2024 Camp Weekaneatit- Initial Camper Application:  July 21- 26, 2024--NEW THIS YEAR: APPLICATION-ENROLLMENT PERIOD WILL BE OPEN FROM DECEMBER 4, 2023 - JANUARY 31, 2024
SPACE IS LIMITED....FIRST COME, FIRST SERVE---
NEW THIS YEAR.....APPLICATION-ENROLLMENT PERIOD WILL BE OPEN FROM DECEMBER 4, 2023 - JANUARY 31, 2024.  This will be when we accept the first round of campers and will then see if there is additional space to accommodate others. 

ALL INITIAL APPLICATIONS MUST BE COMPLETED BY JANUARY 30, 2024.  

DATES FOR Camp:  July 21 - 26 2024 at Camp Twin Lakes--Will-A-Way, in Winder, GA- (staff to arrive July 20th)

STEPS TO REGISTER:

1.  Please complete this camper initial application and submit NO LATER THAN JANUARY 30TH.  APPLICAITONS WILL BE REVIEWED IN ORDER THEY ARE RECEIVED.  AT THE END OF THIS APPLICATION BELOW, MAKE SURE TO PRESS SUBMIT.  IF YOU DO NOT GET A THANK YOU, THEN YOUR FORM HAS NOT BEEN SUBMITTED.  LOOK DOWN THE FORM AGAIN AND ANSWER ANY QUESTIONS HIGHLIGHTED IN RED THAT WERE REQUIRED QUESTIONS.    THEN PRESS SUBMIT AGAIN!

2.  Submit camper fee to reserve your spot at Camp Weekaneatit via:
    • Please pay your camper fee via:  click on the PAYPAL button down the page:
CAMPER!! - July 21- 26, 2024 (glutenfreecamp.org) 
Make sure that you add YOUR child's NAME IN THE MESSAGE LINE.  

    • PAYPAL PAYMENT PLAN:  If you need a payment plan, you will still go through our PayPal link and apply through that link http://www.glutenfreecamp.org/camper.html   for a payment plan.  Once you have made that arrangement, we will receive notice and consider you paid, for our purposes.  Your payment plan agreement is between you and PayPal.
   
3.  Once we receive your application and payment, our medical committee will review it starting in January, and you will be notified when you have been accepted to this years’ camp.  You must have your registration fee in before your application will be reviewed and your camper space reserved. Space is limited, so please be timely.  DUE NO LATER THAN APRIL 1, 2024

4.  Once you receive acceptance notification, you will be directed to complete additional required forms--ALL DUE NO LATER THAN: May 1, 2024. You will be required to submit immunization records (please check website for the required immunizations, so you will be ready to submit the complete required form.  Some forms will require medical provider signatures—SO PLEASE PLAN APPOINTMENTS ACCORDINGLY SO YOU CAN GET US FORMS ON TIME.  Signatures will be required from:
• Doctor that gives medical clearance for your child to attend
• Therapist/ school counselor-- if your child has seen one in the past year
• Allergist--if your child has severe allergies/ Epi Pen
This updated packet will again be reviewed by the medical committee.  If for any reason, you are NOT accepted, you will receive a full refund.

For any questions about forms or admittance, personal questions about your camper and their care, please contact Jill Waddell at: CampWeekaneatit@gmail.com 
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Email *
Camper's  Name *
Preferred Name for Name Tag
Date of Birth *
Grade *
Please indicate current grade in school.
Age attendee will be AT the camp this summer (BY JULY 20, 2024) *
Gender at Birth *
Preferred Gender Identity *
You must make your camper fee payment on the SAME day that you submit this application, via PayPal or PayPal payment plan--PLEASE SET UP ACCOUNT IF YOU DO NOT HAVE ONE.  Please indicate below which one you will be using When you make your payment--PLEASE INCLUDE YOUR CAMPER'S NAME IN THE NOTES OF THE PAYMENT.  Please indicate below which applies to you:
*
Required
Please indicate here the name on credit card /PayPal account used so we can ensure payment goes toward your child's camper fee *
Name of parent/guardian (s) with legal custody *
Relationship to Camper
Street Address
State
City
Zip Code
County
Primary Phone *
Secondary Phone
Other Phone
Email Address *
Note:  All correspondence will be communicated via email, so please check your email for updates!
Secondary Email Address
Please complete only if you want correspondence sent to this account.
Emergency Contact Name *
Person to be contacted in case of emergency if parent/guardian cannot be reached.
Relationship to Attendee
Emergency Contact Primary Phone *
Emergency Contact Secondary Phone
Emergency Contact Other Phone
My camper is covered by family medical/hospital insurance *
Required
Insurance Company Name (or NONE) *
Policy Holder's Name/ Phone Number/ Date of Birth/ Relationship to Camper *
Insurance Company Phone Number *
Insurance Company Address
City
State
Zip Code
Insurance Policy Number *
Is applicant: Diagnosed Celiac/Gluten Intolerant OR the sibling of a diagnosed celiac/gluten intolerant? *
If sibling/ please indicate your siblings name that is attending camp who has been diagnosed with celiac/gluten intolerance *
Date of Celiac/ Gluten Intolerance diagnosis by a medical provider
if sibling indicate "sibling"
Diagnosing Physician's Name, Address and Phone number *
if sibling indicate "sibling"
Briefly describe your reaction to gluten *
if sibling indicate "sibling"
Dietary Restrictions--OTHER THAN GLUTEN--MEDICALLY INDICATED *
Note:  We will do our best to accommodate additional dietary restrictions other than GF.   However, please only list those that are MEDICALLY necessary for your child--and have this medical necessity added to your medical form.  If it is just a food preference, your camper can make those choices at camp (DO NOT list those preferences here)
Medication Allergies *
List all known.  Describe reaction and management of the reaction.
Food Allergies *
List all known.  Describe reaction and management of the reaction.  
Other Allergies. *
List all known.  Include insect stings, hay fever, asthma, etc.  Describe reaction and management of the reaction.
Has your child/Does your child.... *
If yes, check the box.
Required
If you checked ANY of the above boxes--Please add the question number below and a detailed explanation including dates.
Which of the following has your child had? *
Please note:  If you child has been exposed to any communicable disease, particularly chicken pox, measles, or mumps, 1 to 3 weeks prior to camp, please contact us as soon as possible.  
Required
IMMUNIZATIONS:  I have reviewed my camper's current immunization record AND compared them to the requirements on the website.  My child will get the following immunizations WITHIN ONE MONTH OF ACCEPTANCE AND will submit the form with my Camper acceptance packet.
 *
Medication
The medical staff will store and administer any medications--including ALL over the counter, vitamins and Rx needed during the camp week.  PLEASE SEND ALL MEDICATIONS TO CAMP WITH YOUR CHILD IN THEIR ORIGINAL CONTAINER WITH WRITTEN INSTRUCTIONS.  It is expected that each family will supply in advance any routine medications needed.  Specific instructions on how to send medications and the medication check-in process will be sent to you closer to camp.
Check one of the following boxes. *
List each medication AND for each medication include: medication name, dosage, and frequency, how long they have been taking it, when it is given, how it is given AND the reason for taking.  We will ask you to review and update the list prior to camp. *
Name of Primary Care Physician *
Primary Care Physician Phone Number *
Name of GI *
GI's Phone Number *
Does your child use any special equipment such as a walker, crutches, wheelchair, or prosthesis?  Please explain.
Please list any physical restrictions or activity limitations (i.e. no swimming, no prolonged sun exposure, no competitive sports, sight or hearing loss, etc.).
Is there anything we should know about your child that will make his/her adjustment smoother? Any information you can give us helps us to take the best care of your child. *
Is your child able to function at his or her age level?  Please describe. *
Please check any that apply to your child.  This information is collected to take the best care of your child.  We must be informed about the below in order to provide the best care while at camp: *
Required
For any items that you checked above, please put the item number and a detailed information. Any information that you share with us --is in an effort to take the best care of your child. *
What is the best way to manage frustration with your camper:  *
please give details on the above  *
Have there been any social, emotional, behavioral problems at school, other camps, or at home in the last year, Yes/ No.  AND please explain *
Does your camper exhibit physical aggression toward peers and/or adults?  if so, please explain. *
Does your camper wander off from the group?  Look like/ how often/ response? *
Does your camper exhibit self-harm behaviors?  Look like/ how often/ response?  *
Does your camper have a behavioral intervention plan at school?  If yes, please detail below.  *
Describe any bedtime or sleep habits (eg. sleeps with parent, toys, talks/walks/ in sleep, etc.). *
Does your child have any serious fears?  Please describe. *
Please indicate any further information about your child's medical and/or emotional needs that you feel we should know. Please include if your child sees a therapist, psychiatrist or psychologist regularly and/or has seen one in the past 12 months. *
Camper's T-shirt Size
If your child would like to make a request to be placed in a cabin with a friend, please list by name.  You can only request ONE person.
REQUESTS WILL ONLY BE CONSIDERED FOR CAMPERS IN THE SAME AGE RANGE and will be assigned prior to check-in.  Your requests are NOT GUARANTEED!  If you are registering multiple campers (siblings), please do NOT request for them to be together unless they are the same age range.  Cabins and programs are developmentally designed for age range.  You will find out cabin assignments at camp and they can not be changed. 
Where did you hear about Camp Weekaneatit? *
Have you attended Camp Weekaneatit previously *
If yes, how many years
Do you plan to attend other summer camp programs this coming summer? *
If yes, please list along with the dates
If you would like to be considered for a limited number of scholarships, please provide an explanation of need below by answering the two points below.
You MUST indicate below, 1. How much you can afford toward the camper fee AND 2. An explanation of why you are requesting financial assistance.  You will not be required to pay anything now.  We will get back to you after April 1, 2024 to let you know your financial obligation and scholarship request status.  Go to our site for more info
BE SURE TO CLICK SUBMIT!!!!!
MAKE SURE TO PRESS SUBMIT. THEN,  IF YOU DO NOT GET A THANK YOU, YOUR FORM HAS NOT BEEN SUBMITTED.   LOOK DOWN THE FORM AGAIN AND ANSWER ANY QUESTIONS HIGHLIGHTED IN RED THAT WERE REQUIRED QUESTIONS.  
A copy of your responses will be emailed to the address you provided.
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