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5-a-side Soccer Program
Camp Can Do will be taking place on Tuesday, June 29th, 2021! This is an opportunity for children ages 5-8 to experience Camp Abilities Brockport for one day! For more information please contact
*
Indicates required field
Camper Name
*
First
Last
Parent/Guardian Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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CBVH Contact Person
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CBVH Contact's Phone Number
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Specific Vision Impairment Diagnosis (What is the name of your child's visual impairment?)
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Description of what your child can see
*
Camper's Visual Impairment Classification
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B1(Blind)
B2(Less than 5% vision or no less than20/600)
B3(Less than 20% vision or no less than 20/200)
B4(Less than 20% vision or no less than 20/70)
Additional Disabilities
*
Other Medical Conditions
*
Email
*
Camper's Age
*
Gender
*
Male
Female
Please explain what your child needs to be successful
*
Submit
Home
Mission Statement
Sports & Activities
Schedule
Assessments
Awards
Funding
Non-Profit Status
Partners
Media
Camp Abilities Manual
Camp Templates
Newsletters
Photos
Videos
Research & Books
Facebook
Twitter
Shutterfly
Instructional Materials
Registration
Eligibility
Athlete/Camper Registration
Coach Registration
Camp CanDo Registration
Staff
Graduate Assistants
Other Camps
Camp Abilities Sweepstakes
Registration
Camp Abilities Sweepstakes payment page
Contact Us
Donate
Camp Wish List
Research Registration
5-a-side Soccer Program