Youth Camp (4-17yrs) | Oct 2

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Youth Camp 4-7 years: Camp includes story time, yoga, singing, dancing, arts and crafts, and more.
Youth Camp 8-17 years: may include wisdom, yoga, arts & crafts, creative writing, Retreat Center service activities, movies, and fun

Prerequisites

Open to all participants 4-17 years of age

Program Dates

Check-in : October 2, from 3:00 pm ET onwards
Course starts : October 3, 11:00 AM ET
Course ends : October 4, 1:00 PM ET
Check-out : October 5 by 10:00 am ET

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1 Contact Information

2 Select Your Room

4 Contact Details

Phone Number *
Participant date of birth *
Gender *	Male Female
Your city of residence *
Your state of residence *	Which state do you live in?
Zip code *
Your country of residence *
What is the father's name (First, Last) and phone number? *
What is the mother's name (First, Last) and phone number? *
Legal guardian's full name and phone number *	If other than parents, for dropping off and picking up kids

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5 Program Questions

Child's Medical Insurance Provider *	Insurance is required for child to attend program.
Please provide details regarding any medications your child is taking: *	Please list the dosage, delivery, time, reason.
Please list any allergies your child has, the reaction/symptoms, and what to do if a reaction occurs; list any special diets (if any) *	FOOD Allergies, INSECT Allergies, MEDICATION Allergies, or OTHER Allergies
Can your child stay focused on a lesson in a group without assistance for at least 15 minutes? *
Does your child get overwhelmed by any of the following: loud noises; in rooms that have a lot of activity; large groups of people; new environments; changes in routine, etc.? *
If yes, when overwhelmed, do they manage themselves in a socially-appropriate manner?
If yes, when overwhelmed, do they express themselves through hitting, tantrums, etc.?
If yes, when overwhelmed, do they seek assistance of an adult?
Does your child have a history of causing harm to themselves, to others or to property? *
Do they get angry often/easily? *
Do they get along easily with other children? *
If no, please explain
Do they get along easily with adults? *
If no, please explain
Are there challenges that your child is dealing with now that you feel would be helpful for the teacher to know about? *
If yes, please explain:
Does your child have any health issues not listed above? *
If yes, please explain:
Cancellation Policy	Cancellations receive a full refund, less a $100 administrative fee.
I agree to the Cancellation Policy *	Yes
I agree to the Youth Participation Policy *	Yes Please review our Youth Program Participant Agreement, including the Privacy Policy.
Full Legal Name (for agreement confirmation) *	Please enter your Full Legal Name as confirmation that you have read and agree to the Program Participant agreement, privacy, and refund policy. This will serve as your electronic signature and will have the same force and effect as your manual signature.
Comments
Diet Type
Meal Preference *

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6 Security Check

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7 Payment

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2 Select Your Room

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Self-Arranged Housing Accommodation

3 Additional Programs

Participants

4 Contact Details

5 Program Questions

6 Security Check

7 Payment