2013 Cory Day Camp Brochure - YMCA of Greater Rochester

YMCA Camp Cory Day Camp
Day Camp is a great introduction to Camp Cory’s outstanding overnight camp and is open to children ages 5-13.
Experience the joys of summer camp on beautiful Keuka Lake!
Program Information
Day Camp activities run 9:00am-4:15pm Monday
through Friday. We offer extended hours from 7:00-
9:00am each morning and from 4:00-6:00pm each
afternoon at no additional cost.
Session Enrollment is limited to ensure that your child
receives the highest quality camp experience. We
recommend early registration to ensure your spot. If a
session closes we will collect a waiting list and
contact families as soon as spaces open.
Parent Information and Camper Forms are available on
the camp website, campcory.org. You will find the
Camp Cory Day Camp policies and procedures as well
as the daily packing list and daily schedule. The 2013
Day Camp Health Form is required yearly for every
participant and should be submitted at check-in.
Payment is due in full on or before June 1, 2013. A
non-refundable deposit of $25 per session per
camper and Day Camp Registration Form will reserve
your session. Cost of Day Camp is $155 per session.
We recommend selecting the auto payment (EFT)
option. This option will draft the camp balance to your
credit card on June 1, 2013.
Registrations after June 1 require payment in full.
Camp Outs offer Day Campers, ages 7-13, the
opportunity to stay overnight at camp on Tuesdays
of sessions 1, 3, 5, 7 and 9, enjoying evening
programs with the entire camp. Cost is $20 and
includes dinner, breakfast and lunch.
Late Nights off our younger Day Campers, ages 5
and older, the option of participating in evening
programs on Tuesdays of sessions 1, 3, 5, 7 and 9,
while being picked up at 9:15pm. Cost is $15 and
includes dinner.
Registration will take place Monday at camp during
those sessions.
Financial Assistance is made possible through the
generous donations made to the YMCA Annual
Campaign. Applications for assistance are confidential
and are available on our website or at camp. The
amount of assistance granted is based on individual
need and family circumstance.
A complete Financial Assistance Application, with
supporting documents, along with the Camp
Registration Form and session deposit is required for
assistance to be determined. Please submit by June 1,
2013 to allow for proper processing time. Payment
plans can be established by calling the Camp Cory
Business Office.
Day Camp Highlights Day campers participate in a variety of activities each day, which may include:
Waterfront Activities - Sailing, Swimming, Kayaking, Canoeing, Snorkeling, Fishing, Beach Fun
Land Activities - Archery, Arts & Crafts, Basketball, Football, Soccer, Tennis, Sand Volleyball, Nature
Exploration, Games, Group Activities, Climbing Wall, Zip Line and much more.

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2013 YMCA Camp Cory Day Camp Registration Form
1. Camper Information: Check this box if address and home phone are the same as account holder
First Name:_________________________________________________________________ Last Name:_____________________________________________________________________________________________
Birthdate:___________________ Age at time of camp:________ Grade Entering September 2013: ______ How many years has camper attended Camp Cory?_____
❏ ❏ ❏
Male
Female
2. Account Holder/Parent #1/Guardian #1 Information: (all information, correspondence & invoices will be sent to the “Account Holder” name)
First Name:____________________________________________________________________ Last Name: _______________________________________________________ Birthdate______/______/______
Address:_________________________________________________________________________________City:__________________________________________State:____________Zip:______________________
Email Address: __________________________________________________________________Home Phone:______________________________________ Cell Phone:_______________________________
Relationship to camper (circle): Mother Father Guardian Other ___________________________________________________________
3. Parent #2/Guardian #2 Information: (all information, correspondence & invoices will be sent to the “Account Holder” name)
First Name:____________________________________________________________________ Last Name: ________________________________________________________ Birthdate______/_____/______
Address:_________________________________________________________________________________City:__________________________________________State:____________Zip:______________________
Email Address: __________________________________________________________________Home Phone:______________________________________ Cell Phone:_______________________________
Relationship to camper (circle): Mother Father Guardian Other ________________________________________________
4. Family Status: Camper Lives With:
Divorced/Separated:
❏ 5. Emergency Contacts and Authorized Pick Up Persons: (in addition to parents/guardians)
*Persons Authorized To Pick Up Child (other than parent/guardian):
PLEASE NOTE: All pickup persons, must be listed below and will be required to show photo identification every day.
Name:_____________________________________________________________________ Relationship:___________________________________________________ Phone:_______________________________
Name:_____________________________________________________________________ Relationship:___________________________________________________ Phone:_______________________________
Name:_____________________________________________________________________ Relationship:___________________________________________________ Phone:_______________________________
Payment Information:
Enclosed please find: $25 Deposit per session x ______ sessions = $__________
Mail payment to:
YMCA Camp Cory, 1851 Fairport Nine Mile Point Rd. Penfield, NY 14526
authorize YMCA Camp Cory to charge the deposit today and the balance of my child’s camp
registration fee on June 1, 2013 to the credit card listed below.
give my permission for YMCA Camp Cory to charge the full tuition upon receipt of this registration
to the credit card listed below. (Required after June 1, 2013.)
Married
Both
Parents ❏ ❏ ❏
Single
Both
Parents (different addresses) ❏ ❏ ❏
Guardian
Other:
_________________________________________
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Mother
Father
___________________________________
Guardian
Other
Yes
No
6. Financial Aid: Will you be requesting Financial Aid?
❏Yes ❏No Do you need a Financial Aid Packet mailed to the Account Holder? ❏Yes ❏No
$155 per session
Circle session(s)
Session 1 6/24-6/28
Session 2 7/1-7/5
Session 3 7/8-7/12
Session 4 7/15-7/19
Session 5 7/22-7/26
I
Payment Method: ❏Check or Money Order (Payable to YMCA Camp Cory)
❏Visa
❏Mastercard
❏Discover
❏
Credit Card #_______________________________________________________________________________ Exp. Date________________
Print Name on credit card ________________________________________________________________ Security Code________
Session 6 7/29-8/2
Session 7 8/5-8/9
Session 8 8/12-8/16
Session 9 8/19-8/23
❏ I
Parental Agreement: I hereby enroll my child in the YMCA Camp Cory Day Camp program. It is understood that the YMCA will make every
effort to contact me should any type of emergency arise. In the event that I can’t be reached, I authorize the YMCA staff to act for me according
to his/her best judgment in any emergency requiring medical or surgical care. I understand that the NYS Department of Health requires my
child to have a completed health form, including immunization dates, to attend camp.
I agree to notify the YMCA Camp Cory staff immediately in writing of any changes in address, phone numbers, places of employment, emergency
contacts, etc. I understand that not providing the above may put my child’s health and safety at risk. I give consent that the YMCA may use
any photographs, slides or videotapes of my child as may be needed for its records, or for promotional or public relations purposes, including
web site material. I further understand that my child’s spot is reserved only upon receipt by the YMCA of the fully completed Registration
Form and deposits, and that failure to pay any balances by the published due date will forfeit my child’s spot. There will be no refund if my child
does not complete his/her session of camp due to disciplinary action or homesickness.
Authorized Signature: _____________________________________________________________________________________________________________________________Date:___________________

ENROLL THE ENTIRE FAMILY!
Come to CAMP CORY for our spring and fall programs with
your family and friends. Visit our website at campcory.org for
program descriptions and registration information:
• Family Weekends
Memorial Day Weekend
Labor Day Weekend
Daddy & Me Weekend
• Women’s Body Peace Weekend
• Nature’s Retreat for ages 55+
• Alumni Weekend
• Teen Sailing Weekend
• Overnight Summer Camp
Weekly Sessions for campers ages 7 - 17
• Off Season Camp Rentals
Consider Camp Cory for your next picnic, teambuilding
day, family reunion or banquet. Year round
accommodations available.
YMCA of Greater Rochester
Camp Cory
1851 Fairport Nine Mile Pt. Rd.
Penfield, NY 14526
585-325-2889
campcory.org