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2019 Family Camp Registration

Camp Leo + ConnecT1D Family will be held October 4-6, 2019 at Warm Beach Camp in Stanwood Washington.

Contact Information
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Address Line 1
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City
State/Province
ZIP/Postal Code
Country
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First Name
Last Name
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Any volunteer counselors (teens 13+ or adults) that will be staying with your party? Youth age 13+ in attendance, will work with CITs and adult volunteers to support the children's programing. Note: All volunteers must also apply/register through the volunteer portal
Camper Registration

If you have more than 6 people in your party, please fill out another registration form with same "Family Name" for multiple rooms
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First Name
Last Name

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Complimentary T-shirt comes with each child registration
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First Name
Last Name

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Complimentary T-shirt comes with each child registration
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First Name
Last Name

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(mm/dd/yyyy)

Complimentary T-shirt comes with each child registration
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First Name
Last Name

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Complimentary T-shirt comes with each child registration


parent volunteers would be asked to do small tasks in preparation for camp or onsite that weekend between sessions (e.g. help serve snack, set up a family activity, etc)

Would you be willing to host a family meetup or parent night out in your area? What about sharing info at a resource booth at community events? Describe how you would like to be more involved.
Camp Directory would be distributed only to families who attended Family Camp to stay in touch beyond Camp. Would include Family members names, Kid ages, Parent Emails, Household Phone Number and City/State

Pre-Camp Survey
On a scale of 1-10, where 1 is strongly disagree and 10 is strongly agree please rate the following statements in regards to your family
Camp Policy Agreement and Waivers

Please read our ConnecT1D Family Camp Policy Agreement in entirety and accept below. 

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Payment Options

Registration Fee Structure:

  • Full Fare registration: the true cost per person attending camp.
  • Subsidized registration: is provided at one third the cost of camp (this option is available through generous grant and donor support) for those who would otherwise be unable to attend camp at the Full Fare fee. Proof of income must be submitted at time of application. Subsidy applications will be processed on a first come, first served basis.
  • Scholarships (provided by generous grant and donor support): Scholarship deposit (non-refundable): $50. Families with limited incomes and/or facing economic hardship, may apply for a scholarship to cover part or all of remaining fees. Proof of income must be submitted at time of application. Scholarship applications will be processed on a first come, first served basis. If deposit is a barrier to apply, may request a scholarship deposit waiver by contacting familycamp@connect1d.org.

Payment Due Date: 

  • Full Fare and Subsidized Registration Fees must be paid at time of registration.
  • Scholarship Applicants will be reviewed and notified whether granted scholarship support on a rolling basis. Remaining balance is due within two weeks of notification.
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Choose registration rate that matches your family's ability to pay
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Subsidy Application

To apply for subsidy consideration, please select from options below, list family size, annual income, upload proof of income (1st page of 2017 tax return preferred; pay stub ok), and note any special considerations for your application such as recent reductions of family income due to loss of employment, multiple children with T1D or other chronic disorders, high medical costs due to T1D. Applicants will be considered on a rolling basis as they are submitted and we will notify you as quickly as possible..

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Most recent paystub or household 2016 tax documents
Scholarship Application

To apply for scholarship consideration, please select % of subsidized cost requesting, list family size, annual income, upload proof of income (1st page of 2018 tax return preferred; pay stub ok), and note any special considerations for your application such as recent reductions of family income due to loss of employment, multiple children with T1D or other chronic disorders, high medical costs due to T1D. Applicants will be considered on a rolling basis as they are submitted and we will notify you as quickly as possible.

 




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Most recent paystub or household 2016 tax documents
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Please Note: Any remaining balance (of subsidized cost) must be paid by due by Sept 3, 2019.

Family Camp Shirts

All campers (ages 0-12) and volunteers will receive complimentary t-shirts.

Additional t-shirts and hooded sweatshirts are available for purchase through the following link. 

Sweatshirt & T-shirt Order Form (will open in a new window)

Camp Registration is NOT complete until the form is submitted through the button below and payment is processed.

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