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Camper Pre-Registration 2024
This form must be completed and the non-refundable registration deposit of $75 must be paid to the Ability Center of VA to ensure your space at Camp Ability. The remaining fee of $350 is due before the first day of camp. 
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Camper Name *
Parent/Guardian Name *
Address (city/state/zip) *
Phone Number *
Email *
School Attending (if applicable)  *
Date of Birth *
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Age *
Sex *
Disability Diagnosis *
Place of Employment (if employed) 
T-Shirt Size *
Has the applicant attended Camp Ability before? *
Ambulatory or Non-ambulatory *
Can applicant transfer to a seat on the van?  *
Camp Registration
Space is limited. First come, first served. Please sign up for the appropriate age group, and no more than 2 weeks. 
If the week of camp you are interested in is not listed, registration is full 
Please select the week(s) of camp you would like to register for *
Verplicht
If you signed up for ART WEEK, please choose your FIRST choice art medium group. 
*This does not guarantee placement in a specific group 
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If you signed up for ART WEEK, please choose your SECOND choice art medium group. 
*This does not guarantee placement in a specific group 
Selectie wissen
Additional Weeks Waitlist
Please specify if you would like to be on the waiting list for additional weeks; if space is available we can notify you upon request.
Please select any additional week(s) you would like to be waitlisted for 
I acknowledge that registration is not complete until the non-refundable $75 deposit is paid to the Ability Center of VA  *
Verplicht
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