Camp Registration

Join us at Camp Shriver this summer! Our goal is to offer a fun sports camp experience for individuals with intellectual disabilities of all ages, while improving their skills in specific sports.

Before completing the registration below, make sure to complete and send in your Special Olympics New Jersey Participation Packet.

If you have any questions regarding Camp Shriver, contact us at camp@sonj.org.

Complete the following to register for Camp Shriver. Any questions, contact camp@sonj.org.

Notes

Needs Medical

YesNo

Athlete Information

Name

Gender

FemaleMale

Date of Birth

Age Group

Age group as of July 1, 2018

T-shirt Size

Address

Line 2

City

State

Zip Code

Parent/Guardian Information

Parent/Guardian Name

Primary Email

Enter an email that will be checked daily!

Secondary Email

Enter an email that will be checked daily!

I would like to receive text alerts from Special Olympics New Jersey for any last minute Camp Shriver updates.

YesNo

Phone

Cellphone numbers only!

Travel Information

How will the athlete commute to camp?

School Name

*Please contact this athlete's school program transportation department to confirm what days the athlete will need to be on which bus in order to arrive at our complex!

How will the athlete commute from camp?

*Please be mindful of arrival and pick-up times when making Access Link appointments.

List up to 3 individuals who will be allowed to pick up an athlete from camp if needed. Camp staff will allow an athlete to be taken home by these individuals ONLY.

Allowed Transport Individual

Emergency Contact Information

Emergency Contact Name #1

Emergency Contact Phone #1

Relationship to Participant

Emergency Contact Name #2

Emergency Contact Phone #2

Relationship to Participant

Emergency Contact Name #3

Emergency Contact Phone #3

Relationship to Participant

Medical Information

Please answer the questions below with as much detail as possible.

My child is a(n):

Athlete: An individual with intellectual disabilitiesUnified Partner: An individual without intellectual disabilities

This athlete has Down Syndrome.

YesNo

Check all medical conditions that apply.

Asthma	Allergies
Seizures	Motor issues
Physical limitations	Blood disorder

Describe the conditions above or list any further medical conditions of which Camp Shriver staff should be aware.

List any medications (including dosage and frequency) that the athlete must take on a regular basis.

Athlete will need to take medications listed above while attending Camp Shriver.

YesNo

Which medications? Please provide detailed instructions.

Medical Form / Participation Packet

All athletes must have a completed Participation Packet (medical form & Release) on file prior to participation in any Camp Shriver program. If your athlete's medical has expired,

Click here to download a blank athlete medical form. Once completed you can submit the form via email to camp@sonj.org or via fax at 609-482-2284.

If you have an electronic copy of this athlete's medical form, you can upload it below. Please only upload your child's medical if it is a NEW medical.

Upload Medical Form

Unified Partner Form

All Unified partners must submit a completed Unified partner form prior to participation in any Camp Shriver program. Your registration is not considered complete until you have submitted this form.

Click here to download a blank Unified partner form. Once completed you can submit the form via email to camp@sonj.org or via fax at 609-482-2284.

If you have an electronic copy of this form, you can upload it below.

Upload Unified Partner Form

Behavioral Information

Please answer the questions below with as much detail as possible. This information is collected so that Special Olympics New Jersey can best serve all Camp Shriver athletes. No information that is shared below will preclude an athlete from participating in Camp Shriver.

Check all that apply relating to this athlete's communication skills.

Responsive to verbal communicationResponsive to his/her own nameCommunicates primarily through sign languageNonverbal or limited verbal skills

Check all behaviors that the athlete exhibits.

Does not like loud noises	Does not like whistles
Limited verbal skills	Exhibits self-stimulatory behavior
Needs bathroom reminders	Easily distracted
Easily upset or cries often	Hyperactive
Runs away often	Does not like bright lights
Does not like yelling	Visually impaired
Needs to hydrate	NOT toilet trained
Short attention span	Resistant to change
Obsessive compulsive	Tendency towards extreme anger
Exhibits aggressive physical behavior

Describe the behaviors above or list any other behaviors of which Camp Shriver staff should be aware.

List any specific triggers of inappropriate behavior of which you are aware.

List the best behavior regulators for your athlete (rewards, punishments, quiet time, etc.).

There is a Behavior Intervention Plan (BIP) in place for this athlete at school.

YesNo

This athlete uses a chaperone or aide while at school.

YesNo

This athlete will require a one-on-one chaperone while attending Camp Shriver.

YesNo

It is the responsibility of the parent/guardian to provide a qualified individual who is familiar with the athlete to assist for the duration of camp.

Chaperone Name

All chaperones attending Camp Shriver must fill out a Class A volunteer form and complete the online Protective Behaviors Course.

Class A forms are distributed by DocuSign via email. To request this form be sent, please contact volunteer@sonj.org with the chaperone's full name and email address.

This the first time this athlete will attend Camp Shriver.

YesNo

Below, check the camp options for which this athlete is registering.

Athletes may not attend Day Camp and Twilight Camp sessions in the same week.

Developmental Camp: 1PM - 4PM (ages 6 - 11)

Session 1: August 6-10Developmental Camp runs Monday through Friday

Day Camp: 1 PM - 4 PM (ages 12+)

Session 1: July 9-13 Soccer Focus Session 2: July 16-20 Basketball focus Session 3: July 23-27 Basketball focus Session 4: July 30-August 3 Soccer focus Day Camp runs Monday through Friday.

Twilight Camp: 5:30 PM - 8 PM (ages 16+)

Session 1: July 9-12 Soccer FocusSession 2: July 16-19 Basketball focus Session 3: July 23-26 Basketball focus Session 4: July 30-August 2 Soccer focus Twilight Camp runs Monday through Thursday.

Rowan College at Gloucester County (RCGC) Camp: 9 AM - 12:30 PM (ages 16+)

Session 1: July 9-13 Session 2: July 16-20

Statement of Compliance

Camp Schedules
Due to the nature of our scheduling, late arrivals are not acceptable. No meals will be served. Please allow time for your athlete to eat prior to the start of camp. Transportation must be provided to and from the Sports Complex in a timely manner. Early drop-off and late pick-up are not options for any camp session.

Camp Attendance
We expect athletes to attend every day unless they are ill or have a doctor's appointment. Camp activities are planned based upon athletes attending every day. Fridays will be the most festive day of Day Camp with competitions. If your athlete is attending an Extended School Year program which only operates Monday through Thursday, we still expect your athlete to attend Day Camp on Friday.

Athletes will not be allowed to register for a Twilight Camp and Day Camp during the same week.

Camp Uniform
On the first day of camp, athletes will receive two high-quality Camp Shriver t-shirts at no charge. Athletes must wear their camp shirt, athletic shorts and sneakers every day. Additional shirts will be available for purchase. Athletes not wearing their camp shirt may be asked to sit out of activities for the day. Long pants or dresses are NOT appropriate clothing for Camp Shriver.

Camp Supervision
Camp Shriver provides highly qualified staffers and volunteers to manage all athletes. If it is determined that an athlete requires additional supervision, a one-to-one aide must be provided by the parent/guardian. It will be the parent/guardian's responsibility to provide a qualified individual who is familiar with the athlete to assist for the duration of the athlete's attendance. If you are unable to provide a one-to-one aide, Special Olympics New Jersey reserves the right to disqualify your athlete from the program.

Camp Behavior
Any athlete who exhibits aggressive or inappropriate behaviors which places staff, volunteers or other athletes at risk may be disqualified from participation at the discretion of the Special Olympics New Jersey staff.

Camp Donation
In honor of the 50th anniversary of Special Olympics we have required a $50 deposit check to hold your athlete's spot to participate in Camp Shriver. At the conclusion of your athlete's last day of camp, this check can either be returned or donated to Special Olympics New Jersey.

Camp Registration
ALL athletes must have a valid medical on file in order to participate in camp. Only new medicals have to be submitted to Special Olympics New Jersey. Each camp session has a limited number of spots available. We will not hold spots for athletes that do not have a valid medical on file.

Medical forms can be emailed to camp@sonj.org or faxed to 609-482-2284.

By signing below, you understand and agree to the terms above. Special Olympics New Jersey reserves the right to make schedule changes to the sports offered.

First Name

Last Name

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