Self-Regulation Nature Camp, July 28-31, 2025

Self-Regulation Nature Camp (Wait List), July 28-31, 2025

This camp will focus on developing self-regulation skills, language, and tools to support participation in home, school, and community life using concepts from the Powerfully You curriculum. Group games, nature activities, and social skill building will all be part of our fun and engaging week together! *This camp has reached capacity for registrations. By completing this form, you will be added to a wait list and notified if a spot opens. Payment is not due until confirmation of camp attendance.
The group will be led by an occupational therapist, Lindsey Stamper, owner of Forestways OT, and occupational therapy students and volunteers. Please contact Lindsey at lindsey@forestwaysot.com with any questions.

DATES: Monday, July 28 - Thursday, July 31 from 9am to 12pm

LOCATION: Highbanks Metro Park, 9466 Columbus Pike, Lewis Center, OH 43035. We will meet in the Natural Play Area/Big Meadows Picnic Area. More details will be shared 2 weeks prior to the group.

AGES: Children ages 6-12 years are welcome to attend.

COST: $240 (includes a $50 non-refundable deposit). Cancellations must be made before June 28, 2025 for a refund of $190.

IMPORTANT: This is an enrichment group for all children, not a skilled therapeutic service. Therapy services are available through Forestways OT and additional info is available at the website linked above. Children MUST be able to remain with a small group of peers (10-12 children) with a ratio of 3 adults. This group is 100% outdoors. Shelters will be available for rain/inclement weather. In extreme weather conditions, Forestways OT reserves the right to cancel the group or offer a rescheduled date. Refunds are not available due to weather.
Child's Name*

First NameLast Name
Child's Birth Date*
Child's Age (at Camp)*
Parent's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Child's School and Grade*
Child's current supports (check all that apply):

General educationSpecial education servicesOccupational TherapySpeech TherapyPhysical TherapyCounseling
How would you describe your child's personality? Favorite activities?
Please briefly describe any previous experiences your child has had outdoors in nature.
Has your child been diagnosed with:*

Sensory Processing DisorderADHDDyspraxia or Developmental Coordination DisorderSpeech or Language ImpairmentAutismLearning DisabilityAnxietyPhysical or developmental challengesMedical conditions or issuesHeart problemsAsthmaNone of the above
Please thoroughly explain any health or developmental issue checked above:
Please briefly describe any therapy services that your child has received in the past or currently.
Is your child current with their immunizations?*

YesNo
Does your child use an inhaler or take any medication? If yes, please indicate type and dosage:
Please list any ALLERGIES your child has, and indicate severity of allergies (specific reaction to allergen, use of epi-pen, etc.): *
Please list any dietary restrictions:*
Please list any other significant birth history, medical history, or family history:*
Please list any concerns you have about your child's self-regulation skills or your reason for signing up your child for this enrichment group. *
How did you hear about us?*
Policies and Waivers

(This is the boring part folks....all the policies and waivers. Hang in there! You're almost done with the registration!) :)
Attendance & Pick-up Policy

Our groups rely on the consistent attendance of all group members to have a fun and therapeutic experience together. But we know children sometimes get sick. Due to the short duration of this group, reimbursement for absences is not possible. Late pick-ups in excess of 5 minutes after group ending time will be charged $2/minute.
Sign your name below to indicate you have read and agree to the attendance & pick-up policy as stated above:*
Behavior Policy

Children who attend our enrichment groups are participating in a small-group setting. We use positive discipline and natural consequences, as well as offering sensory strategies when helping children learn to regulate their behaviors. In order for all children in the group to receive therapeutic benefit, we require children in our groups to maintain expected behaviors that do not significantly detract from the experience of other children in the group. Children who attend our groups must be able to stay with the group, follow directions (most of the time!), and have basic safety awareness to be in nature settings with an adult nearby but NOT always within arm’s reach. We operate with approximately 1 adult to every 4 children for enrichment groups. We are not staffed to provide 1:1 support for children who have significant behaviors that consistently require the full attention of a staff member. If a child has disruptive behaviors that impact the participation of the other children in the group, we will discuss this with the parent to determine if a group model is right for the child at this time. After attempts to modify and support a child's behavioral needs in the group, should it be decided that our groups are not a good fit for the child, refunds will not be given for remaining days.
Sign your name below to indicate you have read and agree to the behavior policy as stated above:*
Medical Waiver and Authorization

In submitting this form electronically, you agree to have your typed signature serve as a legally binding signature on the following Consent for Medical Treatment of a Minor: I certify I have notified staff of Forestways OT, LLC of any and all medical conditions that Forestways OT, LLC should be aware of in case of emergency. If I cannot be reached in case of emergency, I give permission for staff of Forestways OT, LLC who are certified in CPR and first aid to provide treatment as deemed medically necessary. I give permission for potentially life-saving care to be provided immediately, without any delays to seek my permission, provided that camp staff attempts to notify me at the first available opportunity. In case of emergency, I give permission to Forestways OT, LLC staff to arrange necessary related transportation for my child. Further permission is given to allow medical services to be performed by doctors, hospitals or other qualified medical providers as deemed necessary in an emergency, including, but not limited to, x-rays, tests, or surgery if reasonably necessary. I understand that the cost of all emergency services is my, or my health insurance company's, responsibility.
Sign your name below to indicate you agree to the Medical Waiver and Authorization:*
In case of emergency, preferred local hospital is:*
Participation Waiver

Forestways OT, LLC staff members make every effort to conduct safe programs, to orient and support children, and to inform families of inherent risks. Some activities may involve risks that children do not routinely encounter at home. Risk management is an essential element of all the activities that we offer. While we make all efforts to ensure the well being of each child, we are also aware that it is neither possible to foresee every contingency nor to eliminate all risk. By typing your name below as your electronic signature you agree to the following: I understand that program activities may include, but are not limited to: hiking on uneven terrain, playing active games, participating in activities near water, and other outdoor activities as well as being near insects and animals. Other risks may be inherent in program activities. I acknowledge that such risks exist, and I hereby agree on behalf of my child to assume such risks. Further, on behalf of my child, I hereby release and forever discharge, and agree not to sue, and agree to indemnify and hold harmless Forestways OT, LLC and its officers, directors, employees and volunteers and each of them, from and against any and all liabilities and obligations of every kind and description, which I shall or may have against them or any one or more of them arising out of, or in connection with, my child’s participation in Forestways OT, LLC and its activities, including, but not limited to, for any personal injury that my child may suffer while participating in the group and its activities. I understand and agree on behalf of my child that my child shares the responsibility for safety during group activities, and I personally assume on behalf of my child that responsibility. I understand and certify that my child’s participation in Forestways OT, LLC and its activities is completely voluntary.
Sign your name below to agree to the participation waiver:*
Photo Release

We send emails to families to share photos (& occasionally videos) of the children's adventures. We also love sharing our experiences with the community, so with your permission we use Forestways OT, LLC group photos & videos on our website, in marketing materials, and on social media. We will NEVER identify your child by name or release any personal information. If you do not give permission, we will not photograph or video your child at all.
Do you GIVE permission for your child to be photographed?*

YesNo
Sign your name below to agree to the photo release:*
Payment Policy-THIS CAMP HAS A WAIT LIST. PLEASE DO NOT SUBMIT PAYMENT UNTIL YOUR CHILD'S SPOT IS CONFIRMED.

Payment of $240 must be made in full to confirm registration. Payment includes a $50 non-refundable deposit. Cancellations must be made before June 28, 2025 for a refund of $190. In the unlikely event of a weather closure, attempts to reschedule will be made but a refund will not be available. You will receive confirmation of participation via email within one week of payment.
Sign your name below to agree to the payment policy:*

Payment

Self-Regulation Camp July 28-31, 2025

$240.00 Quantity

Total

$0.00

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Self-Regulation Nature Camp (Wait List), July 28-31, 2025

Policies and Waivers