APPLY FOR CAMP

Name of Camper

Age of Camper

What disability does your camper have?

Do they take any medications, if so how many?

How does your camper handle social situations?

Does your camper have any behavioral issues we should be aware of?

Has your camper attended an overnight camp before? If so, where?

Name of Parent or Guardian

Phone Number

Your Email

Full Address

How did you hear about camp?

Would you like to be added to our email list?

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