BEST SUMMER EVER Camp Thundermoon 2019 NEW BRITAIN-BERLIN YMCA

Registration locations: Visit our website and follow us at:

New Britain YMCA Berlin YMCA facebook.com/YMCACampThundermoon 50 High Street 362 Main Street facebook.com/BerlinYMCA New Britain, CT 06051 Berlin, CT 06037 facebook.com/NBBYMCA (860) 229-3787 (860) 357-2717 www.nbbymca.org @NBBYMCA

New Location:

Willard Elementary School 1088 Norton Road

Berlin, CT 06037

WELCOME TO CAMP THUNDERMOON!

At Camp Thundermoon our days are filled with great

opportunities for friendship, learning, and fun!

Our focus for fun is within three key areas:

Spirit (the Arts)

Mind (Science/Reading)

Body (Health/Wellness).

In addition we strive to instill the

YMCA areas of focus:

Youth Development

Healthy Living

Social Responsibility.

There’s nothing like a Y camp. At Camp Thundermoon kids are

provided a safe environment, positive role models, and

memories to last a lifetime. When you count on us, you can

count on the best summer EVER for your child!

Welcome to Camp Thundermoon…BOOM!

www.nbbymca.org facebook.com/YMCACampThundermoon facebook.com/BerlinYMCA @NBBYMCA

Express Registration Day

March 30, 2019

9:00 a.m. to 12:00 p.m.

at the Berlin YMCA

362 Main Street, Berlin

Early registration discounts available!

See registration info for details.

(Registrations will NOT be accepted at the New Britain YMCA on this day until after 12pm.

Express registration discounts ONLY given at the Berlin YMCA event.)

ABOUT CAMP THUNDERMOON

GENERAL INFORMATION

Camp Thundermoon is held at Willard Elementary School in Berlin,

CT. Our camp program utilizes various areas of the facility includ-

ing indoor/outdoor spaces and the playground. No Y membership

required, open to all! However having a Meriden-New Britain-Berlin Y

membership will help save you money.

HOW DOES CAMP WORK?

We group our campers into three different units based on age. Each unit is assigned a director and at least one counselor who oversee the group. We strive to maintain a ratio of campers to counselors that meets or exceeds the State of CT regulations. Our camp is a drop-off and pick-up program in Berlin. New Britain families have the option of bus transportation for an additional fee.

ACTIVITIES

Campers will participate in a variety of fun and age appropriate

activities, all based around the weekly theme. Our focus for fun is

within three key areas of Spirit (Music & the Arts), Mind (Science/

Reading), and Body (Health/Wellness).

SWIMMING & MORE AT OUR Y FACILITY

Each Unit will visit the New Britain YMCA or Meriden YMCA facility to

swim twice a week (Monday through Thursday). Bus transportation is

provided and will leave camp by 9:30 AM on swim days. Swim time

includes group swim lessons and free swim time. Campers will also

enjoy organized gym games and will get to use the indoor rock wall. All

activities are supervised by Camp Staff, certified Rock Wall Staff, and

certified Lifeguards. Campers will return to camp by 12:30 PM to have

lunch and enjoy the rest of the afternoon activities.

FIELD TRIPS & MORE!

Field trips are a great addition to our camp program. Typically field

trips are on a Friday of a field trip week. There is a minimal cost per

camper to attend most field trips. A detailed permission slip will be

sent home with campers at the beginning of that session. During non-

field trip weeks, we’ll have a camp show for friends and family to enjoy

and/or an all camp activity that goes with the weekly theme. *New -

pay the field trip fee at time of camp registration.

2019

CAMP THUNDERMOON SESSION THEMES

* Week 1 June 24- June 28

Hollywood Week

*** Week 2 July 1- July 5

No camp July 4th

Celebration

** Week 3 July 8 - July 12

Decades of Fun

*** Week 4 July 15 - July 19

Superhero Academy

*Week 5 July 22 - July 26

Game-ON

** Week 6 July 29 - August 2

Wild, Wild, West

*** Week 7 August 5 - August 9

H2Ohhh-Yeah!

** Week 8 August 12 - August 16

Thundermoon Madness

* Week 9 August 19 - August 23

Greatest Hits Week

* Trip

**Show

*** All Camp Activity

CAMP GROUPS TRADITIONAL & EXTENDED CAMP

LIGHTNING - ENTERING GRADE K-1

These campers will be engaged in creative, age appro-

priate activities based around the weekly camp theme.

Focus points will include listening and following

directions, sharing and cooperative play and having fun!

The Lightning unit is a fantastic way to introduce your

child to a full day-camp program.

Ratio: 9 Campers to 1 Staff Member

THUNDER - ENTERING GRADES 2-3

Campers in the Thunder unit will enjoy a variety of age

appropriate experiences with traditional hands-on camp

activities that are based around the weekly camp theme.

These campers will focus on personal growth and allow

for friendship building.

Ratio: 12 Campers to 1 Staff Member

HURRICANES - ENTERING GRADES 4-5

In this unit, campers will experience a variety of fun,

traditional camp activities that are based around the

weekly camp theme allowing for independent learning,

social development, confidence building and continued

fun.

Ratio: 12 Campers to 1 Staff Member

TEEN X-TREME - ENTERING GRADES 6-8

Teen X-Treme is a great summer experience for teens

where each day brings something new. Campers will

learn to communicate and work together as a team by

participating in a variety of camp activities based

around the weekly theme. Teen X-Treme will also travel

to the YMCA in New Britain or Meriden, for swimming

and other activities only geared towards Teens.

Ratio: 12 Campers to 1 Staff Member

EXTENDED CAMP

Extended Camp (Before/After Camp Care) is an option we

are offering for parents who need care either before

camp starts, after it ends, or both. Please be sure to

check the appropriate boxes on your campers registration

form to ensure we are fully staffed and expecting your

camper. Extended PM Camp Care includes an afternoon

snack for your camper, in addition to lots of games, ac-

tivities and more fun spending time with friends!

THUNDERMOON LEADERS CLUB (TLC)

TEENS ENTERING

GRADES 9-10

Thundermoon Leaders Club provides teens with opportu-nities for leadership training, personal growth, social de-velopment and service to others. The camp day will con-sist of a mixture of leadership and teambuilding activi-ties, along with daily and active volunteering in camp or within the Y community. Participants will assist Directors and counselors in the daily duties, complete service learning projects and help run camp events. Volunteer hours can be used towards school/church requirements. A camp staff member will provide support and guidance throughout the length of the program. Space is limited to 10 campers per week.

Traditional TLC

Runs from 9:00am-3:00pm and is $75 per week.

Before and After Camp Care is available for an additional

fee.

Extended Care Options/Fees:

$22 per week for Extended Before Camp Care (7:00-9:00am)

$32 per week for Extended After Camp Care (3:00-6:00pm)

$42 per week Extended Before + After Camp Care

Traditional Camp (9:00am-3:00pm)

Camp Fees:

Member: $155 per week

Non-Member: $165 per week

SPORTS CAMP Camp Thundermoon’s Sports Camp is now offered for all

grade levels for even more fun! These camps are for boys &

girls and will focus on skill instruction, drills and game

experience. During each weekly session campers will focus

on the sport during the morning and enjoy traditional camp

activities in the afternoon.

New! Pee-Wee Sports Camps (Grades K through 1)

Week 2 July 1 - 5 Basketball (No camp July 4)

Week 4 July 15 - 19 Soccer

Week 6 July 29 - August 2 Flag Football

Week 8 August 12 - August 16 Baseball/T-Ball

All Star Sports Camps (Grades 3- 8)

Week 1 June 24 - 28 Baseball/T-Ball

Week 3 July 8 - 12 Basketball

Week 5 July 22 - 26 Soccer

Week 7 August 5 - August 9 Flag Football

No equipment is needed except for Baseball Camp. Please

bring your baseball glove. Each week of All Star Sports

Camp will include a featured Camp Thundermoon vs.

Mountain Mist game. Details will be provided each session.

Sports Camp Rates:

Member $185

Non-member $195

DANCE CAMP

Learn to dance like a pop star while incorporating different types of dance including jazz, hip hop and more in this high energy camp. Designed for campers who love music and being active. Emphasis is on energy, rhythm and attitude. No prior dance experience is required.

Week 3: July 8 - July 12 Grades 1 - 3

Week 6: July 29 – August 2 Grades 4 - 6

SPECIALTY CAMPS TRADITIONAL & EXTENDED

THUNDERMOON BUILDERS CAMP

Calling all campers that love to build...this camp’s for

you! Come learn what it’s like to be an real engineer

and let your imagination soar! Spend the day building

different creations using a variety of materials such as

Lego® products, wood pieces, cardboard, and more!

Campers will focus on their building skills during the

morning and enjoy traditional camp activities in the

afternoon.

Week 5: July 22– July 26 Grades 1 to 3

GLAM GIRL CAMP

Designed for girls who want to kick back at camp and do things that only girls love! Come join us for a week of action packed activities including manicures & pedicures, facials, learning how to do different hair styles and designing your very own outfit, just like a fashion designer! Emphasis on self confidence, self esteem, and having fun!

Week 4: July 15- 19 Grades 2 - 4

Traditional Specialty Camp (9:00am-3:00pm)

Member: $185 per week Non-Member: $195 per week

Extended Specialty Camp

Before Camp Care (7:00-9:00 am) - add on $22 per week

After Camp Care (3:00-6:00pm) - add on $32 per week

Before + After Camp Care (7-9:00am AND 3-6:00pm)- add on $42 per week

CAMP REGISTRATION NIGHTS

Thursday April 25 Thursday May 16

5:00-7:00p.m.

Berlin YMCA, 362 Main Street, Berlin

We’re staying open later on these dates to process camp registrations, answer ques-tions, and get your child set for the BEST SUMMER EVER!

SPECIALTY CAMPS Art and STEM Camps

STEM Exploration Camp I

July 8 - 12

Do you like to explore science, solve problems and use

technology? Join us for an engaging session of

exploring many different STEM Challenges through

hands-on investigations. Different engineering

challenges from Session I. Ages 8 - 12.

Robotics Camp

July 15 - 19, August 5-9

Secure your student a spot in one of the most

prestigious upcoming career fields: Robotics! This

program will not only include computer science,

programming, and coding, but will further delve into

circuitry, video game design and creation. Students will

even have a chance to design and build their own robot

as a team with high-tech VEX IQ materials. Passion for

STEM can be started early with this fun, competitive

robotics camp! Ages 9 –12.

Fee for Robotics Camp:

Members: $200 Non-members $210

Electric Circuit Inventions

July 22 - 26

Come join us in building exciting projects such as FM

and AM radios, digital voice recorders, burglar alarms,

doorbells, and much more! All parts are mounted on

plastic modules and snap together with ease. This

engaging program makes learning electronics easy and

fun with Snap Circuits and Little Bits. Ages 9 –12.

Traditional Specialty Camp (9:00am-3:00pm)

Member: $185 per week

Non-Member: $195 per week

Extended Specialty Camp

Before Camp Care (7:00-9:00 am)

- add on $22 per week

After Camp Care (3:00-6:00pm)

- add on $32 per week

Both Before + After Camp Care (7:00-9:00am and

3:00-6:00pm) - add on $42 per week

STEM CAMPS

Rocketry Camp

June 24 - 28

Get ready to blast off with this exciting program! Students

will have the opportunity to build small rockets from

household materials that they can launch at home,

eventually building up to a well-designed rocket that will

be launched from our own high pressure air compressor.

Participants will also build, and launch, a model rocket.

Students with a knack for engineering and design should

consider this course in basic rocketry. Age 8 -12.

Maker Camp

July 1 – 5 (No camp July 4)

Our maker program will center on our students producing

projects that will focus on being hands on and make a

product that can be brought home and shared with their

families and local community. Throughout all projects, we

will continually emphasize the engineering design process,

creativity and the importance of collaboration. Camp

projects will include basic robotics with Bristlebots, the

Great Cardboard Challenge, Rube Goldberg style

machines/inventions and coding a robot to travel through

a maze. This theme will help the students bring out their

analytical ways of thinking and how to apply life skills to

engineering and design a “best product”. Age 9-12.

SPECIALTY CAMPS Art and STEM Camps

MUSICAL THEATER CAMP

Week 2 & 3: July 1 - 12, 2019

Mulan, Jr. (Grades 5 - 8)

Week 4 & 5: July 15 - 26, 2019

Camp Rock The Musical

(Grades 7- 8)

Have a camper that loves to act, dance, and sing? Come join our Musical Theater Camp this summer! No experience required.

Join the ensemble for the performance in collaboration with our friends at the Meriden YMCA’s Mountain Mist Day Camp.

Campers will be bused to Mountain Mist Day Camp in Meriden for the start of the camp day. While there they will receive specialized instruction/rehearsal time each day, along with enjoying some of the normal camp day activities and having lunch with their theater friends. Participants in this specialty camp do not go swimming. Campers will return back to Camp Thundermoon each day in time for normal camp dismissal at 3:00 p.m.

Show performances will be held at Mountain Mist Day Camp. (Transportation will not be provided for shows). Performing in both shows is strongly encouraged, but not mandatory.

Performance dates: Mulan, Jr. July 12th and 13th. Camp Rock The Musical July 25th and 26th. Musical Theater Camp Fees: Member $370 for 2 weeks Non-Member $390 for 2 weeks

ART CAMP

For campers who just can’t get enough of arts & crafts….this specialty camp is for you! Come explore a variety of fun and creative drawing and painting techniques, using various media. Campers will learn skills to help draw from observation and from their imagination as they investigate relationships between line forms, perspective, texture and color.

Week 4 July 15 -19 (Grades 5-8)

Week 6 July 29 - August 2 (Grades 2-4)

Traditional Specialty Camp (9:00am-3:00pm) Member: $185 per week Non-Member: $195 per week

Extended Specialty Camp Before Camp Care (7:00-9:00 am) - add on $22 per week

After Camp Care (3:00-6:00pm) - add on $32 per week

Both Before + After Camp Care (7:00-9:00am AND 3:00-6:00pm)

- add on $42 per week

Space Camp

July 29 - August 2

Developed with NASA based activities, this camp explores

what it really means to be an astronaut and a aerospace

engineer combining science, engineering, and math all in

one. Students will be building, launching, and exploring the

various structures launched into space while thinking

about the scientific factors that go into real NASA space

explorations. This camp introduces children to the

principles of engineering through hands-on NASA themed

activities that apply the engineering design process to

solve problems and generate solutions. The emphasis is on

students understanding that engineers must imagine and

plan before they begin to create and test. This camp will

include an basic rocketry as well. Come join us for a great

time!

Chemistry Camp

August 12—16

Explore a different side of STEM with this new program. As junior chemists, students will study the substances that make up matter—everything that takes up space in the universe. They also study the changes that take place when substances are combined. These changes are called chemical reactions. Participants who join will have the chance to see how the properties of substances can make for exciting projects; some projects might include slime, foam dough, and lava lamps. Age 9 –12.

STEM Explorations II Camp August 19 - 23

Do you like to explore science, solve problems and use technology? If you do, then STEM Academy is the perfect place for you! Join us for an engaging session of exploring many different STEM Challenges through hands-on investigations. Challenges will be different from Sessions 1 and 2 STEM Exploration Camp. Age 8 - 12.

PARENT/GUARDIAN INFORMATION

HOW TO SAVE MONEY ON CAMP

Having a Meriden-New Britain-Berlin YMCA

Membership means you save on your weekly

camp fee!

10% discount per week for 2nd child or more.

Early registration discounts during April.

Register for all 9 weeks and pay in FULL at the

time of registration and receive 10% off your

total camp fees.

Register for the Camp Lawn Sign Program and

receive $20 off for one session. Must com-

plete form at time of registration. Discount

available until April 30th only.

CAMP FUN FEE

Camp Thundermoon requires a one-time Camp Fun Fee

of $10 per camper to be paid annually at the time of

registration. 100% of this annual fee is invested into

the camp for specific program improvements for the

following summer.

NEED HELP TO AFFORD CAMP?

Every child should experience the life-changing fun of

summer camp. Our YMCA offers financial assistance to

those who need help to afford camp. For those who are

in need of Financial Aid, you must apply before register-

ing for camp. We require families to apply for the state

funded Care 4 Kids program first, before applying for

Financial Aid through the Y. Applications are available at

the YMCA in New Britain or Berlin or www.nbbymca.org.

*No new Financial Aid applications will be accepted after June 24, 2019.

HOW TO REGISTER FOR CAMP?

To register please complete one camp registration

form per camper.

Each camper needs a Camp Medical Form completed

and signed by their primary physician per State of

Connecticut camp licensing requirements. Medical

forms MUST be received prior to the child’s first day

of camp. Physicals are valid for 3 years from the

date received.

Campers with medical needs or who need

medication during their time at camp are required

to have an Administration of Medication form com-

pleted and signed by their primary physician. This

form must be returned to the Camp First Aid Direc-

tor before or on the child’s first day of camp. All

medications must be given to the Camp First Aid

Director on the first day of camp for the child, and

will be returned at the conclusion of their time at

camp. Medications must be labeled with the original

prescription label (or hand written label if over-

counter) and be in its original packaging.

All medical paperwork can be faxed to the Berlin Y

office (860) 828-7830.

BUS OPTION FOR NEW BRITAIN FAMILIES

Choose one of the bus stops below and have

your camper there and ready for when the bus

arrives. Destination...CAMP THUNDERMOON!

Campers in grades K-3 are required to have a

parent waiting for them at drop off at the end

of the camp day. Fee is $10/week per camper.

Bus Bus stop Pickup Drop off

Gold

New Britain YMCA 50 High St. (front of building)

8:30am

3:30pm

Blue Diloreto Magnet School 8:15am 4:00pm

Orange Roosevelt School 8:45am 3:15pm

Purple Vance School (front sidewalk near play-ground)

8:00am

3:00pm

All Camp Forms are printable from our website

www.nbbymca.org

Like us on Facebook

facebook.com/YMCACampThundermoon

REGISTRATION DETAILS

If registering for one week of camp—FULL payment is required at the time of registration (plus the one-time $10 Camp Fun Fee). Cash, Check, Credit/Debit accepted. If registering for multiple weeks of camp you have two payment options:

Option 1: Payment in FULL at the time of registration (plus the one-time $10 Camp Fun Fee).

Option 2: A $10 (Non-refundable/Non-transferrable) deposit is required for each week of camp. Then the remaining balance MUST be set-up on AUTO-DRAFT, using a credit/debit card. Payments are due to be paid in FULL no later than the Monday before the start of a new camp week.

*Please be advised: There is a $20 switching fee for changing the weeks of a child’s camp registration after the initial registration. Requests will be honored only if space permits.

At least one week’s notice is required for all cancellations.

Upon cancellation, a system credit (minus the Camp Fun Fee) will be given for any camp fees paid. The credit can be used towards any future YMCA program.

Camp fees WILL NOT be refunded for absence, failure to attend camp while enrolled, delayed attendance, or dismissal from camp.

PAYMENT DUE DATES:

Week 1………...Full payment due by June 17

Week 2…………Full payment due by June 24

Week 3…………Full payment due by July 1

Week 4…….…..Full payment due by July 8

Week 5………...Full payment due by July 15

Week 6………...Full payment due by July 22

Week 7…………Full payment due by July 29

Week 8…………Full payment due by Aug. 5

Week 9……….Full payment due by Aug. 12

If payment is NOT received then the child WILL NOT be able to attend camp. Payments that are returned for any reason will be sent to our ECASH system for collection and you will be subject to a $20 return fee.

Registration Locations:

1. New Britain YMCA, 50 High St., New Britain (860) 229-3787 www.nbbymca.org

2. Berlin YMCA 362 Main St., Berlin (860) 357-2717 www.nbbymca.org

Want to SAVE $$$ on Camp?

Register early and have more time to spread out your

weekly auto-draft payments and have camp paid for

before summer starts!

Come to EXPRESS REGISTRATION DAY on March 30th and

register for camp and save an additional $20 per camper!

(This is a one-time, early-bird discount only at the Berlin Y

Express registration from 9:00 a.m. -12:00p.m.*)

Register anytime from :

April 1st – April 30th and save $15 per camper

*Please be advised: This is a one-time early-bird discount. This discount is NOT to be combined with the 2nd child or more 10% discount. Parent must choose which discount they want to use. However if payment is made in FULL at the time of registration, the additional 10% payment in FULL discount can be combined with the early-bird discount).

FREQUENTLY ASKED QUESTIONS HOW CAN I CONTACT MY CHILD AND/OR CAMP STAFF

DURING THE CAMP DAY?

Once camp begins, the camp phone will be the main way to directly contact your camper or the camp staff. The camp phone number will be given out once camp has begun.

You can also call the New Britain YMCA at (860) 229-3787 or the Berlin Y at (860) 357-2717 to speak to someone there who may be able to assist you.

If camper’s need to call a parent for something—they should be using the camp phone in the office. Campers are NOT allowed to have cell phones at camp.

IS LUNCH PROVIDED AT CAMP?

Lunch IS NOT provided. Campers must bring a COLD lunch (including drink) each day to camp. Lunches will be collected every morning and refrigerated until lunchtime. Please make sure to pack a well-balanced lunch including a sandwich, snacks and a drink. Campers are very ac-tive throughout the camp day and are usually very hungry at lunch. Lunches should be packed in a brown bag or Ziploc bag with the child’s name on it. Lunch boxes take up a lot of space in the cooler so please use a bag.

*Please note: We have a lot of campers with food allergies and peanut allergies, so please be courteous when choosing foods to send for lunch.

Also in situations where camper’s forget their lunch, or if camp staff feel an inadequate lunch has been provided for a camper—parents will be notified in the morning and will be expected to provide a lunch by lunch time.

IS AN AFTERNOON SNACK PROVIDED FOR EXTENDED CAMP

CARE?

A pre-packaged snack and drink is provided for all campers who are registered for Extended Camp.

WHAT IF I NEED TO CANCEL MY CAMP REGISTRATION?

At least a 1 weeks notice is required for all cancellations.

Upon cancellation, a system credit (minus the Camp Fun Fee) will be given for any camp fees paid. The credit can be used towards any future YMCA program.

Full refunds (minus the Camp Fun Fee) are given for medical rea-sons (must provide a note form the child’s physician) and/ or emergency reasons only and are at the discretion of the Camp Director.

Fees will not be refunded for absence, failure to attend during the term of enrollment, delayed attendance at camp or dismissal from camp.

CAN MY CHILD ARRIVE LATE TO CAMP?

Campers that will be arriving late for camp MUST be signed in at the camp office by a parent/guardian.

WHAT IF I NEED TO PICK MY CHILD UP EARLY FROM CAMP?

The camp office must be notified if a child will be picked up early from camp. Please send a note in with your camper on the day that he/she will be dismissed early or call the camp office the morning of. Please provide extra time when picking up your camper early from camp, as they may be involved with an activity at the time that you arrive. If the camper will be picked up by someone other than a parent/guardian, that person must be listed on the camper’s registration form and must present a photo I.D. *Please note: Campers will not be released to anyone not on the Authorized Pick-up List or to persons on the list who do not present a valid I.D.

WHAT SHOULD CAMPERS BRING TO CAMP?

*All items should be marked with the camper’s name.

A backpack to & from camp each day to hold all belongings.

A cold lunch (including a drink). All lunches will be collected each morning and refrigerated until lunchtime.

A bathing suit (1 piece for girls) and a towel.

A water bottle. There will be ample time for water breaks and a water fountain to refill when necessary.

Sneakers or closed-toed shoes MUST be worn at all times! Sandals & open-toed shoes are prohibited.

Sunscreen

WHAT TO KEEP AT HOME:

All Electronics:

Cell Phones, iPod’s, iPad’s, Reading Tablets, Gameboys, etc.

Trading Cards, Toys, Jewelry

Anything of value. YMCA Camp Thundermoon is not responsible for lost or stolen items.

Clothing with messages referring to tobacco, drugs, alcohol, sex or containing offensive or inappropriate words. Any camper wearing such clothing will be dismissed from camp for the day unless they can have a parent/guardian bring them in a change or clothes.

Weapons (knives, matches, guns or anything that can be used as a weapon). Any camper who brings weapons to camp will be suspended immediately.

Drugs, alcohol, tobacco. YMCA Camp Thundermoon is a drug, alcohol, and smoke free program. Any camper found with tobacco, drugs or alcohol will be immediately suspended from camp.

Camper’s Information

Last Name: __________________________________ ____ First Name: ______________________________________

Address: __________________________________Town/City: ______________________State: _____ Zip: ___________

Home Phone: ________________________ (circle one) Male / Female DOB: ______________________

School: ________________________________________Grade (as of Sept. 2019): _________ Age: _________

Special Information or Allergies (circle one) Yes No (If yes, please supply information below)

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

Summer Camp 2019

YMCA CAMP THUNDERMOON

50 High Street

New Britain, CT 06051

(860) 229-3787

www.nbbymca.org

Parent/Guardian Information Please be sure both sides of this form are filled out completely.

Mother’s Name: ___________________________________________________ Father’s Name: _____________________________________________________

Home Phone: ______________________________________________________ Home Phone: ______________________________________________________

Cell Phone: ________________________________________________________ Cell Phone: ________________________________________________________

Work Phone: ______________________________________________________ Work Phone: ______________________________________________________

Employer Name: __________________________________________________ Employer Name: __________________________________________________

*Email Address: ____________________________________________________ *Email Address: __________________________________________________

Emergency Contact / Authorized Pick-up Information

In case of an emergency, and the YMCA staff is unable to reach the parents/guardian listed above, the following individual(s) have permission to make decisions regarding the care of my child. The emergency contacts listed below are also authorized to pick up my child at camp. *Photo ID will be required in order for camper to be released.

1. Name: _________________________________________________________ 2. Name: __________________________________________________________

Relationship to Child___________________________________________ Relationship to Child____________________________________________

Home Phone: _____________________________________________________ Home Phone: _____________________________________________________

Cell Phone: ________________________________________________________ Cell Phone: _______________________________________________________

Work Phone: ______________________________________________________ Work Phone: _____________________________________________________

Employer Name: __________________________________________________ Employer Name: _________________________________________________

Parent/Guardian Agreement

My signature below signifies that I agree with all information on this application and in the camp brochure. I also understand that State Law prohibits my child from attending camp without a medical form completed by a physician within 36 months prior to the beginning of camp. I authorize YMCA officials to secure medical emergency attention and treatment for the camper listed above. I also agree to pay the balance of camp fees one week prior to the beginning of the camp session (s). Permission is granted for the signed camper to partici-pate in all planned camp activities including use of the indoor rockwall, field trips and walking trips. The undersigned voluntarily agrees to hold the YMCA harmless for injuries or acci-dents resulting in bodily injury or property damage during my child’s participation in programs at YMCA Camp Thundermoon. I further waive, release, absolve, and indemnify the New Britain-Berlin YMCA, YMCA Camp Thundermoon, it’s Directors, Officers or Employees for injuries or accidents occurring while participating in the programs of YMCA Camp Thunder-moon. My permission is also granted for the YMCA to take/use photographs, slides, moving pictures, or video of the camper named on this application to be used in Meriden-New Brit-ain-Berlin YMCA marketing and fundraising.

Parent/Guardian Signature: ________________________________________________________________________________ Date Signed: ________________________

2019 REGISTRATION FORM

Sessions

Weeks

Traditional Camp Unit

9AM-3PM

Traditional Camp Fees: Please Circle

Specialty Camp

9AM-3 PM

Specialty Camp Fees:

Please Circle

Extended

Camp 7AM-6PM

NB

Bus Stop

( Fee: $10/Week )

Session 1

Field Trip

Week

Week 1

6/24 - 6/28

Lightning Gr K-1

Thunder Gr 2-3

Hurricanes Gr 4-5

Teen X-Treme Gr 6-8

Member $155

Non-Member $165

Rocketry Camp

All Star Sports-Baseball

Member $185

Non-Member $195 Field trip fee $10

___AM $22

___PM $32

___BOTH $42

Gold

Blue $10

Orange

Purple

Session 2

All Camp

Activity

Week 2

7/1 - 7/5

* No camp 7/4

Lightning Gr K-1

Thunder Gr 2-3

Hurricanes Gr 4-5

Teen X-Treme Gr 6-8

Member $155

Non-Member $165

Maker Camp

Pee-Wee Sports-Basketball

Mulan Jr. (Gr. 5 - 8)

2 weeks 7/1- 7/12 no camp 7/4.

Member $185

Non-Member $195

Musical Theater Camp

Member $370

Non Member $390

___AM $22

___PM $32

___BOTH $42

Gold

Blue $10

Orange

Purple

Session 3

Show

Week 3

7/8- 7/12

Lightning Gr K-1

Thunder Gr 2-3

Hurricanes Gr 4-5

Teen X-Treme Gr 6-8

Member $155

Non-Member $165

Dance Camp Gr. 1- 3

STEM Exploration I

All Star Sports - Basketball

Member $185

Non-Member $195

___AM $22

___PM $32

___BOTH $42

Gold

Blue $10

Orange

Purple

Session 4

All Camp

Activity

Week 4

7/15- 7/19

Lightning Gr K-1

Thunder Gr 2-3

Hurricanes Gr 4-5

Teen X-Treme Gr 6-8

Member $155

Non-Member $165

Pee–Wee Sports-Soccer

Glam Girl Gr. 2-4

Robotics Camp

Art Camp

Camp Rock The Musical

Gr. 7- 8 July 15 - 26

Member $185

Non-Member $195

Musical Theater Camp

Member $370

Non Member $390

Robotics

Member $200

Non-Member $210

___AM $22

___PM $32

___BOTH $42

Gold

Blue $10

Orange

Purple

Session 5

Field Trip

Week

Week 5

7/22– 7/26

Lightning Gr K-1

Thunder Gr 2-3

Hurricanes Gr 4-5

Teen X-Treme Gr 6-8

Member $155

Non-Member $165

Thundermoon Builders Camp

Gr. 1-3

All Star Sports-Soccer

Electric Circuits

Member $185

Non-Member $195 Field Trip Fee $10

___AM $22

___PM $32

___BOTH $42

Gold

Blue $10

Orange

Purple

Session 6

Show

Week 6

7/29 - 8/2

Lightning Gr K-1

Thunder Gr 2-3

Hurricanes Gr 4-5

Teen X-Treme Gr 6-8

Member $155

Non-Member $165

Dance Camp Gr. 4-6

Art Camp Gr. 5– 8

Pee-Wee Sports-Flag

Football

Space Camp

Member $185

Non-Member $195

___AM $22

___PM $32

___BOTH $42

Gold

Blue $10

Orange

Purple

Session 7

All Camp

Activity

Week 7

8/5 - 8/9

Lightning Gr K-1

Thunder Gr 2-3

Hurricanes Gr 4-5

Teen X-Treme Gr 6-8

Member $155

Non-Member $165

All Star Sports-Flag Football

Robotics

Member $185

Non-Member $195

Robotics

Member $200

Non-Member $210

___AM $22

___PM $32

___BOTH $42

Gold

Blue $10

Orange

Purple

Session 8

Show

Week 8

8/12 - 8/16

Lightning Gr K-1

Thunder Gr 2-3

Hurricanes Gr 4-5

Teen X-Treme Gr 6-8

Member $155

Non-Member $165

Chemistry Camp

Pee-Wee Sports-Flag

Baseball/T-ball

Member $185

Non-Member $195

___AM $22

___PM $32

___BOTH $42

Gold

Blue $10

Orange

Purple

Session 9

Field Trip

Week

Week 9

8/19 - 8/23

Lightning Gr K-1

Thunder Gr 2-3

Hurricanes Gr 4-5

Teen X-Treme Gr 6-8

Member $155

Non-Member $165

STEM Exploration II Camp Member $185

Non-Member $195

___AM $22

___PM $32

___BOTH $42

Gold

Blue $10

Orange

Purple

Thunder-

moon

Leaders Club

Offered weeks

1-9

__ 1 ___ 2 ___ 3 ___4 __5

__ 6 __7 __8 __ 9

$75 per week

X

X

___AM $22

___PM $32

___BOTH $42

Gold

Blue $10

Orange

Purple

METHOD OF PAYMENT - CIRCLE ONE Visa /MasterCard/Discover/AMEX

Credit Card #: _____________________________________________________ Expiration Date: _____________________

Signature: ___________________________________________________________ Today’s Date: _________________________

Total Camp Fees

$______________

Camp Fun Fee + 10.00

Amount Due: $_____________

OFFICE USE ONLY

Completed & signed reg. form

Auto-draft section signed

Medical form given

Sunscreen waiver signed

Parent Handbook given

Staff initials________

Date ________

By signing this form, I agree to pay the amount due the MONDAY BEFORE each new session of camp. It will be my responsibility to notify the New Britain-Berlin YMCA in the event that I cancel my credit/debit card. I will also notify the Y when I receive a new expiration date on my card. If for some reason a transaction will not post (i.e. account closed, ac-count suspended, insufficient funds), I understand that I will be charged a $20.00 fee. I understand that if my payment isn’t received prior to the start of the next session, then my child won’t be able to attend YMCA Camp Thundermoon that session. Full Payment

Auto-Draft