Camp Confidence Application

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A one-of-a-kind play therapy - based camp where kids ages 7–9 and 10-12 build the inner tools they'll carry for life — confidence, self-expression, and real coping skills.

All through engaging activities, games, crafts, and art in a small group setting with licensed child therapists.

Details:
Date: June 22-25
Time: 9:00 AM – 12:00 PM

Cost: $450 per session - register by May 15
$500 after May 15

Located in East Boca Raton

⚡ Spots are limited — this camp stays intentionally small. ⚡
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So much fun, your child won’t even realize they are actually building skills.

What to expect:

Play-based, creative therapeutic activities including, art, crafts, and games, and books -- all specifically designed to help children your child develop the skills they need to feel more confident, capable, and connected.

✨Self-Esteem building
✨Effective Communication practice
✨Encouraging a Growth Mindset
✨Healthy emotional expression
✨Connection in a supportive environment
✨Grit and Resilience

Parents will receive ideas and strategies at the end of each day, so they can continue the skills building at home.
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At Camp Confidence, your child will be guided by two licensed child therapists with nearly three decades of combined experience. We’re passionate about supporting your child’s growth into a confident individual, ready to navigate life’s ups and downs.

Ty Shiver, LMHC, is a Licensed Mental Health Counselor who has worked with kids and teens for over a decade both as a school counselor and a therapist in private practice. Ty is currently working toward her credential as a play therapist. Ty is a Mom of 4 and loves supporting kids through play!

Ty owns Shiver Therapy LLC. She can be reached at tyshivertherapy@gmail.com. Learn more about Ty at www.shivertherapy.com

Laura Van Camp, LMFT, RPT-S, is a Licensed Marriage and Family Therapist and Registered Play Therapist - Supervisor who is passionate about using the language of play to help children heal and grow. Laura has specialized in play therapy with young children for 15 years. Laura is a mom of 2, and believes in supporting families to continue the work at home.

Laura owns Van Camp Therapy, LLC and can be reached at Laura.vancamp.lmft@gmail.com and www.connectedfirsttherapy.com
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Child's Name* This field is required.
First Name
Last Name
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Child's Date of Birth* This field is required.
Date
Year
Month
Day
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Any allergies or medical concerns?* This field is required.
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Large
Normal
Small
Ok
Ok
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Parent's Name* This field is required.
First Name
Last Name
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Parent Email* This field is required.
example@example.com
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Parent Phone Number* This field is required.
Area Code
Phone Number
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Emergency Contact Name* This field is required.
First Name
Last Name
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Emergency Contact Phone Number* This field is required.
Area Code
Phone Number
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Emergency Contact Relationship* This field is required.parent/grandparent/babysitter/etc
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What areas of growth do you most hope to see for your child?* This field is required.
Please Select
Please Select
Increase Self-Esteem
Express emotions in a healthy way
Better Social Skills
Communication Skills
Other:
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Are there any emotional or behavioral concerns you'd like us to know about?* This field is required.Please share anything that will help us best support your child during camp.
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On a scale of 1–10, how concerned are you about these issues?* This field is required.
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1
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What would show you that your child grew in this area?* This field is required.
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Anything else you'd like us to know?
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Would you like more neuroscience based support in parenting your child through these concerns?* This field is required.
Yes please!
I already feel confident parenting through these concerns.
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How did you hear about Camp Confidence?
Please Select
Please Select
Friend
Therapist
Church
School
Ad
Other
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Group Therapy Informed Consent & Release* This field is required.I give permission for my child to participate in Camp Confidence, a group-based program facilitated by Laura Van Camp, LMFT, RPT-S and Ty Shiver, LMHC, along with trained staff. This camp is designed to support emotional intelligence, resilience, self-esteem, and positive peer relationships through play-based activities, creativity, and therapeutic guidance. I understand that participation may include group interactions, games, movement-based activities, and experiences that encourage emotional expression and social engagement. While every effort will be made to provide a safe, supportive, and respectful environment, I acknowledge that emotional discomfort may arise at times as part of the learning and growth process. I understand that Camp Confidence is not a substitute for individual therapy. While it is led by licensed therapists, it is intended as a skills-based, supportive group experience rather than individualized mental health treatment. I acknowledge that there are inherent risks in any group and play-based setting, including the possibility of emotional distress, interpersonal conflict, or minor physical injury (such as bumps or scrapes) during activities. By signing below, I accept these risks and agree to release and hold harmless Van Camp Therapy LLC and Shiver Therapy LLC, its therapists, staff, and representatives from liability related to my child’s participation, except in cases of gross negligence. I understand that reasonable precautions will be taken to ensure both physical and emotional safety. In the event of a minor injury or concern, appropriate care will be provided, and I will be notified as needed. *Behavior and Safety Expectations* Camp Confidence is designed to be a safe and supportive space for all children. Staff will actively support children in navigating big emotions, practicing regulation, and building healthy social skills. If a child demonstrates behaviors that pose a risk to themselves or others (such as ongoing physical aggression, unsafe behavior, or inability to remain within group expectations), staff will intervene to ensure safety. This may include redirection, taking a break with staff support, or contacting a parent/guardian for early pick-up if needed. If safety concerns persist, the child’s participation in the camp may be re-evaluated to ensure the well-being of the group. *Confidentiality* I understand that confidentiality will be encouraged and discussed with all participants; however, it cannot be guaranteed in a group setting. Participants will be asked to respect one another’s privacy, but I understand that what is shared in the group may be discussed outside of it by peers. *Consent* By signing below, I acknowledge that I have read, understand, and agree to the terms outlined above, and I give permission for my child to participate in Camp Confidence. In cases of divorce/separated parents, we require consent from both parents.
YESNO
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Registration, Payment, and Cancellation Policy* This field is required.To secure your child’s participation in Camp Confidence, all required registration steps must be completed. This includes submission of all intake and consent forms and full payment of the program fee via *Zelle* to laura.vancamp.lmft@gmail.com or *Step Up* to Shiver Therapy LLC. Please note that your child is not officially enrolled in Camp Confidence until all forms have been completed and payment has been received in full. Spots are limited and will be reserved on a first-come, first-served basis once these requirements are met. *Cancellation and Refund Policy* Cancellations made on or before May 15, 2026 will receive a full refund. Cancellations made between May 15, 2026 and June 5, 2026 will receive a 50% refund. Cancellations made after June 5, 2026 are not eligible for a refund, as space has been reserved and staffing has been secured specifically for your child’s participation in Camp Confidence. *Late Cancellation, Absences, and No-Show Policy* Due to the limited nature of camp enrollment, missed days, late cancellations, or no-shows are not eligible for refunds, credits, or make-up sessions. Camp sessions are not prorated for missed days. By proceeding with registration, you acknowledge and agree to the terms of this payment and cancellation policy.
YESNO
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SignatureBy signing below, I acknowledge that I have read, understand, and agree to the terms outlined above, and I give permission for my child to participate in Camp Confidence. By proceeding with registration, you acknowledge and agree to the terms of this payment and cancellation policy. In cases of divorce/separated parents, we require consent from both parents.
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PaymentHow would you like to secure your spot?
I will send payment of $450 via Zelle to laura.vancamp.lmft@gmail.com
I will allocate payment funds via Step Up to Shiver Therapy LLC
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