2019 Autism Society San Diego Summer Camps
Autism Society San Diego membership is a requirement to participate in our day camp programs - specifically Camp I CAN and Surf Camp.

• Current Autism Society San Diego Members: please fill out the form below. Once your membership has been confirmed, you will be sent the camp registration forms.

• To join or renew your membership please go to http://www.autismsocietysandiego.org/membership.html. Once you have joined/renewed, please submit this form. After receipt of your active membership and this form, you will be sent the camp registration forms via email.

Everyone must complete this form to receive camp registration forms. The registration forms will not be available on our website. You should anticipate your registration forms in 2 weeks or less. If you do not receive them after 2 weeks, contact our office by emailing info@autismsocietysandiego.org or call 858-715-0678.

Email address *
Which Camp(s) are you interested in registering for?
Camp ICAN
Choose ONE: Camp I CAN Toby Wells YMCA in Kearney Mesa (June-July) or Camp iCAN: Ecke Family YMCA in Encinitas (July-Aug)
Surf Camp (July-Aug)
Camp participant name
Your answer
Name of person responsible for participant
Your answer
Are you a member of the Autism Society of San Diego?
Member First name:
Many times people will purchase a membership for themselves or a family member with autism. To help us track down your membership information, it's helpful to know what name the membership would be listed under.
Your answer
Member Last name:
Many times people will purchase a membership for themselves or a family member with autism. To help us track down your membership information, it's helpful to know what name the membership would be listed under.
Your answer
Address
Please fill out your mailing address including city, state and zip.
Your answer
Phone
Your answer
A copy of your responses will be emailed to the address you provided.
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