not	
  begin	
  to	
  accrue	
  
                     until	
  the point	
  in	
  time	
  that	
  the	
  state	
  no	
  longer	
  covers	
  care (4	
  hours	
  in	
  care	
  for	
  half	
  day	
  without	
  extended	
  care	
  or	
  10	
  hours	
  
                     in	
  care for	
  half	
  day	
  with	
  extended	
  care	
  or	
  full	
  day).	
  However	
  children	
  in	
  care	
  for	
  more	
  than	
  4 hours	
  will	
  be	
  charged	
  the	
  full	
  
                     day parent	
  fee.	
  Repeated	
  late	
  pick-ups	
  may	
  result	
  in	
  your	
  child’s	
  dismissal	
  from	
  the	
  program.
          •          The	
  YMCA	
  reports	
  all	
  past	
  due	
  balances	
  to	
  Purchase	
  of	
  Care.	
  Please	
  be	
  sure	
  your	
  account	
  is	
  paid	
  before	
  seeking	
  other care.	
  

I	
  have	
  read	
  and	
  understand	
  the	
  procedure	
  listed	
  above	
  I	
  understand	
  that	
  I	
  am	
  responsible	
  for	
  ensuring	
  my	
  child’s	
  Paperwork,	
  
POC	
  authorization	
  (If	
  applicable),	
  and	
  payments	
  remain	
  current	
  to	
  maintain	
  my	
  child’s	
  enrollment	
  in	
  the	
  	
  
YMCA	
  programs.	
  

Parent	
  Signature	
  
YMCA OF DELAWARE LOCATIONS
BEAR-GLASGOW                DOVER YMCA                  MIDDLETOWN FAMILY           CAMP TOCKWOGH
FAMILY YMCA                 1137 South State Street     YMCA                        24370 Still Pond Neck Road
351 George Williams Way     Dover, DE 19901             404 N. Cass Street          Worton, MD 21678
Newark, DE 19702            (302) 346-9622              Middletown, DE 19709        (800) 331-CAMP
(302) 836-9622                                          (302) 616-9622
                            SUSSEX FAMILY YMCA                                      ASSOCIATION OFFICE
BRANDYWINE YMCA             20080 Church Street         WALNUT ST. YMCA              100 West 10th Street
3 Mt. Lebanon Road          Rehoboth Beach, DE 19971    1000 N. Walnut Street        Suite 1100
Wilmington, DE 19803        (302) 296-9622              Wilmington, DE 19801         Wilmington, DE 19801
(302) 478-YMCA                                          (302) 472-YMCA               (302) 221-YMCA
                            WESTERN FAMILY YMCA
CENTRAL YMCA                2600 Kirkwood Highway
501 West Eleventh Street    Newark, DE 19711
Wilmington, DE 19801        (302) 709-9622
(302) 254-9622

OUR MISSION
The YMCA is an association of people of all ages, ethnic groups and religious affiliations that strives to
cultivate the human potential, self-esteem, and dignity of all people. Our organization exists to develop
and practice the Christian principles of love, caring, inclusiveness, justice and peace… and to enrich the
emotional, physical and social life of all individuals, families and our community.

CONNECT WITH US!                                                  WWW.YMCADE.ORG
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