Summer 2026

Camper Application

Camp SOAR! - Adventure Beyond Limits

⏱ Estimated time: 10-15 minutes

Step 1 of 7: Camper Information

Camper Information

Parent/Guardian Info

Day Program & Services

Healthcare

Allergies & Medical

Medication & Behavior

Emergency & Consent

Camper Information

Please provide basic information about the camper

Camper Photo*

Click or drag photo here

JPEG, PNG, WebP, HEIC up to 10MB

Legal Name *

Name Called (Nickname)

Age *

Date of Birth *

Medicaid ID

Co-Insurance

Will attend the full summer program (July 1st - August 25th, 2026)