Special Needs Family Camp Application

Special Needs Family Camp Application

July 18-20, 2025 & September 26-28, 2025
Thank you for your interest in registering for our 2025 Special Needs Family Camp! To direct you to the right place, please answer the question below.
Do you have a special needs camper ages 0-17?*

YesNo

Do you have a neuro typical camper in 5th grade or younger ?*

YesNo
Since you have a special needs camper over 18 years old and a neuro typical camper 5th grade or younger, we aren't sure which Special Needs Family camp weekend would be best for you email.

Please contact Stephanie Kiesel at stephanie@whisperingwinds.org to find if the summer or fall weekend is the best fit for you.

**CLICK NEXT TO END OF FORM OR CLOSE PAGE**
Since you have a special needs camper over 18 years old and no neuro typical campers 5th grade or younger, we have a second Special Needs Family Camp weekend designed just for your family. It will be September 26-28, 2025. Applications will open in May so please enter your email below so we can contact you once registration is open.
Email*
example@example.com

Application process:
1. Fill out and submit this application.
2. Someone from Whispering Winds will contact you to schedule a phone interview to review the application if needed.
3. If approved, a Payment Capture Form will be emailed to you to collect deposit information.
We will review applications in the order they are received. Once we have reached our maximum number, a waitlist will be created, honoring the same order.

Date: SNFC 1 (July 18-20, 2025) - For families with special needs campers ages 0-17

Cost:

Deluxe Lodge Room: $775 + $85 program fee per person

RV spot: $350 + $85 program fee per person

** Please note that once you are registered and a $100 deposit is placed, a 50% fundraising grant will be automatically applied to your remaining balance.
Today's Date*

MonthDayYear
Date
Have you attended Special Needs Family Camp before?*

YesNo
This section is to be filled out by legal guardian or parent of special needs camper attending camp. If you are filling this out on behalf of the special needs camper's family, please put their name in the 'Parent/Guardian 1 Name' field below if they're attending.

If you are the one attending instead of the Parent/Guardian, please put your information.
Parent/Guardian 1 Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parish (if applicable)
How many additional adults (besides Parent/Guardian named above) will be attending camp? (not including any special needs campers)*
Additional Adult 1

First NameLast Name
Additional Adult 2

First NameLast Name
Additional Adult 3

First NameLast Name
Additional Adult 4

First NameLast Name
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Please list ALL special diets in the family including special needs camper*
Please list ALL shirt sizes for the family including special needs camper (Child or Adult sizes)*
Would you like to opt-in to receive Family Camp related text message communications and updates? (We will not sell or share your information?

YesNo
Please enter the phone number you would like to use for our text messaging system:
Please enter a valid phone number.

Neuro Typical Camper Information

(17 and under)
Number of Neuro Typical Children Attending*
Name of Neuro Typical Camper 1

First NameLast Name
Date of Birth

MonthDayYear
Date
Name of Neuro Typical Camper 2

First NameLast Name
Date of Birth

MonthDayYear
Date
Name of Neuro Typical Camper 3

First NameLast Name
Date of Birth

MonthDayYear
Date
Name of Neuro Typical Camper 4

First NameLast Name
Date of Birth

MonthDayYear
Date

Lodging Option Details
- Deluxe Lodge Room: Private room and bathroom. Most have 2 bunk beds (some with 3 bunks), some with one or two pull-out trundles, sleeps up to six/eight people depending on the room.
- RV Space : Guests need to bring up their own RV, it is not provided. Please provide us with the type of RV (example Motorhome, 5th
  wheel, trailer, etc.) and length and width of RV. 110 power supplies and water hookups available (limited spaces).
Lodging Option*
Please enter length and width of the RV*

WHISPERING WINDS WAIVER & GENERAL RELEASE

Whispering Winds Catholic Conference Center, Inc. (“WW”) is a non-profit corporation that owns and operates the Whispering Winds Camp, 17606 Harrison Park Road, Julian, California 92036. We ask all visitors, guests, volunteers and users of the camp, and the parents of all minor camp users, to sign this Waiver & General Release (“Agreement”). By signing this Agreement, you are waiving and generally releasing all present and future claims against WW, except for claims arising out of the gross negligence or intentional misconduct of WW.

1. Definitions:

a. “Associated Persons” means present and former officers, directors, shareholders, partners, members, employees, agents, volunteers, accountants, attorneys, insurance carriers, trustees, beneficiaries, executors, administrators, heirs, predecessors-in- interest, and successors-in-interest. “Associated Entities” means affiliated entities, contractors, subcontractors, material suppliers, and professionals (collectively “AP&AE”).

b. “Claims” shall include all claims, rights, demands, damages, liabilities, and causes of action (whether asserted, unasserted, known, unknown, contingent, accrued, or otherwise).

c. “Costs” shall include all costs, losses, expenses, attorneys’ fees, expert witness fees and other fees, interest, and all other obligations.

2. Waiver and General Release:

On behalf of myself and my AP&AE, (i) I waive all present and future Claims and Costs against WW and its AP&AE, and (ii) I

generally release WW and its AP&AE from all present and future Claims and Costs, arising out of or related in any way to my presence on or use of the WW camp, or participation in programs, excepting only such Claims and Costs arising solely and exclusively from WW’s gross negligence, or knowing and intentional unlawful conduct.

3. Waiver of Civil Code Section 1542:

I acknowledge that the above Waiver and General Release includes Claims and Costs which I do not know or suspect to exist, and I waive all rights which may exist under California Civil Code Section 1542 which provides as follows: A general release does not extend to claims which the creditor does not know or suspect to exist in his or her favor at the time of executing the release, which if known by him or her must have materially affected his or her settlement with the debtor.

4. Photo Release:

I grant WW permission to use any member of my party's name, likeness, photograph, and voice for all purposes, and without compensation.

5. Risk Management

a. I acknowledge that within the environs of Whispering Winds there are known and unanticipated risks which could result in physical or emotional injury to me, including but not limited to use of vehicles or recreation equipment, uneven or wet surfaces, wildlife or vegetation, dehydration, medical conditions resulting from physical activity, and damage to clothing or other property.

b. I recognize that participation in any recreational activities at Whispering Winds are not required of me, that I am voluntarily participating in such activity for my own recreational purposes and that I am assuming all the risks of doing so.

DISCLAIMERS AND ACKNOWLEDGMENTS

Deposits are nonrefundable. The deadline to cancel and receive a refund (minus deposit) is 10 days before camp starts. Any cancellations after that date will not receive a refund.

I realize that tobacco, alcohol, and illegal drugs are NOT PERMITTED ANYWHERE on the premises of Whispering Winds Catholic Camp and Conference Center, Inc.

I understand that a parent or legal guardian must attend camp with their child(ren). If not, the adult in charge has permission to supervise camper.
Date*

MonthDayYear
Date
Signature*

Clear
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