Camp Registration
Camper 1 Name
Father's Name
Mother's Name
Age
Autism Level
  • Sprites Ages 7 - 9
Special Diet Needed:
Camper(s) Information
Camper 2 Name
Special Diet Needed:
Parents Information
Address
City
State
Zip
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Click here to submit registration information.
  • Warriors Ages 13 - 17
  • Stars Ages 10 - 12
  • Griffins  Ages 18 - 21
Special Information Required
Age
Autism Level
  • Sprites Ages 7 - 9
  • Warriors Ages 13 - 17
  • Stars Ages 10 - 12
  • Griffins  Ages 18 - 21
Special Information Required
Father's Information
Mother's Information
Email
Work No.
Cell No.
Alt. No.
Email
Work No.
Cell No.
Alt. No.
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Sex
Sex
Non-Verbal
Potty Challenged
Biter
Screamer
Stimmer
High Functioning
PDD
NOS
ADHD
Aspbergers Syndrome
Non-Verbal
Potty Challenged
Biter
Screamer
Stimmer
High Functioning
PDD
NOS
ADHD
Aspbergers Syndrome