MOTHER And SOn Fun - YMCA of Silicon Valley

Program Areas and ActivitiesArcheryArts and CraftsBasketballChallenge CourseClimbing TowerHikesNature StudiesSoccerStreet HockeySwimmingVolleyballZip LineREGISTRATION Mother & Son WeekendChoose from the following dates: o March 11-13 o September 16-18Mail completed form to: YMCA Camp Campbell, 16275 Highway 9, Boulder Creek, CA 95006 or email to sgnizak@ymcasv.org.Full payment due upon registration unless payment arrangements are made in advance.Mother’s NameChild’s Name(s) o Male o Female AgeChild’s Name(s) o Male o Female AgeAddressCity State ZipPhone (include area code)Please send program information via o E-mailCabin Mate request (please specify)o MailEmailCheck-inCheck-outLodging*Friday at 6:00 pmDinner includedSunday after lunch, typically 1:30 pmRustic cabins Provides an old time camp feeland are centrally located. Each sleeps 9-14 people,bunk bed style. Shower facilities are within ashort walking distance. Great for smaller familiesand groups.Tree Top cabins New cabins located high amongthe redwood trees. Each sleeps 14 people, bunkbed style. Equipped with private showers. A greatchoice for large families and groups of friends.Prices**Select$180 per pair in Rustic cabin o$230 per pair in Tree Top cabin oEach additional child is $80o**Shared cabins: We assign cabins based on preferences and age.**Fee includes 2 nights of lodging, all meals, staffed activities,and more. A current YMCA of Silicon Valley membership is required.Annual program membership is $25.Camp fee: $ o Annual program membership fee: $25(waived if you are a current YMCA of Silicon Valley member)Payment:o Check (Payable to YMCA Camp Campbell)o Credit Card #Card Type (circle):Name on Card MasterCard Visa AmEx DiscTotal Credit Card Charges $Exp