Camp Chatterbox-Independent Camper

Independent Camper Self-Advocacy Program:
This program encourages youth between 15-22 years old whom are linguistically competent using an AAC device to attend camp without their family. These campers will benefit from activities that help build critical thinking skills, problem solving skills, and advanced pragmatic abilities. Depending upon their skills and goals, independent campers in this program may also have the opportunity to serve as a mentor for younger campers who are enrolled in the Family Program. Campers have the opportunity to use their AAC devices to communicate with unfamiliar listeners, direct their care and advocate for their needs. They learn to accept responsibilities for their schedule while building leadership skills. One of the other main focuses of camp is to have a fun and memorable experience!

The following forms must be sent in prior to April 1, 2020:
1. Activity Connection Medical Packet (includes health form and emergency action forms, if applicable, signed by physician)
2. Feeding intake form (signed by physician)
3. Immunization Records
4. Detailed list of medications

Upon registration, campers must complete Activity Connection Screening Form.

(Note: Independent Camper fee is $1,000; which includes a personal care assistant and can be adjusted if families wish to send their own personal care assistant)

Send application packet to:
Children’s Specialized Hospital
Attention: Community Programs, Jennifer Tricarico
150 New Providence Road
Mountainside, NJ 07092

Check must be made payable to:
CHILDREN’S SPECIALIZED HOSPITAL
“Camp Chatterbox” written in the Memo of the check.

Note:

All payments must be received in full by July 1, 2020.

The following forms must be submitted prior to April 1, 2020:
1. Activity Connection Medical Packet (includes health form and emergency action forms, if applicable, signed by physician)
2. Feeding intake form (signed by physician)
3. Immunization Records
4. Detailed list of medications

Upon registration, campers must complete Activity Connection Screening Form.

(Note: Independent Camper fee is $1,000; which includes a personal care assistant and can be adjusted if families wish to send their own personal care assistant)

Send application packet to:
Children’s Specialized Hospital
Attention: Community Programs, Jennifer Tricarico
150 New Providence Road
Mountainside, NJ 07092

Check must be made payable to:
CHILDREN’S SPECIALIZED HOSPITAL
“Camp Chatterbox” written in the Memo of the check.
Full camp registration fee must be paid within 4 weeks of acceptance.
Deposit will be returned if child is not accepted into the program.

Camp Chatterbox Statement of Agreement
1. Camp Chatterbox is responsible for any loss or breakage of any of the LEASED property, as well as additional costs incurred by our stay. Therefore, all families agree to respect camp property and to help keep the facilities in the same condition as they were found upon our arrival.
2. All children, both campers and siblings, must be in a structured camp activity or under a parent’s supervision at all times. No child is allowed to roam outdoors or in any building without a parent or staff member present.
3. At least one parent from each family must remain on the camp premises at all times unless permission to leave is given by the Camp Chatterbox Directors.
4. Siblings must be mature enough to participate in camp activities without one-on-one supervision. Siblings are expected to be positive and respectful of all campers.
5. Prior to the start of the camp program, families must obtain permission from the Director of Camp Chatterbox to have any visitors at camp. Camp staff is to be notified of all visitors immediately upon arrival.
6. Camp therapy staff and counselors will exercise reasonable care in working with campers and their AAC and/or mobility equipment. Parents accept financial responsibility for any device repairs or technical problems that occur during the camp program.
7. No parents, siblings, nor campers are permitted to use the computers of the Leasing Agency, the Camp Office and/or its equipment.
8. Each family within the Camp Chatterbox group is responsible for cleaning their cabin prior to departure and leaving it in the same condition as it was upon arrival. All cabins will be inspected by the Camp Chatterbox Director or designee prior to each family’s departure.
9. Upon arrival and departure families may drive onto the campgrounds to unload their vehicles and then all vehicles are to be parked in the designated parking area during camp.
10. Smoking is not allowed in any camp buildings. Please smoke only in designated areas and dispose of all cigarette butts properly. Cigarette remains are not to be left on the ground as this is considering littering.
11. Personal pets are not permitted on the campground at any time.
12. Shoes must be worn at all times, except in the lake area as directed.
13. Campers, parents, siblings and staff agree to abide by the recreational and water safety regulations of the camp facility.
14. Parents, siblings and campers are prohibited from bringing the following onto camp property:
a. Illegal drugs
b. Guns or anything that can be considered a weapon
c. Alcoholic beverages
d. Flammable materials

I have read the above stated Camp Chatterbox regulations and agree to ensure that I, along with all members of my family that attend Camp Chatterbox, will abide by them. I understand that if I, or any member of my family, violates any terms of this agreement, our family will be asked to leave camp immediately. I understand that we will not be eligible for any refunds nor to return for future Camp Chatterbox programs or activities.
Please complete checkbox below in registration.

Program Type Camps Connection
Program Subcategory -
Program Code -
Online Registration Yes
Enrollment Begin Date 1/4/2020
Enrollment End Date 4/30/2020
Instructor(s) -
Gender Any Gender
Enrollment Minimum 1
Maximum 8
Grade Minimium -
Maximum -
Age Minimum 15 Enforced - As of date 8/16/2020
Maximum 22 Enforced - As of date 8/16/2020
Camp
Residency Restriction -None-
Membership Restrictions -
Amount $1,000.00
Sunday - 08/16/2020
Start Time 8:00 AM
End Time 8:00 AM
Location -
Monday - 08/17/2020
Start Time 8:00 AM
End Time 8:00 AM
Location -
Tuesday - 08/18/2020
Start Time 8:00 AM
End Time 8:00 AM
Location -
Wednesday - 08/19/2020
Start Time 8:00 AM
End Time 8:00 AM
Location -
Thursday - 08/20/2020
Start Time 8:00 AM
End Time 8:00 AM
Location -
Friday - 08/21/2020
Start Time 8:00 AM
End Time 8:00 AM
Location -
Saturday - 08/22/2020
Start Time 8:00 AM
End Time 8:00 AM
Location -