Summer Programs

2022 ARC Camp Connect Registration Form

This camp is designed for teens on the spectrum (ages 13-18) that will be able to participate successfully with a 1:3 staff to participant ratio and have a functional form of communication. The cost for the camp is $600 for a 2-week session, plus $30 for an ARC membership. Each day teens will learn social skills, participate in improv exercises, and engage in activities based around the themes for the weeks they have signed up for.

2022 ARC Camp Connect Registration Form

2022 ARC Camp Connect Registration Form

Participant Information

Ethnic Background: (must choose one from below) *
Would you like to add another participant? *

Second Participant Information

Ethnic Background: (must choose one from below) *

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 *(must choose one from below)

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? (must choose one from below) *

 

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 24, 2022.
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 23rd will be placed in a random queue for weeks.
Registrations received after 10:30 will be reviewed in order of submission.
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 2022 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

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?

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