Y-HIP Sand & Sea Camp 2003 Registration Form
PLEASE - ONLY ONE CHILD PER REGISTRATION FORM.
You may copy this form if you are registering more than one child.
Camper’s Name:
Address ______City ______
State ______Zip ______Camper’s T-shirt size ______Email ______
Mother's (Guardian's) Name ______Day Phone ______
Father's (Guardian's) Name ______Day Phone ______
The following are for record keeping purposes only:
Birthdate: / / Age : Sex: __Male Female
Grade just completed in school ______
What school does the camper attend? ______
What is the main language spoken with the camper at home? ______
Payment
Cash £ Check £
Þ 1. Please make checks payable to: Jordan Nassar
Þ 2. The cost for this camping trip is $7.00 per person.
Authorization (for campers under the age of 18)
I am permitting my son/ daughter ______to participate in the Y-HIP Sand & Sea Camp operated by Young Hearing Impaired People (Y-HIP) Organization. I , the undersigned, permit my child to participate in the full range of activities as outlined in the program flyer, and authorize the Camp Coordinator and his/her appointee, in event of an accident or illness affecting the above named participant, to authorize on my behalf all procedures, including admission to hospital and necessary treatment, as he/she may deem essential for the care and well-being of said participant. Such action is taken when immediate contact with the undersigned cannot be made. I understand that pictures taken during the program may be used for promotion.
Signature: ______Date: ______
Send completed Registration Form and Fees to: Y-HIP Organization
16440 Moonrock Dr., Apt. 214
Houston, TX 77058
For more information or any questions: Email Jordan Nassar at .
Once we receive your application, you will receive an email or a phone call to be notified of your application’s acceptance.
CAMP PARENTS—ENJOY A DAY AT CAMP!
The one thing camp could not function without are volunteers! There are lots of ways for volunteers to be involved in camp. The most visible, of course, are our teen counselors—BUT, there are volunteers who do important behind-the-scenes jobs that we just couldn’t live without! These jobs include class instructors, camp nurses, and field trip chaperones. Why sit behind a desk all day? Come hang out with us and enjoy the Y-HIP Sand & Sea Camp experience your child(ren) will talk about the entire car ride home!!!!!
Camp Nurses!
RN, CMT, LCN, EMT are all OK. We need camp nurses for the 2 days of camping. You can volunteer for one day. You must be able to administer medications and be First Aid/CPR certified. See camp application for dates of camp.
Camp Class Instructors!
Share your skills from your favorite hobby or your profession. The possibilities are endless! Whether you are a skilled quilter by night or a physics teacher by day, we would love to have you share your knowledge with our campers!
Chaperones!
Sometimes there are campers who simply cannot go to camp or back home because they don’t have a ride! We need chaperones who are able to pick campers up and drop them off at a designated place. Chaperones are welcomed to participate in the camping trip, so feel free to bring your bathing suit, fishing pole, or just about anything that rocks your boat! J
Can you help?
Contact us via e-mail
Your help is needed!
Y-HIP COFFEE SOCIALS
June 2003
Locations are all at Starbucks
Saturday, June 14th – Y-HIP Social starts at 5 pm for Southwest and Northwest
- SOUTHWEST: Hwy 6 & Dulles Austin Pkwy
4721 Hwy 6 South
Missouri City, TX 77459
United States
281-261-9791
- NORTHWEST: FM 1960 & Jones Road
10959 FM 1960 Rd West
A
Houston, TX 77070
United States
281-807-4845
Saturday, June 21st – Y-HIP Social starts at 5 pm for Southeast, Northeast, & West
- NORTHEAST: FM 1960 & Hwy 59
19763 Hwy 59
Ste K04
Humble, TX 77338
United States
(281) 548-1511
- WEST: Westheimer & Royal Oaks Club Drive
11805 Westheimer Road
320
Houston, TX 77082
United States
281-556-8382
- SOUTHEAST: W. Bay Area Blvd. & Glenwest Dr.
1507C W Bay Area Blvd
Webster, TX 77598
United States
281-338-0480
Saturday, June 28th – Y-HIP Social starts at ***2 pm for Central
- Westheimer & Post Oak
2521 Post Oak Boulevard
Houston, TX 77056
United States
713-621-7685
If you have a question or if you would like to volunteer hosting a social, please email Jordan Nassar at .
About Y-HIP
Let me take the time to explain what Y-HIP is. It is a group that stands for Young Hearing Impaired People. This group was started in order to provide a place for the young hearing impaired (which includes the deaf and the hard of hearing) to meet people, make friends, and to grow and develop with their own kind. As Y-HIP grew and became more educated, we recognized the needs of our own. Not only do the Young Hearing Impaired People need a place to socialize and have fun, but we also need to be active in helping others, which is a part of what makes people so great.
Not only this, but we recognize the need to grow in an atmosphere of helping each other, growing up together, learning to be leaders, and having fun.
Y-HIP helps the Young Hearing Impaired People by providing leadership opportunities, informing the public on who we are and what we need, providing a place for the young hearing impaired people to meet others who go through the very same experiences and that can relate, and doing all of this in a fun way, so that we all have a good time!
So far for the summer we have planned fundraisers, pool parties, camping trip, and many other activities. We welcome people wanting to volunteer, becoming a member, or wanting to give ideas. We are constantly expanding to areas that does not provide similar services, so please, if you would like to see Y-HIP active in your area, email Sam Bynum at . Welcome to Y-HIP and we hope to see you at one of the socials!
Website: http://groups.yahoo.com/group/y-hip/
Y-HIP UPDATES
June
14 – 5 pm, Y-HIP Social in Southwest & Northwest Houston
(look at flyer)
20 – 3 pm, Poolside Pizza Party in West Houston
directions:
from Beltway 8 and Katy Freeway (Town & Country), take I-10 west, exit Kirkwood, make a left onto Kirkwood, Pass Memorial, make a left onto Beaujolais (it is a few residential streets before Briar Forest), the tennis court will be on your right (PARK AROUND THERE!). Take the sidewalk and you will see the pool. J
from Hwy 6 & Westheimer (West Oaks), go into Houston on Westheimer, make a left on Kirkwood, Pass Briar Forest, make a right on Beaujolais (it is only a few streets down from Briar Forest), the tennis court will be on your right (PARK AROUND THERE!). Take the sidewalk and you will see the pool. J
21 – 5 pm, Y-HIP Social in Southeast, Northeast & West
(look at flyer)
28 – 1 pm, Y-HIP Social in Uptown (Galleria Area)
3 pm, Car Wash Fundraiser @ Lamar High School
3325 Westheimer Rd Houston, TX 77098
***SPECIAL NOTICE***
July 19th – 20th, 2003
Y-HIP SAND & SEA CAMP @ GALVESTON ISLAND STATE PARK!
Shelter will be provided for at our expense.
Spend time camping, hiking, mountain bike riding, fishing, beach swimming and admiring night time stars!
(look for registration form in this packet)
14901 FM 3005
Galveston TX 77554
Galveston Island State Park Telephone: 409/737-1222