2025 Resource Request Form
Camper Name
*
First Name
Last Name
Camper Date of Birth
*
-
Month
-
Day
Year
Date
Parent Name
*
First Name
Last Name
Parent Cell #
*
Please enter a valid phone number.
Parent Email
*
example@example.com
What session is your camper registered for or interested in attending?
Please Select
Session 1 - Jun 1
Session 2 - Jun 8
Session 3 - Jun 15
Session 4 - Jun 22
Session 5 - Jun 29
Session 6 - Jul 6
Session 7 - Jul 13
Session 8 - Jul 20
Session 9 - Jul 27
What program is your camper registered for or interested in attending?
Please Select
Advanced Horse Camp
Camper vs. Wild
Climbing Adventure
Horse Adventure
Horse Camp
Lodge Camp
Mini Camp
Mini Camp Explorers
Mountain Bike Adventure
OWL Program
Shawnee Adventures
Traditional Camp
Has your child been to Camp Ondessonk before?
*
Please Select
Yes
No
Did you or your child have any challenges at Camp?
*
Please Select
Yes
No
Please provide details
Does your child need assistance or additional resources in any of the following areas? Select all that apply.
Emotional Expression
Behavior Management
Stress and/or Anxiety Management
Sensory Processing
Social Skills
Life Skills
Other
Please describe, including strategies used at home:
Does your child have an IEP?
Please Select
Yes
No
Please upload a copy, email it to registration@ondessonk.com or fax it to 618-695-3593.
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Is your child currently under the care of a counselor or mental health professional?
Please Select
Yes
No
Practitioner's Name:
Practitioner's Practice:
What is a good day to contact you?
Monday
Tuesday
Wednesday
Thursday
Friday
What time?
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