PARENT HANDBOOKYMCA DAY CAMP KICI YAPISUMMER 201AddressYMCA Day Camp K - PDF document

1 PARENT HANDBOOKYMCA DAY CAMP KICI YAPISU
PARENT HANDBOOKYMCA DAY CAMP KICI YAPISUMMER 201Address:YMCA Day Camp Kici Yapi13220 Pike Lake Tr. NEPrior Lake, MN 55372Camp Phone:4700 Camp Hours: 9:15 a.m. 3:45 p.m.Office Hours:7:30 a.m. 5:30 p.m.Camp Director: Maddie HanksEmail: maddie.hanks@ymcatwincities.org Branch: Southdale YMCA EdinaBranch Phone:2567Website:daycampkiciyapi.orgFacebook:YMCA Day Camp Kici YapiBilling and Payment Information: Table of Contents Welcome &out Day Camp [2] About YMCA Day Camp Kici Yapi KiciYapi (KITchee YApee) means “Growing TogetheOur day camp is located on over 80 acres of spectacular wooded land in Prior Lake.Camp Highlights:50foot Climbing Wall further challenges and adds more excitement for older campers.Gaga Pit campers love this exciting camp game. A camper favorite!Horse Camp 52 horses, trail and ring riding ABOUT YMCA DAY CAMPS Our goal is to give all kids the opportunity to discover who they are and what they can achieve. Day Camp is a 5day enrichment program and the next step in youth development. Day Camp gives kids a traditional camp experience during the day. Every child will benefit from this connection with nature.YMCA Day Camps are wonderful places for your child to experience fun, outdoor adventures this summer! New and returning campers thrive during a week packed full of exciting, structured traditional and specialty activities. Campers participate in small, ageappropriate groups where they build selfesteem and learn new skills. Our experiences are built on the Y’s core values of caring, honesty, respect and responsibility.Traditional camp activities:Swimming Canoeing Archery Nature Studies Picnics/Cookouts Songs Art Projects Team Building Small & Large Group GamesSpecialty camps provide two hours of focus on the specialty activity. Accomplishments are marked with special beads for every camper to collect. WELCOME! YMCA Day Camp Kici Yapiis excited to present a superb program this summer. Meeting new friends, discovering the wonders of nature, and learning new

2 skills all add up to wonderful, lasting
skills all add up to wonderful, lasting camp memories.Our days are filled with activities that your child is sure to enjoy. Our staff is caring, nurturing and well trained to provide a safe environment for our campers.Please call me with any questions or concerns you may have. I am looking forward to a wonderful summer and hope to meet you at Family Night. Let the summer fun begin!Maddie HanksCamp Director S AMPLE CAMP SCHEDULE Time Monday Tuesday Wednesday Thursday Friday 9:00 - 9:45 Opening The Day – Songs – Skits - Announceme nts Snack Snack Snack Snack Snack 10:00 Swim Environmental Education Team Building Tie Dye Group Game 11:00 Archery Swim Cook Canoe Choice Time 12:00 Lunch Lunch Lunch Lunch 1:00 Arts & Crafts Canoe Swim Scavenger Hunt Swim 2:00 Small Group Game Fort Building Archery Swim Nature Hike 3:00 Snack Snack Snack Snack Snack 3: 15 - 3:45 Closing The Day & Bus Loading JOIN US! OPEN HOUSE: June , 2017:30 p.m.FAMILY NIGHTS:5 Thursdays 6 7:30pm June , June 18, July July 30 and August 20Experience Day Camp firsthand. Meet your child’s counselorBe entertained by a camper program with skits and songs. Enjoy a camp picnic! Hot dogs, brats and beverages are available to purchase. [3]DIRECTIONS TO YMCA DAY CAMP KICI YAPI13220 Pike Lake Tr. NEPrior Lake, MN 55372Camp Phone: 9524700 (summer only 6/9/4FROM 494494 W/MN5 W Take exit 10B to merge onto US169 S Take the County Rdexit Merge onto Co Rd 21Turn left at Pike Lake RdFROM THE SOUTHFrom Hwy 169:Take the Canterbury Rd exit toward MNTurn right at Canterbury Rd S Turn left at Eagle Creek Blvd Turn right at Pike Lake RdFROM LAKEVILLE35 N Continue onto I35W N (signs for I35E/St Paul) Take exit 3B to merge onto MN13 S toward Shakopee Continue onto County Road 101/Rte 101/State 101/State Route 101 Slight left at Cty Hwy 101 Take the ramp to Co Rd 18 Keep right at the fork and merge onto Co Rd 18 Turn right a

3 t Eagle Creek Blvd Turn left at Pike Lak
t Eagle Creek Blvd Turn left at Pike Lake Rd ] GENERAL INFORMATIONPICK UPFor your camper’s safety the person picking up your camper must present a photo ID and be listed on the Authorized Pick up sectionof the registration.Late for Pick Up:Please call camp if you will be late.If you are late for pick up, we will attempt to reach you by phone/cell. If you are not reached, we will call persons listed as emergency contacts.Your camper will be transported to the closest Before/After Care site to the bus stop.After 1 hour, the authorities will be called to ensure the safety of your child.Pick Up by Other Person: When you arrange for persons who are noton your “authorized to transport” list to pick up your child from camp:You must send a written permission slip.Phone calls are not accepted.Authorized individuals are responsible for signing your child in and/or out.Authorized individuals must present photo ID ID] GENERAL G ENERAL CAMP : TTIRE & WHAT TO BRINGClearly label all items with your child’s first and last name.Dress your child for a day of outdoor fun and pack the following items:Lunch & Snacks perishable lunch,plus 2 snacksTennis shoes that can get dirtyRain jacket and/or sweatshirtSwim suit and towel(no flipflops)Water bottleInsect repellentSunscreenBackpack, labeled to tote all items Note: Lifejackets are provided by the camp.THEME DAY FRIDAYSEach Friday a different theme will be selected. Campers are encouraged to dress for the theme. Ask your camper about the theme or check our Facebook page for updates. DO NOT BRING : PROHIBITED ITEMSElectronic equipment, cell phones, radios, iPods/mp3 players, cards/games, personal sports equipment except when requested for specialty campFirearms, pocket knives or weapons Extra money Pets Alcohol and drugs Unregistered friends/family S PECIALTY CAMPS : TTIRE & WHAT TO BRINGClimbing CampClosetoe shoesExtreme TuesdaysSkating gear: skateboard, rollerblades, helmet, kneepads, elbow padsClosed toe shoesFishing C

4 ampCampers shouldbring a fishing pole an
ampCampers shouldbring a fishing pole and tackle box (some are available at camp) personal poles remain at camp until FridayRemove all hooks for bus rideBait is providedFishing campers are required to wear approved life jacket (provided by camp) while fishing.Horse CampLoose fitting long pants with straight legs avoid Capri pants, no shorts for ridingHard soled boots or shoes with heels ¼" ½" high (avoid canvas tennis shoes/loafers)Jacket no loose or floppy stylesTie back long hairNOTE:Safety helmet HSAapproved safety helmets provided by camp CANCELLA TIONS If your plans change and you must cancel your camper from Day Camp, please contact the Customer Service Center at 6129622ymcatwincties.custhelp.comOur cancellation policy:Cancellation or changes to the original camp registration must bemade in writing by Monday, one week prior to the start of the camp session. Submit to YMCA Business Center via mail or email. If no notice is received, you will be billed for the original enrollment choices. A $10 change fee is applied to each change. No refunds on registration deposits. INFORMATI (continued) BAD WEATHER Camp is held rain or shine. Many funfilled activities are planned for rainy days. Some of the best camp memories can be had on rainy days!Dress for the Weather:Campers must dress accordingly for the weather with appropriate rain gear.Modified Activities:To fit rainy days, activities are often held inside rain shelters. Your child may return home wet and muddy.Beat the Heat:To keep campers safe during extremely hot days, certain activities may be canceled. Campers are consistently encouraged to drink lots of water and will play more water gameand enjoy activities in the shade.Severe Weather:Camp staff is trained in emergency procedures.If a tornado warning has been issued while the children are at camp, staff will bring them directly to the Tornado ShelterThe Camp Director will notify the Y immediately if the bus will be delayedPlease check Facebook for weather updates. EMERGENCIES -

5 INJURY - ILLNESS Drills:To ensure t
INJURY - ILLNESS Drills:To ensure the continued safety of all campers in case of an emergency, we will conduct emergency procedure (waterfront emergency, lost camper, tornado warning, bus evacuation) drills on a regular basis. Your child must participate in these drills, just as they participate in fire and tornado drills at school.Injury:If your child is injured, Y staff will notify you. In case of injury, Y staff will:Call 911, perform immediate First Aid and contact you. After 911 has been called, the emergency response team will determine next steps.If emergency transport is required, a staff member will accompany the child to the hospital and remain until the parent/guardian arrives.If a parent/guardian cannot be reached, we will continue to call those listed on your emergency contact list until contact is made.Illness:If your child is ill or must miss camp:Notify the camp by phone or leave a message on our voicemail.If your camper falls ill while at camp, we will notify you. Please see Medication & Illness Procedures on P11. WATER ACTIVITIES Swimming:All campers will have the opportunity to swim.Counselors are required to be engaged with the campers when their group is swimming.Children will never be forced to swim if they don’t want to.Campers are required to take a swim test to ensure their safety.Campers may be required to wear a lifejacket depending on swim ability.No flipflops, please.Boating:Our boating program is an introductory opportunity for children to learn basic boating and safety skills.All children and staff wear life jackets while in the boats.A Certified Lifeguard is always present and in sight of all boats while children are boating. LOST & FOUND Check with the Camp Staff and the Y branch for lost items. The camp’slost and found is located by the pool.Families may search lost and found for lost items on family nights or during pick up/drop off.Lost items are sent to the Southdale YMCA at the end of each week.We will do our best to help campers remember their thi

6 ngs.The Y is not responsible for lost or
ngs.The Y is not responsible for lost or stolen items. ] GENERAL INFORMATION (continued) BEFORE/AFTER CARE Before and After Care provides the camper with supervised activities prior to and following the end of the program day.More information can be found at ymcatwincities.orgSelect “day camps”Click on “camp location” for specific Before/After Care information including locations and times. MILK PROGRAMMilk is provided at lunchtime through a special program.USDA Child and Adult Care Food ProgramY Child Care Programs that provide meals and snacks follow the meal guidelines of the Child and Adult Care Food Program. In accordance with federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, nationality origin, sex, age, or disability. To file a complaint:USDA, Director, Civil Rightsom 326W, Whitten Building1400 Independence Avenue, SWWashington, D.C. 202509410Call TDD: 202 720 6382 or voice: 800 795 3272. USDA is an equal opportunity provider and employer. COOKOUTS & PICNICS Each group will have a cookout. Our campers have fun planning and on cookout day.A note with information and what item to bring to share will be sent home the first day of camp. Items are readily available, will cost around $5 and are those such as:Juice BoxesHot DogsFruit or Veggies MarshmallowsPudding CupsGummy Worms , Etc. W EE BACKPACKERS ( “ Wee Bees ”) Special care is given to our Wee Bees, our youngest campers, throughout the day.Staff makes sure Wee Bees are eating and drinking enough water during the day and assist with their backpacks.If your child needs extra help in a certain area please give a note to the Bus Captain or the Camp Director and they will make sure the counselor is aware of your child’s needs.Wee Bees always wear life jackets while swimming. ABOUT OUR STAFF Each staff member goes through an extensive hiring process including a criminal history background check, r

7 eference checks and an interview.Staff r
eference checks and an interview.Staff receives over 40 hours of training including training in camp program areas, relating to children, health and safety skills and are First Aid and CPR certified. Staff members are committed to being positive role models for campers. FIELD TRIPS Transportation of campers to field trip destinations is provided by trained, certified drivers.Booster seats are available as needed. PROGRAM ACCESS The Y is committed to the policy that all persons should have equal access to itsprograms, facilities, and enjoyment without regard to race, ability, reed, national originand sex. The Y will ccommodate special needs into existing programs to the extent thatfinancial and physical resources permit. So we may provide a positive experience, pleasecontact the Y if your child has any special needs requiring any accommodations.ACCOMMODATION PROCESSConsideration is given to the individual needs of every child and the ability of theprogram to meet those needs. Please inform the Y during the enrollment process if youor your child requires any special accommodation. It is helpful for a smooth programtransition to have a conference prior to enrollment. This information enables the Y tobetter meet your needs or those of your child, within available resources and to theextent reasonable. All staff that will be working with a child with special needs will beinformed of how to care for or meet those needs in a timely fashion through a meetingor written notification. 7] &#x/MCI; 1 ;&#x/MCI; 1 ; &#x/MCI; 2 ;&#x/MCI; 2 ;BEHAVIOR GUIDANCEThe Y attempts to teach all children the values of respect, responsibility, honesty, and caring. Parents will be notified if behavior problems occur. Our general practice is to encourage and reward positive behavior, and redirect misbehavior.e make every attempt to work with children and teach appropriate behavior however, we will suspend or terminate children from the program as a last resort. Fighting and bullying will not be tolerated and could le

8 ad to dismissal.GENERAL BEHAVIOR RULESBe
ad to dismissal.GENERAL BEHAVIOR RULESBe Kindkeep hands, feet, and objects to yourselfBe Respectfulto staff, others, yourself and environment(cleanup)Be Safestay with a Y staff memberFollow the YMCA’s 4 Core Values of Caring, Honesty, Respect and ResponsibilityUNACCEPTABLE BEHAVIORRefusing to follow ourbehavior guidelines or camp rulesUsing profanity, vulgarity or obscenityStealing or damaging personal or campproperty Refusal to participate in activities or cooperate with staffDisrupting the programLeaving the program without permissionEndangering the health and safety of yourself, other children and/or staffPhysical violence or bullying/teasing toward another camperor staffWHENCAMP BEHAVIOR RULES ARE BROKEN1.Staff will redirect the camper to more appropriate behavior. 2.If inappropriate behavior continues, the camper will be reminded of behavior guidelines and camp rules and the camper will be asked to participate in determining action steps to correct his/her behavior. 3.Staff will document the situation, the inappropriate behavior and action taken. Parents will be notified.4.Parent conferences are available if needed. Please call the camp directorto schedule.5.If the situation is not resolved and the unacceptable behavior continues the camper may be dismissed from camp. CHILD PROTECTION POLICYYour child’s safety is our top priority. If you witness or feel that your child is in danger of any type of verbal, physical, sexual or emotional abuse please report it to our Human Resource Department at 6124650551.Parents may observe the program at any time without prior notice.Staff is instructed to contact your family regarding program information through telephone, notes in back packs or in person. Computer communication (email, chats) tochildren or families is not permitted (excludes Day Camp Director and Executive Director). [8]BUS INFORMATIONY Camp Counselors will ride and supervise all buses.The Y does not staff/supervise the bus stops.Be at the bus stop at the designated pickup and dropoff

9 times to meet your child.If you have no
times to meet your child.If you have not indicated your bus stop on your registration form, or need to make a change, please contact the YMCA Customer Service Center at 6129622 prior to the start of your camp week.Your child’s name must be on the bus roster due to limited seating.Your child’s day begins on the bus. During the ride, counselors will lead songs and games to make the bus ride a fun part of the day.The Y makes every effort for buses to be on time. Buses may be delayed due to traffic and road construction. Please contact the Y for an update if buses are running behind schedule.Prior to switching buses for the ride home (even for one day) check with camp for seating availability. Buses are often at capacity and changes cannot be accommodated. If no one is present to pick up your child, the bus will wait 5 minutes past the scheduled time, then will finish the route and bring your child to Before/After Care site at the closest Before/After Care site to the bus stop locationeview BUS RULES with your child before attending camp.See PAGE 9for bus locations and sample timesBUS RULESAlways check on and off the bus with the Bus Captain.Campers must remain in their seats.All campers must sit on a seat and face forward. (No lap sitting and no one in the aisle.)No eating or drinking (except water) on the bus.All body parts and belongings must remain inside the bus at all times.Hands remain to yourself.No fighting or screaming.et a counselor know if something is wrong right away.The emergency exits must be used only during an emergency.If bus rules are broken, parents will be notified; specific seating arrangements may be made; if problems persist, riding privileges may be revoked.BUS SAFETY & PICKUP AUTHORIZATIONSafety of your child is our number one priorityPhoto ID’s of parents/guardians and all authorized persons will be checked at pickup. Please make all authorized people on your list aware of this.You must sign your children on & off of the bus each day. To expedite this process, remain n

10 ear the bus and ready to sign. This keep
ear the bus and ready to sign. This keeps our buses on schedule.Bus security procedures are in place for the safety of your family. It is not our intention to offend anyone when we question the person’s right to pick up a child. hildren are released ONLY to individuals listed as authorized to pick up, no exceptions.If you giveyour child permission to ride his/her bike or walk home from a bus stop, you must fill out and sign a Child Release Waiver before your child will be released. (certain restrictions apply)ALLOW YOURSELF A FEW EXTRA MINUTES TO LOCATE THE BUS STOP ON MONDAY MORNINGS. [9]YMCA DAY CAMP KICI YAPI SAMPLE 201BUS SCHEDULEPick up by authorized adults only; photo i.d. necessary.Bus Schedules are subject to change weekly. Please check here: www.daycampkiciyapi.org 1 week prior to session for weekly updated schedule.* Before/After Care SiteNOTE:Pick up/drop off times listed below areubject to changeCheck website 1 week prior to session forexact bus pick up/drop off timesMINNEAPOLIS BUS PICK UP / BUS DROP OFF Kenwood Community School 2013 Penn Ave. S , Minneapolis 8:00 a.m. / 5:00 p.m. Downtown YMCA* @ FAIR School 10 S. 10(between 9& 10off Hennepin June August 29Before/After Care Drop off: 6:30 a.m. Bus pick upPick up: Bus Drop off 6:30 p.m. 8:15 a.m. / 4:45 p.m. Blaisdell YMCA* 3335 Blaisdell Ave. June August 29Before/After Care Drop off: 6:30 a.m. Bus pick upPick up: Bus Drop off 6:00 p.m. 8:30 a.m. / 4:25p.m. Seward Montessori Elementary School 2309 28 th Ave. S , Minneapolis 8:00 a.m. / 5:00 p.m. Hiawatha YMCA 4100 28 th Ave. S 8:15 a.m. / 4:45 p.m. Pea rl Park Diamond Lake Rd E and Portland Ave. S (Parking lot) 8:35a.m. / 4:25 p.m. Linden Hills 42 nd St. and Zenith Ave. 8:35 a.m. / 4:25 p.m. BLOOMINGTON Dred Scott Bloomington Ferry Rd & Old Shakopee Rd (Parking lot across from Burger King) 8:25 a.m/ 4:30 p.m. EDEN PRAIRIE Before/After Care: Drop off: 6:15a.m. Bus pick upPick up: Bus Drop off 6 p.m. Before/After C

11 are Sites/Dates: Cedar Ridge Element
are Sites/Dates: Cedar Ridge Elementary* 8905 Braxton Drive 8:15 Oak Point Elementary 13400 Staring Lake Parkway (lower level lot) 8:30 a . m . / 4:2 5 p . m . [10]YMCA DAY CAMP KICI YAPI SAMPLE 201BUS SCHEDULE(CONT.)NOTE:Pick up/drop off times listed belowaresubject to changeCheck website 1 week prior to session forexact bus pick up/drop off timesPRIOR LAKEBUS PICK UP / BUS DROP OFF River Valley YMCA* 3575 N Berens Rd NW June 9 - August 29 8:55 a.m. / 3:55 p.m. SHAKOPEE Sun Path Elementary* 2250 17th Ave. E June August 2Before/After CareDrop off:6:00 a.m. Bus pick up Pick up: Bus drop off – 6: 30 p.m. 8:55 a.m. 4:00 p.m. EDINA Edina Community Center 5701 Normandale Rd. 8:05 a.m. / 4:45 p.m. Creek Valley Elementary 6401 Gleason Rd. (main entrance, front door) 8:25 a.m./ 4:30 p.m. Southdale YMCA* 7355 York Ave. S June August 29Before/After Care Drop off:6:30 a.m. Bus pick up Pick up: Bus drop off – 6 p.m. 8:35 a.m. / 4:20 p.m. RICHFIELD Richfield Intermediate 7020 12rth Ave. S. 8:00 a.m. / 4:50 p.m. Please note, you are not able to register your child for a different morning and afternoon bus stop location. BEFORE/AFTER CAREFor your convenience and peace of mind, our Before and After Care provides the camper with supervised activities prior to and following the end of the program day. POLICY: Any violation of our posted hours of operation will result in a late pickup charge of $1.00 per minute per child for children in our care before or after program hours.Parents are held accountable forthese additional fees. Late fees will be assessed on with the next tuition payment.Habitual lateness or abuse of this policy could result in expulsion from the program. [11]ILLNESS& MEDICATIONPROCEDURESFor the health and safety of all children in our programs please do not send your child to YMCA programs if they are ill. Please notify camp if she/he will not be attending.Children must be free from symptoms for

12 at least 24 hours before returning to th
at least 24 hours before returning to the YMCA and any contagious illness should be cleared by a doctor.Parents/Guardians must notify the Camp Director if their child contracts a communicable diseaseas soon as diagnosed. When a communicable disease occurs, the YMCA will notify other participants in writing, including cause and symptoms.ADMINISTERING SUNSCREEN & BUG SPRAYPlease apply sunscreen and bug spray before your child comes to camp.Spray sunscreen is highly recommended.We will remind campers and help them to reapply sunscreen and bug spray throughout the day and we will monitor as appropriate.DMINISTERING MEDICATIONMedication must be sent in a prescriptionlabeled bottle.Staff may only dispense prescribed medications in the original container that bears the original label and directions. The following information must be legible:Name of medication Child’s nameDate of original issueDirections for usePrescription number and expiration datePhysician’s nameDosage and durationName/address of licensed pharmacy issuing medicationrder todispense medication, a signed Medication Form must be submitted. Find the form on P12Medication Form must have both parent and physician signatures along with other necessary information.Medication Form also available online. [12]MCADAY CAMP MEDICATION FORM(This form is not necessary for Bug Repellant Lotion or Sun Screen)NOTE: YMCA Program staff cannot administer medication (prescription or overthecounter) unless this form is completed and signed. Prescription Medications: must be signed by parent or guardian and physician (the prescription bottle serves as the physician’s signatureAll prescriptions must be in the original container. Staff will hold and dispense medication according to Dr.’s instructions or instructions on overthecounter medication with a written prescription from their doctor. The YMCA will retain the medication for the duration of the session and return any unused medication at the end of each session.Overthecounter Medications: to be signe

13 d only by parent or guardian, however ph
d only by parent or guardian, however physician information is still necessary.Name of Child:________________________________________ Date: ______________________Medicine:__________________________________________ Dosage: ____________________Method of Administering (i.e., injection, inhaler, etc.) ________________________________________Does Medication require refrigeration? YES Diagnosis:______________________________________ Is Condition Contagious? YES Dates to be administered:From _________________ To ______________________Time(s):_________________________________(Note: We will only dispense medication as per labeled instructions)Parent’s Signature: _______________________________ Phone #:________________________PHYSICAN’S Signature____________________________________________________________________________(for prescribed medications NOT in original prescription bottle)Physician’s Business Address: _______________________________________________________________________Physician’s Phone: _________________________ Pharmacy Phone:______________________________Prescription #: ________________________________________________Valid for one week at a time for the length of prescription as stated by physician, e.g.: antibiotic 10 days, unless otherwise stated by physician. We will not administer any medication without this completedform. Name of Child:___________________________________________________Date Received: ___________Medicine received:_________________________________________________________________________ Monday Tuesday Wednesday Thursday Friday Time to be given: Staff Sig. Time to be given: PM Staff Sig. [13]YMCA OF THE GREATER TWIN CITIESWAIVER AND RELEASE OF LIABILITYDMINISTER AND USE OF EPIBy signing below I, _______________________________[print parent/guardian name above]agree to Waive and Release of any and all liability for the YMCA of

14 the Greater Twin Cities(hereafter referr
the Greater Twin Cities(hereafter referred to as the YMCA) in the administration and use of the EpiPen. I agree to forever release and discharge the YMCA and its' directors, officers, employees and volunteers rom any and all liability, claims, actions, rights of actions, damages, and expenses, including attorney expenses, arising out of or resulting from any injury, disease, or death in the use, failure to use or the administration of the Epipen.If my child can not administer the EpiPen themselves, I allow YMCA staff to administer the EpiPen.By signing this agreement, I have read and understand the terms of this agreement.Print Childs Name _________________________________Parent/Guardian Signature ________________________Print Parent/Guardian Name ______________________Date ___________________________ [14MCA OF THE GREATER TWIN CITESCHILD RELEASE WAIVERThe YMCA of the Greater Twin Citie conducts a signin and signout procedure with all children participating in YMCA programs in order to ensure to the extent reasonably possible that all children have a safe and secure experience. Adults authorized by each parent are expected to signout and return children from the YMCA program to their home.I am requesting that my child be released from the YMCA program without adult supervision and be allowed to travel to his/her destination (whether by walking, biking or other) on his/her own. I understand that the YMCA cannot be responsible for my child’s care or safety once he/she leaves the YMCA program site. There are various dangers that exist between the YMCA and my child’s destination including amongothers vehicular traffic, being lost or abducted, environmental hazards and injury from unsupervised activities. I also understand that the YMCA has not investigated or made any evaluation of the circumstances regarding thereasonableness of my plan for my child reaching his/her destination, including among others my child’s maturity and the location of his/her destination in relation to the YMCA.I reques

15 t that my child be released on his/her o
t that my child be released on his/her own responsibility at the end of the regular program time. I understand the risks and agree to indemnify and hold harmless the YMCA of Greater Twin Citiesfrom any and all responsibility and liability for my child after his/herdeparture from the YMCA program.Child’s Name__________________ Program Name __________Session/Dates Attending_____________________YMCA Branch/Camp ____ Parent’s Name____________________ Phone contactParent Signature______________________________ DateOnly campers in Teen Quest, Teen Specialty Campand Leaders in Training can sign themselves out after a parent/guardian signs this waiver. [15]CAMP KICI YAPI STOREPlease fill out Order Form below, include payment and give both to your camper’s Counselor. Your camper can purchase these items any day of the week. Camp Kici YapiTyeDye Shirt______$10.00 WhiteSizes: Youth Small (68); Medium (1012); Large(1416); Adult Small Camp Kici Yapi TShirt$10.00 (not for tyedying) HorseShirt _________ ____ $10.00 Great for Horse Campers Sizes: Youth Small; Medium; Large; Adult Small Camp Kici Yapi Sunglasses________________$5.00 Camp Kici YapiBracelet___________$3.00 C AMP KICI YAPI STORE ORDER FORM PLEASE SEND WITH CAMPER Camper Name __________________________________________ Counselor Name _______________________________________ QUANTITY PRICE TOTAL T ye - Dye T - shi rt (white) SIZE(s) _______ $10.00 $ ____________ Camp T - shirt ( blue ) SIZE(s) _______ $10.00 $ ____________ Horse T - shirt SIZE(s) _______ $10.00 $ ____________ Camp Kici Yapi Sunglasses $5.00 $ ____________ Camp Kici Yapi Brace let $3 .00 $ ____________ ORDER TOTAL Make checks payable to: YMCA Cash is also accepted. $ _____________ Include payment with order form. Give Order Form and payment to your camper’s counselor. Items will also be available at Camp and during Famil