summer vibes - sheboygan county ymca · 2021. 1. 28. · do believe that summer camp is one of the...

SUMMER VIBES

YMCA CAMP Y-KODA2021 Summer Camp Brochure

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TABLE OF CONTENTSBenefits of Camp .......................................................................3

Camp Staff ........................................................................... 4 - 5

What to Expect ..........................................................................6

General Camp Information ........................................................7

Extended Care & Transportation ............................................8

Top 10 Reasons Camp is Good for Kids.................................9

Registration Information .............................................. 10 - 11

All Camps At a Glance ................................................... 12 - 13

Open House & Kids Need Camp ........................................... 14

Registration Forms ........................................................ 15 - 18

Camp Y-Koda Information & Camp Descriptions ..... 19 - 27

CIT Camp & Volunteer Program ........................................... 28

Maywood Information & Camp Descriptions ............ 29 - 31

YMCA CAMP Y-KODA MISSION STATEMENTYMCA Camp Y-Koda promotes responsible stewardship of our environment and enhances participant quality of life by offering hands-on education opportunities.

CAMP Y-KODA ANNUAL SUPPORT CAMPAIGNThe Annual Support Campaign provides scholarships for financially challenged and at-risk youth who wish to experience summer camp. Your support makes a positive difference in the lives of children and families in our community. To make a donation, please contact Jeremiah Dentz at [email protected] or visit our website at sheboygancountyymca.org/camp-y-koda.

PARENT HANDBOOK & CAMP RESOURCESsheboygancountyymca.org/camp-y-kodaVisit our website to find our 2021 Parent Handbook and Camp Resources page. Our resource page includes everything you need to know to get your child ready for camp. You’ll find helpful tips on our policies, what to pack, information on our sleepover and more! We’ve included specific tips on Pee Wee Camp, Day Camp, Specialty Camps, Resident Camps and Adventure Trips.

When you visit our Camp Resources page, you’ll find a copy of the Parent Handbook, along with downloadable documents such as: the camp brochure, registration forms, state licensing forms, waiver forms, detailed schedules, events and more.

SOCIAL MEDIA - CAMP PHOTOSAt camp, we love to take photos of your campers having a blast and of our camp groups all day long! Camp photos will be uploaded to our Facebook page and some may be posted on our Instagram account.

These photos will be uploaded during the week of or 1-2 weeks after each camp week. Find our camp photos faster by searching for our 2021 official hashtags: #CampYKoda and #SummerCamp2021.

A MESSAGE FROM OUR DIRECTOR I’m sure one of the biggest questions you all have is, “What will summer camp at Y-Koda look like in 2021?” While I do not possess a crystal ball, I can tell you our plan is to offer a full slate of camps without the restrictions that were in place during the difficult, yet successful 2020 season.

We learned A LOT in the last year about how to navigate the pandemic and how to operate our programs in a manner that provides a safe and rewarding experience to our campers. We are confident we will be able to expand upon what we’ve learned in order to provide your campers the FULL experience.

That is not to say we are simply moving forward as if the pandemic is over, throwing all caution to the wind. You can expect enhanced sanitizing and cleaning. We may require masks while indoors depending on the mandates in place at the time. There may be temperature checks and other strange things that the pandemic brought us; like all the drinking fountains being turned off. Those are the unknowns, and we can easily work with those as we all have for the past several months.

What we do know is that kids need camp this summer! They need fresh air and the absence of screens. They need to run, and play, and swim, and sing! And in my humble opinion, they need it more than ever. As the parent of four school aged children, I know that our decisions on what we sign our kids up for during these trying times are personal. We want our kids to be able to interact, but we want to keep our families and our community safe. I do believe that summer camp is one of the safer places you can send your child, but I wholeheartedly understand that is a decision only you can make.

If you have any questions on specific protocols or practices we plan to implement this summer, please visit our webpage sheboygancountyymca.org/camp-y-koda or give me a call directly at 920-467-6882.

Jeremiah Dentz

Executive Director

Welcome Letter

Table of Contents

Mission Statement

Annual Support

Parent Handbook

Social Media

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CAMP Y-KODA

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• Well trained, qualified counselors who receive more than 40 hours of pre-camp training.

• 1:6 staff to camper ratio for pee wee campers ages 4 - 5.

• 1:12 staff to camper ratio for campers ages 6 – 8.

• All counselors are at least 18 years old.

• All staff are certified in CPR, AED and First Aid.

• We are a State of Wisconsin Licensed Day Camp that meets all child care licensing guidelines.

• ALL water activities are supervised by certified lifeguards.

SAFE

• Field trips are included in cost of camps.

• Thursday night sleepover for campers included.

• All snacks throughout the week are provided.

• Breakfast on Friday for campers who sleep over Thursday night.

• Lunch for all campers included on Friday.

• Very affordable bussing and extended care fees.

• Financial assistance is available through application process.

• Additional scholarship opportunities for specific camp experiences.

• Become a Y member and save even more!

AFFORDABLE

• All Camp Games • Archery (7 Yrs+)• Arts & Crafts• BB Gun (9 Yrs+)• Biking • Camper’s Choice Time • Campfires• Canoeing• Climbing Wall (9 Yrs+)• Fishing• Gaga Ball• Gardening• Healthy Living Habits• High Ropes (9 Yrs+)• Kayaking• Lake Exploration• Nature Study• Paddle Boarding• River Tubing• Sleepovers• Slingshots (7 Yrs+)• Slip ‘n Slide• Songs & Skits• Sports• Team Building • Swimming• More, more and more!

FUN!

CAMP Y-KODA AND MAYWOOD SUMMER CAMPS ARE:

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JEREMIAH DENTZ • [email protected] DIRECTORJeremiah started working for Camp Y-Koda in 2001 after earning his Bachelor's Degree in Environmental Education from UW-Stevens Point. Jeremiah believes strongly in the value of outdoor experiences as part of a healthy childhood and works to ensure Camp Y-Koda provides those experiences to everyone. He enjoys his job because he knows camp is impacting young lives in a positive way and providing life-long memories. He loves seeing exhausted, dirty and smiling faces at the end of a full day of playing outside.

SARAH DEZWARTE • [email protected] OF EDUCATIONSarah has a degree in Biology and Elementary Education, a graduate certificate in Leadership in Natural Resources from UW-Stevens Point, and a Master’s Degree in Educational Policy and Community Engagement from UW-Milwaukee. She recently started a Ph. D. program in Education, where she plans to focus her research on the growing gap between children and nature. This is her 16th year working for Camp Y-Koda. She enjoys her position at camp because she likes working with children and loves teaching about the natural world.

KAITLYN RAUTMANN • [email protected] CAMP Y-KODA SUMMER CAMP DIRECTORKaitlyn has been a member of the Camp Y-Koda community from the time she was a camper and volunteer. She began as a counselor, Arts & Crafts Director, Outdoor Education Instructor, Assistant Director and now is your Summer Camp Director. This is her 10th year working for Camp Y-Koda. She is a certified trainer for Shaken Baby Syndrome Prevention and a committee member for the YMCA Mid-America Camping Conference. Kaitlyn graduated from UW-Milwaukee with a Bachelor of Science in Architecture and has a Project Management Certificate from Lakeshore Technical College. She participated in the Disney College Program as a Children’s Activities Hostess at Disney’s Port Orleans Resort. Kaitlyn loves working with children and teaching our youth the wonders of being outdoors in a safe and positive way. She enjoys going on nature hikes and marshmallow roasting over the campfire. She is known as the frog whisperer at camp!

MACKINZI BEATY • [email protected] SUMMER CAMP DIRECTORMackinzi is an Environmental Education Specialist and Maywood Summer Camp Director. She has been working at camp since 2015. For the past several years, she has focused on a career in environmental education. Before coming to camp, she worked for the Wisconsin DNR as a Naturalist and Outdoor Educator. Mackinzi has a Bachelor of Science degree in Biological Sciences from UW-Milwaukee. She enjoys working at camp because she loves being able to share her passion for nature with students and campers. She enjoys educating the public and hopes to create awareness and appreciation for our environment. Mackinzi has many outdoor interests including gardening, kayaking, hiking and camping. She also has many creative hobbies such as drawing and painting, crafting and nature photography.

TERESE KOENE-CARROLL • [email protected] BILLING AND REGISTRATIONTerese began working at Camp Y-Koda in 2007 as an Outdoor Educator. With her love of camp, she became our Administrative Assistant and a Lifeguarding, CPR & First Aid Trainer for the Outdoor Education and Summer Camp Team. When she was 9 years old, she saved her 6 year old brother from drowning. She has been a lifeguard instructor for over 20 years and a swim instructor for more than 30 years. The best part she loves about working at camp is taking walks around our grounds and seeing our campers every morning with the pure energy and excitement they have for camp. She enjoys working with her family on a small hobby farm taking care of their ever-changing menagerie of animals including 3 dogs, 6 goats, 4 bunnies and 16 chickens. During her down time, Terese enjoys a good cookout with her friends and family. Her favorite activity at Camp Y-Koda is anything to do with water either at the lake, river or swimming pool.

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CAMP STAFFEvery parent wants their child to have great role models and we’ve found them! They understand the magic of camp and work hard to ensure that your child has an amazing experience keeping with the traditions and core values that Camp Y-Koda has to offer. Counselors are carefully screened and selected based on experience working with children, maturity, sound judgement and sensitivity. Safety is our top priority. Every member of our team goes through the requirements of the Wisconsin Department of Children, which includes certification and trainings in CPR, First Aid, Lifeguarding, Child Abuse Prevention, Shaken Baby Prevention and more.

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A TYPICAL DAY OF CAMP

Each day of camp provides a variety of safe and fun adventures!

8:30AM - OPENING CEREMONYEach morning we meet with our counselors, raise the flag and get excited for the day ahead!

8:45AM - ICE BREAKERSEach day we have ice breakers and games to get to know the other campers and make friends.

3:45PM - CLOSING CEREMONYWe round out our day with a closing ceremony: lowering the flag, a camp song and end of day reminders.

4:00PM - DEPARTUREEach afternoon we say goodbye to our counselors and friends as we get picked up or head to the bus to go home and share our exciting camp day!

NOTESOn Wednesday afternoon, campers participate in an all-camp game. Campers choose their own activity on Friday morning. Specialty camps may take off-site trips or require more time for instruction so the activity period in the morning may be longer. The rest of the daily schedule is adjusted accordingly.

Detailed schedules can be found on our website: www.sheboygancountyymca.org/camp-y-koda.

CAMP DAY: 9:00AM - 3:30PM Campers begin their adventure with a wide variety of small and large group activities, nature activities, arts & crafts, water fun, games, sports, special themed activities and more while growing as individuals! Mornings are so busy that we can’t help but build up an appetite. Mid-day we’ll kick back and relax by eating lunch and making new friendships out at the campsite.

Water fun begins after lunch with a jump in the swimming pool, swimming at the lake or enjoying a variety of water activities such as our slip n’ slide, tubing in the river and much more! To end our day, campers will enjoy a snack and one last activity.

WHAT TO BRING TO CAMP EACH DAYPlease label your child’s name on everything they bring to camp. If any other supplies are needed, camp will inform you. Please send your camper in clothing that is ok to get dirty!

aBack Pack aRain PonchoaBag Lunch aSunscreenaBug Spray aSwimsuitaClosed Toe Shoes aTowel aHat aWater Bottle

WHAT TO BRING TO THE SLEEPOVER aChange of Clothes aFlashlight aPajamas aPants aPillowaSleeping Bag/BlanketaSweatshirtaToiletries

CAMP T-SHIRTA camp t-shirt is included in the registration fee. Campers receive their t-shirt at the beginning of their first camp week. They receive only one t-shirt, regardless of how many weeks of camp they attend.

Typical Day of Camp

What to Bring:- to Camp Daily- to the Sleepover

Camp T-Shirt

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LUNCH & COOKOUTCampers must bring a bag lunch with them to camp Monday - Thursday unless otherwise specified. Camp provides lunch only on Fridays as all campers participate in an authentic campfire cookout. Milk is provided every day with lunch as well as a nutritious afternoon snack. All meals are provided for off-site adventure trips and resident camps.

ELECTRONICS AND CELL PHONE POLICYCell phones and other electronic devices are NOT permit-ted at Camp Y-Koda or Maywood. Our programs promote the opportunity for participants to learn and play in nature and we strongly believe in the importance of disconnecting during the camp experience. Please leave them at home. If brought to camp, these devices will be taken away and kept in the office until a parent comes to pick them up. They will not be returned to the child at the end of the day.

Lunch & Cookout

Electronics Policy

Weekly Newsletter

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WEEKLY NEWSLETTEREach week, our camp staff will email a newsletter to all registered camp families for the overall summer camp program. We will send out a variety of information in these newsletters such as, but not limited to: general camp reminders, cabin groups, which counselor has each camp, special announcements, cancellations and more! Each family is automatically signed up to receive these emails regardless of the number of weeks they attend camp.

NON-DISCRIMINATION STATEMENTIn the operation of the summer camp program, no child, as defined by program regulations, will be discriminated against because of race, sex, color, age, national origin or handicap. Any person who believes that a child has been discriminated against in any USDA related activity should write immediately to the Secretary of Agriculture, Washington, D.C. 20250.

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EXTENDED CARECamp Y-Koda offers before and after camp care at the Sheboygan YMCA, Sheboygan Falls YMCA and Camp Y-Koda. Below are the times and locations that are available. YMCA staff will not be available before 7:15am. A late pick-up fee of $5.00 per 15 minutes after 5:30pm will be charged.

The fee for extended care is $25.00 per week. Pre-registration is required; please mark the appropriate box on your registration form. If you do not sign up for extended care, you are expected to be at the designated bus or camp location to pick up your child.

Extended care is not available at Maywood. Campers who need extended care should sign up for bussing and extended care at the Sheboygan YMCA.

SHEBOYGAN YMCA EXTENDED CARE

Location: Front Lobby by Entrance

AM Care: 7:15am - 7:40am PM Care: 4:45pm - 5:30pm

SHEBOYGAN FALLS YMCA EXTENDED CARE

Location : Front Lobby or Gymnasium


CAMP Y-KODA EXTENDED CARE

Location: Playground or Johnsonville Lodge (if it rains)


TRANSPORTATION There is a $15.00 per week fee for those who use the bus service as part of their summer camp experience. This fee is non-refundable. Please indicate which stop your camper will use on page 15 of the registration form.

Changes in transportation must be made in writing. Phone calls are not accepted. You may send a note with your child or email to camp.

Buses run every week with several pick-up and drop-off points throughout Sheboygan, Kohler and Sheboygan Falls. A camp staff member is assigned to each bus as a monitor. The 2021 schedule for the north and south bus routes is:

NORTH BUS ROUTES TO CAMP Y-KODA

Sheboygan YMCA, 812 Broughton Drive

Route #1 North Pick-up 7:40am Drop-off 4:45pm

North High School, North 10th Street Parking Lot


Cleveland Park, Cleveland Ave & North 25th Street


Maywood Environmental Park, 3615 Mueller Road


SOUTH BUS ROUTES TO CAMP Y-KODA

South High School, Washington Avenue Parking Lot

Route #1 South Pick-up 7:45am Drop-off 4:40pm

Kohler Elementary, School Street Entrance


Sheboygan Falls YMCA Parking Lot, 305 Buffalo Street


NORTH BUS ROUTES TO MAYWOOD

Sheboygan YMCA, 812 Broughton Drive


North High School, North 10th Street Parking Lot


Cleveland Park, Cleveland Ave & North 25th Street


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TOP 10 REASONS WHY CAMP IS GREAT FOR KIDS!

10. Campers Spend the Day Being Physically Active Children spend way too much time inside and most of that time sitting down. Camp is walking, running, swimming, jumping, paddling, playing, hik-ing, climbing and more!

9. Campers Gain Confidence by Experiencing Success Camp helps build self-confidence and self-esteem by removing the academic, athletic and social competition that shapes their lives at school. With the diversity of activities and opportunities to succeed, camp is a real boost for young people. There is accomplishment every day at camp.

8. Campers Gain Resiliency The kind of encouragement and nurturing kids receive at camp makes it a great environment to try new things, endure setbacks and try again. It’s the perfect pressure-free environment to try new activities that may be a bit fearful, a continuous part of life.

7. Campers Unplug When kids take a break from television, cell phones, video games and the internet, they rediscover their own creative powers and engage in the REAL world, REAL people, REAL activities and REAL emotions. Camp is real!

6. Campers Develop Life-Long Skills Camps provide the right instruction, equipment and facilities for kids to enhance their athletic abilities, artistic talents and adventure skills. The sheer variety of activities offered allows kids to discover and develop what THEY like to do.

5. Campers Grow More Independent Camp is the perfect place for kids to practice making decisions for themselves without the constant guidance of a parent or teacher. Managing their daily choices in a safe and caring environment, children welcome this freedom to blossom in new directions. Camp helps kids develop who they are.

4. Campers Have Time for Unstructured Play Free from the overly structured, overly scheduled routines of home, school and athletics, life at camp gives children much needed time to just play! Camp is a slice of carefree living where kids can relax, laugh and be silly all day long. At camp we play!

3. Campers Learn Social Skills Through the dynamic of camper groups, campers share jobs and responsibilities, resolve disagreements, make group decisions, and learn firsthand the importance of sincere communication. Camp builds teamwork.

2. Campers Reconnect with Nature Camp is a wonderful antidote to Nature Deficit Disorder and the narrow experience of modern indoor life. Outdoor experiences enrich a child’s perception of the world and supports healthy childhood development.

1. Campers Make True Friends at CampCamp is a place where kids make their very best friends. Free from the social expectations pressuring them at school, camp provides an easy and silly no-pressure atmosphere for kids to make friends easily. All the fun at camp draws everyone together; singing, laughing, talking, playing - doing almost everything together. Camp creates friendships every day!

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HOW TO REGISTER

1. IN PERSON REGISTRATIONCompleted registration forms along with the down payment or full camp fees may be dropped off at the Sheboygan YMCA, Sheboygan Falls YMCA or Camp Y-Koda.

2. EMAIL REGISTRATIONYou can scan and email all completed registration forms and payment information.

3. MAIL REGISTRATIONYou can mail all completed registration forms and payment.

4. FAX REGISTRATIONYou can fax all completed registration forms and payment information.

Registrations are processed in the order received. They are entered Monday - Friday. Confirmation of your child’s enrollment will be made via email when registration is complete.

CONTACT INFORMATION

YMCA CAMP Y-KODAW3340 Sunset RoadSheboygan Falls, WI 53085P 920-467-6882 • F 920-467-7240

Terese Koene-Carroll, Billing and RegistrationEmail: [email protected]

SHEBOYGAN YMCA812 Broughton DriveSheboygan, WI 53081P 920-451-8000 • F 920-451-8019

Terri Keppler, Billing and RegistrationEmail: [email protected]

SHEBOYGAN FALLS YMCA305 Buffalo StreetSheboygan Falls, WI 53085P 920-467-2464 • F 920-467-4641

Karen Meyer, Billing and RegistrationEmail: [email protected]

WHAT IS NEEDED TO REGISTERRegister at the Y, via email, mail or fax.

• At the time of registration, the completed 2021 registration forms on pages 15 -18 are required for each camper. This includes the Day Care Immunization Record for all children.

• A one-time $15.00 registration fee and a $25.00 per week camp deposit is due at the time of registration.

Children will be taken off rosters if:• All required paperwork is not on file at least 10

days prior to the start of your child’s first day of camp. This is a State Licensing Mandate and we cannot allow a child to attend without completed paperwork.

• There is an outstanding balance on any camp. The payment schedule is listed on page 11.

Registration- What is Needed- How to Register

Contact Information

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2021 PAYMENT SCHEDULECamp balances are due by the following dates:Weeks 1 - 3 .......Final payment is due by........May 15, 2021Weeks 4 - 7 .......Final payment is due by....... June 15, 2021Weeks 8 - 11 ....Final payment is due by........ July 15, 2021

The only other payment option is to complete a payment policy form to authorize Camp Y-Koda to run your credit/debit card for your child’s camp balance. Forms are available on our website or see page 10 for contact information.

FRIEND REQUESTIf your child plans to attend camp with a friend or group of friends, you may request they be placed with the same counselor by filling in the “Friend Request” on page 16. Please note: • In order to be in the same group, children must be in

the same age category and attend the same camp. • We will make every effort to grant your request.

However, placement is not guaranteed as certain age groups are separated by State Licensing Regulations and we cannot make exceptions.

1. 10% EARLY BIRD DISCOUNTRegister a camper for TWO OR MORE WEEKS of camp by Thursday, April 1, 2021 and get 10% off the total cost of your camp fees!

Special is per camper, not per household. The individual camper must be signed up for two or more weeks of camp. It is not valid for two siblings who are each signed up for one week. Don’t delay! Take advantage of this wonderful deal. The more weeks you sign up for, the more you save!

2. YMCA SUMMER MEMBERSHIP: 6/14/21 - 8/31/21Purchase a summer youth membership for your child and they will receive the YMCA member rate for camps! Summer membership rates are $30.00 for preschool through age 6 and $40.00 for ages 7 - 14. The summer membership application (available on our website) must be completed before you register your child for camp.

3. FINANCIAL SUPPORTScholarships are available for those who may need assistance covering the cost of their camp experience. Forms are available on our website or at the Sheboygan YMCA and Sheboygan Falls YMCA.

Ways to Save

Payment Schedule

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1 WEEK 1: JUNE 14 -18, 2021 5 WEEK 5: JULY 12 - 16, 2021 9 WEEK 9: AUGUST 9 - 13, 2021

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Day Camp 6 - 13 $185.00 $205.00 Day Camp 6 - 13 $185.00 $205.00 Day Camp 6 - 13 $185.00 $205.00

Pee Wee Merry Unbirthday Camp 4 - 5 $215.00 $235.00 Pee Wee Splish Splash Camp 4 - 5 $215.00 $235.00 Pee Wee Mini Artist Camp 4 - 5 $215.00 $235.00

Blast From the Past Camp 9 - 12 $212.00 $232.00 Asteroids & Orbits Camp 6 - 8 $215.00 $235.00 BB Gun Camp 9 - 12 $201.00 $221.00

Boots and Saddles Camp 7 - 10 $320.00 $340.00 Glamping Camp 9 - 12 $201.00 $221.00 Boots and Saddles Camp 7 - 10 $320.00 $340.00

Buggin’ Out Camp 6 - 8 $201.00 $221.00 Mini Arts & Crafts Camp 6 - 8 $215.00 $235.00 Hook, Line & Sinker Camp 6 - 8 $201.00 $221.00

Counselor in Training Camp 14 - 16 $242.00 $262.00 Ninja Warrior Camp 9 - 12 $215.00 $235.00 Mad Scientist Camp 6 - 8 $205.00 $225.00

Parkour Camp 9 - 12 $215.00 $235.00 Road America Racing Camp 12 - 16 $365.00 $385.00 Thrill Seekers Camp 12 - 16 $235.00 $255.00

Timber Play Camp 6 - 8 $201.00 $221.00 Maywood Capture the Flag Camp 10 - 14 $205.00 $225.00 Wet ‘n Wild Camp 9 - 12 $236.00 $256.00

Maywood Mad Hatter Tree Party 7 - 9 $205.00 $225.00

2 WEEK 2: JUNE 21 - 25, 2021 6 WEEK 6: JULY 19 - 23, 2021 10 WEEK 10: AUGUST 16 - 20, 2021

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Pee Wee Little Chef Camp 4 - 5 $215.00 $235.00 Pee Wee Ooey Gooey Creations Camp 4 - 5 $215.00 $235.00 Pee Wee Under the Sea Camp 4 - 5 $215.00 $235.00

Boots and Saddles II Camp 11 - 14 $320.00 $340.00 Archery Basics Camp 7 - 9 $201.00 $221.00 Bedazzled Camp 6 - 8 $205.00 $225.00

High Ropes Camp 9 - 14 $205.00 $225.00 Boots and Saddles Camp 7 - 10 $320.00 $340.00 Kiwi Creations II Camp 8 - 10 $257.00 $277.00

Jurassic Island Adventure Camp 6 - 8 $201.00 $221.00 Mid-Summer Mania Camp 9 - 12 $205.00 $225.00 Little Ninjas Camp 6 - 8 $205.00 $225.00

Kiwi Creations Camp 6 - 8 $257.00 $277.00 Mini Wet ‘n Wild Camp 6 - 8 $215.00 $235.00 Twisted Sports Camp 9 - 12 $201.00 $221.00

Mermaids & Tritons Camp 5 - 7 $215.00 $235.00 Ropes, Rocks & Climb Adventure Camp 12 - 16 $305.00 $325.00 Apostle Islands Adventure Trip 12 - 16 $460.00 $480.00

Safari Camp 9 - 12 $201.00 $221.00 Maywood Quarry Quest Camp 10 - 14 $232.00 $252.00

Maywood Wild Child Camp 7 - 9 $195.00 $215.00

3 WEEK 3: JUNE 28 - JULY 2, 2021 7 WEEK 7: JULY 26 - 30, 2021 11 WEEK 11: AUGUST 23 - 27, 2021

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Pee Wee Radical Reptiles Camp 4 - 5 $215.00 $235.00 Pee Wee Bugs, Bugs, Bugs! Camp 4 - 5 $215.00 $235.00 Pee Wee Let’s Go Camping Camp 4 - 5 $215.00 $235.00

Amazing Animals Camp 6 - 8 $209.00 $229.00 Advanced Fishing Camp 9 - 12 $201.00 $221.00 High Ropes Camp 9 - 14 $205.00 $225.00

Carpenter’s Apprentice Camp 9 - 12 $215.00 $235.00 Boots and Saddles Camp 7 - 10 $320.00 $340.00 Mini Wet ‘n Wild Camp 6 - 8 $215.00 $235.00

Slimy Arty Party Camp 6 - 8 $209.00 $229.00 Color Wars Camp 8 - 12 $201.00 $221.00 Season Finale Camp 9 - 12 $201.00 $221.00

Summer Olympic Games Camp 9 - 12 $205.00 $225.00 Mini Survivor Camp 6 - 8 $201.00 $221.00

Wildman’s Adventure Trip 12 - 16 $485.00 $505.00 Stranded Resident Camp 9 - 13 $340.00 $360.00

Maywood Mini Quarry Quest Camp 7 - 9 $232.00 $252.00

Maywood The Great Bake-Off Camp 10 - 14 $215.00 $235.00

4 WEEK 4: JULY 5 - 9, 2021 8 WEEK 8: AUGUST 2 - 6, 2021

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Day Camp 6 - 13 $185.00 $205.00 Day Camp 6 - 13 $185.00 $205.00

Pee Wee Lil Athlete Camp 4 - 5 $215.00 $235.00 Pee Wee Beach Bash Camp 4 - 5 $215.00 $235.00

Choose Your Own Adventure Camp 12 - 16 $201.00 $221.00 Boots and Saddles II Camp 11 - 14 $320.00 $340.00

Junior Kayak Camp 8 - 10 $209.00 $229.00 Bullseye Camp 9 - 12 $201.00 $221.00

Mini All Week Pool Party 6 - 8 $205.00 $225.00 Great Unbirthday Camp 5 - 8 $201.00 $221.00

Neverland Camp 5 - 8 $201.00 $221.00 Mini Super Sports Camp 6 - 8 $201.00 $221.00

Zombie Apocalypse Resident Camp 9 - 13 $340.00 $360.00 Tenting It Camp 9 - 12 $256.00 $276.00

Pictured Rocks Adventure Trip 12 - 16 $430.00 $450.00

Maywood Quarry Quest Camp 10 - 14 $232.00 $252.00

Maywood Woodland Workshop Camp 7 - 9 $195.00 $215.00

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1 WEEK 1: JUNE 14 -18, 2021 5 WEEK 5: JULY 12 - 16, 2021 9 WEEK 9: AUGUST 9 - 13, 2021

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Pee Wee Merry Unbirthday Camp 4 - 5 $215.00 $235.00 Pee Wee Splish Splash Camp 4 - 5 $215.00 $235.00 Pee Wee Mini Artist Camp 4 - 5 $215.00 $235.00

Blast From the Past Camp 9 - 12 $212.00 $232.00 Asteroids & Orbits Camp 6 - 8 $215.00 $235.00 BB Gun Camp 9 - 12 $201.00 $221.00

Boots and Saddles Camp 7 - 10 $320.00 $340.00 Glamping Camp 9 - 12 $201.00 $221.00 Boots and Saddles Camp 7 - 10 $320.00 $340.00

Buggin’ Out Camp 6 - 8 $201.00 $221.00 Mini Arts & Crafts Camp 6 - 8 $215.00 $235.00 Hook, Line & Sinker Camp 6 - 8 $201.00 $221.00

Counselor in Training Camp 14 - 16 $242.00 $262.00 Ninja Warrior Camp 9 - 12 $215.00 $235.00 Mad Scientist Camp 6 - 8 $205.00 $225.00

Parkour Camp 9 - 12 $215.00 $235.00 Road America Racing Camp 12 - 16 $365.00 $385.00 Thrill Seekers Camp 12 - 16 $235.00 $255.00

Timber Play Camp 6 - 8 $201.00 $221.00 Maywood Capture the Flag Camp 10 - 14 $205.00 $225.00 Wet ‘n Wild Camp 9 - 12 $236.00 $256.00

Maywood Mad Hatter Tree Party 7 - 9 $205.00 $225.00

2 WEEK 2: JUNE 21 - 25, 2021 6 WEEK 6: JULY 19 - 23, 2021 10 WEEK 10: AUGUST 16 - 20, 2021

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Pee Wee Little Chef Camp 4 - 5 $215.00 $235.00 Pee Wee Ooey Gooey Creations Camp 4 - 5 $215.00 $235.00 Pee Wee Under the Sea Camp 4 - 5 $215.00 $235.00

Boots and Saddles II Camp 11 - 14 $320.00 $340.00 Archery Basics Camp 7 - 9 $201.00 $221.00 Bedazzled Camp 6 - 8 $205.00 $225.00

High Ropes Camp 9 - 14 $205.00 $225.00 Boots and Saddles Camp 7 - 10 $320.00 $340.00 Kiwi Creations II Camp 8 - 10 $257.00 $277.00

Jurassic Island Adventure Camp 6 - 8 $201.00 $221.00 Mid-Summer Mania Camp 9 - 12 $205.00 $225.00 Little Ninjas Camp 6 - 8 $205.00 $225.00

Kiwi Creations Camp 6 - 8 $257.00 $277.00 Mini Wet ‘n Wild Camp 6 - 8 $215.00 $235.00 Twisted Sports Camp 9 - 12 $201.00 $221.00

Mermaids & Tritons Camp 5 - 7 $215.00 $235.00 Ropes, Rocks & Climb Adventure Camp 12 - 16 $305.00 $325.00 Apostle Islands Adventure Trip 12 - 16 $460.00 $480.00

Safari Camp 9 - 12 $201.00 $221.00 Maywood Quarry Quest Camp 10 - 14 $232.00 $252.00

Maywood Wild Child Camp 7 - 9 $195.00 $215.00

3 WEEK 3: JUNE 28 - JULY 2, 2021 7 WEEK 7: JULY 26 - 30, 2021 11 WEEK 11: AUGUST 23 - 27, 2021

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Pee Wee Radical Reptiles Camp 4 - 5 $215.00 $235.00 Pee Wee Bugs, Bugs, Bugs! Camp 4 - 5 $215.00 $235.00 Pee Wee Let’s Go Camping Camp 4 - 5 $215.00 $235.00

Amazing Animals Camp 6 - 8 $209.00 $229.00 Advanced Fishing Camp 9 - 12 $201.00 $221.00 High Ropes Camp 9 - 14 $205.00 $225.00

Carpenter’s Apprentice Camp 9 - 12 $215.00 $235.00 Boots and Saddles Camp 7 - 10 $320.00 $340.00 Mini Wet ‘n Wild Camp 6 - 8 $215.00 $235.00

Slimy Arty Party Camp 6 - 8 $209.00 $229.00 Color Wars Camp 8 - 12 $201.00 $221.00 Season Finale Camp 9 - 12 $201.00 $221.00

Summer Olympic Games Camp 9 - 12 $205.00 $225.00 Mini Survivor Camp 6 - 8 $201.00 $221.00

Wildman’s Adventure Trip 12 - 16 $485.00 $505.00 Stranded Resident Camp 9 - 13 $340.00 $360.00

Maywood Mini Quarry Quest Camp 7 - 9 $232.00 $252.00

Maywood The Great Bake-Off Camp 10 - 14 $215.00 $235.00

4 WEEK 4: JULY 5 - 9, 2021 8 WEEK 8: AUGUST 2 - 6, 2021

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Day Camp 6 - 13 $185.00 $205.00 Day Camp 6 - 13 $185.00 $205.00

Pee Wee Lil Athlete Camp 4 - 5 $215.00 $235.00 Pee Wee Beach Bash Camp 4 - 5 $215.00 $235.00

Choose Your Own Adventure Camp 12 - 16 $201.00 $221.00 Boots and Saddles II Camp 11 - 14 $320.00 $340.00

Junior Kayak Camp 8 - 10 $209.00 $229.00 Bullseye Camp 9 - 12 $201.00 $221.00

Mini All Week Pool Party 6 - 8 $205.00 $225.00 Great Unbirthday Camp 5 - 8 $201.00 $221.00

Neverland Camp 5 - 8 $201.00 $221.00 Mini Super Sports Camp 6 - 8 $201.00 $221.00

Zombie Apocalypse Resident Camp 9 - 13 $340.00 $360.00 Tenting It Camp 9 - 12 $256.00 $276.00

Pictured Rocks Adventure Trip 12 - 16 $430.00 $450.00

Maywood Quarry Quest Camp 10 - 14 $232.00 $252.00

Maywood Woodland Workshop Camp 7 - 9 $195.00 $215.00

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2250 minutesoutdoors each week.

1900 minutesplaying each week.

225 minutesswimming each week.

60 minutessinging each week.

170 opportunitiesto meet new friends!

0 minuteson cell phones/electronics!

and hundreds upon hundreds of minutes exploring, swinging, splashing, digging, creating, learning, trying, tagging, climbing, laughing, building and more!

KIDS NEED CAMP

In a typical summer, campers will experience:

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PSUMMER CAMP OPEN HOUSE NIGHTSHosted by the Y-Koda Camper CouncilCome discover summer with YMCA Camp Y-Koda! At our summer camp open houses, you will have the opportunity to explore our camp offerings, tour the grounds and meet with our camp directors to address any questions you have about the upcoming camp season or to help with any registration form inquires.

Our grounds will be open at both locations to walk the properties, purchase camp gear, view the cabins, facilities and so much more!

CAMP Y-KODA OPEN HOUSESMay 18 - Tuesday ................4:00pm - 6:00pmMay 20 - Thursday ..............4:00pm - 6:00pmMay 26 - Wednesday ...........4:00pm - 6:00pm

MAYWOOD OPEN HOUSEJune 23 - Wednesday ..........4:00pm - 6:00pm

Can't attend any of these dates? No problem! Call camp at 920-467-6882 to schedule a tour with one of our directors either at Camp Y-Koda or Maywood.

OPENHOUSE

Open Houses

Kids Need Camp

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__CAMP Y-KODA AND MAYWOOD 2021 REGISTRATION FORM

Camper LAST Name ____________________________________________________FIRST Name _______________________________________________ Birth Date __________________________ Age ___________

R WEEK 1: 6/14-6/18, 2021 R WEEK 4: 7/5-7/9, 2021 R WEEK 7: 7/26-7/30, 2021 R WEEK 10: 8/16-8/20, 2021

Extended Care Extended Care Extended Care Extended Care

Day Camp Day Camp Day Camp Day Camp

Pee Wee Camp Pee Wee Camp Pee Wee Camp Pee Wee Camp

Blast From the Past Camp Choose Your Own Adventure Camp Advanced Fishing Camp Bedazzled Camp

Boots and Saddles Camp Junior Kayak Camp Boots and Saddles Camp Kiwi Creations II Camp

Buggin’ Out Camp Mini All Week Pool Party Color Wars Camp Little Ninjas Camp

Counselor in Training Camp Neverland Camp Mini Survivor Camp Twisted Sports Camp

Parkour Camp Zombie Apocalypse Resident Camp Stranded Resident Camp Apostle Islands Adventure Camp

Timber Play Camp Maywood Mini Quarry Quest

Maywood The Great Bake-Off

R WEEK 2: 6/21-6/25, 2021 R WEEK 5: 7/12-7/16, 2021 R WEEK 8: 8/2-8/6, 2021 R WEEK 11: 8/23-8/27, 2021

Extended Care Extended Care Extended Care Extended Care

Day Camp Day Camp Day Camp Day Camp

Pee Wee Camp Pee Wee Camp Pee Wee Camp Pee Wee Camp

Boots & Saddles II Camp Asteroids & Orbits Camp Boots and Saddles II Camp High Ropes Camp

High Ropes Camp Glamping Camp Bullseye Camp Mini Wet ‘n Wild Camp

Jurassic Island Adventure Camp Mini Arts & Crafts Camp Great Unbirthday Camp Season Finale Camp

Kiwi Creations Camp Ninja Warrior Camp Mini Super Sports Camp

Mermaids & Tritons Camp Road America Racing Camp Tenting It Camp

Safari Camp Maywood Capture the Flag Camp Pictured Rocks Adventure Trip

Maywood Mad Hatter Tree Party Maywood Quarry Quest Camp

Maywood Woodland Workshop

R WEEK 3: 6/28-7/2, 2021 R WEEK 6: 7/19-7/23, 2021 R WEEK 9: 8/9-8/13, 2021 PLEASE NOTE:The completed 2021 registration forms on pages 15 -18 are required for each camper AT THE TIME OF REGISTRATION.

A Day Care Immunization Record is required for all children. You may:• Contact your child’s doctor

for a copy and attach it to the registration forms.

• Obtain a copy on-line at https://www.dhfswir.org and attach it to the registration forms.

• Fill out the form on page 18.

Extended Care Extended Care Extended Care

Day Camp Day Camp Day Camp

Pee Wee Camp Pee Wee Camp Pee Wee Camp

Amazing Animals Camp Archery Basics Camp BB Gun Camp

Carpenter’s Apprentice Camp Boots and Saddles Camp Boots and Saddles Camp

Slimy Arty Party Camp Mid-Summer Mania Camp Hook, Line & Sinker Camp

Summer Olympic Games Camp Mini Wet ‘n Wild Camp Mad Scientist Camp

Wildman’s Adventure Trip Rocks/Ropes/Climb Adventure Camp Thrill Seekers Camp

Maywood Quarry Quest Camp Wet ‘n Wild Camp

Maywood Wild Child Camp

R CAMP Y-KODA TRANSPORTATION R MAYWOOD TRANSPORTATION

R TO Camp Y-Koda R FROM Camp Y-Koda R TO Maywood R FROM Maywood

None: Parent Drop-off None: Parent Pick-up None: Parent Drop-off None: Parent Pick-up

Sheboygan YMCA Sheboygan YMCA Sheboygan YMCA Sheboygan YMCA

North High School North High School North High School North High School

Cleveland Park Cleveland Park Cleveland Park Cleveland Park

Maywood Maywood R EXTENDED CARE R YMCA MEMBERSHIP

South High School South High School R Location R YMCA Member

Kohler Elementary School Kohler Elementary School Sheboygan YMCA Yes

Sheboygan Falls YMCA Sheboygan Falls YMCA Sheboygan Falls YMCA No

Camp Y-Koda

16

• Please fill out registration information completely. Submit a separate form for each camper. Forms may be copied.

• Registration forms must be on file prior to your child attending camp at Camp Y-Koda or Maywood.

• The Day Care Immunization Record is required for all children.

R T-SHIRT SIZE Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large FRIEND REQUEST - MUST ATTEND SAME CAMP!Friend’s Name ______________________________________________________________________

Week __________________ Camp ________________________________________________________

Week __________________ Camp ________________________________________________________

Friend’s Name ______________________________________________________________________

Week __________________ Camp ________________________________________________________

Week __________________ Camp ________________________________________________________

HEALTH HISTORY AND EMERGENCY CARE PLAN1. Please R check any special medical condition your child may have.

No specific medical condition

Asthma

Cerebral Palsy/motor disorder

Diabetes

Epilepsy/seizure disorder

Gastrointestinal or feeding concerns including special diet and supplements

Any disorder including Cognitively Disabled, LD, ADD, ADHD or Autism

Other condition requiring special care - specify:

_____________________________________________________________________________________

_____________________________________________________________________________________

Milk allergy if child is allergic to milk, attach statement from medical professional including the acceptable alternative

Food allergies - specify foods:

_____________________________________________________________________________________

_____________________________________________________________________________________

Non-food allergies - specify:

_____________________________________________________________________________________

_____________________________________________________________________________________

2. Triggers that may cause problems - specify.

____________________________________________ ____________________________________________

3. Signs or symptoms to watch for - specify.

____________________________________________ ____________________________________________

4. Steps the child care provider should follow. If prescription or non-prescription medications are necessary, a copy of the Authorization to Administer Medication form (available on camp’s website) should be attached to this form.

____________________________________________ ____________________________________________

5. Identify any staff to whom you have given specialized training/instructions to help treat symptoms.

a. ___________________________________________________________________________________

b.___________________________________________________________________________________

c. ___________________________________________

6. When to call parents regarding symptoms or failure to respond to treatment:

_____________________________________________________________________________________

7. When to consider that the condition requires emergency medical care or reassessment:

_____________________________________________________________________________________

8. Additional information that may be helpful to camp:

_____________________________________________________________________________________

_____________________________________________________________________________________

CAMPER INFORMATION Please print clearly!Camper’s Name ______________________________________Birth Date _________________________________________________________________ M F

Address ___________________________________________________________________________________

City ___________________________________________State ____________Zip ______________________

Phone 1 _____________________________________Phone 2 ___________________________________

PRIMARY CONTACT INFORMATIONName ______________________________________________________________________________________

Relationship to Camper ________________________________________________________________

Phone 1 _____________________________________Phone 2 ___________________________________

Email Required __________________________________________________________________________

SECONDARY CONTACT INFORMATIONName ______________________________________________________________________________________


Phone 1 _____________________________________Phone 2 ___________________________________

Email Required __________________________________________________________________________

ADDITIONAL EMERGENCY CONTACTName ______________________________________________________________________________________


Phone 1 _____________________________________Phone 2 ___________________________________

Is this person authorized to pick up child? Yes No

PHYSICIAN/MEDICAL FACILITY INFORMATIONPhysician Name__________________________________________________________________________

Phone 1 _____________________________________Phone 2 ___________________________________

Address - Medical Facility _____________________________________________________________

City ___________________________________________State ____________Zip ______________________

PARENTAL AUTHORIZATION FOR CHILD OVER AGE 7

Authorization for Child over Age 7 R Yes R No

I authorize my child to carry bee sting medication, an inhaler, insulin syringe, other medication or device.

Yes No

CAMP EXPERIENCE

Does child have prior camp experience? Yes No

If yes, please specify ___________________________________________________________________

2021 CAMPER, CONTACT AND HEALTH INFORMATION

17

SUNSCREEN/INSECT REPELLENT AUTHORIZATIONThe sunscreen or repellent should be labeled with the child’s name.

SUNCREEN AUTHORIZATION R Yes R No

I authorize the center to apply sunscreen to my child. Yes No

I authorize the center to allow my child to self-apply sunscreen.

Yes No

Sunscreen Brand Ingredient Strength

INSECT REPELLENT AUTHORIZATION R Yes R No

I authorize the center to apply insect repellent to my child. Yes No

I authorize the center to allow my child to self-apply insect repellent.

Yes No

Insect Repellent Brand Ingredient Strength

BUS AND FIELD TRIP PERMISSIONBussing: I hereby authorize Camp Y-Koda to transport my child by bus to and from Camp Y-Koda or Maywood at the bus stop that I have specified on page 15. I understand that either myself or one of the persons indicated below as an authorized pick-up person must be present to pick up my child. I have read and understand the above statements and I grant my permission as indicated by my signature.

Field Trips: I hereby authorize Camp Y-Koda to transport my child back and forth from Camp Y-Koda or Maywood for field trips.

Parent Signature _______________________________________________________________________

AUTHORIZED PICK-UP PERSONIn the event that I am not available to call or pick up my child, the bus driver and/or camp staff are permitted to leave my child with:

Name ______________________________________________________________________________________

Phone 1 _____________________________________Phone 2 ___________________________________

Relationship to Child ___________________________________________________________________

Name ______________________________________________________________________________________

Phone 1 _____________________________________Phone 2 ___________________________________

Relationship to Child ___________________________________________________________________

Driver’s license or photo ID is required to show proof of identity. If the above named person is not present, the child will be taken to the Sheboygan YMCA.

SPECIAL ACTIVITIES PERMISSION AT CAMP Y-KODAI hereby authorize my child to participate in the following activities:Archery ....................age 7 and older Yes NoBB Gun .....................age 9 and older Yes NoClimbing Wall ..........age 9 and older Yes NoSling Shots ...............age 7 and older Yes No

CAMPER SWIMMING SKILLS Please R check all that apply. My child enjoys the water. My child can float. My child will jump from the side. My child is comfortable in chest-deep water. My child can swim 10 - 20 yards. My child can swim 25 yards.

TOTAL COST OF SUMMER CAMP

Total Camp Fees $

Less 10% Early Bird Discount until 4/1/21* $

*Child must go to TWO or more weeks to receive early bird discount.

Total Extended Care @ $25.00 per Week $

Total Bus Service Fee @ $15.00 per Week

One Time Registration Fee $ 15.00

Total Amount Due

AMOUNT DUE AT TIME OF REGISTRATION

$25.00 Deposit per Week of Camp $

One Time Registration Fee $ 15.00

Down Payment Due $

Balance Due (Total less down payment) $

• Please see page 10 for detailed registration information. • If you email or fax the completed forms, payment information may

be listed below -OR- you can call and provide a credit card number. • REGISTRATIONS WILL NOT BE PROCESSED WITHOUT PAYMENT.

CANCELLATION POLICY/NON-REFUNDABLE FEES• The $15.00 registration fee and all $25.00 camp deposits are non-

refundable under any circumstances. • Any payment made in addition to required down payment is refund-

able only if we are notified of cancellation in writing by May 1, 2021. • There are no refunds on cancellations received after May 1, 2021. • The $15.00 per week bussing fee is non-refundable.

PARTICIPATION AND PAYMENT AGREEMENTI approve this application and certify that the applicant is capable of such an experience. I grant permission for the applicant to participate in all planned camp activities, including out-of-camp trips by van, bus or hiking. In case of accident or illness, the YMCA is authorized to secure emergency medical treatment. Prudent attempts will be made to contact the parents immediately. The YMCA is not responsible for lost, stolen or damaged personal articles. I also authorize the YMCA to have and use photographs and videos of the person named on this application as may be needed for its public relations programs. I agree to waive any claims against the YMCA and its members and volunteers for injuries or damages that may result from the conduct of other persons including participants in YMCA programs.

I agree to pay the balance of camp fees prior to the payment schedule on page 11. We cannot hold reserved space past that date without full payment. All change and cancellation requests must be made in writing. I understand no refunds are given if a child leaves early because of homesickness or for disruptive behavior as determined by the Executive Director.

Parent Signature ______________________________________________________________________

Date ______________________________________________________________________________________

PAYMENT INFORMATION Cash

Check # ________________________ (payable to Sheboygan County YMCA) Credit Card (VISA, Mastercard or Discover)

Card # ______________________________________________________________________________

Expiration Date ___________________________Security Code _____________________

Receipt # _____________________________________________ Date _____________________________

Amount $ ____________________________________________ Staff _____________________________

2021 AUTHORIZATIONS AND PAYMENT INFORMATION

18

DEPARTMENT OF HEALTH SERVICESDivision of Public HealthF-44192 (Rev. 12/2017) CHILD CARE IMMUNIZATION RECORD

STATE OF WISCONSINWis. Stat. § 252.04

COMPLETE AND RETURN TO CHILD CARE CENTER. State law requires all children in child care centers to present evidence of immunization against certain diseases within 30 school days (6 calendar weeks) of admission to the child care center. These requirements can be waived only if a properly signed health, religious, or personal conviction waiver is filed with the child care center. See “Waivers” below. If you have any questions about immunizations,or how to complete this form, please contact your child’s child care provider or your local health department.

PERSONAL DATA PLEASE PRINTSTEP 1 Child’s Name(Last, First, Middle Initial) Date of Birth (Month/Day/Year) Area Code/Telephone Number

Name of Parent/Guardian/Legal Custodian (Last, First, Middle Initial) Address (Street, Apartment number, City, State, Zip)

IMMUNIZATION HISTORYSTEP 2 List the MONTH, DAY AND YEAR the child received each of the following immunizations. DO NOT USE A (√√) OR (X) except to indicate whether

the child has had chickenpox. If you do not have an immunization record for this child, contact your doctor or local public health department to obtain the records.

TYPE OF VACCINE First DoseMonth/Day/Year

Second DoseMonth/Day/Year

Third DoseMonth/Day/Year

Fourth DoseMonth/Day/Year

Fifth DoseMonth/Day/Year

Diphtheria-Tetanus-Pertussis(Specify DTP, DTaP, or DT)PolioHib (Haemophilus Influenzae Type B)

Pneumococcal Conjugate Vaccine (PCV)Hepatitis BMeasles-Mumps-Rubella (MMR)

Varicella (chickenpox) vaccineVaccine is required only if the child has not had chickenpox disease. Has the child had Varicella (chickenpox) disease? Check the appropriate box and provide the year if known.

Yes year _____________________ (Vaccine is not required)

No or Unsure (Vaccine is required)

REQUIREMENTSSTEP 3 The following are the minimum required immunizations for the child’s age/grade at entry. All children within the range must meet these

requirements at child care entrance. Children who reach a new age/grade level while attending this child care must have their records updated with dates of additional required doses.

AGE LEVELS NUMBER OF DOSES5 months through 15 months 2 DTP/DTaP/DT 2 Polio 2 Hib 2 PCV 2 Hep B

16 months through 23 months 3 DTP/DTaP/DT 2 Polio 3 Hib1 3 PCV2 2 Hep B 1 MMR3

2 years through 4 years 4 DTP/DTaP/DT 3 Polio 3 Hib1 3 PCV2 3 Hep B 1 MMR3 1 VaricellaAt Kindergarten entrance 4 DTP/DTaP/DT 4 4 Polio 3 Hep B 2 MMR3 2 Varicella1If the child began the Hib series at 12-14 months of age, only 2 doses are required. If the child received one dose of Hib at 15 months of age or after, no additional doses are required. Minimum of one dose must be received after 12 months of age (Note: a dose 4 days or less before the first birthday is also acceptable).

2If the child began the PCV series at 12-23 months of age, only 2 doses are required. If the child received the first dose of PCV at 24 months of age or after, no additional doses are required.

3MMR vaccine must have been received on or after the first birthday (Note: a dose 4 days or less before the 1st birthday is also acceptable).4Children entering kindergarten must have received one dose after the 4th birthday (either the 3rd, 4th or 5th) to be compliant (Note: a dose 4 days or less before the 4th birthday is also acceptable).

COMPLIANCE DATA AND WAIVERSSTEP 4 IF THE CHILD MEETS ALL REQUIREMENTS (sign at STEP 5 and return this form to the child care center), OR

IF THE CHILD DOES NOT MEET ALL REQUIREMENTS (check the appropriate box below, sign and return this form to child care center).

Although the child has not received all required doses of vaccine for his or her age group, at least the first dose of each vaccine has been received. I, understand that it is my responsibility to obtain the remaining required doses of vaccines for this child WITHIN ONE YEAR and to notify the child care center in writing as each dose is received.

NOTE: Failure to stay on schedule or report immunizations to the child care center may result in court action against the parents and a fine of up to $25.00 per day of violation.

For health reasons this child should not receive the following immunizations __________(List in STEP 2 any immunizations already received)

______________________________________________________________________ Physician’s Signature Required

For religious reasons this child should not be immunized. (List in STEP 2 any immunizations already received)

For personal conviction reasons this child should not be immunized. (List in STEP 2 any immunizations already received):

SIGNATURESTEP 5 To the best of my knowledge, this form is complete and accurate.

_________________________________________________________________________ ___________________________________SIGNATURE - Parent, Guardian or Legal Custodian Date Signed

19

YMCA CAMP Y-KODA Camp Y-Koda is an 80 acre camp located just west of Sheboygan Falls bordered by the Sheboygan River to the north and east. The camp was founded in 1969 by the Sheboygan County YMCA and has been offering summer camp experiences ever since. Camp Y-Koda features a beautiful stretch of the Sheboygan River for canoeing, kayaking, tubing and nature studies. The property has a low and high ropes course complete with a zip line and 40-foot climbing wall.

YMCA Camp Y-Koda also features a swimming pool, four acre lake, bb gun and archery range, basketball and volleyball courts, playground, soccer field, arts and crafts center and camp store, and a huge slip and slide. There are two lodges at camp, Lohmann Lodge and Johnsonville Lodge. They serve as headquarter areas during inclement weather, our cafeteria and lodging for resident camps and other indoor programming. Camp has four campsites which include cabins, a picnic and campfire area. In addition, Camp has a new pavilion area named the Denison Pavilion, which houses our Pee Wee campers and is a site for snack and camp activities.

LOCATIONYMCA Camp Y-Koda W3340 Sunset Road, Sheboygan Falls, WI 53085

HOURS OF OPERATIONSummer Camp Hours ............8:30am - 4:00pmSummer Office Hours ...........7:15am - 5:30pm

The office is staffed all night during Thursday night sleepovers and all resident camps.

CONTACT INFORMATION Jeremiah Dentz Executive [email protected]

Kaitlyn Rautmann Summer Camp [email protected]

Terese Koene-Carroll Billing and [email protected]

Phone ...........920-467-6882Fax ...............920-467-7240

THURSDAY FAMILY NIGHT AND CAMP SLEEPOVEROn Thursdays, campers leave at 4:00pm and then return later with their family for the Thursday Family Program and camp sleepover. Throughout our camp week, each group will practice a camp song and entertaining skit to perform and sing at the family program. This event allows families to meet the counselors, tour the grounds and see the fun activities the camper has been doing all week. The program begins at 7:30pm for weeks 1-7 and at 7:00pm for weeks 8-11. Families are encouraged to arrive 30 minutes prior to drop items off and shop at the camp store.

When the program is finished, all campers who would like to sleepover will meet at their campsite with their counselor and partake in a night activity, campfire songs and more! Our night activities range from swimming in the camp pool, carnivals, night hikes, star gazing, a campfire sing-a-long and so much more!

If the Family Program and sleepover is cancelled due to inclement weather, it will be announced on Camp Y-Koda’s website www.sheboygancountyymca.org/camp-y-koda and Facebook page.

CAMP STORE The camp store is your official source for a wide variety of novelty items and camp “swag” such as t-shirts, sweatpants, long sleeve sweatshirts, hats and more! Campers may also purchase nutritious snacks and refreshments at select times during the week and on Thursday evening during the family program. The store is not open on Monday. Snack items are $0.25 to $1.50. Merchandise items range from $1.50 to $50.00. We recommend purchasing all merchandise items on Thursday night.

CAMP POOL All groups using our pool are supervised by camp staff who are lifeguard certified by the American Red Cross. Each camper is required to take a swim test to determine their swimming ability. If your child passes the swim test, they will wear a green wristband. If they do not pass, they are required to stay in the roped-off shallow end. The deepest part of our pool is 4 ½ feet and the shallowest area is 2 ½ feet. Lifejackets are available to use upon request. More pool information can be found in the Parent Handbook.

Location

Hours of Operation

Contact Information

Family Night/Sleepover

Camp Store

Camp Pool

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PEE WEE CAMPS WEEKS 1 - 11Ages 4 - 5This program is designed especially for young children to enjoy a great camp experience. The Pee Wee program is run by its own director who develops age appropriate curriculum and activities. We pay special attention to our youngest campers to make sure that their first camp experience is a positive one. Pee Wees will attend the Family Program, but won’t sleep over. All Pee Wee Camps have a theme each week.

PEE WEE “MERRY UNBIRTHDAY PARTY” CAMP WEEK 1A merry, merry unbirthday to you! Get ready to celebrate your birthday camp style with games, piñatas, face painting, delicious treats and more. Happy Unbirthday!

PEE WEE “LITTLE CHEF” CAMP WEEK 2 Together campers will learn some easy-to-make and easier-to-eat recipes! We’ll craft our very own cookbook and cook delicious treats for our Thursday bake sale, which will be sold at our Thursday Night Family Program.

PEE WEE “RADICAL REPTILES” CAMP WEEK 3If your camper loves snakes, turtles and lizards, this is the camp for them! We’ll learn about Wisconsin reptiles that live near us, and what makes these animals freaky, fun and fascinating. During the week, we’ll get the chance to touch our camp snakes! Mid-week we’ll join the Amazing Animals Camp at a zoo.

PEE WEE “LIL ATHLETE” CAMP WEEK 4 It’s time for an action-packed week of teamwork and FUN! T-ball, soccer, basketball, kickball, relay races, swimming, you name it... we’ll play it!

PEE WEE “SPLISH SPLASH” CAMP WEEK 5Splish, splash you’ll have a blast in all things water! Throughout the week, we’ll splash into the pool with games, go down the camp slip n’slide and head to the beach for more. On Friday, we’ll have our very own pool party!

PEE WEE “OOEY GOOEY CREATIONS” CAMP WEEK 6 Get ready for some ooey gooey fun! Find your inner Einstein while making goo, slime and more. We’re sure to get our hands ooey and gooey this week!

PEE WEE “BUGS, BUGS, BUGS!” CAMP WEEK 7Creepy, crawly, scary bugs is what this week is all about! If your child loves to look at bugs, then this is the right camp for them. We will look for bugs, learn about bugs and play bug games. Who wouldn’t have fun bugging into some fun?

PEE WEE “BEACH BASH” CAMP WEEK 8Let’s take our group to the beach at camp! Campers will make awesome sand art, do a little limbo and play beach games. The fun in the sun never stops!

PEE WEE “MINI ARTIST” CAMP WEEK 9Paint, sparkles, markers, glue and so much more! This week is full of creativity, smiles and inspiring artists that will have a blast at doing what they do best. We’ll make many projects throughout the week to bring home, and we’ll show these off at the Thursday night Parent Program!

PEE WEE “UNDER THE SEA” CAMP WEEK 10 Get ready to take a splash under the sea by discovering sea creatures, swimming and spending time at the camp lake. We’ll learn more about animals that live in the sea such as sharks, octopuses, fish, sea plants and so much more!

PEE WEE “LET’S GO CAMPING” CAMP WEEK 11 Let’s create the best camping experience while simply being at camp! We’ll sing campfire songs, create crafts, make s’mores, go hiking and more. At the end of the week, we’ll pitch our tents and have our very own mini camp out!

Pee Wee Campsfor Ages 4 - 5

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DAY CAMP WEEKS 1 - 11Ages 6 - 13 Day Camp is one of the best ways to experience the fun of Camp Y-Koda! Think of it as the “sampler” of all the different camp activities. On any given day during the week, camp-ers may participate in archery, boating, climbing wall, fish-ing, fort building, nature studies, team building and so much more. The Day Camp activity schedule changes each week.

Campers are placed into groups with similarly aged children. It is a great way for your child to find out which activities they enjoy most so their next camp experience can be a specialty camp to focus on their favorite skill or activity. Please note that Day Care Licensing only allows archery and sling shots for age 7 and older, bb guns for age 9 and older, and the climbing wall for age 9 and older.

Day Campfor Ages 6 - 12

Specialty Campsfor Ages 5 - 8

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PSSPECIALTY CAMPS All specialty camps are designed around a specific theme or skill. Specialty camp instruction is in the morning Monday - Thursday. In the afternoon, campers will partake in traditional camp activities. Selected camps will have specialty camp instruction on Friday also. Throughout the week, campers may participate in the “all camp” activities, versus their specialty activity. Some specialty camps take off-site trips that may involve further instruction and therefore more hours. In addition, some camps may require a completed waiver form.

MERMAIDS & TRITONS CAMP WEEK 2 Ages 5 - 7Now’s your chance to make a splash and have your dream come true! Our mermaids and tritons will explore life under the sea with mermaid games, finding lost treasures, building sand castles, designing our own crowns and tritons, and most importantly having fun while making friends. For our Thursday overnight, we will make the Johnsonville Lodge an under water palace while watching the movie The Little Mermaid. This is sure to be a popular camp, don’t wait to sign up!

NEVERLAND CAMP WEEK 4Ages 5 – 8Come to a land far away where beautiful fairies live and share their land with brave, fearless pirates. Young buccaneers learn the lingo of pirates, play games like Capture the Pirate Flag, and search for little pixies around camp. This enchanted camp will be packed full of adventurous activities, crafts, stories, dress-up and more! Sign up soon as this camp is sure to fill.

CAMP Y-KODA WEEKSWeek 1 ..... 6/14 - 6/18Week 2 ..... 6/21 - 6/25Week 3 ........6/28 - 7/2Week 4 ........... 7/5 - 7/9Week 5 ..... 7/12 - 7/16Week 6 ..... 7/19 - 7/23Week 7 ..... 7/26 - 7/30Week 8 .......... 8/2 - 8/6Week 9 ........8/9 - 8/13Week 10 ... 8/16 - 8/20Week 11 ... 8/23 - 8/27

GREAT UNBIRTHDAY CAMP WEEK 8Ages 5 - 8 Why celebrate your birthday only for a day, when you can come to camp and party all week where it’s everyone’s birthday! Our birthday week includes cupcake decorating, craft making, birthday slime, making party necklaces and more. To sprinkle on the fun, campers will partake in their very own birthday party Thursday to eat their delicious treats and enjoy classic birthday party games.

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KIWI CREATIONS CAMP WEEK 2Ages 6 - 8Calling all future designers, artists, scientists, engineers and innovators! Camp is teaming up with KiwiCo to offer this amazing hands-on, creative and brain enriching camp. Campers will receive a different kit each day and spend the mornings crafting, building, experimenting with and applying their creations. KiwiCo is an innovation based company that celebrates kids’ creative nature by providing inspiring kits for building and exploration. To learn more, visit www.kiwico.com.

LITTLE NINJAS CAMP WEEK 10Ages 6 - 8If you want to someday compete to become Camp Y-Koda’s first Ninja Warrior, you must begin your training at a young age. Start to study your craft through climbing, balancing tests and agility challenges. Spend each day running, jumping and climbing through our Little Ninja Obstacle Course and try out the “little ninja sized versions” of the Ninja Warrior challenges.

MAD SCIENTIST CAMP WEEK 9Ages 6 - 8Discover the world of science at camp and watch our lodge turn into a laboratory! Our scientists will get a badge with the level of clearance they’ll need to enter into the world of explosive fun. Campers will explore a variety of exciting science projects by partaking in hands-on fizzing experiments. Throw on your goggles, as you’ll want to see the magic of science!

MINI ALL WEEK POOL PARTY WEEK 4Ages 6 - 8 We developed a full week of pool party themes for those who can’t get enough water time at the Camp Y-Koda pool. Each day will have a new party theme with music, contests and water games. We will also take a mid-week day trip to the Plymouth Pool for diving board and waterslide time. Is there any better way to spend a summer day?

MINI ARTS & CRAFTS CAMP WEEK 5 Ages 6 - 8If your camper loves making a colorful mess then this camp is it! Your mini artist will love to get their hands dirty by painting, creating and molding new projects each day. Focusing specifically on the crafty side of the art spectrum, campers will work on age appropriate crafts to unleash their creative minds.


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PSAMAZING ANIMALS CAMP WEEK 3 Ages 6 - 8Campers will learn about the many furry, feathery, scaly and slimy animals that make up the animal kingdom. Each day we’ll learn about new animals with activities and crafts, and we’ll have a special animal guest. The highlight will be a mid-week field trip to a zoo.

ASTEROIDS & ORBITS CAMP WEEK 5 Ages 6 - 8Join us for a week of exploration into the many wonders of outer space. Campers will learn about the sun, moon, stars and planets; launch rockets, try astronaut food, design a giant space craft and go on an alien hunt. At the Thursday camp sleepover, we’ll partake in our very own activity of viewing the night sky with our telescopes and roast s’mores under the stars.

BEDAZZLED CAMP WEEK 10 Ages 6 - 8This crafty camp is for the child who likes to glitter things up, make everything sparkle and create their own shiny jewelry. Campers will also bedazzle plenty of other take home items and create lots of glittery, shimmering artwork.

BUGGIN’ OUT CAMP WEEK 1 Ages 6 - 8Explore the natural wonders of camp with the help of nets, bug boxes, magnifying glasses, binoculars and more! Each day will be spent searching for signs of critters that inhabit our lake, river, field and forest. Discovering the nature that surrounds us is what this camp is all about!

HOOK, LINE & SINKER CAMP WEEK 9Ages 6 - 8This is an introductory fishing camp that teaches kids the basics of casting, baiting, and removing fish with simple bobber fishing. Campers will learn and practice their skills on Lake Y-Koda throughout the week, culminating with a fishing tournament on Thursday. This is a great camp to learn the basics and get hooked on fishing!

JURASSIC ISLAND ADVENTURE CAMP WEEK 2Ages 6 - 8Travel back in time to learn about the prehistoric creatures that once roamed the earth. See how scientists excavate fossils and go on a play dino dig exploration. Participate in games and activities that provide insight into curious questions like how dinosaurs protected themselves, what they ate and how big they really were. Discover the world of dinosaurs by joining us on this wild adventure!

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ARCHERY BASICS CAMP WEEK 6Ages 7 - 9This is a great camp for first time archers or kids who need more practice. A certified archery instructor will teach this camp and provide helpful tips to our young Robin Hoods. Campers will learn safety, shooting fundamentals, parts of the bow and arrow and more.

BOOTS AND SADDLES CAMP WEEK 1, 6, 7 & 9Ages 7 - 10Spend time with other horse lovers learning everything there is to know about horses. Monday - Thursday morning, campers will visit Forward Farm. Ginger Schinktgen will introduce you to her resident horses and teach you about horse care, safety, equipment, horse handling practices, plus riding! Additional waiver form required.

BOOTS AND SADDLES II CAMP WEEK 2 & 8Ages 11 - 14Finally a horse camp for our older riders! If you loved Boots and Saddles and you want to keep up on your skills and learn new ones, this is your camp. Campers will move on to new skills including more trotting time and posting, while continuing to learn about horse care, safety, handling and more. This is simply the next level for our horse lovers. Additional waiver form required.MINI SUPER SPORTS CAMP WEEK 8

Ages 6 – 8Sports, sports and more sports make this one of our most popular mini camps every year! Instruction will be part of this program, but the emphasis will be on playing sports. Basketball, flag football, kickball, soccer, t-ball and more; if it’s a sport, we will play it.

MINI SURVIVOR CAMP WEEK 7Ages 6 – 8One of our most popular camps has returned and is being offered for younger campers! Campers will be able to experience what their older brothers and sisters have been talking about, without staying overnight. Campers will become part of a tribe and spend the mornings engaging in friendly challenges and attending tribal council to receive their reward.

MINI WET N’ WILD CAMP WEEK 6 & 11Ages 6 – 8Splash in on the fun, as our most popular camp will trans-form Y-Koda into our very own water park! Water games, extra pool time, sprinklers, squirt guns, lake activities and more will make up our week at camp. If that’s not enough, we end the week with a trip to Blue Harbor for a day at the water park. If your camper loves water, this camp is for them!

SLIMY ARTY PARTY CAMP WEEK 3Ages 6 – 8It’s time for some slimy fun this week! Fluffy slime, edible slime, glow-in-the-dark slime, color-changing slime, you name it… we’re making it!

TIMBER PLAY CAMP WEEK 1Ages 6 – 8This camp is all about design, creativity and play in a natural setting. We are setting the kids free to construct their own village in the woods complete with rope bridges, tree forts, swings and any other features their imagination deems necessary. We’ll play wild games with our forest friends! On Thursday, the group will cook over an open fire in their wooded village and make a delicious treat!



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COLOR WARS CAMP WEEK 7Ages 8 - 12 Explore a week of color by tie dying and preparing each day for Thursday’s Color Wars Challenge! We’ll break up into teams and create our very own team “swag” for the event by learning new dye mediums and methods to create a piece of art that you can wear. Each morning we’ll also put our skills to the test with colorful challenges and obstacles for Thursday! Are you ready for the challenge?! All materials are included.

HIGH ROPES CAMP WEEK 2 & 11Ages 9 - 14This camp is for the child who knows no fear or likes to tackle challenges. Campers will get to challenge themselves on all of our many towering obstacles such as our 40-foot Climbing Wall, the Giant’s Ladder, Catwalk, Multivines, Swinging Chairs, the infamous Zip Line and the Pamper Pole. Additional waiver form required.

JUNIOR KAYAK CAMP WEEK 4Ages 8 – 10This kayak camp is for younger kids and beginners interested in kayaking. We will teach fundamentals on Monday in the Camp Y-Koda lake and spend the remainder of the week on day trips to local bodies of water for kayak exploration and swimming. This camp is limited to 14 participants.

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ADVANCED FISHING CAMP WEEK 7Ages 9 - 12This camp will focus on skills such as casting, knot tying, baiting, removing fish and changing between live bait and artificial lures. Campers will fish both Lake Y-Koda and the Sheboygan River in order to learn the difference between lake and river environments and techniques. The week ends with a Thursday fishing tournament!

BB GUN CAMP WEEK 9Ages 9 - 12 Youth will learn how to handle a bb gun and the fundamentals of marksmanship at our bb gun range. Basic gun safety will be emphasized as well as proper stance and aiming. Campers will get plenty of target practice throughout the week and end with a sharpshooter competition.

BLAST FROM THE PAST CAMP WEEK 1Ages 9 - 12 Journey into the past of Camp Y-Koda by experiencing original camp activities and cooking out all week long! Let the games begin as we play some of Camp Y-Koda’s favorites through the years such as Jewel Ball, Poison Ball and Capture the Flag. On Thursday night, we are heading back to 1969 and we will spend the night in tents for a nostalgic experience at our campsite. Camp will provide the cookout lunch and snack each day this week.

BULLSEYE CAMP WEEK 8Ages 9 - 12 This camp is for those who can’t get enough of target practice. Campers will partake in a variety of challenges using bb guns, archery and sling shots! Youth will learn safety techniques, shooting fundamentals and more. At the end of the week campers will compete in a bullseye competition and the winner will receive a gift card for the camp store!

CARPENTER’S APPRENTICE CAMP WEEK 3Ages 9 - 12 Calling all young wood workers! Learn the basics of wood-working through a variety of beginner projects. Each day we will work on something new for your camper to build and take home. By the time they graduate from our carpenter’s apprentice program, they will be able to help with all those little projects around the house.

GLAMPING CAMP WEEK 5Ages 9 - 12 The popular trend of Glamourous Camping is taking over Camp Y-Koda this week. Campers will experience nature in luxury while enjoying a rejuvenating spa day, outdoor yoga and relaxing hammock time. For the Thursday night sleepover, campers will set up their “Glampsite” and indulge in an outdoor movie night!

KIWI CREATIONS II CAMP WEEK 10Ages 8 - 10This camp takes Kiwi Creations (see page 22) to the next level by exploring the Kiwi Company’s “Tinker Line”. The “Tinker Line” focuses on engineering and STEM projects like building hydraulic claws and mechanical birds. This is an amazing camp for your young designer that will provide an exceptional summer learning opportunity in the camp setting. Visit kiwico.com to learn more.

MID-SUMMER MANIA CAMP WEEK 6Ages 9 - 12 This is a camp committed to the idea that children should spend the summer engaging in carefree, constructive, creative and adventurous outdoor activities. We looked to Huck Finn, Becky Thatcher and Tom Sawyer for some inspiration. During the week, we will work to build a floatable raft for a journey down the river, wander the forests & fields of Camp Y-Koda in search of the perfect picnic site to eat our lunches, lie around and construct our own hammocks, and even take a try at building our own slingshots. On Thursday & Friday, we’ll cook out lunches over the campfire!

NINJA WARRIOR CAMP WEEK 5Ages 9 - 12Do you have what it takes to become Camp Y-Koda’s Ninja Warrior? Will anyone complete the entire course? Who will get the farthest? Test your ninja skills through daily workouts, challenges and obstacle courses. Some challenges will be designed around the popular television show. The week ends with a trip to Sheboygan Quarry Park for the final team challenge on the amazing water obstacle course. Good luck ninjas!

PARKOUR CAMP WEEK 1Ages 9 - 12This is an amazing opportunity to learn the basic skills of Parkour during your week of camp. Each day we’ll work and learn with YMCA instructors. Parkour is action-packed, adrenaline filled, physical training to overcome any obstacle within one’s path by adapting one’s movements to the environment. Parkour movements include running, jumping, vaulting, climbing, balancing and quadrupedal movement.

SAFARI CAMP WEEK 2Ages 9 - 12Safari Camp is an outdoor experience that features instructions in canoeing, fishing, fly tying, bb-gun safety, map & compass, tracking, archery and more! This is a great camp for the outdoor enthusiast.


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PSCAMP Y-KODA WEEKSWeek 1 ..... 6/14 - 6/18Week 2 ..... 6/21 - 6/25Week 3 ........6/28 - 7/2Week 4 ........... 7/5 - 7/9Week 5 ..... 7/12 - 7/16Week 6 ..... 7/19 - 7/23Week 7 ..... 7/26 - 7/30Week 8 .......... 8/2 - 8/6Week 9 ........8/9 - 8/13Week 10 ... 8/16 - 8/20Week 11 ... 8/23 - 8/27

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CHOOSE YOUR OWN ADVENTURE CAMP WEEK 4Ages 12 - 16Choose Your Own Adventure Camp allows our teens to do just that – they choose the activities each day and make their own schedule. Perhaps we’ll lie around in hammocks all day, or paddle down the river, or challenge ourselves to partake in the many activities camp has to offer. We’ll discover and experience Camp Y-Koda on a whole new level! Additional waiver form required.

ROAD AMERICA RACING CAMP WEEK 5Ages 12 - 16Learn to race like a pro during this camp of speed! Our week will be spent at Road America, racing go-karts on their very own Motorplex track designed specifically for cart racing. Learn safety, technique and tips from the pros as you race against your own best time and fellow campers. Participants will also get special behind the scene tours of Road America; a one of a kind racing venue! Additional waiver form required.

THRILL SEEKERS CAMP WEEK 9Ages 12 - 16 Get ready for a thrilling week full of adrenaline-induced action! This week is turbo charged with unforgettable experiences and high-energy activities. Teens will join us on this adventure by challenging themselves on caving deep below the ground, climbing in the trees, experiencing our ropes course, aquatic challenges and more! Additional waiver form required.

SEASON FINALE CAMP WEEK 11Ages 9 - 12It’s camper’s choice all week. No need to follow the schedule, campers are in charge! Campers will vote on their favorite activities and that is what we will do. Simple. What a great way to say goodbye to summer! Additional waiver form required.

SUMMER OLYMPIC GAMES CAMP WEEK 3Ages 9 - 12Tokyo is not the only place hosting a Summer Olympics in 2021. The traditional sports camp is taking on an Olympic twist. Campers will be divided into countries and compete in traditional Olympic team events such as basketball, baseball, soccer, swimming relays and more. They will also compete in some Camp Y-Koda originals such as jewel ball and rowing races. The closing ceremonies will include a celebratory beach party at the camp lake!

TENTING IT CAMP WEEK 8Ages 9 - 12Finally a Tenting It Camp for our younger campers! We will seclude ourselves from the general camp population by selecting and creating our own campsite on the Y-Koda property. Once the site is selected, we will pitch our tents, which will serve as our home base for the week instead of the cabins. Campers will sleep over both Wednesday and Thursday as part of this camp. They will have the entire camp to themselves on Wednesday night for activities of their choice!

TWISTED SPORTS CAMP WEEK 10Ages 9 - 12There are traditional sports and then there are camp sports. Let the competition begin for some of our camp favorites such as Jewel Ball, Poison Ball, Capture the Flag, Gaga Ball and more!

WET ‘N WILD CAMP WEEK 9Ages 9 - 12Let’s transform Y-Koda into our very own water park and take part in aquatic adventures. Let’s play in the lake, swim in refreshing water, water balloon wars and take part in water relay challenges. Let’s top it off by taking a mid-week field trip to Noah’s Ark, the largest water park in the world! The Noah’s Ark trip will go beyond normal camp hours. You will receive an email with advance notice of trip details, with drop-off/pick-up times and location.



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Resident Campsfor Ages 9 - 13

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PSRESIDENT CAMPSTwo of the most popular camps are back with a resident camp inspired twist! These themed resident camps are a five day, four night experience for kids who can’t get enough of Camp Y-Koda. We’ll spend the week on our own schedule at our own pace. Our resident campers will stay in our cozy lodges each night or perhaps we’ll challenge ourselves by sleeping outdoors for a night.

All resident camps include meals, snacks and tons of action-packed fun. This is a great experience for campers to disconnect from technology and distractions of outside life for the week, offering an unforgettable positive experience. An email will be sent to parents prior to each camp with details and information about the week ahead.

STRANDED RESIDENT CAMP WEEK 7Ages 9 - 13We decided the only way to make Stranded Camp better was to turn it into a resident camp allowing for full blown, outrageous adventures that can go all day and into the evening. A day camp in the past, Stranded Camp became an instant favorite designed to mimic the once popular “Choose Your Own Adventure” books. Campers will be given scenarios and have to make a choice as a group. Each choice will lead them to an unknown adventure or challenge with the ultimate goal of surviving the scenario presented at the beginning of the week.

By turning Stranded into a resident camp, we have opened the door for some amazing and memorable escapades. Perhaps you will be setting up tents for an evening out, or paddling down a river, or using your compass to find your way out of an unknown woods. You won’t know until you’ve made your choice. Adventure awaits! This camp will be taking day field trips to local sites throughout the week.Additional waiver form required.

ZOMBIE APOCALYPSE RESIDENT CAMP WEEK 4Ages 9 - 13Join us in this week long battle to diminish the terrible outbreak of zombies at camp. We will conquer brain craving challenges, obstacles and experiments to find a cure! On Monday we’ll set up base camp in our lodges and all week we’ll practice our skills needed to survive.

Campers will have the opportunity to sleep outside one night to set up a wilderness based refuge site and take night watch to defend our wilderness location from the zombies. Don’t forget your flashlights and put your skills to the test to see if you could survive the apocalypse!


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APOSTLE ISLANDS ADVENTURE TRIP WEEK 10Ages 12 - 16The 21 islands collectively known as the Apostle Islands are referred to as the Jewels of Lake Superior. The best way to explore the area is with kayaks. The week will be spent camping, swimming, kayaking, hiking the cliff trails and tak-ing a waterfall river walk. The highlight will be a kayak trip to the sea caves led by a local outfitter. Additional waiver form required.

ROPES, ROCKS & CLIMB ADVENTURE WEEK 6Ages 12 - 16

This is an advanced high ropes camp with some serious rock climbing thrown into the mix. The camp also includes a couple nights off-site in addition to the regular weekly schedule. Campers spend the first two days at Camp Y-Koda learning advanced skills at the ropes course such as belaying, knot tying, and route climbing.

On Wednesday morning, campers will leave for Devils Lake State Park where they will make camp for the next two nights. Thursday will be spent testing our skills on the granite walls of Devils Lake with professional guides. Camper will return to camp Friday before pick-up.

Please note: Monday and Tuesday are regular camp days from 8:30am – 4:00pm. Campers leave Camp Y-Koda Wednesday upon arrival and do not return until Friday afternoon. Additional waiver form required.

WILDMAN’S ADVENTURE TRIP WEEK 3 Ages 12 - 16Our newest adventure trip may very well be the best we’ve ever offered and is certain to fill quickly. For this trip, we will be making our camp at Wildman Adventure Resort on the Peshtigo River in Athelstane, WI. From our base camp, we have a week full of outfitted activities lined up including whitewater rafting on the Peshtigo and Menominee River, paintballing, 1900 feet of zip lining through the trees, and climbing around on the Alpine Tower on site. When we’re not out on a guided adventure we will be enjoying our base camp along the river or exploring other local natural attractions on our own. There is a lot of action and adventure packed into this camp. This is going to be good! Additional waiver form required.

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PICTURED ROCKS ADVENTURE TRIP WEEK 8 Ages 12 - 16The Pictured Rocks National Lakeshore consists of 40 miles of Lake Superior shoreline in Michigan’s Upper Peninsula and we will explore and play in just about all of it. Our adventures will include kayaking various shorelines, swimming in the huge waves at Miner’s Beach, exploring Miner’s Castle, and taking day hikes to secluded beaches and waterfalls. Each night will be spent around the campfire taking in the magnificent North Country stars. This is truly one of the most magnificent areas in the Midwest and a “must” for the camper that loves nature and adventure. Additional waiver form required.

OFF-SITE ADVENTURE TRIPSThese off-site adventure trips offer an experience to last a lifetime and provide an amazing experience for kids and counselors alike. The fee includes all equipment, food, transportation and associated fees for the entire week.

In addition to being non-stop fun, the trips also provide a valuable learning experience by teaching self-reliance, responsibility and basic outdoor survival skills. Participants cook their own meals, set their own tents and learn other valuable skills. All participants will leave with a newly earned sense of accomplishment and a better understanding of what it takes to spend a week in the outdoors.

Campers should arrive at Camp Y-Koda at 4:00pm on Sunday to prepare for the trip. The group will leave on Monday morning and return to Camp Y-Koda on Friday afternoon where they can be picked up at 4:00pm.

Adventure Tripsfor Ages 12 - 16

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Assistant CounselorVolunteer Programfor Ages 14+

COUNSELORS IN TRAINING CAMP WEEK 1Ages 14 - 16This is a one week leadership development camp for those interested in becoming counselors and leaders around the community. The week will focus on teamwork, positive character development, problem solving, values, communication and becoming a positive role model. On Wednesday and Thursday, the group will sleepover and stay in our Johnsonville Lodge to continue their training.

The CITs will also have the opportunity to help out with our younger day camp groups to put some of their newly learned skills to work. The program is designed to challenge the teen participants to be positive role models and future leaders at camp, school and in our community.

ASSISTANT COUNSELOR VOLUNTEER PROGRAMAge 14 & OlderThe Assistant Counselor Volunteer Program offers countless opportunities to interact with children, lead activities and participate in camp programs. Volunteers fulfill many different roles at camp. Volunteers must have a sincere desire to become strong leaders, a wish to give back to the camp community, a strong work ethic, lots of energy and creativity, a positive attitude and the ability to put children’s needs ahead of their own.

The objective of the program is to better prepare the participants to be future leaders, in and out of the camp setting. This is done through hands-on experiences and guidance from staff members. All volunteers are required to take pre-camp training in camp and state DCF rules and regulations.

Steps to VolunteerFor those who wish to volunteer with us, camp requires all prospective volunteers to partake in our Counselor in Training Camp to learn the expectations and duties of an assistant counselor volunteer. During this camp, they receive our volunteer application to complete and are required to apply and interview to become a potential volunteer. For past camp volunteers, please contact the camp director for information on volunteering again. To learn more, visit our website at www.sheboygancountyymca.org/camp-y-koda.

ValuesCITs will learn about the Y’s four core values of caring, honesty, respect and responsibility and how they fit into our lives.

CommunicationCITs will focus on effective methods of communication, collaborating as a team and why communication is so important.

Influencing and Developing OthersCITs will learn about listening and communicating with others as a leader. They will use these skills in a variety of ways throughout summer and beyond.

InclusionCITs will learn about working with others from many different backgrounds, preventing exclusion as a form of bullying, and the importance of including everyone. We are stronger together!

Community and RelationshipsCITs will focus on building quality relationships while at camp with peers, campers and staff. Strong relationships equal a vibrant camp community.

Coaching and MentorshipCITs will focus on coaching and mentoring others to the best of their ability. This includes finding what motivates others to succeed and what type of strategies can be used to mentor others.

Personal Growth and DevelopmentCITs will focus on what it means to self-develop, how growth applies to us, and the effect that seeking growth has on each of us as individuals.

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SUMMER CAMPS AT MAYWOOD SITEMaywood campers spend the majority of their day immersed in Maywood Environmental Park’s diverse habitats, learning and playing. We take time every day to explore the outdoors, fostering a connection to nature. We will return your camper tired from fresh air, exploration and physical activity.

Maywood is a beautiful 135 acre environmental park where habitat diversity abounds. Prairie, maple forest, wetland, ponds and the Pigeon River provide a haven for wildlife. A stunning nature center features exhibits, program space and laboratories which serve to enhance the experiences and discoveries made while outdoors. The park also has many miles of trails for hiking, skiing and snowshoeing.

Our Camp PhilosophyChildhood should be joyful and wholesome! We believe that the earliest, most memorable experiences of a child should include tree climbing, catching frogs, chasing butterflies and playing in the forest and river. We believe that it is important to educate and inspire current and future generations of children to explore, innovate and advocate for nature. At Maywood, we guide learning and youth development with nature as our vehicle. We imagine. We play. We get messy.

SLEEPOVEROn Thursdays, campers leave Maywood at 4:00pm as always, but are welcome to return at 7:30pm for a sleepover. Campers will sleep in tents provided by camp. If inclement weather is forecasted, the sleepover will be moved indoors. Friday breakfast is provided, followed by the regularly scheduled Friday field trip to Camp Y-Koda.

SWIMMING AT QUARRY PARK IN SHEBOYGANEvery Tuesday and Thursday, campers walk from Maywood to Quarry Beach Adventure Park in Sheboygan to swim and play on the inflatable slides and obstacles. Life vests are provided by Quarry Park and must be worn by all swimmers.

All participants must have a signed waiver to swim at the Sheboygan Quarry. Waiver forms will be available during pick-up and drop-off or sent home on the first day of camp. Only one form is needed for the camp season. Waiver forms are also available on Camp Y-Koda’s website.

FRIDAY FIELD TRIPS TO CAMP Y-KODAEvery Friday, Maywood campers will be taken on a field trip to Camp Y-Koda for swimming in the camp pool followed by canoeing, kayaking, fishing and more swimming in the camp lake. Campers will have a cookout lunch before returning to Maywood for afternoon games.

LOCATIONMaywood - Ellwood H. May Environmental Park 3615 Mueller Road, Sheboygan, WI 53083

HOURS OF OPERATIONSummer Camp Hours ............8:30am - 4:00pm

CONTACT INFORMATION Jeremiah DentzExecutive [email protected]

Sarah Dezwarte Director of [email protected]

Mackinzi Beaty Maywood Summer Camp [email protected]

Phone ...........920-467-6882Fax ...............920-467-7240

Location

Hours of Operation

Contact Information

Sleepover

Swimming

Friday FIeld Trips

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MAD HATTER TREE PARTY WEEK 5Ages 7 - 9Join us for a week of imaginative nature play. Campers will build tree forts, design forest playgrounds and head to the treetops for an unforgettable tree climbing experience. Additional waiver form required.

MINI QUARRY QUEST CAMP WEEK 7Ages 7 - 9An all-time favorite summer camp activity is swimming and playing at the Sheboygan Quarry Park. This camp lets our younger campers enjoy it everyday! They will splish and splash at the aqua park, go snorkeling, build sand castles and play on the beach. Life jackets are mandatory at the quarry park and will be provided.

WILD CHILD CAMP WEEK 6Ages 7 - 9This camp is especially designed for the wild campers who don’t mind getting dirty, sweaty, wet, or muddy. These campers like to climb, crawl and investigate. There will be plenty of exploration in this action-packed week of wild nature play!

WOODLAND WORKSHOP CAMP WEEK 8Ages 7 - 9This week, campers will roll up their sleeves to build gnome homes and fairy villages. We will also construct crafts such as bird houses and bug hotels to help our wild woodland neighbors. Campers will take home their nature crafts and woodworking projects made throughout the week.


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MAYWOOD WEEKSWeek 5 .......7/12 - 7/16Week 6 .......7/19 - 7/23Week 7 .......7/26 - 7/30Week 8 ............8/2 - 8/6

31

THE GREAT BAKE-OFF CAMP WEEK 7 Ages 10 - 14This week, we’re testing the camper’s skills and creativity in the kitchen. Campers will compete in teams while being faced with a variety of recipes and culinary challenges. The highlight of the week will be a trip to Nourish for a farm-table tour of their gardens and a cooking lesson in their certified commercial kitchen.

CAPTURE THE FLAG CAMP WEEK 5Ages 10 - 14Maywood’s long standing tradition of Capture the Flag has inspired this camp. Campers will form teams and spend time each day defending the flag in different areas throughout Maywood. Our playing fields will vary from wetlands to prairies and forests with each setting presenting its own unique obstacles. An exciting feature this week is a unique tree climbing experience. Campers will get to hang out in our highest tree canopies! Additional waiver form required.

QUARRY QUEST CAMP WEEK 6 & 8Ages 10 - 14Our campers have so much fun swimming and playing at the Sheboygan Quarry Park that we have designed a camp that will take us there every day! Campers will swim and play on the aqua park inflatables all week. We will also explore other activities around the park such as kayaking, paddle boarding and disc golf. Life jackets are mandatory at the quarry park and will be provided.


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MAYWOOD WEEKSWeek 5 .......7/12 - 7/16Week 6 .......7/19 - 7/23Week 7 .......7/26 - 7/30Week 8 ............8/2 - 8/6

SHEBOYGAN COUNTY YMCACamp Y-Koda812 Broughton DriveSheboygan WI 53081

NON-PROFIT ORGANIZATIONU.S. POSTAGE PAIDPERMIT NO. 117SHEBOYGAN WI

Camp Y-Koda strives to develop the personal character and integrity of each camper by putting Christian principles into practice through programs that build healthy spirit, mind and body for all.

summer vibes - sheboygan county ymca · 2021. 1. 28. · do believe that summer camp is one of the...

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