2018 Garden Girls Sleepover

Friday, January 19th to Saturday, January 20th

You told us and we listened! We're excited to offer a girls only sleepover this winter. Join us for a cozy evening of fun, games and bonding with other young women ages 16 and up here at Garden!

the nitty gritty

Drop off at 6:30pm on Friday, January 19th
Pick up at 12pm on Saturday, January 20th
Non-Refundable Deposit: $25 due December 19, 2017
Final Payment: Due January 1, 2018
Additional funding requirements: Day and/or overnight respite covered by Medicaid CES or SLS waivers or privately

Registration Deadline: December 19, 2017

Ready to Sleepover? Register here.

Parent or Guardian Name *

Parent or Guardian Name

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

Phone

Country

(###)

###

####

Email Address *

Participant Name *

Participant Name

First Name

Last Name

Participant Age *

Participant Diagnosis *

Has your child participated in an overnight camp before? *

If you answered "YES" above, please state which camp(s) your child attended and their experience.

Participant Support Needs *

Please choose the therapist to participant support needs your child will require during camp.

Describe Participant Needs *

Participant Medical Needs *

Participant Dietary Needs *

Typical bed/sleep time *

Typical wake time *

What sleeptime sensory needs does this overnighter require? *

Please include if this participant prefers to have the lights on, a weighted blanket, etc.

Please describe this participant's evening routine *

Include hygiene rituals as well such as evening showers, teeth brushing, bowel movements, etc.

What goals and expectations does this overnighter have for this overnight? *

I understand that this application does not guarantee my child's admittance into program *

I understand that additional fees to cover my child's staffing will be paid by my child's waiver (or privately if my child does not have a waiver) *

Additional Funding Selection *

Please select which funding option will be utilized to cover your child's staffing fees during camp

If admitted, I understand that a payment of $25 is due by December 1, 2017 and cannot be covered by my child's Medicaid waiver *

Additional Comments or Questions