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2022 Camp Required forms
2022 Camp Required forms
Health History, Camper Code of Conduct, Letter to the Counselors, and Summer Food Program Eligibility are completed as a part of this form
56Questions
2022 Camp Required forms
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    If first year, enter zero. 
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    • Yes
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    About your camper's general health
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    Please provide dates if you can
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    Please fill this section out with your camper if you can. It's great to hear these answers in their own words.
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    Medication is any substance a person takes to maintain and/or improve their health.
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    Remember to provide enough medication to last the entire week. All medication must be in its original packaging that identifies the prescribing physician (if a prescription drug),name of patient (must be prescribed to camper), name of medication, dosage and frequency of administration.
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    The following non-prescription medications may be stocked in the camp health center and are used on an as needed basis to manage illness and injury.
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    Other than Parents/Guardians
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    Financial assistance is available for Sessions 3-8 for those who qualify. Unfortunatly, due to the already reduced rate, financial assistance is not available for Early Bird Sessions. To apply, please email the following to campwakonda@orymca.org. Please allow up to 2 weeks to process, keeping in mind payment due dates.

    • Child(ren)’s Name

    • Camp Session

    • Number of adults in the household

    • Number of Children in the household

    • Most Recent Tax returns for all adults in the household

    • 2-month benefit statements for all adults in the household for all other types of income, including but not limited to

    1. Child support

    2. Food stamps

    3. Disability

    4. Social Security

    5. Retirement

    6. TANIF

    7. Pension

    If approved, you can receive up to a 50% discount off the Tier A rate of camp. Please note that each child can only receive Financial assistance on one week of camp.

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    Place a "0" in boxes that do not apply
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    Please list all household members, regardless of income
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    By providing this signature I hereby certify that all information provided is correct and true to the best of my knowledge.
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    Are you ready to have fun this summer? We are! In order for you to have a fun, exciting and safe summer, everyone needs to follow the same guidelines. Below is a list of the basic rules that you will need to follow while you’re at camp. Keep in mind that more specific rules will be talked about when you get here (mealtimes, bedtime, activities, etc.). Please read over all of these guidelines and make sure that you understand them. You will be expected to follow these guidelines upon arrival at YMCA Camp Wakonda. This form MUST be completed along with all required forms for your child to participate at Camp Wakonda. All forms MUST be turned in two weeks prior to your child’s attendance at camp.

    WHILE AT CAMP WAKONDA:

    • I will be honest and respectful (of my peers, my camp staff, and myself).
    • I will follow directions and rules at camp.
    • I will not act violently toward any camper or staff member.
    • I will not steal or destroy property belonging to Camp Wakonda, other campers, or staff members.
    • I will not use/practice inappropriate conduct and language.
    • I will stay within camp boundaries.
    • I will do my best to HAVE FUN!!!


    Camp Behavior Policy:

    Step 1: Inappropriate behavior is discussed with the camper by their counselor and/or program director, helping the camper to understand the rules and take responsibility for changing the behavior. The 4 core values of the YMCA, the ‘I’m Third’ motto, appropriate behavior as well as consequences are discussed.

    Step 2: A call home is made by senior staff to discuss the behavior and gain insight. The camper will meet with the program director/camp director to discuss their actions, the negative impact these actions have, appropriate behavior and consequences should inappropriate behavior continue. Camper will call home.

    Step 3: The camp director will inform parents that their camper cannot remain at camp. A parent or guardian will be asked to pick up the camper from Camp Wakonda as soon as possible. Parent or guardian is responsible for pick up/transportation of camper.

    There are a few situations that will automatically result in a child being sent home. Those situations include, but are not limited to; causing physical injury to another camper, intentionally damaging another campers belongings or camp property, and violating other items on this Camper Conduct Policy.

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