Whisk & Words: Summer Camp 2026 Application Form
To Apply you must complete the form below accurately.
Child's Birth Date
*
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Year
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Child's Name
*
First Name
Last Name
Home Phone Number
*
Format: (000) 000-0000.
Mobile Number
Format: (000) 000-0000.
Email Address
*
example@example.com
Desired Name Tag
*
Primary Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about Camp?
*
Please Select
Email
Facebook
Print Ads
Radio
Referral
School Official
Others
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Camp Session Selection
*
Please Select
June 8,11,12:Ages 7-10, 8:30am- 11:00 am
June 8,11,12: Ages 11-14, 12:00pm - 2:30 pm
June 22,25,26: Ages 7-10, 8:30am- 11:00 am
June 22,25,26: Ages 11-14, 12:00pm - 2:30 pm
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School Information
School Name
*
Year in School
*
Please Select
Freshman (9th)
Sophomore (10th)
Junior (11th)
Senior (12th)
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Family Information
Parent/Guardian's Name
*
First Name
Last Name
Contact Phone Number
*
Format: (000) 000-0000.
E-mail Address
*
example@example.com
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Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Format: (000) 000-0000.
Relationship to Student
*
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Please list all allergies.
We take allergies seriously, however we teach with a variety of foods and can not guarantee an allergy-free kitchen. Please consider your child’s safety before registering them for a cooking class. *If your child has any food restrictions due to religious or cultural reasons, please list them below (we will try our best to accommodate with a substitution or omission)
*
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Health, Learning, Physical, Sensory, or Behavioral Information
Please share any information about your child's health, learning, physical, sensory, or behavioral needs that may impact their participation in the cooking program. This includes health or medical information (e.g., medical conditions, medications, dietary needs), learning differences such as dyslexia, ADHD, or autism, physical or sensory needs such as sensory processing differences or motor challenges, behavioral considerations that may affect participation in a small-group setting, or any specific accommodations or strategies that help your child be successful. This information helps us determine if the program is an appropriate fit and allows us to plan supports to create a safe and positive experience for your child. Please note that this is a small-group program, and we may not be able to provide 1:1 behavioral support. For safety in the kitchen, students must be able to follow basic directions, remain with the group, and use cooking tools safely with supervision. All information shared will be kept confidential and used only to support your child’s participation. Failure to disclose significant health, behavioral, or safety concerns that may impact participation may result in dismissal from the program.
*
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Your Reason For Attending This Camp
In 300 words or less, please describe your reasons for wishing to attend this camp.
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0/300
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Assumption of Risk
I understand that participation in cooking activities and camp programming involves certain inherent risks, including but not limited to the use of kitchen tools, exposure to heat sources, food preparation activities, and interaction with food ingredients. I voluntarily assume all risks associated with my child’s participation in these activities.
*
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Health & Medical Information Acknowledgment
I certify that my child is physically able to participate in camp activities. I agree to inform Whisk and Words of any medical conditions, allergies, learning needs, or behavioral concerns that may affect my child’s participation or safety.
Signature
*
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Not a Replacement for Individualized Therapy
I understand that Whisk and Words LLC provides a hands-on summer camp for children ages 7–14 that integrates cooking activities with development of speech, language, social communication, and executive functioning skills. Activities may include food preparation, use of age-appropriate kitchen tools, group collaboration, and guided instruction. This program is educational and enrichment-based and is not a substitute for individualized clinical therapy services unless specified in writing.
*
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Behavior & Safety Expectations Acknowledgment
I understand that for safety in a kitchen environment, students must be able to follow basic directions, remain with the group, and use cooking tools and materials safely with supervision. I acknowledge that Whisk and Words is a small-group program and may not be able to provide one-on-one behavioral support. Failure to disclose significant behavioral or safety concerns, or unsafe behavior during the program, may result in dismissal from camp without refund.
Signature
*
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Allergy Acknowledgment
I understand that Whisk and Words Speech and Language Summer Camp uses a variety of ingredients in a shared kitchen environment and is not an allergen-free facility. While staff will take reasonable precautions, we cannot guarantee that foods or surfaces will be free from allergens. By registering my child, I acknowledge the potential risk of exposure to food allergens and confirm that I have disclosed all known allergies and dietary restrictions.
Signature
*
Waiver, Release, and Hold Harmless Agreement
In consideration of being permitted by Whisk and Words LLC hosted at Young Chefs Academy, Sarasota to participate in its cooking classes, I, the undersigned parent or legal guardian of the participant named below, do hereby waive, release, and discharge any and all claims for damages, personal injury, death, or property damage which I or my child may have, or which may hereafter accrue, as a result of participation in these activities. I understand and acknowledge that the cooking activities my child will participate in involve the use of kitchen equipment, utensils, and food items, which can cause injury if not used properly, and that there are inherent risks, including cuts, burns, and allergic reactions, which cannot be completely eliminated. I acknowledge that Whisk and Words staff will take reasonable precautions to ensure participant safety, but accidents can occur. My child is participating voluntarily, and I assume all risks associated with their participation. By signing this form, I agree to hold harmless and defend Whisk and Words, its directors, officers, employees, volunteers, agents, and Young Chefs Academy, Sarasota from any and all claims, demands, losses, liabilities, costs, or expenses arising out of or in any way connected with my child’s participation; provide complete and accurate information regarding my child’s medical conditions, allergies, and dietary restrictions; ensure that my child follows all safety rules and instructions provided by Whisk and Words staff; and remove my child from the program if they become disruptive or pose a safety risk to themselves or others.
Signature
*
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Whisk and Words is requesting your permission to use photos and/or videos of your child for advertising and social media purposes. We may use these images on our social media pages (Facebook, Instagram), website, and marketing materials to promote our programs and highlight the fun, engaging activities we offer.We will take all necessary steps to protect your child’s privacy. Images will only be used in the ways described above, and will not be sold or shared with any third parties. By granting permission, you allow us to use photos and/or videos of your child for these purposes.
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I grant Whisk and Words permission to use photos/videos of my child for social media and marketing purposes as described above.
I DO NOT grant Whisk and Words permission to use photos/videos of my child for social media and marketing purposes as described above.
I grant permission to Whisk and Words, LLC and its agents and employees (collectively, “Whisk and Words”) the irrevocable and unrestricted right to reproduce photographs, video images, and/or statements of my child for the purposes of publication, promotion, illustration, advertising, or trade, in any manner or medium.I release Whisk and Words and its legal representatives from any claims, liability, or compensation related to the use of these images, videos, or statements. This permission applies whether or not my child’s name is used.
*
I am over the age of 18 and I am the legal guardian of the following student.I Agree to Photo/Video Release Form.
I am over the age of 18 and I am the legal guardian of the following student. I DO NOT Agree to Photo/Video Release Form.
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