CSB Summer Academies Application 2026
The California School for the Blind is proud to announce Summer Academy courses for June 2026!!  For more information about what we're offering this year, click on Summer Academy descriptions. All courses this year are in-person on our CSB Campus, 500 Walnut Ave, Fremont, CA 94536!

For questions, please contact Short-Term Programs team at csb.shortcourses@csb-cde.ca.gov / p. 510-951-1889.

Week 1 (June 8 - June 12, 2026 Ages 13+) ***Registration Deadline - Friday, May 1, 2026***
Week 2 (June 15 - June 19, 2026 Ages 9-13) ***Registration Deadline - Friday, May 1, 2026***
Week 3 (June 22 - June 26, 2026 Ages 13+) ***Registration Deadline - Friday, May 1, 2026***
Sign in to Google to save your progress. Learn more
Email *
Week 1 Courses (Ages 13+) - Rank the courses below according to the student's interest in attending
Camp Abilities
ArtVenture
Educational Introduction to Dungeons & Dragons
Guitar Week
Paws and Pools
1st choice
2nd choice
3rd choice
4th choice
5th choice
Clear selection
Week 2 Courses (Ages 9 - 13) - Rank the courses below according to the student's interest in attending
Camp Abilities
ArtVenture
Educational Introduction to Dungeons & Dragons
Doggy Paddle
Parkitects: Build Your Own Park Map
1st choice
2nd choice
3rd choice
4th choice
5th choice
Clear selection
Week 3 Courses (Ages 13+) - Rank the courses below according to the student's interest in attending
Camp Abilities
ArtVenture
Educational Introduction to Dungeons & Dragons
Build a Band
Nourish & Flourish
Chronically Online Chronicles
1st choice
2nd choice
3rd choice
4th choice
5th choice
6th choice
Clear selection
Student's First Name *
Student's Last Name *
Age when student arrives to Summer Academies *
What is your child's preferred pronoun?  Please check all that apply. *
Required
Student's Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardian's Name (First Name, Last Name) *
Parent/Guardian's E-mail Address *
Parent/Guardian's Phone Number (Please enter a cell number that can be reached via a text message/voicemail if possible) *

Does the parent/guardian feel comfortable communicating (via telephone, text and email) in English or prefer a translator? If a translator is preferred, please list the language. 
Clear selection
Home Language *
Student's Phone Number *
Student's E-mail Address
Street Address *
City *
Zip Code *
How does the student plan on arriving at CSB? Note: At this time, CSB cannot provide transportation. We can only cover the cost of the flight for the student only. *
Does the student plan on staying in the dorms? Note: Students staying in the dorms arrive one day before the course starts (Sunday). *

If you are a dorm student, do you want a roommate?  If so, is there someone in particular you would like to room with?  If not, please explain.

*
Has the student stayed overnight away from home before? If so, when and for how long?
VI Teacher's Name *
VI Teacher's Phone Number *
VI Teacher's Email Address *
VI Teacher's Work Address *
O&M Teacher's Name *
O&M Teacher's Phone Number *
O&M Teacher's Email Address *
Name of Student's School District *
Name of Student's Current School *
Present Classroom Placement (Mainstream, Special Day Class (SDC), and so on) *
Student's Cause of Visual Impairment *
Student's Age at Onset of Blindness *
Describe the student's level of functional vision?
Visual Acuity - Right eye (OD) *
Visual Acuity - Left eye (OS) *
Visual Acuity - Both (OU) *
Visual Field Restriction? *
If Yes, describe field restriction? *
If you are a student with low vision, what size print do you prefer materials to be?
Is the student taking any medication? (including prescription eye drops) *
If yes, what type of medication are you taking and how often? *
Does the student need help with medication? *
Medical Condition *
Does the student have any of the following conditions?  Please check boxes for all that apply. *
Required
Please describe any of the above conditions.   *
Does the student have any allergies? *
If the student has any allergies, what kind? Please enter "None" if not applicable. *
Does the student have a special diet? If so, please describe (must be supported by a physician's order): *
Are there any special adaptions or needs CSB should be aware of to assist the student's full participation in all possible aspects of the program experience (i.e., issues w/endurance, walking, need for breaks during activities)? *
Are there any considerations you'd like us to know about regarding the student's classroom, dining hall, or dorm environment?
*
Does the student have a behavior plan as part of your IEP? *
If the student has a behavior plan, please describe. *
List the classes the student is currently taking? *
What type of media does the student use? *

Does the student use Contracted (Grade 2) Braille?

*
Does the student use an electronic note taker, such as a BrailleNote? *
Is the student a touch typist? (minimum of 10 words per minute)
Clear selection
Please list 3 Computer Technology skills the student has: *
Please list 3 Computer Technology skills the student needs: *
Please list 3 Daily Living skills the student has: *
Please list 3 Daily Living skills the student need: *
#1 Emergency Contact Name *
Phone number *
Relationship *
#2 Emergency Contact Name *
Phone Number *
Relationship *
#3 Emergency Contact Name *
Phone Number  *
Relationship *
What is your student's T-shirt size? Please specify if the size is adult or youth.  
Adult Size Reference Chest 
S: 35–37 in
M: 38–40 in
L: 41–43 in
XL: 44–46 in
2XL: 47–49 in
3XL: 50–53 in
4XL: 54–57 in
5XL: 58–60 in
6XL: 61–63 in
Youth Size Reference Chart
XS Size: 4/5 Chest: 22–24 in
S Size: 6/8 Chest: 25–27 in 
M Size: 10/12 Chest: 28–30 in
L Size: 14/16 Chest: 30–32 in
XL Size: 18/20 Chest: 32–34 in
*
Would the parent/guardian be interested in volunteering for one of our courses?  If yes, give your name and describe how you'd be interested in being involved.
Would the parent/guardian be interested in participating in a carpool? By clicking yes you agree to share your name, the city where you live, and your phone number.

By checking this box, I acknowledge and consent to the possibility that administrators may observe my child during the short course for the purpose of assessing their needs, should future consideration for admission be pursued.
*
Required

Do you give permission for your photo to be used on our social media, website, and livestreaming?


We would be having an end of week livestreaming, and it will be much appreciated if all students got the opportunity to be on stage and livestreamed on our social media platforms!
*
Required
Who completed this application? (Name, Relationship to the Student) *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of California School for the Blind.

Does this form look suspicious? Report