Counting down to Summer Camp 2010: 2010-6-20 14:00:00 GMT-05:00

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Register for Camp Conrad Weiser 2010

Camper's Name: Date of Birth: Age:

School Grade Fall '10: First Year Attending Camp:     Male: Female:

Home Phone:

Family E-Mail:
Parent 1 Information Parent 2 Information

Name:

Name:

Relationship to Camper:

Relationship to Camper:

Occupation:

Occupation:

Business Phone:

Business Phone:

Cell Phone:

Cell Phone:

Home Address:

City or Town: State: Zip:

Emergency Contact
(If the Parent/Guardian cannot be reached, please contact the person listed below)

Name:

 Relationship to Camper:

Home Phone: Business Phone: Cell Phone:

Please Check all sessions applied for: $200 deposit is required for each camp session.
Session Date Price
Session 1 June 20 - 26, 2010 $685.00
Session 2 June 27 - July 10, 2010 $1325.00
Session 3 July 11 - 24, 2010 $1325.00
Session 4 July 25 - August 7, 2010 $1325.00
Session 5 August 8 - 14, 2010 $685.00

Specialty Camps
One Week Camps Dates Price
Riding Camp July 11 – July 17, 2010 $795.00
Adventure Camp (Ages 12 and up) July 11 – July 17, 2010 $775.00
Outdoor Living Skills Camp July 11 – July 17, 2010 $725.00
Camp Explorer (Ages 7-11) July 11 – July 17, 2010 $725.00
Adventure Camp (Ages 12 and up) July 18 – July 24, 2010 $775.00
Creative Arts Camp July 18 – July 24, 2010 $725.00
Camp Explorer (Ages 7-11) July 18 – July 24, 2010 $725.00
Riding Camp Int/Adv. July 18 – July 24, 2010 $795.00
Adventure Camp (Ages 12 and up) Aug 8 - Aug 14, 2010 $775.00
Riding Camp All Levels Aug 8 - Aug 14, 2010 $795.00
Two Week Camps Dates Price
Riding Camp June 27 – July 10, 2010 $1450.00
Teen Voyager June 27 – July 10, 2010 $1500.00
Riding Camp July 25 – Aug 7, 2010 $1450.00
CIT (Counselor In Training) Please call for or download application
For campers who have completed 10th grade welcome to apply
CIT 1 June 20– July 17, 2010 $1575.00
CIT 2 July 18– Aug 14, 2010 $1575.00

Session Holdovers
 We offer holdover weekends for campers enrolled in consecutive sessions. Campers wishing to register for
multiple sessions should consider registering for the holdover instead of leaving camp for the weekend.
Holdover between sessions Dates Price
Sessions 1-2 June 26– June 27, 2010 $125.00
Sessions 2-3 July 10 – July 11, 2010 $125.00
Sessions 3-4 July 24 – July 25, 2010 $125.00
Sessions 4-5 August 7 – August 8, 2010 $125.00

Additional Programs

Option

 # of Weeks

Price
Horseback Riding Lessons (must be at least 8 years old) week(s) Cost Per Week $125.00
Canoeing and Kayaking Lessons (must be at least 10 years old) week(s) Cost Per Week   $75.00
Sailing Lessons (must be at least 12 years old) week(s) Cost Per Week   $75.00
Scuba  Lessons during 2 week sessions week(s) Cost Per Week   $300.00

Deposit or Payment Information:

Amount to Charge $ ($200 deposit required for each session)

Charge my Credit Card

Credit Card Number: Security Code:

Cardholder Name: Expiration Date:

Please Note: We Guarantee to honor requests for cabin mates, in pairs only, if requests are mutual
and campers are within the same age/grade range. We can only guarantee 2 requests per cabin.

 

How Did You Hear About Camp?    Buddy Request:

Age Requirements
 Ages 7-15
Deposits & Tuition
 • A $200.00 deposit is required for each camp session with registration.
• Tuition balance is due by May 1, 2010. Methods of payment accepted: check,
MasterCard, Visa, Discover or American Express.
Cancellations & Refund Policy
• All deposits are refundable until February 1, 2010.
If a cancellation occurs after February 1, 2010, but 60 days before the beginning of
the session, payments will be refunded, MINUS the deposit. After this time, no
refund will be given except as listed below.
• If a cancellation occurs for a physician-documented medical reason all fees, MINUS
the deposit will be refunded.
• If during a session it is advised to send a camper home for medical reasons, the
remaining portion of the session will be refunded.
• No refunds will be made for late arrivals or early departures.
• In case of homesickness, dismissal, or voluntary withdrawal there is NO refund of
any fees.

Please Read:
After registering an invoice will be sent to each parent. Prior to camp additional
detailed information will be sent to each registered participant.  
By clicking the SUBMIT Button below, I have read, understand and agree to the provisions
outlined in this document. I certify that the camper applicant is capable of participating
in an active camp experience.

Click here for ACA CEO Peg Smith answers
parents' questions regarding H1N1 and summer camp

Contact Us

 South Mountain YMCA
 PO Box 147 - Wernersville, - PA 19565
telephone: 610.670.2267
fax: 610.670.5010
email: ycamps@smymca.org

"The mission of South Mountain YMCA is to provide a camping experience, educational and other programs that build personal leadership, character and life skills while developing caring, honesty, respect and responsibility in young people, families and communities"