We Thank You for Applying to Camp Zip's Sleepover 2018!

Week long Camp Aug 13th - 17th  held at Howell Nature Center where campers test their skills for living independently. Campers enjoy nature, traditional camp activities while learning cooking, communication and self-advocacy.

At Camp Zip we train our staff to be comfortable with a wide variety of disabilities and communication styles.  We prepare hard to make sure each camper has an amazing experience.d medical support. 
We DO expect campers to be independent with toileting. We can offer verbal and visual prompts to use the bathroom, but we do not train our staff to help with wiping or change diapers. Campers who are routinely aggressive or engage in frequent, dangerous behavior (such as running away or eating non-food items) may not be a good fit for our program. Our lengthy application asks for tons of information about your camper, so that our counselors can help him or her to be successful at camp. If you have questions, we are happy to discuss your camper in more detail before you apply. 

Deposit & Payment For Summer Overnight Camp 
Camp Zip tutition is $1000 for,  and there is a $100 deposit for all applications to Camp Zip. If, after review, your camper or campers are ACCEPTED this deposit will go towards your balance. If, after review, your camper or campers are NOT ACCEPTED or put on the WAITING LIST your deposit will be refunded in full.
Fees & Tuition

 All fees must be paid in full by June 1st, unless special arrangements have been made with one of the Camp Directors.

If you wish to withdraw before June 1st, we will refund your money minus your deposit.
If you withdraw after June 1st, we will refund your money only if we can fill your camper’s spot.

SORRY WE WILL NOT BE ABLE TO ACCEPT RESPITE FOR AUGUST CAMP

All information provided will be kept confidential. Unfortunately we can not take every one that applies due to space and staff ratio. We do expect campers to be independent with toileting and campers who are routinely aggressive or engage in frequent dangerous behaviors may not be a good fit for our program.  Additionally, we may schedule in person interviews to assure we can meet all camper needs. 

 

In the following section please check all statements that describe your camper. Please answer thoroughly. This information will help us be prepared with the appropriate support(s) for your camper.

Camper/Parent/Legal Guardian Agreement-Camp Zip

Please read this document carefully and sign below

                              Release and Indemnity Agreement and Acknowledgement of Risk

This release and indemnity agreement, and acknowledgement of risk is made and entered by and between the parent(s) or legal guardian(s) or independent Camper before mentioned on this application

Camp Zip LLC., a, a camp (hereafter simply as, "Camp" and/or “Camp Zip” respectively).

On behalf of the Camper, the parent(s)/legal guardian(s) / or I hereby acknowledge and agree that:

Camp Zip LLC is for Campers that may have special needs;

Camp activities may involve a degree of risk of injury which cannot be eliminated and may be inherently dangerous, and the degree of risks may vary depending upon the abilities of the Camper, the activity and its location, whether on property of Camp Zip or elsewhere;

I/we have carefully considered the risks, including any additional or unique risks which may arise due to the special needs of my Camper, or other Campers who may attend;

Having considered the risks, I request and consent for my Camper to attend Camp Zip, and to participate and engage in all camp activities, travel and events, wherever they may be held, and to use the facilities and services of Camp Zip, as well as other facilities utilized for activities of the Camp, and I accept any and all related risks.

Now, therefore, and in consideration of the Camper being permitted to attend at Camp Zip, and for other good and valuable consideration, the sufficiency, adequacy and receipt of which is hereby acknowledged, I hereby agree for myself and my heirs, executors, assigns, wards and the Camper in my care, to release, discharge, hold harmless and indemnify as follows:

I acknowledge, accept and assume all risks which may be involved with the Camper participating in the activities of Camp Zip property or elsewhere.

I release, discharge, hold harmless and agree to indemnify Camp Zip, its members, agents and employees from any and all liability, claims, actions, costs and expenses which may arise from any injury or harm which the Camper may suffer, whether bodily or property, while, or as a result of, attending Camp Zip, and participating in its activities, or using its facilities and services.

I further agree to not file suit, pursue any claim, or participate in any legal action against Camp Zip, its members, agents and employees.

I understand and agree that by this Agreement and Release I am giving up, among other things, the right to sue Camp Zip LLC, its members, agents and employees for injuries, damages or losses that may occur. I also understand that this Agreement and Release extends to and binds my heirs, executors, administrators and assigns.

Medical Treatment and Needs: 

I hereby authorize Camp Zip LLC, and its employees, members and agents to render first aid and seek medical treatment and care for the Camper when in their judgment it is reasonable and necessary, and I release Camp Zip from any and all claim(s) arising now or later from first aid or medical treatment rendered to the Camper.

Before leaving my Camper at the Camp, I have informed the Camp Zip LLC members and of any special medical needs of my Camper, and have provided them with complete and accurate instructions regarding those needs, including any necessary and lawfully prescribed drugs for my Camper. I am confident and comfortable that the instructions given by me have been adequately received and understood. I hereby authorize Camp Zip, and its employees and members to dispense medications and attend to other special needs of my Camper, and I release Camp Zip from any and all claim(s) arising now or later from dispensing such drugs and attending to such needs.

I have read this entire Agreement and Release, and I understand it and agree to be legally bound by it. No oral representations, statements or inducements have been made with regard to the Release and Agreement. I understand and agree that the consideration given extends to and is adequate and sufficient for all promises, conditions, releases and agreements made herein, and that this Release and Agreement covers but is not limited to liability, claims and actions caused entirely or in part by any act or failure to act by Camp Zip, members, employees, or agents.