Activity Selection Form for Project EARTH

School Name (*)

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School Contact (*)

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E-mail (*)

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Phone Number (*)

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Arrival Date (*)

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Arrival Time (*)

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Departure Date (*)

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Departure Time (*)

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Number of Male Students (*)

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Number of Female Students (*)

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Number of Male Teachers (*)

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Number of Female Teachers (*)

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Number of Male Chaperons (*)

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Number of Female Chaperons (*)

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Do you have any campers with Peanut Allergies? (*)
NoYes
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Number of Vegetarians in your group (*)

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Campers with Special Needs

Invalid Input Please use the space above to inform us of campers needing special arrangements. For example: campers in wheelchairs, campers with special diets, campers with learning disabilities. Filling this in for us now will help us to provide all campers with a comfortable camp stay.

Select Your Activities

Please note that some activities are double in length and therefore count for 2 activities. Below is a guide for how many activities to choose.
2 Days and 1 Night = 6 Activities
3 Days and 2 Nights = 12 Activities
4 Days and 3 Nights = 18 Activities
5 Days and 4 Nights = 24 Activities
**Denotes a great poor weather alternative.

Environmental Discovery
Amazing Invertebrates
Aqua Lab
Aqua Safari (Single)
Bird Brains
Ecomania (Double)
Habitrackers
In Cold Blood**
Owl Alert **

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Adventure and Cooperative Learning
Bridging the Gap**
Copneconic Summit (Double) - ($10.00 per student)
Creature**
Indoor Initiatives**
Giant’s Swing ($5.00)
Lost (Double)
Tree Tops Challenge (Double) - ($10.00 per student) - age limit is 5th Grade
Triple C Challenge (Double)
Zip Line – Creek Freak ($5.00) - age limit is 4th Grade
Zip Line - Tower ($5.00) - age limit is 6th Grade
Zip Line – Zoom Toss ($5.00) - age limit is 3rd Grade

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Recreational Fun
Bullseye Bonanza
Capture the Flag
Cross Country Skiing
Disc Golf
Dude Ranchers
Fishing
Fitness Funatics
Games Galore**
Horse Sense
Ice Skating
Kayak Attack
Lake Copneconic Canoers
Mountain Biking - age limit is 5th Grade
Tandem Kayaking
Tobogganing

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Touching Nature
Dig It (Grades K-3)
Outdoor Cuisine
Relic Hunters
Fire Quest
Woodland Artists

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Historical and Cultural Lessons
Dreamcatchers**
GPS Rangers
Pioneer Crafts**
Michigan Country (Double)
Native Peoples

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Evening Entertainment (Please select 2 activities for each evening you will be spending at camp.)
Campfire
Capture the Flag
Copneconic Disco Fever
Creature
Dutch Auction
Games Galore
Night Hike
Skit Night
Songfest

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Please check the box to acknowledge that you have read the following statement (*)
I understand that while at YMCA Camp Copneconic, our group is responsible for all administration of first aid and dispensing of medication. We will bring first aid supplies as well as over the counter medications as needed.
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Going Green
I am interested in participating in Camp Copneconic’s “GOing Green” Initiative by requiring my students to bring water bottles.
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