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2018 Summer Youth Camps
June 23-30, 2018
* = Required Field
  • Program Information

    • Please indicate which program you are interested in attending (choose one):
       
  • Personal Information

    • [mm/dd/yyyy]
    • 11th Grade - Fall 2019 10th Grade - Fall 2020 9th Grade - Fall 2021
      8th Grade - Fall 2022 7th Grade - Fall 2023 6th Grade - Fall 2024
  • Contact Information
  • Ethnicity Background
  • Communication
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  • Special Accommodations
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  • ASL Class
    • School Remove Entry

      • Please type into the School Name field to search for the school you are attending. If you can't find your school, please type "Not Found" and select this option. 
    * = Required Field
    • Insurance Information
    • Medical Release/Medication

      • My child is not currently under any doctor's care that requires prescribed medications and my child will, therefore, have no prescription medications in his/her possession. 
      • For the safety and protection of your child and other children in the program, Gallaudet University will hold all prescription medications in locked storage while your child is attending this program. Out staff will not, however, administer the medication. Your child will be responsible for actually taking the proper dose at the time it is to be taken; we will simply monitor that administration. Your child will sign for all medications received. This procedure will help protect your child and the prescription medications he/she may bring by enduring locked storage and monitoring that medications are actually taken.Please place all medications in a ziploc bag labeled with your child's name on the front of the bag.
      • I understand that Gallaudet University staff will keep the above medications in a locked and restricted location and will monitor administration, but will not actually administer the medications.


      • Please have the camper's physican complete the Medical Authorization form if he or she is taking any prescription or over-the-counter medication, vitamins, or supplements. Please send the completed form to youthprograms@gallaudet.edu
    • Food and Allergies
    • SYC Provided Medications

      • We have a number of OTC medications in our office that campers may request as needed. Please review the list of medications we have below and indicate whether or not you grant permission for us to distribute said medication to your child.
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    • Emergency Contacts

      • Emergency Contact 1

      • Emergency Contact 2
    * = Required Field
    • Media Release
      • I give permission for my child to be photographed or videotaped for noncommercial use on Gallaudet University's website and other publications.
    • Travel Release
      • I certify that my child has permission to use both public and Gallaudet transportation to participate in events related to the Summer Youth Camps during his/her stay at Gallaudet University. I agree to release Gallaudet University and its employees from all liabilities to the above stated transportation while attending the Summer Youth Camps.
    • Field Trip Release
      • I certify that my child has permission to be released from Summer Youth Camps staff supervision during field trips to off-campus places such as the mall, Rehoboth Beach, DC Monuments/Museums,Six Flags and so on. I give my permission with the understanding that my child will be in a group of three or more other campers and will be expected to remain with their group for the duration of the field trip.
    • Release Agreement
      •  Note: This is a release of legal rights. Read and understand before accepting.

        Assumption of Risk
        I understand that participation in the Summer Youth Camps entails inherent risks, including, but not limited to, the risks described in the Activity Risk Form.


        Click here to view the Release Agreement
    • Activity Risk Agreement
      • I acknowledge that I have reviewed the list of activities that my child will participate in during Gallaudet's Summer Youth Camps.I give permission for him/her to participate in the Gallaudet Summer Youth Camps activities. I understand that these activities are optional and that students may choose not to participate.

        Click here to view the list of SYC Activities 
    • Medical Release Agreement
      • Note: This is a release of legal rights. Read and understand before accepting.

        Medication Guidelines
        Gallaudet's Summer Youth Camps has established guidelines for prescription and over the counter medications. We will permit your child to arrive at camp with legal medications that are provided by you.

        Click here to view the Medical Release Agreement
    • Participant Contract
    • Participation Agreement
      • No refunds will be given after the registration deadline. Please check the registration information for accuracy. Read the following statement and sign the box below. Admission as a SYC participant to Gallaudet University Youth Programs carries many privileges and responsibilities. Participants are expected to participate in the total life of camp: to work, play and live together. Program Administration does not allow the use of tobacco, alcohol, illegal drugs or weapons. This application signifies my understanding and acceptance of these responsibilities - violators will be dismissed without a refund. In addition, should a behavior or discipline problem affect work with other campers or their enjoyment of Gallaudet University Youth Programs. Administration reserves the right to dismiss those participants responsible without refund. In the event of withdrawal or dismissal from camp for any reason other than illness requiring the attention of a physician, I will pay the camp fee in full. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the administrator to hospitalize, secure proper treatment of, and to order injection, anesthesia or surgery for my child as named above. I will notify the Youth Programs Director and Coordinator if my child has any serious restrictions related to his/her participation in the program. I also understand that the Youth Program assumes no responsibility for accidental injury to my child during his/her stay at the camp.
         

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