WRTS Summer Camp Pre-Registration

WRTS Summer Camp Pre-Registration
Welcome to We Rock the Spectrum Franklin Park's Camp Pre-registration page; thank you for your interest in our summer camp programs. Please use this questionaire to tell us about your prospective camper(s) and what kind of schedule you are looking for. We'll review this information and work with you to set up the most effortless booking process for your needs.

Please note: filling out this form is not a booking for camp. A booking requires a conversation with our staff, completion of required paperwork, and minimum 50% deposit for camp fees. Families that arrive at the gym for camp without these requirements met might not be eligible to participate in camp (staffing dependent). Please be responsive to our efforts to contact you to arrange your camp bookings.
Child Information
Has your child(ren) visited the gym before?
Child 1 Name

First NameLast Name
Child 1 Gender
Child 1 Birthdate

MonthDayYear
Child 1 Current School
Is your child bathroom independent?
Does your child communicate verbally?
Child 2 Name

First NameLast Name
Child 2 Gender
Child 2 Birthdate

MonthDayYear
Child 2 Current School
Is your 2nd child bathroom independent?
Does your 2nd child communicate verbally?
Do you have additional campers? Just let us know by selecting the MORE option:
Need to add MORE campers?
Child 3 Name

First NameLast Name
Child 3 Gender
Child 3 Birthdate

MonthDayYear
Child 3 Current School
Is your 3rd child bathroom independent?
Does your 3rd child communicate verbally?
Which camp weeks are you interested in having your child attend?
Which Sessions are you interested in:
Which Days Are You Interested In
Are you interested in a hot lunch for your camper(s)?
Does you child(ren) have an IEP?
Does you child(ren) have an BIP?
Does the child have any medical conditions, or require special support? If yes, please describe.
How did you hear about us? Who referred you?
Parent / Guardian Contact Information
Name

First NameLast Name
Relationship
Phone / Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Support Assessment

We reserve the right to determine if a level of support is required that is not indicated in this form. We also reserve the right to claim whether 1:1 support is required and adjust camp fee's accordingly because the staffing requirements will change dramatically.
Should be Empty:

WRTS Summer Camp Pre-Registration

Child Information

Parent / Guardian Contact Information