Summer 2010

traditional day camp • adventure trips

specialty camps • art & science programs
registration starts February 8, 2010
Welcome to YMCA Camp Ingersoll
Our 77-acre outdoor center is located on beautiful Jobs Pond in Portland, CT. With a great
combination of open field space, modern facilities and tranquil woodlands, we are the
ideal place for children to grow in spirit, mind and body. The staff at YMCA Camp Ingersoll
are all carefully screened and selected based on their character, judgement, maturity and
experience. All staff are certified in CPR and there is a full-time nurse on duty during the
camp day. As a licensed day camp, we meet or exceed all of the guidelines set by the
Connecticut Department of Health.

12
22 & June
Sat., May
se
Open Hou
Session 1:
June 28 to July 9* Programs with a purpose
2-4 PM Earth Extravaganza
*Camp will not be in
We understand the connection between playing and learning. That is why all of the
session on July 5
programs at YMCA Camp Ingersoll are designed to encourage children to make new
Session 2: friends, learn new skills and spend time with counselors who model the values of caring,
July 12 to July 23 honesty, respect and responsibility. Our goal is to ensure that all campers have an
Heroes Big & Small opportunity to:
l Develop self-confidence and self-respect.
Session 3: l Grow as responsible members of their families and communities.
July 26-Aug. 6 l Appreciate that the health of mind, body and spirit is a gift and that physical fitness and
Fit-tastic Fun! mental well-being are conditions to be achieved and maintained.
Session 4: l Recognize the worth of all people.
l Develop a sense of world-mindedness and work for worldwide understanding.
Aug. 9-Aug. 20 l Develop their capacities for leadership and use them responsibly.
Yesterday, Today & Tomor
row l Develop an interest in, a knowledge of, and respect for the natural world.
Finale Week: Aug. 23-A
ug. 27
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How to Prepare for the Summer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 timistic wh ile ta lki ng if you’re ho
Payment Options; Subway Lunches; Before & After Care. . . . . . . . . . . . . . . . . . . . . 2 C  Stay positive. Be op in from phrases like: “I’ll pick you up
Tr y to re fra or ce th es e behaviors.
REGISTRATION PACKET at camp. m e” sin ce th es e words reinf emories. Remembe
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Director’s Letter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Packet 1 “you can always ca era so your child can capture the fun
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Camp Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Packet 2 C Pack a disposable ca e positive fun of camp! , it’s got
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Highlighted Program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Packet 3 easy to lose th ll hat to your sn
Bus Schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Packet 4 C  Label everything. It’s it. Label everything from your baseba
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Registration Form. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Packet 5 & 6 pensive gear at ho
Parent’s Agreement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Packet 7 and leave really ex
Summer Calendar. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Packet 8
Special Events. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Daily Activities; Professional Role Models. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 & 5
How to Get to Camp. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Back Cover 1
Before and After Camp Care
Campers can be dropped off as early as 7 AM and be picked up as late as 6 PM at
family nights and special events
Family Nights: One exciting Family Night is held during each two-week session. Hot
either the ­Middlesex YMCA in Middletown or at YMCA Camp Ingersoll (location must be
dog and hamburger dinners and official YMCA Camp Ingersoll merchandise are available
selected at time of registration). ­Activities may include: swimming, sports, and arts & crafts.
for purchase.
­Morning and ­afternoon snacks are provided. There is an additional fee to ­attend, please see
registration form. To register for the Before and/or After Camp Care at Eastbury School, Dates & time: 6
 :30 to 8 PM Thursday, July 1, Thursday, ­July 15,
please contact the Glastonbury Family YMCA at 860-633-6548. Thursday, July 29 and Thursday, August 19.
space is limited! p Youth triathlon: We are pleased to be hosting our third annual youth
triathlon. This event will feature swimming, biking and running. There will be two
z distances based on age. This event is open to participants ages 7-14. There is
a registration fee of $35 per participant. Entrance fee is waived if your child is
Lunch is in the bag!
YMCA Camp Ingersoll has partnered with Subway to make fresh, high quality lunches
registered for our Triathlon Training Camp.
e Date & time: S unday, August 8, 9 am registration. Race begins at
available to campers. Like the YMCA, Subway is encouraging children to choose a healthy 10 am. Contact Kristin Champagne for more details,
lifestyle with exercise and proper nutrition. This convenient option is available by the 860-343-6204 or e-mail kchampagne@midymca.org.
session and costs $60 for a 4-in sub and $80 for a 6-in sub. Lunches are not available on
a day-to-day basis.

Convenient Payment Options Parent Communication

E -Z Pay Option – Provide us with credit card information and we will divide your balance
into equal monthly payments that we will automatically charge through September. This
convenient plan allows you to spread your payments out two months further than our
traditional billing.
Monthly Billing – We will provide you with an even monthly payment schedule through
June 15 and will send you monthly invoices that you can pay with check, MasterCard or
Visa or cash (please bring cash to YMCA). Balance must be paid in full by June 15.
Pay in Full – You can still pay off the entire balance if you choose! We accept checks,
Master­Card, Visa and cash (please bring cash to YMCA).
Have your next event at
YMCA Camp Ingersoll!
Our 77-acre outdoor center and beautiful
new 50’x100’ pavilion is the perfect venue
for your next family reunion, company picnic,
school outing or teambuilding adventure.
Keep it simple by using our attractive
pavilion, 75’ superslide, basketball courts
and field space, or let us help you design a
custom package that can include use of the
high and low ropes course, zip line, giant’s
swing, waterfront, boating or archery range.
For more information, please
contact Tony at 860-343-6237
or tsharillo@midymca.org
Communicating with families is a very important part of the summer camp experience.
We strive to provide families with all the information needed for your camper to have a
successful summer. Here are a few ways to get information about your camper’s day:
Camp Brochure & Parent Handbook
These two printed items are full of useful information about the camp program, typical
camp day, and camp policies. Everything you may need to know is in them. They are also
available on our website – www.midymca.org.
Website: www.midymca.org
Our website contains useful information about YMCA Camp Ingersoll and your camper’s
day. Counselor profiles, weekly schedules, tribe photos and special events are all posted
and updated in a timely fashion. Now on Facebook, join YMCA Camp Ingersoll for daily
updates!
Emails
We use professionally designed emails to update families with important information prior
to and during the camp season. Be sure to check these valuable updates.
YMCA Camp Ingersoll Passports
Everything you need to know about camp and your camper’s day is included in this
convenient booklet. Updated daily, these passports allow parents to get a snapshot of their
camper’s day and see what a great time they are having!
First Day Notice
The first day of every session we hand out a First Day Notice which is full of useful
information about that particular session. It includes the very popular refrigerator calendar!
Be sure to check your camper’s backpack for it!

2 3
 Today at YMCA Camp IngersolL… professional role models
Camp is from 9 AM until 4 PM in eight 45-minute periods. Swim lessons are held before lunch. Lunch is at 12:30 PM. There is a free swim
after lunch. Here’s what parents are saying about some of the great activities at YMCA Camp Ingersoll: Each YMCA Camp Ingersoll staff member has been selected based on their ability to
accept and demonstrate the YMCA values of caring, honesty, respect and responsibility.
Our staff members are more than just “good people”, they are ­individuals with strong
character who know how to teach these values. Here are some of the role models that
“My camper “The ropes
made your camper will be talking about:
course staff
tremendous were great!
strides with
swimming
and became
They re-
ally helped
Meet Kelly Ellis
very self- my daughter A professional role model
confident, Kelly has held a variety of roles at YMCA Camp Ingersoll in his eight
overcome
especially some of her
summers. Hired as a lifeguard, he quickly became the Assistant Waterfront
after the Director through his leadership and maturity. Always looking for a new
first week.” fears and challenge he served as the CIT Director last summer for Sessions 3 and 4. In
make new his various roles at camp, Kelly has interacted with thousands of campers.
friends.” His fun loving nature along with his dedication has always made a positive
“Archery was impact on everyone with whom he has come in contact. As a math teacher
her favorite at Woodrow Wilson Middle School in Middletown and a coach for the
activity, she “Learning Middletown High School football and track teams, Kelly continues to be a
how to paddle
really liked the and row valued role model for hundreds of youth in our community.
different targets the canoes,
and games they funyaks and
played.” row boats at
boating was
Meet Caitlin King
their favorite Putting values first
activity!” With 14 years at YMCA Camp Ingersoll, Caitlin King truly embodies the qualities
that make our camp so special. Caitlin began camp as a Younger Girl and
“I was so has been a part of a wide variety of camp programs since. Now as the Wee
happy that
my son was Wonders Unit Director, Caitlin is continuously finding ways to incorporate
learning the values of caring, honesty, respect and responsibility into all of her camp
to do “We loved activities. Her positive impact is seen every day, even at lunch time as she
different attending Family helps her campers appreciate each other and the outdoors. A student
outdoor Nights and at Central Connecticut State University, Caitlin will graduate with her
activities, meeting all of elementary education degree next December. This is Caitlin!
such as the counselors.
building
shelters They were all
and working so friendly and
on his enthusiastic!”
campsite.”

“They had
“The special fun at
events like Arts &
register online at: www.midymca.org
Color Games Crafts,
and dress-up especially
days make tie dyeing
and making
each session super hero
new and outfits
exciting!” for the
entire

4 5
tribe.”
 Bus:____________

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Bus:____________

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Bus:____________

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Bus:____________

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Bus:____________

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Sat., May 22 & June 12

Open House
Program:
Welcome to YMCA Camp Ingersoll
Program:

Program:

Program:

Program:
Finale Week Bus Only!

2-4PM
Dear Parents,
I am very excited to be returning to YMCA Camp Ingersoll! When I talk with
16

19

5 No Camp 6
23 1st Day of Finale Week 24 Tribe Photo Day 25

9 1st Day of Session 4 10 Tribe Photo Day 11

Theme: Yesterday, Today & Tomorrow Session 4 • August 9-August 20

26 1st Day of Session 3 27 Tribe Photo Day 28

12 1st Day of Session 2 13 Tribe Photo Day 14

28 1st Day of Session 1 29 Tribe Photo Day 30

Please remember that transportation changes for Finale Week – there is only 1 bus available.

Theme: Earth Extravaganza

Theme: Heroes Big & Small
families and staff, they ask how it feels to be back. My honest answer is that it

Theme: Fit-tastic Fun

Theme: Summer Fun

feels like coming home from a very long trip. I value the experiences I had and
the relationships I made while facilitating other YMCA day camps for the past

To help with your summer planning, YMCA Camp Ingersoll is providing you with this session calendar. Go ahead and write
the name of the programs you enrolled in next to each session. And don’t forget that we offer a quality lunch from Subway!
three summers, but – as the saying goes – there’s no place like home.

YMCA Camp Ingersoll 2010 Summer Calendar

As I reflect about how fortunate I am to be able to have this opportunity to
come back and lead this great camp, I realize how much YMCA Camp Ingersoll has
meant to me and to so many other staff, campers, and families throughout the
years. Camp is a place where folks of all ages are able to meet new people, many
17

20
Finale Week – August 23-August 27

of whom become life-long friends, learn a variety of skills, and spend time with
“real” everyday role models, the type of people you are honored to know.
Session 3 • July 26-August 6
Camp programs may change over the years, but the one thing that makes

Session 2 • July 12-July 23

Session
www.midymca.org

camp so special remains: the camp staff. They are the heart and soul of every
camp. As I look to our staff team, I see former campers who have experienced the
many special qualities camp has to offer first-hand as they have become dedicated
and professional role models. For instance, Caitlin, a camper in my Climbing Challenge program, developed trust
and overcame her fears as she climbed part of Mount Washington. And Nick, a Middle Boy who begged his mom
18

21

7 to let him stay and play phantom tag with Patrick and me, even though he was the only camper remaining in After

1
Camp Care – and it was 5:58 PM. I am proud to say that our staff team is full of these former campers, who fully

•
understand what it takes to make great experiences with their campers, because they lived those experiences.

June
We are looking forward to providing these opportunities for you and your family. We hope that you and your
family will join us. Thank you for considering YMCA Camp Ingersoll!
Tony Sharillo
28-July
19 Family Night 6:30-8 PM 20 National

22

8
26

12

29 Family Night 6:30-8 PM 30National Popsicle Day

15 Family Night 6:30-8 PM 16National Popsicle Day

1 Family Night 6:30-8 PM 2 National Popsicle Day Triathlon

Leaders in
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23 National

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Hot Dog Roast

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Popsicle Day

Popsicle Day

Popsicle Day

Popsicle Day

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 k Camp Units k
YMCA Camp Ingersoll strives to provide
campers with the opportunity to make
friends, learn skills and interact with nature
all under the guidance of our “professional
role models.”
Traditional Camp
Traditional Camp is everything that a summer
camp experience should be. Campers get the
maximum variety of activities and experiences.
Each age group has something to make it unique
and different, but the quality remains the same.
Traditional camp units:
Wee Wonders: (4-5 year olds) – A full day of
crafts, swimming lessons, and activities designed
for campers in preschool & kindergarten.
Kiddy Camp: (Entering 1st grade) – Quality
swim instruction, ropes course elements, and the
personal attention your child deserves.
Younger Tribes: (Entering grades 2-3) Try all
camp activities including archery, high ropes, swim
lessons and more.
Middle Tribes: (Entering Grades 4-5) – Transition
between introductory activities to more challenging
skills and concepts.
CIO 1: (Entering grades 6-7) – Have the opportunity
to choose activities designed to challenge and
stimulate older campers. Now with Skill Clinics!
CIO 2: (Entering grades 8-9) – Choose activities
with greater emphasis on team building, problem
solving, and leadership development. Now with
Skill Clinics!
First Year CIT’s: (Ages 14-16) – Four weeks of
leadership training while experiencing the variety
of tribes and jobs camp has to offer.
Second Year CIT’s: (Ages 14-16) – Six weeks
of advanced training and an opportunity to gain
experience focused on a specific tribe or specialty
area of camp.
Specialty Camps
Our specialty camp activities are designed to give
experienced campers more time to enjoy a special
interest. Campers will focus on the specialty
activity in the morning and then have time to
participate in some of the traditional activities in
the afternoon (i.e. swimming, boating, archery,
etc.) This year we are offering:
Basketball: (Entering grades 2-8) - Recreational
fun and skill development in a progressive goal
oriented program.
Soccer: (Entering grades 2-8) - Get lots of exercise
and have fun reaching goals and improving skills.
Horseback: (Entering grades 2-9) - High quality ½
day lessons in grooming and riding at Hunter’s Run
in Glastonbury (campers are transported via bus).
Fort Building: (Entering grades 3-9) - Construct
real tree forts with instruction on using a hand saw,
a hammer, and other simple tools.
Fishing: (Entering grades 3-8) Learn skills through
instruction, challenges, and practice while fishing at
lovely Jobs Pond (3 field trips per session).
Golf: (Entering grades 4-9) Daily lessons by
trained instructors at Indian Springs (campers are
transported daily via bus).
Rocketry: (Entering grades 4-7) Have high flying
fun learning about propulsion, momentum, and the
joy of building rockets.
Wilderness Camp: (Entering grades 7-11) Build
a shelter, start a fire, use a compass and learn many
more survival skills.
Triathlon training camp: (Entering grades
4-6) Run, swim, and bike to prepare for YMCA Camp
Ingersoll’s 3rd Annual Youth Triathlon on Sunday,
August 8 (campers must provide own bikes).
Cheer & Dance: (Entering grades 3-6) Practice
the basics of dance, gymnastics and cheerleading.
Dance & More: (Entering grades 5-8) Whether
you enjoy singing, dancing, or acting Dance & More
is the right choice!
Film making: (Entering grades 7-11) Storyboard,
act, film, and edit to create a short film using our
Mac Books and professional grade camera and
editing software.
Mega-adventure: (Entering grades 3-5) An
introduction to shelter building, fire starting,
orienteering and more.
Mega-sports: (Entering grades 3-5) Learn and
play plenty of classic and non traditional sports.
Mega-Science: (Entering grades 3-5) Experiment
with earth sciences, motion, magnets and more.
For complete descriptions or to register immediately
please visit our website: www.midymca.org
qeDf parent’s agreement jnbx
important —  please read carefully
I understand and agree to the following conditions:
AA  $50.00 non-refundable, non-transferable deposit is required for each session and must
accompany each application. This deposit will hold the camper’s place and will be applied to the
full payment of the camp tuition. Remaining balance is due according to payment play selected
but no later than two weeks prior to each session. Late charge of $15.00 applies to each late
payment. Lack of payment (or late payment) will result in loss of reserved space. We recommend
using our E-Z Pay Option where payments are automatically drafted, no late fee, no risk of lost
space.
A A $40.00 sibling discount is offered to families who register more than one child.
A All cancellations must be received IN WRITING at least 30 days prior to the start of the camp
session to receive a full refund minus the $50 deposit per session and the $10 camp improvement
fee.
A All cancellations must be received IN WRITING between 15-29 days prior to the start of the camp
session to receive a 50% refund minus the $50 deposit per session and the $10 camp improvement
fee.
A No refunds will be granted less than 15 days prior to the start of the camp session.
A INSF Fee of $10.00 will be charged to all INSF transactions.
A I will be responsible for payment of any collection fees incurred by me should my account
become delinquent.
A Requests for changes in camp session, busing or group assignment will be honored only if space
permits and the request is submitted in writing. A $15.00 transfer fee will be applied after May 1.
Changes in bus assignments cannot be made on a one-time basis.
A Bus service is provided for all campers. Routes for camp­ers are predetermined
for ALL towns. Each bus will have a YMCA bus monitor. It is the re­spon­
si­bil­i­ty of the parent/guard­ian to meet their camper at the ap­point­ed stop
at both the scheduled drop off/pick up time each day unless permission is grant­ed oth­er­wise.
Wee Wonders and Kiddy Campers MUST sit in the front of the bus and will not be dropped off
without a parent or older sibling at the stop. With­out per­mis­sion, the camper will stay on the bus
for the re­main­der of the route and will return to camp or the YMCA. Parents will be re­spon­si­ble
for picking up their camper at either location. Times may not be exact, please give a 10-minute
grace period for pick up and drop off.
A I give permission for photographs and video tapes of my camper to be used in marketing and
camp publicity.
A Campers must be healthy, injury-free and well enough to fully participate.
A I give permission for my camper to participate in all camp activities, including, but not limited to,
ropes, archery, swimming, field games, etc.
A I authorize transfer of my camper to the Middlesex YMCA during inclement weather if needed.
A I authorize YMCA officials to secure medical/emergency treatment and transportation for my
camper.
A The YMCA reserves the right to dismiss a camper whose presence is detrimental to the camp or
campers.
A Fees will not be refunded for absence, failure to attend during the term of enrollment, delayed
attendance at camp, or dismissal.
A We are required by the state to have health history forms for each camper prior to attending
camp. Forms will be given to parents at the time of registration and MUST be completed by
the family phy­si­cian and parents before the camper attends camp. Physicals are valid for three
years from the date of the exam.
Register online at www.midymca.org
e r y d Camp Choices c k o g
Please place an ‘X’ in the box next to the program you wish to choose.
One form per camper, please.
Grade in Session 1 Session 4 Finale Week
Session 2 Session 3
Day Camps Fall 2010 (June 28- July 9)
(Aug. 9-Aug. 20) (Aug. 23-Aug. 27)
(No Camp July 5) (July 12-July 23) (July 26- Aug. 6)
Wee Wonders Pre K-K
traditional camp

q $370/session q $405/session q $405/session q $405/session q $240/session

Kiddy Camp 1 q $370/session q $405/session q $405/session q $405/session q $240/session
Youngers 2 or 3 q $355/session q $390/session q $390/session q $390/session q $240/session
Middles 4 or 5 q $355/session q $390/session q $390/session q $390/session q $240/session
Olders 1 6 or 7 q $355/session q $390/session q $390/session q $390/session q $240/session
Olders 2 8 or 9 q $355/session q $390/session q $390/session q $390/session q $240/session
CIT (First Year) 14 years q $550/4 week session q $550/4 week session
q $500/session
CIT (Second Year) 14 years q $550/6 weeks - choose any 3 of 4 sessions q 1 q 2 q 3 q 4
Session 1
Please remember that transportation changes for
Session 2 Session 3 Session 4

Finale Week – there is only 1 bus available.

(June 28- July 9)
(No Camp July 5) (July 12-July 23) (July 26- Aug. 6) (Aug. 9-Aug. 20)
Specialty Camps Grade in Fall 2010
3-Day Horseback 2-5 q gr. 2-4 – $590 q gr. 3-5 – $625 q gr. 2-4 – $625 q gr. 3-5 – $625
specialty camp programs

Soccer 2-8 q gr. 2-8 – $455 q gr. 2-8 – $455

Basketball 2-8 q gr. 2-8 – $420 q gr. 2-8 – $455
Mega-Adventure 3-5 q gr. 3-5 – $420 q gr. 3-5 – $455 q gr. 3-5 – $455 q gr. 3-5 – $455
Mega-Sports 3-5 q gr. 3-5 – $420 q gr. 3-5 – $455
Mega-Science 3-5 q gr. 3-5 – $420 q gr. 3-5 – $455
Cheer & Dance 3-6 q gr. 3-6 – $420 q gr. 3-6 – $455
Ultimate Fishing 3-8 q gr. 3-8 – $515 q gr. 3-8 – $550 q gr. 3-8 – $550 q gr. 3-8 – $550
Fort Building 3-9 q gr. 6-9 – $440 q gr. 6-9 – $475 q gr. 3-5 – $475 q gr. 3-5 – $475
Aqua 4-6 q gr. 4-6 – $455 q gr. 4-6 – $455
Triathlon Training 4-6 q gr. 4-6– $630
Rocketry 4-7 q gr. 4-7 – $480 q gr. 4-7 – $480
Golf 4-9 q gr. 4-9 – $555 q gr. 4-9 – $590 q gr. 4-9 – $590 q gr. 4-9 – $590
Dance & More 5-8 q gr. 5-8 – $455 q gr. 5-8 – $455
Teen Horseback 6-9 q gr. 6-9 – $590 q gr. 6-9 – $625 q gr. 6-9 – $625 q gr. 6-9 – $625
Wilderness 7-11 q gr. 7-11 – $630 q gr. 7-11 – $630
Film Making 7-11 q gr. 7-11 –$1,000/4 week session q gr. 7-11 –$1,000/4 week session
am-PM & Lunch

Camp Extras AM-PM Location Session 1 Session 2 Session 3 Session 4 Finale Week
Before Care q YMCA q Camp
(7-9AM only) q $70.00 q $75.00 q $75.00 q $75.00 q $45 Camp Only
After Care q YMCA q Camp
(4-6PM only) q $70.00 q $75.00 q $75.00 q $75.00 q $45 Camp Only
Before & After Care q YMCA q Camp q $125.00 q $135.00 q $135.00 q $135.00 q $85 Camp Only
Subway Lunch q $54.00-4” q $60.00-4” q $60.00-4” q $60.00-4” q $30.00-4”
q $72.00-6” q $80.00-6” q $80.00-6” q $80.00-6” q $40.00-6”
Register online at www.midymca.org
 YMCA Camp Ingersoll 2010 Application
Complete steps 1-10 on these pages and return this application with your non-refundable deposit to the Northern Middlesex YMCA,
99 Union Street, Middletown, CT 06457. Your balance is due according to the policy listed in the parent agreement.
1. camper information
Camper’s Name:______________________________________________________________________________________________________
Date of Birth:________________________ q Male q Female Previous Camper? q Yes q No
Address:_ ________________________________________________________________ City:_ _____________________ Zip Code:__________
School Grade Next Fall:_ ______________________ School:____________________________________________________________________
2. ymca membership information: All campers must be current members of a participating YMCA.
q My camper is a current member of the:_________________________ YMCA
q My camper would like to become a member of the Northern Middlesex YMCA for the summer – $20.00 fee.
3. household/family information
Parent/Guardian Name:_ _________________________________________________ Relationship to Camper:___________________________
Address:_ _____________________________________________________ City:_ ___________________________ Zip Code:______________
Home Phone:_____________________________ Work Phone:_ ___________________________ Cell Phone:_ __________________________
E-mail:_______________________________________________________ Employer:_______________________________________________
_ ___________________________________________________________
Parent/Guardian Name:_ _________________________________________________ Relationship to Camper:___________________________
Address:_ _____________________________________________________ City:_ ___________________________ Zip Code:______________
Home Phone:_____________________________ Work Phone:_ ___________________________ Cell Phone:_ __________________________
E-mail:_______________________________________________________ Employer:_______________________________________________
_ ___________________________________________________________
4. EMergency Contact information: Additional adults (not listed above) authorized to pick up your camper from
camp, extended camp care, bus, or emergency dismissal from camp.
Contact:__________________________________________________ Relationship:_________________ Phone:__________________________
Contact:__________________________________________________ Relationship:_________________ Phone:__________________________
5. Me
 dical/behavior/custody information: Please note that appropriate medical documentation is also required on your child’s health form.
_________________________________________________________________________________________________________
6. friend Request: Please put my child with camper_ ___________________________________ or___________________________________________
I realize that not all requests can be accommodated. Note: For any “Friend Request,” the camper listed above must also list the name of your camper on their application and camp-
ers must be in the same age group or sport specialty camp.
7. Select camp program and session: Please mark appropriate registration information on the “Camp Choices” page.
Swim Instruction: Traditional campers are automatically enrolled in swim instruction. There is no cost for these high quality lessons, please check
below to withdraw your child from swim lessons: q No, I would not like my child enrolled in these free, high quality swim lessons.
8. Select before and/or after camp care: Mark appropriate registration information on the “Camp Choices” page if you need before
and/or after camp care for your camper.
9. Select bus and bus stop: Please refer to the Transportation Section for bus information and mark appropriate registration information here. Note:
Camper must take same bus to and from camp. If you register for Finale Week, please fill out appropriate bus information in the box below.


Select: Bus & Bus Stop finale week bus
Example: Bus #1 #1 Allen Brook Park q Moody School 8:15 AM & 4:30 PM
q YMCA 8:35 AM & 4:10 PM
q No bus (will pick up & drop off)
q I will pick up my camper at the bus each day q My camper can walk home from the bus q NO BUS. Parent/guardian will pick up and drop off at camp
Campers who attend both AM and PM Extended Day Program do not need to select a bus.
_$50.00 non-refundable deposit per session X _______ sessions = $_ ____________________________
Deposit
+ $20.00 Summer Membership (if applicable)_ _________________________________________________________
information

$
10.00
+ Camp Improvement Fee__________________________________________________________________________
q Financial Aid Deposit___________________________________________ TOTAL $________________________
section
q Care4Kids Participant
10. Payment method: q MasterCard q Visa q Check q Cash q Paper Invoice
Credit Card Number:________________________________________________________________ Expiration Date:_ ______________________________________
q Please enroll me in the E-Z Pay Option using the credit card listed above.
q I prefer to receive a monthly bill in the mail.
• I have read the parent’s agreement and understand and agree to its terms and conditions.
• I authorize YMCA officials to secure medical/emergency treatment and transportation for my camper.
Parent’s Signature: X__________________________________________________________________________________
Date:_ ______________________________________________________________________________________________
Please mail to: Northern Middlesex YMCA, 99 Union Street, Middletown, CT 06457
Register online at www.midymca.org
 j 2010 Registration Packet j
Please register early, as many camps and buses fill long before camp begins. Submission of an application does not
guarantee acceptance into camp. Acceptance into camp will be verified by a written confirmation. Provide a separate
m New in 2010! i
form for each child.

Financial Assistance�
Financial assistance through our Open Doors Program is available from the Northern
New! Aqua Camp
(entering grades 4-6)
Middlesex YMCA to ­families with an annual income of less than $45,000. Assistance is For those campers who can’t get
provided through the Middlesex United Way; Middletown Exchange Club; and private enough of swimming and boating.
contributions. Reduced fees will be granted following an application process. Campers will spend each morning in
Register immediately online at www.midymca.org and save time! an extended swim lesson and have
an opportunity to learn advanced
Transportation�
Routes and times are subject to change.
canoeing skills. Everyday there is a
new and exciting aquatic activity.
Campers must take the same bus to and from camp.
Bus 1 – Durham, Middlefield,
­Middletown, ­portland
Bus 6 – Glastonbury
STOP# AM PM
New & Improved
STOP# AM PM 1 8:15 4:35 Buttonball Lane School CIO Series
1 8:00 5:00 Allen Brook Park (Durham) 2 8:20 4:25 Glastonbury High School Now there are even more
2 8:10 4:45 Middlefield Community Center 3 8:30 4:15 Nayaug School choices for this exciting unit. This
3 8:15 4:35 Moody School (Middletown) summer we are introducing Skill
4 8:20 4:30 Westfield & Najako Bus 7 – Middletown, Development Clinics (SDCs). We
5 8:25 4:25 East & West Lake cromwell, Portland
6 8:35 4:15 Spring & High (Portland) STOP# AM PM are offering five amazing skills
7 8:40 4:10 Chatham Court 1 8:10 4:50 Middletown YMCA program areas, each camper will
8 8:45 4:05 Tri-Town 2 8:20 4:40 Pierson Park (Cromwell) be able to choose from to create
3 8:25 4:35 Main & Spring St. (Portland) their own camp experience!
Bus 2 – Middletown 4 8:28 4:32 Gildersleeve Elementary
STOP# AM PM Creative Arts, Land Sports,
1 8:00 4:50 Haddam Elementary 5 8:35 4:25 Rte 17 & 17A
Water Sports, Outdoor Pursuits,
2 8:10 4:40 Farm Hill School
3 8:15 4:35 Wesley School Bus 8 – Rocky HIll, Cromwell, and Performing Arts each have a
4 8:20 4:30 Silver Street Middletown variety of skill activities that allow
5 8:35 4:15 High & Court STOP# AM PM campers to select a program area
6 8:40 4:10 Grand & Main 1 8:00 5:00 Wethersfield Shopping Center where they would like to learn
2 8:10 4:50 West Hill School (Rocky Hill) and grow.
Bus 3 – Colchester, 3 8:15 4:45 Cromwell Middle School (Cromwell)
Marlborough, 4 8:20 4:40 Edna C. Stevens School Triathlon Training
east Hampton 5 8:25 4:35 Citizen Bank –Main Street (Cromwell)
Camp
STOP# AM PM 6 8:30 4:30 Spencer School (Middletown)
1 8:05 4:45 Route 16 & 149 (Colchester) 7 8:45 4:15 Snow School Now for younger campers
2 8:20 4:30 Marlborough Tavern (Marlborough) entering grades 4 through
3 8:30 4:20 Congregational Church (East Hampton) Bus 9 – Glastonbury 6. Under the guidance of
4 8:45 4:10 Rte 66 & Rte 16 (Commuter lot) STOP# AM PM professional YMCA Health &
1 8:15 4:45 Naubuc School (Glastonbury) Wellness Staff, campers will run,
Bus 4 – Glastonbury 2 8:25 4:35 Academy School
STOP# AM PM
3 8:35 4:25 Hopewell School
swim and bike to prepare for
1 8:20 4:30 Hebron Avenue School the Third Annual YMCA Camp
2 8:25 4:25 St. Dunstan’s Church Ingersoll Youth Triathlon on
Finale Week - Only bus available
Bus 5 – Glastonbury STOP# AM PM Sunday, August 8th. Campers of
STOP# AM PM 1 8:15 4:30 Moody School (Middletown) all fitness levels are welcome!
1 8:35 4:20 Eastbury School (Before & After*) 2 8:35 4:10 Middlesex YMCA
Register online at www.midymca.org Register online at
www.midymca.org
 Northern
Middlesex
YMCA
99 Union Street
Middletown, CT 06457
860-347-6907

YMCA Mission:
The Northern Middlesex YMCA offers a path
toward a fuller, more ­productive life.

visit us online at: www.midymca.org

How to Get to Camp…

From route 9 north or south
Cross the Arrigoni Bridge into Portland. Take a right onto Route 66, going east.
Proceed on Route 66, approximately 2.5 miles (past the intersection of Route 17).
After reaching the crest of the hill, look for the end of the divided highway, and
the Camp Ingersoll sign on the left. Take a left and follow the road into camp.

YMCA Camp Ingersoll

94 CAMP INGERSOLL ROAD, PORTLAND, CT 06480
After May 3rd, call 860-342-2267