Foglia YMCA

Spring Break Camp March 28th – April 1st, 2016

What will your kids do during their break?

SACC Spring Break Camp 2016 at the Foglia YMCA ** BREAKFEAST WILL BE SERVED IN THE MORNING. PLEASE MAKE SURE YOU SEND YOUR CHILD WITH A SACK LUNCH EACH DAY. DEPENDING ON THE FIELD TRIP WE WILL EITHER EAT OUR LUNCH AT THE Y OR ON THE FIELD TRIP. SACC Spring Break Camp is open to children in grades Kindergarten through Grade 8. The program runs from 7:00 am-6:30 pm each day. LOCATION: Foglia YMCA – 1025 N Old McHenry Rd – Lake Zurich

COST:

$65.00 PER CHILD PER DAY - If enrolled in Before or After School Age Child Care Program or Ela Teen Center/Foglia Member $95.00 PER CHILD PER DAY - IF NOT ENROLLED IN SCHOOL AGE CHILD CARE PROGRAM or ELA TEEN CENTER / Non-Member Rate

REGISTRATION DEADLINE The deadline to register is Monday, March 21, 2016 in order to secure the proper number of staff. Any registration submitted after the deadline will be charged a $15 late fee per child.

CANCELLATION POLICY: If you register your child(ren) and they end up not being able to attend the SDO, we will charge a $25 cancellation fee per child if you give us less than a week’s notice. We will return the rest of the fee to you as either a refund or a credit with the Y. If it is due to illness we need a doctor’s note to process the refund. We will charge a $15 cancellation fee then refund the rest.

TO REGISTER: Registrations may be faxed to 847.438.5307, emailed to [email protected], or dropped off at the YMCA, using the information below. Payment MUST ACCOMPANY REGISTRATION! Registrations WILL NOT be accepted at before/after school sites. For additional information, please call Sarah Sidell at 847.410.5393. Page 2 of 7

SACC Spring Break Camp 2016 at the Foglia YMCA (Kids in Kindergarten-8th Grade)

Office Use Only Date Received ______________________ Processed By _______________________

Circle Day(s) Attending: Mon. 3/28

Tues. 3/29

Copied __________ Roster ___________

Wed. 3/30

Thurs. 3/31

CCC Code Session: 16SPC Program: FOCC

Fri. 4/1

Child’s Name ________________________________________________________________________________________ Grade _______ Age _______ Child’s Name ________________________________________________________________________________________ Grade _______ Age _______ Child’s Name ________________________________________________________________________________________ Grade _______ Age _______ Child’s Name ________________________________________________________________________________________ Grade _______ Age _______ Parent(s)/Guardian(s) Name(s) ________________________________________________________________________________________________ Address ___________________________________________________________________ City ___________________________________________________ Work # _______________________________________ Home # _______________________________ Cell # ___________________________________ Email ________________________________________________________________________________________________________________________________

AUTHORIZATION FOR PICK-UP/EMERGENCY CONTACTS (Besides Parents/Guardians listed above)

1. Name ___________________________________________ Phone _________________________ Relationship ________________________________ 2. Name ___________________________________________ Phone _________________________ Relationship ________________________________ Does your child have any allergies? ______________ If so, please specify: ________________________________________________________________________________________________________________ Is your child taking any medication? ______________ If so, please specify: _________________________________________________________________________________________________________________ Do we need to administer any medication? ______________ If so, please specify: _________________________________________________________________________________________________________________ In the event of an EMERGENCY and you cannot be reached, I hereby give my permission to the physician selected by the Foglia YMCA to secure proper treatment for my child(ren) named above. Parent/Guardian Signature ___________________________________________________________ Date __________________________________

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PAYMENT INFORMATION Circle Day(s) Attending: Mon. 3/28

Tues. 3/29

Wed. 3/30

Thurs. 3/31

Fri. 4/1

Check all that apply: _______ Member/ Program Member $65 _______ Non-Member/ Non-Program Member $95 _______ $15 Late Fee (per child) if registration is turned in after Monday, March 21st, 2016 Credit Card Information: (only if you are registering through email or fax) Circle One:

VISA

Master Card

Discover

American Express

Name as it appears on the card: ______________________________________________________________________________________________ Card # ________________________________________________________________________________________________ Exp. Date _______________ This page will be shredded after payment is processed.

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Spring Break Camp Permission Slip

Monday, March 28, 2016 – YMCA Camp Duncan I give my child(ren) ____________________________________________ permission to attend the field trip to Camp Duncan in Ingleside, IL on Monday, March 28, 2016 from 9:15am-2:00pm. We will be spending time outside so please send your child(ren) with appropriate outerwear. We will be eating lunch at Camp Duncan, so please send your child with a sack lunch. We will be swimming at the Y. Parent Signature: _______________________________________________ Date: ___________________________________________

Spring Break Camp Permission Slip

Tuesday, March 29, 2016 – The Field Museum I give my child(ren) ____________________________________________ permission to attend the field trip to the Field Museum in Chicago, IL on Tuesday, March 29, 2016 from 9:00 – 4:00 pm. We will be seeing all the exhibits as well as watching the 3D movie Waking the T Rex.. We will be eating lunch at the museum, so please send your child with a sack lunch. Parent Signature: _______________________________________________ Date: ___________________________________________

Spring Break Camp Permission Slip

Wednesday, March 30, 2016 – Young Rembrandts I give my child(ren) ____________________________________________ permission to attend the field trip at 10:00 am at the Foglia YMCA in Lake Zurich, Il . We will be learning how to draw cartoons. We will be eating lunch at the Y. Please send your child with a sack lunch. . Parent Signature: _______________________________________________ Date: ___________________________________________

Spring Break Camp Permission Slip

Thursday, March 31, 2016 – Lincoln Park Zoo I give my child(ren) ____________________________________________ permission to go on the field trip to Lincoln Park Zoo in Chicago, IL on Thursday, March 31, 2016 from 9:00am-4:00pm. We will be eating lunch at the zoo, so please send your child with a sack lunch. Please send your child with the appropriate outerwear as we never know the weather! Parent Signature: _______________________________________________ Date: ___________________________________________

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Spring Break Camp Permission Slip

Friday, April 1, 2016 – Go Bananas I give my child(ren) ____________________________________________ permission to attend the field trip at Go Bananas in Norridge, Il from 10:00 am – 2:00 pm. Go Bananas is an arcade with games and rides. We will be eating lunch at Go Bananas, so please send your child with a sack lunch. We will be supplying the kids with some tokens, but they are welcome to bring more money for additional tokens if they like. Parent Signature: _______________________________________________ Date: ___________________________________________

Spring Break Camp Permission Slip

Swimming Permission Slip My child(ren) _______________________________________________________ have permission to swim in the Foglia YMCA Aquatic Center on: Monday, March 28

Wednesday, March 30

Friday, April 1h

The children will be supervised by YMCA trained and certified lifeguards and the Spring Break Camp staff. Please remember to send a bathing suit, towel, and goggles with your child. Swim time is in the afternoon from 3:00-4:00. Any changes on this, parents will be notified.

Parent Signature: _________________________________________________________ Date: ___________________________________________

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SPRING BREAK CAMP 2016 SCHEDULE Monday, March 28, 2016 7:00-8:30 8:30-9:00 9:00-9:15 9:15-2:00 2:00-2:30 2:30-3:00 3:00-4:00 4:00-4:15 4:15-6:00

Gym Gym/Outside Bathroom Break Field Trip Gym Locker Rooms Pool Locker Rooms Teen Room

Breakfast, Individual Games, Activity Pages Group Game: Camper’s Choice Get Ready for Field Trip Camp Duncan* Free Time Get Ready for Swimming Swimming* Change from Swimming Movie: Finding Nemo Snack: Popcorn

Tuesday, March 29, 2016 7:00-8:30 8:30-8:45 9:00-4:00 4:00-6:00

Gym Bathroom Break Field Trip Teen Room

Breakfast, Individual Games, Activity Pages Get Ready for Field Trip The Field Museum* Movie: The Land Before Time Snack: Rice Krispies Treats

Wednesday, March 30, 2016 7:00-8:30 8:30-9:00 9:00-9:30 9:30-11:00 11:00-11:30 11:30-12:00 12:00-2:30 2:30-3:00 3:00-4:00 4:00-4:15 4:15-6:00

Gym Gym Bathroom Break Field Trip Gym Teen Room Outside Fun Locker Rooms Pool Locker Rooms Teen Room

Breakfast, Individual Games, Activity Pages Group Game: Camper’s Choice Get Ready for Field Trip Young Rembrandts* Free Time or Group Game Lunch Group Activity Get Ready for Swimming Swimming* Change from Swimming Movie: Sponge Bob Snack: Fruit Kebabs

Thursday, March 31, 2016 7:00-8:30 8:30-9:00 9:00-4:00 4:00-6:00

Gym Bathroom Break Field Trip Teen Room

Breakfast, Individual Games, Activity Pages Get Ready for Field Trip Lincoln Park Zoo* Movie: 101 Dalmatians Snack: Animal Crackers

Friday, April 1, 2016 7:00-8:30 8:30-9:15 9:15-10:00 10:00-10:15 10:15-2:00 2:00 – 2:30 2:30-3:00 3:00-4:00 4:00-6:00

Gym Gym Outside Bathroom Break Field Trip Gym Locker Rooms Pool Teen Room

Breakfast, Individual Games, Activity Pages Group Game Free Time on Playground Get Ready for Field Trip Go Bananas* Free Time Get Ready for Swimming Swimming* Movie: Diary of a Wimpy Kid Snack: Goldfish

*These require a permission slip to be filled out. This schedule is subject to change by the YMCA staff

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