Pathfinder Summer Workshops!
Hi there!

Thank you for your interest in our summer workshops! We are busy making sure our workshops provide some much needed fun! These workshops are designed for individuals with mild/moderate developmental or intellectual disabilities aged 16+, and are taught by individuals with experience working with those with disabilities.

PLEASE NOTE THAT THIS FORM IS AN APPLICATION, and completion of this form does not guarantee a space in the workshop. Enrollment will be made on a first-come first-serve basis.

VIRTUAL OR ONSITE?
At this time, all workshops are virtual/online only and will be provided through Zoom..

WORKSHOPS:
Most of our workshops will focus on career readiness to explore potential skills and interests ranging from painting to photography. If the required enrollment minimums are not met, the workshop will be rescheduled or cancelled (and money refunded if a payment has been made). Workshops are designed to be playful and fun to engage and interest participants. Care has been given to break down the activities to foster independence so that familial support should not be needed in most circumstances. (See the Pathfinder summer webpage for more details on each workshop).

RATIOS: Ratios will vary depending on the type of workshop and method of instruction. Workshop ratios will not exceed 10:3 (participants to instructors), although many will have smaller group ratios. IF THERE ARE NOT AT LEAST 5 INDIVIDUALS ENROLLED, Beacons reserves the right to cancel or reschedule the workshop.

WORKSHOP MATERIALS:
Workshops working with materials (for example painting, crafts, etc.) will provide kits that families can pick up the week before the workshop..

COSTS:
1. Will San Diego Regional Center (SDRC) pay for these?
For eligible applicants aged 18+, the San Diego Regional Center may pay at least two (2) workshops this summer. Please speak to your SDRC Service coordinator to see if you are eligible for funding. If you are, the SDRC will create a "purchase of service" and send that to Beacons to cover the costs of the workshop. The SDRC will need our vendor information to create the purchase of service. The Beacons vendor code is: PY1700, Code: 102, Subcode: Mini.

2. Paying part or all on your own?
Because of our Board's fundraising efforts throughout the year to support our summer program, we are able to keep the hourly rates for participants to $15 an hour.

QUESTIONS?
Please email Pathfinder@BeaconsNorthCounty.com

Thank you for your time completing this form. We will review it after you submit it and contact you to discuss steps towards completion of the enrollment process, and any payment needed to secure a space.

The Beacons Team
6150 Yarrow Drive, Suite E
Carlsbad, CA 92011

Sign in to Google to save your progress. Learn more
Email *
Who is filling out this form? (Please provide name and email) *
Workshop Participant's Name: *
AGE of Participant: (Must be aged 16 or older at time of workshop) *
CELL NUMBER where we can reach you if we have any questions: *
PARTICIPANT'S ADDRESS: *
Learning challenges of participant: *
Preferred way to communicate: *
Required
BEHAVIORS: Any behavioral challenges that impede with the applicant's ability to stay on task?
BEHAVIORS: If the participant has behaviors, please describe what they are and how we can best support the individual (ignore behavior, redirect, etc.).
Is participant "Conserved"? *
If participant is conserved, in which area is the individual conserved? (Please check all that apply)
ALLERGIES? Please list any allergies the participant has in the space below (may affect materials used and/or onsite support needs, if applicable). If NONE, please state "none") *
MEDICAL: Does the applicant have any medical issues that may impair or impede learning (e.g. seizures)? IF SO, please explain the nature of the medical issue, and what, if any, measures need to be in place if the workshop is onsite. (If none, please state NONE). *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Beacons, Inc.. Report Abuse
Google Forms