Sibs Summer Getaway Application

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Welcome to the Camp Daniel Online Application! You have the option to Save & Resume by clicking the checkbox and following the prompts. At the end and you click "Proceed to Review", you will be able to review, print, and submit your application. You will also receive a PDF copy of your submitted application via email after the final submission.

If you have any questions regarding Registration, contact registrar@campdaniel.org.
If you have any technical support questions regarding completing this application, you may email support@campdaniel.org or call (715) 891-0528 between 9am-9pm.

Do not use your browser's "Back" or "Refresh" buttons while completing the application.

This application is designed for one applicant at a time. Fill out additional applications for each individual applicant. 

Let's Get Started!
Who is filling out this Application?

The person filling out the application


The person filling out the application

This program is for children without disabilities, who have a sibling(s) with a disability.

Ages 8-13 are Campers
Ages 14-17 are Leaders
Ages 18+ are Counselors or Support Crew
Applicant






How old will the Applicant be on August 8, 2023?






Only answer Yes, if they have been a volunteer during summer camp.
Current Address






Start typing to search, then select from list.
Camper Application
Since you (the Applicant) are between 8 and 13 years old, this application will ask questions for a Camper Application.
Leader Application
Since you (the Applicant) are between 14 and 17 years old, this application will ask questions for a Leader Application.
Counselor/Support Crew Application
Since you (the Applicant) are 18 years or older, this application will ask questions for a Counselor/Support Crew Application.

The greatest need is always Counselors.

Background Check Information
We preform background checks on all volunteers and staff. This is in accordance with Wisconsin Statute 97.67 ATCP 78.01. For more information, please email tonysr@campdaniel.org or call the office at (715) 757-3880.


Required for processing background check.

Out of State Applicants
All applicants who are NOT Wisconsin residents, must provide a current background check to the Camp Daniel office. For more information, please email tonysr@campdaniel.org or call the office at (715) 757-3880.
Previous Address







Minor traffic violation do not count.

Please describe the nature of the crime, in what state it occurred, give a brief summary, and describe the penalty imposed, and time periods of the penalty. Please be thorough, as we will be conducting a background check.
Parent/Guardian Information











Emergency Contact







2nd Emergency Contact








There has to be at least one emergency contact who is available during the duration of the program to pick up applicant if he/she is sent home for medical or disciplinary reason.
Health Insurance
It is our policy to have this information on file in case of an emergency.


Applicant's Name unless under parent or guardian's policy

"Claim number", "ID Number", "Member Number"

Usually for Private or Employer insurance plans only
Medical Information


Lifting, running, etc. or None

Seizures






Diabetes




Allergies


Eating/Diet


Mental Health




Medications/Supplements
Upon check-in, all volunteers, counselors, and leaders must turn in their over the counter medications, prescription medications and vitamins to the camp nurse.  They will be secured at the Health Center and you will have 24 hour access. No medications are allowed in the cabins.
If there are 3 or more medications/supplements administered per day, then they must ALL be bubble packed by pharmacy. If there are 2 or less medications/supplements administered per day, they may be either: sent in the original container with accurate, unaltered pharmacy label, or bubble packed by pharmacy. Camp nurse will administer all medications and supplements as directed by a physician on original pharmacy label. Send only enough meds of the duration of camp. (see Medication Policy Info Sheet for complete details)

Pharmacy Information



Medication/Supplement

Generic or Name-brand may be used. Do not add any additional information.

Must include a number and unit of measure (mg, iu, or ml). This does not refer to how often med is taken.

Fill in the number of pills/capsules taken at each of the following times.




During camp, medications are administered at the times listed below. 

Add any additional information needed for proper administration of this medication.
Sleeping

Limited number of bottom bunks available. Only select Bottom Bunk if the Applicant MUST sleep on bottom.





Note: C-pap user must bring distilled water.



Personal Reference




Experience Away from Home


Religious Services






Employer Information



Extracurricular Activities


Camp Activities






Talents That You Are Willing To Use


Sibs Questions

Be specific...we love name dropping!


This will help guide staff in leading topics of conversation.

If the sibling with a disability is in the Waivers program, then the Sib may be eligible to receive funding for sibs programming. You need to contact your consultant to ask if you can add Camp Daniel's Sibs Summer Getaway to your child's list of services to receive CLTS Waiver funding to cover the program fees.


Group Info



Note: All members of group should use the same Group name with the same spelling.

Program Registration






Support Crew Info


Worker responsibilities are not limited to this list. Cannot guarantee a spot in checked areas.





Shirt Size

Size information helps us stock merchandise with the appropriate sizes in the Trading Post gift shop.


Applications submitted after application deadline - We cannot guarantee your preferred shirt size, because of our ordering deadline.




Sibs Summer Getaway Pricing
Ages 8-13 are Campers
Ages 14-17 are Leaders
Ages 18+ are Counselors



Tickets (for the amounts designated in the Fee Schedule) will be issued for use as payment at the snack shop and gift shop. Campers should not bring cash to avoid losing/misplacing money.

Mail in Check
By choosing to pay later, you are agreeing to provide payment in the form of a check. Please make the check out to Camp Daniel for the amount owed with the name of the Sib(s) in the memo.

Mail in the check to: Camp Daniel W10541 Army Lane, Athelstane, WI 54104. Be sure to include the Applicant's Full Name.
Agency/County Payments
It is your responsibility to acquire and submit Pre-Authorization from the paying Agency/County.

The Application will NOT be processed until an Agency/County Pre-Authorization is 
received.

If IRIS, put the name of your Fiscal Employer Agent (FEA).

Social worker, case worker, or IRIS consultant


Social worker, case worker, or IRIS consultant
Fee Schedule
Snack & Gift Shops: Tickets (for the amounts designated in the Fee Schedule) will be issued for use as payment at the snack shop and gift shop. Campers should not bring cash to avoid losing/misplacing money.

$

$

$
$30-75 recommended

$
$20-30 recommended

$
Enter desired amount

$
Above is the suggested amount based on cost per event.
If you register more than one child, $40 discount will be issued in the form of a refund. Or you may have the extra $40 put towards Snack and Gift shop tickets. Just email registrar@campdaniel.org to make your wishes known.
If you register more than one child, $20 discount will be issued in the form of a refund. Or you may have the extra $20 put towards Snack and Gift shop tickets. Just email registrar@campdaniel.org to make your wishes known.
Enter Payment Information






Enter Billing Address







Policies Applicable to Counselors & Leaders
  • Applications: Counselor applications are available to individuals at least 18 years old and Leader applications are also available to individuals between 14-17 years old. Leaders and Counselors may also be referred to as "Volunteers". Completed applications should be submitted 30 days prior to the first program session (or disclosed application deadline), but applications submitted after deadline will be reviewed. Campers are accepted based on commitments made by volunteers.
  • Commitment: All Counselors are required to attend the entire duration of the program session applied for. Counselors shall be active with their camper(s). All volunteers are required to attend chapel services. No volunteers shall leave the campground without permission.
  • Training & Camper Safety: All volunteers will participate in training orientation prior to the arrival of campers. Volunteers shall observe the "Two Person Rule" at all times so that no volunteer is ever alone with a camper.
  • Medications: Upon check-in, all volunteers must turn in their over the counter medications, prescription medications and vitamins to the camp nurse.  They will be secured at the nurse’s station and volunteers will have 24 hour access. No medications are allowed in the cabins.
  • Acceptance: The Acceptance Process begins with a completed application and will include a background check on all volunteers & staff to ensure the safety of all camp participants. An email will be sent 30 days prior to the first program session (or as soon as possible) confirming which camp sessions applicant is accepted or denied for.
  • Dismissal: If the applicant is sent home for medical or disciplinary reason, an emergency contact must be available during the week and is responsible for transportation home within 12 hours of notification. Any behaviors, which endanger others or are disruptive to the camp, are grounds for non-acceptance to camp or immediate dismissal from camp.
  • Cost of Camp: Volunteers under 18 are subject to a CIT/SCIT Fee, and a discount is available if eligible. All other volunteers may donate to cover the cost of camp.
  • Lost Items: Camp Daniel is not responsible for lost or stolen articles.
  • Prohibited Items: No vape, CBD, tobacco, alcohol, drugs, firearms, or knives allowed on the grounds. Food and drink items are not allowed in the cabins.
  • Dress Code: No crop tops, spaghetti straps, or short shorts. Any leggings must be worn with a shirt that covers butt. Any two-piece swimsuit must cover stomach, or be worn with a dark shirt. No speedos allowed.
Terms and Conditions
  • All the information provided on this application is accurate and true and I agree to all the conditions contained in this application.
  • I agree to the above mentioned camp policies and acceptance policies.
  • I understand that a camper will be accepted to camp based on the dates I committed to on this application, and that, should I not fulfill this commitment, that a camper will not be able to attend camp.
  • My signature authorizes the release of my criminal records and that my Social Security number will be used for a background check.
  • I understand that if I am involved in any misconduct and/or negligence, and such misconduct results in a lawsuit, I will represent myself. I shall indemnify Camp Daniel and hold them harmless from and against any liability for such misconduct and/or negligence.
  • I understand precaution is taken to safeguard the health and safety of the applicant under Camp Daniel's supervision. I waive, release and discharge any and all claims for damages of death, personal injury or property loss which I, or the applicant named on this form, may have as a result of participation in Camp Daniel activities.
  • I hereby give permission to the medical personnel selected by the camp director to administer first aid, and to order routine tests and treatments. In case of medical emergency, I understand that every effort will be made to contact the applicant’s emergency contact(s). In the event that anyone cannot be reached, I hereby give permission to the physician selected by the camp director to hospitalize, secure proper treatment for, and to order injection and/or anesthesia and/or surgery for the applicant named on this form. I understand that I am responsible for all medical related expenses, including those for prescription drugs and over the counter medications.
  • I hereby grant Camp Daniel authorization to use applicant's name, image and likeness, and sound and video recordings for promotional purposes and in social media.
  • I, the undersigned, hereby acknowledge that I have read the foregoing, understand its content, give permission of the applicant to attend summer camp at Camp Daniel and have signed the same as my own free act and deed.
Policies Applicable to Sib Campers
  • Applications: Sib Camper applications are available to individuals 8-13 years old who have a sibling with a physical and/or intellectual or developmental disability. Each applicant is accepted on an individual basis (see Acceptance). Camp Daniel does not discriminate on the basis of race, religion, creed, or national origin. A completed application includes: Physician Form, First Time Camper Portrait, and Fee Schedule Paid-in-Full.
  • Medications: If there are 3 or more medications/supplements administered per day, then they must ALL be bubble packed by pharmacy. If there are 2 or less medications/supplements administered per day, they may be either: sent in the original container with accurate, unaltered pharmacy label, or bubble packed by pharmacy. Camp nurse will administer all medications and supplements as directed by a physician on original pharmacy label. Send only enough meds of the duration of camp. (see Medication Policy for complete details)
  • Acceptance: The Acceptance Process begins with a completed application (see Applications). Acceptance is firstly based upon our ability to find a suitable counselor for applicant, and secondly, on the timeliness and thoroughness of the application. An email confirming acceptance will be sent 30 days prior to the camp session which applicant is accepted. If you have not received an acceptance or denial email 30 days prior to the first camp session, then the applicant is automatically put on a waiting list. If the applicant cannot be accommodated into a camp this season, a full refund will be issued (see Refunds).
  • Behavior: For the safety of everyone at the camp, we do not accept applicants with extreme behavior problems.  This includes applicants that are physically, verbally or sexually aggressive.  If an applicant does not follow rules or take direction from staff, or any behaviors, which endanger others or are disruptive to the camp, are grounds for non-acceptance to camp or immediate dismissal from camp. Applicants must be able to sleep in a cabin setting, not wander in the night, or disturb others through their behavior. All applicants must be able to function in a group setting.
  • Dismissal: If the applicant is sent home for medical or disciplinary reason, an emergency contact must be available during the week and is responsible for transportation home within 12 hours of notification (see Refunds). Any behaviors, which endanger others or are disruptive to the camp, are grounds for non-acceptance to camp or immediate dismissal from camp.
  • Payment: The cost of camp sessions is listed on the current year’s Fee Schedule. Payment maybe paid online with a credit/debit card while filling out the application or by sending a check. It is the responsibility of the applicant to notify payee Agency to acquire and submit Letter of Authorization from Agency to provide services. 
  • Snack & Gift Shops: Tickets (for the amounts designated in the Fee Schedule) will be issued for use as payment at the snack shop and gift shop.
  •  Cancelations: A $75 processing fee will be retained and the balance of the paid camp fee will be returned.
  •  Discount: To qualify for the family discount, 2 or more completed applications (see Applications) from the same family must be accepted. The discount will be received in the form of a refund (see Refunds).
  •  Refunds: All discount and dismissal refunds will be issued after the completion of the camp season. No refunds will be issued if sent home for disciplinary reasons. Partial refunds will be issued for medical reasons. Full refunds will be issued to unaccommodated or denied applicants.
  •  Lost Items: Camp Daniel is not responsible for lost or stolen articles that have not been properly marked with applicant's name. Any unmarked item brought by applicant may be labeled with camper name by Camp Daniel Staff.
  • Prohibited Items: No vape, CBD, tobacco, alcohol, drugs, firearms, or knives allowed on the grounds. Food and drink items are not allowed in the cabins.
  • Dress Code: No crop tops, spaghetti straps, or short shorts. Any leggings must be worn with a shirt that covers butt. Any two-piece swimsuit must cover stomach, or be worn with a dark shirt. No speedos allowed.

Terms and Conditions

  • All the information provided on this application is accurate and true and I agree to all the conditions contained in this application.
  • I agree to the above mentioned camp policies and acceptance policies.
  • I understand precaution is taken to safeguard the health and safety of the applicant under Camp Daniel's supervision. I waive, release and discharge any and all claims for damages of death, personal injury or property loss which I, or the applicant named on this form, may have as a result of participation in Camp Daniel activities.
  • I hereby give permission to the medical personnel selected by the camp director to administer first aid, and to order routine tests and treatments. In case of medical emergency, I understand that every effort will be made to contact the applicant’s emergency contact(s). In the event that anyone cannot be reached, I hereby give permission to the physician selected by the camp director to hospitalize, secure proper treatment for, and to order injection and/or anesthesia and/or surgery for the applicant named on this form. I understand that I am responsible for all medical related expenses, including those for prescription drugs and over the counter medications.
  • I hereby grant Camp Daniel authorization to use applicant's name, image and likeness, and sound and video recordings for promotional purposes and in social media.
  • I, the undersigned, hereby acknowledge that I have read the foregoing, understand its content, give permission of the applicant to attend summer camp at Camp Daniel and have signed the same as my own free act and deed.