AT CAMP I CAN...Y M C A S U M M E R D AY C A M P

WHEN YOU SIGN UP FOR THE ENTIRE SUMMER

AND RECEIVE A FREE GIFT

$100YOU SAVE UP TO

405 297 7777 YMCAOKC.ORG *Must register by April 18, 2020 to receive the free gift.

FREE GIFT

Welcome to Y Day Camp!Think outside, where no box is required for kids to laugh, learn, explore and grow in the outdoors, while creating memories and friendships that last a lifetime. Kids discover not just the wonders of day camp, but the joy of exploring their unique traits, talents and interests and the power of sharing their strengths and skills to benefit the group. That’s why 2,600 kids in the Oklahoma City area attend the Y’s summer day camps; to belong, achieve and build relationships.

Our Cause is strengthening our community. Our Mission is to put Christian principles into practice through programs that build healthy spirit, mind and body. Our Focus is youth development, healthy living and social responsibility.

What does that mean? It means that we are working side-by-side with our neighbors to ensure that everyone, regardless of age, income or background, has the opportunity to learn, grow and thrive. That we live by principles rooted in faith. That we collaborate and partner with community organizations to provide programming benefiting our community’s youth, families, individuals and seniors.

We are inclusive. We welcome everyone, from all walks of life. Our financial assistance program ensures that everyone can participate in Y programs, despite their inability to pay. Financial assistance is provided through our Annual Fundraising Campaign.

At Y Day Camp, caring and professional role models are committed to helping kids build confidence and character. The loyalty, dedication and professionalism of our highly trained staff is extraordinary. Our staff meet strict Y qualifications, as well as undergo and pass a background check. Y Day Camp staff are 18 years or older and have been trained or certified in the following:

Parents look to the Y for a safe and secure environment where children can learn practical social skills and develop positive values. Our reputation for consistency and safety, as well as our focus on youth development, gives parents the confidence they need to trust us with their children. To ensure the well-being of each child, we review our health and safety policies on an ongoing basis. Our low staff-to-child ratio also allows our staff to give each camper the attention and guidance necessary to create a positive and safe environment.

• CPR-Pro • AED • First Aid • Oxygen Administration

• Bloodborne Pathogens• Prevention/Recognition

of Child Abuse• Camp Safety

• Child Development • Curriculum Planning• Regulations and Policies• Camp Themes and Fun

ABOUT US

OUR STAFF

OUR SAFETY

FIND THE INTERACTIVE REGISTRATION FORM AT:YMCAOKC.ORG

FIND THE INTERACTIVE REGISTRATION FORM AT:YMCAOKC.ORG

REGISTRATION BEGINS

FEBRUARY 11Current Before & After School Participants

FEBRUARY 18Y Members and 2019 Day Camp Participants

FEBRUARY 25Open Registration

Membership BenefitsThose on a Y Household Membership receive lower pricing for school-aged child care and Summer Day Camp. They also receive a 10% discount on summer resident camp sessions at YMCA Camp Classen. Developmental youth sports programs are included with household memberships at no charge. Choose from basketball, soccer, baseball, t-ball, flag football and volleyball. Jerseys and sports manuals are required at an additional cost. All of our regularly scheduled group swim lessons are included for just $20 per session.

AT CAMP I CAN BE A FRIEND.

FIND AN INTERACTIVE REGISTRATION FORM ONLINE

TRADITIONAL DAY CAMPAT CAMP I CAN...The Y’s traditional Summer Day Camp is held Monday through Friday and provides kids ages 5-12 supervised activities that foster youth development. The Y’s Summer Day Camp focuses on honesty, caring, respect and responsibility in all of our fun-filled activities! We allow for physical involvement, social interaction, educational opportunities, leadership building, personal growth and creativity in everything we do. The Y’s core values are emphasized throughout activities, conversations and ceremonies.

ALL SUMMER PRICING

SUMMER SELECT PRICINGSelect which weeks your child will attend.

$120$110

$130$120

$135

$155

HOUSEHOLD MEMBERS

HOUSEHOLD MEMBERS

YOUTH MEMBERS

YOUTH MEMBERS

NON MEMBERS

NON MEMBERS

PER WEEK

PER WEEK

PER WEEK

PER WEEK

PER WEEK

PER WEEK

SAVEUP TO

WHEN YOU SIGN UP FOR THE ENTIRE SUMMER

$100Each camper is allowed one week of vacation which does not impact the price structure. Should a camper wish to miss camp for more than one week, the Summer Select pricing will be used.

PRICES MAY VARY BY LOCATION. AGES MAY VARY BY LOCATION. PRICES ARE DISPLAYED AT A WEEKLY COST. • D-BAT, Camp Discover, Triple C, CAMP LEAD and Guthrie Y Day Camp prices are an additional $10 per week. • A two-week notice is required for vacation weeks. Please fill out the vacation request form and

return to your local Y to suspend drafting fees for the requested week. • For more information about the Y’s payment policies, please see the parent handbook.

The vacation request form and the Parent Handbook can be found at YMCAOKC.ORG

Pre Camp: (not available at all locations) May 18 - 22 At Camp I can make my mark

Week 1: May 25 - 29 At Camp I can be a friend

Week 2: June 1 - 5 At Camp I can lead & achieve

Week 3: June 8 - 12 At Camp I can explore Oklahoma

Week 4: June 15 - 19 At Camp I can travel the world

Week 5: June 22 - 26 At Camp I can bug out with nature

Week 6: June 29 - July 3 At Camp I can celebrate

Week 7: July 6 - 10 At Camp I can invent

Week 8: July 13 - 17 At Camp I can dream

Week 9: July 20 - 24 At Camp I can move & groove

Week 10: July 27 - 31 At Camp I can be a star

Week 11: Aug. 3 - 7 At Camp I can empower

Week 12: Aug. 10 - 14Post Camp (not available at all locations) At Camp I can be myself

DATES AND WEEKS OFFERED VARY BY LOCATION. CHECK WITH YOUR Y TO SEE IF YOUR DESIRED WEEK IS OFFERED AT YOUR PREFERRED LOCATION.

WEEKLY THEMES

URBAN JR. PARK RANGER PROGRAM ($5 ADDITIONAL FEE)

ENERGY CAMPTrain with the pros at the Energy FC/YMCA Summer Camp. Kids get to develop their soccer skills in a fun, dynamic and challenging environment two hours per day with the guidance of the Energy FC players and staff. Energy FC/YMCA Summer Camp is an additional $40 per camper, per week and is available at the following dates and locations:

Kids will learn more about the outdoors and the world around them from a National Park Ranger. This program is held two times each week for an hour and a half each visit.

Week 2 June 1 - 5 E.L. Gaylord Downtown Y

Week 4 June 15 - 19 Bethany Y

Week 5 June 22 - 26 Midwest City Y

Week 8 July 13 - 17 Mitch Park Y

Week 9 July 20 - 24 Earlywine Park - Greenbriar

SCHOOL’S OUT DAY CAMP$25 $30 $35

HOUSEHOLD MEMBERS YOUTH MEMBERS NON MEMBERS

DAILYFEE

DAILYFEE

DAILYFEE

This is a full day program offered on select dates when our full week Summer Day Camp is not available. This may include dates before or after our summer camp schedules or days during the school year. Please see your local Y for dates and other information.

Week 3 June 8 - 12 Bethany YWeek 4 June 15 - 19 North Side YWeek 5 June 22 - 26 Rankin YWeek 7 July 6 - 10 E.L. Gaylord Downtown Y

PARENT INFORMATIONA complete parent handbook with all policies and additional information can be found at YMCAOKC.ORG or request a printed copy at your local Y. Below is a quick overview of several highlighted policies.

Parent OrientationMeet staff, pick up your field trip shirts and learn about the program. A list of parent orientations can be found on your branch specific flyer or visit YMCAOKC.ORG for a list of dates, times and locations.

Recreational Swim Time All children will have the opportunity to swim. Each pool is staffed by either Y lifeguards and/or City Parks and Recreational lifeguards. All children will be given a swim test prior to open swim. Any child that does not pass the swim test will be required to wear an approved flotation device. Further swimming policies can be found in the parent handbook.

Sign In and Out Children are required to be signed in and out of Day Camp on a daily basis by an authorized individual listed on their form. All children must arrive at Day Camp no later than 9:00am. State issued photo identification is required to release a child. A $1 per minute late fee will be assessed for children picked up after 6:00pm. Additional sign in and out policies can be found in the parent handbook.

Absent PolicyPlease contact the Y by 9:00am on the days your child will be absent from camp. It is important for us to know where your child is on days they are enrolled in the program. No refunds will be given due to non-attendance. Additional information can be found in the parent handbook.

Illness/Injury The health and safety of your child is a priority. Our staff are trained in emergency first aid and CPR. If an illness or injury happens during the camp day, we will provide first aid as needed. Parents will be notified of minor injuries at the time of pick up. For more serious injuries we will make every attempt to contact the parent or guardian using all numbers provided on the enrollment form. It may be necessary for you to pick up your child from camp. If an injury warrants, we will call emergency personnel and have the child taken to the nearest hospital. Please view the parent handbook for more details about illness, injury or medications.

Behavior, Conduct and DisciplineWe expect all Day Camp participants to behave according to our guidelines. Please read over character development and guidelines in the parent handbook.

B.A.R

OUTDOOR ACTIVITIES

WHAT TO BRING EACH DAY TO CAMPA cooler style lunch bag with healthy snacks and lunch (unless provided by your site). See food policy in parent handbook. Children should wear simple, non-restrictive clothing. Camp t-shirts must be worn on field trip days.

Please label all items. Unclaimed lost items will be donated to a local charity after one week. Please see the parent handbook for a list of restricted items.

Swimsuit and Towel

Reusable Water Bottle

Sunscreen & Insect Repellent

Athletic Shoes and Socks (open-toe shoes are not permitted)

Backpack or Shoulder Bag

ACTIVITIES AT DAY CAMPSACTIVITIES

• Jump Start (opening ceremonies)• Character Development & YMCA Values• Weekly Field Trips• Weekly Themed Activities• Large Group Games• Small Group Activities• Team Building• Snack & Lunch• Literacy & Reading• Rest Time

• Swimming• Sports• Fun Weekly Ceremonies• STEAM Programming (Science,

Technology, Engineering, Arts & Math)• Environmental Education• Camper Choice Activities• Camp Songs• Pre-Camp Activities (before 9 a.m.) and

Post Camp Activities (after 4 p.m.)

RegistrationAfter you have made your camp selection, complete the registration application and submit to the Y branch where your camp is offered. Current photo and immunization records must accompany your registration forms. A new enrollment form is due for each program every year. Space is limited, so register early!

Registration Dates1. February 11 - Current Before and After school participants 2. February 18 - Y Members and 2019 Summer Day Camp past participants 3. February 25 - Open Registration

A $10 deposit per child, per week of day camp is due upon registration. The deposit will be credited to each registered week and is non-refundable. A deposit is not required for those that are currently registered for year round care.

Confirmations & Tax StatementsPlease keep all canceled checks, payment receipts or bank statements as documentation of childcare payments.

PaymentsPayments must be made through credit/debit card automatic withdrawal, electronic funds transfer (EFT) or advance payment made in full. Weekly drafts will be made on Wednesday for the following week. Any change to your payment information must be received at least seven days prior to the date you wish the change to take effect. If your childcare payment is returned, it will be reprocessed within 48 hours of the original draft date, an additional service fee may be collected. Payments must be collected in full before the start of each enrolled session in order for your child to remain in our program. For further details, please see the parent handbook.

Cancellations/ Refunds Written notification of your intent to leave the program, or cancellation form must be given at least two weeks prior to your intended last day.

VacationsChildren enrolled in the full summer or year round programs will receive one week of vacation without payment during the summer. Written notification of the intended vacation must be given at least two weeks in advance.

Admission Policy The YMCA of Greater Oklahoma City generally admits children ages 5-12, although age requirements and program availability vary by location. The Y is open to all youth regardless of race, gender, religious belief or income. The Y will address children with additional needs on a per request basis. Upon reasonable notice, efforts will be made to accommodate your request. The safety and well-being of all campers and staff must be maintained. For more information see the Americans with Disabilities Act in the parent handbook.

Outside Contact between Staff and Children Y staff are prohibited from having outside contact with children in Y programs. This includes, but is not limited to, birthday parties, babysitting, sleepovers, transportation and any non-Y events. Any exceptions require a written explanation prior to an event and are subject to administrator approval.

PARENT INFORMATION - REGISTRATION QUICK VIEWA complete parent handbook with all policies and additional information can be found at YMCAOKC.ORG or request a printed copy at your local Y. Below is a quick overview of several highlighted policies.

FIND THE INTERACTIVE REGISTRATION FORM AT:YMCAOKC.ORG

YMCA OF GREATER OKLAHOMA CITYDay Camp Program

YMCA OF GREATER OKLAHOMA CITY PAGE 1 OF 3

DAY CAMP PROGRAM FOR SCHOOL AGED CHILDREN

PRE CAMP: May 18 - 22 | At Camp I can make my mark

WEEK 1: May 25 - 29 | At Camp I can be a friend

WEEK 2: June 1 - 5 | At Camp I can lead & achieve

WEEK 3: June 8 - 12 | At Camp I can explore Oklahoma

WEEK 4: June 15 - 19 | At Camp I can travel the world

WEEK 5: June 22 - 26 | At Camp I can bug out with nature

WEEK 6: June 29 - July 3 | At Camp I can celebrate

WEEK 7: July 6 - 10 | At Camp I can invent

WEEK 8: July 13 - 17 | At Camp I can dream

WEEK 9: July 20 - 24 | At Camp I can move & groove

WEEK 10: July 27 - 31 | At Camp I can be a star

WEEK 11: Aug. 3 - 7 | At Camp I can empower

WEEK 12: Aug. 10 - 14 | At Camp I can be myself

2020 Enrollment Forms (Please Print)

Child First Name: ____________________________ Last Name: ____________________________________________Date of Birth _______/ ________/_________ Age: _______________ Gender: Male FemaleChild lives with Mother Father Both Other _________________________________Other siblings that may be enrolled in the program (please list last name if different):Name _________________________________________________________ Date of Birth _______/ ________/________ Name _________________________________________________________ Date of Birth _______/ ________/________

A. Participant Information

Parent /Guardian #1 First Name _______________________ Last Name _______________________________________ Date of Birth _______/ ________/________

Home Address: _______________________________________________________________ City _____________________________State _________ Zip ______________________Home Phone: _________________________________ Cell Phone ______________________________ Email ___________________________________________________________Business Name & Address: _________________________________________________________________________________________ Work Phone ______________________

*This person will be the first we try to contact when needed

Parent /Guardian #2 First Name _______________________ Last Name _______________________________________ Date of Birth _______/ ________/________Home Address: _______________________________________________________________ City _____________________________State _________ Zip ______________________Home Phone: _________________________________ Cell Phone ______________________________ Email ___________________________________________________________Business Name & Address: _________________________________________________________________________________________ Work Phone ______________________

B. Others Authorized to Pick Child Up or Be Notified as Needed

The Y can only release your child to those listed on this form, they must provide a photo ID at the time of pick up. Contact the Y director to make changes to this information.

#1 First Name _______________________ Last Name _______________________________________ Date of Birth _______/ ________/________Home Address: _______________________________________________________________ City _____________________________State _________ Zip ______________________Home Phone: _________________________________ Cell Phone ______________________________ Relationship to child ________________________________________

#2 First Name _______________________ Last Name _______________________________________ Date of Birth _______/ ________/________Home Address: _______________________________________________________________ City _____________________________State _________ Zip ______________________Home Phone: _________________________________ Cell Phone ______________________________ Relationship to child ________________________________________

C. Sessions & Programs Location Attending: _________________________________________________________________________________________Camps D-BAT, Camp Discover, Triple C, L.E.A.D & Guthrie are an additional $10 per week per camp.

ALL SUMMER: Includes ALL weeks of Day Camp. You may select one week of vacation at no charge and still qualify for the full summer pricing.

Price (per week) $110 / Household Member $120 / Youth Member $135 / non member Currently enrolled in year-round pricing

School child attends:__________________________________________________________________________________________________ Last Day of School is: ____________________________________

Our one week vacation will be: _______________________________________________________ or Unknown, we will provide the Y Director a 2 WEEK NOTICE

SUMMER SELECT: Select and check which weeks your child will attend

Price (per week) $120/Household Member $130/Youth Member $155/Non Member

Attach Child’s Photo Here

We are also interested in receiving more information about Camp Classen, The YMCA Overnight Camp in Davis, Oklahoma.

Dates and weeks offered vary by location. Check with your Y to see if your desired week is offered at your preferred location.

(not available at all locations)

(not available at all locations)

YMCA OF GREATER OKLAHOMA CITY PAGE 2 OF 3

D. Participant Health History and Information

Child’s Doctor: ____________________________________ Address: _______________________________________________________________ Phone # ____________________________Check any conditions that your child has experienced: Asthma Autism Diabetes Epilepsy / Seizures ADD/ ADHD Cerebral Palsy / Other Motor Disorder Cognitive or Learning Disabilities Status of Vision, Hearing, Speech to Note ______________________________________________________________

Non-Food Allergies (list) ________________________________________________________________________________________________________________________________________ Food/Milk Allergies (list) ________________________________________________________________________________________________________________________________________If your child has food allergies or dietary restrictions, attach a statement from a medical professional. (REQUIRED) My child carries an epi-pen, inhaler or other medication. (additional medication form is required) Other conditions to note:_________________________________________________________________________________________________________________________________________

Please provide symptoms and/or special instructions for any condition marked above. (Additional form is required and notes may be attached): ____________________________________________________________________________________________________________________________________________________________________________

Check any of the following that relate to your child: Fears we should be aware of:___________________________________________________________________________________________________________________________________ An event in your child’s life that may have been particularly upsetting: _____________________________________________________________________________ Social or emotional characteristics you would like to note: ______________________________________________________________________________________________Other conditions requiring special care or additional information you feel would be helpful. (additional pages or notes may be attached)

____________________________________________________________________________________________________________________________________________________________________________

Please initial each of the following:___________ I have provided a current photo and copy of my child's immunization along with this form (required to register) ___________ I authorize Y staff members to apply sunscreen to my child as needed. Parent must supply sunscreen.___________ I authorize the Y staff members to apply bug repellent to my child as needed. Parent must supply bug repellent. Is your child currently taking any medications? Yes No If yes, what kind and why (unless confidential by law)? _________________ ____________________________________________________________________________________________________________________________________________________________________________If any medication (prescription or over the counter) is required during Y program time, a medication form MUST be completed. Please see our Medication Policy in the Parent Handbook for more information which can be found at ymcaokc.org/daycamp or picked up at the Y.

The YMCA of Greater Oklahoma City has my permission to: (initial each line)___________ Involve my child in swimming___________ Involve my child in field trips___________ Involve my child in photographs or video taken for Y publicity purposes ___________ Transport my child, provided that the Y and the driver have the legally required insurance in force, the driver has a valid Oklahoma driver’s license and has completed the Y’s driver requirements and tests, and there is a current Oklahoma tag on the vehicle.

Statement of Understanding: • I will notify the staff of any changes in the registration information. • I consent to my child’s participation in the Y program and assume the risks involved. I attest and verify that I have knowledge of the risks involved in program activities and I give my child authorization to participate in such activities.• I have reviewed the Code of Conduct and Behavior Management Policy with my child(ren).• In the event that I cannot be reached to make arrangements for emergency medical attention at the time of illness or accident, I hereby authorize the Y to take my child to the nearest facility for medical attention. • I understand that it is my responsibility that my child is signed in upon arrival to the program, and signed out before leaving each day.• I understand that I cannot leave my child at the Y or program site unless a Y program staff member is there to receive and supervise my child. There must be an exchange of responsibility from an authorized individual to a Y staff member.• I understand that the Y has a no Outside Contact Policy between Staff and Children. Y Staff are prohibited from having outside contact with children in Y programs. Includes but is not limited to: babysitting, sleepovers, transportation or other non-Y events. • I understand that state law mandates the Y to report any suspected cases of child abuse or neglect to the appropriate authorities for investigation. • I understand that I am responsible for all of the information in the Parent Handbook. A copy of the Parent Handbook is available online at ymcaokc.org/daycamp or I can request a printed copy from the Y.• By signature and of free will I do hereby agree to indemnify and hold harmless the Y for any and all claims or demands, cost of expense arising out of any injury or damage sustained by me or any party I am responsible for. • I understand that even when every reasonable precaution is taken, accidents can sometimes happen. Therefore, in exchange for allowing my child to participate in Y programs, I understand and expressly acknowledge that I, for myself and for anyone entitled to act on my behalf, waive and release the Y, sponsors, representatives and successors from all claims or liabilities of any kind arising out of my child’s participation in activities at or sponsored by the Y. I further agree to indemnify and save harmless the Y from any claims or demands arising out of such injuries or losses. I understand that this release includes any claims based on negligence, action or inaction of the YMCA of GREATER OKLAHOMA CITY, its staff, directors, members and guests.

________________________________________________________________ ________________________________________________________________ _____________________________Print Name Sign Name Date

I have read and understand the statements above regarding YMCA policies and procedures.

E. Agreements

GIVE $ $5 $10

YMCA OF GREATER OKLAHOMA CITY PAGE 3 of 3

In addition to our program fees, we would like to help send another child to Summer Day Camp.

A one time donation can also be made at any of our Y Member Service Desks

YMCA SUMMER DAY CAMP Authorized Signature Date

Ethnicity Household Income

Native American

Asian/Pacific Islander

African American/Black

Alaskan Native

$ 50,000 - $74,999

$75,000 - $99,999

$100,000 - $149,000

$150,000 - $199,999

$ 0 - 14,999

$15,000 - $24,999

$ 25,000 - $34,999

$ 35,000 - $49,999

Please add the following amount to our weekly Day Camp draft:

F. Additional Information (Information is collected for demographic purposes ONLY to ensure we are serving our entire community)

Caucasian/White

Hispanic

Other

$200,000 - $249,999

$250,000 and above

G. Accounting Policies and Payments

1. Acceptable payment methods are: Credit/Debit Card, Electronic Funds Transfer (EFT) or advance payments made in full.

2. To secure your child’s spot, a $10 per week non-refundable deposit is due at the time of registration.

3. Drafts will be made by the close of business on Wednesday for the following week of care. Drafts will be made each week, unless a two week written notification has been provided for vacation week or for cancellation of registration.

4. Please keep any and all canceled checks, payment receipts or bank statements as documentation of childcare payments.

5. No adjustments in the weekly fee will be made for partially attended weeks, when care is not provided due to holidays that the Y is closed or inclement weather days.

6. Refunds are typically not given. A Refund Request Form may be obtained from, and returned to, the Member Service Desk and all refunds are at the discretion of the Branch Executive Director.

7. If your childcare payment is returned, it will be reprocessed within 48 hours of the original draft date, an additional service fee may be collected. Payments must be collected in full before the start of each enrolled session in order for your child to remain in our program. For further details, please see the parent handbook.

8. A late pick up fee of $1.00 per minute will be assessed for each minute after 6 p.m. that your child remains in our care. This fee will be drafted from the account on file. If there is no account on file, this charge must be paid at the Y Member Service Desk, and your child will not be allowed to attend until the amount due is satisfied.

9. If you are registered for the All Summer option and a payment is missed, the All Summer pricing will no longer apply. If you cancel All Summer camp, an additional $10 will be charged for each week that you have attended, separate from the non-refundable deposit.

10. Written notification of your intent for a vacation week or a camp cancellation form, for any portion of camp, must be given at least two weeks prior to your intended last day.

First Name ___________________________________________________ Last Name _____________________________________________________________________________

Name(s) of participants whom you are paying for: ___________________________________________________________________________________________________________

Today I will be paying the full amount for all of the weeks of day camp registered (Not just deposits)

I will be paying deposits today, and I am signing up for Weekly Payment Authorization through a Credit/Debit Card or Electronic Funds Transfer. (Drafts will be made by the close of business on Wednesday for the following week of care)

Bank Account Information:

GIVE $ $5 $10

YMCA OF GREATER OKLAHOMA CITY PAGE 3 of 3

In addition to our program fees, we would like to help send another child to Summer Day Camp.

A one time donation can also be made at any of our Y Member Service Desks

YMCA SUMMER DAY CAMP Authorized Signature Date

Ethnicity Household Income

Native American

Asian/Pacific Islander

African American/Black

Alaskan Native

$ 50,000 - $74,999

$75,000 - $99,999

$100,000 - $149,000

$150,000 - $199,999

$ 0 - 14,999

$15,000 - $24,999

$ 25,000 - $34,999

$ 35,000 - $49,999

Please add the following amount to our weekly Day Camp draft:

F. Additional Information (Information is collected for demographic purposes ONLY to ensure we are serving our entire community)

Caucasian/White

Hispanic

Other

$200,000 - $249,999

$250,000 and above

G. Accounting Policies and Payments

1. Acceptable payment methods are: Credit/Debit Card, Electronic Funds Transfer (EFT) or advance payments made in full.

2. To secure your child’s spot, a $10 per week non-refundable deposit is due at the time of registration.

3. Drafts will be made by the close of business on Wednesday for the following week of care. Drafts will be made each week, unless a two week written notification has been provided for vacation week or for cancellation of registration.

4. Please keep any and all canceled checks, payment receipts or bank statements as documentation of childcare payments.

5. No adjustments in the weekly fee will be made for partially attended weeks, when care is not provided due to holidays that the Y is closed or inclement weather days.

6. Refunds are typically not given. A Refund Request Form may be obtained from, and returned to, the Member Service Desk and all refunds are at the discretion of the Branch Executive Director.

7. If your childcare payment is returned, it will be reprocessed within 48 hours of the original draft date, an additional service fee may be collected. Payments must be collected in full before the start of each enrolled session in order for your child to remain in our program. For further details, please see the parent handbook.

8. A late pick up fee of $1.00 per minute will be assessed for each minute after 6 p.m. that your child remains in our care. This fee will be drafted from the account on file. If there is no account on file, this charge must be paid at the Y Member Service Desk, and your child will not be allowed to attend until the amount due is satisfied.

9. If you are registered for the All Summer option and a payment is missed, the All Summer pricing will no longer apply. If you cancel All Summer camp, an additional $10 will be charged for each week that you have attended, separate from the non-refundable deposit.

10. Written notification of your intent for a vacation week or a camp cancellation form, for any portion of camp, must be given at least two weeks prior to your intended last day.

First Name ___________________________________________________ Last Name _____________________________________________________________________________

Name(s) of participants whom you are paying for: ___________________________________________________________________________________________________________

Today I will be paying the full amount for all of the weeks of day camp registered (Not just deposits)

I will be paying deposits today, and I am signing up for Weekly Payment Authorization through a Credit/Debit Card or Electronic Funds Transfer. (Drafts will be made by the close of business on Wednesday for the following week of care)

Bank Account Information:

WEEKLY PAYMENT AUTHORIZATIONNAME (as it appears on account)

ACCOUNT HOLDER ADDRESS CITY STATE ZIP CODE

FINANCIAL INSTITUTION NAME

TYPE OF ACCOUNT: CREDIT/DEBIT CARD CHECKING SAVINGS PLEASE PRESENT PAYMENT METHOD TO YMCA STAFF PLEASE READ THE FOLLOWING BEFORE SIGNINGWEEKLY PAYMENT PROCEDURES AND INFORMATIONI/we hereby authorize the YMCA OF GREATER OKLAHOMA CITY to charge my/our checking/savings/credit account weekly for day camp programming. A valid check or credit/debit card must be presented when joining for account verification. I understand that bank drafts will be initiated the Wednesday days prior to the start of each enrolled week, and that a return fee may be charged for each declined payment, including those made by check or credit card. I understand that these charges are continuous and ongoing until the program ends or there is written request for termination is received a minimum of two weeks prior to my scheduled draft date, and that refunds may not be issued for charges older than 60 days.I have read the Accounting Policies and Weekly Payment Procedures and agree to comply with all payment policiesPrint Name of Authorized Account Holder: AUTHORIZED SIGNATURE: DATE: (MUST BE 18 YEARS OR OLDER)

3233 &34

28 & 29

1

12

2223 &24

910

11

16

27 &30

14 &15

38

76

4 & 5

13

19

26

21 &25

20

2

17 &18

35

31

1. BETHANY YMCA DAY CAMP2. Y Camp Oaks at Western Oaks Christian

3. CHICKASHA DAY CAMP4. EARLYWINE PARK YMCA DAY CAMP

5. Teen Camp at Earlywine Park YMCA (ages 12-14)6. Greenbriar YMCA7. Y Camp at Shartel Church of God8. Fresh Start (Moore)

9. E.L. GAYLORD DOWNTOWN YMCA DAY CAMP10. Camp at John Rex (J Rex B&A participants only)11. Leadership Camp at Main Street YMCA (ages 11-13)

12. GUTHRIE YMCA DAY CAMP AT FOGARTY ELEMENTARY13. Guthrie Y Day Camp at GUES

14. MIDWEST CITY DAY CAMP15. Teen Camp Midwest City16. Nicoma Park Day Camp

17. MITCH PARK YMCA DAY CAMP (5 & 6 YEAR OLD ONLY)

18. E.L.I.T.E. (Teen Camp ) at Mitch Park19. Camp Triple C at Central Oklahoma Camp20. Camp Explorer at Acts 2 United Methodist Church21. Camp Rising Stars at Summit Middle School

22. RANKIN YMCA DAY CAMP23. Camp L.E.A.D. at Cimarron Middle School 24. Camp Discover at Cimarron Middle School25. Camp Hero at Charles Haskell Elementary26. Camp Wonder- 5&6 year olds only (Location TBD)

27. NORTH SIDE YMCA DAY CAMP28. Teen Camp at D-Bat29. Camp All Star at D-Bat30. Camp Believe- Arts Camp (location TBD)31. Camp Fidelity (American Fidelity Employees only)

32. ROCKWELL PLAZA YMCA DAY CAMP33. Camp SOAR at Highland Hills Baptist Church34. Leadership Camp ages 11-13 (Location TBD)

35. STILLWATER YMCA AT HILLCREST BAPTIST CHURCH

2020 DAY CAMP LOCATIONS