GWF 2026 Day Camp
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    It's a Star-Spangled Summer Day Camp!

    Welcome, friends old and new!

    DATES/TIMES:  Monday - Friday, June 8-12, 2026; 9 am. - 2 pm.

    LOCATION:  Good Works Farm, 1566 Roxanna New Burlington Rd., Waynesville, OH 45068.  Please note: this is a farm and we are outdoors all day.  We provide portable restrooms, handwashing stations, and hand sanitizer. 

    THEME: Star-spangled Summer!  Patriotic activities will take place at activity stations and throughout camp!

    WHO:  Individuals, age 5 and older with a developmental disability 

    (Autism, Down Syndrome, intellectual delay, Fragile X, etc.) and their typical siblings.

    COST:  $353/week/camper. We accept Medicaid Waiver funding, county funding, grant funding, and private pay. Thanks to the generosity of our Camp Sponsors, we may have a limited number of camp sponsorships from businesses in the community, which will be disbursed contingent upon availability.  

    TRANSPORTATION:  We do not provide transportation.

    We accept Ohio Medicaid Waiver Funds for Community Respite, County Funds, Grant Funds, and private pay.  Payment Plans are available.  A campership fund (provided by local corporate and private donors) is available to assist with self-pay fees until funds are depleted.  

    **Attention Medicaid Waiver Clients**-Please contact your SSA to update your camper's ISP to include Good Works Farm as your Community Respite provider 

    and ensure everything is in place to secure appropriate camp funding.

  • APPLICATION PROCESS

  • To ensure that we accept only those individuals that we can serve, we utilize the following process:

    1. The family completes an application which lists the camper's physical, developmental, and behavioral needs (please be honest!)

    2. Good Works Farm evaluates these needs to determine if we can serve him/her, based on:

    a. space available

    b. volunteers/staffing available

    c. mobility needs

    d. medical needs/bathroom independence

    e. safety concerns

    3. Good Works Farm notifies the family of acceptance, acceptance with conditions, places him/her on a waiting list, or notifies them that GWF cannot meet his/her needs at this time with the prohibitive reasons.

    4. If accepted, additional forms will be sent to the family that must be completed prior to attendance: a. Medical Information/permission to treat b. Liability Release Form c. other forms as needed

    5. Family will receive an invoice for camp fees due along with funding sources available and due dates. Final camp payment is due no later than the first day of camp, unless arrangements are in place to pay with Ohio Medicaid Waiver or County Family Support Services funds.  Refunds are issued on a case by case basis.

     

  • PARENT/GUARDIAN INFORMATION

  • If there are more than two, just list main contacts

  •  -
  •  -

  • Camper #1

  • Camper Date of Birth*
     / /
  • Gender at birth*
  • Does this camper have a Developmental Disability*
  • Does this camper have mobility issues?*
  • Does this camper have toileting needs?*
  • Does this camper have behavioral needs*
  • Does this camper have any of the following:*

  • What funding source does this camper have?*
  • Will this camper be applying for campership assistance to help with the self-pay portion of camp fees?*

  • All buddies over 18 years of age, even those supplied by the family, will need to pass a background check before attending camp

  • Do you believe this camper needs a 1:1 buddy?*

  • Camper #1 Buddy Information

  • If this camper needs a 1:1 buddy, will you be providing your own buddy to accompany your camper for free*
  • Buddy's date of birth
     / /
  •  -
  • Add Camper #2?*

  • Camper #2

  • Camper Date of Birth*
     / /
  • Gender at birth*
  • Does this camper have a Developmental Disability*
  • Does this camper have mobility issues?*
  • Does this camper have toileting needs?*
  • Does this camper have behavioral needs*
  • Does this camper have any of the following?*
  • What funding sources does this camper have?*
  • Will this camper be applying for campership assistance to help with the self-pay portion of camp fees?*
  • Do you believe this camper needs a 1:1 buddy?*

  • Camper #2 Buddy Information

  • All buddies over 18 years of age, even those supplied by the family, will need to pass a background check before attending camp

  • If this camper needs a 1:1 buddy, will you be providing your own buddy to accompany your camper for free*
  • Buddy's date of birth
     / /
  •  -
  • Add Camper #3?*

  • Camper #3

  • Gender at birth*
  • Does this camper have a Developmental Disability*
  • Does this camper have mobility issues?*
  • Does this camper have toileting needs?*
  • Does this camper have behavioral needs*
  • Does this camper have any of the following:*
  • What funding sources does this camper have?*
  • Will this camper be applying for campership assistance to help with the self-pay portion of camp fees?*
  • Do you believe this camper needs a 1:1 buddy?*

  • Camper #3 Buddy Information

  • All buddies over 18 years of age, even those supplied by the family, will need to pass a background check before attending camp

  • If this camper needs a 1:1 buddy, will you be providing your own buddy to accompany your camper for free*
  • Buddy's date of birth
     / /
  •  -

  • If you have more campers to add, please submit this application and begin a new application

    You may go back and amend any of the information in this form at this time.

  • If you are finished, please hit SUBMIT below.

  • Should be Empty: