Camp Compass Lottery Pre-Registration

Our childcare pop-up events are a fun way to for kids to experience all the fun of Inclusive Compass in a variety of community venues. We wish you could all come and play with us, but to keep care as high quality as possible spots are very limited. Fill out the form below to enter the lottery. Winners will be offered a reservation for their family to attend.

Child Name

First Name

Last Name

Date of Birth

YYYY

Pronouns

Tell us about your child

Briefly share about your child's interests, strengths, temperament, sensory/diet preferences, etc.

Allergies & Medical Conditions

Child Background

We strive to make our experiences as inclusive as possible. Your responses will not affect eligibility for program services and will be used to better serve each child. All answers will be kept confidential.

IEP/405

Behavioral Concerns or History of Expulsion

Multi-language Learner

Currently in Foster Care

Currently Unhoused

None of the Above

Pop-up Requested

Contact Information

First Name

Last Name

Relationship to Child

Address

Phone

(###)

###

####

Are you able to financially sponsor another camper?

yes

not at this time

Additional Information

Is there any other information about your child and/or family that is important for us to know?