Camp VistaApplication 2017
Camp Dates: June 16-18, 2017
Application Deadline: May 5, 2017
Remi Vista, Inc.
3191 Churn Creek Rd.
Redding, CA 96002
General Information:
The camp application packet must be completed in full in order to be considered for Camp Vista. All applications must be mailed/faxed/hand delivered to the above address. A confirmation email from Remi Vista, Inc. will be sent to you once your application has been received and reviewed. If accepted to Camp Vista, a registration packet will be mailed to the provided address of the family.
Open Application Period:
Camp applications must be received by May 5, 2017.
Eligibility Requirements:
Camp Vista is designed to accommodate children with disabilities, their siblings and parent/caregiver(s). Our trained staff can accommodate campers with a wide range of needs.
Eligibility Criteria:
* Individuals with Autism Diagnosis (Other diagnoses will also be considered).
* Individuals/Families who have had little to no opportunity for vacation/respite.
* Individuals who will enjoy attending camp with their siblings and parent/caregiver(s).
Menu/Dietary Restrictions:
* Food accommodations can be made, provided the parent/caregiver(s) give detailed allergy/food preference information on the application.
*If a camper requires a highly-specialized diet (such as dairy/gluten/casein/grain/nut-free), the parent/caregiver(s) may be asked to provide the camper with food for the camp.
Emergency Information:
* Parent/caregiver(s) will complete an emergency contact form to have on file for the camp.
* A nurse will be on site to assist with First Aid needs throughout the day camp hours.
If you have any questions or concerns, please feel free to contact us at your earliest convenience.
Sincerely,
Mandy Saulsbury & Marie Hawkley
Camp Directors
(530) 224-7160
Please return Camp Vista Applications by May 5, 2017 to:
Remi Vista, Inc.
c/o Mandy Saulsbury
3191 Churn Creek Road
Redding, CA 96002
Diagnoses: Asperger’s Syndrome Autism PDD NOS Intellectual Disability
Communication Disorder (please specify) Other:
Youth T-shirt size: XS S M L XL 2XLIs adult size needed for child: Yes No
Name(s) of Parent(s)/Caregiver(s):
Adult T-Shirt Size: S M L XL 2XL / Adult T-Shirt Size: S M L XL 2XL
Address: / City: / State: / Zip:
Email: / Cell Phone: / Home Phone:
Additional Camper Information for the Family:
Name of Parent(s)/Caregiver(s) attending camp:
Number of Sibling(s) attending camp: 0 1 2 3 4
Name of Sibling / Sibling Age / Describe any disability / T-Shirt Size
Tell us why your family would like to attend camp (attach additional pages if needed):