Dancer's Name
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First Name
Last Name
Dancer's Birthdate
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MM
DD
YYYY
Your Name
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First Name
Last Name
Your Relationship to Dancer
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Your Email Address
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Your Phone Number
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(###)
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Please Select All Weeks You Would Like to Register For (if Possible)
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We hope to provide more than one camp for dancers interested in attending multiple weeks if there is space.
Are you planning on using DDA Respite Funds to pay for this camp?
Does your dancer use any mobility equipment such as a wheelchair, walker, etc.? If yes, please describe.
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How might your dancer express their needs? (water, bathroom, rest, etc.)
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Is your dancer independent in the bathroom? If not, please share what staff needs to know to provide the best support.
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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.
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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.
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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.
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Does your dancer have any sensitivities? What, if anything, helps?
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Please share a bit about your dancer's school setting, if applicable.
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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?
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What do you think your dancer will enjoy most about this camp? What might be more challenging for your dancer?
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What do you hope your dancer gains from this camp experience?
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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.
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We would especially love to know about anything related to physical, medical, intellectual, sensory, social-emotional, or behavior-related disabilities or sensitivities.
