Summer Programs

2021 ARC Camp Connect Registration Form

This camp is designed for individuals with Level 1 autism or a diagnosis of Asperger’s syndrome as the maximum staff to camper ratio will be 1:3. Cost for the camp is $600 for a 2-week session, plus $30 for an ARC membership. Each day the campers will learn social skills, participate in improv exercises and engage in activities based around the themes for the weeks they have signed up for. This year, in consideration of the ongoing situation surrounding COVID-19, all activities will take place at our rented facilities and nearby parks. If it is safe to do so, we may explore the possibility of walking or taking the bus to other locations around the city.

2021 ARC Camp Connect Registration Form

2021 ARC Camp Connect Registration Form

Participant Information

Home Address: *
Home Address:
City
State/Province
Zip/Postal
Ethnic Background: *
Would you like to add another participant? *

Second Participant Information

Address: *
Address:
City
State/Province
Zip/Postal
Ethnic Background: *

Parent / Guardian Information

Home Address:
City
Province
Postal
Please ensure you can be reached during the day on at least one of the above numbers.

Additional Parent / Guardian Information

Home Address:
City
Province
Postal
Please ensure you can be reached during the day on at least one of the above numbers.

Emergency Information

Method of Transportation

Preferred Program Session

If your preferred session is full, are you available for the other session? *
If additional sessions are available, I would like the opportunity to register for more than one session: * *
How do you plan to pay for Summer Program? *

Terms and Conditions

I agree and accept the below terms and conditions:
All fees, or an agreed upon payment plan, are due prior to June 25, 2021.
Participants who cancel their registration 14 days or more from the start of the program will receive a full refund. If less than 14 days notice is given, a 50% refund will be issued.
In the event that the Autism Resource Centre needs to cancel a program, registration fee refunds will be provided on a pro-rated basis.
Any supply or material fees for the program will not be included in the refund. Registrations submitted between 10-10:30 AM on April 24th will be placed in a random queue for weeks.
Program dates will be confirmed at your final registration meeting. Program waivers and forms must be submitted at time of payment/before the program start date.
Transportation for all participants to/from the camp must be arranged by the family/caregivers.
I give the Autism Resource Centre permission to contact CDS regarding the 2021 Summer Program. Information exchanged will be limited to eligibility for funding.

I agree and accept the above terms and conditions: *

Autism Resource Centre

199 N Leonard Street
Regina, SK S4N 5X5

DUE TO THE ONGOING COVID-19 SITUATION, OUR OFFICE HOURS MAY CHANGE TO REFLECT CURRENT PROVINCIAL GUIDELINES. For inquiries or to hear about our current office hours, please contact us by phone, email or by using the “Questions?” form.

Our regular hours are 8:00 AM to 5:00 PM Monday to Thursday, and 8:00 AM to 4:00 PM on Fridays. We are closed weekends and statutory holidays.

Phone: 306-569-0858
Email: info@autismresourcecentre.com

Questions?

Quick Contact Form