JOIN US FOR SUMMER CAMP 2016

FOR YOUTH DEVELOPMENTFOR HEALTHY LIVING FOR SOCIAL RESPONSIBILITY

JOIN US FOR AN AWESOME SUMMER!

Three separate camp locations:

Traditional & Specialty Camps for Grades Pre-school to 12th

Summer Camp Registration Dates: Member: February 8, 2016 / Non-Member: March 7, 2016

No camp July 4 (pro-rated)

Newport County YMCA792 Valley Road, Middletown, RI

Camp Sandywoods43 Muse Way, Tiverton, RI

A unique partnership between Newport County YMCA and Sandywoods

Camp Fort AdamsFort Adams State Park, Newport, RI

A unique partnership between Newport County YMCA and Fort Adams

NEWPORT COUNTYYMCA

NEW FOR

2016

WELCOMEDear Families,

The Y would like to take this time to welcome back the families that continue to support the Y, and greet the families that are considering our camp for the first time.

Our goal at the Y is to provide each and every child a summer camp experience full of lasting memories, friendship, excitement, and opportunity for growth. No matter what your child enjoys, whether its fun activities, games, or sports, chances are we have the right program for them. With the help of our well trained staff, your child will spend their summer days developing skills and boosting their self-esteem through a variety of safe, structured activities.

If you have any questions please contact us and we will be happy to assist your family in choosing the right camp. (401)847-9200.

Get ready-2016 will be our best summer yet!

See you this summer!

The Y Camp Staff

OUR TEAMThe Newport County YMCA prides itself on a camp staff team that models our core values of caring, honesty, respect and responsibility. Our team of full-time directors has collectively over 100 years of camping experience to lead our camp staff.

Counselors are carefully screened and selected based on experience working with children, maturity, sound judgment and sensitivity.

Safety is our top priority. Every member of our team is certified and trained in CPR, First Aid, OSHA regulations and Child Abuse Prevention.

Find us on facebook!https://www.facebook.com/pages/Newport-County-YMCA/

or visit us at:www.newportymca.org

Our Camp Philosophy supports participation in a wide range of positive recreational activities. Through these activities children will have the opportunity to develop new skills and talents, make new friends, explore new interests and create new experiences in a safe and fun environment.

to our camps at the Newport County YMCA, Ft. Adams and Camp Sandywoods in Tiverton, RI

CAMP REGISTRATION Space is limited! Register EarlyNewport County YMCA 792 Valley Road, Middletown, RI Registration Dates – Member: February 8, 2016; Non-Member: March 7, 2016

Camp Sandywoods 43 Muse Way, Tiverton, RI – A unique partnership between Newport County YMCA and Sandywoods Registration Dates – Member/Sandywoods Residents: February 8, 2016; Non-Member/Non-Resident: March 7, 2016

Register by mail, fax, or in person at the registration desk. Be advised, when faxing or mailing registration paperwork, you will be required to stop at the desk for any additional paperwork and to pick up your camper’s YMCA T-shirt. Contact our registration desk if your registration is faxed or mailed to ensure your paperwork has been received and space is available. Include the entire registration form and all required payments. All registrations are subject to available space at the time of receipt. Each camper will be assessed a Camp Improvement Fee.

A copy of your child’s physical and immunization records are required by June 1st.Registration Desk Hours: Mon. – Fri. 8:00 a.m. – 7:00 p.m./Sat. 9:00 a.m. – noon Tel: 401.847.9200, Fax: 401.848.7521, www.newportymca.org

CAMP PAYMENT PLANSYou may pay by check, money order, debit/credit card or cash upon registering your child for camp. Checks/money orders are made payable to the Newport County YMCA. All cash payments must be made in person at the YMCA. When registering for camp, you may pay in full or choose one of our two Easy Pay option plans below. If you are not paying in full at the time of registration, a $25.00 non-refundable deposit is due upon registration for each camp session/each child. This deposit will be applied to your balance and must accompany each registration form.

GENERAL PAYMENT OPTION You may pay in full upon registration or camp balance must be paid two (2) weeks before the camp week start date. Lack of payment may result in loss of reserved space.

DRAFT PAYMENT OPTION At the time of registration the remaining balance will be divided into equal monthly payments. The authorized payments will be automatically drafted from your credit card on the first of the month until August 1st.

FEES Returned checks/debit payments will incur a $25.00 fee each time. This fee does not include any fees your bank may charge.

A $10.00 late charge will be applied to payments received after due date(s). Lack of payment (or late payment) may result in loss of reserved space.

FINANCIAL & SCHOLARSHIP ASSISTANCE No one will be denied the opportunity to participate in YMCA activities due to an inability to pay program or membership fees. Confidential scholarship assistance is available.

Stop by the registration desk or visit our website to obtain a camp financial assistance application packet.

The RI Childcare Assistance Program and Newport County YMCA Camp scholarships will be available for the following camps: Discovery, R.A.V.E., Sports, Gymnastics, Rock Climbing, EPIC, Aquatic and Camp “WE CAN!”. Scholarships will start on the date of the award letter. Scholarships will not be retroactive.

RICCAP: Only approved enrollees will be eligible to register for camps with their award letter at the approved cost. Campers whose authorization is pending shall incur the full cost of camp.

CAMP IMPROVEMENT FEE An annual $10.00 camp improvement fee (CIF) will be charged to each camper at the time of registration. 100% of this fee goes towards camp improvements.

ACA ACCREDITATION The Newport County YMCA is proud to have received the ACA Accreditation. ACA-Accredited® camps meet up to 300 standards for health, safety and program quality. Visit the ACA website: www.acacamps.org for more information.

Half Day Discovery $ 100 $ 120Discovery $ 180 $ 210Sports (Rising Stars & MVPs) $ 165 $ 195Lacrosse (Full Day) $ 240 $ 270Lacrosse (Half Day) $ 200 $ 230R.A.V.E. $ 165 $ 195Gymnastics $ 165 $ 195Gymnastics Team $ 180 $ 210E.P.I.C. $ 165 $ 195Rock Climbing $ 165 $ 195Water Sports I & II $ 180 $ 210Save the Bay $ 200 $ 230Surfing $ 180 $ 210Swim Team $ 180 $ 210Martial Arts $ 200 $ 230The Adams Experience $ 200 $ 230“WE CAN!” (Full Day) $ 180 $ 210“WE CAN!” (Half Day) $ 100 $ 120AM Care (7:00-8:30) $ 15 $ 25PM Care (4:30-5:30) $ 15 $ 25AM & PM Care $ 20 $ 30

CAMP SANDYWOODS:Camp $ 120 $ 140AM Care (8:00-9:00) $ 15 $ 20PM Care (4:00-5:30) $ 15 $ 20AM & PM Care $ 20 $ 30

C.I.T. $ 50 $ 60

Happy Tails with the Potter Leagueregister online at www.potterleague.org

WEEKLY CAMP FEES MEMBER NON-MEMBER

REFUND & CANCELLATION POLICY Refunds and cancellations will be done according to the following schedule minus the $25.00 non-refundable deposit(s):

14-days prior to the first day of the camp - Full refund 7-days prior to the first day of the camp - 50% refund 6-days or less prior to the first day of the camp - 0% refund

Participants who feel they may be eligible for a full/partial credit or refund due to a family or medical emergency can submit a request in writing to be reviewed.

WHAT TO BRING TO CAMP DAILYCampers should bring a backpack with a healthy lunch, 2 drinks, 2 healthy snacks, sunscreen, bathing suit, towel and an extra set of clothing. They should wear comfortable clothing to play in and closed-toe shoes for safety. Please label all campers’ belongings. Sunscreen should be applied before camp.

Food Program may be provided again, TBD.

WHAT NOT TO BRING TO CAMPPlease refrain from giving money to your child to bring to camp. There is no place to store it. No toys, video games, iPods, MP3 players, cell phones or trading cards. These items may get misplaced.

LOST & FOUNDClothing, towels and lunch boxes are often found at the end of the camp day. Items will be placed in the lost & found box next to sign in/sign out table. Please label ALL items with your child’s name. The YMCA is not responsible for lost items.

HEALTH & SAFETY POLICYFor the safety of your child and that of others we require that the following procedures be followed:

1. A copy of your child’s medical immunization record and physical signed by the child’s family physician or pediatrician is required by June 1st.

2. A sick child is to stay at home. If a child arrives at the camp not feeling well, the child will be sent to the Camp Director’s office for evaluation. The parent or emergency contact may be called to pick up the child. Your child must be free of symptoms for 24 hours before returning to camp.

3. A child must have a doctor’s note before returning from a communicable disease such as impetigo, measles, mumps, etc.

4. A child must have sunscreen applied before camp!

MEDICATION INFORMATION & POLICYPrescription medication in your child’s name will be administered as prescribed. The medication must be stored in its original container with amount and time of dosage clearly marked. The medication & consent form will be kept in a secured location.

A.M. CAREAdditional time is available for a fee to those families who need extended hours of care for their children. Children will participate in games, stories and quiet activities. Fun for your child and peace of mind for you.

YMCA: beginning at 7:00 a.m. Sandywoods: beginning at 8:00 a.m.

MORNING ARRIVALYMCA: 8:30-9:00 a.m. at the designated site unless the camper is registrated for A.M. Care.

Sandywoods: 9:00-9:15 a.m.

CAMP HOURSYMCA: Full Day: 8:30 a.m.-4:30 p.m. Half Day Discovery: 8:30 a.m.-12:30 p.m. Half Day ‘We Can’: 12:30 p.m.-4:30p.m.

Sandywoods: Full Day: 9:00 a.m.-4:00 p.m.

P.M. CAREAdditional time is available for a fee to those families who need extended hours of care for their children. Children will participate in games, stories and quiet activities. Fun for your child and peace of mind for you.

YMCA: 4:30 p.m.-5:30 p.m. Sandywoods: 4:00 p.m.-5:30 p.m.

DEPARTURE TIMEYMCA: 4:00 p.m.-4:30 p.m. Sandywoods: 3:45 p.m.-4:00 p.m.

The YMCA has a pick-up procedure in place designed to ensure the safety of your child. The policy is NOT flexible and needs your cooperation with the following procedures.

1. Parent or an authorized individual must show a photo I.D. before signing the camper out of the program each day.

2. No changes for pick-up will be authorized by telephone or written note. The parent or guardian must make any changes at the registration desk (in person.)

3. Campers who are not picked up on time will be assessed a $1.00 per 1 minute late fee. PM Care is available until 5:30 p.m. for an additional fee.

4. We request 24 hours notice for early release.

FIELD TRIPS & SPECIAL EVENTSWhat’s a better way to end a week of fun and friends than a cookout or field trip. All field trips and related additional fees are subject to change due to inclement weather or other reasons that may arise. Parents will be notified of any changes in a timely manner.

LET’S HAVE SOME FUN!DISCOVERY CAMPAGES 3-5 CHILDREN MUST BE POTTY TRAINED

Our caring staff of childcare professionals has a wide range of education, experience and training in the early childhood field. We will provide your child with an experience to last a lifetime! Join us at Discovery Camp for a sensational summer of fun. Each week long session has a special theme with built-in interest for young children. We will use our five senses to explore the world around us, including games, arts & crafts, songs, stories, swimming and outside play.

OFFERED WEEKS 1-10 AT TWICE AS NICE (T.A.N.), YMCA

HALF DAY: 8:30 a.m.-12:30 pm Member $100/Non-Member $120

FULL DAY: 8:30 a.m.-4:30 pm Member $180/Non-Member $210

SPORTS CAMPSRising Stars: Going into Grades 1 & 2 MVPs: Going into Grades 3-5 8:30 a.m. – 4:30 p.m.

At the Y’s sports camps, your child will play a different sport each week. We will focus on baseball, basketball, soccer, flag football, floor hockey, and summer games. The basic skills, rules, and sportsmanship will be taught. There will be fun games and scrimmages in the morning! The campers will also participate in swimming, rock climbing, archery, special events, and field trips! Transportation is provided to and from the Newport County YMCA and the Aquidneck School.

OFFERED WEEKS 1-10 AT THE YMCA/AQUIDNECK SCHOOL

Member $165/Non-Member $195

YOUTH LACROSSE CAMPRising Stars: Going into Grades K-4 All Stars: Going into Grades 5-8

New this summer, we are excited to offer lacrosse as part of our YMCA Summer Camp program. The Y is partnering with Team Real Lacrosse to provide campers the opportunity to build and practice lacrosse skills under the direction of strong, knowledgeable role models. This fun youth lacrosse skills camp is offered to youth boys and girls and designed to meet all skill levels. If you are new to the game of lacrosse or wish to increase your level of play, this is the camp for you!

Required Items: • Boys: helmet, mouth guard, shoulder pads, arm pads, gloves, stick • Girls: goggles, mouth guard, stick

OFFERED WEEK 7 AT AT THE YMCA

HALF DAY: 8:30 a.m.-12:30 pm Member $200/Non-Member $230

FULL DAY: 8:30 a.m.-4:30 pm Member $240/Non-Member $270

GYMNASTICS CAMPGRADE going into 1st to 7th 8:30 a.m. – 4:30 p.m.

Gymnastics camp is for all levels of gymnasts: beginners, intermediate, and advanced. The gymnasts will be grouped according to level of ability and age. We ensure that your child has met all the basic techniques of gymnastic skills before moving on to more challenging skills. The morning consists of stretching and gymnastic rotations. In the afternoon your child will have the opportunity for swimming, rock climbing, arts and crafts, and obstacle courses. Throughout the summer field trips will be offered. There will be a weekly Friday afternoon show. Parents are welcome.

OFFERED WEEKS 1-10 AT THE YMCA

Member $165/Non-Member $195

GYMNASTICS COMPETITIVE TEAM CAMPGymnastics Camp for more advanced gymnasts that are currently involved in a pre team or competitive team program. This camp will focus on the fundamentals and skills in the USAG levels 3-10. Gymnasts will work on skill progressions to advance to the next level. In the afternoon competitive camp will join gymnastics camp for afternoon activities.

OFFERED WEEKS 1-10 AT THE YMCA

Member $180/Non-Member $210

CAMP “WE CAN!”AGES 5-21

Camp “We Can!” is an inclusive setting for youth 5-21 years of age who have disabilities or need a lower child to staff ratio. This summer will be filled with swimming, archery, rock climbing, arts and crafts, Wii, and exploring what Newport has to offer. Throughout the summer we will be partnering with local organizations, including Sail to Prevail, to expose campers to different opportunities. Camp “We Can!” will be run in conjunction with other camps at the YMCA. Each week campers will decide which of our five camps they would like to join in with while still being supported by Camp “We Can!” staff. This will help lead to new friendships and great memories!

OFFERED WEEKS 1-10 HALF DAY (12:30 p.m.-4:30 p.m.) Member $100/Non-Member $120

OFFERED WEEKS 1-10 FULL DAY (8:30 p.m.-4:30 p.m.) Member $180/Non-Member $210

Please contact Megan at the YMCA for more information or if you have any questions or concerns. Megan Leonard: 401.847.9200 x117 or meganl@newportymca.org

SWIM TEAM +8:30 a.m. – 4:30 p.m.

SWIM TRAINING & STROKE DEVELOPMENT I GRADE going into 3rd to 10th WEEKS 1, 3, 5, 7, 9

We will be introducing children to the competitive world of swimming. This camp will introduce all four of the competitive strokes (Butterfly, Backstroke, Breaststroke and Freestyle) to campers by incorporating videos, drills and games into the daily camp schedule. Counselors for this camp are hand selected by the Newport Wahoos Swim Team Coaching Staff and are all trained to instruct swimmers at the beginning level on all strokes. All campers must be strong swimmers (50 yards freestyle). Campers must be swim tested before signing up.

Member $180/Non-Member $210

WATER SPORTS IGRADE going into 3rd to 6th 8:30 a.m. – 4:30 p.m. WEEKS 1-10

Water Sports Camp provides an introduction and refinement to kayaking, boating, beach sport and other aquatic adventures. Campers will enjoy a wide choice of aquatic experiences at local beaches and programs at the Y that include the ropes course, gaga pit, pool and more. Counselors are all lifeguard certified and trained in the skills they are instructing. All campers must be strong swimmers (50 yards freestyle). Campers must be swim tested without floation before signing up.

Member $180/Non-Member $210

WATER SPORTS IIGRADE going into 7th to 10th 8:30 a.m. – 4:30 p.m. WEEKS 4,7,8,10

JUNIOR LIFEGUARD CAMP Introducing young teens to life saving skills, Surfing, Kayaking and programs at the Y. Lifeguard drills will be held at the beach and the Y pool. Staff are certified lifeguards and will help your teen get the feeling of working as a lifeguard. Trainees must be swim tested before registration.

Member $180/Non-Member $210

SAVE THE BAY Join Save the Bay this summer for a fun, hands-on way to learn more about the marine world. Throughout the week, campers will interact with live animals through our various touch tanks and will learn about the Bay and its inhabitants through fun games, interactive models, and crafts. Campers will also explore the shoreline of Easton’s Beach while learning about some of the Bay’s diverse habitats. During the second half of the day at the Y, campers will be participating in rock climbing, archery, swimming, gaga, games, and arts and crafts. The campers will be picked up at noon and bussed to the Y.

Member $200/Non-Member $230

MARTIAL ARTS CAMPGRADE going into 2nd to 8th 8:30 a.m. – 4:30 p.m.

Held at Newport Martial Arts 800 Aquidneck Avenue, Middletown

Martial Arts Camp will provide your child with the chance to develop character, learn valuable life skills, make new friends and discover new interests. A fun and exciting camp that will safely introduce students to the Martial Arts and also polish and expand the skills of those with previous experience.

This training teaches children self-confidence, respect for self and others, self-discipline and how to defend themselves. Students of a Martial Arts education gain balance and coordination, listening skills, improved concentration and increased self-esteem.

Upon arrival, students will be provided with a Karate uniform, evaluated individually and placed in groups with other campers having similar abilities and goals. Students will have the opportunity to advance through the karate belt rank system. Martial Arts camp will emphasize fun, fitness, gross motor skill development and group interaction.

OFFERED WEEKS 3,5,7,8,9,10 DROP OFF/PICK UP AT YMCA

Member $200/Non-Member $230

R.A.V.E. CAMP (Rock Climbing, Aquatics, Archery, Art, Variety, Engineering)

GRADE going into 1st to 4th 8:30 a.m. – 4:30 p.m.

This camp will keep all campers busy with interesting activities. Building and engineering with Legos and other materials, inventing, singing, dancing, playing chess, and other games. Exploring the world inside the YMCA, and outside with field trips. Reading and literacy will be woven into each week, as well as swimming, gaga, archery, rock climbing, and creativity club (art).

OFFERED WEEKS 1-10 AT THE YMCA

Member $165/Non-Member $195

SURFS UP8:30 a.m. – 4:30 p.m.

SURFS UP I GRADE going into 3rd to 6th WEEKS 1,2,4,5,7,9 SURFS UP II GRADE going into 7th to 10th WEEKS 3,6,8

Surfing Camp provides an introduction (level I) and refinement (level II) to surfing at 2nd Beach and the Y. Campers will enjoy a wide choice of experiences in addition to surf training that in-clude the ropes course, gaga pit, pool and more. Counselors are all lifeguard certified and trained in the skills they are instruct-ing. All campers must be strong swimmers (50 yards freestyle). Campers must be swim tested before signing up.

Member $180/Non-Member $210

E.P.I.C. (Encouraging People to Impact the Community)GRADE going into 5th to 7th 8:30 a.m. – 4:30 p.m.

Your tween or teen will participate in traditional activities, such as high and low ropes, climbing wall, gaga ball, beach trips, field trips, archery, swimming and more. This program will also ask your teen what he or she is interested in to tailor the program for them. We have many partnerships with organizations like Norman Bird Sanctuary, and Save the Bay that will serve as volunteer opportunities for service projects each week. Community service hours will be given.

OFFERED WEEKS 1-10 AT THE YMCA

Member $165/Non-Member $195

THE ADAMS EXPERIENCE at Fort AdamsGRADE going into 7th to 10th 8:30 a.m. – 4:30 p.m.

An exciting new collaboration with Fort Adams and the Newport County YMCA. The Fort Adams experience will be filled with exploring, adventure and fun. Spend the day exploring this National Historic Landmark, paddle boarding in the cove, swimming at the beach, playing laser tag in the fort, fishing off the pier, learning archery skills and so much more. Trained Staff will create the Fort Adams experience each and every day. We will also have special events for the families during the summer. The Fort Adams experience....it’s going to be a great summer!

OFFERED WEEKS 3-10

Member $200/Non-Member $230

CAMP HAPPY TAILSBOYS & GIRLS GRADE going into 2-6

Camp Happy Tails is for kids who love animals and who wish to learn more about them. This hands-on educational program allows campers to explore the Potter League and meet shelter animals. Activities include completing service projects, meeting shelter workers and guest speakers, making animal crafts and playing games. In addition, campers entering grades 2 and 3 will read humane themed books to Potter League “Reading Fur Fun” shelter animals.

HAPPY TAILS IN THE A.M. – going into GRADES 4-6

Parents may drop campers off at the shelter starting at 8:30 a.m. Camp program starts promptly at 9:00 a.m. At 12:00 noon campers will be transported to the YMCA where they will have lunch, participate in swimming, arts & crafts, rock climbing, high/low rope courses, archery and field games.

HAPPY TAILS IN THE P.M. – going into GRADES 2-3

Parents may bring campers to the YMCA as early as 7:00 a.m. for an additional fee (AM care) or at 8:30 a.m. for regular camp time. They will participate in swimming, art & crafts, rock climbing, high/low rope courses, archery and field games. At 12:00 noon campers will be dropped off at the Potter League where they will eat their lunch before beginning their program at the shelter.

Parents will pick campers up at the shelter starting at 3:30 p.m. and no later than 4:00 p.m.

OFFERED WEEKS 4&6

Register for this camp directly with the Potter League: www.potterleague.org

LET’S HAVE SOME FUN!

ROCK CLIMBING CAMPGRADE going into 4th to 10th 8:30 a.m. – 4:30 p.m.

Come experience an exciting week of rock climbing on the 40’, four-sided climbing tower. Campers will also spend time on the high/low ropes adventure course with elements such as the vertical playpen, catwalk and more! Instructions from our certified team will include knot tying, belay commands, and basic climbing technique. This group will climb in the morning and spend time in the afternoon doing traditional camp activities such as archery, swimming, and field games!

OFFERED WEEKS 1-9 AT THE YMCA Member $165/Non-Member $195

C.I.T. PROGRAM (Counselors in Training)Boys and Girls going into grades 9-10

The Counselor in Training Program is designed to give youth an opportunity to support YMCA Camp programs. Participants must complete an interview process and be selected to take part in this learning experience. Participants will assist Directors and counselors in the daily duties, complete service learning projects and help run camp events. A Caring Adult Mentor will provide support and guidance throughout the length of the program.

Please contact Bill Villareal at 401.847.9200 x105 or billv@newportymca.org with any questions.

OFFERED WEEKS 2-10 AT THE YMCA

Hours: 8:30 a.m. - 4:30 p.m. AM Care: 7:00-8:30 a.m. PM Care: 4:30-5:30 p.m. AM & PM Care

Member $50/Non-Member $60 You will be earning Volunteer Service Hours.

CAMP SANDYWOODS

43 Muse Way, Tiverton, RI

EXPLORERSBoys & Girls going into Grades K-2nd

This program provides a full day of great camping fun! With emphasis on skill development and exploration, campers will participate in a variety of traditional camp activities and exciting games.

OFFERED WEEKS 1-10 AT CAMP SANDYWOODS Member $120/Non-Member $140

PIONEERSBoys & Girls going into Grades 3–4

Keep them active all day long! Campers will enjoy more advanced activities at camp. They will spend time in traditional camp happenings like skits, songs and more!

OFFERED WEEKS 1-10 AT CAMP SANDYWOODS Member $120/Non-Member $140

RANGERSBoys & Girls going into Grades 5–8

Experienced campers get to select and plan camp activities that are of greatest interest to them. Program encourages creativity and focuses on building self-confidence, leadership and values.

OFFERED WEEKS 1-10 AT CAMP SANDYWOODS Member $120/Non-Member $140

C.I.T. PROGRAM (Counselors in Training)Boys and Girls going into grades 9-10

The Counselor in Training Program is designed to give youth an opportunity to support YMCA Camp programs. Participants must complete an interview process and be selected to take part in this learning experience. Participants will assist Directors and counselors in the daily duties, compelte service learning projects and help run camp events. A Caring Adult Mentor will provide support and guidance throughout the length of the program.

Please contact Bill Villareal at 401.847.9200 x105 or billv@newportymca.org any questions.

OFFERED WEEKS 1-10 AT CAMP SANDYWOODS

Hours: 9:00 a.m. - 4:00 p.m. AM Care: 8:00-9:00 a.m. PM Care: 4:00-5:30 p.m.

AM & PM Care

Member $50/Non-Member $60 You will be earning Volunteer Service Hours.

Camp Sandywoods is divided into three age groups for campers to be with their age appropriate peers: Explorers, Pioneers and Rangers. Each camp will provide a full day of activities, such as archery, water fun, and reading program in collaboration with the library, arts and crafts, games, Lego programs, hikes, cooking, and a few field trips. Your child will have many opportunities to explore the world around them, and focus on the YMCA’s core values of honesty, caring, responsibility, and respect.

REGISTRATION INFORMATIONCREDIT/DEBIT CARD PAYMENT: A non-refundable $25.00 per registered week deposit is due upon registration. Payments are due in full or in even installments. We recommend that you pay by credit/debit card and have your payments drafted automatically.

CHECKS/MONEY ORDERS: These should be made payable to the Newport County YMCA. All cash payments must be made in person at the YMCA. A late fee of $10.00 will be incurred if payment(s) is late. See camp brochure for payment plan options.

Card Number: Exp. date:CHECK ONE BOX OPTION:

Full Payment: All fees paid at time of registration by mail or in person to our Registration office.

General Payment: You may make arrangements to pay by credit/debit card, personal check, money order or cash. Please stop into our Registration office to make arrangements.

Draft Payment: At the time of registration the remaining balance will be divided into equal monthly payments until August 1st.

Cardholders signature: Please print your name: By signing the above, I agree to pay amount according to card issuer agreement.

Camper’s Name:

Date of Birth: Age (on first day of camp): M F

Are you a member? Yes No

Address:

Town: State: Zip:

Home Phone: ( ) Cell Phone: ( )

Email:

Swim Ability: Non-swimmer Beginner AdvancedAny comments regarding swimming ability:

Mother’s Name:

Employer: Phone: ( )

Father’s Name:

Employer: Phone: ( )

MEDICAL IMMUNIZATIONS & PHYSICAL RECORD REQUIRED BY JUNE 1ST. A copy of your child’s medical immunization record and copy of a physical (within the last 2 years) signed by the child’s family physician or pediatrician is required before entrance to camp. Has documentation been supplied? Yes No

Parents Authorization: This health history is correct to the best of my knowledge, and the person herein described has my permission to engage in all prescribed activities, except as noted. In the event that I cannot be reached in an emergency, I hereby give my permission to the physician selected by the camp director to hospitalize, secure proper treatment for, and order injection, anesthesia or surgery for my child as named above. Physician: Phone: ( )

Health Insurance Policy #:

Parent/Guardian Signature: Date:

CAMPER’S HEALTH INFORMATIONGENERAL INFORMATION

Any special notations:

As well as the Parents listed ABOVE, please list two ADDITIONAL people (relatives, friends, neigh-bors) who could be called during camp hours in the case of illness or emergency, if you cannot be reached. The individuals listed BELOW are the ONLY INDIVIDUALS AUTHORIZED TO PICK UP YOUR CHILD (AS WELL AS THE PARENTS). WE WILL NOT RELEASE YOUR CHILD TO ANYONE ELSE.

1. Name:

Phone (circle one: cell, home, work): ( )

Address:

2. Name:

Phone (circle one: cell, home, work): ( )

Address:

Parent/Guardian Signature: Printed Name: By signing you acknowledge all terms and conditions.

Date:

Date:

Does your child have any health disorders, behavior, allergies or medications ?

Yes No

If you checked off yes above, please fill out the Campers Health Form History (you may download this from the web at www.newportymca.org or pick one up in the registration

at the Newport County YMCA.

WAIVER OF LIABILITY: Make sure you understand and read carefully before signing below. By signing below, you are accepting all terms and conditions of this application. 1. My child has permission to participate in all camp activities. I authorize emergency medical treatment and transportation if necessary.

2. I authorize the Newport County YMCA to photograph or videotape my child during Camp, for possible use in public relations, promotions and fundraising.

3. I understand that my child is to abide by all camp rules and treat other campers and staff with respect. Failure to comply with this standard may result in dismissal from camp.

4. I authorize the transport of my child to/from the YMCA from an off site location if needed.

5.

My signature indicates that as the parent/guardian of the applicant, I hereby grant permission for my child to participate in camp at the Newport County YMCA and represent that my child is physically able to participate in camp activities. In consideration of the applicant’s being allowed to participate in the camp, thereby release the Newport County YMCA, its employees, officers from all claims resulting from illness, injuries or other damage, which may be sustained by the child during attendance at the camp. I furthermore agree and promise that we will not hold the Newport County YMCA or any of the above parties responsible in this respect.

NEWPORT COUNTY YMCA CAMP APPLICATION 2015

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Credit Card Type: Visa MasterCard American Express Discover

NEWPORT COUNTY YMCA CAMP APPLICATION 2016

Grade entering in September 2016:

SUMMER CAMP 2016 SESSIONSUse this as a reference guide to check off the boxes for the week(s) you want your child enrolled in.

Indicates that camp is not offered that week.

10AUGUST22-26

9AUGUST15-19

8AUGUST

8-12

7AUGUST

1-5

6JULY

25-29

5JULY

18-22

4JULY

11-15

3JULY5-8

2JUNE 27- JULY 1

1JUNE

20-24

WEEKCAMPS

HALF DAY DISCOVERY

DISCOVERY

DISCOVERY CAMP P.M. CARE

SPORTS - RISING STARS

SPORTS - MVP’s

LACROSSE

R.A.V.E.

GYMNASTICS

COMPETITIVE GYMNASTICS

ROCK CLIMBING

SURF’S UP I

SURF’S UP II

SWIM TEAM+

WATER SPORTS II GRADES 7th-10th

SAVE THE BAY

WATER SPORTS I GRADES 3rd-6th

E.P.I.C.

MARTIAL ARTS

THE ADAMS EXPERIENCE

Register for this camp directly with the Potter League:www.potterleague.org

CAMP HAPPY TAILSCAMP “WE CAN!”AGES 5-20 HALF DAY

CAMP “WE CAN!”AGES 5-20 FULL DAY

AM CARE

PM CARE

C.I.T. PROGRAM

An annual $10.00 Camp Improvement fee will be charged to each camper at the time of registration. All camps require a $25 non-refundable deposit per week.

Register at www.potterleague.org for Happy Tails Camp.

BOYS & GIRLS IN GRADES 2-6(SPLIT INTO 2 GRADE GROUPS)

Soccer

Soccer

Basketball

Basketball

Baseball

Baseball

Flag Football

Flag Football

Summer Games

Summer Games

Soccer

Soccer

Basketball

Basketball

Baseball

Baseball

Summer Games

Summer Games

Medley of Sports

Medley of Sports

Junior Lifeguard

Save the Bay

Junior Lifeguard

I & II

REGISTRATION INFORMATIONCREDIT/DEBIT CARD PAYMENT: A non-refundable $25.00 per registered week deposit is due upon registration. Payments are due in full or in even installments. We recommend that you pay by credit/debit card and have your payments drafted automatically.

CHECKS/MONEY ORDERS: These should be made payable to the Newport County YMCA. All cash payments must be made in person at the YMCA. A late fee of $10.00 will be incurred if payment(s) is late. See camp brochure for payment plan options.

Card Number: Exp. date:CHECK ONE BOX OPTION:

Full Payment: All fees paid at time of registration by mail or in person to our Registration office.

General Payment: You may make arrangements to pay by credit/debit card, personal check, money order or cash. Please stop into our Registration office to make arrangements.

Draft Payment: At the time of registration the remaining balance will be divided into equal monthly payments until August 1st.

Cardholders signature: Please print your name: By signing the above, I agree to pay amount according to card issuer agreement.

Camper’s Name:

Date of Birth: Age (on first day of camp): M F

Are you a member? Yes No

Address:

Town: State: Zip:

Home Phone: ( ) Cell Phone: ( )

Email:

Swim Ability: Non-swimmer Beginner AdvancedAny comments regarding swimming ability:

Mother’s Name:

Employer: Phone: ( )

Father’s Name:

Employer: Phone: ( )

MEDICAL IMMUNIZATIONS & PHYSICAL RECORD REQUIRED BY JUNE 1ST. A copy of your child’s medical immunization record and copy of a physical (within the last 2 years) signed by the child’s family physician or pediatrician is required before entrance to camp. Has documentation been supplied? Yes No

Parents Authorization: This health history is correct to the best of my knowledge, and the person herein described has my permission to engage in all prescribed activities, except as noted. In the event that I cannot be reached in an emergency, I hereby give my permission to the physician selected by the camp director to hospitalize, secure proper treatment for, and order injection, anesthesia or surgery for my child as named above. Physician: Phone: ( )

Health Insurance Policy #:

Parent/Guardian Signature: Date:

CAMPER’S HEALTH INFORMATIONGENERAL INFORMATION

Any special notations:

As well as the Parents listed ABOVE, please list two ADDITIONAL people (relatives, friends, neigh-bors) who could be called during camp hours in the case of illness or emergency, if you cannot be reached. The individuals listed BELOW are the ONLY INDIVIDUALS AUTHORIZED TO PICK UP YOUR CHILD (AS WELL AS THE PARENTS). WE WILL NOT RELEASE YOUR CHILD TO ANYONE ELSE WITHOUT PERMISSION FROM PARENT/GUARDIAN IN WRITING.

1. Name:

Phone (circle one: cell, home, work): ( )

Address:

2. Name:

Phone (circle one: cell, home, work): ( )

Address:

Parent/Guardian Signature: Printed Name: By signing you acknowledge all terms and conditions.

Date:

Does your child have any health disorders, behavior, allergies or medications ?

Yes No

If you checked off yes above, please fill out the Campers Health Form History (you may download this from the web at www.newportymca.org or pick one up in the registration

at the Newport County YMCA.

WAIVER OF LIABILITY: Make sure you understand and read carefully before signing below. By signing below, you are accepting all terms and conditions of this application. 1. My child has permission to participate in all camp activities. I authorize emergency medical treatment and transportation if necessary.

2. I authorize the Newport County YMCA to photograph or videotape my child during Camp, for possible use in public relations, promotions and fundraising.

3. I understand that my child is to abide by all camp rules and treat other campers and staff with respect. Failure to comply with this standard may result in dismissal from camp.

4. I authorize the transport of my child to/from the YMCA from an off site location if needed.

5. My signature indicates that as the parent/guardian of the applicant, I hereby grant permission for my child to participate in camp at the Newport County YMCA and represent that my child is physically able to participate in camp activities. In consideration of the applicant’s being allowed to participate in the camp, thereby release the Newport County YMCA, its employees, officers from all claims resulting from illness, injuries or other damage, which may be sustained by the child during attendance at the camp. I furthermore agree and promise that we will not hold the Newport County YMCA or any of the above parties responsible in this respect.

Date:

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CAMP SANDYWOODS APPLICATION 2016

Credit Card Type: Visa MasterCard American Express Discover

Grade entering in September 2016:

Non-ProfitOrganizationU.S. Postage

PAIDNewport, RIPermit # 198

792 Valley RoadMiddletown, RI 02842-7095Tel: 401.847.9200Fax: 401.848.7521info@newportymca.orgwww.newportymca.org

NEWPORT COUNTYYMCA

An annual $10.00 Camp Improvement fee will be charged to each camper at the time of registration. All camps require a $25 non-refundable deposit per week.

Find us on facebook!https://www.facebook.com/pages/Newport-County-YMCA/134475163284185

Visit us at: www.newportymca.org

CAMP SANDYWOODS 2016

10AUGUST22-26

9AUGUST15-19

8AUGUST

8-12

7AUGUST

1-5

6JULY

25-29

5JULY

18-22

4JULY

11-15

3JULY5-8

2JUNE 27- JULY 1

1JUNE

20-24

WEEKCAMPS

EXPLORERS

PIONEERS

RANGERS

AM CARE

PM CARE

C.I.T. PROGRAM