2025 Camp Abilities New Jersey @ Field of Dreams ATHLETE REGISTRATION
We are back at Toms River Field of Dreams this summer for Camp Abilities Kean University! Our dates for this year are August 19th-21st, 2025 from 9am to 3pm. Please complete this initial registration to sign up. We will email you with more information as time gets closer to camp. Looking forward to meeting you and your athlete! 
Sign in to Google to save your progress. Learn more
Athlete's First Name *
Athlete's Last Name *
Athlete's Age *
Gender *
What size T-shirt does your athlete wear? *
Guardian's First Name *
Guardian's Last Name *
Guardian's Phone Number *
Address *
Guardian's Email *
Is your child a member of the Field of Dreams? *
Vision Specialist Name *
Specific Vision Impairment Diagnosis (what is the name of the visual impairment condition?) *
Please list athlete's medications/doses (if athlete does not take medication please type "none") *
Description of Vision that the athlete can see *
What is the athlete's vision impairment classification? *
Other Medical Conditions *
Additional Disabilities *
Does your child FEED independently? *
Does your child TOILET independently? *
Does your child WALK independently? *
Please explain what your child needs to be successful in these skills *
Can Focus from Dark to Light? *
Can Focus from Light to Dark? *
Good Peripheral Vision? *
Central Vision *
Tunnel Vision *
How does the athlete receive information? *
Does your child have any dietary restrictions? If so, what are they?
Thank you for completing this form! 
 If you would like to check out more about Camp Abilities check out www.campabilities.org to see all the fun things your child will be doing. Thank you again and looking forward to a fun few days of camp! 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report