Ymca Summer Day Camp Form - 2016

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2016 YMCA SUMMER DAY CAMP
Child: First Name _____________________________________________________MI___________Last Name _________________________________________________________
YMCA Member □
Non Member □
E-mail __________________________________________________________________________________________________________
NOTE: There is a one time, non-refundable $25 registration fee per child required to secure your spot. The registration fee
covers all camps and includes a t-shirt. Day Camp, Specialty, Teen and Platte Camps require a $20 non-refundable
deposit per child per week.
PRESCHOOL MORNING CAMPS
SUMMER DAY CAMPS
CHOOSE YOUR CAMP AND LOCATION:
CHOOSE YOUR CAMP AND LOCATION:
Ages 3-5
Sarpy Community YMCA: Ages 4-12
All Morning Preschool Camps: 9:30-11:30 am
All Other Locations: Ages 5-12 (Must have attended Kindergarten)
Monday/Wednesday:
Deposit (non-refundable): $20 per child per week
□ Armbrust YMCA
All camps run Monday-Friday, except on the noted holidays
□ Council Bluffs YMCA
Downtown YMCA Camp Hours: 6:30 am-6:00 pm
□ Maple Street YMCA
□ Sarpy Community YMCA
All Other Locations: 7:00 am-6:00 pm
□ Southwest YMCA
Member: $20/week Non member: $30/week
□ Armbrust YMCA
□ Sarpy Community YMCA
□ Downtown/Butler-Gast YMCA
□ South YMCA Program Center
Tuesday/Thursday:
□ Council Bluffs YMCA
□ Southwest YMCA
□ Armbrust YMCA
□ Maple Street YMCA
□ Twin Rivers YMCA
□ Council Bluffs YMCA
□ Mills County YMCA
□ Maple Street YMCA
□ Sarpy Community YMCA
Member: $130/week; 2 children-$245/week; 3 children-$360/week
□ Southwest YMCA
Non member: $175/week; 2 children-$335/week; 3 children-$495/week
Member: $20/week
Non member: $30/week
*Fun & Fitness and Fear Factor are prorated due to holidays:
Member: $104/week; 2 children-$196/week; 3 children-$288/week
Non member: $140/week; 2 children-$268/week; 3 children-$396/week
CHOOSE YOUR WEEKS: Please check the weeks that apply.
□ May 31-June 3: Fun & Fitness
Scholarships are available. Ask your YMCA for more information.
(Tuesday/Thursday Only - Check your YMCA location)
□ June 6-10: Creative Campers
CHOOSE YOUR WEEKS: Please check the weeks that apply.
□ June 13-17: Mad Science
□ May 23-27: Un-Birthday
□ June 20-24: Pay It Forward
(Check your YMCA location for exact dates)
□ June 27-July 1: Team Extreme
□ May 31-June 3: Fun & Fitness*
□ July 5-8: Fear Factor
(No program May 30th)
(Tuesday/Thursday Only)
□ June 6-10: Creative Campers
□ July 11-15: Call of the Wild
□ June 13-17: Mad Science
□ July 18-23: Peace Out
□ June 20-24: Pay It Forward
□ July 25-29: Water Wipeout
□ June 27-July 1: Team Extreme
□ August 1-5: Olympic Adventures
□ July 5-8: Fear Factor*
(No program July 4th)
□ July 11-15: Call of the Wild
□ July 18-22: Peace Out
□ July 25-29: Water Wipeout
□ August 1-5: Olympic Adventures
□ August 8-12: Lights, Camera, Action
(Check your YMCA location for exact dates)
□ August 15-19: Lookin’ Back on Summer
(Council Bluffs YMCA ONLY)
YMCA OF GREATER OMAHA . . Page 1

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