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* 1. What is your camper's name and age?

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* 2. Has your camper ever attended in-person Special Camps?  If yes, which camp and for how many years have they attended?

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* 3. If Special Camps has in-person events for Summer 2021, will you send your camper?

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* 4. Has your camper ever tested positive for COVID-19?

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* 5. When provided with the opportunity, will your camper receive the COVID-19 vaccine?

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* 6. What is the longest continuous period of time your camper is willing and able to wear a mask?

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* 7. If asked, will you quarantine your camper for ten days before arriving for in-person Special Camps events?

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* 8. Does your camper live in a group home?  If yes, please specify which group home.

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* 9. Does your camper currently attend school, work or day program?  If yes, please provide the program's name.

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* 10. We are interested in receiving your feedback! Please provide any additional information you believe is valuable to our team as we plan for 2021 Special Camps events.  You may also email us at info@specialcamps.com.

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