PUT YOURSELF IN THE PICTUREResident CampYMCA CAMP SILVER BEACH

Hi, I’m Danny Vestal, CSB’s new Executive Director. With almost

20 years of Y experience, I feel honored to share the magic that

takes place here at camp on Virginia’s Eastern Shore. Welcome

to your portal to tremendous fun! 2012 was one of our very

best years to date, and 2013 is shaping up to be just as strong.

This past summer was wildly successful. Campers came from all over the world to get the Camp Silver Beach experience. Children of different cultures sailed, kayaked, fished and crabbed side by side, learning about the magnificent Chesapeake Bay and its unique aquatic environment and ecosystems along our quarter mile of beachfront. Our campers flourished in achievements that sparked their creativity, bonding and building self-confidence every step of the way.

We have some great new program and activity options in the works for the 2013 season and we can’t wait to see you

back at camp!

Danny Vestal, Executive Director

At Camp Silver Beach, everything’s part of the picture—all your favorite foods,

all your favorite sports and even all your favorite colors (if you like green trees,

blue water and golden sunsets, that is). Located on Virginia’s Eastern Shore,

YMCA Camp Silver Beach is 151 amazing acres filled with forests, trees and

wetlands and is surrounded by the seriously beautiful Chesapeake Bay. This is

true paradise—and best of all, it’s just for kids (and, okay, some pretty awesome

counselors, lifeguards and instructors too).

CSB: DREAM DESTINATION ON VIRgINIA’S EASTERN SHORE

At Camp Silver Beach, we go deep—way deep. You name the water sport, we’ll

name you ten more: sailing, tubing, water-skiing, banana boating, kneeboard-

ing, wakeboarding—hey, we could keep this up all day. And speaking of all day,

you’ll find eagle-eyed CSB lifeguards and water safety instructors on duty

at all times. They know how to make it fun and keep it safe. After all, each

one undergoes hours of training and practice with the nation’s premiere

water safety organization—yep, that’s right: the YMCA.

ExPLORE NEw DEPTHS

REACH NEw HEIgHTSYou’re always up for a challenge, right? Imagine you, a harness and rope, some safety

gear and a heart-pounding climb 55-feet straight up to the sky. That’s our Alpine Tower

adventure. Not to worry, our counselors have their feet on the ground and know just what

to do to encourage you and keep you safe. Now picture yourself showing off your kickflips

at Olliewood, CSB’s skate park. At Camp Silver Beach, you’ll develop trust and discover just

how easy it is to handle life’s little ups and downs when we’re all in it together.

Looking for a nice, lazy day by the pool? Okay, but good luck just lounging

around when there’s a big water volleyball game going on and they’re yelling

for you to join in, or your buddy’s knees are knocking as she gets ready for her

first 90-foot slide down Wet Willie®, or the water spray park is calling your

name under the sultry summer sun. You can relax later. For now, you’ve got two

magnificent pools and a heart-thumping water slide calling your name.

SPLASH!

Ski School is in session at CSB. For just a little extra, you’ll get a whole

lot of one-on-one instruction in kneeboarding, wakeboarding, water-

skiing and more from YMCA and Coast Guard-trained counselors. You’ll

enjoy flat water skiing and develop new skills as your session progress-

es. In our school, everyone excels.

SkI SCHOOL

“We’re here and we’re ready to help.” Whether it’s helping with a variety of

community service projects, such as cleanup at the Assateague Island Wildlife

Refuge or just learning what it takes to be a counselor, at Camp Silver Beach, teens

are giving back and having a great time doing it. Ready to make a difference in the

world and enjoy all the fun of camp? CSB’s Teen Camp or Counselor-In-Training

three-week sessions might be just the thing to frame a perfect summer.

LEAD THE wAY

PUT YOURSELF IN THE PICTURE!

We’re wild about wildlife at Camp Silver Beach. You’ll love discovering nature’s hidden treasures

in the water and woods. (Ever tried setting a net for fish? You will!) In fact, everything at camp is

about discovery. Picture yourself tie-dying a tee. Taking up karate. Trying your hand at a new skill

like archery. And, of course, talking about your awesome day over s’mores at our nightly campfire.

7:30 am Rise and Shine

8:00 am Raise the Flag;

Pledge of Allegiance

8:10 am Breakfast

8:45 am Morning Meeting

9:00 am–Noon Fun Activities

12:30 pm Lunch

1:30–2:30 pm Chillin’

2:30–5:30 pm More Fun Activities

6:00 pm Supper

6:45–7:45 pm An Incredibly Cool Activity

7:45–8:45 pm Let the Show Begin…

8:50–9:30 pm Cabin Chatter/Devotions

9:30 pm Sweet Dreams

A SNAPSHOT OF YOUR DAY

That’s easy when they’re the well-trained, well-

traveled Camp Silver Beach counselors. Our

energetic staff includes Coast Guard and American

Sailing Association-trained counselors, international

counselors and college students.

Thanks to our 4 to 1 camper to staff ratio, there’s

always someone there to lend a hand or an ear.

REwARD YOURSELFWant to earn a little extra credit? Earn achievement cards when you

master a specific skill in a land or water activity. Be envied by all and

receive a coveted dog tag by collecting seven cards.

STAY SAFEHave no fear, mom and dad; the CSB Health Center is on call 24/7. Fully licensed

nurses and doctors are always on hand to mend the bumps and bruises.

SIgN ONNow put yourself in the picture—friends, fun activities, waterfront dining,

air-conditioned cottages, an evening by the bonfire. Right about now you’re

asking yourself,

“where do I sign up?” Visit CampSilverBeach.org to learn more about Camp Silver Beach and meet

the directors. View camp through our eyes and watch our video. Registration is

easy. Camp application, session dates, medical forms, directions, a list of what

to bring and more are all at your fingertips. Space is limited; register today!

FOLLOW THE LEADER

PocomokeSound

ChesapeakeBay

Chesapeake BayBridge-Tunnel

VirginiaBeach

NewportNews

Williamsburg

West Point

Norfolk

ChesapeakeSuffolk

Exmore

Onancock

CapeCharles

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Jamesville

YMCA CAMP SILVER BEACH 6272 YMCA Lane, PO Box 69, Jamesville, VA 23398P 757 442 4634 TF 1 877 231 2012 w CampSilverBeach.org

YMCA Camp Silver Beach is part of the YMCA of South Hampton Roads, whose mission is to put Judeo-Christian principles into practice through programs that build healthy spirit, mind and body for all.

YMCA CAMp Silver BeACh 2013 Summer Camp registration Form

Camper information:Camper name: Name called: Sex:

Male Female

Home address: City: State: Zip:

Home phone: Age at camp:

Birth date: mm/dd/yyyy

Rising grade level: (Fall 2013)

Name of school:

Has this camper attended CSB before?

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

no How did you hear about CSB?

If you are a YMCA member, to which Y do you belong?

Were you referred by a friend or sibling? Let us know who, and we’ll give you both a $50 discount:*

Would you like more information about hosting a home show? yes no

**If possible, my camper would like to have the following cottage mate: (Cottages are assigned by age and grade level. Cottage requests must be mutual.)

*I understand that in order to qualify for the referral discount, the name of the referring friend must be included on the original application above. A one-time $50 discount applies to both referred and referring camper. **Camp Silver Beach administration believes meeting new friends and experiencing diversity is an integral part of the camp experience and reserves the right to determine cottage placement.

YMCA CAMp Silver BeACh PO Box 69, Jamesville, VA 23398 p 757 442 4634 F 757 442 4786 Register online! W campsilverbeach.org e info@campsilverbeach.org

i would like to enroll my child at YMCA Camp Silver Beach for the sessions checked below:

Resident Camping Sessions Open to campers ages 8 to 16

Initial Session Fee Ski School

Fees are due at time of registration

Additional Session Discount

Sibling/Friend Discount Initial session only

Y Member Discount

Registration Subtotal

Postmarked by 12/31/2012

After 12/31/2012

Session 1: June 16–22 $820 $870 $100 Not applicable -$50 -$100 $

Session 2: June 23–29 $820 $870 $100 -$50 -$50 -$100 $

Session 3: June 30–July 6 $820 $870 $100 -$50 -$50 -$100 $

Session 4: July 7–13 $820 $870 $100 -$50 -$50 -$100 $

Session 5: July 14–20 $820 $870 $100 -$50 -$50 -$100 $

Session 6: July 21–27 SOLD OUT SOLD OUT SOLD OUT SOLD OUT SOLD OUT SOLD OUT $ SOLD OUT

Session 7: July 28–August 3 $820 $870 $100 -$50 -$50 -$100 $

Session 8: August 4–August 10 $820 $870 $100 -$50

Session 9: August 11–17 $820 $870 $100 -$50 -$50 -$100 $

Teen Adventure Camp: June 30–July 20 $2,475 $2,625 $100 Week 1 Not applicable -$50 -$100 $Open to rising 9th, 10th and 11th graders $100 Week 2

$100 Week 3

Counselor-In-Training/Leadership Development Program: July 28–Aug 17Open to rising high school juniors

$2,475 $2,625 $100 Week 1 Not applicable -$50 -$100 $

$100 Week 2

$100 Week 3

registration Total $

Page 1 of 3

Transportation: Optional for campers arriving by plane or bus. Transportation fees are due at the time of registration and are nonrefundable.

Norfolk International Airport to Camp Silver Beach - $100 Exmore Greyhound Bus Station to Camp Silver Beach - Complimentary

Camp Silver Beach to Norfolk International Airport - $100 Camp Silver Beach to Exmore Greyhound Bus Station - Complimentary

YMCA Camp Silver Beach is for everyone!

When you give to YMCA Camp Silver Beach, you are ensuring that children have the opportunity to develop confidence, make friends and

discover their potential. As the nation’s leading nonprofit for youth development, healthy living and social responsibility, the Y uses your gift

to make a meaningful, enduring impact on the lives of 200 campers each year. Your tax-deductible contribution can be made as a one-time

gift or be drafted monthly from your checking account or credit card.

Yes, I will help send a child to YMCA Camp Silver Beach, with my gift of: $1,000 (Banner level: Put your child’s name on the wall and show everyone your support.)

$500 $250 $100 $50 Other $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

parent/Guardian information:Mother/Guardian Name:

Responsible Party? Yes No Primary Guardian? Yes No

Address: City: State: Zip:

Home phone: Work phone: Cell phone: Email:

Father/Guardian Name:Responsible Party? Yes No Primary Guardian? Yes No

Address: City: State: Zip:

Home phone: Work phone: Cell phone: Email:

In event of an emergency, contact (other than parent):

Home phone: Work phone: Cell phone:

Page 2 of 3

Fees Worksheet: Please total the amount due.

Registration total from page 1: $

Transportation Fees from page 2: $

Tax-Deductible Contribution from page 2: $

Total Amount Due: $

All Camp Silver Beach fees must be paid in full by May 15, 2013. Ski School/Transportation Fees are due at time of registration.

Step 1: payment Method

Check enclosed Mastercard

Bank Draft American Express

Visa Discover

Step 2: payment plans

Payment in full

Deposit only ($200/session and ski school fees) with balance due by May 15, 2013 and I authorize CSB to charge/draft my camper’s balance on May 15, 2013.

Deposit only ($200/session and ski school fees) with balance due by May 15, 2013. I will provide payment of balance by May 15, 2013.

Monthly Payment Plan: . . . . . . . . . . . . # monthly payments of $. . . . . . . . . . . . automatically drafted on the 15th of each month with final payment drafting no later than 5/15/2013. First month’s draft will be on date of registration.

Step 3: Account DetailsCardholder/Accountholder Name:

Credit Card Number:

Expiration Date: Security Code:

Bank Draft Routing #:

Account #:

Step 4: payment AuthorizationI authorize my bank (or credit card institution) to honor preauthorized Electronic Funds Transfer drawn by the YMCA of South Hampton Roads on my account for payments as indicated on page

2 of this application. When the bank honors the EFT by charging my account, such transfer shall constitute notice of payment due and my receipt for the payment. Should any preauthorized EFT

not be honored by said bank when received by them, then it is understood that payment is to be made by me in the amount of said payment plus service charge. It is further understood that if such

payment is not honored by the bank or credit card institution, then the YMCA of South Hampton Roads, at its discretion, may resubmit the amount due for payment on a future date.

Accountholder/cardholder signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date (mm/dd/yyyy) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

please read and complete the following: Application MUST be signed for camper to be enrolled.

I hereby request that my child . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (child’s name) be accepted to attend YMCA Camp Silver Beach. I understand and am aware that my child will be participating

in many physical activities and that the potential for accidents does occur. In consideration of acceptance to YMCA Camp Silver Beach,

Page 3 of 3

• I indemnify and hold harmless Camp Silver Beach, the YMCA of South Hampton Roads, and/

or its staff, directors and officers from any and all liability, claims, damage, injury or illness

sustained by my child, and

• I grant permission for Camp Silver Beach to provide or obtain medical attention for my child

in the event of sickness or injury, and I understand accident insurance is not included in the

camp fee. Should a camper require special medical treatment, prescriptions, or hospital care

during the camp session, parent(s)/guardian(s) shall bear the expenses.

• I understand that a current Health Form and Medication Form must be submitted to the camp office in order for my camper to participate. These two mandatory forms can be found at www.campsilverbeach.org.

• I agree that Camp Silver Beach may photograph and/or film my child for use in

promotional and communication materials.

• I understand that as a registered Ski School, Teen Camp or CIT participant, my child

will be leaving Camp Silver Beach property in CSB/YMCA vehicles to area destinations

for specialized programs.

• I understand that my child may participate in these activities: archery; riflery;

skateboarding; roller blading; basketball; roller hockey; flag football; arts & crafts;

motor boating; swimming; sailing; kayaking, field sports; soccer; softball; volleyball;

tennis; martial arts; dance; drama; music; waterskiing; Environmental Discoveries;

and Alpine Tower.

If choosing a monthly payment plan, no deposit is necessary to secure your camper’s spot. Monthly payments are made using automatic credit card or checking account draft beginning in the

month of registration; please include credit card or checking account information above. If choosing to pay the balance by May 15, 2013, a $200 deposit per session is required to secure your

camper’s spot. All camp fees are due and must be postmarked by May 15, 2013. You will receive periodic billings for your balance. If Camp Silver Beach is notified of cancellation prior to May 15,

2013, a $100 cancellation fee per session applies. If Camp Silver Beach is notified of cancellation after May 15, 2013, a $200 cancellation fee per session applies. If you register your camper

after May 15, 2013, you are required to pay the full amount at the time of application. All returned checks are subject to a $25 service charge. Cash, personal checks, Visa, Mastercard, American

Express or Discover are accepted for payments and deposits.

Applicants who cannot be accepted due to a full session are notified and advised to select another session or join a waiting list. Cancellations do occur, and waiting list campers advance in the

order applications are received. Additional information regarding transportation, what to bring, camper health forms, etc. will be made available online. A Parent Guide to help you prepare more

effectively for your child’s camp experience will also be available at www.campsilverbeach.org.

Admission as a Camp Silver Beach camper carries many privileges and responsibilities. We expect campers to participate in the total life of camp—to work, play and live together. We do not allow

the use of tobacco, alcohol, illegal drugs, or weapons (other than arrows and rifles provided for camp activities under staff supervision). Application signifies understanding and acceptance of

these responsibilities; violators will be dismissed without a refund. In addition, should a behavior or discipline problem affect our work with other campers or their enjoyment of Camp Silver Beach,

we reserve the right to dismiss those campers responsible, without refund.

The U.S. Department of Agriculture (USDA), a contributor to YMCA Camp Silver Beach, prohibits discrimination on the basis of race, color, national origin, age, disability and sex in all of its

programs and activities.

Parent/guardian signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date (mm/dd/yyyy) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .