CANJRU Spring Family Camp Registration

Camp Abilities NJ @ Rowan University Athlete Registration
Camp Abilities NJ @ Rowan University
Saturday, May 2, 2026, 9am-3:45pm
Rowan University
Glassboro, NJ

Complete this form to register for Camp Abilities NJ @ Rowan University's Spring Family Camp, which will occur on Saturday, May 2, 2026 at Rowan University in Glassboro, NJ. Lunch and snacks will be provided. Siblings welcome! All athletes must be accompanied by one adult over the age of 18.

Camp Abilities NJ @ Rowan University is an educational sports camp for athletes ages 6-17 who have visual impairments. Children who present the following behaviors are not a match for Camp Abilities NJ: biting, kicking, scratching, hitting, self-injurious behavior, elopement, verbal or physical threats to self and/or others, continuous noncompliance.

The Camp Abilities NJ @ Rowan U Leadership Team

Maria Lepore-Stevens, EdD, CAPE, COMS
Shari Willis, PhD, WFR
Directors, Camp Abilities NJ @ Rowan University
Athlete Name*

First NameLast Name
Athlete Birth Date*

MonthDayYear
Athlete Grade*
Athlete Gender
Athlete Pronouns
Parent/ Guardian 1 Name*
Parent/ Guardian 1 Phone Number*
(xxx) xxx-xxxx
Will Parent/ Guardian 1 be in attendance at the spring family camp program?*

YesNo
Parent/ Guardian 2 Name
Parent/ Guardian 2 Phone Number
(xxx) xxx-xxxx
Will Parent/ Guardian 2 be in attendance at the spring family camp program?

YesNo
Do you prefer phone calls or text messages?*

Phone callsText messagesNo preference
Best Contact Email Address*
example@example.com
Athlete Primary Address*

Street Address

Street Address 2

CityState

Zip Code
Athlete T-Shirt Size*
Emergency Contact

Please list an emergency contact if the parents/ guardians above are unavailable in an emergency situation.
Emergency Contact Name
Emergency Contact Phone Number
Did your athlete attend Camp Abilities NJ @ Rowan University in summer or fall 2025?*

YesNo

Family Information
Please list the names, ages (for youth participants), and t-shirt sizes of the other family members who will be in attendance. *
Does anyone in your family have any dietary needs or restrictions?*

YesNo
Please describe dietary needs or restrictions.
Other than your child with a visual impairment, does anyone in your family need any disability accommodations?*

YesNo
Please describe needed accommodations.
Anything else we should know about your family at camp?
Should be Empty:

Camp Abilities NJ @ Rowan University Athlete Registration

Emergency Contact

Athlete Disability Information

Family Information