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