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2. First Name*
3. Last Name*
5. Phone Number*
6. Email Address*
8. Child's First Name*
9. Child's Last Name*
11. Have you registered with us before?*
    -- Select One --YesNo

    Is this your first time registering for programs or camps with SF Recreation and Parks?
12. Is this your first time requesting accommodations with SF Recreation and Parks?*
    -- Select One --YesNo
16. Note on Therapeutic Recreation Assessments

    A current "Leisure Interests and Functional Abilities Assessment," as well as a consultation with one of our Certified Therapeutic Recreation Specialists, is required for participation in our Therapeutic Recreation programs and camps. The information collected is used to help us best support your child and help your child have a successful experience. We will contact you after you complete this form if you need to update or complete a new assessment. Failure to complete the assessment can result in removal from the program or camp.

18. Registration session*
    -- Select One --Not currently registeredSpringSummer Day CampSummer classesFallWinter

    Please choose which session this request is for from the menu below
20. Registration(s)*

    Is your child already registered for a current or upcoming program or camp with SF Recreation and Parks? Check "yes" even if your child is on a waiting list.

    1. Yes
    2. No
24. Accommodations requested*

    Please check all that apply. Use the box below to submit details.

    1. No accommodations or supports needed
    2. Extra staff support
    3. I would like to provide my own aide (aide will require background check)
    4. Other (describe below)
26. Other
    Please enter additional accommodations requested and details here.
30. Please tell us a little about your child
    Please share anything you feel would be helpful for us to know, such as your child's likes and dislikes, interests, motivations, things that may upset them, and things that help calm them. If we have worked with you child in the past, please provide any new information that might be helpful.
32. Please attach any helpful information here

    If you have anything you would like to share to help us get to know your child better, including information from your child's IEP, or an info sheet your have created for your child, please upload here.  

34. Acknowledgement*

    Type your full name here to acknowledge that you have read and understand the following statement. "I understand that SF Recreation and Park's staffing capacity is very limited, and if I submit a request for extra staff support, there is no guarantee my child will receive it. Further, I understand that even if I receive a extra staff support, there is no guarantee they will be available every day of camp, due to factors outside Rec and Park's control, such as staff absence or illness. In addition, I understand that all children participating in the SF Recreation and Park programs must be independent with personal care (such as toileting), taking any medication (other than emergency medication), unless I provide my own aide, and must follow SF Recreation and Park's behavioral guidelines." Follow the link below to read our Summer Day Camp FAQs for details of the above information.*

36. *Summer Day Camp 2022 FAQs
    Follow this link and click on the Summer 2022 FAQs tab

    Click the link above, then open the Summer 2022 FAQs tab to review the details relating to the acknowledgement above.

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38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit Submit and Print

* indicates a required field