MARCH BREAK RESPITE DAY CAMP

APPLICATION FORM

REGISTRATION INFORMATION


March Break Respite Day Camp 2021: March 15th – 19th
Morning Session: 8:30am-12:00pm
Afternoon Session: 1:00pm-4:30pm
$25 for the week
*Please note that your child must be registered for either all morning sessions or all afternoon sessions, and cannot attend both unless there are spots still available.

Please complete the following form if you are interested in having your child attend the 2021 Yarmouth Association for Residential Community Options March Break Respite Day Camp. Once you submit your registration, please await a confirmation of approval email that your child is able to attend camp. Due to limited group capacity for participants, registration will be assigned on a first come first serve basis. YACRO Respite Day Camp is open to school aged children living with physical/mental disabilities/illnesses.

CHILD AND FAMILY PROFILE

CHILD INFORMATION

Please take the time to answer carefully these questions

*Most answers are compulsory. If a question does not apply, please just type "n/a" in the text box.

Communication


Behaviors


Methodology


Daily Routine


Activities/Hobbies


Outdoor Recreational Activities


Other


Parent/Guardian Signature/Consent:

*By typing my name, I consent to sharing the above information regarding my child with the Respite Coordinator and Respite Day Camp Staff.


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