I Want to Cheak Account Balance

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I Want to Cheak Account Balance document sample

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Day Camp at Weaver
Checklist, Confirmation & Health Information.

Complete these easy steps to begin your camper’s awesome summer
adventure!

q Sent in your registration form, OR registered online at
www.campweaver.org

q Sent in the following: (At least one week prior to the start of the session)

à Your camper’s health form
à Reviewed, discussed and signed the Camp Weaver discipline policy
with your child
à Your balance due

q Reviewed the “Items to Bring to Camp” and “Items to Leave At Home” from
the Confirmation & Health Information. Please remember to write your
camper’s name in all items being sent to camp. Nametape can be purchased
from www.sterlingnametape.com, please mention the Camp Weaver business
referral (K208).

q Reviewed and discussed the Camp Weaver transportation policy with your
child, if they are riding the bus to camp. This document also contains a copy
of the discipline policy.

That’s it! If you have any questions about your registration, please feel free to
phone our office at 336.697.0525. We look forward to seeing you soon at
YMCA Camp Weaver.
Dear Parents,
In this packet you will find the information to help make your child’s summer camp experience one that
will last a lifetime. We have been planning for a fun and safe summer, and we are excited that your child
will be spending time with us. Please take a few moments to read this information, in its entirety. If you
have any questions about the confirmation packet, please feel free to call our office. We will be happy to
help you in any way possible. We look forward to seeing you soon.
All Forms must be returned to the camp office no later than one week prior to your camper’s
session.

Orientation Dates These mandatory sessions will be led by our camp directors, and are a great time
to have your questions answered. Call our office today, or email rsvp@campweaver.org, to let us know
when we can expect you. Please choose from one of the following dates:
th
March 29 1pm Camp Weaver
th
April 19 1pm Camp Weaver
rd
May 3 1pm Camp Weaver
th
June 9 6pm Camp Weaver
This will also be your camper’s only chance to get a FREE camp tshirt.

Important Times For Campers and Parents
Check In begins at 7:30am. This is for both of our bus sites, and for campers being dropped off at
Camp Weaver. We ask that all campers that are brought to camp arrive by 9am. Check Out begins at
4:30pm. Campers will return to the bus sites between 55:15pm, and must be picked up by 6pm. For
your child’s safety, and to ensure a quick and easy checkout, please call our office to arrange all
early pickups. On some days, without prior notice, it can take up to 45 minutes to get your child
from their activity to the office for checkout. Our daily closing ceremony is from 4–4:30pm;
camper’s will not be dismissed during this time.

Meals A nutritious and wellbalanced lunch is provided daily for each camper. A weekly menu will go
home in the Monday newsletter. If your child has dietary restrictions, please note so on your camper’s
health form.

Our Mission is to put JudeoChristian principles into practice through programs that build healthy
spirit, mind and body for all.

Items To Send To Camp Please send your child dressed for camp with:
Backpack Towel Water Bottle
Sunscreen Swimsuit
Campers will have the opportunity to change into their swimsuits, please do not allow your child to
wear their swimsuit to camp in the morning. Please remember we play, rain or shine, so all good
clothing should stay at home. All items should be clearly marked with your child’s name. Nametape and
clothing stamps can be bought online at www.sterlingtape.com, or call 18006545210.

Items To Leave At Home Trading Cards, jewelry, expensive clothing, knives, firearms, water
guns, fireworks, heelys, techtoys (cell phones, iPods, CD players, etc.) are not allowed. We
encourage our campers to be “unplugged” while at camp, and hope you can honor this request. Please
call our camp director if you have any concerns or questions about this policy. Any of these prohibited
items brought to camp will be collected by our director, and returned at the end of the day to the parent.
Camp Weaver is not responsible for lost or damaged items. Please make sure that all clothing is free of
offensive logos, illegal substances, inappropriate images, etc.

Telephone Calls Your child’s time at camp is going to be awesome, and at the end of each day they
are going to have some great stories to tell! Some parents may wish to speak with their child during the
day, but we do not allow campers to receive or place phone calls while at camp. Any message that needs
to be given to campers will be done through our directors. We will notify parents immediately if any
emergency occurs with your child.

Visitors Because your child’s safety is our utmost concern, we do not allow visitors into our camp. All
communication with your child can be done through our camp directors.

Emergencies If an emergency should occur during normal business hours, and you need to get in
touch with one of our directors, please call our office at 6970525. If your call is after business hours,
our voicemail system will direct you to an emergency cell phone that you can call for our director on
duty. This number is for emergencies only. All nonemergency issues should be handled through
our camp office, between the hours of 7:30am6:00pm.

Camp Infirmary At Camp Weaver we strive to make sure your child’s summer camp experience is
accident and illness free. All staff at Weaver are First Aid and CPR certified, and our Registered Nurse
is available to see to every camper’s need. If your child has had a recent illness, or is on medication,
please make sure you stop by and see our nurse on Monday. All medication must be in the
original container and checked in with the camp nurse. In some cases we will permit counselors to
carry breathing and life saving devices for campers. If your child will need to use one of these devices,
please bring all prescriptions with you on check in day. Are you a health care professional, and ready
for summer camp fun? Call our office today! We are always interested in working with parent
Nurses, EMT’s and MD’s to assist in our camp infirmary.

Camp Trading Post Each day your child will have a snack provided to them from our camp trading
post. We offer a variety of snacks including granola bars, fruit, chips, candy, soda and juice. Campers
must bring a water bottle to camp to fill up with water throughout the day. On Thursdays and Fridays
campers will have the opportunity to purchase Camp Weaver gear. These will be the only days that cash
will be allowed at camp. If you would prefer, a credit account can be set up through our office for
purchasing souvenirs.

Open Houses This is an excellent opportunity to meet the Camp Weaver directors and staff, explore
th th rd
the grounds, and participate in some of our camp activities. March 29 , April 19 , May 3 All 2
4pm.

Cancellations and Refunds All deposits are nonrefundable and nontransferable. The balance
for each session must be paid in full no later than the Monday before the session begins. Camp sessions
cannot be held until deposits are received. In case of accident or illness, verification in writing from
your child’s physician is required for a refund. In addition, the camp director reserves the right to
decline the application of any child, or send home any child who, according to the Director’s
discretion, is not a desirable associate for the other campers, or puts themselves or others at
risk. If a child is dismissed from camp, there will be no refund issued.

Newsletter Each Monday we will send home a newsletter that will explain our events, themes and
announcements for the week. You won’t want to miss the details!

Did You Know? We offer a variety of year round activities at Camp Weaver. This includes
Christmas and Spring Break overnight camps, retreat rental space, as well as excellent team building
experiences for both adults and school age groups. Bring your organization out to Camp, and we can
provide your group with the fun experience your child had at summer camp incorporated with valuable
team work skills. Call our office today at 3366970525 for more information.

At YMCA Camp Weaver, I Am Third.
God is First, Others are Second,
and I Am Third.
Day Camp
Discipline and Transportation Policies
Camper Discipline Policy
The safety of your child, and ALL children entrusted to us, is our top priority. We believe that spending time at Camp
Weaver is a privilege, and therefore a camper’s behavior should reflect their appreciation. Camp Weaver is designed to
provide great summer experiences for as many children as possible. This requires that all children are willing to work
together and practice our camp motto “I AM THIRD”. We think you will find that our discipline policy will reflect this
philosophy and that you will agree this policy is necessary to ensure that each individual’s experience is safe and fun.
The following actions will take place when behavior issues occur. An early dismissal does not warrant a refund of fees.

1ST STEP
Behavior: Unacceptable behavior.
Ex. Not listening to counselor, not getting along with other campers, not following rules.
Action Taken: A counselor will notify a Program Staff Member or Director. After a conversation with the child, a
warning is given.

2ND STEP
Behavior: Repeated unacceptable behavior or seriously inappropriate behavior.
Ex. Inappropriate language, disrespect of campers, staff or property.
Action Taken: A counselor will notify a Program Staff Member or Director. After a conversation with the child, a
Director will contact a parent.

3RD STEP
Behavior: Repeated unacceptable behavior or severely inappropriate behavior.
Ex. Aggressive behavior whether physical or verbal. (Fighting) Any behavior that would endanger themselves or
others.
Action Taken: A counselor will notify a Program Staff Member or Director. After a conversation with the child, a
Director will contact a parent and the child will be picked up that day and suspended the next day.

EXPULSION
Behavior: Any inappropriate behavior after a suspension, any illegal activity, or extreme behavior deemed unacceptable
by the directors.
Ex. Drugs, alcohol, running away, violence.
Action Taken: A counselor will notify a Director and the Executive Director. After a conversation with the child, the
Director will contact a parent and the child would be picked up that day and not invited to return that summer.
Acceptance the following summer would be determined after careful consideration by directors, parents and child.

Transportation and Emergency Procedures
1. In the event of severe weather, campers will be moved to the YMCA or Church Buildings located at the specific sites.
A staff member will be posted at the door to check in/out campers and communicate with parents/guardians.
2. Campers will be kept calm at all times. Roll will be taken whenever campers are moved to or from locations.
3. In the event of an accident, a director will travel to the bus site to communicate with parents.
4. If a child gets injured, becomes sick or suffers an allergic reaction, the camp nurse will be contacted immediately. The
nurse has access to all health information. For severe emergencies, call 911 immediately.
5. First Aid Kits are kept on the bus at all times.
Please take note of the following rules for safe bus travel, and share them with your camper.
1. Always listen to staff instructions
2. Remain seated at all times, with no portion of the body extending through the windows
3. Do not throw anything from vehicle
4. Stay away from moving vehicles at bus sites
5. Only come towards a vehicle if a staff member calls you for check out.

I _____________________________________, the parent of ________________________________________,
Have taken time to discuss these policies with my child, We both agree to seek opportunities to support the motto of
Camp Weaver.

_______________________________ __________________________________
Parent Signature Camper’s Signature
Session attending: _______________
YMCA Camp Weaver Health History Form

For office use only. ® Campers name
The following information must be filled out by the parent/guardian/adult camper. Mail to Camp Weaver 1 week prior
The intent of this information is to provide camp health care personnel with the to session. YMCA Camp Weaver,
background to provide appropriate care. Keep a copy of the completed form for
your records. Any changes to this form should be provided to the camp health care
4924 Tapawingo Trail,
personnel upon participant’s arrival in camp. Please provide complete information. Greensboro, NC 27406

Campers Name___________________________________________________ Birth Date ____________Age at camp____________
Last First Middle

Home Address __________________________________________________________________________________________________
Street Address City State Zip

Social Security Number of participant ________________________________ Gender: ˜ Male ˜ Female
Custodial parent/guardian ____________________________ Phone ______________Business/Cell Phone __________________
Address ________________________________________________________________________________________________________
Street Address City State Zip

Second Parent or Guardian: ___________________________Phone _____________ Business/Cell Phone _____________
Other Emergency Contact Name ________________________________ Relationship __________________________________

__________________________________________ Session ____________ Cabin name
Phone ________________________________________ Business/Cell Phone ________________________________________
Mental, Emotional, and Social Health: Check “Yes” or “No” for each statement
Has the camper:
Ever been treated for attention deficit disorder (ADD) or attention deficit/hyperactivity disorder (AD/HD)? ˜ Yes ˜ No
Ever been treated for emotional or behavioral difficulties or an eating disorder? ˜ Yes ˜ No
During the past 12 months, seen a professional to address mental/emotional concerns? ˜ Yes ˜ No
Had a significant life event that continues to affect the camper’s life? ˜ Yes ˜ No
Please explain yes answers in space below:

Allergies: ™ No known allergies ™ This camper is allergic to: ™ Food ™ Medicine ™ The environment (insect stings, hay fever, etc.)
™ Other (Please indicate below what the camper is allergic to and the reaction seen)

Diet, Nutrition: ™ This camper eats a regular diet ™ This camper eats a regular vegetarian diet
™ This camper has special food needs (Please describe below)

Restrictions: ™ I have reviewed the program and activities of the camp and feel the camper can participate without restrictions.
™ I have reviewed the program and activities of the camp and feel the camper can participate with the following restrictions or
adaptations. (Please describe below)

________________

Permission to Provide Necessary Treatment for Emergency Care: I hereby give my permission to the YMCA staff or any competent
medical authority to provide, seek, and consent to routine health care, administration of medications, and emergency treatment for
me/my child as may be necessary, including but not limited to x rays, routine tests and treatment and/or hospitalization. The health
history is correct and complete as far as I know, and the person herein described has permission to engage in all camp activities
except as noted.
Signature of parent or guardian of camper _____________________________________________________________________________
Printed Name _______________________________________________________________________ Date _______________________

I also understand and abide by the restrictions placed upon my camp activities.
Signature of camper _________________________________________________ Date ______________________
* If for religious reasons you cannot sign this, contact the camp for a legal waiver, which must be signed for
attendance.
Insurance Information: Is participant covered by family medical/hospital insurance? ˜ Yes ˜ No
If so, indicate carrier or plan number_______________________________________ Group # _____________________
Carrier Address_________________________________________________________________________________________
Name of insured ________________________________ Relationship to participant______________________________
Health-Care Providers:
Name of camper’s primary doctor(s): _____________________________________ Phone: (_____)_________________
Name of dentist(s): ______________________________________________________ Phone: (_____)_________________
Name of orthodontist(s): _________________________________________________ Phone: (_____)_________________

The following non-prescription medications are commonly stocked in the camp infirmary are used on an as needed
basis to manage illness and injury. Cross out those items the camper should not be given.

Acetaminophen (Tylenol) Chloraspetic (Sore throat spray)
Ibuprofen (Advil, Motrin) Lice shampoo or scabies cream (Nix or Elimite)
Phenylephrine (Sudafed PE) Calamine Lotion
Pseudoephedrine (Sudafed) Bismuth subsalicylate (Pepto-Bismol)
Chlorpheneramine maleate Laxatives for constipation (Ex-Lax)
Guaifenesin Hydrocortisone 1% cream
Dextromethorphan Topical antibiotic cream
Diphenhydramine (Benadryl) Aloe
Generic cough drops

Which of the following has the Please give all dates of immunization:
participant had? Vaccine: Mo/Yr Mo/Yr Mo/Yr Mo/Yr Mo/Yr Mo/Yr
DTP ______ ______ ______ ______ ______ ______
˜ Measles TD (Tetanus/diphtheria) ______ ______ ______ ______ ______ ______
˜ Chicken Pox Tetanus
˜ German Measles
______ ______ ______ ______ ______ ______
Polio ______ ______ ______ ______ ______
˜ Mumps
˜ Hepatitis A MMR ______ ______
˜ Hepatitis B or Measles ______ ______
˜ Hepatitis C or Mumps ______ ______
TB Mantoux Test Or Rubella ______ ______
Date of last test _________________ Haemophilus infleuenza B ______ ______ ______ ______
Result: ˜ Positive ˜ Negative
Hepatitis B ______ ______ ______ ______
Varicella (chicken pox) ______ ______
BCG ______

General Questions (Explain yes answers below)
Has/does the participant: Y N Has/does the participant: Y N
1 Have a chronic or recurring illness/condition? 12 Ever had problems with joints (eg knees, ankles)?
2 Have frequent headaches? 13 Have diabetes?
3 Ever had a head injury? 14 Have any skin problems (eg. Itching, rash)?
4 Ever been knocked unconscious? 15 Have asthma?
5 Ever had high blood pressure? 16 Had mononucleosis in the past 12 months?
6 Had any recent injury, illness or 17 Will your child need any prescription medications at
infectious disease? camp?
7 Ever had seizures? 18 Ever had an eating disorder?
8 Ever had chest pain after exercise? For Female:
9 Ever had back problems? 19 Has this person menstruated?
10 Ever had ear infections? 20 If so, is her menstrual history normal?
11 Had any recent surgery? 21 If not, has she been told about it?

Please explain any “yes” answers, noting the number of question(s)
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________