Group Retreat Activity Selection

Group Details

Group Name
Group Contact
Dates Attending
Phone Number
Fax Number
Email Address

Group Information

Arrival Time
Departure Time
Number Of Adults
Age Range of Children
Number Of Children
Number of Vegetarians
Do you have any Peanut Allergies in your group?

Any Students with Special Needs?
(For example: special diet, autism, wheelchair, etc)
Please explain in detail what special arrangements will need to be made.

Activity Choices

Please note that some activities are double in length and
therefore count for 2 activities.

Choose 6 activities for the day time and 1 for each evening

Adventures
Bullseye Bonanza
Circle C Riders - Trail Ride
       - Age limit is 10 years old
       - $10.00 / Student
       - This is on top of your 6 choices
Circle C Riders - Riding Lessons
       - Age limit is 10 years old
       - $10.00 / Student
       - This is on top of your 6 choices
Copneconic Summit (2 Hours)
       - Age limit is 8 years old
      - $10.00 / Student
Treasure Hunters
Tree Tops Challenge (2 Hours)
       - Age limit is 12 years old
       - $10.00 / Student
Firequest
Fitness Funatics
Triple C Challenge
Zip Line - Creek Freak
       - Age limit is 8 years old
       - $5.00 / Student
Zip Line - Tower
       - Age limit is 12 years old
       - $5.00 / Student
Zip Line - Zoom Toss
       - Age limit is 8 years old
       - $5.00 / Student

Creations
Candle Making
Corn Husk Dolls
Dig It
Dreamcatchers
Extreme Water Rockets
      - Bring your own 2 liter bottles
Outdoor Cuisine
Tie Dye & Shrinky Dinks
      - Bring your own items to tie dye

Educators
Bridging The Gap
Creature
Dude Ranchers
Eggbert
Horse Sense
In Cold Blood
Nuts About Nature
Predator & Prey
Relic Hunters

Energizers
Capture The Flag Lake Copneconic Canoers
Carnival Mountain Biking
     - Age limit is 10 years old
Cross Country Skiing
  Disc Golf Sports Of All Sorts
Games Galore Tandem Kayaking
  Tobogganing
   

Evening Activities
Campfire Night Hike
Copneconic Disco Fever Skit Night
Dutch Auction Songfest
Ice Breaker Games  

Notes, Questions & Comments

Check Here That You Have Read The Following Statement

"I understand that while at YMCA Camp Copneconic our group must provide first aid and dispense any medications to our campers and chaperons.  We will bring first aid supplies as well as over the counter medication as needed."