Family Waitlist Application 2022
This form is for families who have attended Dream Day on Cape Cod summer camp two or more times and wish to be considered for the waitlist for summer 2022. This application does not guarantee you a spot. You will be contacted by phone or email if there is an open spot. Please note that you may be notified at the very last minute in the event of a cancellation.

Please email Camp Director Julianne Kelleher with any questions at
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Email *
Is there any session that you prefer to NOT receive last minute notification for? If not, you will be on the list for all sessions to be notified in the event of a last minute cancellation.
Camper's FIRST NAME *
Camper's LAST NAME *
Camper  Primary Diagnoses *
Mother or other legal guardian FIRST NAME *
Mother or other legal guardian LAST NAME *
Father or other legal guardian FIRST NAME *
Father or other legal guardian LAST NAME *
Name of Spouse/Partner who will attend (if different from above). If not applicable, answer N/A *
Main Contact FIRST and LAST NAME *
Main Contact EMAIL ADDRESS *
Main Contact PHONE NUMBER (separated by dashes) *
Street Address *
City *
Zip Code *
How many siblings will attend? *
Does any member of your family have allergies? If so, please list specifically which member (s) and allergies associated. *
Does anyone in your family have any special dietary needs? *
Do you need a wheelchair accessible cabin? *
Permission to use photographs, video, and/or audio recordings of you and/or your family. On behalf of myself and my family, I do hereby give Dream Day on Cape Cod, without considerations or compensation, permission to use photographs, audio, and/or video recordings that may be taken or recorded  while my child and family are attending camp for promotional, educational, or fundraising activities. It is my understanding that these likenesses may be used to promote public and professional understanding and support of the program. I waive any right that I may have to inspect or approve the finished product or the use to which it may be applied. *
There is no cost to you for your family's stay at Dream Day on Cape Cod. However, it costs over $2500 per family to attend a week at camp. To assist in fundraising efforts, we have established a Family Sponsorship program in which we approach individuals, corporations, and civic and service organizations. This fundraising allows us to keep Dream Day on Cape Cod's program free to families. If you know of someone who would be willing to sponsor one or more families, please let us know. I give my permission for Dream Day on Cape Cod to use my/my family's name to help raise funds for a Family Sponsorship. I understand that I am to receive no compensation for the use of my/my family's name for these purposes. *
All Dream Day on Cape Cod staff and volunteer members are required to initial and agree to abide by some basic rules and guidelines before they are permitted to work at Dream Day. To ensure utmost safety for all campers and staff, we ask that all campers agree to and abide by the same guidelines. WE ASK THAT ALL FAMILY MEMBERS READ THE BELOW AGREEMENT. BY SIGNING BELOW, ALL FAMILY MEMBERS UNDERSTAND THE RULES AND WILL ABIDE BY THEM AT ALL TIMES. *
If you have additional questions, concerns, or information regarding the waitlist, please contact Camp Director Julianne Kelleher via email at or via phone at 774-216-0790.
A copy of your responses will be emailed to the address you provided.
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