Adventure Awaits

Summer Day Camp Locations 2018

(continued from reverse side) YMCA OF COLUMBIA-WILLAMETTE I Summer Day Camp/Health Registration Sherwood PLEASE COMPLETE A SEPARATE FORM FOR EACH CHILD. Registration must be completed in full. Adventure Day Camp Sherwood YMCA Child Development Center Permission IS given TO THE YMCA FOR THE Following: Check (X) each item indicating approval. 22280 SW Washington St., Sherwood Entering Grades 1 – 5 Weeks 2 – 12, Hours: 6:30 AM – 6:30 PM In an emergency, the YMCA has my permission to obtain medical treatment for my child, call an ambulance or transport General Information Tigard my child to any available physician or hospital at my expense, with the following restrictions (If applicable) ______dventure Day Camp is a combination of weekly Deer Creek Elementary ______field trips and a range of fun-filled themes. Our Registration Are Part-time Options Available? 16155 SW 131st Ave., Tigard I do not wish my child to receive any medical treatment. • Early registration deadline is May 18, 2018. Register All camps, unless noted, operate five days per week (M-F). Weeks 2 – 12, Hours: 6:30 AM – 6:00 PM locations vary by week, time and cost. My child may be given medication. I understand the Medication Authorization Form must be completed prior to administering. A early for a reduced rate for Adventure and Breakaway Camp! Part-time may be available at a two or three day option. Limited Vancouver, WA My child may participate in YMCA field trips. I understand school bus, van or public transportation may be used. Children should be at site from 9 AM to 4 PM daily in order Camp reservations are on a first come first serve basis. spaces are available after May 18 for a $60 per day fee. Contact Springfield Meadows YMCA Child Development Center our office for more information about the location of your choice. My child may participate in swimming or other water activities. 4317 NE 66th Ave., Vancouver to participate in all of the activities. Departure and arrival • Please see ymcacw.org/summer-day-camp to register. Please note that for part-time participation, days of attendance Weeks 2 – 11, Hours: 6:30 AM – 6:30 PM My child may be photographed for online and print YMCA promotional purposes. times occasionally change for specific trips and activities, must be established before camp begins. Various activities, • Initial registration and adding or dropping sessions are ADVENTURE When needed, the YMCA has my permission to help administer sunscreen. Sun protection is required under state licensing so we encourage families to check the daily itinerary. including field trips, differ at each location and when choosing Orchards YMCA Child Development Center done through our office to verify availability of space. 10401 NE Fourth Plain Rd., Suite 201, Vancouver unless a doctor’s note is provided. I understand that I need to provide sunscreen labeled with my child’s name. the part-time option, your child will miss some activities. Online Cancellations must be done in writing. registration is not available for part-time participants. Weeks 2 – 11, Hours: 6:30 AM – 6:30 PM If you require any special accommodations please contact our office at 503.327.0007 before registering. Children must be at least six years of age to be in the pool on swimming field trips in Oregon. Participants under six • There is a $35 deposit per child per session. Deposits are West Linn/Wilsonville Are There Any Discounts? Wilsonville Child Development Center Emergency Medical Information will be provided with an alternate activity. applied to the corresponding weekly fee. AWAITS • There is a five percent multiple child discount, and the discount 8406 SW Main St. #100, Wilsonville Date of last tetanus ______Date of last doctor visit ______Does your child have any allergies? Please list ______• The registration fee is a one time fee for our 2018 Summer applies to each child. Weeks 2 – 11, Hours: 6:30 AM – 6:30 PM ______Week Dates Theme Field Trip Day Camp and is due upon receipt of paper registration. • A $20 discount for session three is applied, because we are Rosemont Ridge Middle School Are there any special medical conditions, allergies or restrictions to be aware of? Please list ______One child is $30 and two or more children are $50. closed on July 4. A $20 discount is applied to either session 10 or 20001 Salamo Rd., West Linn 1 June 11 – 15 Nature Explorers Wildwood Recreation Site Registration fee is waived for online registrations. ______11 as a result of the Aug. 24 and/or Aug. 31 in-service closures. Weeks 2 – 11, Hours: 6:30 AM – 6:00 PM 2 June 18 – 22 Hook, Line and Sinker Fishing @ Indian Springs Weekly Rate Child’s Physician ______Phone ______Before May 18: $210 per week If using paper registration, please mail or drop off the • Non year round program participants at Portland Public School Breakaway camp 3 June 25 – 29 Robo Revolution OMSI registration form, deposits and registration fee at our office. locations will pay a reduced rate of $180 for week nine. Child’s Dentist ______Phone ______4 July 2 – 6* A Trek Around the Globe oregon Zoo After May 18: $220 per week Hillsboro 5 July 9 – 13 Summer Free-for-All Jamboree Faxed registrations are not accepted. Preferred Hospital ______Phone ______What if I Can’t Afford Camp? Lenox Elementary 6 July 16 – 20 Amped Out Energy Week Bonneville Dam 21200 NW Rock Creek Blvd., Portland To Register or for Is there financial assistance? Yes! Health Insurance Company ______Phone ______7 July 23 – 27 Blue Ribbon Rowdiness Washington County Fair Online registration is also available beginning April 23 at Weeks 2 – 12, Hours: 6:30 AM – 6:30 PM More Information 8 July 30 – Aug. 3 An Enchanted Storybook Week enchanted Forest ymcacw.org/summer-day-camp. When registering online, • The YMCA provides financial assistance to low-income family Group Number ______Individual’s Name on Insurance Policy ______ymcacw.org/summer-day-camp health forms should be submitted to our office two weeks households. Scholarships are available through a confidential Portland 9 Aug. 6 – 10* Ready, Set, Grill! BBQ prior to starting camp. application process. Holladay Park Church Registration Indicate camp type and location below. 10 Aug. 13 – 17 thespians and Theatrics Broadway Rose – Aladdin [email protected] 2120 NW Tillamook Street, Portland 11 Aug. 20 – Aug. 24* goofy Gamer Takeover Jon’s Incredible Pizza 503.327.0007 • Scholarship forms are available at our office or online at Week 9, Thursday and Friday; Weeks 10 – 11 CAMP TYPE KEY: A = Adventure B = Breakaway S = Sports L = Lego R = Art C = Clay • All registrations need to go through an approval process 12 Aug. 27 – Aug. 31* last Shot at Summer Mini Golf and are dependent upon space availability. ymcacw.org/childcare. Hours: 6:30 AM – 6:00 PM week # CAMP TYPe location week # CAMP type location • We will evaluate the scholarship application and will notify you *Adventure Camp locations are closed on July 4. Week nine, Portland Public Laurelhurst Elementary 1 ______7 ______• We will send confirmation of registration. of the amount awarded. Applications must be received and 840 NE 41st Ave., Portland School locations will only be held Aug. 6 – 8. Programs will be closed on either 2 ______8 ______Aug. 24 or Aug. 31, please check with your desired locations for exact dates. processed by our office two weeks prior to the first session of Weeks 1 – 8; Week 9, Monday – Wednesday • All programs are closed on July 4. All programs will also be camp you wish to register for. Hours: 6:30 AM – 6:00 PM 3 ______9 ______closed on either Aug. 24 or Aug. 31. Please see desired site for details. • Scholarships are not retroactive. Tigard 4 ______10 ______• Contact 503.946.5003 for more information. Deer Creek Elementary 5 ______11 ______• Limited space available for year round participants week nine, 16155 SW 131st Ave., Tigard Thursday and Friday, as well as weeks 10 and 11, in Portland. 6 ______12 ______Accommodating Campers Needs Weeks 2 – 12, Hours: 6:30 AM – 6:00 PM Breakaway Camp On July 16, weeks 9 – 11 will be open to the general public. Please contact us for more information. The YMCA complies with the Americans with Disabilities Act. We Sports Camp Enclosed amount for______sessions x $35 deposit per session = Total deposit ______+ registration fee ______Entering Grades 6 – 8 welcome, encourage and support the participation of all children in our YMCA Summer Day Camps. Our summer programs operate Laurelhurst Elementary Total enclosed ______Year round program participant (Currently enrolled in the 12 month level pay program) What is the Payment Process? 840 NE 41st Ave., Portland fter studying all year it is now Week Dates Theme Field Trip in large group settings that include activities such as group Weeks 1 – 8, Hours: 6:30 AM – 6:00 PM Visa/MasterCard/AmEX/Discover # ______Name on card ______Exp. Date ______• The balance for each camp week (camp rate, minus deposit) games, crafts, swimming and field trips. If your camper requires Atime for more adventure. Based on 1 June 11 – 15 All Fun and Games Wunderland Nickle Arcade is due 14 days prior to the first day of the applicable session. special accommodations in order to enjoy these activities, please Lego Camp Check here if you want us to automatically charge your credit card for remaining balance on scheduled due dates. YMCA values, activities are developed 2 June 18 – 22 off the Hook Indian Springs Trout Farm The $35 deposit is non-refundable if a payment is not made contact us at 503.327.0007. Depending on your camper’s needs Check here if you want us to continue your current automatic draft. made by the due date. A late fee of $15 may be applied to we may have you meet with a program director and complete Llewellyn Elementary to meet the needs of this age group. 3 June 25 – 29 It’s Just Rocket Science evergreen Space Museum A late fee of $15 will be applied to each session per child if payments are not received on the date due. Other collection fees 4 July 2 – 6* the Old Ballgame Portland Pickles each session per child if payment is not received on time. additional paperwork before your camper’s start date to ensure 6301 SE 14th Ave., Portland that they can be successful in the day camp program environment. will be applied if sent to an outside collection agency. All deposits are non-refundable. Let’s Break Away! 5 July 9 – 13 tuned into Summer Jamboree at Blue Lake Park Weeks 3, 5, 7, 8, Hours: 6:30 AM – 6:00 PM • All deposits are non-refundable and non-transferable. A lack of communication or a failure to provide information This group is out and about the 6 July 16 – 20 lazer Crazer ultrazone Laser Tag prior to the camp start date may jeopardize placement and/or Clay and Art Camp I hereby accept any and all responsibility for, and assume the risk of any and all injury or damage to my person or dependent children 7 July 23 – 27 Fabulous Fair Fun Washington County Fair • Registrations received less than 14 days prior to the start of which might arise directly or indirectly as a result, and or participate in a YMCA of Columbia-Willamette (YMCA) program. I hereby Portland Metropolitan area. Leaving continued participation. YMCA OF COLUMBIA-WILLAMETTE SE YMCA Child Development Center expressly release, discharge and hold harmless from any liability whatsoever the YMCA, the various branches and divisions thereof, and 8 July 30 – Aug. 3 Just Add Water North Clackamas Aquatic Park a session require payment in full. all employees and volunteers in their capacities as representatives of the YMCA, expressly including, but not limited to, the Board of about 9 AM,* they return around 4 PM 9 Aug. 6 – 10* Chillin’ and Grillin’ BBQ at Cook Park YMCA Summer Day Camp Billing 6036 SE Foster Rd., Portland • Registrations require three business days for processing. Trustees of the YMCA, except for injuries caused intentionally, or by willful misconduct. I certify that I am familiar with the contents of 10 Aug. 13 – 17 Ride On! oaks Amusement Park Summer Day Camps 2018 Clay Camp: Weeks 1 – 11, this release, that I have read and understand the same, and that it is my intention by signing this release that the same be binding not after a day of exciting adventures. 9500 SW Barbur Boulevard, Suite 200, Portland, OR 97219 Art Camp: Weeks 2, 4, 7, 9 11 Aug. 20 – 24* A Walk on the Wild Side oregon Zoo only on me, but my heirs, administrators, executors, successors and assigns. *Arrival and departures times vary by location. • We accept third party billing. Please contact us for details. For payments please call 503.382.4397 Hours: 6:30 AM – 6:00 PM 12 Aug. 27 – 31 Keep the Ball Rolling Big Al’s ymcacw.org • When you register online you are automatically charged For billing questions please call 503.946.5004 Parent/Guardian Signature ______Date ______*Breakaway Camp locations are closed on July 4. Week nine, Portland Public Weekly Rate weekly fees on the due date with the card on file. To Register or for More Information OFFICE USE ONLY Program Approval ______Date ______Billing Approval ______Date ______Sent ______Before May 18: $220 per week School locations will only be held Aug. 6 – 8. Programs will be closed on either ymcacw.org/summer-day-camp After May 18: $230 per week Aug. 24 or Aug. 31, please check with your desired locations for exact dates. ymcacw.org facebook.com/YMCASchoolEnrichment [email protected] 503.327.0007 Register online at ymcacw.org/summer-day-camp Summer Day Camp Locations 2018 YMCA OF COLUMBIA-WILLAMETTE I Summer Day Camp/Health Registration Adventure Day Camp Specialt y Day C amps Beaverton PLEASE COMPLETE A SEPARATE FORM FOR EACH CHILD. Please complete the entire registration form. Beaverton YMCA Child Development Center 15650 NW Blueridge Dr., Beaverton Participant Information Adventure MCA specialty camps provide a range of To Register or for More Information Llewellyn school Weeks 3 – 11, Hours: 6:30 AM – 6:00 PM positive day camp experiences for your child. Camper’s Last Name ______First Name ______Grade in Fall ‘18 ______Gladstone Y ymcacw.org/summer-day-camp Lego Camp Week 3 June 25 – 29, Level 1 [email protected] School Attending in Fall ______M ______F ______Date of Birth ____ /____ /____ Gladstone YMCA Child Development Center The camps include Sports, Lego, Clay and Art, Week 5 July 9 – 13, Level 2 17395 Webster Rd., Gladstone 503.327.0007 Entering Grades 2 – 5 Awaits and each week offers a different theme. By Week 7 July 23 – 29, Level 1 Weeks 2 – 12, Hours: 6:00 AM – 6:00 PM To Register or for Parent/guardian the end of each week, kids develop a better Calling all future architects and Week 8 July 30 – Aug. 3, Level 2 Hillsboro Specialty Day Camps are not More Information Lenox Elementary understanding of a specialty area and learn new 1st Parent/Guardian of Columbia-Willamette included in the year-round package. engineers! Lego camp provides curious Hours ymcacw.org/summer-day-camp 21200 NW Rock Creek Blvd., Portland skills while developing their abilities. Part-time options not available. campers the opportunity to build Lego Last Name ______First name ______Date of Birth ____ /____ /____ Weeks 2 – 12, Hours: 6:30 AM – 6:30 PM Day Camps provide children 6:30 AM – 6:00 PM [email protected] YMCA creations and test their skills. We use with new experiences, skill building, a 503.327.0007 Home Address ______City ______State ______Zip ______Amberglen YMCA Child Development Center Lego Education Kits that promote Lego Day Camp 2120 NW Amberbrook Dr., Beaverton sense of community and lasting friendships. Home Phone ______Employer ______teamwork and problem solving as well 9:00 AM – 3:00 PM Weeks 2 – 12, Hours: 6:30 AM – 6:30 PM Our day camps, for children entering Specialty Day Camps are not as our own Lego curriculum. Before & After Day Camp Address ______City ______State ______Zip ______Milwaukie STEM included in the year-round first through eighth grade, are available at locations 6:30 AM – 9:00 AM Work Phone ______Cell ______Monroe St. YMCA Child Development Center throughout the Portland and Vancouver regional area. 3:00 PM – 6:00 PM package. Part-time options 2992 SE Monroe Street, Milwaukie Sports weekly rate not available. Email ______May we contact you by email? Yes No Weeks 2 – 12, Hours: 6:30 AM – 6:30 PM Before May 18: $220 per week There is no additional fee for Oregon City YMCA Day Camps are uniquely designed around specific After May 18: $230 per week before and after camp care. Camp Week Dates Theme 2nd Parent/Guardian Clackamas YMCA Child Development Center themed activities, which include Clay and Art, Sports, Lego, 19600 South Molalla Ave., Oregon City Last Name ______First name ______Date of Birth ____ /____ /____ Adventure and Breakaway camps. Entering Grades 2 – 5 laurelhurst School Weeks 2 – 12, Hours: 6:30 AM – 6:30 PM Home Address ______City ______State ______Zip ______Portland Campers learn to work and play together, and are mentored 1 June 11 – 15 Baseball YMCA Sports Camps focus on individual skill 2 June 18 – 22 Soccer Year Round Participant Location Options by experienced camp staff. All summer long campers have new Home Phone ______Employer ______Week 9, Thursday and Friday; Weeks 10 and 11 development as well as the team ideals of 3 June 25 – 29 Basketball Hours: 6:30 AM – 6:00 PM adventures in a safe, welcoming environment. sportsmanship and camaraderie. These week long 4 July 2 – 6* Baseball Clay and Address ______City ______State ______Zip ______5 July 9 – 13 Soccer Holladay Park We intentionally foster achievement, relationships and sessions are designed to accommodate both playful Work Phone ______Cell ______2120 NE Tillamook, Portland and serious young sports fans. As campers grow 6 July 16 – 20 Basketball belonging, which we cultivate throughout the summer months. 7 July 23 – 27 Baseball art Camp Email ______May we contact you by email? Yes No SE YMCA Child Development Center and learn each activity, they can increase their skill 8 July 30 – Aug. 3 Soccer 6036 SE Foster, Portland Day Camp Upgrade Areas of Focus level. We give them incentives to continue to achieve Entering Grades 2 – 5 Billing North/Northeast throughout their camp experience, gaining more *Sports Camp is closed July 4 We know with the right building blocks for healthy • Hands-on exploration Billing Party 1st parent 2nd parent DHS CSD DSHS Alameda Elementary advanced skills, and having a ball along the way. YMCA Clay and Art Camp offers 2732 NE Fremont, Portland development, children gain the skills they need to be active, • Build skills a fun environment for young Other ______If 3rd party, case worker name and phone number ______Weeks 1 – 8; Week 9, Monday – Wednesday Hours: 6:30 AM – 6:00 PM thriving and contributing members of society. We strive to • Self-paced environment artists grades 2 – 5 to explore This program is provided, in part, through support of the USDA. The following information is for statistical purposes only. nurture campers in a challenging and supportive environment, • Develop friendships new techniques and express their Laurelhurst Elementary where their safety and well-being are our priority. artistic talents. Campers will have Ethnicity White (not of Hispanic Origin) Black or African American Asian Hispanic or Latino 840 NE 41st Ave., Portland weekly rate Weeks 1 – 8; Week 9, Monday – Wednesday the opportunity to participate in Not Hispanic or Latino American Indian and Alaskan Native Native Hawaiian or Other Pacific Islander Other Hours: 6:30 AM – 6:00 PM Before May 18: $220 per week a variety of different art mediums After May 18: $230 per week Monthly Gross Income $0 – $500 $501 – $1000 $1001 – $1597 $1598 – $2000 Southeast during these week long sessions. Arleta Elementary Online registration starts April 23. Early Bird registration goes through May 18. $2001 – $2500 $2501 – $4021 $4022+ 5109 SE 66th Ave., Portland ymcacw.org/summer-day-camp I [email protected] I 503.327.0007 Hours Weekly Rate Weeks 1 – 8; Week 9, Monday – Wednesday Week Dates Clay Studio Art Studio Household Status Single parent Dual parent Number of people in household ______Hours: 6:30 AM – 6:00 PM 6:30 AM – 6:00 PM Before May 18: $220 per week Southeast YMCA Art Center Llewellyn Elementary Sports Day Camp After May 18: $230 per week 9:00 AM – 3:00 PM 1 June 11 – 15 Kids-n-Clay – Emergency Contact(S) OTHER Than Parent(S) Authorized TO PICK up Child 6301 SE 14th Ave., Portland Weeks 1 – 8; Week 9, Monday – Wednesday 2 June 18 – 22 Spin It 3-D / Multi Media Name ______Cell Phone ______Home Phone ______isit our website to register as early as April 23. Before & After Day Camp Hours: 6:30 AM – 6:00 PM 6:30 AM – 9:00 AM Hours 3 June 25 – 29 Monster Art – Register online and have your summer registration 4 July 2 – 6* Hand Building Paint, Splatter & Splash Address ______City ______State ______Zip ______V 3:00 PM – 6:00 PM 6:30 AM – 6:00 PM SE YMCA Child Development Center fee waived. For more information contact us at 5 July 9 – 13 Spin It – 6036 SE Foster, Portland Clay and Art Day Camp Relationship [email protected] or 503.327.0007. There is no additional fee for 6 July 16 – 20 Amazing Pinch Pots – Weeks 1 – 11, Hours: 6:30 AM – 6:00 PM before and after camp care. 9:00 AM – 3:00 PM 7 July 23 – 27 Slab & Coil Fossil Fun, Plaster & Paint Y’s Choice YMCA @ Tabor Heights Participating in Day Camps helps kids be better together. Before & After Day Camps 8 June 30 – Aug. 3 Sculpture Fun – Name ______Cell Phone ______Home Phone ______6161 SE Stark St., Portland 9 Aug. 6 – 10 Castles, Caves & Fairy Houses Nature Art Rocks! 6:30 AM – 9:00 AM Weeks 1 – 11, Hours: 6:30 AM – 6:00 PM 10 Aug. 13 – 17 Mandala Mania – Address ______City ______State ______Zip ______3:00 PM – 6:00 PM 11 Aug. 20 – 24* Monster Art 2 – The YMCA does not discriminate against any child on the basis of race, religion, color, national origin, sex, marital status of the parent, or because of a need for special Relationship ______To Register or for More Information care. Our goal is to meet the individual needs of each child within the structure of our program while maintaining a safe and healthy environment for all children and There is no additional fee for *Clay and Art Day Camp is closed July 4 and Aug. 24. ymcacw.org/summer-day-camp staff. For additional information on accommodating participants with diverse needs within the summer day camp program, please refer to the general camp information. [email protected] 503.327.0007 The school district does not sponsor or endorse the activities and/or information contained in this pamphlet. The YMCA is a nonprofit organization. before and after camp care. Register online at ymcacw.org/summer-day-camp (continued on reverse side) Summer Day Camp Locations 2018 YMCA OF COLUMBIA-WILLAMETTE I Summer Day Camp/Health Registration Adventure Day Camp Specialt y Day C amps Beaverton PLEASE COMPLETE A SEPARATE FORM FOR EACH CHILD. Please complete the entire registration form. Beaverton YMCA Child Development Center 15650 NW Blueridge Dr., Beaverton Participant Information Adventure MCA specialty camps provide a range of To Register or for More Information Llewellyn school Weeks 3 – 11, Hours: 6:30 AM – 6:00 PM positive day camp experiences for your child. Camper’s Last Name ______First Name ______Grade in Fall ‘18 ______Gladstone Y ymcacw.org/summer-day-camp Lego Camp Week 3 June 25 – 29, Level 1 [email protected] School Attending in Fall ______M ______F ______Date of Birth ____ /____ /____ Gladstone YMCA Child Development Center The camps include Sports, Lego, Clay and Art, Week 5 July 9 – 13, Level 2 17395 Webster Rd., Gladstone 503.327.0007 Entering Grades 2 – 5 Awaits and each week offers a different theme. By Week 7 July 23 – 29, Level 1 Weeks 2 – 12, Hours: 6:00 AM – 6:00 PM To Register or for Parent/guardian the end of each week, kids develop a better Calling all future architects and Week 8 July 30 – Aug. 3, Level 2 Hillsboro Specialty Day Camps are not More Information Lenox Elementary understanding of a specialty area and learn new 1st Parent/Guardian of Columbia-Willamette included in the year-round package. engineers! Lego camp provides curious Hours ymcacw.org/summer-day-camp 21200 NW Rock Creek Blvd., Portland skills while developing their abilities. Part-time options not available. campers the opportunity to build Lego Last Name ______First name ______Date of Birth ____ /____ /____ Weeks 2 – 12, Hours: 6:30 AM – 6:30 PM Day Camps provide children 6:30 AM – 6:00 PM [email protected] YMCA creations and test their skills. We use with new experiences, skill building, a 503.327.0007 Home Address ______City ______State ______Zip ______Amberglen YMCA Child Development Center Lego Education Kits that promote Lego Day Camp 2120 NW Amberbrook Dr., Beaverton sense of community and lasting friendships. Home Phone ______Employer ______teamwork and problem solving as well 9:00 AM – 3:00 PM Weeks 2 – 12, Hours: 6:30 AM – 6:30 PM Our day camps, for children entering Specialty Day Camps are not as our own Lego curriculum. Before & After Day Camp Address ______City ______State ______Zip ______Milwaukie STEM included in the year-round first through eighth grade, are available at locations 6:30 AM – 9:00 AM Work Phone ______Cell ______Monroe St. YMCA Child Development Center throughout the Portland and Vancouver regional area. 3:00 PM – 6:00 PM package. Part-time options 2992 SE Monroe Street, Milwaukie Sports weekly rate not available. Email ______May we contact you by email? Yes No Weeks 2 – 12, Hours: 6:30 AM – 6:30 PM Before May 18: $220 per week There is no additional fee for Oregon City YMCA Day Camps are uniquely designed around specific After May 18: $230 per week before and after camp care. Camp Week Dates Theme 2nd Parent/Guardian Clackamas YMCA Child Development Center themed activities, which include Clay and Art, Sports, Lego, 19600 South Molalla Ave., Oregon City Last Name ______First name ______Date of Birth ____ /____ /____ Adventure and Breakaway camps. Entering Grades 2 – 5 laurelhurst School Weeks 2 – 12, Hours: 6:30 AM – 6:30 PM Home Address ______City ______State ______Zip ______Portland Campers learn to work and play together, and are mentored 1 June 11 – 15 Baseball YMCA Sports Camps focus on individual skill 2 June 18 – 22 Soccer Year Round Participant Location Options by experienced camp staff. All summer long campers have new Home Phone ______Employer ______Week 9, Thursday and Friday; Weeks 10 and 11 development as well as the team ideals of 3 June 25 – 29 Basketball Hours: 6:30 AM – 6:00 PM adventures in a safe, welcoming environment. sportsmanship and camaraderie. These week long 4 July 2 – 6* Baseball Clay and Address ______City ______State ______Zip ______5 July 9 – 13 Soccer Holladay Park We intentionally foster achievement, relationships and sessions are designed to accommodate both playful Work Phone ______Cell ______2120 NE Tillamook, Portland and serious young sports fans. As campers grow 6 July 16 – 20 Basketball belonging, which we cultivate throughout the summer months. 7 July 23 – 27 Baseball art Camp Email ______May we contact you by email? Yes No SE YMCA Child Development Center and learn each activity, they can increase their skill 8 July 30 – Aug. 3 Soccer 6036 SE Foster, Portland Day Camp Upgrade Areas of Focus level. We give them incentives to continue to achieve Entering Grades 2 – 5 Billing North/Northeast throughout their camp experience, gaining more *Sports Camp is closed July 4 We know with the right building blocks for healthy • Hands-on exploration Billing Party 1st parent 2nd parent DHS CSD DSHS Alameda Elementary advanced skills, and having a ball along the way. YMCA Clay and Art Camp offers 2732 NE Fremont, Portland development, children gain the skills they need to be active, • Build skills a fun environment for young Other ______If 3rd party, case worker name and phone number ______Weeks 1 – 8; Week 9, Monday – Wednesday Hours: 6:30 AM – 6:00 PM thriving and contributing members of society. We strive to • Self-paced environment artists grades 2 – 5 to explore This program is provided, in part, through support of the USDA. The following information is for statistical purposes only. nurture campers in a challenging and supportive environment, • Develop friendships new techniques and express their Laurelhurst Elementary where their safety and well-being are our priority. artistic talents. Campers will have Ethnicity White (not of Hispanic Origin) Black or African American Asian Hispanic or Latino 840 NE 41st Ave., Portland weekly rate Weeks 1 – 8; Week 9, Monday – Wednesday the opportunity to participate in Not Hispanic or Latino American Indian and Alaskan Native Native Hawaiian or Other Pacific Islander Other Hours: 6:30 AM – 6:00 PM Before May 18: $220 per week a variety of different art mediums After May 18: $230 per week Monthly Gross Income $0 – $500 $501 – $1000 $1001 – $1597 $1598 – $2000 Southeast during these week long sessions. Arleta Elementary Online registration starts April 23. Early Bird registration goes through May 18. $2001 – $2500 $2501 – $4021 $4022+ 5109 SE 66th Ave., Portland ymcacw.org/summer-day-camp I [email protected] I 503.327.0007 Hours Weekly Rate Weeks 1 – 8; Week 9, Monday – Wednesday Week Dates Clay Studio Art Studio Household Status Single parent Dual parent Number of people in household ______Hours: 6:30 AM – 6:00 PM 6:30 AM – 6:00 PM Before May 18: $220 per week Southeast YMCA Art Center Llewellyn Elementary Sports Day Camp After May 18: $230 per week 9:00 AM – 3:00 PM 1 June 11 – 15 Kids-n-Clay – Emergency Contact(S) OTHER Than Parent(S) Authorized TO PICK up Child 6301 SE 14th Ave., Portland Weeks 1 – 8; Week 9, Monday – Wednesday 2 June 18 – 22 Spin It 3-D / Multi Media Name ______Cell Phone ______Home Phone ______isit our website to register as early as April 23. Before & After Day Camp Hours: 6:30 AM – 6:00 PM 6:30 AM – 9:00 AM Hours 3 June 25 – 29 Monster Art – Register online and have your summer registration 4 July 2 – 6* Hand Building Paint, Splatter & Splash Address ______City ______State ______Zip ______V 3:00 PM – 6:00 PM 6:30 AM – 6:00 PM SE YMCA Child Development Center fee waived. For more information contact us at 5 July 9 – 13 Spin It – 6036 SE Foster, Portland Clay and Art Day Camp Relationship [email protected] or 503.327.0007. There is no additional fee for 6 July 16 – 20 Amazing Pinch Pots – Weeks 1 – 11, Hours: 6:30 AM – 6:00 PM before and after camp care. 9:00 AM – 3:00 PM 7 July 23 – 27 Slab & Coil Fossil Fun, Plaster & Paint Y’s Choice YMCA @ Tabor Heights Participating in Day Camps helps kids be better together. Before & After Day Camps 8 June 30 – Aug. 3 Sculpture Fun – Name ______Cell Phone ______Home Phone ______6161 SE Stark St., Portland 9 Aug. 6 – 10 Castles, Caves & Fairy Houses Nature Art Rocks! 6:30 AM – 9:00 AM Weeks 1 – 11, Hours: 6:30 AM – 6:00 PM 10 Aug. 13 – 17 Mandala Mania – Address ______City ______State ______Zip ______3:00 PM – 6:00 PM 11 Aug. 20 – 24* Monster Art 2 – The YMCA does not discriminate against any child on the basis of race, religion, color, national origin, sex, marital status of the parent, or because of a need for special Relationship ______To Register or for More Information care. Our goal is to meet the individual needs of each child within the structure of our program while maintaining a safe and healthy environment for all children and There is no additional fee for *Clay and Art Day Camp is closed July 4 and Aug. 24. ymcacw.org/summer-day-camp staff. For additional information on accommodating participants with diverse needs within the summer day camp program, please refer to the general camp information. [email protected] 503.327.0007 The school district does not sponsor or endorse the activities and/or information contained in this pamphlet. The YMCA is a nonprofit organization. before and after camp care. Register online at ymcacw.org/summer-day-camp (continued on reverse side) Summer Day Camp Locations 2018 YMCA OF COLUMBIA-WILLAMETTE I Summer Day Camp/Health Registration Adventure Day Camp Specialt y Day C amps Beaverton PLEASE COMPLETE A SEPARATE FORM FOR EACH CHILD. Please complete the entire registration form. Beaverton YMCA Child Development Center 15650 NW Blueridge Dr., Beaverton Participant Information Adventure MCA specialty camps provide a range of To Register or for More Information Llewellyn school Weeks 3 – 11, Hours: 6:30 AM – 6:00 PM positive day camp experiences for your child. Camper’s Last Name ______First Name ______Grade in Fall ‘18 ______Gladstone Y ymcacw.org/summer-day-camp Lego Camp Week 3 June 25 – 29, Level 1 [email protected] School Attending in Fall ______M ______F ______Date of Birth ____ /____ /____ Gladstone YMCA Child Development Center The camps include Sports, Lego, Clay and Art, Week 5 July 9 – 13, Level 2 17395 Webster Rd., Gladstone 503.327.0007 Entering Grades 2 – 5 Awaits and each week offers a different theme. By Week 7 July 23 – 29, Level 1 Weeks 2 – 12, Hours: 6:00 AM – 6:00 PM To Register or for Parent/guardian the end of each week, kids develop a better Calling all future architects and Week 8 July 30 – Aug. 3, Level 2 Hillsboro Specialty Day Camps are not More Information Lenox Elementary understanding of a specialty area and learn new 1st Parent/Guardian of Columbia-Willamette included in the year-round package. engineers! Lego camp provides curious Hours ymcacw.org/summer-day-camp 21200 NW Rock Creek Blvd., Portland skills while developing their abilities. Part-time options not available. campers the opportunity to build Lego Last Name ______First name ______Date of Birth ____ /____ /____ Weeks 2 – 12, Hours: 6:30 AM – 6:30 PM Day Camps provide children 6:30 AM – 6:00 PM [email protected] YMCA creations and test their skills. We use with new experiences, skill building, a 503.327.0007 Home Address ______City ______State ______Zip ______Amberglen YMCA Child Development Center Lego Education Kits that promote Lego Day Camp 2120 NW Amberbrook Dr., Beaverton sense of community and lasting friendships. Home Phone ______Employer ______teamwork and problem solving as well 9:00 AM – 3:00 PM Weeks 2 – 12, Hours: 6:30 AM – 6:30 PM Our day camps, for children entering Specialty Day Camps are not as our own Lego curriculum. Before & After Day Camp Address ______City ______State ______Zip ______Milwaukie STEM included in the year-round first through eighth grade, are available at locations 6:30 AM – 9:00 AM Work Phone ______Cell ______Monroe St. YMCA Child Development Center throughout the Portland and Vancouver regional area. 3:00 PM – 6:00 PM package. Part-time options 2992 SE Monroe Street, Milwaukie Sports weekly rate not available. Email ______May we contact you by email? Yes No Weeks 2 – 12, Hours: 6:30 AM – 6:30 PM Before May 18: $220 per week There is no additional fee for Oregon City YMCA Day Camps are uniquely designed around specific After May 18: $230 per week before and after camp care. Camp Week Dates Theme 2nd Parent/Guardian Clackamas YMCA Child Development Center themed activities, which include Clay and Art, Sports, Lego, 19600 South Molalla Ave., Oregon City Last Name ______First name ______Date of Birth ____ /____ /____ Adventure and Breakaway camps. Entering Grades 2 – 5 laurelhurst School Weeks 2 – 12, Hours: 6:30 AM – 6:30 PM Home Address ______City ______State ______Zip ______Portland Campers learn to work and play together, and are mentored 1 June 11 – 15 Baseball YMCA Sports Camps focus on individual skill 2 June 18 – 22 Soccer Year Round Participant Location Options by experienced camp staff. All summer long campers have new Home Phone ______Employer ______Week 9, Thursday and Friday; Weeks 10 and 11 development as well as the team ideals of 3 June 25 – 29 Basketball Hours: 6:30 AM – 6:00 PM adventures in a safe, welcoming environment. sportsmanship and camaraderie. These week long 4 July 2 – 6* Baseball Clay and Address ______City ______State ______Zip ______5 July 9 – 13 Soccer Holladay Park We intentionally foster achievement, relationships and sessions are designed to accommodate both playful Work Phone ______Cell ______2120 NE Tillamook, Portland and serious young sports fans. As campers grow 6 July 16 – 20 Basketball belonging, which we cultivate throughout the summer months. 7 July 23 – 27 Baseball art Camp Email ______May we contact you by email? Yes No SE YMCA Child Development Center and learn each activity, they can increase their skill 8 July 30 – Aug. 3 Soccer 6036 SE Foster, Portland Day Camp Upgrade Areas of Focus level. We give them incentives to continue to achieve Entering Grades 2 – 5 Billing North/Northeast throughout their camp experience, gaining more *Sports Camp is closed July 4 We know with the right building blocks for healthy • Hands-on exploration Billing Party 1st parent 2nd parent DHS CSD DSHS Alameda Elementary advanced skills, and having a ball along the way. YMCA Clay and Art Camp offers 2732 NE Fremont, Portland development, children gain the skills they need to be active, • Build skills a fun environment for young Other ______If 3rd party, case worker name and phone number ______Weeks 1 – 8; Week 9, Monday – Wednesday Hours: 6:30 AM – 6:00 PM thriving and contributing members of society. We strive to • Self-paced environment artists grades 2 – 5 to explore This program is provided, in part, through support of the USDA. The following information is for statistical purposes only. nurture campers in a challenging and supportive environment, • Develop friendships new techniques and express their Laurelhurst Elementary where their safety and well-being are our priority. artistic talents. Campers will have Ethnicity White (not of Hispanic Origin) Black or African American Asian Hispanic or Latino 840 NE 41st Ave., Portland weekly rate Weeks 1 – 8; Week 9, Monday – Wednesday the opportunity to participate in Not Hispanic or Latino American Indian and Alaskan Native Native Hawaiian or Other Pacific Islander Other Hours: 6:30 AM – 6:00 PM Before May 18: $220 per week a variety of different art mediums After May 18: $230 per week Monthly Gross Income $0 – $500 $501 – $1000 $1001 – $1597 $1598 – $2000 Southeast during these week long sessions. Arleta Elementary Online registration starts April 23. Early Bird registration goes through May 18. $2001 – $2500 $2501 – $4021 $4022+ 5109 SE 66th Ave., Portland ymcacw.org/summer-day-camp I [email protected] I 503.327.0007 Hours Weekly Rate Weeks 1 – 8; Week 9, Monday – Wednesday Week Dates Clay Studio Art Studio Household Status Single parent Dual parent Number of people in household ______Hours: 6:30 AM – 6:00 PM 6:30 AM – 6:00 PM Before May 18: $220 per week Southeast YMCA Art Center Llewellyn Elementary Sports Day Camp After May 18: $230 per week 9:00 AM – 3:00 PM 1 June 11 – 15 Kids-n-Clay – Emergency Contact(S) OTHER Than Parent(S) Authorized TO PICK up Child 6301 SE 14th Ave., Portland Weeks 1 – 8; Week 9, Monday – Wednesday 2 June 18 – 22 Spin It 3-D / Multi Media Name ______Cell Phone ______Home Phone ______isit our website to register as early as April 23. Before & After Day Camp Hours: 6:30 AM – 6:00 PM 6:30 AM – 9:00 AM Hours 3 June 25 – 29 Monster Art – Register online and have your summer registration 4 July 2 – 6* Hand Building Paint, Splatter & Splash Address ______City ______State ______Zip ______V 3:00 PM – 6:00 PM 6:30 AM – 6:00 PM SE YMCA Child Development Center fee waived. For more information contact us at 5 July 9 – 13 Spin It – 6036 SE Foster, Portland Clay and Art Day Camp Relationship [email protected] or 503.327.0007. There is no additional fee for 6 July 16 – 20 Amazing Pinch Pots – Weeks 1 – 11, Hours: 6:30 AM – 6:00 PM before and after camp care. 9:00 AM – 3:00 PM 7 July 23 – 27 Slab & Coil Fossil Fun, Plaster & Paint Y’s Choice YMCA @ Tabor Heights Participating in Day Camps helps kids be better together. Before & After Day Camps 8 June 30 – Aug. 3 Sculpture Fun – Name ______Cell Phone ______Home Phone ______6161 SE Stark St., Portland 9 Aug. 6 – 10 Castles, Caves & Fairy Houses Nature Art Rocks! 6:30 AM – 9:00 AM Weeks 1 – 11, Hours: 6:30 AM – 6:00 PM 10 Aug. 13 – 17 Mandala Mania – Address ______City ______State ______Zip ______3:00 PM – 6:00 PM 11 Aug. 20 – 24* Monster Art 2 – The YMCA does not discriminate against any child on the basis of race, religion, color, national origin, sex, marital status of the parent, or because of a need for special Relationship ______To Register or for More Information care. Our goal is to meet the individual needs of each child within the structure of our program while maintaining a safe and healthy environment for all children and There is no additional fee for *Clay and Art Day Camp is closed July 4 and Aug. 24. ymcacw.org/summer-day-camp staff. For additional information on accommodating participants with diverse needs within the summer day camp program, please refer to the general camp information. [email protected] 503.327.0007 The school district does not sponsor or endorse the activities and/or information contained in this pamphlet. The YMCA is a nonprofit organization. before and after camp care. Register online at ymcacw.org/summer-day-camp (continued on reverse side) Summer Day Camp Locations 2018