Camp CanDo Registration

Camp Can Do will be taking place on Tuesday, July 2nd, 2019! This is an opportunity for children ages 5-8 to experience Camp Abilities Brockport for one day! For more information please contact Jasmine (jbrad4@brockport.edu)

* Indicates required field

Camper Name *

First

Last

Parent/Guardian Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

CBVH Contact Person *

CBVH Contact's Phone Number *

Specific Vision Impairment Diagnosis (What is the name of your child's visual impairment?) *

Description of what your child can see *

Camper's Visual Impairment Classification *

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

Camp Abilities Brockport is a 501(c)-3 non-for profit organization hosted at and supported by The College at Brockport and is also funded by the Research Foundation at The State University of New York. In the spirit of "Camp Abilities", the facility operating at The College at Brockport is the only camp that is affiliated with The Research Foundation or the State University of New York (SUNY). All other camps listed herein have no affiliation or association with nor do they receive funding or sponsorship from the Research Foundation or The College at Brockport.
Camp Abilities Brockport is inspected by the Monroe County Department of Health.
Copyright © 1996-2014 Camp Abilities Brockport at the College at Brockport, State University of New York. All rights reserved.