Indymca Summer Camp 2015

2015 SUMMER DAY CAMP
BEST.SUMMER.EVER!
FRIENDSHIP, ACCOMPLISHMENT, BELONGING
Y Member
registration begins
2/21!
(all others 2/28)
YMCA of greater indianapolis
www.OurCauseIsYou.org/camp
1
THE YMCA IS
GIVING KIDS THEIR
BEST SUMMER EVER!
Do you remember trading stories and sharing a
favorite book or song with a new friend?
Do your memories include being greeted with smiles
and high-fives from staff and teammates after
scoring the winning point?
At camp, you always fit in, just for being you.
This is what the Ys day camp is all about, and we
are ensuring kids get more out of summer: more
friends, more exploration, and more achievement.
For parents and guardians who enjoy seeing their
childs face glow when retelling a camp story and
want to see their child discover new things, the Y
encourages you to enroll them in day camp!
The YMCA of Greater Indianapolis day camps offer a
mix of fun and educational activities aimed at
improving kids well-being. Our program focuses
on three areas proven to impact kids development:
friendship, accomplishment, and belonging.
YMCA MISSION: to put Christian principles into practice
through programs that build healthy spirit, mind, and body for all
2
TURN THE PAGES FOR:

Day Camp Locations ........................... 4
Rates & Registration ......................... 7
Camp Options .................................... 8
Camps by Location ......................... 14
Registration Form ........................... 25
Developing Our Youth: The YMCA of Greater Indianapolis is determined to make a significant difference in
the lives of youth. The Y is committed to working in collaboration with schools, churches, neighborhood organizations,
government agencies, and other human services groups to increase the availability and accessibility of the
Search Institutes 40 Developmental Assets for all children and teens in the community.
ACA Accreditation: YMCA camps are accredited by the American Camp Association.
This means they have met or exceeded the highest nationally recognized standards for
health, safety, staff training, and program quality. ACA accreditation demonstrates a
commitment to excellence, which makes your job of selecting the right camp much easier.
At the Y, we know that when kids are given an opportunity to accomplish new skills, make friends, and feel like
they belong, they are comfortable expressing individuality and feel more confident, connected, and supported.
We are focusing on these youth development areas to ensure that kids in our day camp program go home with
so much excitement for all theyve accomplished and enjoyed that they cant wait to come back the next day.

-Jorge Perez, VP Youth Development, YUSA
3
YMCA of greater indianapolis

East
Northeast
1. Benjamin Harrison YMCA

5736 Lee Rd., Indianapolis
2. Off-site location: TBD
(Visit www.OurCauseIsYou.org/camp
for updated information!)
Please call or visit www.OurCauseIsYou.org/camp for details/separate

brochure for all camps run through the Fishers YMCA.
Benjamin Harrison Y Camps
Fishers Y Camps
11. Fishers YMCA

9012 E. 126th St., Fishers
12. Durbin Elementary
18000 Durbin Rd., Noblesville
13. Brooks School Elementary
12451 Brooks School Rd., Fishers
14. Fall Creek Elementary
12131 Olio Rd., Fishers
15. Stonycreek Farms
11366 SR 38 E., Noblesville
Ransburg Y Camps
3. Ransburg YMCA
501 N. Shortridge Rd., Indianapolis
4. Grassy Creek Elementary
10330 E. Prospect St., Indianapolis
5. Warren Township Early Childhood Center
1401 N. Mitthoeffer Rd., Indianapolis
6. Harris Elementary
200 W. Park Ave., Greenfield
7. Center for Inquiry #2
725 N. New Jersey St., Indianapolis
8. Paramount School of Excellence
3020 Nowland Ave., Indianapolis
Northwest
Pike Y Camps
16. Deer Run Elementary

5401 N. High School Rd., Indianapolis
Witham Family Y Camps
North
Please call or visit www.OurCauseIsYou.org/camp for details/separate

brochure for all camps run through the Witham Family YMCA.
Jordan Y Camps
9. Jordan YMCA
8400 Westfield Blvd., Indianapolis
10. Eagle Creek Park
7840 W. 56th St., Indianapolis
17. Witham Family YMCA

2791 N. Lebanon St., Lebanon
18. Sheridan Elementary
24795 Hinesley Rd., Sheridan
4
2015 day camp site locations

South
Baxter Y Camps
Y17
19. Baxter YMCA

7900 S. Shelby St., Indianapolis
20. Arlington Elementary
5814 S. Arlington Ave., Indianapolis
21. The Gathering Place at the
Community Church of Greenwood
1495 W. Main St., Greenwood
22. Perry Township Location: TBD
(Visit www.OurCauseIsYou.org/camp
for updated information!)
West
Hendricks Regional
Health Y Camps
23. Hendricks Regional Health YMCA

301 Satori Parkway, Avon
24. Bridgeport Elementary
9035 W. Morris St., Indianapolis
25. Hummel Park
1500 S. Center St., Plainfield
26. Avon Intermediate School East
174 S. Avon Ave., Avon
18
15
Y11
12
13 14
Y9
10
2
16
26
Y23
Y3
Y1
6
24
25
22
Y19
20
21
Y Indicates a YMCA center with on-site day camps

Indicates an off-site YMCA day camp location
5
Y MEMBER Summer Day Camp Registration begins
SATURDAY, FEBRUARY 21, 2015!

Registration is open to the public on February 28, 2015.
A registration form is located at the end of this brochure and online at indymca.org/camp.
Ways to register include:
IN PERSON: Bring your completed registration form to any YMCA Center listed below.
BY FAX: Fax the completed registration form with a credit card number to any YMCA
Center listed below.
BY MAIL: Send the completed registration form with a signed check or credit card
number to any YMCA Center listed below.
ONLINE: Go to www.indymca.org/registration.asp. You will need a valid email address
in order to register online. The registration form must still be completed and returned
to a YMCA Center prior to your child attending camp.
AVONDALE MEADOWS Y
3908 Meadows Dr.
Indianapolis, IN 46205
Phone 317.549.9622
Fax 317.549.8049
FLAT ROCK RIVER Y CAMP

6891 W. County Rd. 650 N.
St. Paul, IN 47272
Phone 888.828.9622
Fax 765.525.2265
INDY BIKE HUB Y

242 E. Market Street
Phone 317.612.3083
Fax 317.536.0750
BAXTER Y
7900 S. Shelby St.
Phone 317.881.9347
Fax 317.887.8787
JORDAN Y
8400 Westfield Blvd.
Phone 317.253.3206
Fax 317.259.5652
PIKE Y
7114 Lakeview Pkwy. W. Dr.
Phone 317.297.9622
Fax 317.297.9820
BENJAMIN HARRISON Y
5736 Lee Rd.
Phone 317.547.9622
Fax 317.547.9640
RANSBURG Y
501 N. Shortridge Rd.
Phone 317.357.8441
Fax 317.322.2793
WITHAM FAMILY Y
2791 N. Lebanon St.
Lebanon, IN 46052
Phone 765.483.9622
Fax 765.482.6231
FISHERS Y
9012 E. 126th St.
Fishers, IN 46038
Phone 317.595.9622
Fax 317.577.2069
HENDRICKS REGIONAL HEALTH Y

301 Satori Parkway
Avon, IN 46123
Phone 317.273.9622
Fax 317.272.0939
Y AT THE ATHENAEUM
401 E. Michigan St.
Phone 317.685.9705
Fax 317.685.9708
Y YOUTH DEVELOPMENT OFFICE

615 N. Alabama St., Suite 400
Phone 317.484.9622
Fax 317.269.6068
CAMP RATES
LEVEL 1 LEVEL 2 LEVEL 3 LEVEL 4 LEVEL 5 LEVEL 6
3-5 Days
3-5 Days
1-2 Days*
1-2 Days*
Y Members
All Others
Y Members
All Others
$99
$99
$134
$169
$69
$81
$156
$197
$181
$227
$249
$298
$322
$370
SAM
RAT E GRE
ES S AT
201 INCE
3!
*Please note: 1-2 day pricing options are available for full-day preschool and traditional camps only.
Rate levels are determined by camp activities, instructors, locations, etc. Please see the location pages for specifics camps and
rate levels. In order to reserve a space in the camp(s) of your choice, a minimum $15 non-refundable deposit is required for each
week each child is registered for camp. Outstanding balances must be paid by 8:00 pm on the Tuesday before the camp week
begins. Failure to meet payment deadlines will result in the loss of the camp reservation and deposit.
MEMBER RATES
Become a member and save! Youth memberships for those under 18 are only $21 per month. The Y also offers one and two
adult household memberships for the whole family, including all dependents who live at the same address! Please inquire with
the Membership staff at any of our Y Centers or go online at indymca.org/memberships.
FINANCIAL ASSISTANCE
At the Y, strengthening community is our

cause. We believe all children should have the
opportunity to learn, grow, and thrive. Financial
assistance makes summer day camp available
to those kids in need. Call 317.484.9622 for
more information. Please be aware that financial
assistance can only be used towards Level 2
camps. We also accept CCDF vouchers at 15
locations! Please see camps by location for
more information.
Camp Hours
6:30 AM to 6:00 PM
CHOOSE YOUR
ADVENTURE!
Choose from our three camp options to best fit
your familys needs and interests...
TRADITIONAL CAMP (Pg. 8)

SPORTS CAMP (Pg. 9)
ENRICHMENT CAMP (Pg. 11)
7
TRADITIONAL
CAMPS
DAY camp upgrade

Welcome to the classic summer camp
experience: no themes, no restrictions,
just pure enriching fun!
We have three areas of focus: friendship,
accomplishment, and belonging. Campers
will participate in a wide variety of ageappropriate clinics, including archery,
arts & crafts, hiking, fort building, skits,
environmental education, service learning,
outdoor cooking, and more!
This summer, the camps at the Y put the
tradition back in Traditional Camp.
Traditional camps are available for campers
ages 3-15, and camps are separated into
age groups.
Did you know that YMCA camp staff

attend over 40 hours of training,
including First Aid and CPR, before
the 1st day of camp?
See pages 14-20 for Traditional Camps

offered by location.
8
SPORTS CAMPS
YMCA Sports Camps help children develop tools and techniques while
learning the value of sportsmanship. Camp will include drills, skill
development, learning the rules of the game, and actual play, all while
reinforcing the core values of caring, honesty, respect, and responsibility.
We offer two tiers of camps to fit all interests and abilities.
SPORTS CAMP TIERS

Traditional Sports Camps (Level 2 pricing)
Designed for all ability levels and led by YMCA staff, the focus of
these camps will be introducing and learning new skills.
ARCHERY, Aquatics*, Baseball, Basketball, Cheer, Dance,
Dodgeball, Flag footBall, Hockey, Kickball, Soccer,
Sports of All Sorts*, T-ball, Tumbling, Track & Field*,
Ultimate Frisbee, VolleybalL
Enrichment Sports Camps (Levels 3, 4, and 5 pricing)
Designed for the intermediate player and led by contracted

professionals, technical skills will be the focus of this camp.
British Soccer*, Crouching Tigers martial arts*, Golf*,
Tennis*, Triathlon*
*turn the page for descriptions of these Sports Camps!
9
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SPORTS CAMPS
DESCRIPTIONS
Tennis
Rate: Level 3 (Y Members: $156

All Others: $197)
Learn the basic skills of tennis in this one-week camp! Campers will work
with a tennis pro each day to improve their game. All levels welcome!
track & field
Aquatics

All Others: $169)
Ready! Set! GO! Join us this week as campers prepare for a track and field
meet. They will get the opportunity to try their hand a variety of events,
and work to find their strengths. The camp will end with a city wide track
meet on Saturday, June 6th! More detail about the track meet will be
available during the week of camp.

All Others: $169)
If you love the pool, then aquatics camp is for you! Join us for aquatic
skills and games each day! Half of the camp day will be spent in the water.
Bring a swimsuit, towel, and goggles each day.
BRITISH SOCCER
TRIATHLON

All Others: $298)
Amazing coaches, innovative practices, and a unique cultural twist
combine for a one-of-a-kind camp experience! Each day includes
individual foot skills, technical drills, tactical practices, small-sided
games, coached scrimmages, and a daily World Cup tournament.

All Others: $197)
Join us for the ultimate swimming, biking and running camp! Led by a YMCA
triathlon trainer, beginners and intermediate athletes are all welcome!
Campers will be required to bring their swimsuit, goggles, bike and helmet to
each day of camp. All campers will participate in a timed triathlon on Friday!
crouching tigers martial arts

All Others: $298)
Join Crouching Tigers for a week of martial arts that your child
will never forget! Crouching Tigers offers so much more than
kicking, as the camp curriculum was created to incorporate
the YMCAs 4 core values (caring, honesty, respect, and
responsibility) throughout the week. The last day of camp
ends with a board breaking ceremony!
GOLF

All Others: $227)
This camp is perfect for campers wanting to improve their golf technique
or those wanting to take up the game of golf. Campers will receive
instruction in all phases of the game. Physical techniques will include
putting, chipping, iron selection, iron and wood play, and bunker play. This
camp will also include etiquette and rules of golf. If your camper has clubs,
please bring them. Please wear tennis/golf shoes to play golf.
sports of all sorts

All Others: $169)
Calling all sports fanatics! Do you love sports of all sorts? Weve got the
camp for you! Well spend each day learning and playing unique versions of
your favorite sport activities and introduce you to NEW sports that you may
not have had a chance to try. If you love being active, being part of a team,
and are up for an adventure, this is the camp for you!
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TRY SOMETHING NEW!

Is your child looking to discover
something new at camp this summer?
Try one of our enrichment camps!
This is an opportunity for your child
to try something theyve never tried
before! Your child will participate in a
more technical curriculum for half the
day, before returning to traditional
camp style activities. Activities include
molding works of art from clay with
certified artists and camp staff, cooking
up delicious creations in the kitchen,
or spending half the day at Sky Zone
jumping on trampolines!
Turn the page for descriptions of all
Enrichment Camps!
ENRICHMENT
CAMPS
11
enrichment CAMPS DESCRIPTIONS

Bowling
All Others: $197)
This camp is perfect for campers wanting to improve their bowling
technique. Half the camp day will be spent working on bowling skills at a
local bowling alley.

Campfire Cooking
All Others: $197)
Have you ever wanted to learn to cook over a campfire? Join us for
Campfire Cooking camp! Well try several new recipes throughout the week,
all made from our very own campfire! Kids will learn fire building & safety,
basic cooking skills, and create a recipe book to take home!
Graffiti Art
All Others: $197)
Express your creativity and artistic ability in this new camp! Learn about
the history, designs, and shapes of todays modern graffiti art.
At the end of the week, get an opportunity to show off your work at
the Graffiti Art Show!
Hip Hop Dance

All Others: $197)
Dip, bend, and pop! Come learn new and exciting hip hop moves in this fun
dance camp with choreography and routines that will help you be the hit of
the dance floor!
Laser Tag
All Others: $227)
Venture with us to a local laser tag facility to play laser tag games,
compete in tournaments, and enjoy the activities and games in the arcade.
Lego
All Others: $197)
For those who LOVE to build with Legos! This educational camp takes
physical science and technology concepts and applies them in a fun,
architectural way.
Let It Go!
All Others: $197)
You spent the entire year wrapped in Frozen hysteria. Now that things
are thawing out, are you still not ready to let it go? Yeah, we arent either!
Join us for a week of all things FROZEN!
Mad Scientist
All Others: $197)
Do you love science experiments? Come use the scientific process with
us as we explore, discover, and create together. This camp will have three
hours of science curriculum each day!
Messy Art
All Others: $197)
Create messy and fun abstract paintings and a sticky collage of art
materials. Also learn about different painting tools, such as spray bottles,
sticks, squirt bottles, and other uncommon items!
Mini Golf
All Others: $197)
Swing away in this fun camp for all! Learn the basics of mini golf and work
towards getting a hole in one!
Pirates of the Carabiner

All Others: $227)
Arrrr! Time to climb! Join us as we scale walls and develop rock climbing
skills with a pirate twist! Camps are held indoors through our collaboration
with Climb Time, Inc. Please be aware that guardians are required to sign
an additional waiver for this camp.
Pottery
All Others: $227)
Heres your chance to create many wonderful works of art by hand!
Tools, techniques, and processes will be explored. Some projects are made
from scratch, so creativity is greatly encouraged! Beginners to advanced
are welcome!
12
Princess in Training
Sky Zone

All Others: $227)
Calling all princesses! Join us for a magical week of sparkles and surprises
as we learn what it takes to be the perfect princess! Dress-up, tea parties,
princess crafts, games, and a surprise princess guest will teach you how to
be a princess in and out of camp!
Rate: Level 5 (Y Members $249

All Others: $298)
Jump for the sky in this extremely popular camp! Jump every day for at
least two hours while getting instruction from Sky Zone staff. Be ready
for a week of extreme fun and excitement! Please be aware that guardians
must sign a separate waiver for this camp.
Rise of the Minions
So You Think You Can Bake?

All Others: $197)
Bee-Do! Bee-Do! Its time to take on summer day camp...Minion Style! This
week will be filled with specialized Minion challenges, games, crafts, and
much more! Learn all about the Minion language and get the chance to
create your own Camp Minion!

All Others: $197)
Learn the skills of baking! We will cover basic recipes, measuring, and a
little friendly competition too! If you love to bake, this is the camp for you!
Super duper secret agents

All Others: $227)
Travel to the moon and back in Rocketry camp! This camp will teach the
mechanics and fun behind rockets! The camp will also include several
demonstrations and hands-on building!

All Others: $197)
Shh! Were going on a secret mission! Grab your magnifying glass, and join
us for a week of secretive, sneaky fun! Create your own spy kit, participate
in scavenger hunts, and work together to solve mysteries to keep trouble
away from camp!
Roller Coaster Teen Travel
Superhero vs. Villain
Rate: Level 6 (Y Member: $322 All Others: $370)

We will visit 3 theme parks in this teen travel camp. Campers will spend
Monday discussing and planning out their trip. Campers will participate in
an overnight adventure! Experience friendships to last a lifetime and roller
coaster thrills that will make this summer the best summer ever! There is
an additional waiver for this camp.
top chefs
rocketry
Roller Skating STEM Club

All Others: $197)
Love roller skating AND science? Lets skate together and learn the science
and engineering behind the skates! STEM stands for science, technology,
engineering, and math.
Safe Sitter
All Others: $197)
Are you ready to start babysitting or staying at home alone? This camp
includes Babysitting as a Business, Success on the Job, Child Care
Essentials, Safety for the Sitter, Injury Management, Preventing Problem
Behavior, CPR, and Care of Choking Infant and Child. It introduces
Preventing Injuries and Behavior Management as well! All participants
receive a Safe Sitter kit with everything they need to begin babysitting.

All Others: $197)
Do you have a favorite superhero or villain? Join us for a week of
superheroes and villains through games, crafts, and more! Costumes are
encouraged each day!

All Others: $197)
Calling all chefs! This camp will be one big, friendly competition as a chef!
We will cook every day, learn basic culinary skills, and compete to win
the top chef award of the week! Join us for an amazing cooking camp
experience!
Water Wars
All Others: $197)
Join us for the best week of wet and wild fun! We will have one big week
full of water and competition as we beat the heat and super soak our
camp friends!
13
EAST
camps through the benjamin harrison y

LOCATION
TRADITIONAL Benjamin
(camps are
Harrison Y
separated by ages)
SPORTS
ENRICHMENT
6/1-6/5
6/8-6/12
6/15-6/19
6/22-6/26
6/29-7/2
(No Camp
7/3)
7/6-7/10
7/20-7/24
7/27-7/31
Sports of
All Sorts
Soccer
Flag
Football
Sports of
All Sorts
Flag
Football
Basketball
Kickball
Basketball
Soccer
Hockey
Kickball
Sports of
All Sorts
Dance
Tumbling
Cheer
Dance
Tumbling
Try our
Traditional
or Sports
Camps!
Let It Go
Hip Hop
Messy Art
Water Wars
So You
Think You
Can Bake?
Hip Hop
Water Wars
Messy Art
LEVEL 4
LEVEL 5
AGES
CCDF
CAMP TYPE
Ages
3-15
Ages
5-6
Track &
Field
Sports of
All Sorts
Soccer
Flag
Football
Basketball
Kickball
Ages
7-8
Track &
Field
Flag
Football
Basketball
Kickball
Soccer
Ages
9-11
Track &
Field
Basketball
Flag
Football
Sports of
All Sorts
Ages
7-11
Cheer
Dance
Tumbling
Cheer
Ages
6-8
Graffiti Art
Superhero
vs. Villain
So You
Think You
Can Bake?
Mad
Scientist
Ages
9-11
Graffiti Art
Superhero
vs. Villain
Lego
Mad
Scientist
7/13-7/17
TRADITIONAL CAMP OFFERED WEEKLY!
Location TBD
Benjamin
Harrison Y
8/3-8/4
(No Camp
8/5-8/7)
Try our
Traditional
Camp!
Try our
Traditional
Camp!
Camp is outside all day with a mix of sun and shade

Camp splits time inside and outside OR outside but shaded all day
LEVEL 1
Questions?
daycamp@indymca.org
317.484.9622
LEVEL 2
LEVEL 3
LEVEL 6
3-5 Days
Y Members
$99
$134
$156
$181
$249
$322
3-5 Days
All Others
$99
$169
$197
$227
$298
$370
1-2 Days*
Y Members
$69
1-2 Days*
All Others
$81
14
CAMP TYPE
LOCATION
Ransburg Y
Warren Township Early

Childhood Center
TRADITIONAL Grassy Creek
Elementary
(camps are
separated by
Harris Elementary
ages)
Center for Inquiry

#2
Paramount School of
Excellence
SPORTS
ENRICHMENT
Ransburg Y
AGES
Ages
5-15
Ages
3-5
Ages
5-11
Ages
5-11
Ages
5-11
Ages
5-11
Ages
6-8
Ages
9-11
Ages
7-11
CCDF
EAST
camps through the RANSBURG y
6/1-6/5
6/8-6/12
6/15-6/19
7/6-7/10
7/13-7/17 7/20-7/24 7/27-7/31
No Camp- please call for alternate

locations.
TRADITIONAL CAMP OFFERED WEEKLY! Member rates offered for ALL PARTICIPANTS!
TRADITIONAL CAMP OFFERED WEEKLY! Member
rates offered for ALL PARTICIPANTS!
Join us at the
Ransburg Y!
Member rates offered

for ALL PARTICIPANTS!
Join us at the Ransburg Y!
TRADITIONAL CAMP OFFERED WEEKLY! Member rates offered for ALL PARTICIPANTS!
Join us
at the
Ransburg Y!
Track &
Field
Baseball
Soccer
Flag
Football
Sports of All
Sorts
Hockey
Kickball
Soccer
Aquatics
Track &
Field
Flag
Football
Basketball
Kickball
Sports of All
Sorts
Baseball
Hockey
Aquatics
Basketball
Cheer
Dance
Volleyball
Cheer
Dance
Volleyball
Cheer
Dance
Volleyball
Try our
Traditional
or Sports
Camps!
Bowling
Messy Art
Rise of the
Minions
Bowling
Messy Art
Rise of the
Minions
Ages
6-8
N Graffiti Art
Superhero
vs Villain
So You
Think You
Can Bake?
Mad
Scientist
Ages
9-11
N Graffiti Art
Superhero
vs. Villain
So You
Think You
Can Bake?
Mad
Scientist
Ransburg Y

Questions?
daycamp@indymca.org
317.484.9622
8/3-8/7
Y
Y
6/29-7/2
(No Camp 7/3)
Y
Y
6/22-6/26
LEVEL 1
LEVEL 2
LEVEL 3
LEVEL 4
Try our
Traditional
Camps!
Try our
Traditional
or Sports
Camps!
Try our
Traditional
Camps!
LEVEL 5
LEVEL 6
3-5 Days
Y Members
$99
$134
$156
$181
$249
$322
3-5 Days
All Others
$99
$169
$197
$227
$298
$370
1-2 Days*
Y Members
$69
1-2 Days*
All Others
$81
15
CAMP TYPE
LOCATION
TRADITIONAL Jordan Y
(camps are
separated by ages) Eagle Creek
Park
SPORTS
ENRICHMENT
Jordan Y
AGES
Ages
3-11
Ages
5-15
Ages
5-6
Ages
5-6
Ages
7-8
Ages
7-8
Ages
9-11
Ages
6-11
CCDF
NORTH
camps through the JORDAN y
5/28-5/29
(No Camp
5/25-5/27)
6/1-6/5
6/8-6/12
6/15-6/19
6/22-6/26
6/29-7/2
(No Camp
7/3)
7/6-7/10
7/13-7/17
7/20-7/24
7/27-7/31
TRADITIONAL CAMP OFFERED WEEKLY! (Teen camp located at Eagle Creek Park)
TRADITIONAL CAMP OFFERED WEEKLY! (Bus leaves Jordan Y at 8:30am and returns at 2:30pm)
Sports of
All Sorts
Track &
Field
Dodgeball
Soccer
Aquatics
Sports of
All Sorts
T-ball
Flag
Football
Aquatics
Kickball
Kickball
Track &
Field
Flag
Football
Kickball
Hockey
Basketball
Soccer
Dodgeball
Basketball
Sports of
All Sorts
Flag
Football
Track &
Field
Aquatics
Volleyball
Baseball
Dodgeball
Flag
Football
Soccer
Kickball
Basketball
Flag
Football
Track &
Field
Basketball
Hockey
Soccer
Hockey
Kickball
Aquatics
Sports of
All Sorts
Dodgeball
Basketball
Track &
Field
Baseball
Dodgeball
Flag
Football
Soccer
Basketball
Sports of
All Sorts
Hockey
Ultimate
Frisbee
Cheer
Track &
Field
Tumbling
Cheer
Dance
Tumbling
Cheer
Dance
Tumbling
Cheer
Ages
6-11
Tennis
Pottery
Laser Tag
Sky Zone
Pirates
of the
Carabiner
Mini Golf
Laser Tag
Sky Zone
Tennis
Bowling
Ages
6-11
Let It Go
Crouching
Tiger
Martial Arts
Mad
Scientist
Rise of the
Minions
Lego
Campfire
Cooking
Messy Art
Princess in
Training
Top Chefs
Superhero
vs. Villain
Jordan Y
8/3-8/7
Join us for
Traditional
Camp this
week!
Join us for
Traditional
Camp this
week!

Questions?
daycamp@indymca.org
317.484.9622
LEVEL 1
LEVEL 2
LEVEL 3
LEVEL 4
LEVEL 5
LEVEL 6
3-5 Days
Y Members
$99
$134
$156
$181
$249
$322
3-5 Days
All Others
$99
$169
$197
$227
$298
$370
1-2 Days*
Y Members
$69
1-2 Days*
All Others
$81
16
NORTHwest
camps through the pike y

LOCATION
TRADITIONAL Deer Run
(camps are
Elementary
separated by ages)
SPORTS
Deer Run
Elementary
6/8-6/12
6/15-6/19
6/22-6/26
6/29-7/2
(No Camp
7/3)
7/6-7/10
7/13-7/17
7/20-7/24
7/27-7/31
AGES
CCDF
CAMP TYPE
6/1-6/5
Ages
3-15
Ages
5-8
Track &
Field
Basketball
Sports of All
Sorts
Kickball
Soccer
Dodgeball
Baseball
Flag
Football
Sports of All
Sorts
Ages
9-11
Track &
Field
Sports of All
Sorts
Dodgeball
Baseball
Flag
Football
Sports of All
Sorts
Soccer
Basketball
Kickball

Questions?
daycamp@indymca.org
317.484.9622
3-5 Days
3-5 Days
1-2 Days*
Y Members
All Others
Y Members
LEVEL 1
LEVEL 2
LEVEL 3
LEVEL 4
LEVEL 5
LEVEL 6
$99
$99
$134
$169
$156
$197
$181
$227
$249
$298
$322
$370
$69
1-2 Days*
All Others
$81
17
south
CAMP TYPE
LOCATION
Baxter Y
Arlington
TRADITIONAL Elementary
(camps are
separated by ages) Perry Township
Gathering Place
of Greenwood
TEEN
LEADERSHIP
Baxter Y
AGES
CCDF
camps through the baxter y

Ages
3-15
Ages
5-11
Ages
5-11
Ages
5-11
Ages
12-15
Ages
11-14
Ages
16-17
5/28-5/29
(No Camp
5/25-5/27)
6/1-6/5
6/8-6/12
6/15-6/19
6/22-6/26
6/29-7/2
(No Camp
7/3)
Join us for
camp at the
Baxter Y!
7/13-7/17
7/20-7/24
Join us for
camp at the
Baxter Y!
N
N
7/6-7/10
LIT
Join us for
Traditional
Camp!
Camp is outside all day with a mix of

sun and shade
Camp splits time inside and outside
OR outside but shaded all day
LIT
LIT
Safe Sitter
CIT
CIT
LIT
Safe Sitter
CIT
CIT
LIT
LIT
Safe Sitter
CIT
CIT
LIT
Safe Sitter
CIT
CIT
LIT (Leaders In Training)/CIT (Counselors In Training) Camp:
Through leadership courses and hands-on experience with assigned camper groups, LITs and CITs receive
a well-rounded experience that helps them develop as a leader and serve as role models for younger
campers. The goals of LIT and CIT camp programs are to teach leadership skills that can be applied at
camp and beyond, strengthening confidence at school, home, and community.
Any youth interested in participating in the LIT and CIT Camp programs must go through an application,
interview, and selection process. Camp registration is required in order to apply.
LEVEL 1
Questions?
daycamp@indymca.org
317.484.9622
LIT
LEVEL 2
LEVEL 3
LEVEL 4
LEVEL 5
LEVEL 6
3-5 Days
Y Members
$99
$134
$156
$181
$249
$322
3-5 Days
All Others
$99
$169
$197
$227
$298
$370
1-2 Days*
Y Members
$69
1-2 Days*
All Others
$81
18
south
camps through the baxter y

LOCATION
AGES
Gathering Place
of Greenwood
Ages
5-6
Ages
7-8
Ages
9-11
Ages
6-11
Ages
5-11
Arlington
Elementary
Ages
5-11
Baxter Y
SPORTS
ENRICHMENT Perry Township
Ages
5-6
Ages
7-8
Ages
9-11
Ages
12-15
6/1-6/5
6/8-6/12
6/15-6/19
6/22-6/26
6/29-7/2
(No Camp
7/3)
7/6-7/10
7/13-7/17
7/20-7/24
Track & Field
Flag Football
Basketball
Cheer
T-ball
Tumbling
British
Soccer
Dodgeball
Track & Field
Archery
Flag Football
Tumbling
Basketball
Dodgeball
British
Soccer
Cheer
Track & Field
Basketball
Dodgeball
Golf
Triathlon
Cheer
British
Soccer
Archery
Aquatics
(Ages 6-8)
Aquatics
(Ages 9-11)
Aquatics
(Ages 6-8)
Aquatics
(Ages 9-11)
Aquatics
(Ages 6-8)
Aquatics
(Ages 9-11)
Aquatics
(Ages 6-8)
Aquatics
(Ages 9-11)
Track & Field
Tumbling
Soccer
Sports of All
Sorts
Cheer
Flag Football
Basketball
Dodgeball
Track & Field
Tumbling
Soccer
Sports of All
Sorts
Cheer
Flag Football
Basketball
Join us at
another
location!
Crouching Tiger
Martial Arts
Hip Hop
Princess in
Training
Lego
Messy Art
Super Duper
Secret Agents
Rise of the
Minions
Super Duper
Secret Agents
Rise of the
Minions
Pottery
Hip Hop
Princess in
Training
Messy Art
Crouching Tiger
Martial Arts
Messy Art
Crouching Tiger
Martial Arts
Mini Golf
Hip Hop
Pirates of
the Carabiner
Rocketry
Sky Zone
Roller Coaster
Teen Travel
Rocketry
Hip Hop
Graffiti Art
CCDF
CAMP TYPE
N
N
N
N
5/28-5/29
(No Camp
5/25-5/27)
Join us for
Traditional
Camp at the
Baxter Y!
Join us for
Traditional
Camp at the
Baxter Y!
Pirates of
Crouching Tiger
the Carabiner
Martial Arts
Join us for
Traditional
or Sports
Camp at the
Baxter Y!
Sky Zone

Questions?
daycamp@indymca.org
317.484.9622
LEVEL 1
LEVEL 2
LEVEL 3
LEVEL 4
LEVEL 5
LEVEL 6
3-5 Days
Y Members
$99
$134
$156
$181
$249
$322
3-5 Days
All Others
$99
$169
$197
$227
$298
$370
1-2 Days*
Y Members
$69
1-2 Days*
All Others
$81
19
west
CAMP TYPE
LOCATION
HRH Y
TRADITIONAL Bridgeport
Ages
3-15
6/1-6/5
6/15-6/19
Join us for
camp at
another
location!
Hummel Park
Ages
5-11
Avon Intermediate
School East
Ages
6-12
Track &
Field
Ages
6-11
Pottery
ENRICHMENT HRH Y
6/8-6/12
6/22-6/26
6/29-7/2
(No Camp
7/3)
7/6-7/10
7/13-7/17
7/20-7/24
7/27-7/31*
(See below)
TRADITIONAL CAMP OFFERED 6/1-7/28!*
Ages
5-11
(camps are
Elementary
separated by ages)
SPORTS
AGES
CCDF
camps through the

hendricks regional health y

Join us for camp at
another location!
Crouching
Tiger
Martial Arts
Rise of the
Minions
Basketball
Sports of All
Sorts
Kickball
Baseball
Flag
Football
Pirates
of the
Carabiner
Bowling
Messy Art
Princess in
Training
Roller
Skating
STEM Club
Join us for
Traditional
Camp!

LEVEL 1
Questions?
daycamp@indymca.org
317.484.9622
LEVEL 2
LEVEL 3
LEVEL 4
LEVEL 5
LEVEL 6
3-5 Days
Y Members
$99
$134
$156
$181
$249
$322
3-5 Days
All Others
$99
$169
$197
$227
$298
$370
1-2 Days*
Y Members
$69
1-2 Days*
All Others
$81
20
GET THE MOST OUT

OF YOUR SUMMER!
YMCA DAY CAMP SWIM LESSONS
YMCA Day Camp allows you to take advantage of extra enrichment
classes in which your child can stay at the Y and receive quality
swim instruction by our trained Aquatics staff at the YMCA.
Rate per Week (Mon-Thurs):
$28 for Y Members; $53 for all others
Y CENTER
AGES 3-5
Benjamin Harrison Y 4:00-4:30pm or
4:35-5:05pm
HRH Y
Jordan Y
11:00-11:30am
Ransburg Y
9:30-10:00am
AGES 6-11
4:00-4:40pm or
4:50-5:30pm
4:00-4:45pm
4:00-4:45pm
4:10-4:50pm
Baxter Y:
Session A (6/2-6/25) and Session B (6/30-7/23)
Rate per Session (Tues and Thurs):
$53 for Y Members, $102 for all others
Ages 3-5: 9:30-10:15am
Ages 6-11: 4:00-4:45pm
Please note: If your child is attending an off-site camp (at a location
other than the YMCA), you must provide transportation to the Y for
these swim lessons.
21
LOOKING FOR AN
OVERNIGHT EXPERIENCE?
FLAT ROCK RIVER YMCA CAMP
Ages 7-17
One- & two-week Overnight Sessions
begin June 7th
Three-night mini-camp also available
for ages 7-9
www.flatrockymca.org
CHOOSE YOUR ADVENTURES &

TAKE ON NEW CHALLENGES!
Zip Line * Swimming * Horseback Riding
Canoeing/Kayaking * Mountain Biking
Archery * Sports * Rock Climbing
Fishing * Creative Arts * Riflery
Environmental Science * Dance
Alpine Tower & Much, Much More!
22
TURN THE PAGE TO

GET STARTED!
23
IMMUNIZATION INFORMATION
EVERY CAMPER attending camp at a location that accepts CCDF vouchers is required to submit
an immunization form. This is required regardless of whether or not you are personally using a
CCDF voucher.
If your child is attending day camp at any of the locations listed below, please complete the immunization
information on the following page, and include it along with your registration form.

Arlington Elementary
Avon Intermediate School West
Benjamin Harrison YMCA
Bridgeport Elementary
Deer Run Elementary
Durbin Elementary
Grassy Creek Elementary
Harris Elementary
Center for Inquiry #2

Jordan YMCA
Paramount School of Excellence
Perry Township Location
Ransburg YMCA
Sheridan Elementary
Warren Township Early Childhood Center
Other sites may also be accepting CCDF vouchers and will therefore require ALL campers to complete this form.
Please check with your YMCA when registering.
PLEASE NOTE:
If you are completing this form prior to the end of the school year, and your childs school has a certified school
nurse, he/she can be considered the health care provider and can sign the form.
Your childs immunization (shot) record must also be attached to the completed form.
Thank you!
Zip
____Yes If yes, age _____
State
This form must be updated annually. Additional forms may be found at indymca.org/camp.
(Printed name and title is required.)
Printed Name and Title _______________________________________________________________________
(Health Care Providers signature and date is required.)
Signature _________________________________________________________ Date ______________________
Parent comments: (Please indicate religious objections, if any)

__________________________________________________________________________________________________
__________________________________________________________________________________________________
Comments: (Please list immunizations excluded for medical reasons) _________________

__________________________________________________________________________________________________
__________________________________________________________________________________________________
ONE BOX ABOVE MUST BE CHECKED BY THE HEALTH CARE PROVIDER
c Child has received age-appropriate immunizations.

c Child is currently in the process of completing age-appropriate immunizations.
Please check the appropriate response.
Child has documented history of Varicella Disease ____No
Hep B
DtaP / DTP / Td
Hib
MMR
IPV
Varicella
PCV / Prevnar
City
Record Date of Immunization
Street Address
Address _________________________________________________________________________________
Child Immunization Record

Childs Name _________________________________________Date of Birth _______________
Guardians Name ________________________________________ Phone ______________________
THIS IS A REQUIRED FORM FOR ALL SITES ACCEPTING CCDF VOUCHERS.
(this side intentionally left blank as back of immunization form)
(Y Office Use Only: Unity ID: _______________________________)
(Y Office Use Only: Unity ID: _______________________________)
Sex (Circle): M F
Race:______________ D.O.B: ___/___/___
Sex (Circle): M F
Race:______________
c 6/29-7/2 ________________________ _____________________

c 7/6-7/10 ________________________ _____________________
c 7/13-7/17 ________________________ _____________________
c 7/20-7/24 ________________________ _____________________
c 7/27-7/31 ________________________ _____________________
c 8/3-8/7
c 6/29-7/2 ________________________ _____________________

c 7/6-7/10 ________________________ _____________________
c 7/13-7/17 ________________________ _____________________
c 7/20-7/24 ________________________ _____________________
c 7/27-7/31 ________________________ _____________________
c 8/3-8/7
c Yes
c No
$__________ = TOTAL PAID
$__________ = Optional Annual Campaign Donation:

c I would like to help another child attend
Y Summer Camp by making a one-time
donation of $ _______ to the Annual Campaign.
$__________ = Required Non-Refundable Deposit:

c Deposit of $15 for each week (per child)
(See next page for payment details)
$__________ = Required Registration Fee (check one):

c $0 Y Facility/Center Member

c $30 (non-member) Individual (1 child)

c $50 (non-member) Household (2+ children)
CAMP REGISTRATION DEPOSIT
Card Holder Signature: __________________________________________
Name on Card (print): ___________________________________________
Card#: _________________________________ Exp. Date: _____/_____
Registration Deposit Payment Method (check one):

c Cash
c Check (Check # ________________)
c Credit Card: (required for faxed registrations)

c VISA
c Mastercard

c Discover c AmEx
How did you hear about our Y Day Camp? _____________________________________________________________________________________________
Participate in Y Preschool Program? c Yes c No
(If yes, which Y Center? ________________________________________________________)
Participate in Y Before/After School Program? c Yes c No
Member of Y?
c 6/22-6/26 ________________________ _____________________
c 6/22-6/26 ________________________ _____________________
________________________ _____________________
c 6/15-6/19 ________________________ _____________________
c 6/15-6/19 ________________________ _____________________
________________________ _____________________
c 6/8-6/12 ________________________ _____________________
Ransburg Y
c 6/8-6/12 ________________________ _____________________
Traditional
Location
c 6/1-6/5 ________________________ _____________________
c (example)
Camp
c 6/1-6/5 ________________________ _____________________
Ransburg Y
Dates
c 5/26-5/29 ________________________ _____________________
Traditional
c (example)
Location
Check date and complete camp name and location.
CAMP CHOICES - CHILD 2
c 5/26-5/29 ________________________ _____________________
Camp
Dates
Check date and complete camp name and location.
CAMP CHOICES - CHILD 1
School child attends: _____________________________________________ School child attends: _____________________________________________
Age on First Day of Camp: _______ Grade in the Fall: ________ Age on First Day of Camp: _______ Grade in the Fall: ________
D.O.B: ___/___/___
CHILD 1 NAME_____________________________________________ CHILD 2 NAME_____________________________________________
CAMPER INFO - CHILD 2
CAMPER INFO - CHILD 1
Please complete all information. Use additional forms for more children as needed.
Forms are also available at indymca.org/camp.
2015 Y DAY CAMP REGISTRATION FORM
2. Name: ____________________________________________________________
Address: _________________________________________________________
Work Phone: ____________________________________________________
Other Phone:____________________________________________________
Relationship:____________________________________________________
3. Name: ____________________________________________________________
Address: _________________________________________________________
Work Phone: ____________________________________________________
Other Phone:____________________________________________________
Relationship:____________________________________________________
Relationship:__________________D.O.B (required) :____/____/_____
Work Phone: _____________________________________________________
______________________________________________________
Signature of Parent or Legal Guardian
______________________________________________________
Print Name
_____________________________
Date
I certify that I am the parent or legal guardian of this child and have the legal authority to make the representations
and grant the authorizations contained herein.
Please be aware there is a late fee of $1 per minute per

child for those picking up after 6:00 pm. Additional
information about camp deadlines and payment
procedures may be found at www.indymca.org/camp
_______(initial)
FOR Y OFFICE USE ONLY - INITIAL INFO ENTERED IN UNITY:

Pick Up List: __________ Health Info:__________
The YMCA is unique because your membership rates and

program fees are based on total household income. The
Y is able to offer a sliding fee scale thanks to generous
donors whose contributions to our Annual Campaign
enable us to live our mission of being open and
accessible for all. Please ask at your Centers front desk
for details if you need this assistance and/or wish to
contribute to this fund to help others.
In order to reserve a space in the camp(s) of your

choice, a minimum of a $15 non-refundable deposit is
required for each week each child is registered for camp.
Outstanding balances must be paid by 8:00 pm on the
Tuesday before the camp week begins. Failure to meet
payment deadlines will result in the loss of the camp
reservation and deposit. _______(initial)
ANNUAL CAMPAIGN
CAMP PAYMENT NOTES
Please initial below if the Y DOES NOT have your permission to use photographs of your child(ren) for promotional
purposes. ________(initial) Child(ren)s Name(s): ________________________________________________________________________________________
PROMOTION AGREEMENT (INITIAL ONLY TO OPT OUT)
Please initial only to OPT OUT of YMCA text messages

regarding your childs camp ________
E-Mail Address: _________________________________________________
Alternate Phone: _________________________________________________
Place of Employment: __________________________________________
Primary Phone: ___________________________________________________
City: ___________________________________ St:______ Zip:___________
Mailing Address: _______________________________________________
2.Guardian Name: ________________________________________________
Please initial only to OPT OUT of occasional YMCA

text messages ________
E-Mail Address: _________________________________________________
1. Name: ____________________________________________________________
Address: _________________________________________________________
Work Phone: ____________________________________________________
Other Phone:____________________________________________________
Relationship:____________________________________________________
Note: For your childs safety, he/she will not be released to

anyone else. All authorized persons must be 18 years of
age or older. No changes to this list will be made unless the
parent or legal guardian whose signature appears on the next
page requests such changes in writing. Photo identification is
required at pick up at all locations. ________(initial)
Parent/guardian(s) listed at left are authorized to pick up

child(ren), unless otherwise noted. You may also authorize only
the people named below to pick up your child(ren).
Alternate Phone: _________________________________________________
Work Phone: _____________________________________________________
Place of Employment: __________________________________________
Primary Phone: ___________________________________________________
City: ___________________________________ St:______ Zip:___________
Mailing Address: _______________________________________________
Relationship:__________________D.O.B (required) :____/____/_____
1.Guardian Name: ________________________________________________
PARENT/GUARDIAN INFORMATION CAMPER PICK-UP INFORMATION
Phone:__________________________________ Date of last physical exam:_________

Insurance Carrier: __________________________________________________________________
Policy #: _______________________________________________________________________________
DISEASES**
c German Measles
c Mumps
c Chicken Pox
Phone:__________________________________ Date of last physical exam:_________

Insurance Carrier: __________________________________________________________________
Policy #: _______________________________________________________________________________
c ADD/ADHD
DISEASES**
c Autism
c German Measles
c Asthma
c Mumps
c Convulsions
c Chicken Pox
c Heart Defect/Disease
ALLERGIES**
c Bleeding/Clotting Disorders
c Food
c Diabetes
c Medicine
c Frequent Ear Infection
c Poison Ivy, Etc.
c Hypertension
c Insect Stings
Any specific activities to be encouraged or limited by physicians
Swim Ability: c None c Beginner c Intermediate c Advanced
______________________________________________________
Signature of Parent or Legal Guardian
_____________________________
Date
PARENT OR GUARDIAN PERMISSION: My signature below indicates

that I have the legal authority to sign-up the child(ren) named on
this form and that to the best of my knowledge the information on
this application form is complete and accurate. I further understand
that this is an application and the named child(ren)s participation
is contingent upon space being available in the program(s) in which
I want the child(ren) to participate. I also understand that once my
registration is confirmed, I must complete payment(s) by the deadlines
of said program(s) as outlined prior and that, furthermore, all
necessary health, security and waiver forms must be signed and on file
with the Y prior to my child(ren) attending the program(s). Failure to
comply with this could result in the loss of the camp space.
EMERGENCY AUTHORIZATION: I hereby give permission to the

medical personnel selected by the camp director to order X-rays,
routine tests and treatment for me or my child(ren), and, in the event
I am not able to communicate or cannot be reached in an emergency, I
hereby give permission to the physician selected by the camp director
to hospitalize, secure proper treatment for, and order injection(s) and/
or anesthesia and/or surgery for me or my child(ren) as named prior.
I will be fully responsible for any costs of such treatment, even if not
covered by insurance.
one Day Camp staff member present at all times. I agree to release the
Young Mens Christian Association of Greater Indianapolis, its officers
and directors, and the Y Day Camp staff from any and all claims of
damages, demands or liabilities which may arise as a result of my
child(ren)s participation in camp activities and bus trips.
______________________________________________________
Print Name
CAMP ACTIVITY AND TRANSPORTATION AUTHORIZATION:

I hereby give permission for my child(ren) to participate in camp
activities and to travel by bus with the Y Day Camp staff. I
understand that only licensed and qualified personnel will operate
any vehicle to and from Day Camp, and that there will be at least
PARENT AUTHORIZATION and RELEASE: My child(ren) has medical

approval to participate in the activities of the Young Mens Christian
Association of Greater Indianapolis (YMCA.), and in my judgment
my child(ren) is in good health and physical condition and able safely
to participate in the activities of the YMCA. My child(ren) has my
permission to engage in all activities offered by the YMCA except
as noted by me in writing. I further understand that neither the
YMCA nor any of its paid staff or volunteer workers can be held
responsible in the event of an accident. I promise and agree on
behalf of myself, my spouse or partner or other family member not
to sue and agree to waive, release, discharge, and hold harmless and
indemnify the YMCA, its agents, employees, members and volunteers
from all claims, demands, rights and causes of action of any kind,
whether arising from my own acts, the acts of my child(ren), or those
of the YMCA. I hereby waive all claims for injury or damage, suffered
by my child(ren), myself, my spouse, my partner, or other family
member in connection with or arising out of the participation of my
child(ren) in YMCA activities. I certify that my child(ren) is amenable
to discipline and free from habits or attitudes, which would make
him/her an undesirable participant. I have studied the brochure and
understand the contents thereof.
PARENT/GUARDIAN AUTHORIZATION & SIGNATURE
Swim Ability: c None c Beginner c Intermediate c Advanced
Special needs (physical, mental or psychological) for camp counselor Special needs (physical, mental or psychological) for camp counselor
awareness: _________________________________________________________________________ awareness: _________________________________________________________________________
advice: _______________________________________________________________________________ advice: _______________________________________________________________________________
Any specific activities to be encouraged or limited by physicians
________________________________________________________________________________________ ________________________________________________________________________________________
Disability due to chronic or recurring illness: _______________________________ Disability due to chronic or recurring illness: _______________________________
________________________________________________________________________________________ ________________________________________________________________________________________
Operations or serious injuries: _________________________________________________ Operations or serious injuries: _________________________________________________
________________________________________________________________________________________ ________________________________________________________________________________________
Current medications (send prescription in original bottle): ______________ Current medications (send prescription in original bottle): ______________
Details of above: _________________________________________________________________ Details of above: _________________________________________________________________
enrollment in school. ______________ (initial)
c Camper is up-to-date with all immunizations needed for
will have a tetanus shot administered in case of emergency.
c Tetanus Innoc.* Date: ________________ *If no date is given, the Y
will have a tetanus shot administered in case of emergency.

Camper is up-to-date with all immunizations needed for
enrollment in school. ______________ (initial)
c Tetanus Innoc.* Date: ________________ *If no date is given, the Y
ALLERGIES**
c Food
c Medicine
c Poison Ivy, Etc.
c Insect Stings
Family Physician: __________________________________________________________________
c ADD/ADHD
c Autism
c Asthma
c Convulsions
c Heart Defect/Disease
c Bleeding/Clotting Disorders
c Diabetes
c Frequent Ear Infection
c Hypertension
CHILD 2 NAME___________________________________________________________
Family Physician: __________________________________________________________________
HEALTH INFORMATION - CHILD 2
CHILD 1 NAME___________________________________________________________
HEALTH INFORMATION - CHILD 1
30
Parent/Guardian Signature __________________________________________________________________________________________ Date _______________
Program Attending______________________________________________________________________________________________________________________________
Childs Name _________________________________________________________________________________________________ Date of Birth _______________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
As a parent, you may have some concerns or wish to offer suggestions. Using the lines below, we may modify the above
plan with agreed upon suggestions. (Please attach more documentation if needed)
Our goal is to work together with the child and family to address and modify any behavior concerns; however, if a child
cannot display appropriate behavior, then he/she may be removed from the program. A child may receive up to three
written behavior reports. After a third written report is received, the child may be removed from the program until a
parent conference is held. The parent conference may include the parent/guardian, program director, site staff, and the
child. The child may be allowed to return to the program after the parent conference and the development of a behavior
improvement plan. If a child receives a fourth written warning, we may ask the family to make alternative child care
arrangements for the remainder of the summer. Please note that all behavior management plans are based on the
individual child and situation, and we reserve the right to adapt procedures accordingly.
YMCA Program Expectations

Speak for yourself
Listen to others
Use put-ups, not put-downs
Care for others, the property, and yourself
Be honest
Show respect for all
Be responsible for yourself
Do unto others as you would have them do unto you
In response to misbehavior, we will:

Respect your child
Establish clear rules
Be consistent in enforcing rules
Use positive language to explain desired behavior
Speak calmly while bending down to your childs eye level
Give clear choices
Redirect your child to a new activity
In response to these behaviors, we will not use:

Threats or bribes
Physical punishment, even if requested by the parent
Deprivation of food or other basic needs
Humiliation or isolation
Our top priority is to provide a safe and enriching experience for all children. To do this, we must work together to
develop the best plan for each individual child. In order to ensure this positive environment, we may not be able to serve
children who repeatedly display disruptive behavior. Disruptive behavior is defined as verbal or physical conduct which
requires constant attention from the staff including, but not limited to: hitting, kicking, spitting, attempting to leave the
program space, hostile verbal behavior, and other behaviors which may hurt another child or staff member.
2015 Y DAY CAMP BEHAVIOR POLICY
WELL
SEE YOU
AT CAMP!
YMCA of Greater Indianapolis

615 N. Alabama Street, Suite 400
317.484.9622; www.OurCauseIsYou.org/camp
YMCA Member Day Camp Registration Begins Feb. 21!

(Public Registration Begins Feb. 28!)
NONPROFIT ORG
U.S. POSTAGE
PAID
INDIANAPOLIS, IN
PERMIT NO. 3204

Indymca Summer Camp 2015

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Indymca Summer Camp 2015

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2015 SUMMER DAY CAMP

YMCA of greater indianapolis

TURN THE PAGES FOR:

YMCA of greater indianapolis

1. Benjamin Harrison YMCA

Please call or visit www.OurCauseIsYou.org/camp for details/separate

Benjamin Harrison Y Camps

11. Fishers YMCA

16. Deer Run Elementary

Witham Family Y Camps

Please call or visit www.OurCauseIsYou.org/camp for details/separate

17. Witham Family YMCA

2015 day camp site locations

19. Baxter YMCA

23. Hendricks Regional Health YMCA

Y Indicates a YMCA center with on-site day camps

Y MEMBER Summer Day Camp Registration begins

SATURDAY, FEBRUARY 21, 2015!

FLAT ROCK RIVER Y CAMP

INDY BIKE HUB Y

HENDRICKS REGIONAL HEALTH Y

Y YOUTH DEVELOPMENT OFFICE

At the Y, strengthening community is our

TRADITIONAL CAMP (Pg. 8)

DAY camp upgrade

Did you know that YMCA camp staff

See pages 14-20 for Traditional Camps

SPORTS CAMP TIERS

Enrichment Sports Camps (Levels 3, 4, and 5 pricing)

Designed for the intermediate player and led by contracted

Rate: Level 3 (Y Members: $156

track & field

Rate: Level 2 (Y Members: $134

Rate: Level 2 (Y Members: $134

Rate: Level 5 (Y Members: $249

Rate: Level 3 (Y Members: $156

crouching tigers martial arts

Rate: Level 5 (Y Members: $249

Rate: Level 4 (Y Members: $181

sports of all sorts

Rate: Level 2 (Y Members: $134

TRY SOMETHING NEW!

enrichment CAMPS DESCRIPTIONS

Hip Hop Dance

Pirates of the Carabiner

Rate: Level 4 (Y Members: $181

Rate: Level 5 (Y Members $249

Rise of the Minions

So You Think You Can Bake?

Rate: Level 3 (Y Members: $156

Rate: Level 3 (Y Members: $156

Super duper secret agents

Rate: Level 4 (Y Members: $181

Rate: Level 3 (Y Members: $156

Roller Coaster Teen Travel

Superhero vs. Villain

Rate: Level 6 (Y Member: $322 All Others: $370)

Roller Skating STEM Club

Rate: Level 3 (Y Members: $156

Rate: Level 3 (Y Members: $156

camps through the benjamin harrison y

TRADITIONAL CAMP OFFERED WEEKLY!

Yes If yes, age _

Signature ___________________________________ Date

Race:____________ D.O.B: _/_/_

c 6/29-7/2 ____ _

c 6/29-7/2 ____ _

Card#: _______________________________ Exp. Date: _/___