All Mankind Creation Special Needs Camp
This camp will be for kids ages Kindergarten through 21.  

The camp limit with be 7 campers and 7 peer models..

​Children who qualify for this camp will have declared mental of physical special needs as defined by a doctor or IEP.  

​All campers who register may also bring one sibling peer model or parent.  This is not mandatory as there will be a Camp Christy volunteer ratio of 1 adult to 2 children.  

​This camp will be offered free in 2020 due to a grant given by the Western Kansas Community Foundation and private scholarships.  
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Email *
Camper Section
Please fill in the below section for your camper
Name *
Birthday *
MM
/
DD
/
YYYY
Gender *
Address *
Phone Number *
Email address *
T-shirt size *
Description with as much detail as possible your child's delay or disability  (take as much space as you need) *
Special Dietary Needs
Medical Needs while at Camp
Parent or Caregiver information
Please fill out for the person responsible for the care of your camper
Name *
Address *
Phone Number *
Email address *
Optional Sibling/Adult Registration
Each camper can bring a sibling to serve as a helper/peer model or an adult.  Those who are registered as such will be there to serve the camper registered on this form.  There will be additional volunteers to help with the group as a whole.  This is not mandatory for your camper to come!  
Name
Is additional registered a minor?
Clear selection
Birthday if a minor
Gender
Clear selection
Address (if different than above)
Phone Number (if different than above)
Email Address if different than above
T-shirt size for optional registrant
Health form
Campers and registered parents/siblings will need to have a health form filled out and brought to the camp.  
Releases
Please sign the following releases.  This will serve as releases for both the camper and additional registered sibling or adult.  
I give permission for Camp Christy to use photographs or videos of myself/my child(ren) for promotional/marketing via print or online media *
I hold Camp Christy *
A copy of your responses will be emailed to the address you provided.
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