Mid-Winter Camp Getting To Know Your Dancer Form

Interested in our Adaptive Movement Mid-Winter Camps, ages 12-30+? Fill out the form below so we can get to know your dancer and learn how to best support them during our camps. Please note: all responses are confidential and used for classroom support purposes only.

Our two-day Mid-Winter Adaptive Movement Camps will include time for adaptive pop-style movement, music, games, activities, movies, and snack/social time. Camps will be from 12:30-3:30 PM, February 20-21 and 22-23. Each two-day camp is a separate camp. For more information on our mid-winter camps, click here.

2024 Adaptive Movement Mid-Winter Camp Schedule for ages 12-30+

Pop-Styles: February 20-21, 12:30-3:30 PM
Disney Favorites: February 22-23, 12:30-3:30 PM

Dancer's Name

First Name

Last Name

Dancer's Birthdate

YYYY

Your Name

First Name

Last Name

Your Relationship to Dancer

Your Email Address

Your Phone Number

(###)

###

####

Please Select All Camps You Would Like to Register For (if Possible)

We hope to provide more than one camp for dancers interested in attending multiple days if there is space. Your selections here do not confirm your registration--we will reach out separately via email to confirm.

Pop-Styles: February 20-21, 12:30 - 3:30 PM

Disney Favorites: February 22-23, 12:30 - 3:30 PM

What (if any) kind of physical accommodations might your dancer need?

If none, please indicate N/A

Does your dancer use any mobility equipment such as a wheelchair, walker, etc.? If yes, please describe.

How does your child communicate? How can we best support their communication needs?

(For example: verbal, sign language, TalkBox, iPad, etc.)

How might your dancer express their needs? (water, bathroom, rest, etc.)

Is your dancer independent in the bathroom? If not, please share what staff needs to know to provide the best support.

Dancers will be required to bring their own snacks. Can your dancer feed independently? Please share what staff needs to know to provide the best support. Please include if your child needs G-Tube support.

Is there anything teachers ought to know about your dancer to help keep them and fellow dancers safe while in camp?

Does your dancer have any medical conditions? If yes, please share what staff will need to know to help your dancer in camp.

Will you be sending emergency medication with your child? Please describe the emergency protocol to follow. As a reminder, we do not provide medical care or administer medication.

Does your dancer have any sensitivities? What, if anything, helps?

Please share a bit about your dancer's school setting, if applicable.

Does your child work with an aide in class? Is your child in a self-contained classroom or part of an inclusion model at their school? What does your child like best about school?

How does your dancer show they are getting dysregulated, overwhelmed, or distressed? What, if anything, helps?

What do you think your dancer will enjoy most about this camp? What might be more challenging for your dancer?

What do you hope your dancer gains from this camp experience?

Lastly, please share anything else you would like us to know about your dancer that will help us support them for a positive class experience.

We would especially love to know about anything related to physical, medical, intellectual, sensory, social-emotional, or behavior-related disabilities or sensitivities.