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Registration Form Camper Name Date of Birth _________________________________________________________________ Address______________________________________________________ City_________________ State__________ Zip_____________________ Parent(s) Name______________________________________________ Email__________________________________________________________ Phone #_______________________________________________________ Please check the session(s) your camper will be attending Session Dates Please include a $20 deposit per session with registration (The balance is due each Monday morning of the session attending) Total enclosed $________________________ Check #________________ Master Card DSC Visa AMEX Exp Date_______________ Credit Card #_______________________________3 digit_______________ ___________________________________________________________ Signature Date Week 0 June 6-10 Week 1 June 13-17 Week 2 June 20-24 Week 3 June 27July 1 Week 4 July 4-8 Week 5 July 11-15 Week 6 July 18-22 Week 7 July 25-29 Week 8 August 1-5 Week 9 August 8-12 Week 10 August 15-19 Week 11 August 22-26 I give permission for my child to participate in all camp activities. In the event I cannot be reached in an emergen- cy, I hereby give permission to the physician selected by the camp director to hospitalize, secure proper treatment for and to order injection, anesthesia, or surgery for my child named above. The Y Camp has my permission to use photography, which may include my children to help pro- mote the camp through advertising marketing, campaigning or any promotional collateral, print or web based. VISIT US ATwww.Y-Camp.org www.facebook.com/DesMoinesYCamp www.youtube.com/dmycamp Des Moines YMCA Camp 1192 166th Drive Boone, Iowa 50036 Change Service Requested Nonprofit Organization U.S, Postage PAID Boone, IA Permit #2 For Youth Development For Healthy Living For Social Responsibility Des Moines Y Camp Summer Day Camp 2016 For campers in the Boone and Ames Area Y-CAMP.ORG 515-432-7558 “This is not an Ames Community School District publication, nor is it in any way endorsed or sponsored by the District. This publication is being provided only to inform you of other com- munity activities and opportunities.”

For campers in the Boone and Ames Areacdn.ames.k12.ia.us/wp-content/uploads/2016/02/Day-Camp-2016-Ames...Boone and Ames Area Y-CAMP.ORG 515-432-7558 “This is not an Ames Community

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Page 1: For campers in the Boone and Ames Areacdn.ames.k12.ia.us/wp-content/uploads/2016/02/Day-Camp-2016-Ames...Boone and Ames Area Y-CAMP.ORG 515-432-7558 “This is not an Ames Community

Registration Form

Camper Name Date of Birth

_________________________________________________________________

Address______________________________________________________

City_________________ State__________ Zip_____________________

Parent(s) Name______________________________________________

Email__________________________________________________________

Phone #_______________________________________________________

Please check the session(s) your camper will be attending

Session Dates

Please include a $20 deposit per session with registration (The balance is due each Monday morning of the session attending)

Total enclosed $________________________ Check #________________

Master Card DSC Visa AMEX Exp Date_______________

Credit Card #_______________________________3 digit_______________

___________________________________________________________

Signature Date

Week 0 June 6-10

Week 1 June 13-17

Week 2 June 20-24

Week 3 June 27– July 1

Week 4 July 4-8

Week 5 July 11-15

Week 6 July 18-22

Week 7 July 25-29

Week 8 August 1-5

Week 9 August 8-12

Week 10 August 15-19

Week 11 August 22-26

I give permission for my child to participate in all camp activities. In the event I cannot be reached in an emergen-cy, I hereby give permission to the physician selected by the camp director to hospitalize, secure proper treatment for and to order injection, anesthesia, or surgery for my child named above. The Y Camp has my permission to use photography, which may include my children to help pro-mote the camp through advertising marketing, campaigning or any promotional collateral, print or web based.

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For Youth Development

For Healthy Living

For Social Responsibility

Des Moines Y Camp

Summer Day Camp 2016

For campers in the

Boone and Ames Area

Y-CAMP.ORG

515-432-7558 “This is not an Ames Community School District publication, nor is it in any way endorsed or sponsored by the District. This publication is being provided only to inform you of other com-

munity activities and opportunities.”

Page 2: For campers in the Boone and Ames Areacdn.ames.k12.ia.us/wp-content/uploads/2016/02/Day-Camp-2016-Ames...Boone and Ames Area Y-CAMP.ORG 515-432-7558 “This is not an Ames Community

DEAR PARENTS Imagine a place where your child spends their summer vacation learning about the natural world around them, developing valuable social skills, building new friend-ships, and being cared for by genuine and loving staff whose mission is to help your child have phenomenal experience. Well look no further, because that is what our summer day camp is all about! Y Camp is a safe and nurturing environment. We believe in fostering character values while providing fun and exciting experiences.

OUR AMAZING STAFF

Every child needs a great role model, and at Y Camp our campers get just that! Our leaders are there to provide your child with a safe, nurturing, and exciting environment. Our staff are carefully selected and screened (including background checks) before ever being hired. They partici-pate in a two week training so that they are ready to give your camper the best experience possible and be the role model every child deserves.

SWIM LESSONS

Y Camp is proud to offer YMCA Swim Lessons for your child every day. We have trained lifeguards and qualified swim instructors to help your child achieve their swim goals for the summer. Campers of all levels and abilities can benefit from swim lessons and enjoy spending time in our pool.

PICK UP AND DROP OFF

Campers can be picked up and dropped off in one of three locations every day: in Boone at Herman Park, in Ames at Lloyd Kurtz Park, or at Y Camp in the office. Herman Park South Green Street (Boone) Drop Off-7:30-8:15 Pick Up 4:15-5:30 Lloyd Kurtz Park Off of Bloomington Rd (Ames) Drop Off 7:30-8:00 Pick Up 4:45-5:30 Y Camp 1192 166th Dr (Office) Drop Off 8:30-9:00 Pick Up 4:00-5:30

CREATING FRIENDSHIPS THAT LAST A LIFETIME

TRADITIONAL SESSION CAMPS

Our traditional session day camp is a great way for kids to experience all of the great programs Y Camp has to offer. Day Campers will learn to swim, try new activities (archery, horseback riding, arts and crafts, rock climbing, and more), gain self confidence, and meet great new friends.

Weeks 0 - 11 AGES 6-13 $155 member/$175 program participant

NEW FOR SUMMER 2016! SECOND CHILD SAME WEEK DISCOUNT

Sign up more than one sibling for the same week and receive $25 off the registration price.

SPECIALTY CAMPS Specialty camps offer a unique experience to focus on a certain activity at camp. Campers spend their mornings in specialty areas, while the afternoons are dedicated to traditional day camp programs. Swim lessons are not available for those in specialty camp sessions.

RANCH CAMP $265 Member/$305 Program Participant Ages 9-13 Weeks 3 June 27th-July 1st

ART-RAGEOUS $175 Member/$195 Program Participant Ages 9-13 Week 5 July 11th-15th

TOP CHEF $175 Member/$195 Program Participant Ages 9-11 Week 6 July 18th-22nd

GONE FISH-IN $175 Member/$195 Program Participant Ages 9-13 Week 9 August 8th-12th

NATURE CAMP $175 Member/$195 Program Participant Ages 9-13 Week 2 June 20th-24th

ROCK AND ROPE $175 Member/$195 Program Paticpant Ages 11-13 Week 7 July 25th-29th

CHARACTER VALUE GUARANTEE

Y Camp programs are centered around our character val-ues of caring, honesty, respect, and responsibility. If your camper walks away from the summer without a better un-derstanding of these values we will refund your camp fee.