« All Events This event has passed. CAMP SOAR! June 25, 2019 @ 9:30 am - June 27, 2019 @ 12:30 pm « SUMMER ADVENTURE TOY STORY 4 » Register for this event CAMP SOAR! 2019 CAMP FOR AGES 15-21 SPACE IS LIMITED: Register only if child is able to attend 3 day camp* I confirm that my child will attend camp Tuesday-Thursday I agree to drop off and pick up child timely each day If application is accepted, I agree to pay $25 fee I agree to fill out necessary paperwork promptly I understand camp is for participant registered only Name of your SON/DAUGHTER:* First Last AGE: (age requirements 16-22 )*Please enter a number from 15 to 21.Please tell us about your son/daughter:*Autism Spectrum DisorderDown SyndromeCerebral PalsyLearning DisabilitySensory Integration DisorderOther: Please list in commentsPeer Buddy/SiblingAddress* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent's Name* First Last Cell Number:*Emergency Contact Number:*Email:* How did you find out about event?* Please check all that apply: Requires a shadow Requires behavioral support Requires a visual schedule Non-verbal 1st time attending TM camp Other Is your son/daughter able to safely participate in activities without direct supervision?*YesNoDoes your son/daughter have a history of inflicting harm to him/herself or others*YesNoDescribe your son/daughter:*How will CAMP SOAR help your son/daughter:*Additional information:Informed Consent and Acknowledgement*I hereby give my approval for my child’s participation in any and all activities organized by TEAM MARIO I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless TEAM MARIO, and all its respective officers, agents, directors, sponsors, volunteers, and representatives from any and all liability for injuries to said child arising out of participating in event. In case of injury to said child, I hereby waive all claims against TEAM MARIO, including all coaches and affiliates, all participants, sponsoring agencies, advertisers, executive board, directors, volunteers and, if applicable, owners and lessors of premises used to conduct the event. I agree Δ Add to calendar Google Calendar iCalendar Outlook 365 Outlook Live