Camp!

INFORMATIONS GENERALES SEJOUR EN SUMMER CAMP DISCOVERY
(AVEC ACCOMPAGNATEUR)
« PARENTS PACK » - IMPORTANT à retourner avant le 14 mai
Nous vous adressons par courrier électronique le « parents pack » du camp de votre enfant
(si vous n’arrivez pas à l’ouvrir, appelez nous ou téléchargez-le sur notre site internet : www.sejourshomeabroad.com - rubrique « Autres formulaires »).
Il s’agit des informations générales sur le camp, accompagnées de documents à remplir et à nous
retourner au plus tard pour le mercredi 3 juin 2009 : date de la réunion d’information à laquelle vousmêmes et vos enfants êtes conviés : dans les locaux du MUSEE EN HERBE - 18h30 à 20h00
- 21, rue Herold 75001 PARIS - Métro : Sentier ou Chatelet les Halles –
(attention : il n’est pas facile de se garer dans le quartier…)
La « Health Form » ou Formulaire médical, est à faire compléter obligatoirement par un médecin
(tampon faisant foi). Merci de nous régler également le solde du séjour dés réception de la facture
(sauf si paiement par carte bancaire donnée à l’inscription et prélevée automatiquement).
Amandine reste à votre entière disposition pour la compréhension et le remplissage des documents
en anglais.
POUR LE VOYAGE (Organisé par l’Agence en groupe accompagné) :
Vous trouverez dans les documents joints notre convocation aéroport.
Parents, nous vous retrouverons à l’aéroport à l’embarquement de votre enfant. Au retour, il vous
appartient de venir le chercher en ayant bien noté les coordonnées de son vol.
Prévoir de donner au voyageur l’adresse complète de sa destination ce jour là (dans les
documents du camp).
ASSURANCES INDIVIDUELLES
Nous vous rappelons que chaque enfant partant à l’étranger doit être couvert pour :
- santé / responsabilité civile / assistance rapatriement, valable aux USA et pendant toute la durée
du séjour.
Pour ce faire, voici les diverses possibilités existantes :
- assurance Carte Bancaire (Visa Premier / Mastercard Gold et autres cartes haut de gamme). Merci
de vérifier auprès de votre banque que ces risques sont bien couverts pour votre enfant.
- assurance personnelle familiale : par extension, vos contrats familiaux vous permettent peut-être
de bénéficier de tout ou partie des couvertures ci-dessus pour votre enfant. Il vous appartient de le
vérifier.
- souscription d’une assurance auprès de ACS : vous trouverez sur notre site internet dans la
rubrique infos Pratiques / s’assurer un lien vous permettant de souscrire directement auprès de la
Compagnie.
Dans tous les cas, vous devrez nous remettre avant le départ le numéro d’urgence à appeler en cas
de problème, avec les références à indiquer.
ASSURANCES ANNULATION
En option. Ce risque sera couvert par les paiements effectués par certaines cartes bancaires (vérifier
auprès de votre banque). Sinon, pour vous couvrir contre une annulation séjour ou voyage, vous
pouvez opter pour l’assurance de Europ assistance (risque annulation simple, ou annulation séjour et
Séjours HOME ABROAD
59 avenue de Saint Cloud – 78000 VERSAILLES – Tél. (0)1.39.50.77.70 – Fax. (0)1.39.50.75.01
Email : [email protected] Site INTERNET : www..sejours-homeabroad.com
SARL au capital de 8 000 € - Licence Agence de Voyage : Numéro : LI.078.05.0001
Garantie financière BNP PARIBAS PARIS – Garantie RCP HISCOX France
1
voyage inclus dans la multirisque). Nous tenons à votre disposition –sur simple demande par mail ou
téléphone- une documentation, avec en dernière page un formulaire d’inscription à remplir et à nous
retourner avec un chèque correspondant à la prime, à l’ordre de Home Abroad). Cette assurance doit
être souscrite impérativement 40 jours avant la date de départ.
ACTIVITES AU CAMP
Vous trouverez dans le tableau ci-joint la liste des activités à choisir pour chaque camp. Vous devez
nous le retourner rempli et signé au plus vite, de façon à ce que nous puissions pré-inscrire votre
enfant aux options choisies, le cas échéant. Les places en rafting à FAIRVIEW LAKE sont limitées !
TRADING POST / ARGENT DE POCHE
Toujours dans le tableau ci-joint, vous devez indiquer une somme en dollars US qui sera créditée au
compte de votre enfant à la boutique du camp (ou Trading Post). Il y trouvera des T-shirts, snacks,
souvenirs etc…les camps recommandent un crédit de 50 $ par session de deux semaines. Attention,
certains camps se réservent le droit de garder l’argent de poche non utilisé à la fin du séjour (voir la
politique du camp dans le « parents pack »).
Vous pourrez également remettre à notre accompagnateur le jour du départ une somme libre en
dollars US, dans une enveloppe à son nom, pour les attentes aéroports ou les éventuelles sorties
organisées par le camp. Le montant est ben sûr libre.
COMMUNICATIONS AVEC VOTRE ENFANT
Pas d’accès au téléphone pour les campeurs, sauf en cas de problème majeur (voir la politique du
camp dans le « parents pack »).
Le lendemain de leur arrivée et une fois par semaine, notre accompagnateur nous enverra un e-mail,
sur lequel chaque enfant pourra mettre un mot pour ses parents. Nous vous le transmettrons : merci
de nous donner vos adresses mail si ce n’est pas déjà fait. De votre côté, vous pourrez écrire des
lettres et e-mails à votre enfant, mais certains camps retiennent une somme par lettre distribuée sur le
compte du Trading Post (trop d’abus dans le passé, les distances au camp sont immenses et il y a
parfois plus de 300 enfants)
LISTE ADAPTEE DES VETEMENTS ET EQUIPEMENTS DIVERS POUR UN SUMMER CAMP
*vêtements :
-sous-vêtements
-tenue chaude
-chaussettes
-shorts
-jeans ou pantalons
-T-shirts, sweat-shirt
-maillot de bain (nous conseillons 2)
-pyjamas
-vêtements de pluie
-blouson épais (pour les soirées froides)
-baskets (solides, les terrains pouvant être rocailleux. Nous conseillons une deuxième paire, si elles
sont mouillées)
*linge de toilette :
-serviettes (deux de toilette et une de plage) et un gant
-trousse de toilette complète
Séjours HOME ABROAD
59 avenue de Saint Cloud – 78000 VERSAILLES – Tél. (0)1.39.50.77.70 – Fax. (0)1.39.50.75.01
Email : [email protected] Site INTERNET : www..sejours-homeabroad.com
SARL au capital de 8 000 € - Licence Agence de Voyage : Numéro : LI.078.05.0001
Garantie financière BNP PARIBAS PARIS – Garantie RCP HISCOX France
2
*équipement :
-de préférence un sac/valise à roulettes, et un sac à dos moyen (à garder dans l’avion, avec le
« minimum vital » nécessaire, utile si perte de bagages, et aussi pour des randonnées éventuelles)
-duvet léger et petit oreiller si possible
-« sac à viande » (draps cousus)
-lampe de poche + piles de rechange
-sac pour le linge sale
*il serait bien d’avoir :
-de quoi écrire
-appareil photo avec flash si possible, plus des pellicules ; mieux, un jetable
-un bon livre
-une peluche préférée
-raquette de tennis, si option choisie
NB : pas de chewing-gums !
Nous conseillons de marquer tout vêtement et équipement auquel vous tenez.
Eviter tout appareil coûteux et tentant (Ipod, téléphone portable, etc…)
FORMALITES DOUANIERES
- Un passeport individuel « électronique » ou « biométrique » (passeport à puce), ou :
- un passeport individuel à lecture optique valable au moins 3 mois après la date de retour
suffit, s’il a été émis avant le 26/10/05 (Si émis après le 26/10/05 et non biométrique, il
faudra un visa ou un passeport biométrique : nous consulter).
ATTENTION : Depuis le 12 janvier dernier la procédure américaine a changé. Vous devez
impérativement obtenir l’autorisation électronique ESTA, en vous rendant sur le site
https://esta.cbp.dhs.gov au plus tard 72 heures avant le départ, afin d’enregistrer le voyage et
d’imprimer l’autorisation de séjour, qui sera à mettre dans le passeport de votre enfant le jour du
départ. Ce formulaire s’obtient en quelques minutes.
L’adresse américaine à donner pour le séjour de votre enfant est :
‐
Camp CONRAD WEISER : 201 Cushion Peak Road ‐ WERNERSVILLE – PA (Pennsylvania) 19565 ‐
Camp RALPH MASON : 23 Birch Ridge Road – HARDWICK – NJ (New Jersey) 07825 ‐
Camp FAIRVIEW LAKE : 1035 Fairview Lake Road ‐ NEWTON ‐ NJ (New Jersey) 07860 ‐
Camp YMCA MAINE : 305 Winthrop Center Rd ‐ WINTHROP – ME (Maine) 04364 NUMERO D’URGENCE
En dehors des horaires de bureau, nous laisserons sur le répondeur du 01 39 50 77 70 un n° de
portable de permanence, pour toute urgence médicale ou avion.
Nous souhaitons un excellent séjour de « découverte » SUMMER CAMP à votre enfant !
Amandine BADOUR Christine de CHANAUD Inge du CHEYRON Aurélien LAFERRERE Caroline RIPOLL
Séjours HOME ABROAD
59 avenue de Saint Cloud – 78000 VERSAILLES – Tél. (0)1.39.50.77.70 – Fax. (0)1.39.50.75.01
Email : [email protected] Site INTERNET : www..sejours-homeabroad.com
SARL au capital de 8 000 € - Licence Agence de Voyage : Numéro : LI.078.05.0001
Garantie financière BNP PARIBAS PARIS – Garantie RCP HISCOX France
3
MANUEL DE SURVIE POUR UN JEUNE FRANÇAIS EN SUMMER CAMP AMERICAIN
(et pour ses parents…)
Cabin : ma cabine où je dors, mais aussi le groupe auquel
j’appartiens. Je suis avec des jeunes de mon âge et ma cabine a
un nom spécial – plusieurs cabines font un village
Counselor : moniteur
Staff : tous les moniteurs
Program Staff : les moniteurs en charge d’une activité
French group Leader : Mon accompagnateur français (si j’en ai
un dans mon camp)
Lifeguard : maître nageur
Cabin Counselor : mon moniteur de cabine
Cabin mate : copain de cabine
bunkbed : lits superposés
Linen / bedding : linge de lit – draps
trunks : malles
Cabin clean-up : nettoyage des cabines
Activities : les activités auxquelles je peux participer :
Archery : tir à l’arc – riflery : tir à la carabine – arts and crafts : artisanat
Beads : enfilage de erles - Wood ou leather working : travail du bois ou du cuir - Sailing :
voile – Boating : bateau (à rames) - Backpacking : randonnée - Horsebackriding :
équitation - Trailriding : randonnée à cheval - bikeriding : vélo – mountainbike : VTT –
teamsports : sports d’équipe - Soccer : notre foot à nous – softball : baseball avec des
règles assouplies et une balle moins dure – lacrosse : un sport ressemblant au hockey
sur gazon – Ropes course : parcours aventure dans les arbres – high ropes : en altitude
– low ropes : plus bas, pour les plus jeunes - outdoor living skills : apprendre à survivre
dans la nature - Cheer leading : pour les filles, « pom pom girls » - Drama : théâtre Wrestling : lutte – fencing : escrime – whitewater rafting : rafting en eaux vives….
Activity period : tranche horaire pour une activité
Majors : activités principales Minors : activités secondaires
Waterfront : plan d’eau, lac le plus souvent
Swimtest : test de natation
skills : technique
Buddy watch : mon binôme, pour vérifier qu’il est bien à côté de
moi, à la piscine par exemple
Flag raising : cérémonie de lever du drapeau, pendant laquelle
les jeunes américains chantent l’hymne national : moi je reste
silencieux et respectueux
Chapel service, Bible study : moments de recueillement religieux
(pas dans tous les camps). Là je respecte aussi.
Color war – olympics : Jeux de groupes en équipe, olympiades
Talent night : soirée cabaret
Scavenger hunt : chasse au
trésor
Community / project service : bénévolat, projet
Date : la fille qu’on choisit comme cavalière pour les « dances » et
autres « parties » Campfire : feu de camp
Vespers : veillées
Bunk mail : le système par lequel je peux recevoir des mails de
l’extérieur (s’il existe dans mon camp)
Trading Post / Canteen : la boutique du camp, ouverte à
certaines heures, et où je peux acheter (avec l’argent
déposé par mes parents au départ) des choses utiles, des snacks
et des souvenirs du camp
Et quelques phrases utiles :
« I don’t feel too well » : je ne me sens pas bien
« can I go see the nurse ? » ; je peux aller à l’infirmerie ?
“ I’m homesick” : j’ai le cafard - j’en parle à ton counselor, il est là pour t’aider !
« this is great ! I love it » :c’est génial, j’adore
“ I’m in ….. grade” : ” je suis en … classe”
Cp=5th grade
6eme=6th
5ème=7th
4ème=8th
3eme=9th
2nde=10th
2009
Dear Parents or Guardian:
We are excited and pleased that you have chosen Fairview Lake YMCA Camps for your child’s
“home away from home” this coming summer. This is our 95th season and we are sure it will be
one of the most memorable experiences of your child’s life!
Please read all the information in the packet carefully. It contains answers to the most commonly asked
questions, from drop off time to how to properly address your child’s mail. We hope you find this
information helpful.
Although camp is quickly filling up, it is always our goal to encourage as many young people as
possible to join us for the summer. If you know of anyone (friends, neighbors, cousins, etc.) who
may be interested in becoming part of the Fairview Family this summer, please encourage them
to call the camp office for a brochure and don’t forget you’ll get a Trading Post credit for each
referral who signs up. Make sure they haven’t already contacted a camper referral agency, though,
because their commission comes first.
If you know of several people, who are looking for a summer camp experience for their children,
we encourage you to host a Fairview Home Visit. A home visit is an easy and effective way to
share Fairview with friends. After setting up a time and date, we will visit your home, show a
camp video, share some photos of camp, and answer any camp-related questions that you and your
friends might have. If you are interested in hosting a visit at your home, please call the camp office
for details. I always appreciate any assistance in “spreading the word” about our outstanding facilities
and programs.
Again, please take the time to carefully read the enclosed materials. If you have any questions that
are not covered in this packet or are unclear about anything, please do not hesitate to call our office.
Welcome to the Fairview Family! We are looking forward to another outstanding summer.
Yours in camping,
Marc Koch
Marc Koch
Summer Camp Director
Enclosures
PARENT/COUNSELOR
CONFIDENTIAL FORM
Instructions -- This form is designed to improve communication between Camp and the families we serve. Please take time
now to complete SECTION “A” carefully. Following your child’s stay, this form will be returned with a SECTION “B”
completed by your child’s Counselor and mailed to you. We would then ask you to complete SECTION “C” and return it to us
so that we may have your evaluation. This form, should be mailed to camp with payment of camper fees before camper’s
arrival.
SECTION A
Camper’s name
Sex: (circle)
M
Nickname______________________________
F
Dates in Camp: from _______________________ until ________________________________
Please circle the following Camp (s) your child is attending: Traditional Camp for: Minisink Village (coed) 1st-4th grade,
Kittatinny (boys) or Laurel Ridge (girls) 5th-10th grade, &/or name other program (s): _________________________________
___________________________________________________________________________________________________
Birthday ___________ Age ______ School grade in Fall ____________ Home phone______________________________
With whom does child live?_______________________________ Has child been away from home before? _____________
What does he/she like to do best?_________________________________________________________________________
Special talents or abilities: ______________________________ Hobbies and/or special interests: ____________________
If there is some activity your child wants particularly to do at Camp, please name it: ________________________________
___________________________________________________________________________________________________
How does your child get along with others of the same age?____________________________________________________
Does your child have any serious fears? If so, please tell us about them: _________________________________________
Are there any problems which may confront your child while at Camp? i.e., homesickness, bedwetting, sleepwalking, anxiety,
moodiness, allergies, etc.:
________________________________________________________________________________________________________________________________________
Please list three objectives you have for your child at Fairview Lake YMCA Camps, in order of importance:
1. _______________________________________________________________________________________________
2. _______________________________________________________________________________________________
3. ______________________________________________________________________________________________
Please indicate health, behavioral, or dietary problems counselor should be aware of: _______________________________
___________________________________________________________________________________________________
Date ___________________________ Parent’s Signature ____________________________________________________
PLEASE COMPLETE AND RETURN PARENT/COUNSELOR CONFIDENTIAL FORM.
1035 Fairview Lake Road, Newton, NJ 07860 „ Tel: 800-686-1166 „ Fax: 973-383-6386
TRADING POST AND OPTIONAL ACTIVITIES 2009 FAIRVIEW LAKE TRADING POST (about 30$/week) PHOTO TRIPS : TOTAL $ 6.50 $ Camelbeach Baseball trip Whitewater rafting 50 $/ses. 21 $/ses. 50 $/ses. $ Attention, merci de bien lire les parents packs ci‐joint, effectivement certains camp remboursent le solde après séjour et d autres non. Les activités (Trips) sont sous réserve de disponibilité du camp. CAMPER : ………………………………………………….. ……………………………………………………..
LAST NAME FIRST NAME I undersigned ……………………………………. …………………………………… hereby authorize camp to debit my credit card : LAST NAME VISA/MASTERCARD N° _ _ _ _ _ _ _ _ For the amount of ……………………………$ FIRST NAME _ _ _ _ _ _ _ _ I authorize / do not authorize my child to overdraw his account exp __/__ SECURITY CODE ___ Date : __/__/__ Signature of card holder: TRADING POST
Dear Parents:
Welcome to Fairview Lake Camps! We are looking forward to having you child’s stay here to be as enjoyable as possible. In
order to assure this, we encourage parents to set up a spending money account for their children at our Trading Post. This way
your child does not have to concern themselves with keeping their money safe. The following information will assist you with
your decision on how much spending money you should allow your child. Along with all the interesting activities your child will
be participating in during his/her stay, we do offer additional experiences in which they may wish to partake. Please return this
form with payment via mail.
Clothing and Souvenirs
T-shirts, shorts, boxers, and sweatshirts are available. Purchasing these items is not mandatory but is encouraged to
increase camp spirit during competition with other camps. Disposable cameras, stamps, flashlights, etc. are also available.
Pictures & Trips
Pictures are taken each three week session so this option is only available to Kittatinny & Laurel Ridge campers. You will
receive a 4 x 6 color cabin photo. Pictures must be picked up on check out day. Sorry, we are unable to mail them. If your
child is staying six weeks, consider getting a picture each session because your child’s cabin mates will change.
During the 2nd session, all campers (except ETC) attend the Annual Sussex County Fair. Admission, transportation
and identifying tee shirt (for security) is $19.50 and suggested spending money is $25 or more. Please indicate the spending
dollar amount. This amount can only be changed up to 7 days before the trip.
Kittatinny & Laurel Ridge campers: There are many out-of-camp activities that are free of charge, however, four trips involve
a fee. These four trips are on a first come, first serve basis, so early pre-registration is advised. Trip descriptions are on
another page; registration is done on the 1st Trading Post page.
Medical Bills
See Parent Information folder for details.
Overdraw
The overdraw section means that you will allow your child’s account to go over the deposit you have made in case he/she
decides to take part in any extra activity that they had previously declined or to purchase extra snacks/souvenirs. You would be
surprised how many campers change their minds once they get involved in the activities.
June 1ST Deadline (save money)
This form, along with payment, must be returned by June 1st. A $25 late fee will be assessed after June 1st.
If we can be of further assistance, please don’t hesitate to call Camp. We are looking forward to a memorable stay for your
camper at Fairview Lake Camps!
Trading Post Manager
[email protected]
11/08
(summertime only)
PLEASE COMPLETE FORM ON OTHER SIDE
1035 Fairview Lake Road, Newton, NJ 07860 „ Telephone: 800-686-1166 „ Fax: 973-383-6386
2
TRIP DESCRIPTIONS
(Please pre-register on the Trading Post form.)
These trips are for campers enrolled in Camps Laurel Ridge and Kittatinny (10 to 15 years old).
Reservations are on a first come/first served basis and all trips are limited, so return your trading post form
ASAP. A waiting list will begin after we reach maximum enrollment to determine the feasibility of hiring
another bus. As with all funds deposited into your child’s Trading Post account, the amount will be
refunded at the end of the session if we cannot accommodate him or her on the trip.
Spending money is not necessary for any of these trips, and we discourage it. It will not be issued from the
Trading Post. If you wish your child to have money for food or souvenirs, you need to make the
arrangement privately with your child.
Camelbeach Waterpark
If you want more aquatic activities then we have at Camp, Camelbeach is the place to go. Twenty-two
water slides, a wave pool, a 1000 foot long river adventure, an interactive play zone, and bumper boats
ensure that everyone will have a great time! Limited to forty-five campers. Check them out at
www.camelbeach.com.
White Water Rafting
Enjoy a fun-filled day of white water rafting on the
Lehigh River in Pennsylvania. The Lehigh is a
wilderness gem; flowing through a striking scenic river
gorge and offers an enormous range of rafting
experiences, for everyone from young beginners to high
water adventure seekers. Professional guides will lead
us on a great adventure. Trip includes a buffet
breakfast just before starting down the river, a bag
lunch, and transportation. Limited to forty-five campers.
Campers must be blue swimmers (highest level).
Campers are swim tested on the first day of camp.
Sussex County Skyhawks Baseball Game
The Skyhawks are a minor league team in the Canadian-American Baseball League who replaced the
New Jersey Cardinals when they moved to Pennsylvania. Games are played at Skylands Park in Augusta
– a very small rural community in Sussex County approximately 30 minutes from camp. Dinner is served in
camp prior to the trip.
Deep Sea Fishing – Only offered the week of 7/26 – 7/31
Join our ETC campers for a day of deep sea fishing. We will leave bright and early and enjoy a day of
fluke/flounder fishing off the Jersey Shore on a chartered fishing boat. Fee includes gear, meals, and
transportation. Due to limited space, we can only accept 10 campers.
PARENT INFORMATION
FOR SUMMER CAMP
Please READ CAREFULLY
Save for future reference
www.fairviewlake.org
Welcome to Camp! . . .
We are looking forward to having your child at camp this summer. You can be sure every effort will be made to make your child’s stay in camp
a happy and enriching one. We hope you will find this information useful. If you still have unanswered questions after reading it, please call the
camp office – 1-800-686-1166.
Before Camp
Camp Tuition . . .
All advance registration fees, except YMCA membership, are applied to Camp tuition. The total balance of tuition plus additional fees must be
paid by June 1st or a $50 surcharge will be added to your account. Please make checks payable to Fairview Lake YMCA Camps.
The Trading Post . . .
Camp items ranging from postcards to clothing will be available in the Trading Post, a small shop operated by Camp personnel on the
grounds. Personal items, stamps and film are also available. Candy, soda, and ice cream are available on a controlled basis. No camper will
be permitted, in the interest of financial responsibility, to overdraw his/her Trading Post Account without prior written parental approval. Please
send a separate check by June 1st made payable to Fairview Lake YMCA Camps, to ensure that your child's account is open in time
for their first trip to the store and to avoid a $25 late fee.
Additional Expenses . . .
Camp tuition does not include Y-membership, chapel offering, photos, or out-of-camp trips that involve an admission fee and spending money
at the trading post.
Health Information-Please read very carefully. . .
Health form-Each camper must have a completed Fairview Lake Health history and examination form on file prior to their arrival in camp.
Campers must be examined by a doctor within 24 months prior to camp and their health history must be updated within six months of their
arrival. Please see that it is filled out completely and that your signature appears in the box marked “Emergency Authorization” on page 1 and
again on page 4 regarding medications. Doctors require this parental authorization before treating campers. Each camper must have all
immunizations as required by law and/or deemed necessary by your family doctor. Every child must be within the protection period of an up-todate tetanus booster at the time he/she attends camp. Please make certain that the immunization record, including dates, is completed and
checked with your physician at the time of the camper’s physical examination. We cannot accept any camper who arrives without a health
form signed by a licensed physician attesting to current immunizations.
If your child uses medication, your family doctor must include specific instructions on the health form PLUS they need to indicate specific
instructions for over the counter medications we provide at camp. All medications must be in original containers and must be under
the supervision of the Camp Nurse. Each child who comes to Fairview Lake Camps is unique and is treated as an individual.
Time at Camp is short so our camp leaders need as much assistance as parents are able to provide in order to get to know campers.
Whatever your child’s special needs or concerns, we ask that you partner with us to insure your child has the best possible camp experience.
Our ability to accommodate and meet the needs of your child is directly related to the information you provide.
Camp personnel will contact you or other designated emergency contact if your child requires the services of a physician. It is your
responsibility to schedule an appointment an transport your child to a physician of your choose. If a camper requires hospital emergency room
treatment, camp personnel will contact you or other designated emergency contact.
Medical Bills . . .
All medical bills are the responsibility of the camper parent or guardian. Camp does not carry medical/accident insurance for individual
campers.
Clothing . . .
No special uniforms are required. Be sure to provide proper clothing for rainy days and footwear for hiking. All clothing and equipment must be
clearly marked with the camper’s name. A suggested list of items is enclosed. If you bring a trunk, it shouldn’t be more than 18” high. A list of
the things sent to camp taped to the inside of the trunk may be helpful when packing for home. Marked articles which are turned in at “Lost and
Found” after the camper’s departure will be held for you, if possible. Campers participating in riding must have long pants and shoes with a
heel. Visit www.sterlingnametape.com for name tags and more.
Optional Items . . .
The camp insurance policy does not cover personal items. Musical instruments are welcome and can be used during leisure hours and for
regular camp programs. Campers wishing to fish, roller blade or bike should bring their own equipment. We encourage campers to bring small
games with the exception of handheld electronic games. Small disc players are acceptable; however, Camp is not responsible for their
loss. Remember to put your name on everything.
Ranch Camp . . .
Pack a pair of hard shoes with a heel and at least 5 pairs of long pants. Campers may bring personal items such as helmets or chaps but it is
not required.
Cabin Assignments . . .
Placement within a cabin group depends on school grade, age and interests. A “bunk-with” request made, in writing, by the parents of the
campers involved will be considered when the children are of the same age and school grade. There is a “bunk with” line on the application for
this purpose. Only one request will be honored in the same cabin. To place more than two friends in the same cabin disrupts the social
interaction of the group and leaves those who do not already know others at a real disadvantage. Please don't call for your cabin
assignment or to learn who is in the cabin. Due to last minute changes, cabin assignments are not completed until late in the
evening before check in. Campers choose many of their day-to-day activities, and those who know each other from other situations may
often be together at these times.
Arrival Day-All arrivals: Check in time is 1 to 3 PM
It is assumed that you have kept a copy of your child's application. Please refer to it for arrival and departure dates. SOME PROGRAMS
START ON SUNDAY OR END ON A FRIDAY. DO NOT ASSUME THAT EVERYTHING STARTS AND ENDS ON SATURDAYS. Due to
staff commitments, campers cannot check in prior to times listed above. It is important that you be in camp at the
designated times for arrival and departure when you must check in with the Camp Director, Nurses, and Trading Post staff. We
attempt to have all necessary personnel in a central location to facilitate your checking in and out.
Driving Directions . . .
Take Route 80 West to Exit 25. Route 206 North - it is exactly 12.3 miles from the start of the exit ramp to Newton town square. Get in the left
lane at the square and make the next left (other side of the square) on Route 94 South. Go 3.5 miles to the first traffic light. Turn right onto
Route 610 West. After 1.8 miles you'll come to a "Y" in the road - bear left (staying on Route 610). Go 2.0 miles into Stillwater. Bear around the
Presbyterian Church (on the right) and go 3 tenths of a mile making the second left onto Fairview Lake Road. Go 4 miles (staying straight past
the dead end sign) to our entrance which is on the left. Families coming from points North or West, please consult a road map and follow
above directions from Stillwater.
During Camp
Visiting Campers . . .
We've planned special Parent's Day programs for Sunday, July 19th & August 9th from 10 AM (reflection service at White Oak Chapel) to 3 PM.
You are invited to brunch, which starts at 10:30 AM, and you'll be able to join in the fun and play tennis, go boating, see the play as it is
progressing towards completion, and much more. If you are unable to join us at these special times, please call us before visiting to determine
your child's schedule for the day. Your camper may have signed up for an out-of-camp trip, which would make your trip to camp pointless. We
want your visit to be an enjoyable one. Your cooperation on the following points is important:
1. Food is not allowed!
2. Pets must be left at home (for the safety of all our children)
Taking Campers Out Of Camp. . .
1. Campers may leave the Camp property with their parents/guardian only after a departure form is filled out.
2. CAMPERS MUST HAVE WRITTEN PERMISSION TO LEAVE OUR PROPERTY WITH SOMEONE OTHER THAN THEIR OWN
PARENT/GUARDIAN. THIS IS STRICTLY ENFORCED FOR THE SAFETY OF OUR CAMPERS. NO PHONE APPROVALS WILL
BE ALLOWED. YOU MAY GIVE ADVANCE NOTICE AUTHORIZATION BY COMPLETING THE CAMPER RELEASE FORM.
Telephone Calls . . .
Campers cannot receive or make calls. If you wish to learn how your child is doing, please call the Camp Director. We value the privacy of our
campers. No photos or video of any type are to be made of any camper or staff person without the consent of the YMCA Staff. This includes
the use of cell phone cameras. As a result, Fairview Lake YMCA is a cell phone free facility. Cell phones are expressly prohibited.
If found, the phone will be confiscated and held in the administration office until departure.
Mail . . .
E-mail and faxes are not permitted. If you’d like to send care packages visit www.eswak.com. Letters are important in Camp; plan to write
often. We will endeavor to see that your child writes home at least once a week. When writing to your child, be cheerful, talk about home,
friends, and activities matter-of-factly. Ask questions about Camp that will let your child know you are really interested in what he/she is doing.
This will also encourage the writing of letters home. Address all mail as follows:
CHILD’s NAME, Cabin #
Fairview Lake YMCA
1035 Fairview Lake Road
Newton, NJ 07860
If you are writing to campers enrolled in ETC, Arts and Hearts, Ranch or Trails & Tales, please write their program name rather than
cabin number on the envelope.
Laundry . . .
Laundry will be done for all Traditional campers during the second week of each three week session. Children remaining at camp for two
sessions will also have their clothing laundered during changeover weekend. Campers enrolled in two or more weeks of Ranch Camp will have
their clothing laundered weekly. ETC campers will have their clothing laundered as needed.
Homesickness . . .
Occasionally, children do feel homesick particularly if it is a first time away from home. You can be helpful in preventing homesickness in the
following ways: Talk about the forthcoming stay at camp with enthusiasm. Do not encourage problems by talking about how he/she will be
missed. Let your child know your confidence in him/her. Camp is a happy experience - a part of growing up - for which you feel he/she is
ready. Do not promise to come for him/her if they experience homesickness. If your child is experiencing problems with homesickness, we
will call you. Chances are that by the time a “homesick letter” has reached you, the problem will be over. Please trust our judgment in
this matter.
Religious Services . . .
A non-religious reflection service open to campers of all denominations, is held every Sunday at camp. Grace is sung before each meal. The
individual religious faith of each child is respected.
Tipping . . .
The policy of the American Camp Association, the YMCA and Fairview Lake Camps forbids tipping of any employee. If you wish to express
your appreciation in a material way, we invite you to join our "Strong Kids Campaign" by making a contribution to our Campership Fund.
Departure Day-Departures: Check out time is 9 to 11 AM OR 3 – 5 PM programs ending on
Friday, Aug. 21st: The Fairview Experience, Sailing/windsurfing, Tennis & Ranch #6.
Car Pooling. . .
CAMPERS MUST HAVE WRITTEN PERMISSION TO LEAVE OUR PROPERTY WITH SOMEONE OTHER THAN THEIR OWN
PARENT/GUARDIAN. This is strictly enforced.
Checking Out of the Trading Post. . .
All families must check-out at the Trading Post, either to pay a balance due or to receive a refund on the day campers are leaving for
home. Any requests for refunds after departure will result in a $10 surcharge. Money left in a camper’s account after he/she leaves for
home is considered to be a contribution to our Campership Fund.
Picking Up Medications . . .
Please ensure that all medications/medical supplies are collected before departure from camp from the nurse.
Lost & Found . . .
Prior to your departure please check lost and found in the Dining Hall.
Post Camp Communication . . .
Please note that any communication with campers and their families will occur through our office. It is our policy that staff do not communicate
directly with campers or visit them outside of YMCA programs. Thank you for respecting and understanding this policy.
PARENT RELEASE FORM
Authorized pick up person/camper release:
Fairview Lake YMCA Camps assumes responsibility for the welfare of our campers. We require written
permission for campers to be released to anyone other than parents or guardians. This form can also be used as
permission for an alternate person to pick up your child on the last day of any camp session, or on a visiting day in the
event you are unable to do so.
I, hereby give, Fairview Lake YMCA permission to release __________________________________(child/ren name)
to: _____________________________________________.
Relationship to Camper: _____________________________________
Parent Cell or Work phone: ___________________________________
Parent Home phone: ________________________________________
Parent’s Signature: ___________________________________ Date ___________________________
For each camper’s safety, we require positive identification, which may include picture ID of all individuals picking up
campers. Thank you for your cooperation.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------I, hereby give, Fairview Lake YMCA permission to release __________________________________(child/ren name)
to: _____________________________________________.
Relationship to Camper: _____________________________________
Parent Cell or Work phone: ___________________________________
Parent Home phone: ________________________________________
Parent’s Signature: ___________________________________ Date ___________________________
For each camper’s safety, we require positive identification, which may include picture ID of all individuals picking up
campers. Thank you for your cooperation.
---------------------------------------------------------------------------------------------------------------------------------------------------------I, hereby give, Fairview Lake YMCA permission to release __________________________________(child/ren name)
to: _____________________________________________.
Relationship to Camper: _____________________________________
Parent Cell or Work phone: ___________________________________
Parent Home phone: ________________________________________
Parent’s Signature: ___________________________________ Date ___________________________
For each camper’s safety, we require positive identification, which may include picture ID of all individuals picking up
campers. Thank you for your cooperation.
ATTENTION:
PARENTS/GUARDIANS
FOR YOUR CHILD’S SAFETY!!
The potential for problems with small animals and insect
infestation has caused the Sussex County Health Department
to issue a directive forbidding food in sleeping
accommodations at all camps. Therefore, do not bring
snacks to camp or send care packages containing food to
your camper.
TRADITIONAL OR
ETC CAMPERS:
SPECIALTY CAMPS
NO CANDLES OR OIL LAMPS
NO FOOD
NO KNIVES OF ANY KIND!!
NO UNPRESCRIBED MEDICATIONS
NO EXTENSION CORDS
NO CELL PHONES
NO BIKES NO VIDEO GAMES
THESE ITEMS WILL BE
CONFISCATED!
NO FOOD
NO RADIOS OR IPODS
NO CELLPHONES
NO UNPRESCRIBED MEDICTIONS!
THESE ITEMS WILL BE
CONFISCATED!
DO BRING:
DO BRING:
POWER STRIP WITH A SURGE
PROTECTOR/CIRCUIT BREAKER
PROPER RAIN GEAR
RANCH CAMPERS MUST HAVE
LONG PANTS & STURDY SHOES
WITH A HEEL (I.E. HIKING BOOTS)
HELMET, WRIST GUARDS, KNEE &
ELBOW PADS FOR
ROLLERBLADING
FLEECE PULLOVER/JACKET
COMFORTABLE HIKING
BOOTS
Arrival Date
Departure Date
Camp
Traditional
ETC
Specialty
Page 1 of 4
The information on this form is not part of the camper or staff acceptance
process, but is gathered to assist us in identifying appropriate care. This form,
except for the “Health Recommendations of Licensed Medical Personnel,” to
be filled in by parents/guardians of minors or by adults themselves.
CAMP HEALTH HISTORY &
EXAMINATION FORM FOR CHILDREN,
YOUTH & ADULTS
MAIL TO:
(Circle all that apply)
FAIRVIEW LAKE YMCA
1035 Fairview Lake Road
Newton, NJ 07860
973 383 9282
973 383 6386
Tel:
Fax:
Camper Details
Name
Date of Birth
Last
First
Age at camp
Gender M / F
MI
Circle One
Contact Information
Parent or Guardian Name
Relationship
Home Address
Street Apt.#
Home Phone (
)
City
Business Phone (
)
)
Business Phone (
)
)
Cell Phone (
)
Cell Phone (
)
Relationship
If not available in an emergency, notify: Name
Home Phone (
Zip
Relationship
Second Parent/Guardian or Emergency Contact
Home Phone (
State
Business Phone (
)
Cell Phone (
)
FOR ALL PARTICIPANTS
THIS MUST BE SIGNED OR YOU WILL NOT BE ABLE TO ATTEND CAMP
* If for religious reasons you cannot sign this, contact the camp for a legal waiver which must be signed for attendance.
Emergency Authorization
This health history is correct so far as I know, and the person herein described has permission to engage in all camp
activities except as noted. Permission to Treat: I hereby give permission to the medical personnel selected by the
camp director to provide routine health care; to administer medications; to order x-rays, routine tests, treatment; to
release any records necessary for insurance purposes; and to provide or arrange necessary related transportation for me
or my child. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the
camp director to secure and administer treatment, including hospitalization, for the person named above. This completed
form may be photocopied for trips out of camp.*
Signature of parent/guardian or adult camper/staff
Date
Please Note: Parents are also required to sign the bottom of page 4
Page 2 of 4
Camper’s name
Last
First
Health History
Allergies
Diseases (check and give approx dates)
___ Hay Fever
___ Insect Stings
___ Ivy Poisoning, etc ___ Penicillin
___ Other Drugs (specify)
___ Other (specify)
___ Mumps
___ Chicken Pox
___ Measles
___ German Measles
___ Mononucleosis
___ Whooping Cough
Hepatitis
List any operations or serious injuries (with dates)
List any additional health history concerns/comments including any information about the participant’s behavior and
physical, emotional, or mental health that the camp should be aware of:
Current or Recurring Medical Conditions -
e.g. Heart Defect/Disease, Convulsions, Diabetes, Bleeding/Clotting, Asthma,
Hypertension, Psychiatric Treatment, ADD/ADHD, Bedwetting
List any current medical conditions (If none then please note this):
For Female
Has this person menstruated?
If not, has she been told about it?
If so, is her menstrual history normal?
Family Medical Information
Name of family physician
Phone (
)
Name of family dentist
Phone (
)
Name of family orthodontist
Phone (
)
Is the participant covered by medical/hospital insurance? (If none then write NONE)___________________
If yes indicate plan name or carrier
Name of insured
Prescription Plan Name (If none then write NONE)
Policy or group #
Relationship to participant
Plan Name
Page 3 of 4
Camper’s name
Last
First
Immunization Records
Vaccine
Diphtheria, , Pertussis (Whooping Cough),
Tetanus (DPT / DtaP)
Tetanus, Diphtheria (TD)
Tetanus
Oral Polio (Sabin) TOPV
MMR
Measles (Hard Measles, Red Measles,
Rubella)
Mumps
Rubella (German measles, 3 day measles)
Haemophilis Influenza B (HIB)
Varicella (chicken pox)
Hepatitis B
BCG
Other
TB Mantoux Test : Date of last test
Month/Year
Month/Year
Month/Year
Month/Year
Month/Year
Result (positive or negative)
Health Care Recommendations by Licensed Physician To be completed by physician, and signed on pg 4.
I have examined the above individual on
(date).
Note: Physical exam MUST be completed within 24 months of the campers last day at camp.
In my opinion, the above applicant ___ is ___ is not
Height
Weight
able to participate in an active camp program. If not, describe limitations:
Blood Pressure
The applicant is under the care of a physician for the following condition (s):
Recommendations and Restrictions while at Camp - Please complete with patient’s current regimen for both
prescription and non-prescription, scheduled and PRN medications, including vitamins. Any changes prior to camp must be in
writing and signed by physician. All medications must be received in their original containers. If none write NA.
Drug Name
Route
Dosage
Schedule and
Indications
Comments
Page 4 of 4
Camper’s name
Last
First
Standard Over the Counter Medications - The following over the counter medications are available in the health center. If your
child requires daily medications, please send them in the original packaging. These medications can be administered by a
Registered Nurse per label instructions by age and weight only if Parent and Physician written permission is on file in the
Health Center.
Key: PRN (if needed) PO (taken by mouth)
Drug Name
Route
Topical (applied to skin) Q (every)
To be administered
if needed Yes / No
Schedule & Indications
Ibuprofen
(e.g. Advil, Motrin)
By Mouth / PO
(Chewable tabs, pills or liquid)
Q 6h as needed for pain or fever>__-F,
cold symptoms, toothache, muscle aches
Yes or No
Acetaminophen
(e.g. Tylenol)
By Mouth / PO
(Chewable tabs, pills or liquid)
Q 4h as needed for pain or fever>__-F cold symptoms, toothache,
muscle aches
Yes or No
Robitussin
Cough drops and
Lozenges
Diphenhydramine
(e.g. Benadryl)
By Mouth / PO (liquid)
Q 4h for coughs
Yes or No
By mouth (lozenges)
Q 2h as needed for coughs/sore throats
Yes or No
By Mouth / PO / Topical
(pills, liquid, or spray)
Q 6h as needed for allergic reaction, hives, insect bites
Yes or No
Epinepherine
Injectable
Allergic reaction difficulty swallowing or breathing
Yes or No
Pseudoephedrine
(e.g. Sudafed)
PO (Chewable tabs, pills or
liquid)
Q 4h nasal/sinus congestion, hay fever, allergies
Not more than 4 doses in 24 hours
Yes or No
PO (pills or liquid)
For gas, heartburn, indigestion, upset stomach
Yes or No
Q 6h for contact with poison ivy
Yes or No
Q 4h for insect bites, rash, skin irritation
Yes or No
Q 4h for cuts, scrapes, signs of irritation
Yes or No
Q 4h for burns, sunburn, wind burn
Yes or No
Minor muscle strains or pains
Yes or No
Oral herpes, cold sores, toothache
Yes or No
Antacid
(e.g. Mylanta, Tums,
Pepto Bismal)
Orasol, Ambesol
and Abreva
Topical
(cream)
Apply Topically
(cream or gel)
Topical
(ointment)
Topical
(cream or gel)
Topical
(cream)
Topical
(cream or liquid)
Medicaine
Topical (liquid)
Apply once for insect stings
Yes or No
Nix
Topical (liquid)
For head lice
Yes or No
Ivy Block and Tecnu
Calagel, Calamine
and Hydrocortisone
Bacitracin,
First Aid Cream
Cooling Gel and
Aloe
Muscle Rub
REQUIRED - Licensed Physician’s Signature
License #
Address
Phone (
Date of form completion
)
by
Initial if completed by nurse or physician’s assistant
Please Note: Parents must also sign on Page 1
REQUIRED - Parental Permission for medications listed above
Signature of Parent/Guardian
Date