Camp CreARTive 2024 Registration

Art, movement, and music camp for kids, teens, and young adults with disabilities!

July 22 - 26 | 9-12pm

$210 per camper. You will be emailed an invoice for payment upon registration. Please let us know if you would like us to bill NOW/COMP or a family support waiver.
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Email *
Camper's Name: *
Date of Birth: *
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Gender: *
Grade: *
Parent/Guardian: *
Address: *
Phone Number: *
Email: *
If anyone besides person listed above will be picking up/dropping off your child, please provide their name and phone number below: *
I understand that camp ends prompting at 12pm. If I, or my child's transportation, is running late, I will call immediately to let staff aware. *
Primary Diagnosis: *
Please describe any information about your child’s behavior that would be important for us to know: *
Does your child follow step by step instructions? *
When upset, what type of behavior does your child display? *
What is your child’s preferred method of communication? *
The mission of Camp CreARTive is to make art and music accessible to children with special needs. We want to tailor this experience to the needs of your child. Please share two things that you would like us to work on in camp. They can include social, fine or gross motor, behavior, and/or speech goals. *
I understand the fees associated with registering my camper and that if these fees are not paid they will not be eligible for attendance *
Payment Type: *
Do you want us to bill a third party waiver? If so, which one?
Parent Electronic Signature and Date *
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