WATW Summer Camp Registration 2025

Camp Registration Form

We are excited to kick off SUMMER with your camper! Please fill out the registration form by May 31, 2025 to reserve your child's spot. We are so excited to see you! As always, siblings are more than welcome to attend with their sibling.
Camper's Information

We understand this form may be lengthy for some, but in order to make this the best experience for our campers there's a wide range of questions to ask. Feel free to skip any optional questions that don't pertain to your family. If you have any questions while completing this form please contact Tawny Zachary at (806)831-5327. Thank you for your cooperation.
Camper Name*
Age*
Select your family's agency and session*
Many of our campers are new, others non-verbal to assist our team please include a clear photo of your child. This photo will only be used for staff purposes or in emergency situations.

Browse Files

Cancelof
Allergies? Check all that apply *
Please list and explain any allergies

0/150
T-Shirt Size*
NOTE: We are excited to welcome siblings, ages 3-17, this year to Camp! Please reserve a spot for each child attending by providing the name, age,session and T-shirt size. Have an older sibling (16+) who wants to lend a hand during camp? Please refer to the VOLUNTEER application.
Sibling's Information

**if you don't have any siblings attending, please continue to page 2**
Sibling Name 1
Age
Camp Session Registering For?
**please select age group this child will be attending.
Many of our campers are new, others non-verbal to assist our team please include a clear photo of your child. This photo will only be used for staff purposes or in emergency situations.

Browse Files

Cancelof
Allergies? Check all that apply
Please list and explain any allergies.

0/150
T-Shirt Size
Sibling Name 2
Many of our campers are new, others non-verbal to assist our team please include a clear photo of your child. This photo will only be used for staff purposes or in emergency situations.

Browse Files

Cancelof
Age
Camp Session Registering For?
**please select age group this child will be attending.
Allergies? Check all that apply.
Please list and explain any allergies.

0/150
T-Shirt Size
Sibling Name 3
Age
Camp Session Registering For?
**please select age group this child will be attending.
Many of our campers are new, others non-verbal to assist our team please include a clear photo of your child. This photo will only be used for staff purposes or in emergency situations.

Browse Files

Cancelof
Allergies? Check all that apply.
Please list and explain any allergies.

0/150
T-Shirt Size

Parents' Information
Parent/Guardian*

First NameLast Name
Relationship to Child*
E-mail*
Cell Phone*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional Parent/Guardian

*if applicable
Parent/Guardian 2

First NameLast Name
Relationship to Child
E-mail
Cell Phone
Home Address Same as Parent/Guardian 1?

Yes
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contacts

Parents cannot be listed as emergency contacts. Please list the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you. This person must be able to take responsibility for the child in case the parent/guardian cannot be contacted and should be at least 18 years of age.
Emergency Contact Information
Full Name*

First NameLast Name
Primary Phone Number*
Relationship to Child*

Behavior Agreement
The staff of WATW camp want to ensure your child’s camp experience is as enjoyable as possible. Camp is a group activity and we make every effort to work with your child’s needs to keep them engaged and cooperative with others. Aggressive behavior or poor group tolerance would result in the following hierarchy of intervention:

1. Reinforce appropriate behavior

2. Extinction (ignorning the behavior and withholding reinforcement)

3. Verbal prompt to discontinue the behavior

4. Request to leave the area and take a break

5. Parent phone call

6. Removal for the day

7. If the behavior continues the following day, removal from the camp for the current session.

We understand that every child will exhibit behavior, and that is accepted and expected. If your child has a specific behavior modification plan, or your child is highly reinforced by something, please let us know. To discuss a plan, behaviors, or concerns please contact Tawny Zachary directly at (806)831-5327
I agree to this behavior intervention plan and will adhere to it if my child demonstrates behavior during the session. I agree to discuss the behavior expectations with my child prior to the start of camp, so that he/she will be prepared to make "good choices"

Clear
Publicity Release for We Are The World Day Camp
Please select all that apply:*

YES, I give my permission to the staff of WATW Camp to utilize photographs taken by staff for the purpose of: Staff training and publicity materials to include but not limited to brochures, slideshows, newletters, thank you ads, social media advertisements, newspaper and televison.NO, I do not want my child’s photograph to be used in any publicity by We Are The World Camp. (If selected no photos of your child will be avaiable.
I agree that I have completed this form to the best of my ability.*

YesNo
Sign Document*
Date Signed*

MonthDayYear
For any questions, please contact Tawny Zachary, camp director at

806-831-5327.
Should be Empty:

Camp Registration Form

Camper's Information

Sibling's Information

Parents' Information

Additional Parent/Guardian

Emergency Contacts

Emergency Contact Information

Medical / Health Information

Additional Medication

Behavior Agreement

Publicity Release for We Are The World Day Camp