Summer Evolve 2026

Summer Evolve 2026 Application
Summer Evolve Details

This application is for the summer only session of Evolve. This program will run 9.5 weeks from June 15th-August 19th. Evolve Summer will run from 9:00am-3:00pm. The location will be at the SOAR Fox Cities Youth Hub: 122 E College Ave. Suite 201 Appleton WI 54911. The rate is $190/day. Registration for first priority closes on March 20th.
1:3 Staffing Ratio

Evolve 365 is an active, heavily community based experience that involves transitioning between activities and locations frequently. Young adults between the ages of 18 and 23 who are appropriate for this group should be mostly independent with transitions and have appropriate behavior for a 1:3 staff-to-young adult ratio. If you have questions or need further clarification, please contact Abby Miller at (920)731-9831 x 131.
Young Adults Name

First NameLast Name
Date of Birth - Must be between ages of 18 and 30

MonthDayYear
Date
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Ethnicity

Other
Parent/Guardian #1 Name

First NameLast Name
Relationship to Youth
Parent/Guardian #1 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian #1 Mobile Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian #1 Second Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian #1 Email
example@example.com
Parent/Guardian #1 Place of Employment (if applicable)
Parent/Guardian #1 Preferred Communication Method
Parent/Guardian #2 Name

First NameLast Name
Relationship to Young Adult

Other
Parent/Guardian #2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian #2 Mobile Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian #2 Second Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian #2 Email
example@example.com
Parent/Guardian #2 Preferred Communication Method
Which parent/guardian should staff contact first during the day while Evolve is in session?
Acknowledgement and Permissions

Available upon request.
Hold Harmless agreement: I indemnify and hold harmless SOAR Fox Cities, any of its employees and/or agents from all claims from my use of SOAR property or participation in any programs. I will further indemnify and hold harmless SOAR Fox Cities, its employees and/or agents from all costs, expenses and liabilities resulting from any claim brought from my child(ren)’s use of SOAR property and/or participation in SOAR programs to the extent of SOAR's liability under general law.
Admission: Parents have duty to share significant medical, physical or behavioral needs at time of application. Should there be a significant behavior situation, Evolve staff reserve the right to have a young adult return home. Due to group format, Evolve is unable to provide one-on-one care. Young Adults must be able to transition. Evolve will provide a maximum of of 1:4 ratio.
Image Authorization: I authorize SOAR Fox Cities to use any photographs or videos taken of my child for promotional reasons including website, social media, brochures, flyers or newsletter.
I give permission for my child to participate in the following activities:
My young adults swimming ability is
Do you give SOAR Fox Cities permission to apply temporary tattoos or face paint as part of the programming and if the young adult wishes to participate?
Sunscreen/Insect Repellent Permissions: Can be applied by:
T-Shirt Size
YMCA Membership

SOAR will be purchasing group memberships for Evolve young adults to use during programming. To register for the membership, a waiver form will need to be filled out. The wavier will include basic information like name, emergency contact/phone, and guardian information, etc.
Membership Form
WisGo Cards - Valley Transit Usage
Evolve uses Valley Transit to get to and from locations in the community. The public busses now use a system called WisGo which involves a card linked to an individual. Participants who are current AASD students will be able to use their current WisGo card in the summer for Evolve. Participants who are not AASD students will use a general SOAR WisGo card.
Transportation To/From Summer Evolve
How will your young adult get to/from Evolve?
If other, please explain
Third Party Funding Information
We can accommodate third party billing. Please reach out to your case manager and ask them to send an authorization to Amay Forbush (amay@soarfoxcities.com). Please provide us the name and contact information of your care consultant/care manager/case manager as well as your young adult's participation ID number or MCI. An authorization is needed so that we can set up billing. Waivers cannot be billed in advance. If your young adult misses (without cancellation) a week of programming, you will be responsible for paying the fee.
Name of Third Party Funder (if none, write "none")
Case Manager/Contact Name (if not using third party funding write N/A)
Case Manager/Contact Email (if not using third party funding write N/A)
Case Manager/Contact Phone Number (if not using third party funding write N/A)
Participation ID or MCI (if not using third party funding write N/A)
Cancellation Policy: Any weeks that need to be cancelled must be done with two weeks' notice. Please submit any cancellations in writing to Abby Miller: abbym@soarfoxcities.com.
Late Pick Up: The hours of operation for Evolve are 9:00am through 3:00pm, Monday through Friday. A late fee of $15.00 per 15 minute increment will be charged after 3:00pm. Our policy will be to round up so if you pick up your child at 3:10pm you will be charged a $15.00 late fee; If you pick up your child at 3:18pm you will be charged $30.00. The late fee is due before drop off on the next day of care. We reserve the right to bill third party payees.
Nonpayment: nonpayment of fees will result in termination of services through Evolve.
Emergency Contacts

The following individuals are authorized to help when parents can not be reached, including in emergency situations.
Non-parent/Guardian Emergency Contact #1 Name

First NameLast Name
Emergency Contact #1 Primary Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact #1 Secondary Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact #1 Authorized To Pick Up
Non-Parent/Guardian Emergency Contact #2 Name

First NameLast Name
Emergency Contact #2 Primary Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact #2 Secondary Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact #2 Authorized To Pick Up
Medical Information
I authorize SOAR Staff to obtain emergency medical care including transportation for my child to a hospital or other medical facility.
Physician Name
Physician Phone
Cognitive Functioning: check all the apply

Other
If other, explain
Physical Conditions: check all that apply

Other
If yes to Epilepsy, please give details of type, frequency, date of last seizure and treatment
If other, explain
Specify Food Allergies: if none, write NKA (no known allergies)
Specify Non-Food Allergies: if none, write NKA (no known allergies)
Eating
Socialization
Triggers: Please list any triggers for behaviors.
Explain: Give as much detail as possible, this is very helpful to staff. Please share any behavior plans you use at home as well.
Weekly/Daily Registrations

NOTE: Priority Registration is closed, but there may still be some spots available. You are welcome to register for any days that you are interested in and we will fill your young adult into any open spots. Evolve is giving the option to register for an entire week or for specific days. If you'd like to register for the full week, please click "select all". If there are certain days in a given week that you'd like to apply for, please only click the specific days.
Week 1: June 15-19
Week 2: June 22-26
Week 3: June 29-July 3
Week 4: July 6-10
Week 5: July 13-17
Week 6: July 20-24
Week 7: July 27-31
Week 8: August 3-7
Week 9: August 10-14
Week 10: August 17-19
Week 1: June 15-19
Week 2: June 22-26
Week 3: June 29-July 3
Week 4: July 6-10
Week 5: July 13-17
Week 6: July 20-24
Week 7: July 27-31
Week 8: August 3-7
Week 9: August 10-14
Week 10: August 17-19
ANY CHANGES IN REGISTRATION MUST BE SUBMITTED TO Abby Miller: abbym@soarfoxcities.com.
Signatures
Parent/Guardian Signature
Registration Date
Should be Empty:

Summer Evolve 2026 Application

Summer Evolve Details

1:3 Staffing Ratio

Acknowledgement and Permissions

YMCA Membership

WisGo Cards - Valley Transit Usage

Transportation To/From Summer Evolve

Third Party Funding Information

Emergency Contacts

Medical Information

Weekly/Daily Registrations

Signatures