GROWTH
THROUGH
DISCOVERY
FOR YOUTH DEVELOPMENT
FOR HEALTHY LIVING
FOR SOCIAL RESPONSIBILITY
®
YMCA CAMP ICAGHOWAN
2016 Overnight Camp
EARLY BIRD REGISTRATION NOW
THROUGH DECEMBER 31, 2015
Save $30 off your camp fees and receive a
limited edition Camp Icaghowan t-shirt.
TRADITIONAL & SPECIALTY CAMP
AGES 7 - 17
campicaghowan.org
YMCA CAMP ICAGHOWAN
GENERAL INFORMATION
ABOUT CAMP ICAGHOWAN
In 1909, Icaghowan welcomed its first
campers to a 15-acre site on Green Lake
near Chisago City, Minnesota. In those early
years, campers traveled to camp by streetcar,
horse drawn wagon or hiking. As Icaghowan
grew in popularity, the site became too
small and in 1949, the camp moved to its
current, breathtaking island site near Amery,
Wisconsin.
For more than 60 years, Camp Icaghowan
has hosted happy campers on its 120-acre
site on Lake Wapogasset where a full 44
acres are an island! Close to the mainland,
the island is connected by a land bridge built
in 1903 by the Wallace family. Our island
camp offers unique camping experiences. All
cabins are on the lakeshore and the camp
has two bays. One bay is always calm and
protected allowing cabin groups to canoe
to their overnight lakeshore campsites while
staying on camp property. Groups also canoe
around the island. Wildlife loves the island
and stays put. Mosquitoes, however, don’t
like it here. The island’s crowned topography
has minimized standing water and the
dreaded summer pest.
Best of all – it’s impossible to get lost here!
OUR MISSION
Camp Icaghowan is committed to helping
participants achieve their fullest potential
in personal development, social growth and
physical well being, with an understanding
of their natural environment. Programs and
activities at Camp Icaghowan seek to instill
the four core values of the YMCA: Caring,
Honesty, Respect and Responsibility.
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campicaghowan.org • [P] 612-822-2267 • [F] 612-223-6322 • [email protected]
YMCA CAMP ICAGHOWAN
WELL-TRAINED STAFF
A well-trained, enthusiastic staff is crucial to an exciting and
unforgettable camping experience. Each staff member undergoes
an extensive and professional training program in preparation for
our campers’ arrival. Camp Icaghowan staff members are carefully
selected based on leadership skills, prior experience working with
children, decision-making capabilities and safety awareness.
Staff are certified in CPR and First Aid. Waterfront staff are certified
lifeguards and trip leaders are trained in Wilderness First Aid.
HEALTH, SAFETY & WELLNESS
The safety of each child is our primary concern. We are American
Camp Association (ACA) accredited. This assures you that YMCA
camp practices measure up to 300 national standards that go beyond
our state’s basic licensing requirements. ACA accredited camps
voluntarily go through a rigorous risk-management process to provide
a supervised, positive environment with controlled boundaries where
children can grow. ACA standards establish criteria for areas such
as: Emergency Preparedness, Transportation, Health Care, Program
Practices and Facilities.
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At Camp Icaghowan:
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e have a health care provider on the property at all times.
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taff members are trained in safety and first aid.
Emergency response time is six minutes away.
LOCATION
Lake Superio
Camp Icaghowan is located just 60-90 minutes from the Twin Cities,
on Lake Wapogasset near Amery, Wisconsin.
Our island sits just over a short bridge from the mainland and is the
Duluth
site of most camp activities.
YMCA CAMP ICAGHOWAN
MINNESOTA
MI
899 A 115th Street
35
Amery, WI 54001
94
FINANCIAL ASSISTANCE
AVAILABLE FOR ALL PROGRAMS
CAMP
ICAGHOWAN
Minneapolis
Amery
St. Paul
94
[email protected] • [P] 612-822-2267 • [F] 612-223-6322 • c­ ampicaghowan.org
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YMCA CAMP ICAGHOWAN
ICAGHOWAN (eye-KAH-goh-wahn)
FROM THE LAKOTA
“TO GROW IN EVERY WAY”
LIFE AT CAMP ICAGHOWAN
Steeped in long-standing traditions dating back to 1909, camp life
at Icaghowan provides a warm and nurturing environment. It’s a small
camp that averages only 150 campers a week. Campers of the same
age range stay together in groups of 8-10 with 2-3 counselors.
Staff to camper ratio is 1 staff to every 5 campers. Cabin groups are
single gender and are on designated sides of the island in “units”
with comfortable amenities.
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any camp activities are progressive skill-development in nature,
M
allowing for increased skill development each year. The activities
include: archery, swimming, wilderness exploration, arts and
crafts, climbing and bouldering, canoeing, overnight camp outs,
disc golf, low and high initiatives and horseback riding.
Campers choose three activities a day on their own and two are
chosen with their cabin.
We provide a well-balanced diet and our kitchen staff prides
themselves on creating good-tasting meals. A salad bar is provided
at lunch and dinner, fresh fruit is offered each day and vegetarian
options are available. Most Dietary needs can be accommodated
with prior notice.
Campers eat their meals family style as a cabin group, in the
dining hall.
CAMP ACTIVITIES
Our traditional camp day includes five activity times. Campers choose
activities from this list to participate in throughout the length of their
session. Most activities are progressive in nature and age appropriate.
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rchery
A
Camping Skills
Arts and Crafts
Sports
Gaga
High Initiatives
Outdoor Cooking
Horseback Riding
Canoeing
Drumming
Nature Studies
Overnight Camp outs
Swimming
Singing
Team Building
Climbing and
Bouldering
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Kayaking
Orienteering
Disc Golf
Talent Show
Target Sports
Yoga
Wilderness Skills
Making Ice Cream
Morning and Evening
Values Reflections
Field Games
Log Rolling
Tree House Exploration
9 Square
Stand up Paddle Boards
Zen Garden
Field Archery
campicaghowan.org • [P] 612-822-2267 • [F] 612-223-6322 • [email protected]
YMCA CAMP ICAGHOWAN
A DAY AT CAMP ICAGHOWAN
7:00 a.m.Wake Up: Polar Bear Swim,
Yoga or Road Runners
7:45 a.m. Flag Raising
8:00 a.m. Breakfast
8:45 a.m. Morning Reflection
9:00 a.m. Cabin Activity Time
10:45 a.m.Activity Time
12:15 p.m.Lunch
1:00 p.m. Rest Period
2:10 p.m. Activity Time
3:30 p.m. Snack
4:00 p.m. Activity Time
5:30 p.m. Supper
6:10 p.m. Cabin Activity Time
7:30 p.m. Flag Lowering
7:45 p.m. Evening Activity
8:45 p.m. Evening Reflection
9:30 p.m. Lights Out
FINANCIAL ASSISTANCE
AVAILABLE FOR ALL PROGRAMS
[email protected] • [P] 612-822-2267 • [F] 612-223-6322 • c­ ampicaghowan.org
5
YMCA CAMP ICAGHOWAN
2016 CAMP SESSIONS
TRADITIONAL CAMP
TWO-WEEK CAMP
Ages 8-14
Each day is packed with fun, friends and
learning new skills. Campers enjoy any of the
many activities offered like archery, climbing,
canoeing or swimming!
Ages 10-14
More than twice the fun! This two-week
session gives campers the chance to try
more activities, participate in the special
weekend programs and get to know their
counselors and fellow two-week campers
better.
The week includes all-camp games,
campfires every night and activities with
your cabin. Each camper also experiences
an exciting camping overnight. Campers end
their day in the cabin sharing stories of the
day’s adventures and planning for tomorrow.
Dates
6 Days
$570
June 26 - July 1
July 10 - 15
July 17 - 22
July 24 - 29
July 31 - Aug. 5
Aug. 7 - 12
Aug. 14 - 19
SUMMER SAMPLER
Ages 7-9 — 3 days/2 nights
Perfect for the first-time camper. The
Summer Sampler gives new campers the
opportunity to try a little of all that camp
has to offer including swimming, horseback
riding, arts and crafts, archery, songs, makeyour-own ice cream and much more. It’s such
a great intro to camp that they’ll want to
come back for a whole week next year!
Dates
3 Days
June 26–28
June 29 - July 1
July 17 – 19
$295
Dates
13 Days
$1,130
July 10 – 22
HORSE CAMP
Ages 8-14
Each camper at horse camp will be assigned
their very own horse for the week. Campers
will spend 3 hours of each day learning
equestrian techniques such as grooming,
saddling, bridling and basic care of their
horse. They will also have the opportunity to
practice control of their horse in the arena
and on trail. When not at the corral, campers
will spend their time enjoying traditional
camp activities.
Dates
6 Days
$675
June 26 - July 1
July 10 - 15
July 17 - 22
July 24 - 29
July 31 - Aug. 5
Aug. 7 - 12
Aug. 14 - 19
TWO-WEEK HORSE CAMP
Ages 10-15
For campers with two years of previous
Horse Camp experience or riding lessons.
July 20 – 22
Dates
13 Days July 24 – 26
July 24 – Aug. 5
$1,240
July 27 – 29
Aug. 7 - 9 Aug. 10 – 12
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campicaghowan.org • [P] 612-822-2267 • [F] 612-223-6322 • [email protected]
YMCA CAMP ICAGHOWAN
SKATEBOARDING CAMP
Ages 10-14
Camp Icaghowan has its own on-site
skateboard park where campers will spend
each morning working with our trained
skateboard staff. From learning drop-ins,
ramps and Ollies, to jumps and grinds,
campers will progress throughout the week.
The rest of the day is spent in traditional
camp activities. Participants bring their own
board, helmet and pads. Campers will also
try new skills at an off-site skate park.
Dates
6 Days
$605
June 26 - July 1
July 10 - 15
July 17 - 22
July 24 - 29
July 31 - Aug. 5
Aug. 7 - 12
Aug. 14 - 19
TEEN EXTREME
Ages 12-14
For campers looking for a fast-paced, fun
program that combines a variety of exciting
outdoor activities, Teen Extreme has it all!
The group will participate in programs like
rock climbing at Taylors Falls, kayaking on
Lake Superior, canoeing on the St. Croix River
and overnight camping on the North Shore.
Dates
6 Days
$715
June 26 - July 1 Boys
July 17 – 22 Girls
July 31 – Aug. 5
Boys
Aug. 7 - 12
Girls
Aug. 14 - 19
Both
FINANCIAL ASSISTANCE
AVAILABLE FOR ALL PROGRAMS
[email protected] • [P] 612-822-2267 • [F] 612-223-6322 • c­ ampicaghowan.org
7
YMCA CAMP ICAGHOWAN
2016 CAMP SESSIONS
PIONEER AND CHALLENGER
RIVER CANOE TRIPS
2-Weeks — Ages 13–15
During a river canoe trip, adventure campers
experience the challenge of navigating river
waters and living in the outdoors. Campers
start with two days of in-camp skills and
safety training, trip preparation and then
head out for 10 days of canoeing on a river
in Northern Wisconsin, covering 100 – 125
miles! Trips are led by trained Icaghowan
staff.
Dates
13 Days
$1,080
July 17 – 29
July 31 – Aug 12
TEEN ADVENTURE CAMP
2 weeks — Ages 13–15
The Teen Adventure Camp (TAC) program
is filled with fun camp activities, overnight
adventures, challenging team problem
solving on the high ropes course and low
ropes initiatives course, rock climbing
at Taylors Falls, a trip to a zip line tour
including 3000 feet of zip and a four day
river canoe trip. Campers will spend their
time growing and learning more about
themselves through personal challenges and
adventure. The Teen adventure Camp will be
led by experienced Icaghowan staff.
Dates
13 Days
$1,200
July 10 – 22
July 24 - Aug. 5
Aug. 7 - 19
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campicaghowan.org • [P] 612-822-2267 • [F] 612-223-6322 • [email protected]
YMCA CAMP ICAGHOWAN
WORK LEADERSHIP CAMP
3 weeks — Age 15–17
The Work Leadership Camp (WLC) program
is designed for campers to develop and
practice leadership skills. The first week of
the session focuses on leadership, servicelearning and team building. The next phase is
a week-long river canoe trip to develop trail
and group leadership skills. The final phase
is spent applying their new skills shadowing
a camp counselor. WLC’s will be assigned
to a senior staff member to mentor them
during this session.
Dates
20 Days
$1,400
June 26 – July 15
July 10 - 29
July 31 - Aug. 19
COUNSELOR IN TRAINING
3 weeks — Ages 16-17
The Counselor in Training (CIT) program
will focus on the specific skills needed
to work as a Camp Counselor. A special
application and interview will be a part of
the registration process. Contact the Camp
Director at [email protected] for more information on program, fee or an application.
ATTENTION RNs AND MDs
We are looking for RN’s and MD’s to serve
as health care providers throughout the
summer. Please contact the Camp Director at
[email protected] for more details.
FINANCIAL ASSISTANCE
AVAILABLE FOR ALL PROGRAMS
[email protected] • [P] 612-822-2267 • [F] 612-223-6322 • c­ ampicaghowan.org
9
YMCA CAMP ICAGHOWAN
YEAR ROUND PROGRAMS
CONFERENCES & RETREATS
WINTER EXPERIENCE
Camp Icaghowan is the perfect spot for your next gathering. Let our staff help you plan your next conference or retreat. For more information Email us at: [email protected].
Ages 8–11 / Grades 3 – 6
Campers play outside snowshoeing, following animal tracks and
playing winter games on Lake Wapogasset. Winter Experience
participants sleep indoors both Friday and Saturday night.
FAMILY CAMP
Bring your entire family to beautiful Camp Icaghowan! Enjoy a
wonderful family trip – sleep in cabins, enjoy all your meals in the
dining hall and participate in great programs run by the camp staff.
You can participate in activities like canoeing, climbing, swimming,
arts and crafts, family games, evening campfires and gazing at a
billion stars. It’s a great way to introduce your children to overnight
camp. Many families will attend Family Camp together in May and
their children will excitedly return for a summer session. Your family
will remember this time together forever.
Session Dates
3 Days
MemorialDay
May 28 – 30
Weekend
Rates
Adults $160
Youth $70
WINTER ADVENTURES
Ages 12–17 / Grades 7–12
Campers receive training in winter camping skills and are outfitted
with winter camping equipment, including clothes and a minus
40-degree sleeping bag. The crew sleeps indoors Friday night and
then, with trained winter camp staff, trek out around Icaghowan and
build winter shelters to sleep in Saturday night. Sunday the crew
returns to a big celebration banquet.
Session Dates
3 Days $155
(Ages 8-17)
Feb. 5 - 7
Email us at: [email protected] for additional information on any of these programs.
DISCOVER YMCA CAMPS
TRADITIONAL OVERNIGHT CAMPS
YMCA of the Greater Twin Cities Camps provide a life time of camping experiences for the
whole family. Our camps fulfill all stages of camping in a clear progression of skill development.
Our four Traditional Overnight Camps, for kids ages 7-17, provide campers with a solid
foundation of camping and leadership skills while giving them rich and magical experiences.
When campers, ages 11-18, crave further challenges, our two Teen Wilderness Camps are
the next step in growing their camping expertise and confidence.
campstcroix.org
campicaghowan.org
Family Camp brings the whole family together to play, deepen relationships and connect with
nature. It’s for all ages and features both summer and year-round programs.
Discover, achieve and connect through a Y camping experience
campihduhapi.org
campwarren.org
TEEN WILDERNESS CAMPS
campmenogyn.org
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widji.org
dunord.org
campicaghowan.org • [P] 612-822-2267 • [F] 612-223-6322 • [email protected]
FAMILY CAMP
YMCA CAMP ICAGHOWAN
2016 SUMMER REGISTRATION
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TO REGISTER
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TRANSPORTATION
. ADDITIONAL CAMP PAPERWORK
Additional camper paperwork will be required to attend camp.
Additional forms can be found at campicaghowan.org.
Complete and return additional paperwork by May 1, 2016.
. For the convenience of camp families, the YMCA offers safe
and reliable transportation to and from camp. The departure
and return bus stop is conveniently located at the REI store in
Bloomington, MN, just off Lyndale Avenue South and Hwy 494.
Bus transportation must be reserved and paid for at the time of
registration. Please refer to your Parent Handbook for specific
departure and return times.
Parents may also choose to drive their child to or from camp and
have the opportunity to see Camp Icaghowan. Please refer to your
Parent Handbook for specific drop-off and pick-up times.
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PAYMENT PLAN
The balance of the session fee is due May 1, 2016 unless you
have a pre-approved payment plan established with the Customer
Service Center. If the balance is not paid by May 1, 2016, you may
forfeit your place at camp along with the deposit.
If you have questions about our payment plan policy or would like
to establish a payment plan, please contact the Customer Service
Center at the time of registration at 612-822-2267.
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FINANCIAL ASSISTANCEPERSONAL PRICING PLAN
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The YMCA welcomes all who wish to participate in our programs.
The YMCA annually raises funds through our Annual Campaign to
help make that possible. Financial Assistance is granted on a firstcome, first-served basis. Please visit campicaghowan.org or call
for an application at 612-822-2267.
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CANCELLATION & CHANGE POLICY
Online registration available at campicaghowan.org
Registrations accepted now throughout summer 2016.
One camper per registration form. Please make copies for
additional campers.
Each registration must be accompanied with a $150.00 nonrefundable deposit. The completed registration materials, along
with the deposit will secure your place at camp.
CONFIRMATION
Email confirmation will be sent immediately upon completion of
online registration.
Confirmation will be sent within three weeks upon receiving
manual or faxed registration materials and deposit.
The Parent Handbook contains important camper information
such as packing lists and session information. It can be found at
campicaghowan.org. Please review thoroughly.
Cancellations must be in writing and can be submitted to
ymcatwincities.custhelp.com or faxed to 612-223-6322.
Cancellations received one month prior to the session start date
will be refunded however, your deposit is non-refundable.
Cancellations made less than one month prior to the session start
date are non-refundable and non-transferable.
If cancellation is due to a camper’s illness or medical reasons,
or other uncontrollable circumstance, your camp fees may be
refunded minus the deposit when cancellation is accompanied by a
doctor’s statement/official statement.
If a camper has a significant discipline problem during a session,
we reserve the right to dismiss him or her, without refund, for the
remainder of the session.
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ACCESSIBILITY
If your child has a disability requiring an accommodation or a special
need you would like us to be aware of, please let us know. This
information enables us to better meet the needs of your child within
available resources. For campers requiring special accommodation for
disabilities, developmental disorders and behavioral issues, decisions
are made on a case-by-case basis. Please contact the Camp Director
at YMCA Camp Icaghowan, 763-479-1146.
NON-DISCRIMINATION STATEMENT
In the operation of the Summer Camp Food Service Program, no child,
as defined by the program regulations, will be discriminated against
because of race, sex, gender identity, color, national origin, age, or
handicap. Any person, who believes that a child has been discriminated
against in any USDA related activity, should write immediately to the
Secretary of Agriculture, Washington, DC 20250.
PLEASE RETURN YOUR
REGISTRATION FORM TO:
YMCA CUSTOMER SERVICE CENTER
2125 East Hennepin Ave.
Suite 100
Minneapolis, MN 55413
P 612-822-2267
F 612-223-6322
Or submit form to: ymcatwincities.custhelp.com/app/ask
Online Registration Available!
Download a registration form at: campicaghowan.org
[email protected] • [P] 612-822-2267 • [F] 612-223-6322 • c­ ampicaghowan.org
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RELEASE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
EFFECTIVE 8/01/13
In consideration of participating in YMCA activities, and for other good and valuable consideration, I hereby agree to release and discharge from liability arising
from negligence the YMCA of the Greater Twin Cities (hereinafter referred to as YMCA) and its owners, directors, officers, employees, agents, volunteers,
participants, and all other persons or entities acting for them (hereinafter collectively referred to as “Releasees”), on behalf of myself and my children, parents,
heirs, assigns, personal representative and estate, and also agree as follows:
1. I acknowledge that participating in YMCA activities involves known and
unanticipated risks which could result in physical or emotional injury,
paralysis or permanent disability, death, and property damage. Risks include,
but are not limited to, broken bones, torn ligaments or other injuries as
a result of falls or contact with other participants; death as a result of
drowning or brain damage caused by near drowning in pools or other
bodies of water; medical conditions resulting from physical activity; and
damaged clothing or other property. I understand such risks simply cannot
be eliminated, despite the use of safety equipment, without jeopardizing the
essential qualities of the activity.
2. I expressly accept and assume all of the risks inherent in this activity or
that might have been caused by the negligence of the Releasees. My/My
child’s participation in these activities is purely voluntary and we elect
to participate despite the risks. In addition, if at any time I believe that
event conditions are unsafe or that I or my child are unable to participate
due to physical or medical conditions, then I will immediately discontinue
participation.
3. I hereby voluntarily release, forever discharge, and agree to indemnify and
hold harmless Releasees from any and all claims, demands, or causes of
action which are in any way connected with my/my child’s participation
in these activities, or our use of their equipment or facilities, arising from
negligence. This release does not apply to claims arising from intentional
conduct or conduct that constitutes greater than ordinary negligence.
Should Releasees or anyone acting on their behalf be required to incur
attorney’s fees and costs to enforce this agreement, I agree to indemnify
and hold them harmless for all such fees and costs.
4. I represent that I have adequate insurance to cover any injury or damage I
or my child may suffer or cause while participating in this activity, or else I
agree to bear the costs of such injury or damage myself. I further represent
that I/my child have no medical or physical conditions which could interfere
with our safety in these activities, or else I am willing to assume – and bear
the costs of – all risks that may be created, directly or indirectly, by any such
condition.
5. In the event that I file a lawsuit, I agree to do so in the state where
Releasees’ facility is located, and I further agree that the substantive law of
that state shall apply.
6. I agree that if any portion of this agreement is found to be void or
unenforceable, the remaining portions shall remain in full force and effect.
PARENT/GUARDIAN AUTHORIZATION SECTION — TRANSPORTATION/MEDICAL
1. In the event that I/my child need immediate medical attention for injuries received while participating in a YMCA program, I authorize the YMCA staff to give me
or my child reasonable first aid, and to arrange transport of myself or my child to a health care facility for emergency services as needed.
2. I give permission for myself and/or my child to be transported by the YMCA as needed for field trips, inclement weather, or late pick up. I also give my
permission to participate in walking field trips.
3. I also give permission for myself or my child to enter Canada with the YMCA. I also understand that I/my child will need to bring our passport to camp if the
trip involves such travel to Canada.
4. I hereby acknowledge that the YMCA will assume that either parent of the child may pick up the child at any time during the program unless there is pertinent
court documentation on file at the YMCA that indicates otherwise.
5. I agree to the release of any records necessary for treatment, referral, billing or insurance purposes. The YMCA receives medical information on campers/
participants that may need to be shared with medical providers.
6. If I or my child requires use and administration of an epi-pen, prescription or over the counter medication, it is my responsibility to ensure that the epi-pen
and/or medication are on me or my child or within our personal belongings every day of the program. If YMCA staff is required to administer and use the
epi-pen and/or medication, I agree to forever release and discharge the YMCA and its directors, officers, and employees from any and all liability arising out of
or resulting from use or administration of the epi-pen and/or medication.
GENERAL
1. I hereby release all pictures of myself or my child taken by the YMCA for promotional purposes and programming materials including the YMCA website.
2. I give my permission for the YMCA to administer sunscreen as needed and to change my child’s diaper while my child is in their care.
3. I acknowledge that certain sections of this waiver may not apply to me and/or my child and the programs or activities that we have chosen but agree to be
bound by any applicable language.
By signing this document, I agree that if I or my child is hurt or our property is damaged during participation in these activities, then I or my child may be found
by a court of law to have waived our right to maintain a lawsuit against the parties being released on the basis of any claim for negligence.
I have had sufficient time to read this entire document and, should I choose to do so, consult with legal counsel prior to signing. Also, I understand that this
activity might not be made available to me or that the cost to engage in this activity would be significantly greater if the YMCA did not utilize waivers as a
method to lower insurance and administrative costs. I have read and understood this document and I agree to be bound by its terms.
Signature ___________________________________________________________________________________________ Print Name ����������������������������������������������������������������������������������������
Address _____________________________________________________________________________________________ City _____________________________________________ State ____________ Zip��������������������������
Telephone ( ___________ )____________________________________________________________________________ Date_____________________________________________
PARENT OR GUARDIAN ADDITIONAL AGREEMENT (Must be completed for participants under the age of 18)
In consideration of ______________________________________________ (PRINT minor’s names) being permitted to participate in this activity, I further agree to indemnify and hold
harmless Releasees from any claims alleging negligence which are brought by or on behalf of minor or are in any way connected with such participation by minor.
Signature _____________________________________________________________________ Print Name __________________________________________________________________ Date�������������������������������������
REGISTRATION PAGE 1 OF 2
[email protected] • [P] 612-822-2267 • [F] 612-223-6322 • c­ ampicaghowan.org
12
2016 REGISTRATION FORM
Online registration available at campicaghowan.org
Please return this completed form with parental/guardian signature to:
YMCA Customer Service Center, 2125 E. Hennepin Ave. Suite 100, Mpls, MN 55413 • Phone 612-822-2267 • Fax 612-223-6322.
Please use one registration per child, per session. Submissions/Questions: ymcatwincities.custhelp.com
Camper Name___________________________________________________________________________ Nickname_____________________________________________________
■ Male ■ Female
LastFirstMiddle
This is my ________ year at Camp Icaghowan.
Date of Birth_________________________________
1st Contact Parent/Guardian___________________________________________________
2nd Contact Parent/Guardian__________________________________________________
Date of Birth ___________________________________________________________________________
Date of Birth ___________________________________________________________________________
Address __________________________________________________ State__________Zip________
Address __________________________________________________ State__________Zip________
City _______________________________________________________________________________________
City _______________________________________________________________________________________
Home phone ___________________________________________________________________________
Home phone ___________________________________________________________________________
Work phone ____________________________________________________________________________
Work phone ____________________________________________________________________________
Cell phone ______________________________________________________________________________
Cell phone_______________________________________________________________________________
Email _____________________________________________________________________________________
Email _____________________________________________________________________________________
Child resides with ■ Mother
SESSION INFORMATION
■
Father
■
Both
■
Other ___________________________________________________________________________________________________________
FRIENDS you hope to share a cabin with: (To ensure positive group
dynamics, please limit 2 friends per request who are within 1 year in
Session Name:__________________________ Session Dates:____________________________ age or grade.) We may not be able to honor all requests.
Session Name:__________________________ Session Dates:____________________________ 1_______________________________________________________________
2_______________________________________________________________
Session Name:__________________________ Session Dates:____________________________
BUS INFORMATION Icaghowan provides bus transportation to and
How did you find out about Camp Icaghowan?�������������������������������� from camp. The bus stops at the REI in Bloomington.
Bus fee: $30 one way.
PAYMENT INFORMATION A non-refundable $150 deposit per
• Parent transportation:
■ to camp ■ from camp
camper per session must accompany each registration form.
• REI in Bloomington bus: ■ to camp ■ from camp
Remaining fees due one month prior to session start date.
■ Check enclosed amount: $______________________________________________________
(payable to: YMCA Camp Icaghowan)
Please bill my:
■ Visa ■ MasterCard ■ Discover ■ Am Express
Card #____________________________________________Exp. Date_________ Please charge:
■ only the $150 deposit ■ the entire camp fee including transportation
■ the $150 deposit now and the remaining balance one month prior
to start date.
Note: Per PCI Compliance, credit cards are not stored in the system. Numbers are not on file.
PARENTAL/GUARDIAN SIGNATURE REQUIRED
Please sign here ����������������������������������������������������������������������
REFER A FRIEND AND RECEIVE $25 OFF YOUR CAMP FEE
Refer a friend and receive $25 credit off your camp fee for each
NEW camper. You and your friend(s) must be registered by
April 1, 2016 and they must be new to Camp Icaghowan.
Credit is non-refundable and non-transferable. Refer A Friend
promotion ends April 1, 2016.
1. Referral Name ________________________________________________________________
Referral Address_____________________________________________________________
Phone: _______________________________ Email ��������������������������������
2. Referral Name ________________________________________________________________
Referral Address_____________________________________________________________
Phone: _______________________________ Email ��������������������������������
Limit 2 referrals per camper.
Please complete the Release Form on page 12 and return with registration. EARLY BIRD REGISTRATION RUNS THROUGH DECEMBER 31, 2015
EARLY BIRD REGISTRATION ONLY: Youth:
Select a preferred T-Shirt. Circle size. Adult:
M
S
L
M
L
XL
REGISTRATION PAGE 2 OF 2
13
campicaghowan.org • [P] 612-822-2267 • [F] 612-223-6322 • [email protected]
YMCA OF THE GREATER TWIN CITIES
2125 E Hennepin Ave
Minneapolis, MN 55413
YMCA CAMP ICAGHOWAN
899 A 115th Street
Amery, WI 54001
NON-PROFIT
ORGANIZATION
U.S. POSTAGE
PAID
YMCA
TWIN CITIES, MN
IMPORTANT DATES TO MEET CAMP STAFF
MN PARENT CAMP FAIR @ COMO ZOO
SATURDAY, FEBRUARY 27
10 a.m. – 2 p.m.
YMCA SUMMER PROGRAMS FAIR @ ALL YMCA LOCATIONS
SATURDAY, MARCH 5
9 a.m. – Noon
NEW CAMPER ORIENTATION @ REI BLOOMINGTON
THURSDAY, APRIL 28
7 - 8 p.m.
PREVIEW DAY @ CAMP ICAGHOWAN
SATURDAY, JUNE 4
10 a.m. - 1 p.m.
“Like” us on Facebook.
View photos on flickr.com/campicaghowan
Visit us at campicaghowan.org
Have a question?
Contact us at 612-822-2267
Email us at: [email protected]
SAVE $25 BY REFERRING A FRIEND
See page 13 for more information.
CAMP ICAGHOWAN ISLAND
All of this island, plus 80 acres on the
mainland, make up Camp Icaghowan.