Explore Pediatric Enrichment Camp Scholarship Application
Raising Harts has teamed up with Explore Pediatric Therapy to provide ONE WEEK of their summer enrichment camp to one of our amazing families. If you haven't experienced the magic of Explore Pediatric Therapy... THIS IS YOUR CHANCE! Your child will participate in one week of camp that is 100% outdoors, helping connect kids to nature and each other through outdoor exploration. Games and activities are modified so that all children can participate. Enrichment camp is not a free-for-all. It is a camp with trained pediatric specialists who are well-equipped for challenges & big feelings that may arise. Parents will receive a note or video debrief at the end of each camp day so that they know what their child did during camp. Camp runs Monday-Friday 9am-12pm. See below for specific dates! This camp is best for children ages 5-10.
Important Information
Please complete each question for your application to be considered.
Parent Information
Full Name
First Name
Last Name
Email
example@example.com
Phone
Format: (000) 000-0000.
Child Information
Child's Name
First Name
Last Name
Child's Date of Birth
-
Month
-
Day
Year
Date
Please tell us any important and/or relevant information about your child's needs (i.e. diagnosis, any medical conditions, communication needs, ability to participate with a group, etc.)
Does your child require 1:1 supervision? If yes, will they be attending our camp with a private therapist (i.e. BCBA, BT, etc.)
Does your child elope? If so, please let us know below so that we can plan for additional staff members to ensure your child's safety!
Are you comfortable with your child participating in water play and swimming in the river? Lifeguards are on duty, staff members are always in the water with campers, and children are allowed to bring life jackets. We also use visuals to support swim safety. Please let us know if you have any concerns.
Please tell us a bit about your family and child, and explain how receiving a scholarship for a week of summer enrichment camp with Explore Pediatric Therapy would positively impact your family.
We are seeking a family that is fully dedicated to embracing this opportunity with Explore Pediatric Therapy, which involves daily attendance and participation. Please share your thoughts on your willingness to commit.
Please select the camp weeks you are available to participate in.
June 22-26, 9am-12pm, Couch Beach, MARSHFIELD MA
July 6-10, 9am-12pm, Couch Beach, MARSHFIELD MA
July 13-17, 9am-12pm, Couch Beach, MARSHFIELD MA
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