All Abilities Athletics Day Camp

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Please complete the following registration. If you have any questions or are having difficulties completing the registration form. Please contact Rachel by emailing info@youbelongwi.org

*If participant is between the ages of 1-7, a parents or guardian MUST be present throughout the camp times that their child is participating.

First Name of Participant *

Last Name of Participant *

Date of Birth *

YYYY

Please select the option appropriate for participant *

NO ASSISTANCE NEEDED - Participant is over the age of 8 and can participate in camp primarily independently with little to no assistance from others

SOME ASSISTANCE NEEDED - Participant is over the age of 8 but will require some one-on-one buddy support during camp

FULL ASSISTSANCE NEEDED - Participant is over the age of 8 and will require someone to assist them with all aspects of camp

CHILD AGE 1-7 - Participant is between the ages of 1-7 and will have a parent/guardian attend camp with them (this is required for participants in this age range)

Phone Number for Participant of Guardian *

Email Address for Participant or Guardian *

Street Address for Participant of Guardian *

City *

Zip Code *

Gender *

Male

Female

Transgender

Non-Binary

Prefer Not to Say

Other:

Are there any special accommodations we can provide or things we can do as a camp staff to help participant participate fully in the camp

Please Select the Weeks of Camp you Plan to Attend *

Week 1 (June 20-24) - Football Skills Training - Fitness Challenge - Amazing Race

Week 2 (June 27-July 1) - Basketball Skills Training - Fitness Challenge - Amazing Race

Week 3 (July 5 - 8) - Volleyball Skills Training - Fitness Challenge - Amazing Race

Required

What would you say is your current level of athletics experience *

Beginner - I am looking to learn some basics and have some fun

Intermediate - I have some experience and understanding

Experienced - I am very familiar and have a strong understanding

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Phone Number - please make sure this number will be available during camp times. *

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