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I CAN Network - Young Adults Camp 23rd - 25th March 2018 Expression of Interest Form
I CAN Camps are three day residential events where young people on the Autism Spectrum can build their social network and empower themselves with an 'I CAN' attitude. I CAN Camps are run by the I CAN Network, Australia's first social enterprise founded by people with Autism: http://ican.network. The camps are predominantly delivered by young professionals on the Spectrum.

Q. When & Where is the Camp?

This camp (23rd - 25th March) will be held at Camp Cooriemungle, 30 Bornong Rd, Cooriemungle VIC 3268 . The site offers a fantastic setting, accommodation, catering and outdoor activities. You can read more about it here: www.campcooriemungle.com.au

Camp participants can travel to camp by car.

Q. What Happens on Camp?

Never before will you have met so many people who are just like you! Participants are placed in Colour Groups with two Mentors, at least one of whom is on the Spectrum. They will take you through activities including the following:

- Games
- Stories from I CAN Mentors
- Creative workshops (you choose) - art and creative writing, music, performance, lego, etc.
- 'Dress to Obsess' Theme Night
- Outdoor and team-building challenges

Q. How Do We Register?

STEP 1: Complete this expression of interest form (NOTE: this is NOT the registration form)

Waiting List: Please note that completing this form does not guarantee a place on the camp, but we will contact you if the camp is fully subscribed. When the camp is full, you have the option to go on a waiting list and will be offered a place if there is a cancellation.

STEP 2: A member of the I CAN team will give your family a call in the month prior to the camp to share more information on the I CAN Camp experience so that you have the opportunity to understand whether the camp is the right fit for you/your young person and at the right time.

STEP 3: After Step 2; if it is the right fit for you/your young person and at the right time; we send you a registration link and TryBooking payment link so that you can deposit the $260 payment.

STEP 4: You will receive a confirmation email from us and your Colour Group Mentor will be in touch.

Note: Places on the camp are offered on a first-come-first-served basis. All expressions of interest are time stamped. Whilst this camp is broadly open to young people on the Spectrum, there are priority spots available to mentees at an I CAN School (until a cut off date). An I CAN School is a school that benefits from embracing Autism. Should these school places not be filled by the cut off date, they will become available to young people not at an I CAN School.

Questions? Please contact us at camp@ican.network if you have any questions about this interest form.

Email address *
Information
Young Adult's Details
Young adult's name *
Your answer
Young adult's gender *
Young adult's mobile phone number
Your answer
Young adult's email address
Your answer
Young adult's date of birth *
Use the drop down menus to indicate the participant's DOB - Month, Day and Year.
MM
/
DD
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YYYY
What size t-shirt does the young adult wear? *
Parent / Guardian's Details
Parent / Guardian's name(s)
Your answer
Parent / Guardian's landline phone number
Your answer
Parent / Guardian's mobile phone number *
Your answer
Parent / Guardian's email address *
Your answer
Which suburb do you live?
Your answer
Which state do you live?
Your answer
Questions about the Young Adult
Does the young adult attend an I CAN mentoring program?
If so, please state the program name
Your answer
If the young adult attends school / university / TAFE, which do they attend?
Your answer
If the young adult volunteers, where does s/he volunteer?
Your answer
If the young adult works, where does s/he work?
Your answer
Has the young adult attended an I CAN camp before? *
Please check the relevant camp(s)
Required
Feel free to write comments relating to the questions above
Your answer
How did you find out about the Young Adult's camp?
Your answer
Do you have any other questions / comments about the camp?
Your answer
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