Help us serve you best!
Please complete this brief form to help us prepare to serve your child at Calvary Kids Camp this week!
Child's Name
First Name
Last Name
My child has the following diagnosis, medical condition or learning difference:
Please share as much as you are comfortable!
My child loves/enjoys:
Please share a handful of things!
My child can do these things independently:
Simple arts & crafts
Physical activity (Ex. kick a ball, run, etc.)
Use the bathroom
Eat a snack
Put on and remove a mask
Read and write simple sentences.
My child needs help with these things:
Simple arts & crafts
Physical activity (Ex. kick a ball, run, etc.)
Use the bathroom
Eat a snack
Put on and remove a mask
Read and write simple sentences.
Bathroom assistance?
Need assistance all the time
Assistance only if needed
Zero Bathroom assistance
My child is uncomfortable with/has an aversion to...
When/if my child experiences frustration/tantrum, these are things that help them calm down:
Do you have any behavioural plan or instructions that we should know?
Does your child need one-on-one assistance during our camp?
Yes
No
If you answered yes, do you have someone who can attend with your child? Or, do you need us to provide someone?
(We are required to ask this question due to COVID-19 regulations!)
Submit
Should be Empty: