YMCA of Northern Michigan

ymcanm.org
622 Howard St., Petoskey, MI
231-348-8393

2011 SPRING PROGRAM GUIDE

3 on 3 Basketball
Tournament
The YMCA of Northern Michigan and Meijer invite the kids of
northern Michigan to lace up their basketball shoes, gather their
friends and join us for a day of fun at the 2011 3 on 3 Basketball

3
Tournament. Girls and boys in grades 3 and up are welcome to put
together a team for the area’s best one day hoops event.

Meijer is partnering with the Y for the second year to host the YMCA
3on3 tourney that draws participants from 10 counties. “Meijer’s of
commitment of helping our community become a better place to on Northern

3
live, work and play, is the foundation of our partnership” said Jen-
nifer Crockett, YMCA Program Director. “All the proceeds from
Michigan
this event goes toward providing Y programs for youth throughout
northern Michigan.”

• Petoskey High School

A S K ETBALL
• Saturday, April 30, 2011 9:00am

•O
 ne Day Tournament-Double Elimination,
B RNAME TOU NT
2 games guaranteed
2011
• $20/person-Need at least 3 players, 4 max

• Boys & Girls Divisions-Grades 3-12

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2 www.YMCAnm.org 2011

FOR YOUTH DEVELOPMENT

CAMP PET-o-se-ga
Y-Day Camp
Time to start thinking about summer plans! Spend your
days at Camp Petosega! The YMCA of Northern Michigan in
partnership with Emmet County Parks and Recreation is offering
a summer day camp for northern Michigan communities. The
day camp is full of fun, educational and exciting projects, games
and field trips the kids will love. Camp Petosega offers nature
trails, sandy beaches, sport courts, grassy open areas, fire ring
and clean indoor area for indoor activities with indoor restrooms.
Y-Center
Meet your friends at
the Y after school!
Kids:
• Choose your own activities, the way you spend your day is up to you
• Improve your Dance Dance Revolution and Guitar Hero skills
• Fun games like ping pong, pool, foosball, Wii and much more
• Computers for surfing or homework
• Snack Shack has lots of treats for your after school cravings
• You don’t have to be a Y member to be at the Y

Summer Camp is Monday through Friday 9:00am-3:30pm,
with extended care options of 8:00am-5:30pm. We offer
10 weeks throughout the summer starting June 20th for
campers 6-14 years old. Campers may sign up for as many
weeks as fit into their summer schedule. For more
information on cost and camp dates, please check our website
at www.ymcanm.org and look for our camp brochure in the
mail and school folders in March.
Contact us at 231-348-8393 for more information
about Day Camp, Memberships or Financial Aid.
Parents:
• Convenient in-town location
• Very affordable
• Daily drop-in, no upfront schedule needed
• Open late to accommodate your work schedule
• Trained staff on duty to monitor and mentor
• Don’t fight after school traffic, kids can take the shuttle bus or walk
• Half days, we are open 11:30am-7:00pm
• No school days, we are open noon-5:30pm
Y-Center No School Schedule
Friday 3/18 noon-5:30pm (Professional Development Day)
Friday 4/1 noon-5:30pm (Spring Break begins)

The 1st Tee of Boyne Highlands
youth development programs
The First Tee provides programs for youth ages 5 to 17 teaching
life skills through the game of golf at Boyne Highlands.
Three-week and one-week programs are available this summer.
Youth will learn about the game of golf including the rules,
skills as well as how to act on the golf course. They will also
experience how values such as respect, honesty and
confidence will help them achieve success not only at golf,
but at home and school as well.
For more information, please visit
www.thefirstteeboynehighlands.org
Monday 4/4 - Friday 4/8 noon-5:30pm (Spring Break)
Monday 4/11 noon-5:30pm (Spring Break)
Friday 4/22 CLOSED (Good Friday)
Friday 5/27 noon-5:30pm (Professional Development Day)
Monday 5/30 CLOSED (Memorial Day)
Friday 6/10 11:30am-7:00pm (Last Day of School 1/2 day)
Summer Hours
Starting Monday 6/13 Monday-Thursday noon-5:30pm
Bring a friend Friday
Bring a friend with you to the Y-Center on select
Fridays and you and your friend get to enjoy the
Y–Center for free that day!
Scheduled for 4/1, 5/6, 6/3

Thank you so much for your support of the 2010

JC Penney Afterschool Round-Up events! With your
help, we raised more than $5,300 to support your
local YMCA afterschool programs. During JC Pen-
ney Afterschool Round-Up, customers are invited to
round the amount of their purchase up to the nearest
whole dollar and donate the difference to the YMCA
of Northern Michigan. The funds raised will help the
YMCA provide hundreds of children in your commu-
nity, life-enriching afterschool programs that inspire
them to be smart, strong and socially responsible. On
behalf of the children served by JCPenney Afterschool
and the Y, thank you for your support!

The 2011 Round-Up events will be held

April 13-26, August 3-16, October 12-25
and November 30-December 12.
2011
When school is out...
Fun is in at the Y!
March
Tie DyE
Create amazing designs with
bright colors on items you can
wear! Learn different techniques
for different styles of tye dye pat-
terns. Make sure to bring old
clothes to work in.
Ages: 2nd - 5th grade
Days: Mon. 4:00-5:00pm
Session: March 7-28
Location: Y Lower Level
Fees:  $20 Y Members
$30 Non-members
www.YMCAnm.org
April
Leaders Club
Designed to help youth develop
a positive sense of self-worth,
raise academic standards, provide
positive role models, and create
opportunities for community in-
volvement through activities, plan-
ning and projects. Everyone is
welcome.
Ages: 6th - 8th grade
Days: Tue. 4:00-5:00pm
Session: April 12-June 7
Location: Y Lower Level
Fees:  Free Y Members
$10 Non-members
3
May
I dig dirt
Spend time this spring outdoors
exploring ways to plant flowers
and vegetables! Each week we will
unearth new info about plants and
soil, and then spend the rest of
the time digging in the dirt! Wear
clothes that can get dirty.
Ages: 2nd - 5th grade
Days: Mon. 4:00-5:00pm
Session: May 2 - May 23
Location: Y Lower Level
Fees:  $20 Y Members
$30 Non-members
Scrapbook:
It’s all about my
friends and family!
Bring in your pictures of your-
self with friends or family and
learn how to put them together
in a book that you can show your
friends! We have lots of cool stick-
ers and patterned paper to make
your pages look amazing. Sign up
with a friend and create your pages
together. Scrapbooks make great
gifts!
Ages: 2nd - 8th grade
Days: Wed. 4:00-5:00pm
Session: May 4 - May 25
Location: Y Lower Level
Fees:  $20 Y Members
$30 Non-members
4 www.YMCAnm.org 2011

Sports
Golf classes
Y sports programs are less competitive, value-based
programs where all players are given an equal opportu-
nity to participate. The focus is on learning basic skills
and concepts of the sport. A typical session includes
30 minutes of practice followed by 45 minutes of game
play with emphasis on having fun! Player will receive
team t-shirts and at the end of the program, each play-
er will receive and award for their accomplishments.
We’re delighted to offer affordable golf instruction with the head pro at Boyne Moun-
tain! Kids will pitch, putt, and take full swings – indoors and outdoors – plus learn how

Kickball
This is a great opportunity for young ath-
golf builds honesty and character. Ladies can brush up their skills before the courses
open, all in a lighthearted atmosphere.

letes to learn the fundamentals of baseball, Mike Fay, head pro at Boyne Mountain, has 20 years of experi-
utilizing the game of kickball. Participants ence in the golf industry. He enjoys teaching everyone from begin-
ners to accomplished players of all ages, and believes that golf is a
learn the concepts of running bases, outfield
great way to learn values for a lifetime. This class has been made
play and teamwork.
possible by Boyne Country Sports.
Ages: 4-6 year olds
Kids ages 8-14 (4 sessions, includes 1 at Boyne Mountain)
Days: Saturday mornings Y Members $32, Non-members $48
Classes
Session 3: April 30-May 21 Wednesdays at Boyne City High School gym will be
(4 weeks) 5:30-6:30, April 20, 27, May 4, (May 11 at the Mountain)
limited to
Location: Lincoln Elementary Thursdays at NCMC gym in Petoskey the first
5:30-6:30, April 21, 28, May 5, (May 12 at the Mountain)
School, Petoskey 15 to
Fees: $26 Y Members Ladies (5 sessions, includes 1 at Boyne Mountain) sign up.
$40 Non-members Y Members $48, Non-members $72

Wednesdays at Boyne City High School gym

Parents: Help coach your child’s team
and get a $10 discount! This is a great
opportunity to spend time with your child!
6:30-7:30, April 20, 27, May 4, (May 11 at the Mountain)
Ladies will also enjoy an evening at the YMCA with appetizers and video instruction on April 13
Thursdays at NCMC gym in Petoskey
6:30-7:30, April 21, 28, May 5, (May 12 at the Mountain)
Ladies will also enjoy an evening at the YMCA with appetizers and video instruction on April 14

Many thanks All participants are required to wear white soled sneakers and appropriate golf attire.
Bring clubs if you have them, but not required.
to everyone who helped
with our Open House!
American Spoon Foods Junior Golf
Avalanche Bay Trade-Up Program
Extending the theory that a golfer’s first shot
Yoga Roots
can set the tone for an entire round, the Junior Golf
Lite 96 FM Trade-Up Program sets the tone for entire lifetimes
spent enjoying golf.
the Petoskey News-Review
It’s as easy as 1, 2, 3:
Traci Baxendale’s martial arts class 1. Bring Junior to a Boyne Country Sports location
Mike Fay and Boyne Country Sports and we’ll properly fit your young star.

and all our volunteers. 2. Return Junior’s golf club with the paperwork
between April 1st and August 1st of the following
It was a great night! year. If your young star has outgrown his/her
clubs, you will receive 100% credit towards new
We look forward to seeing Junior equipment. Returns after August 1st will
many new friends at receive a 50% credit.

events this Spring. Participating

Boyne Country
Sports locations:
YMCA of Boyne Mountain - 231.675.6006
Northern Michigan
Petoskey – 231.439.4906
Traverse City – 231.941.1999
Bloomfield Hills – 248.338.0803
Novi – 248.347.3323
3. Repeat steps 1 & 2 for a perfect fit the following
year.
Important conditions: $30 membership fee applies.
Membership may not be transferred to another indi-
vidual. Members may receive $100 credit toward any
new adult set upon completion of the program. $10
seasonal exchange fee applies. Sets must be com-
plete and in playable condition when returned.
2011 www.YMCAnm.org 5

Martial Arts
Martial Arts of the 21st century builds
both physical and mental strength. Students
learn discipline, confidence in themselves,
respect for others and teamwork, along with
the fun and self-satisfaction of accomplish-
ment.These are great benefits to martial arts
training, even if the defense skills are never
needed. Strength, flexibility, coordination
and cardiovascular health are just the be-
ginning. Y martial arts instructors strive to
fulfill all these goals in their classes.

Little Dragons Shotokan Karate

Boys and girls learn the basic Shotokan
karate skills, but more importantly they
learn respect, self-control and good be-
havior. Students are taught from three
core topics including personal safety, self
mastery and martial arts.
Students are taught the basics of Shotokan
karate, emphasizing physical training, self-con-
trol and respect, combined with personal safety.
This class is fun and challenging. Students
advance at their own pace and have the opportu-
nity to test for belts.

Y Martial Arts Program

• Location:
- Tim Bondy Physical Therapy in Kmart Plaza
• 2 class options:
- Little Dragons Tuesdays 6-6:45pm (age 4 to 7)
- Shotokan Karate Tuesdays 7-8pm (age 8 & up)
- $90.00 punch card for 10 classes (non-member)
Punch cards are valid for 1 year from date of purchase
-W
 ear athletic clothing, uniforms not required.
Bring a water bottle. Socks and shoes
will be removed during class.
- Scholarships are available through the Y office.

• New Pricing Options: Payment is expected before participation!

- $7.00 per class drop in fee (Y member)
- $10.00 per class drop in fee (non-member)
- Or: $60.00 punch card for 10 classes (Y member) More questions? Call the Y at 348-8393
Punch cards are valid for 1 year from date of purchase

Family Fun Night Ages: all ages welcome.

Most activities geared for age 6 and older.
The first Friday of the month is Family Fun Night. Bring your entire
family to the Y and enjoy affordable time together. Get some great family
Days: First Friday of the month (4/1, 5/6, 6/3)
ideas for a healthy home and habits that lead to healthier living. Visit the
YMCA Healthy Family Home site to get started www.ymca.net/healthy- 6:30pm-8:30pm
family-home/. Light snacks will be provided. Challenge mom or dad to a
Location: Y building (Y-Center)
game of ping pong, create a family pool tournament, try out Dance
Dance Revolution, Wii & Ps2 games, foosball, air hockey, board Fees: Free Y Members or $10 per family Non-members
games, and more

Host your event at the Y!

The YMCA building at 622 Howard Street is available during It pays to get good grades . . .
the day until 2:30pm and after 7:00pm Monday through Friday,
and all day on Saturday and Sunday. Our facilities can accom-
modate 100 people. There are two kitchens, a large open space Carrying a “B” or better
with Wii, PS2, table tennis, pool tables, tables and chairs, a average? You may be eligible
workshop area, bathrooms and more. Chairs and tables can be
moved to create a dance floor. Comfortable sofas offer seating for a good-student discount
areas for discussions, meetings and retreats. from Auto-Owners Insurance!
Our space is great for: Lock-ins and overnights, workshops
and arts and crafts, birthday, family or holiday parties, book club
meetings, bridge and card clubs, small presentations, committee
and board meetings, and more.
(231) 347-8113
Contact us at 231-348-8393 for more information if (866)347-8113
you’re interested in using our facilities to host your
next meeting or event.
6 www.YMCAnm.org 2011

events at
CALENDAR of EVENTS

Easter egg hunt!

March 1 Camp Petosega registration begins
March 18 Y-Center noon-5:30pm
Bring the whole family and join the fun! (Professional Development Day)
The egg hunts will be open for ages April 1 Y-Center noon-5:30pm (Spring Break)
1-12 years old. There will
April 4-8 Y-Center noon-5:30pm (Spring Break)
also be fun activities to participate in
between egg hunts! Plan to stay for April 11 Y-Center noon-5:30pm (Spring Break)
lunch because there will be a April 18 Session 3 classes begin
concession stand with snacks
and lunch specials. April 22 CLOSED (Good Friday)
April 23 Easter Egg Hunt
Ages: 1-12 years old
April 30 Youth Sports Kickball begins
Days: S
 aturday,
April 23 11am-2pm April 30 3 on 3 Basketball Tournament
Cost: $
 5 for egg hunt May 27 Y-Center noon-5:30pm
participants, free for (Professional Development Day)
accompanying adults
May 30 CLOSED (Memorial Day)
Location: E
 mmet County June 10 Y-Center 11:30am-7:00pm
Community
Building (Last Day of School 1/2 day)
June 20 Camp Petosega Day Camp begins

Sunrise breakfast
This breakfast is being offered in conjunction with the PYSA
Pasta buffet
All profits to be donated to
Soccer Tournament and in partnership with Sunrise Rotary of the YMCA of Northern Michigan
Petoskey and the YMCA of Northern Michigan.
Ages: Everyone is welcome! Wednesday, April 27,
Days: S
 at. 6/18 & Sun. 6/19 4:30-8:00 p.m.
Bay View Country Club
6:30am-10:30am 2328 Country Club Road, Petoskey
Location: C
 lick Road
$10 for adults, $5 for kids (ages 5-10),
Soccer Complex,
kids under 5 free (cash or check only)
Petoskey
Includes pasta buffet, salad, bread,
Fees: Tickets: 
dessert, soft drinks, cash bar
$5 (if purchased before 6/18)
$7 (if purchased at the Breakfast) Carry-out available

Advance ticket purchase appreciated!

Please call 348-8393 Petoskey – Bay View Country Club: 347-2148
to purchase tickets. YMCA of Northern Michigan: 348-8393

Contact us at 231-348-8393 for more information about these events, or volunteer opportunities.
2011 www.YMCAnm.org 7

Camp Hayo-Went-Ha:
an Adventure for Boys
Located on 600 acres on the shores of beauti-
ful Torch Lake, YMCA Camp Hayo-Went-Ha has 105
years of tradition and experience to provide incredible adven-

Strong Kids Campaign tures campers remember for a lifetime. Camp Hayo-Went-Ha
offers age appropriate adventure programs that last either two

2010 Supporters
Chairman’s
Roundtable:
Mark and Denise Antonishen
Bank of Northern Michigan
Chesley Consulting, Inc.
Int’l Order of Odd Fellows
JBS Foundation
Charles and Lynette Johnson
David and Linda Johnson
Kent Foundation
T. Grace Macdonald
Meijer
Northwestern Bank
Oleson Foundation
JC Penney Co.
Todd and Kathy Petersen
Petoskey News Review
Sharon Schappacher
Patrons of Youth:
Bay Winds Federal
Credit Union
Robert Blanz
Doug Brown
Circuit Controls Corporation
Ken and Sharron Crockett
W.W. Fairbairn & Sons
First Community Bank
Fletch’s Inc.
Brad and Joyce Foster
Margaret Johnson
Bill and Laura Kane
Korthase Flinn Insurance
Manthei Inc.
Rod Niswander
Sunrise Rotary of Petoskey
Youth Sponsors:
Neal and Marsha Bidwell
Bill and Shannon Brower
Brown Motors Inc.
Kevin and Cindy Christman
First Presbyterian Church
Bill and Mary Foster
Nancy Hodgkiss
Joie de Vie
David Martin
Tim and Judy Murphy
Steve and Meagan Neal
Josef and Ana Rozsenich
Jeanette Schultz
Marcia and Trisha Shattuck
Stafford and Janice Smith
Smolinski and Christman P.C.
Joe and Charlene Sproles
Builders:
Kim Aikens and Peter
Levanovich
James and Louise Austin
Tom Bailey
Fred Ball
Cynthia Ballantyne
William Bartlett
Ruth Bellissimo
Tim and Lizette Bondy
Brys Estate Vineyard
Jackie Burrell
John and Polly Cheney
Walt and MaryLou Connolly
Jim and Maureen Doull
Paul Dowsett
Pierce and Mary Erb
Evergreen Landscaping
Frank Foster, Jr.
Chip and Jean Frentz
Grandpa Shorter’s Inc.
Joe and Debbie Griffin
David and Claire Heidtke
Hill, Schroderus and Company
J & S Enterprises
Richard and June Jackson
Joe and Christy Kanine
Stephen and Molly Kircher
Gus and Dree Lo
Jon and Christy Lyons
Steve McLain
Phil and Peggy Millard
Wayne and Suzanne Nayback
Paul Parrott
Brian Peters
or four weeks. Meet the challenge of our extended canoeing
and hiking trips through Michigan and Canada’s wilderness
while learning to appreciate the beauty that surrounds you!
Craig and Mary Rapin Email: hwh@hayowentha.org Phone: (231) 544-5915
Blain and Lynn Rawson
Roast and Toast Cafe
Paul and Mikkie Schemanski
Lynne Symons Camp Arbutus Hayo-Went-Ha:
Maryanna Thuston
an Adventure for Girls
Paul and Katy Varga
At Camp Arbutus Hayo-Went-Ha, young women
Dave and Sue Watson
and girls will experience adventure and fun in
Ruth Jean Wolff
beautiful surroundings while developing lifelong friendships
Dan and Joelle Wilcox
and memories. Campers will enjoy the great variety of activi-
Kris Wingenroth
ties we offer daily. The morning schedule allows campers to
Friends:
work together and learn about the equipment and safety for
Tom and Patricia Anderson
activities and and the afternoon is spent participating in many
Steve and Kathy Biggs
of the offered activities like sailing, swimming, canoeing,
William and Phyllis Blanchard
kayaking, archery, drama, dance, soccer and much more.
Martha Bowman
Email: hwh@hayowentha.org Phone: (231) 946-8589
Carmen Church
City Park Grill
Pete and Kara Cockfield
Sydnie Crane
Conference and Retreat Programs
Marydell Dilworth
Hayo-Went-Ha Conference and Retreat Program can pro-
Bill Glass
vide your group with activities that challenge, educate and
Mary Gruler
provide recreation. Our friendly, trained staff, excellent facili-
Hubert Hayes
ties and wonderful food service are the perfect components to
Jim and Carol Helmer
a weekend experience. Our staff can lead team building and
John and Sam Jeffrey
ropes course activities or remain in a support role while you
Walt and Judy Knowles
lead the activities. We can host up to 150 people depending
Keith and Mary Ellen Lapp
on the time of year. The camp is located within 1 hour of Tra-
Tom and Linda Leavitt
verse City, Charlevoix, Petoskey and Gaylord. A prefect place
Barbara Lindner
for meetings and relaxing.
Joe and Amanda Macaluso
Email: hwh@hayowentha.org Phone: (231) 544-5915
John and Joan Marshall
John and Jennifer Mastenbrook
Dan and Carol McDonnell
Bill and Dorothy McKillip
Cynthia McSurely
Music Makers of Petoskey
Dennis and Cindi Myers
Steve and Ruth Nelle
Michelle Ratcliff
Ron and Maureen Ronquist
Jerry and Barb Rosevear
Sara Smith

is proud to
Tim Bondy Physical Therapy
William R. Kanine P.C. Scott and Candi Peters Marana Tost
Kiwanis Club of Petoskey Preston Feather Tri Rivers Collision-Petoskey

sponsor the
Tom and Bette Irwin Building Centers
Tim and Peggy Wilcox
Bill and Patricia Laimbeer Steve Radecki

any Volunteers?
At the Y, your time and talent goes a long way. Volunteers are the backbone of the
Y-Center for
Y organization. When you volunteer at the Y, you are part of a non-profit organization
with a mission that is for youth development, for healthy living, and for social respon-
the month
of March!
sibility. As a volunteer you could lead a class, serve as a role model and mentor, serve
on a committee or board, help out in the office or with a special event, or be part of
our annual fundraising campaign. Do something good. Volunteer at the Y today.

Attention all volunteers! Char-Em United Way offers Volun-

teer Connections, a new way to find volunteer opportunities in
Emmet and Charlevoix counties. Volunteer Connections uses an
online database of volunteer opportunities as listed by numer-
ous non-profit organizations to provide you a one-stop destination when searching for
places to volunteer. Log on at http://tinyurl.com/volunteerconnections to find opportu-
nities at the YMCA of Northern Michigan.
8 www.YMCAnm.org
Membership
INformation
The YMCA of Northern Michigan is a
membership organization serving the
residents of Emmet and Charlevoix counties.
Your membership allows you to become a
part of the Y community, make new friends,
receive regular communications and enjoy
your favorite program at a reduced rate.
Membership Benefits
• 5 free Y-Center days (4th-12th grade)
• Reduced class and program fees
• Regular communications and mailings
• MC Sports discount (must show member
card & some restrictions apply)
Individual Membership (annual) $60
Family Membership (annual) $100
The Y strives to provide memberships
and programs for all, regardless of family
income. Financial assistance is available for
memberships and/or program fees. Contact
us at 231-348-8393 for more information.
Mission Statement:
To put Judeo-Christian principles into practice
through programs that build healthy spirit, mind
and body for all.
Values:
We are a values-based, mission-driven
organization focusing on character development
and inclusion with an emphasis on caring, honesty,
respect and responsibility.
Board of Directors
Denise Antonishen, Frank Foster
Board Chair Mary Foster
Steve Neal, Vice Chair Christy Lyons
Kevin Christman, Noah Marshall-Rashid
Treasurer Suzanne Nayback
Sharon Schappacher, Rod Niswander
Secretary Scott Peters
Doug Brown Ken Provost
Staff Members
David Martin, CEO
Larry Wood, Executive Director
Jennifer Crockett, Program Director
Judy Murphy, Community Development Director
Traci Baxendale, Martial Arts Instructor
Marne Iddings, Y-Center Counselor
B Justin, Y-Center Counselor
Sarah Leask, Youth Sports Coordinator
2011
YMCA of Northern Michigan
622 Howard St., Petoskey, MI ymcanm.org
231-348-8393
Program registration form
Participant’s Name_____________________________________________
M or F Birth Date_______________________Grade________________
Parent/Guardian Names_________________________________________
Address_ ____________________________________________________
City, State, Zip________________________________________________
Home Phone_____________________ Cell Phone_____________________
Parent/Guardian Email__________________________________________
Sign me up for
__Individual Membership $60/year __Family Membership $100/year
List additional family members, if signing up for a family membership:
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
Youth Sports
Please circle shirt size: S (6/8) M (10/12) L (14/16)
Team mate request_ ___________________________________________
___Check if interested in coaching ($10 discount)
Program Name________________________Session ______Fee__________
Program Name________________________Session ______Fee__________
Total Fees enclosed_ ___________________________________________
Pay by check, cash or credit card. Make checks payable to YMCA.
All registration forms must include payment.
Credit Card Payment
Visa/Master Card______________________________________________
Exp. Date______________ Amount________________Code_ ___________
Signature____________________________________________________
Financial assistance ensures everyone belongs at the Y.
Please call 231-348-8393 for financial assistance information.
Send forms to:
YMCA of Northern Michigan, 622 Howard St., Petoskey, MI 49770
In signing this form, I as a parent/guardian, have made myself familiar with this registration form and agree with the
basic principles of the YMCA of Northern Michigan.
I understand that although the YMCA of Northern Michigan has taken reasonable steps to provide my child with ap-
propriate training, equipment and skilled staff for his/her experience, I acknowledge that some inherent risks cannot
be eliminated without destroying the unique character of these programs. Because of this potential risk, the YMCA
requires in writing notification of any of any physical problems that participants may have. I give permission for the
YMCA of Northern Michigan to take necessary steps for emergency medical care for my child, if warranted.
Aware of the risks and willing to assume them, I hereby waive, release and agree to hold harmless the YMCA of
Northern Michigan, their representatives and successors for all claims or liabilities of any kind arising out of my child’s
participation in YMCA of Northern Michigan programs. I have read the descriptions of the programs, understand the
requirements for participation, and give my child permission to participate. I assume and accept full responsibility for
their participation.
I hereby grant permission for the YMCA of Northern Michigan to photograph, video, interview and display participants
projects, or portions thereof through public view on the YMCA of Northern Michigan website or for promotional pur-
poses. I agree to allow my child to participate in these projects without financial remuneration, and release the YMCA
of Northern Michigan from any liability arising from the use of said images. Participant’s names, addresses or phone
numbers will not be included with any information posted on the web site or for promotional purposes.
I understand the Y is not responsible for lost, stolen, or damaged items. I understand all participants will be treated
as individuals with respect shown for differences. Furthermore, the YMCA of Northern Michigan reserves the right to
dismiss a child from any program whose needs we are not able to meet or whose conduct is not in the best interest of
the total program.
Required signature of parent or guardian_ ___________________________________________________ Date___________________