2017 Camper Application

General information

Camp Dates: Sunday, July 2 to Friday, July 7, 2017

Camp Avanti is hosted at:
YMCA Camp Icaghowan
899 A 115th Street
Amery, WI 54001

  • Day campers must be ages 6–8
  • Overnight campers must be ages 8–12
  • Challenge campers (Canoe Trip) must be ages 12–15 (only for graduates of Overnight Camp Avanti)

Special Diets: For overnight campers there will be an additional charge of $50 for campers requesting a modified diet such as GFCF. This does not apply to life-threatening allergies to foods. The additional charge will go toward purchasing the food and the cost of an additional staff person.

 

Click the Pay Now button to pay for a special diet via PayPal or credit card:

 

 

Financial Aid: Request for a partial scholarship may be made after submitting an application and deposit. See the letter about support and ideas for fundraising. (Request for financial support will not affect camper eligibility.)

Contact Us
Director: Kris Worrell
Email info@campavanti.com or call 715-256-7727.
Email is the preferred means of contact.

Apply

By Mail

Download the application ▶

Mail completed application to:
Avanti Therapeutic Projects
c/o Kris Worrell
2495 Maplewood Drive, Suite 313
Maplewood, MN 55109

Note that a $100 deposit via check or PayPal is required before we review your application. The remaining balance is due upon your acceptance. Make checks payable to Avanti Therapeutic Projects. Be sure to write the camper's name in the memo line.

To make your additional payments please log in to the members only area found on the Contact Us page. You will be invited to this area upon acceptance.

 

Click the Pay Now button to pay the deposit via PayPal or credit card:

 

 

Basic Information

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Medical Information

 
 
 
 
 
 
 
 
 
 
 

Education

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Stress Management/Coping

 
 
 
 
 
 
 

Additional Information

 
 
 
 
 
 
 
 
 
 
 
 
 
 

Therapy

 
 
 
 

SELF CARE SKILLS

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

For Returning Campers Only

We will be applying for grants and they often require us to report feedback from parents. Please check the areas where you saw progress after the last session of camp. Then give brief descriptions. Thank you!
 
 
 
 

Signature

Please attach additional information concerning your child if we failed to ask something you feel is important.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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