Harford County FCA All Abilities Day Camp 2024

July 13th, 2024

Attendee Age Range*

Payment Option*

Coupon Code

Sub-Total

$0.00

Camper Name*

Camper Address*

Camper Age At Time of Camp*

Camper Date of Birth*

Camper Home Phone Number*

Camper Cell Phone Number

Subscribe to FCA text messages

I would like to receive occasional text messages from FCA about future resources and programs.

Camper Email*

Subscribe to the Daily Impact Play email

I would like to receive the Daily Impact Play email, spiritual training for coaches and athletes of all levels.

Camper Gender*

Camper School*

Grade In Fall*

T-Shirt Size*

Name of camper's disability:*

Please describe how this disability manifests:*

Sports/fitness activities in which the camper has already participated or is currently participating*

What do you need us to know and understand about this camper?*

Does this camper have any triggers?*

Are there any activities that can calm this camper if he or she is feeling overwhelmed?*

The camper would best learn in a typical setting for the child’s age group with a buddy who is:*

Please Explain*

Does your camper suffer from seizures?*

Does the Camper need assistance with the bathroom, or can they use the bathroom independently.*

What other medical concerns should we know about?*

How did you hear about this camp?*