Welcome to our Summer Day Camp Interest Form! We're excited to offer a unique experience for children aged 10-14 with disabilities and special needs in various locations in and around Portland in the summer 2024 season. While specific dates and locations will be confirmed soon, submit this form to express your interest now. Be among the first notified when full registration opens in early April. Our camp is committed to providing a supportive and inclusive environment, ensuring every child can enjoy a summer filled with laughter, friendship, and unforgettable experiences.

Join us in creating a season of joy, growth, and adventure for your child! For more information, click here.

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* 1. Prospective Camper's Name

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* 2. Parent/Guardian's Name

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* 3. What part of the Portland Metropolitan Area are you based In?

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* 4. How did you hear about Easterseals Day Camp?

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* 5. Email Address for camp updates:

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* 6. Phone Number for camp updates:

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