Get Started

Questions? Call us at 724-238-7580!

Welcome

New and Returning Campers!

The LIGONIER VALLEY YMCA can’t wait to spend this summer with you! We design our camps based on input from counselors, campers, and families to make sure we offer something constructive for everyone! We create a nurturing environment where kids grow, strengthen relationships with caring adult mentors and fellow campers, explore their interests, and build skills in a safe and friendly environment. Come join us and let’s make 2014 the best summer yet!

We believe

that the child’s family provides the foundation for his/her success, and welcome your involvement. We also understand the importance of communication between the program and your home, and strive to keep the family informed.

Contact us

Please feel free to call us with questions or concerns at 724-238-7580.

Sarah K. Byrne-Houser, M.S.

Kathi Betton

Director of Child Development

Asst. Dir., Child Development

M.S., Carlow University B.A., Loyola University in Maryland Extension 20

B.S., University of Tampa Extension 13

Jeremiah Wagner, M. Ed. Senior Program Director M.Ed., Cleveland State University B.S., Bowling Green University Extension 21

Our facility employs degreed professionals in administrative and supervisory positions. All staff supply criminal background clearances, letters of reference, and annual physical exams (including tuberculosis testing). All employees possess CPR and First Aid certifications, and pursue professional development credentials as dictated by quality standards/needs of programming.

Questions? Call us at 724-238-7580!

Mike Marinchak Program Director B.S., Slippery Rock University Extension 19

TRADITIONAL SUMMER DAY CAMP  CHILD

DEVELOPMENT PROGRAMS

We design our camp days to offer kids a mix of activities and interests that include arts & crafts, group games, nature exploration, swimming, field trips, and more. Each camps week brings a new weekly theme and Traditional camps are for campers ages 5-12 who are typically grouped by age and group size. Most camp activities will be held outdoors with indoor activities provided based on the day and theme. We pack our camps full of enriching recreational, educational, interactive and above all else, fun activities that your campers love.

Ligonier Camp and Conference Center “Beach” Powdermill Nature Reserve

Children’s Musuem of Pittsburgh

Questions? Call us at 724-238-7580!

CHILD DEVELOPMENT DAY CAMPS

A

t the Child Development Programs, we emphasize the importance of play. It may seem a light-hearted premise, but play builds serious skills! Play allows children to explore individual creativity while stretching the imagination, increasing dexterity, and developing emotional, physical, and cognitive abilities. When your family chooses our Summer Day Camp, your child receives opportunities for constructive play, interacts in a safe and respectful environment, and builds great memories with good friends. Special opportunities await every child who attends our Summer Day Camps — no cell phones, video games, or televisions required!

Key Components of our Camps Safety First  Low staff to child ratios  Campers assigned to a specific camp leader  Annual professional development sessions completed by program staff each year (includes Health and Safety, CPR, and First Aid)  Licensed by the Pennsylvania Department of Public Welfare; a Keystone STARS facility Stimulating and Diverse Activities  Theme-based programming that stimulates minds while incorporating physical activities and character development  Outdoor games and events  Swimming and water play  Field Trips  Special guests and events Family Involvement  Parents/Guardians receive weekly information from group staff to highlight activities and provide reminders  Communication with families to share child’s successes or discuss areas of concern  Qualified administrators available to answer questions/address issues  Opportunities for parents/guardians to share in special events, join us for celebrations, or accompany children on field trips

Questions? Call us at 724-238-7580!

Mission

The Y makes part of our summer mission to create fun activities while learning essential life skills that build positive and resilient self-image in a safe, supportive environment.

Leadership

We believe everyone possesses potential for great leadership. Campers gain a newfound sense of self-confidence and empowerment through team-building, problem-solving and special challenges.

Energy

We aim to energize each camper’s mind, body, and spirit as they take on sports and fitness, health challenges, educational experiences, and more.

Adventure

We offer campers unusual and exciting experiences, including time in the great outdoors with discoveries campers remember for years to come.

Imagination

“Imagination is everything. It is the preview of life’s coming attractions.”- Albert Einstein. Campers explore the arts and discover outlets of self-expression and creativity.

Curiosity

Open up new worlds and possibilities as campers' minds are encouraged to be active and observant by taking on a variety of experiments, games, and fun activities.

Vision

Do you know what you want to be when you grow up? It’s never too early or too late to have dreams and aspirations. We encourage kids to dream big and explore limitless possibilities.

Traditions

There’s something magical and exciting about sharing celebrating our favorite traditions.

Responsibility

Changing the world has never been this much fun! We guide our campers through outreach that makes an impact on their community and their planet.

Innovation

Campers learn how to move out of the box to accomplish tasks, solve problems, and build challenging projects. You never know when the next great invention comes to life...it might get its start this summer.

Friendship

We encourage kids to make new connections; to appreciate and celebrate friendships — old and new. Campers share some of their favorite games, build relationships through various, activities and build a lifetime of memories together.

Questions? Call us at 724-238-7580!

ADMISSION POLICY

REGISTRATION POLICY

The Ligonier Valley YMCA operates a non-profit organization open to all; the program admits children regardless of race, color, sex, religion, national origin, or ancestry. The Y accepts children with special needs if we possess the capacity to provide a safe, supportive environment for him/her. The center registers children by order of enrollment. Once we reach full capacity, we maintain a waiting list. Administrators contact families on the list should a vacancy occur.

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SCHOLARSHIPS At the Ligonier Valley Y, we design programs and activities to benefit persons of all backgrounds, and base our fees on the cost of providing each program. While we expect participants to pay their fair share, we offer financial assistance dollars to assist any individual or family that wishes to participate, but cannot afford the fee. All applicants for financial assistance (provided through our “Open Door” Scholarship Campaign) must complete an application and provide proof of household income by submitting most recent tax return. 1. Check the appropriate box on your completed registration form 2. Complete the “Open Door” Scholarship Application 3. Return the scholarship application to Kathi Betton, and include copies of your most recent Federal 1040 Income Tax Return.

Questions? Call us at 724-238-7580!

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Parents/Guardians must complete the form in its entirety, including the child’s projected attendance schedule. Registration requires a $25.00 enrollment fee per child (maximum $65.00 per family) for the summer. CHILD DEVELOPMENT CAMPERS may choose the weeks of attendance, but must register for a minimum of 3 days per week of attendance. Some field trips (admission fees) included at no additional cost. Administrators may charge small fees throughout the summer, however, for “mini” field trips, transportation fees, or special events. Upon enrollment, the Child Development Programs provide the family with a registration packet to return prior to the child’s first day of camp. Participants in SPORTS, AQUATICS, and PROGRAM Camps must register by the FRIDAY BEFORE the start date of his/her chosen camp. The administration charges a $5.00 LATE FEE if family registers child after the cut-off date.

Please note: The Ligonier Valley YMCA reserves the right to change projected schedules, including field trips. The camps alert families as soon as possible in the event of significant modifications to the daily or weekly schedule.

SAMPLE CAMP WEEK 6:15 AM-9:00 AM

Monday

Tuesday

Wednesday

Thursday

Friday

Arrival/Kids’ Choice

Arrival/Kids’ Choice

Arrival/Kids’ Choice

Arrival/Kids’ Choice

Arrival/Kids’ Choice

9:00-9:20 AM

AM Meeting

AM Meeting

AM Meeting

AM Meeting

AM Meeting

9:20-10:15 AM

Art/Creativity

Group Game

Science Project

Group Game

Nature Walk

10:15-11:00 AM

Swim @ Y

Outdoor Activity

Sports/Fitness

Outdoor Activity

Swim @ Y

Food Experience

Free Choice

Art/Creativity

Free Choice

Sports/Fitness

Lunch

Lunch

Lunch

Lunch

Lunch

1:00 PM-1:45 PM

Free Choice

Library

Swim @ LCC Beach/ Pool

Reading Club

Science Project

1:45-3:00 PM

Reading Club

Sports/Fitness



Team Game

Math Activity

3:00-4:00 PM

Group Game

Outdoor Activity



Music

Team Game

4:00-6:00 PM

Departure/Kids’ Choice

Departure/Kids’ Choice

Departure/Kids’ Choice

Departure/Kids’ Choice

Departure/Kids’ Choice

11:00 AM-12:00 Noon 12:00 Noon-1:00 PM

CAMP LOCATION AND HOURS OF OPERATION The Child Development Programs’ Summer Day Camp operates at the Ligonier Valley YMCA, 110 West Church Street, Ligonier, PA, 15658. Campers also travel (on foot or by school bus) for activities.

“DROP-OFF” PROCEDURES Please pull into the curb-cut at the front of the Y building. Turning off your ignition; please escort your child(ren) into the building. Sign your child(ren) into the program, and leave camper(s) in the direct care of a Summer Day Camp Staff Member.

“PICK-UP” PROCEDURES Participants may arrive at the Y building for pick-up as designated by the child care agreement. Please pull into the curb-cut at the front of the Y building. Turning off your ignition, please enter the building and escort camper(s) directly from the care of the Y Summer Day Camp staff member. Please note: YMCA staff release children ONLY to those designated on the pick-up list (age 18 or older). Persons designated for child pick-up should bring photo identification to verify authorization. Our camp day ends by 4:00 PM; the Child Development Programs close at 6:00 PM. Parent/guardian failure to arrive by 6:00 PM may result in overtime charges to the family’s account.

MEALS, SNACKS, AND DRINKS The program provides a afternoon snack. Families must supply a nutritious lunch with a drink, and may send a morning snack with the child.  Families sending lunches must avoid items requiring cooking/reheating.  Children must also bring a filled water bottle (marked with child’s name) DAILY.

CHANGING WEEKLY THEMES offer campers a variety of options. Games, creative arts, field trips, and special events extend topics and keep kids engaged.

FIELD TRIPS AND BUSSING Local school districts or charter bus companies provide transportation for all trips.

SPECIAL NEEDS The Y opens enrollment to all children, and the YMCA works with children of all abilities. Families possess a duty to disclose significant medical, physical, or behavioral needs at the time of enrollment. Please note: Due to the largegroup format of camp, the Y cannot provide one-on-one care except on an intermittent basis.

SWIMMING All camps enjoy swimming trips intermittently throughout the summer. Lower ratios exist for all swim sessions and lifeguards remain present, in addition to camp staff.

Questions? Call us at 724-238-7580!

DISCOVERY DAY CAMPS Discovery Day Camps offer all the fun of a camp schedule in a format designed specifically for young children. Hands-on activities include creative art projects, games, songs, field trips, water-play days, exploratory science, and more! Campers are sure to love spending the summer in this fun-filled and nurturing learning environment. Please contact Sarah Byrne-Houser at [email protected] or Kathi Betton at kbetton @ligonierymca.org. Families may also call 724-238-7580. REGISTRATION OPTIONS

Ages 2 & 3:

9:00 AM to 12:30 PM, 3-5 days/week OR Full-day, 3-5 days/week

Ages 3 & 4:

9:00 AM to 12:30 PM, 3-5 days/week OR Full-day, 3-5 days/week

KDG & Grade 1:

Full-day, 3-5 days/week

Monthly Part-time (3 days/wk)

Monthly Part-time (4 or 5 days/wk)

Full-day 3 days (minimum) Member, per week

Full-day 4-5 days Non-Member, per week

Ages 2 & 3

$191/$200NM

$207M/$217NM

$107M/$123NM

$178M/$187NM

Ages 3 & 4

$170M/$191NM

$191M/$211NM

$90M/$98NM

$146M/$154NM

—

—

$78M/$85NM

$130M/$137NM

Grades K & 1

Dates

Theme

June 16-20

Oh, the Places You’ll Go!

June 23-27

Goin’ Buggy!

Powdermill Nature Reserve

June 30-July 4

Holiday Craze

All-Camp Picnic

July 7-11

Under Construction

Carnegie Science Center

July 14-18

Dinos and Dragons

July 21-25

Heroes

July 28-August 1

Waterworks/Havin’ a Ball!

Ligonier Lanes

August 4-8

Movin’ and Groovin’

Pittsburgh Children’s Museum

August 11-15

Ooey, Gooey

August 18-22

Chicka Chicka Boom Boom!

Questions? Call us at 724-238-7580!

Field Trip/Special Activity

Pool Picnic (Location: TBA)

CAMP ADVENTURE Kids Grades 2-6 TheEntering Y gives kids a place to engage in stimulating, constructive activities. We continue to offer educational experiences while presenting themes and events that help children develop active lifestyles and habits to carry throughout their lives. Each week, campers engage in swimming, field trips, creative workshops, team-building activities, and community outreach. Our counselors lead the way as positive and fun role models who ensure each camper the experience of a lifetime. For more information, please contact Sarah Byrne-Houser at [email protected] or Kathi Betton at kbetton @ligonierymca.org. Families may also call 724-238-7580. Full-day, Part-Time (3 days/wk) Cost per week

Full-day, Full-Time (4/5 days/wk) Cost per week

Member

$80

$130

Non-member

$89

$145

Dates

Theme

Field Trip/Special Activity

June 16-20

Destination: Summer!

June 23-27

Natural Wonders

Powdermill Nature Reserve

June 30-July 4

Holiday Craze

All-Camp Picnic

July 7-11

Minecraft Mania

Carnegie Science Center

July 14-18

Superhereos and Storytellers

July 21-25

Myths and Legends

July 28-August 1 All Ball!

Ligonier Lanes

August 4-8

Pitch Perfect and Absolutely Artrageous!

Talent/Art Show; Carnegie Museum

August 11-15

Adventure Time and Prime-Time Slime Aloha, Summer!

DIY Obstacle Courses

August 18-22

Questions? Call us at 724-238-7580!

Pool Picnic (Location: TBA)

CHILD DEVELOPMENT PROGRAMS REGISTRATION

Camper Information Last Name

First Name

Address City

Zip Code

 Male  Female

Birthdate: ____ /____ / ____

Grade (2014/2015 School Year, if applicable):

YMCA Member?  Yes  No

Age at Camp Start Date:

Home Phone:

Parent/Guardian A Name:

Parent/Guardian B Name:

Address

Address

Telephone

Email

Telephone

Email

Please check the camp weeks your child plans to attend and the appropriate registration information. Registration fee of $25.00 due along with this form.

WEEK

GROUP AND PROJECTED SCHEDULE



June 16-20

 Discovery Day Camp



June 23-27



June 30-July 4

 9:00-12:30 PM



July 7-11

 Full-Day



July 14-18



July 21-25

 9:00 AM-12:30 PM



July 28-Aug 1

 Full-Day



Aug 4-8



Aug 11-15



Aug 18-22

 M  T  W  TR  F

 Twos and Threes Program

 Ages 4 & 5

 Grades K & 1 (entering) (Full-day only)

 Camp Adventure (School-Age Day Camps)  M  T  W  TR  F

 Check here if receiving funding through CCIS

T-Shirt Size

 Check here if applying for financial assistance through our scholarship campaign

 Adult XL

 Youth L

 Adult L

 Youth M

 Adult M

 Youth S

 I give permission to the Ligonier Valley to take photographs of my child (named above) for use in camp activities and for promotional materials.

Questions? Call us at 724-238-7580!

Parent/Guardian Signature

SPORTS  Basketball  Soccer  Lacrosse  Volleyball  $60M/$120 NM* *CHALLENGER BRITISH SOCCER CAMPS EXCLUDED

BASKETBALL CAMPS Skill sessions focus on dribbling, passing, shooting, rebounding, defensive positioning. Program introduces rules of the game, positions, and game strategies, both offensively and defensively, and includes some scrimmages and games. For our “Pee Wee” shooters, skill sessions focus on dribbling, passing and shooting, as well as an introduction to rules of the game and positions. All activities incorporate age-appropriate rules and equipment to accommodate the learning style of younger participants. Age/Grade

Camp Title

Dates

Time

Location

Coach

Ages 3-5

Pee Wee Basketball Camp

July 28-August 1

10:30 AM-12:00 Noon

Ligonier Valley Y

Mike Marinchak

Grades 1-3

Basketball Camp

July 14-18

10:00 AM-12:00 Noon

Ligonier Valley Y

Mike Marinchak

Grades 4-6

Basketball Camp

July 21-25

10:00 AM-12:00 Noon

Ligonier Valley Y

Mike Marinchak

SOCCER CAMPS Challenger British Soccer Camps: British Soccer Camps provide players of all ages and abilities with the rare opportunity to receive high-level soccer coaching from a team of international experts. Each day includes individual foot skills, technical drills, tactical practices, small-sided games, coached scrimmages, and a daily tournament. Location: Ligonier Camp and Conference (LCC) Soccer Fields REGISTRATION AVAILABLE ONLINE ONLY at www.challengersports.com Age/Grade

Camp Title

Dates

Time

Location

Coach

Price

Ages 4-6

Mini Soccer

June 9-13

9:00-10:30 AM

LCC

Challenger Staff

$115.00

Ages 7-10

Skills Development

June 9-13

11:00 AM-1:00 PM

LCC

Challenger Staff

$127.00

Ages 11-14

Player Development

June 9-13

5:30-8:30 PM

LCC

Challenger Staff

$145.00

YMCA Soccer Camp: Each day focuses on a few specific skills; passing, dribbling, heading, shooting, tackling, throw-ins, corner kicks, and defending. Small-sided games and drills focus on the targeted skills of the day. Camp includes a tournament held on the last day of camp designed to incorporate skills practiced throughout the week. Location: Ligonier Camp and Conference (LCC) Fields Age/Grade

Camp Title

Dates

Time

Location Coach

Ages 8-12

Youth Soccer

August 4-8

5:00-7:00 PM

LCC

Eric Vogelsang

LACROSSE CAMP

A developmental program designed to introduce participants to the growing sport of lacrosse. All participants must supply a lacrosse stick; program provides some additional equipment. Location: Ligonier Camp and Conference (LCC) Fields Age/Grade

Dates

Time

Location

Coaches

Grades 6-9

June 23-27

5:00-7:00 PM

LCC

St. Vincent College Lacrosse Players

Questions? Call us at 724-238-7580!

Athletic Conditioning  Sports  Jump Rope  Dance  $60M/$120NM* *ATHLETIC SPORTS CONDITIONING/SPEED & AGILITY CAMPS EXCLUDED

ATHLETIC SPORTS CONDITIONING/SPEED & AGILITY CAMP Designed to give athletes the opportunity to gain a competitive edge through proper instruction of strength and conditioning exercises, this camp focuses on improving sports performance with running mechanics, agility evaluation, explosive acceleration drills, and plyometric training. Baseball, basketball, football, soccer, softball and volleyball athletes all benefit from this camp! Age/Grade

Dates

Time

Location

Instructors

Ages 10-14

June 9-July 11 OR July 21-August 22

1:00-3:00 PM

Ligonier Valley Y Adam Brown, CPT

Cost $95M / $115NM

CRAZY SPORTS CAMP

Join us for a jam-packed week of non-traditional sports games and activities each day! Crazy camp includes: Treasure Hunt (a “capture the flag”-style game), Dodgeball, Crazy Ball, Pillow Polo, Six Base Kickball, Gladiator Golf, American Gladiator War (obstacle course with dodgeball). Age/Grade

Dates

Time

Location

Coach

Ages 8-12

June 16-20

10:00 AM-12:00 Noon

Ligonier Valley Y

Mike Marinchak

PEE WEE SPORTS SAMPLER

Our tiny teams participate in all their favorite sports during this week-long camp! Kids try a taste of sports like flag football, indoor soccer, basketball, kickball, and more! Age/Grade

Dates

Time

Location

Coach

Ages 3-5

August 11-15

10:30 AM-12:00 NN

Ligonier Valley Y

Mike Marinchak

JUMP ROPE CAMP ...Open to kids of any skill ability —- from beginners to members of jump rope teams — and brought to you by the High Flyers Jump Rope Team! A great opportunity for kids to successfully develop a lifetime skill, coaches and peers challenge kids to join in at their own skill level. Age/Grade

Dates

Time

Location

Coach/Instructor

Ages 6-12

July 14-18

5:00-7:00 PM

Ligonier Valley Y

(Holy Trinity) HT High Flyers Jump Rope Team

HIP-HOP/ZUMBA DANCE CAMP

Whether you're an absolute beginner or experienced dancer, our instructor offers a fun program that combines dance styles and rhythms to get you shakin’! Age/Grade

Dates

Time

Location

Coach/Instructor

Ages 8-12

June 16-20

10:30 AM-12:30 PM

Ligonier Valley Y

Sarah Byrne-Houser

VOLLEYBALL CAMP Sessions focus on forearm passing, setting, spiking, tipping, blocking, digging, serving, and serve-receiving. The camp introduces rules, positions, and strategies, and includes some scrimmages and games. Age/Grade

Dates

Time

Location

Coaches

Ages 10-14

July 7-11

5:00-7:00 PM

YMCA

Ligonier Valley High School Players

Questions? Call us at 724-238-7580!

Gymnastics/Cheerleading  Lifeguarding  $60M/$120NM

JUNIOR LIFEGUARD CAMP Participants learn basic lifeguarding skills such as pool rules, water safety, rescue skills and first aid. Instructors design games and activities help the participants to develop lifeguarding skills to encourage a progression toward certified lifeguarding in the near future — no previous swimming experience required. Age/Grade

Dates

Ages 10-14 July 28-August 1

Time

Location

Coach

1:00-3:00 PM

Ligonier Valley Y

Gabi Kahler

CHEERNASTICS CAMP

Athletes learn tumbling, dance, and jumps at their level (beginner through advanced)— instructors coordinate camp around the ability of the students. The staff teach progressions and technique to ensure safety and longevity of ability. Age/Grade

Dates

Time

Location

Coach

Ages 6-12

June 16-20

1:00-3:00 PM

Ligonier Valley Y

Sami Brant and the Ligonier Valley High School Cheerleaders

GYMNASTICS CAMP A flippin’ good time! Exercises include basic tumbling/apparatus skills, coordination, kinesthetic awareness, flexibility, and safety. Experienced gymnasts work on progressive skill development. Age/Grade

Dates

Time

Location

Coach

Ages 3-5

June 23-27

10:30 AM-12:00 Noon

Ligonier Valley Y

Sami Brant

Ages 6–12

June 23-27

1:00-3:00 PM

Ligonier Valley Y

Sami Brant

Questions? Call us at 724-238-7580!

SPECIALTY CAMP LIST BY AGE/GRADE Grades 4—6

Grades 1—3

Ages 10-14

Ages 10-14

Ages 10-12

Ages 8-12

Ages 8-12

Ages 8-12

Ages 6-12

Ages 6-12

Ages 6-12

Ages 3-5

Ages 3-5

Ages 3-5

AGE/GRADE

Sports

Sports

Sports

Sports

Aquatics/Lifesaver

Athletic Conditioning

Sports

Sports

Dance/Fitness

Sports/Fitness

Athletics

Athletics

Sports

Sports

Athletics

CAMP TYPE

Lacrosse

Basketball Camp

Basketball Camp

Volleyball

Lifeguarding Camp

Speed/Agility Camp

Soccer Camp

Crazy Sports

Hip-Hop/Zumba Dance Camp

(Holy Trinity ) HT High Flyers (Jump Rope Camp)

Gymnastics

Cheernastics!

Pee Wee Sports Camp

Pee Wee Basketball Camp

Gymnastics

CAMP TITLE

June 23—27

July 21—25

July 14—18

July 7—11

July 28—August 1

June 16—July 18 OR July 21—August 22

August 4—8

June 16-20

June 16—20

July 14—18

June 23—27

June 16—20

August 11—15

July 28—August 1

June 23—27

DATES

5:00-7:00 PM

10:00 AM—12:00 NN

10:00 AM—12:00 NN

5:00—7:00 PM

1:00 PM—3:00 PM

1:00 PM—3:00 PM

5:00—7:00 PM

10:30 AM—12:30 PM

10:30 AM—12:30 PM

5:00 PM—7:00 PM

1:00 PM—3:00 PM

1:00-3:00 PM

10:30 AM—12:00 NN

10:30 AM—12:00 NN

10:30 AM—12:00 NN

TIME

LCCC

LVY

LVY

LVY

LVY

LCCC

LVY

LVY

LVY

LVY

LVY

LVY

LVY

LVY

LOCATION

Mike Marinchak

Mike Marinchak

Ligonier Valley High School Players

YMCA Strength and Conditioning Staff

Eric Vogelsang

Mike Marinchak

Sarah Byrne-Houser

High Flyers Jump Rope Coaches

Sami Brant

Sami Brant

Mike Marinchak

Mike Marinchak

Sami Brant

INSTRUCTOR

Ages 4—6 Sports

Sports

Player Development

Skills Development

Mini Soccer

June 9—13

June 9—13

June 9—13

5:30-8:30 PM

11:00 AM—1:00 PM

9:00—10:30 AM

LCCC

LCCC

LCCC

Challenger Coaching Staff

Challenger Coaching Staff

Challenger Coaching Staff

Gabi Kahler

Grades 6—9

St. Vincent Lacrosse Players

Ages 7—10

Sports

CHALLENGER BRITISH SOCCER CAMPS

Ages 11—14

Questions? Call us at 724-238-7580!

Camper Information Last Name

First Name

Address City

Zip Code

 Male  Female

Birthdate: ____ /____ / ____

Grade (2014/2015 School Year):

YMCA Member?  Yes  No

Age at Camp Start Date:

Home Phone:

Parent/Guardian A Name: Telephone: Email:

Parent/Guardian B Name: Telephone: Email:

Please check the camp/s your child plans to attend and the appropriate member/non-member fee. Payment due at time of registration.

AGE/GRADE CAMP TITLE

DATES

TIME

LOCATION

FEE



Ages 3-5

Gymnastics

June 23—27

10:30 AM—12:00 NN

LVY

 $60  $120



Ages 3-5

Pee Wee Basketball Camp July 28—August 1

10:30 AM—12:00 NN

LVY

 $60  $120



Ages 3-5

Pee Wee Sports Camp

August 11—15

10:30 AM—12:00 NN

LVY

 $60  $120



Ages 6-12

Cheernastics!

June 16—20

1:00—3:00 PM

LVY

 $60  $120



Ages 6-12

Gymnastics

June 23—27

1:00 PM—3:00 PM

LVY

 $60  $120



Ages 6-12

High Flyers (Jump Rope Camp)

July 14—18

5:00 PM—7:00 PM

LVY

 $60  $120



Ages 8-12

Hip-Hop/Zumba Dance Camp

June 16—20

10:30 AM—12:30 PM

LVY

 $60  $120



Ages 8-12

Crazy Sports

June 16—20

10:00 AM—12:00 NN

LVY

 $60  $120



Ages 8-12

Soccer Camp

August 4—8

5:00—7:00 PM

LCCC

 $60  $120



Ages 10-12

Speed/Agility Camp

June 16—July 18

1:00 PM—3:00 PM

LVY

 $95  $115



Ages 10-12

Speed/Agility Camp

July 21—August 22

1:00 PM—3:00 PM

LVY

 $95  $115



Ages 10-14

Lifeguarding Camp

July 28—August 1

1:00—3:00 PM

LVY

 $60  $120



Ages 10-14

Volleyball

July 7—11

5:00—7:00 PM

LVY

 $60  $120



Ages 12-14

Speed/Agility Camp

June 9—July 3 OR July 7—August 8

1:00 PM—3:00 PM

LVY

 $60  $120



Grades 1-3

Basketball Camp

July 14—18

10:00 AM—12:00 NN

LVY

 $60  $120



Grades 4-6

Basketball Camp

July 21—25

10:00 AM—12:00 NN

LVY

 $60  $120



Grades 6-9

Lacrosse

June 23—27

5:00—7:00 PM

LCCC

 $60  $120

CHALLENGER BRITISH SOCCER CAMPS 

Ages 4-6

Mini Soccer

June 9—13

9:00—10:30 AM

LCCC

 $115



Ages 7-10

Skills Development

June 9—13

11:00 AM—1:00 PM

LCCC

 $127



Ages 11-14

Player Development

June 9—13

5:30-8:30 PM

LCCC

 $145

Total Fee(s) Due

Questions? Call us at 724-238-7580!

REGISTRATION CONT’D

Medical/Behavioral Information (All information provided remains confidential.) Please check any and all conditions that apply to your child; provide additional information if applicable.

 ADD/ADHD  Cerebral Palsy/Motor Disorder  Dietary Restrictions  Allergies/Asthma  Cognitive/Learning Disability  Epilepsy/Seizures  Autism  Diabetes  Food/Milk Allergies/Gastrointestinal Issues  Other conditions requiring special care: _____________________________________________________ Additional Sunscreen/Sunblock Provision and Permission Check all that apply. Parents/Guardians MUST apply sunscreen/sunblock prior to child’s arrival at camp; families MUST also send sunscreen/sunblock in original container (marked with child’s name) for outdoor camps.  I authorize the day camp program to apply sunscreen/sunblock to my child.  I authorize the day camp program to allow my child to self-apply sunscreen/sunblock.  My child may use any sunscreen or sunblock available at the Y camps.  My child may only use the sunscreen/sunblock provided by parent/guardian. Brand: ___________________________ List triggers that may aggravate condition/s specified above:

Provide signs/symptoms for which staff should remain alert:

Please list actions the camp staff/dministration may take in the event of emergency/aggravated condition:

Indicate when to contact parents/guardians regarding symptoms or failure to respond to treatment:

Indicate when to seek emergency medical care or physician evaluation:

Additional information that may assist us in the care of your child:

Emergency Care Information Physician Name: ___________________________________ Phone: ______________________ Office Address:__________________________________________________________________ Is your child currently taking any medications?

 Yes

 No

Note: If the Y needs to administer medication during camp, a parent/guardian MUST complete a Medication Permission Form. READ AND INITIAL/SIGN WHERE INDICATED. I submit this compulsory request that the Ligonier Valley YMCA accept my child to attend Summer Day Camp/summer specialty camp/s.

 

I understand that participation in camp involves many physical activities and the potential for accidents exists.



I, the undersigned, for myself and my heirs, do hereby indemnify and hold harmless the YMCA and its employees and agents from any and all claims for injury, illness, loss, or damage I, or my child, may suffer as a result of participation in the program.

 

I understand that the YMCA accepts no responsibility for any items lost or stolen while members and/or program participants engage in YMCA programming (whether on YMCA premises, or on off-site locations).

I grant permission for YMCA staff members to provide and/or obtain medical attention in the event of illness or injury. I understand that expenses of medical treatment incurred as a result of illness or injury incurred during program participation remains the responsibility of the parent/guardian.

Parent/Guardian Name (Please Print): ___________________ Parent/Guardian Signature: ___________________ I give permission for camp staff to apply/guide child to apply sunscreen (provided by my family) as appropriate during program participation. ___________ (Parent/Guardian Initials) I give permission for the Ligonier Valley YMCA to transport my child as necessary during program participation. ___________ (Parent/Guardian Initials)

Questions? Call us at 724-238-7580!

REGISTRATION CONT’D

Medical/Behavioral Information (All information provided remains confidential.) Please check any and all conditions that apply to your child; provide additional information if applicable.

 ADD/ADHD  Cerebral Palsy/Motor Disorder  Dietary Restrictions  Allergies/Asthma  Cognitive/Learning Disability  Epilepsy/Seizures  Autism  Diabetes  Food/Milk Allergies/Gastrointestinal Issues  Other conditions requiring special care: _____________________________________________________ List triggers that may aggravate condition/s specified above:

Provide signs/symptoms for which staff should remain alert:

Please list actions the camp staff/dministration may take in the event of emergency/aggravated condition:

Indicate when to contact parents/guardians regarding symptoms or failure to respond to treatment:

Indicate when to seek emergency medical care or physician evaluation:

Additional information that may assist us in the care of your child:

Emergency Care Information Physician Name: ___________________________________

Phone: ______________________

Office Address:__________________________________________________________________ Is your child currently taking any medications?

 Yes

 No

Note: If the Y needs to administer medication during camp, a parent/guardian MUST complete a Medication Permission Form. READ AND INITIAL/SIGN WHERE INDICATED. I submit this compulsory request that the Ligonier Valley YMCA accept my child to attend Summer Day Camp/ summer specialty camp/s.  I understand that participation in camp involves many physical activities and the potential for accidents exists.  I understand that the YMCA accepts no responsibility for any items lost or stolen while members and/or program participants engage in YMCA programming (whether on YMCA premises, or on off-site locations).  I, the undersigned, for myself and my heirs, do hereby indemnify and hold harmless the YMCA and its employees and agents from any and all claims for injury, illness, loss, or damage I, or my child, may suffer as a result of participation in the program.  I grant permission for YMCA staff members to provide and/or obtain medical attention in the event of illness or injury.  I understand that expenses of medical treatment incurred as a result of illness or injury incurred during program participation remains the responsibility of the parent/guardian. Parent/Guardian Name (Please Print): ________________________________________________ Parent/Guardian Signature: ________________________________________________ I give permission for camp staff to apply/guide child to apply sunscreen (provided by my family) as appropriate during program participation. ___________ (Parent/Guardian Initials) I give permission for the Ligonier Valley YMCA to transport my child as necessary during program participation. ___________ (Parent/Guardian Initials)

Questions? Call us at 724-238-7580!

Questions? Call us at 724-238-7580!