2026 Camp Imaginarium Registration

DSAWT Camp Imaginarium

A two-week day camp for children and young adults with Down syndrome ages 5-22. DEADLINE for registration and payment is May 23rd. For questions about camp, please call Amber Williams at 731-343-1833.
Camp Dates &Time

(M-F) June 1-5 and (M-Th) June 8-11 from 9am - 3pm Campers should arrive between 8:30-9:00 and be picked up between 2:45-3:00.
Camp Location

The Lodge building at Camp Clark Williamson, 390 Mason Rd, Humboldt (Three-Way). There are wooded hills, a lake, pavilions for picnics, and open grassy areas for outdoor games. We will be swimming in the pool with lifeguards on duty. We will NOT be participating in lake activities. Since we have plenty of room, the younger and older age groups will be attending camp on the same dates. All campers will meet at the Lodge building in the mornings and each group will go to their separate locations from there.
Camp Fees

Camp fees are $250 for both weeks of camp. We work to keep costs low by fundraising throughout the year. Our camp fees are significantly less than our actual cost and below what most other camps charge.
Camp Payments

Camp fees can be paid online at the end of the application process. All credit cards and Visa debit cards are accepted. If you need to make other arrangements for payment, please contact Amy Allen at (731) 234-9950. DEADLINE for registration and full payment is May 23rd.
Things to bring to camp every day

Campers need to bring a bag or backpack every day, that includes a complete change of clothes, swimsuit, towel, sunscreen, & bug spray. Everything should be labeled with the camper's name.
Camper's Name
First Name*
Last Name*
Gender*

MaleFemale
Birth Date*

MonthDayYear
Grade entering in the fall*
T-Shirt Size
Camper's Information
Address*
City*
State*
Zip*
Cell Phone*

Area CodePhone Number
Parent or Legal Guardian Information
Parent/Legal Guardian*
Relation*
Cell Phone*

Area CodePhone Number
Parent Email (camper confirmation will be sent by email)*

Confirmation Email
Parent /Legal Guardian 2
Relation 2
Cell Phone 2

Area CodePhone Number
Emergency Contact Name(if parent or guardian is not avaliable)*
Emergency Number*

Area CodePhone Number
How did you hear about Camp Imaginarium?
First Time Camper? *

YesNo
Health Information
If any information changes before camp starts, please contact the camp teacher as soon as possible. We DO NOT administer medications at camp.
Date of last tetanus shot
All fileds are required below. If nothing applies, please put "NONE" in the box.
List any allergies (ex: bees, peanuts, dairy)*
Any history of seizures? If yes, last seizure date.*
Any history of respiratory or digestive problems? If yes, please explain*
List any home dietary modifications (diabetes, lactose intolerance, celiac, food allergies)*
List any physical, emotional, or behavioral limitations. Please provide information that will help camp staff.*
Please list any personal needs that your camper may have during camp*
List any recent medical treatment that would be helpful for us to know.*
List all medications, both prescribed and over the counter. Include dosage and reason for the medication*
List any side effects from medication that we should know about *
Camper Release
Camper Release (List anyone, including parents, to whom your camper can be released)*
By hitting submit and typing your name, you agree that you are the parent or legal guardian of the above named camper, and are over the age of 18. I understand that the above named camper will only be released to the names listed above.
Electronic signature, type your name*
By hitting submit and typing your name, you agree that you are the parent or legal guardian of the above named camper, and are over the age of 18. I have reviewed and agree to the (1) DSAWT Liability Release & Parental Consent Form and the DSAWT (2) Photo Release Form.
Electronic signature, type your name*
Payment
Choose payment amount*
$7.00 Processing Fee

Camp Payment*

USDCamp Imaginarium Fees

Credit Card

Signature*

Powered by Jotform SignClear
The Down Syndrome Association of West Tennessee strives to provide a quality camp experience for all campers. Our first priority is the safety of our campers and our staff. Our association reserves the right to send campers home when they pose a risk of harm to themselves and/or others.
Should be Empty:

DSAWT Camp Imaginarium

Camp Dates &Time

Camp Location

Camp Fees

Camp Payments

Things to bring to camp every day

Camper's Name

Camper's Information

Parent or Legal Guardian Information

Health Information

Camper Release

Payment

Credit Card