Camp Questionnaire

Please complete the following form to help us better prepare for your child’s/children’s visit at our camp. Our goal is to make the camp fun, engaging, and safe! Please have your Camp Order # ready when submitting this questionnaire. The Order Number is the Order Confirmation you should have received in your email from us when you made your camp payment. If you still need help locating the number, please call us at 530-391-8670 or email us at [email protected].

Camp Questionnaire
My Camps:

Child Name(s) and Age(s)

Developmental Information

Communication Information

Emotional and Sensory Regulation

Coping Strategies

Medical Information


Emergency Contact

Copy of Responses
Contact Me