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2012 Summer Camp Registration and Info Request

    Computer Arts Summer Camp is a week-long, inclusive, full day camp for children with and without disabilities, ages 7-14. It features computer-based activities that teach creativity, independent thinking, presentation skills, and literacy in a friendly and structured environment.

    Campers will also be able to explore their creativity through painting, drawing, and other arts and crafts activities. In addition, each day children have an opportunity to work at their own individual computer station programmed and configured for their specific needs, document the days’ activities using digital cameras, camcorders, and take part in various field trips.

    Registration Process and Info for our Campers with Special Needs:Once you complete this form, our summer camp director will review the information and contact you about further steps and arranging the mandatory pre-camp consult. Registration Fee's: $175/camper + $100 V-LINC membership.

    Registration Process and Info for our Campers without Special Needs: Once you complete this form, our director will review the information and contact you with further information and forms that are required for your child to attend camp. Registration Fee's: $200/camper.

    Camp Session
  1. I am Interested in:
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    2. Personal Information
  2. First Name(Required)
    ( A thru Z ), Hyphen ( - ), Apostrophy ( ' ) only.
    Sorry, the text in the First Name field is invalid. Only Letters and Dashes (-) are allowed.
  3. Last Name(Required)
    ( A thru Z ), Hyphen ( - ), Apostrophy ( ' ) only.
    Sorry, the text in the First Name field is invalid. Only Letters and Dashes (-) are allowed.
  4. Email Address(Required)
    username@provider.com
  5. Phone Number(Required)
    Numbers, Parenthesis ( ), Hyphens -, Dots . Only
    Please enter your phone number, using only digits or digits and hyphens (-)
    6. Address
  6. Your Address(Required)
    123 Your Street
    Your Street Address is Required. We will be sending you camp related information
  7. Address 2
    Apt 123 (if applicable)
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  8. City(Required)
    My Town
    Your City is a Required Field
  9. State(Required)
    (2 letter Abbreviation)
    Your State is a Required Field
  10. Zip Code(Required)
    (Numbers Only)
    Your Zip Code is a Required Field. Please ensure all 5 digits are included.
    11. Campers
  11. How many children are interested in attending camp?(Required)
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  12.  
    Camper(s) Detail
  1. Camper 1(Required)
    i.e. John Doe
    Camper 1 Name has an error. It can only contact letters and hyphens (-)
  2. DOB(Required)
    mm/dd/yyyy
    Camper 1 Date of Birth is incorrect. Please Enter the Date as (MMDDYYYY or MM/DD/YYYY or MM-DD-YYYY)
  3. Disability?(Required)


    For camp planning purposes, we need to know if this camper has a documented disability or not.
  4. Camper 2(Required)
    i.e. John Doe
    Camper 2 Name has an error. It can only contact letters and hyphens (-)
  5. DOB(Required)
    mm/dd/yyyy
    Camper 2 Date of Birth is incorrect. Please Enter the Date as (MMDDYYYY or MM/DD/YYYY or MM-DD-YYYY)
  6. Disability?(Required)


    For camp planning purposes, we need to know if camper 2 has a documented disability or not.
  7. Camper 3(Required)
    i.e. John Doe
    Camper 3 Name has an error. It can only contact letters and hyphens (-)
  8. DOB(Required)
    mm/dd/yyyy
    Camper 3 Date of Birth is incorrect. Please Enter the Date as (MMDDYYYY or MM/DD/YYYY or MM-DD-YYYY)
  9. Disability?(Required)


    For camp planning purposes, we need to know if camper 3 has a documented disability or not.
  10. Camper 4(Required)
    i.e. John Doe
    Camper 4 Name has an error. It can only contact letters and hyphens (-)
  11. DOB(Required)
    mm/dd/yyyy
    Camper 4 Date of Birth is incorrect. Please Enter the Date as (MMDDYYYY or MM/DD/YYYY or MM-DD-YYYY)
  12. Disability?(Required)


    For camp planning purposes, we need to know if camper 2 has a documented disability or not.
    13. Camper(s) Special Needs
  13. Do any of these children use a wheelchair?
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  14. Can they Transfer out of their wheelchair?
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  15. Please outline any special needs, the campers you listed may have, including special supports, allergies etc...
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  16.  
    Wrap Up
    How'd you find us?
  1. How did you hear about V-LINC?(Required)
    (Agency, Ad, Magazine, Web Search etc...)
    Letting us know how you heard about us is helpful, enter Other if preferred.
    2. Camp Agreements
  2. Pictures and Video are frequently taken during camp, a camp video is created by the campers, and pictures and the camper made video is posted on our Website, Facebook Page and/or YouTube Channel. Do you have any objections to your child(ren)'s appeareance in these mediums?(Required)
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  3. Camp ends at 3pm, all campers need to be picked up promptly at 3pm. (Required)
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