YMCA/Herricks Summer Recreation Program Parent Information Booklet 2017

Dear Parent/Guardian(s),

We welcome you and your family to the YMCA/Herricks Summer Recreation Program.

This year we are proud to offer a variety of the highest quality summer programs in the area for

your child’s enjoyment and enrichment. This booklet contains information on what your child

needs to bring to camp and about our general camp policies.

Please read this booklet thoroughly to become familiarized with the many different

aspects of camp. Attached is the medication form. We look forward to a safe, fun, and enjoyable

summer with you and your children. If you have any questions, please feel free to contact the

YMCA before July 5, 2017 at (516) 671-8270 ext. 29.

During the Camp Season please call:

Denton Avenue – 516.305.8489

Middle School – 516.305.8689

YMCA DAY CAMP HOURS

Half Day Kiddie Camp 9:30 a.m. – 12:30 p.m.

Half Day Youth Camp 9:30 a.m. – 12:30 p.m.

Youth Camp 9:30 a.m. – 4:00 p.m.

Teen Camp 9:30 a.m. – 4:00 p.m.

Extended Care Hours 8:30 a.m. – 9:30 a.m.

Health Immunizations and Medications

Each child must provide proof of immunizations signed by a physician. This is mandated by the

NYS Department of Health. All child care, school, and camp facilities are inspected periodically

and must be able to show proof of every child’s immunization records and emergency medical

information. Immunization record dates are required on health cards to allow your child to attend

camp. All cards will be kept on file and updated yearly. A medical card was given to you during

registration. All medical cards are due by June 16. If you have not returned this card to the

YMCA or the Herricks Community Center, please do so as soon as possible. No child is

permitted in camp without a completed medical card. NO EXCEPTIONS. Please note that

the medical cards are available on our website. www.ymcali.org

Children requiring medication while at camp need a doctor’s note specifying proper dosage,

administration time, and procedure. Each child will also need a medical permission form (see

attached) filled out by his/her parent or guardian. This form must be returned to the YMCA or

the Herricks Community Center before the start of camp. All children will be required to “self-

administer” medication in the presence of the EMT. The EMT will be available during camp

hours. Please put child’s medication in a prescription bottle that is labeled with the same

information as is stated in the doctor’s note. All medications will be given to the EMT and

locked in the storage cabinet in the EMT office. Campers will not be allowed to carry any

medication around with them. If there is any change in medication, please notify the EMT or the

camp office immediately.

Some information that will be helpful before the start of camp.

Please provide the following items for your child every day:

- Thermal lunch bag with name and group # labeled on it clearly. - Bathing suit and towel labeled with name.

- Sneakers (Please send your child in sneakers. Do not send them in sandals or other

styles of footwear that are unsuitable for camp activities.)

Please label all campers’ belongings! NO TOYS of any kind, including electronics, money,

jewelry, iPods, or any item of real value. If found, these items will be confiscated and

returned at the end of the day.

The YMCA and its staff are not responsible for lost or stolen items.

LUNCHES: Please supply a non-perishable bag lunch daily. (No hard lunch boxes or glass

bottles please.) Lunch should include any extra drinks, snacks, and a sandwich or something

comparable. Lunches will not be stored in a refrigerator. The YMCA will provide drinks at lunch

for campers. The YMCA will also provide a drink and snack for the Full Day Campers.

T-Shirts: Will be received by your child on there first day of camp. Additional T-Shirts

($12.00) are available for purchase.

CERTIFICATIONS: The YMCA/Herricks Summer Recreation Program is required to be

permitted to operate by the Nassau County Department of Health. The camp is required to be

inspected twice yearly and inspection reports concerning such matters are on file at:

Nassau County Department of Health

Office of Recreation Facilities

Children’s Camp Programs

200 County Seat Drive

Mineola, NY 11501

Inquiries can be made Monday thru Friday, 9 am to 4:45 pm at (516) 227-9697

Car Transportation Information

Parents who will be dropping off and picking up their children this summer, please keep the

following in mind:

During pick-up, please have a picture ID available. Picture ID is needed to sign out your

child. NO ID → NO CHILD!

If you are going to be late picking up your child, please call if you are able.

If you need to pick up a child early, please notify the camp office before arrival on that

day. All early pickups must be done before 3:30pm.

Follow the directions of the camp staff during arrival and dismissal for the safety of the

campers as well as the staff.

Any parent who is not complying with the safety rules may be asked to withdraw their

child from the camp.

Please make sure that anyone picking up your child is on your list of authorized people you

have provided for us during registration. No child will be released to anyone not on the

authorization sheet; they must also have picture identification. Any parent who is not sure

that they have filled out this form must contact the camp office immediately.

Frequently Asked Questions

1. Sun protection? Please provide sunscreen for your child. It is best if they bring a bottle

of it with them in their backpacks. Counselors will remind campers to reapply sunscreen

throughout the day, especially after swimming.

2. Are there drinks available? In addition to the multitude of opportunities to take water

breaks, we supply a cold drink at lunchtime.

3. Swimming? Campers will be transported to Christopher Morley Park for swimming.

4. Can I visit the camp to see my child? YES! Please call the camp office to set up an

appointment. All visitors must report to the camp office and obtain a visitor’s pass. All

visitors must be escorted while on the campgrounds.

5. Are there strangers on the campgrounds while camp is in session? NO! Anyone who

is not associated with the camp is not permitted on campgrounds during camp hours.

When sighted, the staff is trained to escort non camp affiliates off the property.

6. Are children forced to participate in all activities? All children are encouraged to

participate but are not forced. However, there are no alternative activities planned for

children who do not participate in scheduled activities.

7. What happens when my child becomes sick or hurt? There is an EMT on site during

camp hours. If your child is sick, please do not bring them to camp. If they get sick while

attending camp, the EMT will notify you to pick your child up. All first aid visits are

documented. If your child visits the first aid office, they will receive a notice that tells

you why they were there and what care was given. Please look in your child’s bag for

this notice. You will be notified immediately of all serious injuries via telephone. This is

why it is important to hand in an emergency card with the correct information. In the

event of an emergency, local EMS will be contacted.

8. What if I arrive late with my child? Please bring your child to the camp office. One of

the camp staff will escort your child to his or her group. Please do not try to find your

child’s group on your own.

9. What if I need to pick up my child early? As explained in the section entitled Car

Transportation Information, please notify the camp office before arrival on that day that

your son/daughter will be picked up early. Please do not try to find your child on your

own. All campers leaving early must be picked up before 3:30 p.m.

10. Is there a lost and found? YES! It is important that you label all belongings with your

child’s name and so that we can return the items to your children. Additionally, please

check the lost and found regularly.

YMCA/Herricks Medication Release Form

I ____________________________ give my child _________________________

permission to take ______________________, ________ time(s) a day.

Medication is to be given at ___________ in the dosage of _______. I understand

that the medication must be given to the EMT and locked in the storage cabinet

located in the EMT Office and self-administered in the presence of the First Aid

Staff.

Parent Signature _______________________

Parent Name (please print) ____________________

Date ________________

Name of Child ______________________ Age ______

Grade completed as of June 2017 _________

YMCA/Herricks Medication Release Form

I ____________________________ give my child _________________________

permission to take ______________________, ________ time(s) a day.

Medication is to be given at ___________ in the dosage of _______. I understand

that the medication must be given to the EMT and locked in the storage cabinet

located in the EMT Office and self-administered in the presence of the First Aid

Staff.

Parent Signature _______________________

Parent Name (please print) ____________________

Date ________________

Name of Child ______________________ Age ______

Grade completed as of June 2017 _________

YMCA/Herricks Summer Rec Registration

Please Print

Child’s Name: ___________________________ Birth Date: _______________ Age: ____________

Address: ________________________________ Town: ____________________ Zip: _____________

Home Phone: ___________________ Sex: ______ *Grade Completed (as of June 2017): ______

Parent Name: _______________________ Phone (Cell): _______________ (W): ________________

Parent Name: _______________________ Phone (Cell): _______________ (W): ________________

E-mail Address: ________________________

Kiddie Kamp (3 ½ - 5 yrs) Youth Camp (1st – 5th ) Teen Camp (6th – 9th )

_____ Half Day Kiddie Camp Half Day Youth Camp Grade: _______

Grade: _____

_____ Full Day Kiddie Camp Full Day Youth Camp Grade: ________ Extended Care

AM: ______ 8:30am-9:30am

MEDICAL INFORMATION: Allergies (please list): _____________________________________________________

Medication: ______________________________________________________________

AUTHORIZED TO PICK UP (other than parent)

Name: ________________________________ Phone: __________________ Relationship: __________________

Name: ________________________________ Phone: __________________ Relationship: __________________

Name: ________________________________ Phone: __________________ Relationship: __________________

UNAUTHORIZED TO PICK UP (Legal Documentation Required – please attach)

Name: ________________________________ Phone: __________________ Relationship: __________________

PERMISSION SLIPS: I, _________________________ give permission for my child ______________________ to participate in all the Summer Rec

activities planned for the days attended. I give permission for my child to leave the Herricks building to participate in Rainy Day Activities (2nd grade &

up). I understand that photographs taken during the camp season may be used for publication. I understand that I must have a completed medical form

signed by a physician on file with the YMCA before the first day my child begins camp. I have read and will adhere to the policies outlined above.

Parent / Guardian Signature: __________________________________Date: ______________

REFUND POLICY: I understand that before 5/31 a 25% service fee will be charged if any part of my child’s camp needs to be refunded. After 5/31

NO REFUNDS WILL BE ISSUED. There will be no refunds for absences during the program.

Parent / Guardian Signature: ______________________________________Date:__________________

OFFICE USE ONLY DATE: _____________________ PERSONNEL ON DUTY: ______________________

Camp Fee: ________________________

Ext. Care: _________________________

Total: _____________________________ METHOD OF PAYMENT:

____ Check # ________________ _____ Cash

Balance: __________________________ ____ Credit Card

OFFICE USE ONLY ______ Bus # ______ Group

YMCA/Herricks Summer Rec Registration

Please Print

Child’s Name: ___________________________ Birth Date: _______________ Age: ____________

Address: ________________________________ Town: ____________________ Zip: _____________

Home Phone: ___________________ Sex: ______ *Grade Completed (as of June 2017): ______

Parent Name: _______________________ Phone (Cell): _______________ (W): ________________

Parent Name: _______________________ Phone (Cell): _______________ (W): ________________

E-mail Address: ________________________

Kiddie Kamp (3 ½ - 5 yrs) Youth Camp (1st – 5th ) Teen Camp (6th – 9th )

_____ Half Day Kiddie Kamp Half Day Youth Camp Grade: ______

Grade: _____

_____ Full Day Kiddie Kamp Full Day Youth Camp Grade: ______ Extended Care

AM: _____ 8:30am-9:30am

MEDICAL INFORMATION: Allergies (please list): _____________________________________________________

Medication: ______________________________________________________________

AUTHORIZED TO PICK UP (other than parent)

Name: ________________________________ Phone: __________________ Relationship: __________________

Name: ________________________________ Phone: __________________ Relationship: __________________

Name: ________________________________ Phone: __________________ Relationship: __________________

UNAUTHORIZED TO PICK UP (Legal Documentation Required – please attach)

Name: ________________________________ Phone: __________________ Relationship: __________________

PERMISSION SLIPS: I, _________________________ give permission for my child ______________________ to participate in all the Summer Rec

activities planned for the days attended. I give permission for my child to leave the Herricks building to participate in Rainy Day Activities (2nd grade &

up). I understand that photographs taken during the camp season may be used for publication. I understand that I must have a completed medical form

signed by a physician on file at the YMCA before the first day my child begins camp. I have read and will adhere to the policies outlined above.

Parent / Guardian Signature: __________________________________Date: ______________

REFUND POLICY: I understand that before 5/31 a 25% service fee will be charged if any part of my child’s camp needs to be refunded. After 5/31

NO REFUNDS WILL BE ISSUED. There is no refund for any absence during the program.

Parent / Guardian Signature: ______________________________________Date:__________________

OFFICE USE ONLY DATE: _____________________ PERSONNEL ON DUTY: ______________________

Camp Fee: ________________________

Ext. Care: _________________________

Total: _____________________________ METHOD OF PAYMENT:

____ Check # ________________ _____ Cash

Balance: __________________________ ____ Credit Card

OFFICE USE ONLY ______ Bus # ______ Group

YMCA/Herricks Summer Rec Registration

Please Print

Child’s Name: ___________________________ Birth Date: _______________ Age: ____________

Address: ________________________________ Town: ____________________ Zip: _____________

Home Phone: ___________________ Sex: ______ *Grade Completed (as of June 2017): ______

Parent Name: _______________________ Phone (Cell): _______________ (W): ________________

Parent Name: _______________________ Phone (Cell): _______________ (W): ________________

E-mail Address: ________________________

Kiddie Kamp (3 ½ - 5 yrs) Youth Camp (1st – 5th ) Teen Camp (6th – 9th )

_____ Half Day Kiddie Camp Half Day Youth Camp Grade: _______

Grade: _____

_____ Full Day Kiddie Camp Full Day Youth Camp Grade: ________ Extended Care

AM: ______ 8:30am-9:30am

MEDICAL INFORMATION: Allergies (please list): _____________________________________________________

Medication: ______________________________________________________________

AUTHORIZED TO PICK UP (other than parent)

Name: ________________________________ Phone: __________________ Relationship: __________________

Name: ________________________________ Phone: __________________ Relationship: __________________

Name: ________________________________ Phone: __________________ Relationship: __________________

UNAUTHORIZED TO PICK UP (Legal Documentation Required – please attach)

Name: ________________________________ Phone: __________________ Relationship: __________________

PERMISSION SLIPS: I, _________________________ give permission for my child ______________________ to participate in all the Summer Rec

activities planned for the days attended. I give permission for my child to leave the Herricks building to participate in Rainy Day Activities (2nd grade &

up). I understand that photographs taken during the camp season may be used for publication. I understand that I must have a completed medical form

signed by a physician on file with the YMCA before the first day my child begins camp. I have read and will adhere to the policies outlined above.

Parent / Guardian Signature: __________________________________Date: ______________

REFUND POLICY: I understand that before 5/31 a 25% service fee will be charged if any part of my child’s camp needs to be refunded. After 5/31

NO REFUNDS WILL BE ISSUED. There will be no refunds for absences during the program.

Parent / Guardian Signature: ______________________________________Date:__________________

OFFICE USE ONLY DATE: _____________________ PERSONNEL ON DUTY: ______________________

Camp Fee: ________________________

Ext. Care: _________________________

Total: _____________________________ METHOD OF PAYMENT:

____ Check # ________________ _____ Cash

Balance: __________________________ ____ Credit Card

OFFICE USE ONLY ______ Bus # ______ Group

7/3

CLOSED

7/4

CLOSED

7/5 7/6 7/7

7/10

7/11 7/12 7/13 7/14

7/17

7/18 7/19 7/20 7/21

7/24

7/25 7/26 7/27 7/28

7/31

8/1 8/2 8/3 8/4

8/7 8/8 8/9 8/10 8/11

YMCA/Herricks Summer Recreation Contract

The undersigned being the parent or guardian of _______________________ agrees to enroll said child in

the YMCA/Herricks Summer Recreation Program.

I understand that health forms (as required by the New York State Department of Health) must be

completed, signed and returned to the YMCA by June 16th. A physical is not required in order to attend

camp. A current record of immunization and the health card signed and stamped by your child’s physician

is required. The YMCA WILL NOT admit your child into camp without a current health form. There will

be no exceptions. I understand that I will be notified if my child is seriously injured, has a suspected sprain

or broken bone, fever, head injury or when deemed necessary by the YMCA first aid staff.

I understand that my child will not be allowed to leave the premises with an unauthorized person. Only

those persons authorized by custodial parent or guardians will be permitted to leave the premises with my

child. The YMCA will ask for identification before releasing my child. All requests for early release to a

person other than those listed, must be made in writing and given to a camp director.

REFUND POLICY

A service charge of 25% will be issued before May 1st when any part of my child’s camp needs to be

refunded. NO REFUNDS will be issued after May 1st. Should the YMCA determine that it cannot

adequately meet the needs of your child, or that your child is behaving in a consistently uncontrollable

manner, a credit or refund may not be granted.

CONDUCT POLICY

It is our intent that each child enjoys the activities planned by understanding that he/she is responsible for

his/her actions. With prior knowledge of our basic rules of safety and good conduct, each child is made

aware of how to exercise self-discipline that we are here to help him/her and to know that we want him/her

to succeed. As in any group, activity, the inappropriate behavior of a few children can spoil the experience

for the entire group. Therefore, the following conduct policies apply directly to each child and will be used

in determining his/her eligibility to continue as a participant. In accordance with the severity of the

infraction and the number of times an infraction occurs, a child may (a) lose privilege of participating in a

specific activity, (b) be suspended from the program, or (c) terminated from the program for:

1. Repeatedly using foul language and or being rude and discourteous to staff and or peers.

2. Defacing YMCA/Herricks property.

3. Bringing or using illegal substances; alcohol, drugs, cigarettes, weapons (as deemed by the staff of

the YMCA) or unsafe personal sports equipment.

4. Stealing or defacing other children’s property.

5. Refusing to remain with his/her group, intentionally and repeatedly leaving his/her group activity.

6. Inappropriate physical contact: repeated hitting, biting, other physical altercations.

Intentionally or repeatedly going to unauthorized areas of the facility or leaving the premises without

permission will result in the following actions: a search of the premises will be conducted; if the child is not

found with in 15 minutes, the police and parent/guardian will be notified and the child will not be allowed

to return to camp. No refund will be given.

In the event that a camper has proven that he/she is unwilling to follow these policies, the parent / guardian

will be notified and must meet a camp director in order to discuss the situation. A director will consider a

possible suspension or termination. NO REFUNDS will be given.

It is our daily desire that every child enjoys his/her YMCA/Herricks experience. It is for this reason that

we have initiated policies we feel are fair, easily complied with and of benefit to everyone involved.

By signing this document I certify that I have read and understood the information above.

Parent/Guardian Signature: ___________________________ Date: _______________

YMCA/HERRICKS SUMMER RECREATION HEALTH FORM

YMCA AT GLEN COVE -125 DOSORIS LANE, GLEN COVE, NY 11542- 516-671-8270 EXT 29

PARENT’S NAME ___________________________________________________ PHONE ____________________________________________________

PARENT’S NAME ___________________________________________________ PHONE ____________________________________________________

TRANSPORTATION REGISTRATION FORM

Camper’s Name: ________________________ Birth Date: __________ Age: ________

Address: __________________________ Town: _____________ Zip: ______________

Parent/Guardian’s Name: ______________________________

Parent’s Phone Number (H): _____________(W): _____________ (C): ______________

Parent’s Phone Number (H): _____________(W): _____________ (C): ______________

Camp Type (Please Circle One) Teen Youth Full Youth ½ Kiddie Full Kiddie ½

Emergency Contacts:

1. Name of Contact: ___________________________ Relationship: ______________________

Phone Number: ______________________

2. Name of Contact: ___________________________ Relationship: ______________________

Phone Number: ______________________

Camper Pick Up & Drop Off

Home School: _________________________________________________________________

Camp Drop Off: ______________________________________________________________

TRANSPORTATION is only available from your child’s home school. Morning pickup is

9:10am. Afternoon pick up 12:35pm for morning pick up and approximately 4:05pm

departure for full day programs.