EST. 1927 MATAUCHA YMCA CAMP
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EST. 1927MATAUCHAYMCA CAMP
Non-ProfitOrganizationUS Postage
PAIDPermit #1505Waterbury, CT
EST. 1927MATAUCHAYMCA CAMP
Sample Daily ScheduleTime Activity
7:00 - 9:00 Before Care (Additional Cost)
9:00 - 9:15 Parent Drop Off & Bus Arrival
9:15 - 9:30 Opening Flag & Announcements
9:30 - 10:00 LOGS (Lots of Great Stuff)
10:00 - 11:00 Swimming, Unit, or Camp Activities
11:00 - 12:00 Swimming, Unit, or Camp Activities
12:00 - 12:45 Lunch
12:45 - 1:45 Swimming, Unit, or Camp Activities
1:45 - 2:45 Swimming, Unit, or Camp Activities
2:45 - 3:00 Individual Group Reflection
3:00 - 3:15 Dismissal
3:15 - 6:00 After Care (Additional Cost)
“We always say that we hope our
children grow up to be like the
counselors: fun, trustworthy,
responsible and caring!”
Grade in Fall
Preview Week 1 week
6/21-6/25
Session 1 2 weeks
6/28-7/9
Session 2 2 weeks
7/12-7/23
Session 3 2 weeks
7/26-8/6
Session 42 weeks
8/9-8/20
TRADITIONAL CAMPS – shaded area indicates session is not available. TOTALExplorers K o $230 o $415 o $415 o $415 o $415Mohawks 1 - 2 o $230 o $415 o $415 o $415 o $415Iroquois 3 - 4 o $230 o $415 o $415 o $415 o $415Pequots 5 - 6 o $255 o $435 o $435 o $435 o $435Trailblazers 7 - 9 o $255 o $435 o $435 o $435 o $435CIT 15 yrs & older o $480 o $480SPECIALTY CAMPS – shaded area indicates session is not available. SUBTOTAL
Cost Grade Grade Grade Grade GradeAquatic Camp $455 o 2 - 5 o 6 - 9Fishing Camp $455 o 6 - 9 o 2 - 5 o 6 - 9 o 2 - 5Mountain Biking Camp $455 o 2 - 5 o 6 - 9 o 2 - 5 o 6 - 9Sports Camp “Majors” $455 o 6 - 9 o 6 - 9 o 6 - 9 o 6 - 9Sports Camp “Minors” $455 o 2 - 5 o 2 - 5 o 2 - 5 o 2 - 5STEM Camp $455 o 2 - 5 o 6 - 9Survival Camp (Older) $455 o 6 - 9 o 6 - 9 o 6 - 9 o 6 - 9Survival Camp (Younger) $455 o 2 - 5 o 2 - 5 o 2 - 5 o 2 - 5Extended Care SUBTOTALBefore Care o Y* o CM* o $45 o $70 o $70 o $70 o $70After Care o CM o $55 o $90 o $90 o $90 o $90AM & PM Care o Y* o CM* o $100 o $155 o $155 o $155 o $155* Before Care will be offered at 2 locations, The Waterbury YMCA (Y) and YMCA Camp Mataucha (CM). Bussing will be provided to the YMCA at 5:15 PM for families that would like to pick up from After Care in Waterbury.
PER SESSION CREDITS SUBTOTALONE-TIME OPTIONAL FEES SUBTOTALCamp Store – Pre-pay for fun camp items (Check amount). o $10 o $15 o $25
SUBTOTAL
If a prior balance exists on a camper’s account, they will not be able to register for the 2021 camp season until the previous balance is paid in full.
TOTAL FEES
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Please register early, as many camps and buses fill long before the summer begins. Submission of an application does not guarantee acceptance into camp or a spot on the bus. Acceptance to camp is verified by a confirmation packet that includes a welcome letter, statement of account, health form, and other detailed information. Please provide a separate registration form for each child you are registering. If a prior balance exists on a camper’s account, they will not be able to register for the 2021 camp season until the previous balance is paid in full. Any payments made will be applied to previous balances first.
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Emergency Contact InformationAdditional adults (not listed above) authorized to pick up your camper from camp, extended camp care, bus, or emergency dismissal from camp. At least TWO Emergency Contacts are required.
Contact _____________________________ Relationship _________________ Phone ___________________
Contact _____________________________ Relationship _________________ Phone ___________________
Contact _____________________________ Relationship _________________ Phone ___________________
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4 Medical/Behavioral/Custody InformationPlease use the space below to provide detailed information regarding any medical, behavioral, or parental custody issues that would enable us to provide appropriate services to your child. If relevant, please list any behavior modification methods used at home or at school. Please note that appropriate medical documentation is also required on your child’s health form.
__________________________________________________________________________________________________________
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A $200 non-refundable deposit is required for each child registered for camp and must accompany each application. The remaining balance is due according to the chosen payment plan. A $25 fee applies to late or returned payments. Lack of payment for two consecutive months will result in loss of reserved space. Checks and money orders made payable to Waterbury YMCA. Cash payments must be made in person at the Waterbury YMCA.
Please check payment option:
q MasterCard q Visa q Check q Cash
Credit Card Number: ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___
Name on Card ___________________________________ Exp: ___ ___ /___ ___ Authorization Code: ___ ___ ___
q Please enroll me in the EZ Pay Option using the credit card listed above.
q Please charge me in full using the credit card listed above.
Payment Method
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