Special Needs Camp Camper Application 2026

Dear Parents/Guardian/Caregiver/Camper:

Thank you for taking the opportunity to complete this application to attend the Special Needs Camp of KY, Inc. Summer Camp 2026. We have many exciting activities and events planned for this year’s camp. The camp dates are July 6th through 10th at Crossroads Elementary School, located at 4755 East Highway 60, Owingsville, KY 40360, from 9:00 am to 4:00 pm.

We are an official 501(c)3 non-profit organization, now known as Special Needs Camp of KY, Inc. (SNCKI). This has brought many changes, including all donations being 100% tax-deductible.

Camp has always been free for campers to attend, and it will continue to be free this year with the help of continued financial support. The cost of the camp is constantly increasing each year. Expenses have gone from $2,000 to fund camp several years ago to over $50,000 to support Camp 2025; please help us with this need. It takes a minimum of $500 per camper just for them to be able to attend camp. If you know of any potential camp supporters (individuals or businesses), please contact them to see if they would like to contribute to the camp or even sponsor your camper. We gratefully appreciate your continued support.

Here are a few things to consider when completing the application:

-Campers must meet the age requirement for camp, be 13 years old, and have an intellectual disability.
-Please ensure that ALL sections of the application are filled out completely. Only completed applications will be allowed.
-Applications are taken into consideration on a first-come-first-serve basis due to limited space.
-We MUST receive all applications by May 1st, 2026, via mail, e-mail, or hand delivery to 6255 E. Hwy. 60, Salt Lick, KY 40371, or to Katelyn Harvey at Morehead State University.
-Acceptance or denial letters will be sent out to applicants in the 2nd week of May. In addition, if the camper is accepted, additional information will be needed and described in the acceptance letter.

If you have any questions, please contact us via any of the sources at the top of this letter!

Sincerely,

Katelyn Harvey

Katelyn Harvey, President

Camper Application Form

July 6th-10th, 2026

Must be completed by May 1st, 2026

Name of Camper

Parent/Guardian Name

Address

City

State

Zip Code

Phone Number (Where you can be reached at all times!)

Please enter a valid phone number.Format: (000) 000-0000.

Birthdate

Date

Gender

Phone Number (Where you can be reached at all times!)

Please enter a valid phone number.Format: (000) 000-0000.

Email Address

example@example.com

Height / Weight

Shirt Size

Camper's Disability(s)

Emergency Contact

Relationship to Camper

Phone Number for Emergency Contact

Please enter a valid phone number.Format: (000) 000-0000.

Please list any individuals who are legally denied contact with your child

Name of person(s) transporting child other than parent/guardian/caregiver:

Answer the following questions.

Does the camper wander away from a group?

If yes, explain

Does the camper have difficulty following directions?

If yes, explain

Does the camper have any specific fears, worries, or concerns?

If yes, explain

Does the camper have any specific likes or dislikes?

If yes, please list

Does the camper have any allergies?

If yes, please list here

Does the camper need a Personal Care Assistant to attend camp with them?

If yes, please have PCA complete a volunteer application and submit it along with the camper application. Volunteer applications can be found on our website www.specialneedscamp.org or by contacting Katelyn Harvey.

The camper should bring his/her special utensils and any other equipment needed. Camp does not have this equipment on hand. Please make sure each piece is clearly marked with the camper's name. Please list any other information that you feel is important for us to know:

Parent/Guardian Signature

Today's Date

Date

Please feel free to contact us at any time if you should have any questions or concerns. We will be more than happy to put your mind at ease:

*SNCKI reserves the right to accept or deny this application. The decision will be notified by mail in the second week of May.*