Camper Information

* First Name

* Middle name:

* Last Name

* Social Security Number

* Age

* Birthdate

Email Address

* Gender

male

female

* Name of School attending

* Current grade level

Parent(s) or Guardian Information

* Parent(s) or Legal Guardian

* Street Address

Address Line 2

* City

* State

* Zip Code

* Contact Method:

* Contact Number

* Email Address

Indicate Session Desired:

* Indicate your preferred session-

Wilderness Adventure for ages 8-11

Mountain Bound for ages 11-14

Peak Extreme for ages 14-18

ABLE to Achieve for ages 14-18

High Altitude Filmmaking for ages 12-18

Wilderness Expedition for ages 14-18

Oral ABLE to Achieve for ages 14-18

KODA camp for ages 8-18

Other Information

Aspen Camp is a total communication camp, and as such, strives to meet the needs of each child's unique hearing, communication and social skills. Your responses to the following questions will help us provide appropriate accomodations and/or programming options for your child.

* Please comment on your child's hearing,communication and social skills:

* Please comment on why you want your child to come to camp:

Character References

Two character/behavior references are required for each applicant.
One reference must be from the applicant’s school.

* Name of Reference #1:

* Relationship to applicant:

* What is the best way to contact this person?

* Name of Reference #2:

* Relationship to applicant:

* What is the best way to contact this person?

Payment Info & Scholarship Request

Aspen Camp's summer session program fees are $600 per week. Full payment must be made by June 1, 2008, unless alternative payment plans have been arranged. A 10% discount will be granted if full payment is made by May 15, 2008. Payment can be made by check, money order or credit card.

Aspen Camp strives to make this incredible experience accessible to every deaf/hh child regardless of finances. Scholarships will be available to those who qualify through our scholarship application program.

Yes, I will need scholarship assistance.

No, I will not need scholarship assistance.

* Indicates Response Required


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