Camp - Blue Sky Therapeutic Riding and Respite

Camper's Name*
Please fill out one application per camper.
First Last
Age*
Gender*
Is this camper a sibling of a special needs individual?*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Guardian Name*
First Last
Guardian Phone*
Guardian Email*
Desired Camp Session*
Half day or Full Day?*
Does your camper use verbal or sign language to communicate?*
Does your camper use a wheelchair or walker?*
Does your camper require assistance to eat?*
Does your camper require assistance to use the restroom?*
Any other information you think Blue Sky should know about your camper?*
What level of care is your camper accustomed to?*
We will contact you to learn more about your camper, which method do you prefer?*
- Phone
- Email